Clifford v. GEICO Casualty Company

CourtDistrict Court, D. Nevada
DecidedDecember 20, 2019
Docket2:19-cv-01301
StatusUnknown

This text of Clifford v. GEICO Casualty Company (Clifford v. GEICO Casualty Company) is published on Counsel Stack Legal Research, covering District Court, D. Nevada primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Clifford v. GEICO Casualty Company, (D. Nev. 2019).

Opinion

1 2 3 4 UNITED STATES DISTRICT COURT 5 DISTRICT OF NEVADA 6 * * *

7 MICHELLE CLIFFORD, Case No. 2:19-cv-1301-KJD-BNW

8 Plaintiff, ORDER

9 v.

10 GEICO CASUALTY COMPANY,

11 Defendant.

12 Before the Court is Defendant Geico Casualty Company’s Motion to Dismiss, or in the 13 Alternative, to Strike and to Sever/Bifurcate and Stay Claims for Bad Faith (docketed at ECF 14 Nos. 5, 6, and 7). Plaintiff, Michelle Clifford, filed one response to Geico’s three motions 15 (docketed at ECF Nos. 10, 12), and Geico replied (ECF No. 13). 16 Michelle Clifford has sued her own insurer, Geico Casualty Company, for breach of 17 contract, unfair claims practices, bad faith, and declaratory relief. Clifford’s claims arise out of 18 injuries she suffered in an accident with a third-party driver in August of 2015. Apparently, 19 Clifford’s medical bills and other damages exceeded the adverse driver’s coverage, which 20 prompted Clifford to make a claim against her own uninsured/underinsured motorist (UIM) 21 coverage with Geico. Clifford claims she has UIM coverage under two separate Geico policies: 22 her own policy and her mother’s policy. Together, Clifford believes the policies stack for 23 $115,000 in total UIM coverage. 24 Geico moves to dismiss Clifford’s bad faith, unfair claims practices, and declaratory 25 relief claims. It does not challenge her breach of contract claim. Geico argues that Clifford failed 26 to allege sufficient facts to support her extracontractual claims and that Clifford’s declaratory 27 relief claim is redundant. Geico is correct. The key to insurer bad faith is the reasonableness of 28 the insurer’s denial or delay. Clifford’s complaint lacks specific allegations of fact to support her 1 assertion that Geico’s delay or denial of her UIM benefits was unreasonable. She also fails to 2 allege any facts that Geico was aware of or recklessly disregarded the fact that its coverage 3 decisions were unreasonable. Thus, Clifford’s bad faith and unfair claims practices claims are 4 dismissed. Likewise, Clifford’s declaratory relief claim fails because the declaration she seeks 5 will necessarily be subsumed into her breach of contract claim. Accordingly, the Court grants 6 Geico’s motion to dismiss and need not reach its alternative motions. 7 I. Background 8 On August 4, 2015, Michelle Clifford was injured in a car accident. Compl. at 2. Clifford 9 reported the accident to Geico, her insurer, that same day and then began medical treatment. Id. 10 Clifford was not at fault in the accident. Id. According to Clifford, her medical bills and other 11 damages exceed $50,000. Id. At some point, Clifford settled with the adverse driver for the limits 12 of his policy, $15,000. That settlement did not cover all of Clifford’s damages. So, Clifford 13 submitted claims against two Geico policies that she believes provide her UIM coverage. 14 Clifford first claimed coverage under her individual Geico policy. That policy carries $15,000 in 15 UIM coverage. Id. at 2–3. Nine months later, Clifford claimed coverage under her mother, Holly 16 Clifford’s policy, which carried $100,000 in UIM coverage. Id. at 3. 17 Clifford’s two claims sparked a flurry of communications between she and Geico over 18 the next two years. In May of 2017, Geico responded to Clifford’s claims and offered her $9,650 19 above the third-party limits. Id. at 3–4. Clifford rejected the offer as she claimed over $50,000 in 20 medical bills and damages. Id. Three months later, Geico increased its offer to $21,000 above the 21 third-party limits. Id. at 4. Again, Clifford declined, citing the balance of her outstanding medical 22 bills. In January of 2018, Geico increased its valuation to $24,000 above third-party limits. Id. 23 Clifford simultaneously declined that offer and asked Geico to disclose what bills and property 24 damage the insurer was relying upon to evaluate her claim. Id. In response, Geico increased its 25 offer to $60,000 over third-party limits but did not disclose what evidence it based its valuation 26 on. Id. at 5. The parties continued to communicate through October of 2018, and Geico’s 27 apparent final offer was $62,000 over third-party limits. Id. at 6. According to Clifford, Geico 28 still has not disclosed what evidence it considered in valuing her claim. 1 At some point during the parties’ back-and-forth, Geico authorized its “special 2 investigations unit” to investigate Clifford’s claims. Id. at 7. According to Clifford, the special 3 investigations unit investigates fraud in the claims process. That investigation examined 4 Clifford’s pending claim, her medical history, her social media accounts, her finances, and her 5 background. Id. 6 Despite the parties’ sustained communication and Geico’s investigation, they did not 7 reach an agreement on the valuation of Clifford’s claim. That prompted Clifford to file her first 8 complaint on March 28, 2019, in the Eighth Judicial District Court in Las Vegas. Pet. for 9 Removal, ECF No. 1-B. Clifford amended her complaint three weeks later. ECF No. 1-A. Geico 10 then removed the action to this Court and moves to dismiss. 11 II. Legal Standard 12 The Court may dismiss a plaintiff’s complaint for “failure to state a claim upon which 13 relief can be granted.” Fed. R. Civ. P. 12(b)(6). A properly pleaded complaint must provide “a 14 short and plain statement of the claim showing that the pleader is entitled to relief.” Fed. R. Civ. 15 P. 8(a)(2); Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 555 (2007). While Rule 8 does not 16 require detailed factual allegations, it demands more than “labels and conclusions or a formulaic 17 recitation of the elements of a cause of action.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) 18 (citations omitted). “Factual allegations must be enough to raise a right to relief above the 19 speculative level.” Twombly, 550 U.S. at 555. Thus, “[t]o survive a motion to dismiss, a 20 complaint must contain sufficient factual matter to ‘state a claim for relief that is plausible on its 21 face.’” Iqbal, 556 U.S. at 678 (citation omitted). 22 In Iqbal, the Supreme Court clarified a two-step approach district courts are to apply 23 when considering motions to dismiss. First, the Court accepts as true all well-pleaded factual 24 allegations in the complaint. Legal conclusions or mere recitals of the elements of a cause of 25 action, on the other hand, do not receive the assumption of truth. Id. at 678. Second, the Court 26 considers whether the factual allegations in the complaint allege a plausible claim for relief. Id. 27 at 679. A claim is facially plausible when the complaint alleges facts that allow the court to draw 28 a reasonable inference that the defendant is liable for the alleged misconduct. Id. at 678. Further, 1 where the complaint does not permit the court to infer more than the mere possibility of 2 misconduct, the complaint has “alleged—but it has not show[n]—that the pleader is entitled to 3 relief.” Id. at 679 (internal quotation marks omitted). Thus, when the claims in a complaint have 4 not crossed the line from conceivable to plausible, the complaint must be dismissed. Twombly, 5 550 U.S. at 570. 6 Moreover, “[a]ll allegations of material fact in the complaint are taken as true and 7 construed in the light most favorable to the non-moving party.” In re Stac Elecs. Sec. Litig., 89 8 F.3d 1399, 1403 (9th Cir. 1996) (citation omitted). 9 III. Analysis 10 Geico now moves to dismiss each of Clifford’s extracontractual claims. It also asks the 11 Court to decide as a matter of law that the Cliffords’ two Geico policies cannot be stacked.

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Clifford v. GEICO Casualty Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/clifford-v-geico-casualty-company-nvd-2019.