Edd King v. National General Insurance Company

District Court, N.D. California·Decided June 11, 2021·No. 4:15-cv-00313·Unknown

Opinion

EDD KING, et al., Case No. 15-cv-00313-DMR

Plaintiffs, ORDER ON DEFENDANTS’ MOTION v. TO DISMISS

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

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

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

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

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