Cornerstone Community Alcohol and Other Drug Recovery System v. Service American Indemnity Company

CourtDistrict Court, E.D. California
DecidedNovember 2, 2022
Docket1:22-cv-00225
StatusUnknown

This text of Cornerstone Community Alcohol and Other Drug Recovery System v. Service American Indemnity Company (Cornerstone Community Alcohol and Other Drug Recovery System v. Service American Indemnity Company) is published on Counsel Stack Legal Research, covering District Court, E.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Cornerstone Community Alcohol and Other Drug Recovery System v. Service American Indemnity Company, (E.D. Cal. 2022).

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 FOR THE EASTERN DISTRICT OF CALIFORNIA 10 11 CORNERSTONE COMMUNITY Case No.: 1:22-cv-00225-SKO ALCOHOL AND OTHER DRUG 12 RECOVERY SYSTEM dba KINGS ORDER GRANTING DEFENDANT GOSPEL MISSION, a Nonprofit ARTHUR J. GALLAGHER & CO.’S 13 Organization, MOTION TO DISMISS FIRST AMENDED COMPLAINT AS TO DEFENDANT 14 Plaintiff, ARTHUR J. GALLAGHER & CO. WITH LEAVE TO AMEND 15 v. [Doc. 6] 16 SERVICE AMERICAN INDEMNITY [30-Day Deadline] 17 COMPANY, an Oklahoma Corporation; TANGRAM INSURANCE SERVICES, 18 INC., a California Corporation; ARTHUR J. GALLAGHER & CO., an Illinois 19 Corporation; and DOES 1 THROUGH 50, inclusive, 20 Defendants. 21

22 I. Introduction 23 On October 28, 2021, Plaintiff Cornerstone Community Alcohol And Other Drug 24 Recovery System, dba Kings Gospel Mission, (“Cornerstone”) commenced this action in the 25 Kings County Superior Court against Defendants Service American Indemnity Company 26 (“SAIC”), Tangram Insurance Services, Inc., (“Tangram”), and Arthur J. Gallagher & Co. 27 (“Gallagher”). On December 2, 2021, Plaintiff filed a First Amended Complaint (“FAC”), 28 1 voluntarily dismissing Defendant Tangram. The FAC alleges five causes of action for breach of 2 contract, equitable estoppel, breach of implied covenant of good faith and fair dealing, negligent 3 performance of contract, and declaratory judgment. On February 22, 2022, Defendant Gallagher 4 removed the action to this Court pursuant to 28 U.S.C. §§ 1441 and 1446(b)(3), insofar as this 5 Court has original jurisdiction over Plaintiff’s claims on the basis of diversity pursuant to 28 6 U.S.C. § 1332. (Doc. 1.) 7 On March 1, 2022, Defendant Gallagher filed a motion to dismiss the FAC pursuant to 8 Fed. R. Civ. P. Rule 12(b)(6) based on failure to state a claim. (Doc. 6.) On March 15, 2022, 9 Plaintiff filed an opposition to the motion to dismiss. (Doc. 10.) Defendant filed a reply on 10 March 23, 2022. (Docs. 11.) On September 22, 2022, the case was reassigned to the undersigned 11 for all further proceedings.1 (Doc. 19.) 12 II. Factual Background 13 According to the FAC, Plaintiff maintained worker’s compensation insurance in 14 accordance with California law. Plaintiff’s insurance carrier for the five years preceding this 15 action was The Merriam Agency, an entity which was later acquired by Gallagher. Defendant 16 Gallagher operated as Plaintiff’s insurance broker, and Defendant Gallagher’s insurance agent 17 was Jon Barron (“Barron”). 18 On December 22, 2020, Barron’s office contacted Plaintiff by email requesting that 19 Plaintiff provide necessary documentation for renewal of Plaintiff’s worker’s compensation 20 insurance policy for the year 2021. 21 On January 5, 2021, Plaintiff provided the requested documentation to Barron’s office. 22 On January 12, 2021, Barron’s office confirmed receipt of the documents, and that Plaintiff’s 23 worker’s compensation insurance coverage would renew effective February 1, 2021. On March 24 17, 2021, Plaintiff received from Barron’s office a copy of Worker’s Compensation Insurance 25 Policy No. SATIS0396700 (the “Policy”), issued by Defendant SAIC. The Policy indicated that 26 coverage would commence on February 1, 2021, through February 1, 2022, and SAIC was the 27 1 All parties have consented to the jurisdiction of the Magistrate Judge pursuant to 28 U.S.C. § 636(c)(1). 28 (Docs. 3, 16, 18.) 1 insurance carrier. 2 In May of 2021, an employee of Plaintiff experienced an on-the-job injury, and Plaintiff 3 tendered a worker’s compensation claim to Gallagher. On May 20, 2021, Barron emailed 4 Plaintiff, stating that the Policy had lapsed and was cancelled due to non-payment of premiums. 5 Plaintiff then forwarded a copy of the Policy to Gallagher and confirmed that Plaintiff had not 6 received any delinquency notices regarding non-payment of premiums. 7 Barron responded that there had been a “mix up,” but that he would see if the Policy could 8 be reinstated. Later, Barron informed Plaintiff that reinstatement of the Policy with Defendant 9 SAIC was not possible, and the claim would be denied for lack of coverage. As a result of the 10 cancellation of the Policy, Plaintiff was compelled to cover the full cost of the claim of the 11 injured employee. Plaintiff was also placed at risk of incurring fines and penalties for not 12 maintaining sufficient worker’s compensation coverage. 13 III. Discussion 14 A. Standards Applicable to Motions to Dismiss Pursuant to Rule 12(b)(6) 15 A motion to dismiss brought pursuant to Rule 12(b)(6) tests the legal sufficiency of a 16 claim. Conservation Force v. Salazar, 646 F.3d 1240, 1241-42 (9th Cir. 2011) (quotation marks 17 and citations omitted), cert. denied, 132 S.Ct. 1762 (2012). In resolving a 12(b)(6) motion, a 18 court’s review is generally limited to the operative pleading. Daniels-Hall v. National Educ. 19 Ass’n, 629 F.3d 992, 998 (9th Cir. 2010); Sanders v. Brown, 504 F.3d 903, 910 (9th Cir. 2007); 20 Huynh v. Chase Manhattan Bank, 465 F.3d 992, 1003-04 (9th Cir. 2006); Schneider v. California 21 Dep’t. of Corr., 151 F.3d 1194, 1197 n.1 (9th Cir. 1998). However, courts may properly consider 22 matters subject to judicial notice and documents incorporated by reference in the pleading without 23 converting the motion to dismiss to one for summary judgment. U.S. v. Ritchie, 342 F.3d 903, 24 908 (9th Cir. 2003). 25 “Dismissal can be based on the lack of a cognizable legal theory or the absence of 26 sufficient facts alleged under a cognizable legal theory.” Balistreri v. Pacifica Police Dep't, 901 27 F.2d 696, 699 (9th Cir. 1990). A plaintiff must set forth “enough facts to state a claim to relief 28 that is plausible on its face.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570, 127 S.Ct. 1955, 167 1 L.Ed.2d 929 (2007). “A claim has facial plausibility when the plaintiff pleads factual content that 2 allows the court to draw reasonable inferences that the defendant is liable for the misconduct 3 alleged.” Ashcroft v. Iqbal, 556 U.S. 662, 678, 129 S.Ct. 1937, 173 L.Ed.2d 868 (2009). 4 In considering whether a complaint states a claim on which relief may be granted, the 5 court accepts as true the allegations in the complaint and construes the allegations in the light 6 most favorable to the plaintiff. Hishon v. King & Spalding, 467 U.S. 69, 73, 104 S.Ct. 2229, 81 7 L.Ed.2d 59 (1984). The court is not required to assume the truth of legal conclusions that are cast 8 in the form of factual allegations. Clegg v. Cult Awareness Network, 18 F.3d 752, 754-55 (9th 9 Cir. 1994). Although Rule 8(a) does not require detailed factual allegations, “it demands more 10 than an unadorned, the defendant-unlawfully-harmed-me accusation.” Iqbal, 556 U.S. at 678.

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Bluebook (online)
Cornerstone Community Alcohol and Other Drug Recovery System v. Service American Indemnity Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/cornerstone-community-alcohol-and-other-drug-recovery-system-v-service-caed-2022.