Iovino v. AmTrust Financial Services, Inc.

District Court, D. Nevada·Decided January 30, 2025·No. 2:22-cv-01974·Unknown

Opinion

3 CARMEN IOVINO, Case No.: 2:22-cv-01974-APG-NJK

4 Plaintiff Order Denying Iovino’s Motion to Dismiss Counterclaim 5 v. [ECF No. 120] et. al, 7 Defendants 8

9 Carmen Iovino was injured in a car crash while driving a company truck for his 10 employer, TopNotch Services, Inc. The driver who caused the crash is unknown, so Iovino 11 sought benefits under TopNotch’s insurance policy with defendant Security National Insurance 12 Company (SNIC) for underinsured/uninsured motorist (UIM) coverage. Iovino alleged that he 13 sustained injuries well above the policy’s $1 million limit but was paid less than half of the 14 benefits that he claims are due. Iovino sued SNIC; its parent company, AmTrust Financial 15 Services, Inc.; and its claim processor, AmTrust North America, for breach of contract, breach of 16 the covenant of good faith and fair dealing, unfair trade practices, and fraud. 17 SNIC filed a counterclaim seeking a declaration that Iovino voided the policy by 18 misrepresenting that he suffered lost earnings despite experiencing increased income since the 19 crash. Iovino moves to dismiss the counterclaim arguing that it fails to state a claim for fraud or 20 misrepresentation and is barred by affirmative defenses. Iovino also moves for sanctions under 21 Federal Rule of Civil Procedure 11, asserting that SNIC’s counterclaim is frivolous. SNIC 22 responds that it has plausibly described a misrepresentation that, under the policy’s terms, voids 23 the contract and it does not need to satisfy the reliance element for a common law claim of 1 fraudulent misrepresentation because it is not asserting a common law fraud claim. SNIC 2 contends that Iovino’s affirmative defenses involve factual disputes not apparent from the face of 3 the counterclaim, so I should not address them when resolving a motion to dismiss. As for 4 sanctions, SNIC asserts that it has pleaded a plausible claim on the merits and that Iovino has not

5 complied with Rule 11(c)(2)’s mandatory safe-harbor provisions. 6 The parties are familiar with the facts, so I repeat them here only as necessary to resolve 7 the motion. The counterclaim plausibly describes a material misrepresentation under the policy 8 and does not assert a common law fraudulent misrepresentation claim, so I deny Iovino’s motion 9 to dismiss. Additionally, Iovino’s arguments about laches, unclean hands, and the veracity of his 10 representations are not suitable for resolution at the dismissal stage. Because the deadline for 11 dispositive motions has passed, I will set a briefing schedule for the parties to move for summary 12 judgment on this claim only, should they choose. I deny Iovino’s motion for sanctions. 14 In considering a motion to dismiss, I take all well-pleaded allegations of material fact as

15 true and construe the allegations in the light most favorable to the non-moving party. Kwan v. 16 SanMedica Int’l, 854 F.3d 1088, 1096 (9th Cir. 2017). However, I do not assume the truth of 17 legal conclusions merely because they are cast in the form of factual allegations. Navajo Nation 18 v. Dep’t of the Interior, 876 F.3d 1144, 1163 (9th Cir. 2017). A plaintiff must make sufficient 19 factual allegations to establish a plausible entitlement to relief. Bell Atl. Corp. v. Twombly, 550 20 U.S. 544, 556 (2007). Such allegations must amount to “more than labels and conclusions, [or] a 21 formulaic recitation of the elements of a cause of action.” Id. at 555. 22 23 1 A. Fraudulent Misrepresentation 2 Iovino argues that the counterclaim fails to satisfy the reliance element of a common law 3 fraudulent misrepresentation claim because none of the $475,000 SNIC paid under the policy 4 was for lost earnings, and Iovino never submitted a claim for lost wages or loss of earning

5 capacity. SNIC responds that it is not asserting a common law fraudulent misrepresentation 6 claim. Rather, it seeks a declaration that Iovino’s misrepresentations triggered the concealment, 7 misrepresentation, or fraud endorsement in the insurance contract, and SNIC does not need to 8 rely on the misrepresentation to void the policy. 9 The counterclaim alleges two communications in which Iovino represented that he 10 suffered a loss of earnings. The first is a February 2020 exchange where Iovino’s counsel 11 represented to SNIC that “if we cannot settle the case now and have to proceed to litigate the 12 damages, we will seek an expert evaluation for a loss of earning capacity claim,” and “given 13 [Iovino’s] substantial income base, this part of his damages would be significant.” ECF No. 108 14 at 28. The second communication was a March 2022 demand letter where Iovino references

15 expert reports that describe “the loss of household services, reduction in value of life and Mr. 16 Iovino’s loss of earnings.” Id. at 29. SNIC alleges that these communications were false because 17 a review of Iovino’s earnings in the years after the accident shows that his income increased over 18 that time. 19 SNIC’s counterclaim does not seek damages for the tort of fraudulent misrepresentation. 20 Rather it seeks “a declaration that the CONCEALMENT, MISREPRESENATION OR FRAUD 21 Endorsement applies to prevent or preclude further payment in connection with Iovino’s 22 uninsured motorist claim.” Id. at 30. SNIC asks the court to interpret this term of its contract and 23 determine whether Iovino’s representations amounted to “concealment or misrepresentation of a 1 material fact” or “fraud” under the contract. Id. at 27. On its face, the counterclaim alleges 2 plausible misrepresentations that were material to SNIC’s valuation of Iovino’s uninsured 3 motorist claim. Iovino represented that he would hire an expert to calculate loss of earnings and 4 later that an expert had outlined a loss of earnings. These alleged misrepresentations were

5 material because they plausibly asserted that Iovino’s claim was worth more than SNIC had 6 believed. And these statements are plausibly false because SNIC alleges that Iovino’s income 7 increased in the years after the crash. I therefore deny Iovino’s motion to dismiss the 8 counterclaim for failing to assert a claim upon which relief can be granted. 9 B. Iovino’s Other Arguments 10 Iovino also argues that I should dismiss SNIC’s counterclaim because it is barred by the 11 doctrines of laches and unclean hands, and because the subject representations were not false. 12 SNIC responds that it did not delay bringing the counterclaim, and that these arguments involve 13 factual disputes not apparent on the face of the counterclaim. 14 Laches and unclean hands are both affirmative defenses that Iovino bears the burden of

15 proving. See Huseman v. Icicle Seafoods, Inc., 471 F.3d 1116, 1125-26 (9th Cir. 2006); Metal 16 Jeans, Inc. v. Metal Sport, Inc., 987 F.3d 1242, 1244-45 (9th Cir. 2021). “Ordinarily, affirmative 17 defenses may not be raised on a motion to dismiss.” U.S. Commodity Futures Trading Comm’n 18 v. Monex Credit Co., 931 F.3d 966, 972 (9th Cir. 2019) (cleaned up). But I may “consider an 19 affirmative defense on a motion to dismiss when there is some obvious bar to securing relief on 20 the face of the complaint.” Id. at 973 (quotation omitted). 21 Because it is not clear from the face of SNIC’s counterclaim that laches or unclean hands 22 bars the action, I deny Iovino’s motion to dismiss based on those doctrines.

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