DeWolfe v. AARP, Inc.

CourtDistrict Court, Virgin Islands
DecidedMay 5, 2023
Docket1:19-cv-00056
StatusUnknown

This text of DeWolfe v. AARP, Inc. (DeWolfe v. AARP, Inc.) is published on Counsel Stack Legal Research, covering District Court, Virgin Islands primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
DeWolfe v. AARP, Inc., (vid 2023).

Opinion

DISTRICT COURT OF THE VIRGIN ISLANDS

DIVISION OF ST. CROIX ║ KAREN DEWOLFE and ALAN ║ DEWOLFE, ║ ║ Plaintiffs, ║ 1:19-cv-00056-MEM-EAH ║ v. ║ ║ AARP, INC., AARP SERVICES, INC., ║ GRUPO COOPERATIVO SEGUROS ║ MULTIPLES, COOPERATIVA DE ║ SEGUROS MULTIPLES DE PUERTO ║ RICO, SEDGWICK CLAIMS ║ MANAGEMENT SERVICES, INC., ║ OVERSEAS INSURANCE AGENCY, INC., ║ VERICLAIM, INC., and BYRON ║ GILCHREST, ║ ║ Defendants. ║ ________________________________________________ ║ TO: Pamela L. Colon, Esq. For Plaintiffs Karen Ellis Carr, Esq. Eric Roman, Esq. Mattie Bowden, Esq. Andrew C. Simpson, Esq. For AARP, Inc. and AARP Services, Inc. Ann Cecile O’Neill, Esq. Eugenio W.A. Geigel-Simounet, Esq. For GCSM and CMSPR Richard H. Hunter, Esq. Joshua D. Lerner, Esq. Peter Tepley, Esq. Victor G. Sanabria, Esq. For Vericlaim, Sedgwick, and Gilchrest

MEMORANDUM OPINION THIS MATTER

comes before the Court on the Motion for Protective Order filed by DeWolfe v. AARP Services, Inc. 1:19-cv-00056-MEM-EAH Memorandum Opinion Page 2 GRANT

the reasons that follow the Court will the motion and enter the AARP Defendants’ proposed protective order with the CoBuArtC’sK mGoRdOifUicNaDti on. I. Plaintiffs’ Allegations1 The Complaint in this case was originally filed in Superior Court in September 2019. Dkt. No. 1-1. Plaintiffs Karen and Alan DeWolfe alleged that they purcIhdased a homeowner’s insurance policy approximately ten years ago for a home on St. Croix. . ¶ 16. They renewed this policy annually, and it was effective October 31, 2016-October 31, 2017, proviIdding coverage for up to $350,000 in windstorm damage to the dwelling on their property. . ¶ 17. Based on the advertising and branding of the insurance policy, Plaintiffs believed that the insurance was provided through the AARP Defendants; in fact, the insurance was through Real Legacy Assurance (“Real Legacy”), a wholly owned subsidiary of Cooperativa de Seguros

Multiples of Puerto IRdico (“CSMPR”), and member company of Grupo Cooperativo Seguros Multiples (“GCSM”). . ¶¶ 6, 7, 21-25. On SeptembeIdr 19 and 20, 2017, Hurricane Maria caused catastrophic damage to 2 Plaintiffs’ property. . ¶I¶d 49-50. Thus, on December 1, 2017, Plaintiffs notified Real Legacy of their loss via email. . ¶ 51. On December 13, 2017, Real Legacy responded via email,

1 2 The factual background is taken from Plaintiffs’ allegations as stated in their initial Complaint; they do not reflect factual findings made by this Court. Because the Complaint alleged that Real Legacy was an agent and/or sSuebes eid.giary of the AAR P DeWolfe v. AARP Services, Inc. 1:19-cv-00056-MEM-EAH Memorandum Opinion Page 3 Id

naming Vericlaim, Inc. (“Vericlaim”) as their adjuster. . ¶ 52. On December 15, 2017, Vericlaim and Sedgwick Claims Management Services, Inc. (“Sedgwick”) advised Plaintiffs that they had assigned the adjustment to their agent, LuisI dPerez Frimat, who inspected the property between December 15 and December 24, 2017. . ¶¶ 53-54. After the inspection, Frimat, on behalf of Sedgwick and Vericlaim, called Karen DeWolfe and fraudulently Itdold her that the damages to the property were insufficient to meet the $17,500 deductible. . ¶ 55. ITdhus, on March 27, 2018, Plaintiffs hired a consulting firm to adjust the claim on their behalf. . ¶ 56. In June 2018, the firm completed its repoIrdt and estimated Plaintiffs’ damages at $156,380; it forwarded this estimate to Real Legacy. . ¶¶ 57-58. In July 2018, SedgIdwick and Vericlaim assigned Byron Gilchrest to work as their second adjuster on the claim. . ¶¶ 59- 60. Gilchrest did not visit the property until August 2018; in his completed report in November 2018, he fraudulently underestimatIedd Plaintiffs’ payment due at only $89,964.51 or $100,581.39 if “depreciation is recovered.” . ¶¶ 61-63. Because Real Legacy had suffered $110,000,000 in losses and was under-reinsured by $70,000,000, in September 2018, the Office of the Commissioner of Insurance of PIuderto Rico placed Real Legacy under regulatory supervision through a Rehabilitation Order. . ¶¶ 73-76. At the time of the Rehabilitation Order, Plaintiffs’ claim was one of eighty-two unpaid 3 pending claims in the Territory, because Sedgwick, Vericlaim, and Gilchrest had prepared a

3 DeWolfe v. AARP Services, Inc. 1:19-cv-00056-MEM-EAH Memorandum Opinion Page 4 Id

false adjustment of Plaintiffs’ damages. . ¶¶ 77-78. By the time the AdjuIsdter Defendants submitted the final report to Real Legacy, it was already in “rehabilitationId.” . ¶ 81. Despite multiple written demands for payments, the claim has never been paid. . ¶ 82. In JanuaIrdy 2019, the Court of First Instance of San JuanI dordered Real Legacy to liquidate its assets. . ¶¶ 8II2. -83. PPlraoincteidffus raarel Hstiisllt oorwye d $156,380. . ¶ 84. Plaintiffs brought claims of breach of contract, breach of the duty of good faith and fair dealing, bad faith, breach of fiduciary duty, fraud in the inducement, unfair trade practices, misrepresentation, and negligence against the AARP Defendants, GCSM, CSMPR, and Overseas. Plaintiffs brought a claim of tortious interference with contractual relations against the Adjuster Defendants. The AARP Defendants removed the case to this Court in October 2019. Dkt. No. 1. In 4 November 2019, all Defendants filed motions to dismiss. Dkt. Nos. 24, 28, 38. In March 2021, 5 Judge Malachy E. Mannion ruled on the motions to dismiss and entered an order which: (1) granted the AARP Defendants’ motion with respect to the unfair trade practice claim and denied it as to all other counts; (2) granted the Adjuster Defendants’ motion; and (3) granted GCSM and CSMPR’s motion as to the unfair trade practice claim and denied it as to all other counts. Dkt. Nos. 86, 87. After the ruling on the motions to dismiss, the remaining Defendants

4 5 Overseas never filed a responsive p leading or otherwise participated in the case. DeWolfe v. AARP Services, Inc. 1:19-cv-00056-MEM-EAH Memorandum Opinion Page 5

answered. Dkt. Nos. 88, 92. Thus, in June 2021, the Court entered a scheduling order including, inter alia, a fact discovery deadline of November 30, 2021. Dkt. No. 100. In August 2021, Plaintiffs filed a motion for leave to amend their Complaint, Dkt. No. 108, which the Court granted, Dkt. No. 120. The Amended Complaint eliminated two claims: the unfair trade practice claim against the AARP Defendants, GCSM, and CSMPR and the tortious interference claim against the Adjuster Defendants; it also asserted two new claims against the Adjuster Defendants: a breach of contract claim under a third-party beneficiary theory and a gross negligence claim. Dkt. No. 122. All underlying factual allegations regarding Itdhe policy, hurricane, and loss adjustment process and the other Counts remained identical. . The AARP Defendants answered. Dkt. No. 126. The Adjuster Defendants, GCSM, and 6 CSMPR filed second motions to dismiss. Dkt. Nos. 129, 144. In April and May 2022, while briefing on the motions to dismiss was pending, the parties engaged in discovery, serving Rule 26 disclosures, other discovery, subpoenas, interrogatories, and requests for production. Dkt. Nos. 149-152, 155. Discovery continued 7 from June to September 2022, with parties serving requests, responses, and notices of depositions. Dkt. Nos. 166-170, 176-180, 182, 183, 185, 187-189. In September 2022, Judge

6 GCSM and CSMPR filed their initial motion to dismiss in a fashion that did not comply with the Court’s local rules. Dkt. No. 140. 7 In May 2022, Plaintiffs moved to extend discovery and case deadlines, Dkt. No. 157; the

Court granted this motion. Dkt. No. 159.In August 2022, the parties jointly filed a motion to DeWolfe v. AARP Services, Inc. 1:19-cv-00056-MEM-EAH Memorandum Opinion Page 6

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DeWolfe v. AARP, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/dewolfe-v-aarp-inc-vid-2023.