Echo & Rig Sacramento, LLC v. AmGuard Ins. Co.

District Court, E.D. California·Decided October 18, 2023·No. 2:23-cv-00197·Unknown

Opinion

ECHO & RIG SACRAMENTO, LLC, No. 2:23-cv-00197-DJC-JDP individually and on behalf of all others similarly situated, Plaintiff, ORDER

v.

Defendant. The present case concerns the fairness of an insurance company collecting pre- COVID-19 premium rates from restaurants and other businesses during the COVID-19 pandemic, despite the businesses being closed or operating at a limited capacity for much of 2020. Plaintiff Echo & Rig, a restaurant in Sacramento, California, brings claims on behalf of itself and others similarly situated alleging that Defendant AmGuard Insurance Company was unjustly enriched by retaining a rate of return that was excessive compared to the businesses’ reduced risk exposure, and that Defendant’s failure to refund or reassess the businesses’ insurance rates was an unfair business practice in violation of the California Unfair Competition Law (“UCL”). Defendant has moved to dismiss Plaintiff’s claims arguing that Defendant’s conduct was protected by the UCL “safe harbor,” and that Plaintiff has failed to state a claim for unjust enrichment. Defendant also requests the Court to, in the alternative, dismiss Plaintiff’s claims under the primary jurisdiction doctrine. For the following reasons the Court will GRANT in part and DENY in part Defendant’s Motion. I. Background Plaintiff Echo & Rig is a restaurant in Sacramento, California bringing claims on behalf of itself and others similarly situated. (First Am. Compl. (“FAC”) (ECF No. 21) ¶¶ 4, 10.) During the COVID-19 pandemic Plaintiff was forced to close its business from mid-March 2020 through August 2020. (Id. ¶¶ 4, 20–23.) It reopened in September of 2020 in a limited capacity not exceeding 20% of its pre-COVID operations. (Id.) During this time, Plaintiff maintained an insurance policy with Defendant AmGuard Insurance Company. (Id. ¶ 12.) The policy started on November 12, 2019 and ran through November 12, 2020. (Id.) Despite Plaintiff’s business being fully closed or operating at a limited capacity for most of the policy period, Plaintiff continued to pay an insurance premium that was based on Plaintiff’s normal operating capacity for the full policy period. (Id. ¶¶ 28–31, 46.) While the COVID-19 pandemic was ongoing, the California Insurance Commissioner issued three bulletins notifying property and casualty insurers that the pandemic related closure of many businesses had caused the projected loss exposure of these business to be overstated or misclassified. (Id. ¶ 37–43.) Through the bulletins, the Insurance Commissioner requested that insurers issue premium refunds to their insureds by either applying a uniform premium reduction or adjustment, or by conducting a case-by-case assessment of their insureds’ exposure bases. (Id.) The bulletins also required insurance companies to report to the Commissioner regarding the actions they took. (Id. ¶ 40.) The bulletins applied to the months of March through June and “any months subsequent to June if the COVID-19 pandemic continues to result in projected loss exposures remaining overstated or misclassified.” (Id. ¶ 41.) In response to these bulletins, Defendant reported to the California Department of Insurance that it “provided refunds of between 15% and 30% to policyholders for [the period between March 15 through May 31, 2020], depending on the line of business and classification, with some exceptions.” (Id. ¶ 47; ECF No. 21-7 at 3.) Defendant also stated that for the months subsequent to June 2020, it undertook a case-by-case reassessment of its insureds’ exposure bases based on information provided by policyholders and at the policyholders’ requests and issued premium reductions as it saw fit. (FAC ¶ 9; ECF No. 21-7 at 3.) Plaintiff alleges that it was not issued a refund in the first round of refunds provided by Defendant, nor was Plaintiff notified of Defendant’s plan to reassess premiums or given an opportunity to provide Defendant with information about its reduced operations and request a reduction. (Id. ¶ 48–49.) Plaintiff further alleges that even if it was given the 15% to 30% refund, such a refund would not have adequately compensated Plaintiff for the excess premium it paid. (Id. ¶ 48.) Plaintiff brought the present action alleging that Defendant’s collection and retention of excessive premiums as a result of Plaintiff’s exposure being overstated during the COVID-19 pandemic violates public policy as established in Proposition 103 “to protect consumers from arbitrary insurance rates and practices” and “to ensure that insurance is fair, available, and affordable for all Californians.” (Id. ¶ 34.) Plaintiff claims that Defendant’s conduct was an unfair business practice in violation of the UCL, Business and Professions Code section 17200, et seq., and that Defendant was unjustly enriched. (Id. at 14–16.) Defendant brought the present Motion to Dismiss Plaintiff’s FAC and Plaintiff has opposed the motion. (Mot. (ECF No. 23-1); Opp’n (ECF No. 29).) //// //// II. Legal Standard for Motion to Dismiss A party may move to dismiss for “failure to state a claim upon which relief can be granted.” Fed. R. Civ. P. 12(b)(6). The motion may be granted if the complaint lacks a “cognizable legal theory” or if its factual allegations do not support a cognizable legal theory. Godecke v. Kinetic Concepts, Inc., 937 F.3d 1201, 1208 (9th Cir. 2019) (quoting Balistreri v. Pacifica Police Dep’t, 901 F.2d 696, 699 (9th Cir. 1988)). The Court assumes all factual allegations are true and construes “them in the light most favorable to the nonmoving party.” Steinle v. City and Cnty. of San Francisco, 919 F.3d 1154, 1160 (9th Cir. 2019) (quoting Parks Sch. of Bus., Inc. v. Symington, 51 F.3d 1480, 1484 (9th Cir. 1995)). If the complaint’s allegations do not “plausibly give rise to an entitlement to relief,” the motion must be granted. Ashcroft v. Iqbal, 556 U.S. 662, 679 (2009). A complaint need contain only a “short and plain statement of the claim showing that the pleader is entitled to relief,” Fed. R. Civ. P. 8(a)(2), not “detailed factual allegations,” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007). But this rule demands more than unadorned accusations; “sufficient factual matter” must make the claim at least plausible. Iqbal, 556 U.S. at 678. In the same vein, conclusory or formulaic recitations of elements do not alone suffice. Id. (citing Twombly, 550 U.S. at 555). This evaluation of plausibility is a context-specific task drawing on “judicial experience and common sense.” Id. at 679. III. Discussion A. Unfair Competition Law Plaintiff claims that Defendant engaged in an unfair business practice prohibited by the UCL by retaining the allegedly excessive premiums paid by Plaintiff during the pandemic, and by failing to reassess Plaintiff’s rate. “The unfair prong of the UCL ‘creates a cause of action for a business practice that is unfair even if not proscribed by some other law.’” Day v. GEICO Cas. Co., 580 F. Supp. 3d 830, 844 (N.D. Cal. 2022) (quoting Cappello v. Walmart Inc., 394 F. Supp. 3d 1015, 1023 (N.D. Cal. 2019)). Whether conduct is unfair can be determined two ways: (1) by establishing that the conduct offends “some legislatively declared policy” (the “tethering” test) or (2) by weighing the utility of the conduct against the harm to the alleged victim (the “balancing” test). Id. at 844–45 (citing Lozano v. AT & T Wireless Servs., Inc., 504 F.3d 718, 735 (9th Cir. 2007) and Davis v. HSBC Bank Nevada, N.A.,

Echo & Rig Sacramento, LLC v. AmGuard Ins. Co., (E.D. Cal. 2023).

Echo & Rig Sacramento, LLC v. AmGuard Ins. Co. (Echo & Rig Sacramento, LLC v. AmGuard Ins. Co.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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