Edd King v. National General Insurance Company

CourtDistrict Court, N.D. California
DecidedJune 11, 2021
Docket4:15-cv-00313
StatusUnknown

This text of Edd King v. National General Insurance Company (Edd King v. National General Insurance Company) is published on Counsel Stack Legal Research, covering District Court, N.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Edd King v. National General Insurance Company, (N.D. Cal. 2021).

Opinion

1 2 3 4 UNITED STATES DISTRICT COURT 5 NORTHERN DISTRICT OF CALIFORNIA 6 7 EDD KING, et al., Case No. 15-cv-00313-DMR

8 Plaintiffs, ORDER ON DEFENDANTS’ MOTION 9 v. TO DISMISS

10 NATIONAL GENERAL INSURANCE Re: Dkt. No. 165 COMPANY, et al., 11 Defendants. 12 Plaintiffs1 bring this putative class action alleging that Defendants2 unlawfully overcharged 13 Plaintiffs and the Class members for auto insurance premiums in violation of California law. The 14 court previously granted Defendants’ motions to dismiss the first and second amended complaints. 15 See Docket Nos. 70 (“Order on First MTD”); 92 (“Order on Second MTD”). After Plaintiffs filed 16 a third amended complaint, the court ordered the case stayed while the Department of Insurance 17 (“DOI”) made findings as to some of the issues raised by the parties. See Docket No. 117 (“Stay 18 Order”). The DOI proceedings have now concluded. As ordered by the court, Plaintiffs filed a 19 fourth amended complaint on January 28, 2021. [Docket No. 163, Fourth Amended Complaint 20 (“4AC”).] Defendants now move to dismiss the 4AC and well as to strike portions of the 4AC.3 21 [Docket Nos. 164 (“MTS”), 165 (“MTD”), 173 (“MTS Reply”), 174 (“MTD Reply”).] Plaintiffs 22 1 Plaintiffs are Edd King, Dierdre King, Elmo Sheen, and Sheila Lee. 23

2 Defendants are National General Insurance Company (“NGIC”), National General Assurance 24 Company (“NGAC”), Integon National Insurance Company (“Integon National”), Integon Preferred Insurance Company (“Integon Preferred”), MIC General Insurance Corporation (“MIC”), Personal 25 Express Insurance Company (“PEIC”), and Sequoia Insurance Company (“Sequoia”).

26 3 Consumer Watchdog, a “non-profit, non-partisan charitable organization” that advocates against “unfair and abusive insurance rates and policies,” filed a motion for leave to file an amicus curiae 27 brief addressing some of Defendants’ arguments in their motion to dismiss. See Docket No. 177 at 1 oppose. [Docket Nos. 169 (“MTD Opp.”), 171 (“MTS Opp.”).] The court held a hearing on the 2 motions on April 22, 2021. 3 For the reasons stated below, Defendants’ motion to dismiss is granted in part and denied in 4 part and the motion to strike is denied. 5 I. BACKGROUND 6 A. Good Driver Discounts Drivers who meet certain criteria are qualified to buy a Good Driver Discount (“GDD”) 7 policy from the insurer of their choice. Cal. Ins. Code §§ 1861.02(b)(1), 1861.025 (listing the 8 criteria to qualify for a GDD policy). The rate charged for a GDD policy must be “at least 20 percent 9 below the rate the insured would otherwise have been charged for the same coverage.” Cal. Ins. 10 Code § 1861.02(b)(2). When multiple insurers have common ownership or operate in California 11 under common management or control, California law requires that “[a]n agent or representative 12 representing one or more” of such insurers “shall offer, and the insurer shall sell, a good driver 13 discount policy to a good driver from an insurer within that common ownership, management, or 14 control group, which offers the lowest rates for that coverage.” Cal. Ins. Code § 1861.16(b). The 15 requirement to cross-offer a policy with the lowest Good Driver rates is known as the “Lowest Rates 16 Rule.” An insurer within a control group is not subject to the Lowest Rates Rule if it meets the eight 17 conditions required for a “Super Group Exemption,” as set forth in section 1861(c)(1). See Cal. Ins. 18 Code § 1861.16(c)(1). 19 B. Allegations and Claims 20 The following facts are alleged in the 4AC. Defendants are (or, at relevant times, have been) 21 in a control group within the meaning of the Lowest Rates Rule. 4AC ¶ 1. Each of the named 22 Plaintiffs and Class members held insurance policies issued by one or more of the companies in 23 Defendants’ control group. Id. ¶ 5. All Plaintiffs qualified as “Good Drivers” and were therefore 24 entitled to a GDD policy from an insurer within Defendants’ control group that offered the lowest 25 rates for that coverage. Id. ¶ 7. In violation of the Lowest Rates Rule, Defendants’ agents and 26 representatives failed to offer Plaintiffs and Class members the lowest available GDD policy 27 premiums within their control group. Id. ¶ 44. Specifically, at the time Plaintiffs purchased their 1 for substantially similar coverage, but Plaintiffs were never offered those GDD policies. Id. ¶ 44. 2 In addition, Defendants deliberately concealed their wrongful conduct and did not inform 3 policyholders who had been overcharged of their right to be reimbursed for premium overpayments. 4 Id. ¶ 49. Plaintiffs bring claims for (1) breach of contract; (2) breach of the implied covenant of good 5 faith and fair dealing; (3) declaratory and injunctive relief; (4) fraud and misrepresentation; and (5) 6 violations of California’s Unfair Competition Law (“UCL”), Cal. Bus. & Prof. Code § 17200 et seq. 7 C. DOI Investigation 8 This is the third round of briefing on the pleadings. One of Defendants’ recurring arguments 9 has been that Defendants PEIC and NGAC are entitled to “Super Group” exemptions from the cross- 10 offer requirement. After the court heard oral argument on Defendants’ motion to dismiss the third 11 amended complaint, it ordered supplemental briefing on the question of whether the determination 12 of “Super Group” status is within the exclusive jurisdiction of the DOI. See Docket No. 114. The 13 court did not hold that Super Group status must be decided by the DOI, but it did find that “such a 14 decision should be made by the Insurance Commissioner through application of the primary 15 jurisdiction doctrine.” Docket No. 117 at 6 (emphasis in original). It accordingly stayed the case 16 pending a decision by the DOI regarding the Super Group status of NGAC and PEIC. Id. 17 The DOI issued a decision on November 10, 2020. [Docket No. 163-5 (“DOI Letter”).] The 18 DOI made two primary findings. First, it determined that “NGAC’s recreational vehicle program 19 is not subject to the Lowest Rates Rule as a matter of law” because the cross-offer requirement only 20 applies to the auto insurance policies defined in Cal. Ins. Code § 660(a), which does not include 21 policies for recreational vehicles. See id. at 3. Second, the DOI wrote that it “does not presently 22 find that PEIC NKA Premier is no longer entitled to a Super Group Exemption, but the evidence 23 calls into question Premier’s continuing entitlement to the Exemption.” Id. at 4. The parties 24 disagree about the effect of the DOI’s decision. 25 II. REQUESTS FOR JUDICIAL NOTICE 26 Federal Rule of Evidence 201 permits a court to take judicial notice of adjudicative facts. 27 1 generally known within the trial court’s territorial jurisdiction; or (2) can be accurately and readily 2 determined from sources whose accuracy cannot reasonably be questioned.” Fed. R. Evid. 201. 3 “[A] court may take judicial notice of ‘matters of public record,’” Lee v. City of Los Angeles, 250 4 F.3d 668, 689 (9th Cir. 2001) (citing Mack v. S. Bay Beer Distrib., 798 F.2d 1279, 1282 (9th Cir. 5 1986)), and the court need not accept as true allegations that contradict facts that are judicially 6 noticed. See Mullis v.

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Edd King v. National General Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/edd-king-v-national-general-insurance-company-cand-2021.