Fishell v. Nationwide Mutual Ins. Co.

CourtDistrict Court, E.D. California
DecidedJuly 19, 2023
Docket2:23-cv-00027
StatusUnknown

This text of Fishell v. Nationwide Mutual Ins. Co. (Fishell v. Nationwide Mutual Ins. Co.) 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
Fishell v. Nationwide Mutual Ins. Co., (E.D. Cal. 2023).

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 EASTERN DISTRICT OF CALIFORNIA 10 11 AMY FISHELL and JUSTIN FISHELL, No. 2:23-cv-00027-DJC-DB 12 Plaintiffs, 13 v. ORDER

14 NATIONWIDE MUTUAL INS. CO. and AMCO INS. CO., 15 Defendants. 16 17 Plaintiffs Amy and Justin Fishell (“Plaintiffs”) were unfortunate victims of the 18 Paradise, California Camp Fire in 2018. Plaintiffs had to relocate after their home was 19 destroyed by the fire and incurred additional expenses resulting from additional 20 travel. Plaintiffs were insured by AMCO Insurance Company (“AMCO”), a subsidiary of 21 Nationwide Mutual Insurance Company (“Nationwide”) (collectively “Defendants”). 22 While Plaintiffs do not deny that they were reimbursed by Defendants for this 23 additional travel, Plaintiffs claim they were reimbursed improperly under the Internal 24 Revenue Service (“IRS”) standard mileage rate for medical and moving expenses, and 25 should have instead been reimbursed under the IRS standard rate for business use. 26 Plaintiffs allege that the failure to use the business rate, which covers “fixed costs” in 27 addition to mileage, is a breach of contract and violation of various California laws and

28 //// 1 seek to bring claims on their behalf and on behalf of a not yet certified class of 2 similarly situated individuals. 3 Defendants move the Court to dismiss Plaintiffs’ First Amended Complaint 4 (“FAC”), arguing that Nationwide is not a proper defendant, that the claims are time 5 barred, and that Plaintiffs have failed to allege plausible claims. Because Plaintiffs 6 have failed to establish that their claims were tolled, the claims must be dismissed as 7 time-barred. In addition, Plaintiffs fail to state a claim upon which relief can be 8 granted, as discussed below. The Court will GRANT Plaintiffs leave to amend their 9 Complaint. 10 BACKGROUND 11 On November 8, 2018, Plaintiffs’ home was destroyed in the Paradise, 12 California Camp Fire. (FAC (ECF No. 14) ¶¶ 29, 32.) As a result, Plaintiffs were forced 13 to relocate. (FAC ¶ 29.) Due to their relocation, Plaintiffs incurred additional travel 14 expenses. (FAC ¶ 36.) 15 Plaintiffs were insured under a homeowners insurance policy issued by AMCO, 16 a subsidiary of Nationwide. (FAC ¶¶ 5–7.) Plaintiffs allege that while their policy was 17 with AMCO, Nationwide acted as the alter-ego of AMCO and oversaw the processing 18 of Plaintiffs’ claims, as evidenced by the use of Nationwide letterhead on official 19 documents, intermingling of Nationwide and AMCO agents, signatures by 20 Nationwide-only officers on the policy, and the reimbursement payments made by 21 Nationwide. (FAC ¶¶ 7, 13; Opp’n (ECF No. 23) at 29–30.) 22 As part of the insurance policy, AMCO was obligated to reimburse Plaintiffs to 23 “cover any necessary increase in living expenses incurred” including the additional 24 travel expenses associated with their displacement following the destruction of their 25 home. (FAC ¶¶ 10–11, 21–22.) Defendants made payments to Plaintiffs for these 26 expenses from sometime in 2018 up to September 2, 2022. (FAC ¶ 36.) Plaintiffs 27 allege that Defendants improperly used the IRS Standard mileage rate for moving and 28 medical use to calculate their reimbursements, and failed to inform Plaintiffs of the 1 rate at which they calculated the reimbursements. (FAC ¶¶ 12, 23–28.) According to 2 Plaintiffs, it is “industry standard” to instead use the IRS rate for business use, which is 3 approximately three times higher. (FAC ¶¶ 24, 26.) 4 Plaintiffs claim that the use of the moving and medical rate, and Defendants’ 5 failure to disclose the rate they used to reimburse Plaintiffs, constitutes a breach of 6 contract, breach of special duty to insured, breach of the covenant of good faith and 7 fair dealing, and violation of the California Unfair Competition Act. Plaintiffs 8 additionally request a declaration that Defendants’ practice is unfair or unlawful. (FAC 9 at 12–18.) 10 Defendants filed a Motion to Dismiss on March 7, 2023. (Mot. (ECF No. 19).) 11 Defendants argue that Plaintiffs lack standing to bring this action, and that the suit is 12 barred under the statute of limitations. Defendants further argue that each cause of 13 action fails to state a claim upon which relief can be granted. Plaintiffs opposed the 14 motion (Opp’n), and Defendants have filed a reply (Reply (ECF No. 24)). 15 I. Legal Standard for Motion to Dismiss 16 A party may move to dismiss for “failure to state a claim upon which relief can 17 be granted.” Fed. R. Civ. P. 12(b)(6). The motion may be granted if the complaint 18 lacks a “cognizable legal theory” or if its factual allegations do not support a 19 cognizable legal theory. Godecke v. Kinetic Concepts, Inc., 937 F.3d 1201, 1208 (9th 20 Cir. 2019) (quoting Balistreri v. Pacifica Police Dep’t, 901 F.2d 696, 699 (9th Cir. 1988)). 21 The Court assumes all factual allegations are true and construes “them in the light 22 most favorable to the nonmoving party.” Steinle v. City and Cnty. of San Francisco, 23 919 F.3d 1154, 1160 (9th Cir. 2019) (quoting Parks Sch. of Bus., Inc. v. Symington, 51 24 F.3d 1480, 1484 (9th Cir. 1995)). If the complaint’s allegations do not “plausibly give 25 rise to an entitlement to relief,” the motion must be granted. Ashcroft v. Iqbal, 556 26 U.S. 662, 679 (2009). A complaint need contain only a “short and plain statement of 27 the claim showing that the pleader is entitled to relief,” Fed. R. Civ. P. 8(a)(2), not 28 “detailed factual allegations,” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007). But 1 this rule demands more than unadorned accusations; “sufficient factual matter” must 2 make the claim at least plausible. Iqbal, 556 U.S. at 678. In the same vein, conclusory 3 or formulaic recitations of elements do not alone suffice. Id. (citing Twombly, 550 U.S. 4 at 555). This evaluation of plausibility is a context-specific task drawing on “judicial 5 experience and common sense.” Id. at 679. 6 ANALYSIS 7 II. Discussion 8 A. Standing to Bring Claims Against Nationwide 9 Nationwide requests that it be dismissed from this lawsuit because Plaintiffs 10 lack standing to bring suit against it. Under Article III, claims may only be brought 11 against defendants if they likely caused an alleged injury, and the injury is redressable 12 by the court. TransUnion LLC v. Ramirez, 141 S. Ct. 2190, 2203 (2021). Otherwise, 13 there is no case or controversy that a federal court can resolve, and the suit must be 14 dismissed. Id. Nationwide argues that because it was not a party to the contract 15 between Plaintiffs and AMCO, and because the injury is not traceable to Nationwide’s 16 conduct, and therefore not redressable by Nationwide, there is no Article III standing 17 to bring suit against it. 18 In evaluating the Rule 12(b)(1) motion to dismiss, this Court may consider the 19 evidence submitted by both parties. As the Ninth Circuit has stated: 20 This is proper because Rule 12(b)(1) attacks on jurisdiction can be either facial, confining the inquiry to allegations in the complaint, or factual, 21 permitting the court to look beyond the complaint. White v. Lee, 227 F.3d 22 1214, 1242 (9th Cir. 2000).

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Bluebook (online)
Fishell v. Nationwide Mutual Ins. Co., Counsel Stack Legal Research, https://law.counselstack.com/opinion/fishell-v-nationwide-mutual-ins-co-caed-2023.