Fishell v. Nationwide Mutual Ins. Co.

District Court, E.D. California·Decided July 19, 2023·No. 2:23-cv-00027·Unknown

Opinion

AMY FISHELL and JUSTIN FISHELL, No. 2:23-cv-00027-DJC-DB Plaintiffs, v. ORDER

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

//// seek to bring claims on their behalf and on behalf of a not yet certified class of similarly situated individuals. Defendants move the Court to dismiss Plaintiffs’ First Amended Complaint (“FAC”), arguing that Nationwide is not a proper defendant, that the claims are time barred, and that Plaintiffs have failed to allege plausible claims. Because Plaintiffs have failed to establish that their claims were tolled, the claims must be dismissed as time-barred. In addition, Plaintiffs fail to state a claim upon which relief can be granted, as discussed below. The Court will GRANT Plaintiffs leave to amend their Complaint. On November 8, 2018, Plaintiffs’ home was destroyed in the Paradise, California Camp Fire. (FAC (ECF No. 14) ¶¶ 29, 32.) As a result, Plaintiffs were forced to relocate. (FAC ¶ 29.) Due to their relocation, Plaintiffs incurred additional travel expenses. (FAC ¶ 36.) Plaintiffs were insured under a homeowners insurance policy issued by AMCO, a subsidiary of Nationwide. (FAC ¶¶ 5–7.) Plaintiffs allege that while their policy was with AMCO, Nationwide acted as the alter-ego of AMCO and oversaw the processing of Plaintiffs’ claims, as evidenced by the use of Nationwide letterhead on official documents, intermingling of Nationwide and AMCO agents, signatures by Nationwide-only officers on the policy, and the reimbursement payments made by Nationwide. (FAC ¶¶ 7, 13; Opp’n (ECF No. 23) at 29–30.) As part of the insurance policy, AMCO was obligated to reimburse Plaintiffs to “cover any necessary increase in living expenses incurred” including the additional travel expenses associated with their displacement following the destruction of their home. (FAC ¶¶ 10–11, 21–22.) Defendants made payments to Plaintiffs for these expenses from sometime in 2018 up to September 2, 2022. (FAC ¶ 36.) Plaintiffs allege that Defendants improperly used the IRS Standard mileage rate for moving and medical use to calculate their reimbursements, and failed to inform Plaintiffs of the rate at which they calculated the reimbursements. (FAC ¶¶ 12, 23–28.) According to Plaintiffs, it is “industry standard” to instead use the IRS rate for business use, which is approximately three times higher. (FAC ¶¶ 24, 26.) Plaintiffs claim that the use of the moving and medical rate, and Defendants’ failure to disclose the rate they used to reimburse Plaintiffs, constitutes a breach of contract, breach of special duty to insured, breach of the covenant of good faith and fair dealing, and violation of the California Unfair Competition Act. Plaintiffs additionally request a declaration that Defendants’ practice is unfair or unlawful. (FAC at 12–18.) Defendants filed a Motion to Dismiss on March 7, 2023. (Mot. (ECF No. 19).) Defendants argue that Plaintiffs lack standing to bring this action, and that the suit is barred under the statute of limitations. Defendants further argue that each cause of action fails to state a claim upon which relief can be granted. Plaintiffs opposed the motion (Opp’n), and Defendants have filed a reply (Reply (ECF No. 24)). I. 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. II. Discussion A. Standing to Bring Claims Against Nationwide Nationwide requests that it be dismissed from this lawsuit because Plaintiffs lack standing to bring suit against it. Under Article III, claims may only be brought against defendants if they likely caused an alleged injury, and the injury is redressable by the court. TransUnion LLC v. Ramirez, 141 S. Ct. 2190, 2203 (2021). Otherwise, there is no case or controversy that a federal court can resolve, and the suit must be dismissed. Id. Nationwide argues that because it was not a party to the contract between Plaintiffs and AMCO, and because the injury is not traceable to Nationwide’s conduct, and therefore not redressable by Nationwide, there is no Article III standing to bring suit against it. In evaluating the Rule 12(b)(1) motion to dismiss, this Court may consider the evidence submitted by both parties. As the Ninth Circuit has stated: 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, permitting the court to look beyond the complaint. White v. Lee, 227 F.3d 1214, 1242 (9th Cir. 2000). Once the moving party has converted the motion to dismiss into a factual motion by presenting affidavits or other evidence properly brought before the court, the party opposing the motion must furnish affidavits or other evidence necessary to satisfy its burden of establishing subject matter jurisdiction. St. Clair v. City of Chico, 880 F.2d 199, 201 (9th Cir.1989). Savage v. Glendale Union High Sch., Dist. No. 205, Maricopa Cnty., 343 F.3d 1036, 1039 n. 2 (9th Cir. 2003). Defendants have

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