Isaac v. Guardian Insurance Co.

65 V.I. 137, 2016 V.I. LEXIS 162
CourtSuperior Court of The Virgin Islands
DecidedOctober 12, 2016
DocketCase No. ST-16-CV-120
StatusPublished

This text of 65 V.I. 137 (Isaac v. Guardian Insurance Co.) is published on Counsel Stack Legal Research, covering Superior Court of The Virgin Islands primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Isaac v. Guardian Insurance Co., 65 V.I. 137, 2016 V.I. LEXIS 162 (visuper 2016).

Opinion

DUNSTON, Judge

MEMORANDUM OPINION

(October 12, 2016)

Pending before the Court is Defendant Guardian Insurance Company, Inc.’s May 2, 2016, Motion to Dismiss. Defendant’s Motion to Dismiss will be granted in part because any implicit right of direct action conferred on an injured person against an insurer of a tortfeasor-insured by the Virgin Islands Compulsory Automobile Liability Insurance Act is conditioned upon the entry of a judgment against the tortfeasor-insured.

FACTS AND PROCEDURAL HISTORY

This matter arises out of a Complaint filed on March 10, 2016, by Plaintiff LaVerne Isaac against Defendants Guardian Insurance Company, Inc.1 (“Guardian”) and Fitzroy Smith for damages arising from injuries allegedly sustained by Isaac on March 14, 2014.2 Specifically, Isaac alleges that “Isaac was walking across the road on the marked crosswalk on Alton Adam[s] Drive in Sugar Estate” when “she was struck and knocked down” by a vehicle owned and operated by Smith, which caused Isaac to sustain serious injuries.3 Isaac alleges that she filed a claim with Guardian, the insurer of Smith’s vehicle, but Guardian and Smith have failed “to provide reasonable compensation to Isaac for her physical injuries, medical expenses, lost income or pain and suffering.”4 On May [144]*1442, 2016, Guardian filed a Motion to Dismiss under Fed. R. Civ. R 12(b)(6). On May 20, 2016, Isaac filed a timely Opposition, to which Guardian filed a timely Reply on May 31, 2016.5 Smith filed an Answer to the Complaint on July 5, 2016.

STANDARD

Under Fed. R. Civ. R 12(b)(6), a defendant may test the sufficiency of the pleadings against preliminary defenses by seeking dismissal for the plaintiff’s “failure to state a claim upon which relief can be granted.”6 The pleading requirements of Fed. R. Civ. P. 87 “require a complaint to set forth a plausible claim for relief, thus allowing courts to dismiss, under Rule 12(b)(6), complaints that fail to meet that standard.”8 According to the three-pronged analysis employed by the Supreme Court of the Virgin Islands in reviewing motions to dismiss based on Rule 12(b)(6):

First, the court must take note of the elements a plaintiff must plead to state a claim so that the court is aware of each item the plaintiff must sufficiently plead. Second, the court should identify allegations that, because they are no more than conclusions, are not entitled to the assumption of truth. These conclusions can take the form of either legal conclusions couched as factual allegations or naked [factual] asser[145]*145tions devoid of further factual enhancement. Finally, where there are well-pleaded factual allegations, a court should assume their veracity and then determine whether they plausibly give rise to an entitlement of relief. If there are sufficient remaining facts that the court can draw a reasonable inference that the defendant is liable based on the elements noted in the first step, then the claim is plausible.9

The Virgin Islands Supreme Court has further instructed that “[t]he plausibility determination is a ‘context-based’ determination which should be guided by the court’s ‘judicial experience and common sense.’ ”10 “Plausibility requires that the plaintiff allege facts that are more than simply ‘consistent with a defendant’s liability’ and must permit the court to infer more than the mere possibility of misconduct.”11

“A motion to dismiss a complaint should be denied if the factual allegations are ‘enough to raise a right to relief above the speculative level’ ”12 and “give the defendant fair notice of what the . . . claim is and the grounds upon which it rests.”13 Only after satisfying this multi-step analysis can a party survive a motion to dismiss under Rule 12(b)(6).

ANALYSIS

Guardian moves to dismiss this action with prejudice because Isaac “cannot sue Guardian directly” since at common law “there is no ‘privity’ between the injured person and the tortfeasor’s liability insurer” and “the Virgin Islands does not authorize direct action by a third party claimant against the insurer of an alleged tortfeasor.”14 In opposition, Isaac argues that the Virgin Islands Legislature “remove[d] the privity requirement that often shielded insurers at common law” when it enacted 20 V.I.C. [146]*146§§ 703(b) and 704(c) in 1999.15 In its Reply, Guardian contends that 20 V.I.C. § 704(c) only permits “the injured party to step[ ] into the shoes of the tortfeasor ... [in order to] assert any right of the tortfeasor-insured against the insurance company[,]” but that this right does not exist until a judgment is entered against the tortfeasor-insured.16

As noted by both parties, under the “general rule at common law, there is no privity between an injured person and the tortfeasor’s liability insurer, and the injured person has no right of action at law against the insurer[.]”17 However, “[t]he absence of privity is no bar to a direct action against a liability insurer where there is a statute or contract clause giving the injured person a direct-action right; while such statute or contract clause does not create privity, it... essentially ... creates a separate cause of action by reason of the insurance contract.”18 Here, neither party suggests that Smith’s insurance policy with Guardian confers on Isaac a right of direct action against Guardian. As a result, the Court will focus solely on whether the applicable provisions of the Virgin Islands Code authorize an injured person to proceed directly against an automobile [147]*147liability insurer and, if so, whether the injured person is statutorily required to satisfy any conditions precedent before exercising his or her right to bring a direct action against the insurer.19

As the Supreme Court of the Virgin Islands has explained, the Virgin. Islands Compulsory Automobile Liability Insurance Act (the “Act”), set forth in 20 V.I.C. § 701 et seq., “requires an owner of a motor vehicle to purchase a policy of liability insurance in specified amounts as a prerequisite to registering a motor vehicle in this Territory.”20 20 V.I.C. § 703 provides, in pertinent part:

An owner’s policy of liability insurance, hereinafter referred to as the “motor vehicle liability policy”:
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(b) shall insure the person named therein and any other person, as an insured, using any such vehicle or vehicles with the express or implied permission of such named insured, against loss from the liability imposed by law for damages arising out of the ownership, maintenance, or use of such vehicle or vehicles in the Virgin Islands, subject to minimum coverage, exclusive of interest and costs, with respect to each vehicle. ..
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Bluebook (online)
65 V.I. 137, 2016 V.I. LEXIS 162, Counsel Stack Legal Research, https://law.counselstack.com/opinion/isaac-v-guardian-insurance-co-visuper-2016.