James River Insurance Company v. Gear

District Court, D. Arizona·Decided May 7, 2021·No. 2:20-cv-01052·Unknown

Opinion

WO

James River Insurance Company, No. CV-20-01052-PHX-DGC

Plaintiff/Counterdefendant, ORDER

v.

Wendee Thompson, et. al,

Defendants/Counterclaimants Plaintiff James River Insurance Company has filed a second motion for leave to amend its complaint and for reconsideration of the Court’s order staying this case. Doc. 38. The motion is fully briefed. Docs. 46, 52. Defendants’ request oral argument is denied because it will not aid the Court’s decision. See Fed. R. Civ. P. 78(b); LRCiv 7.2(f). For reasons stated below, the Court will grant the motion. I. Background. Plaintiff issued a medical professional insurance policy to Dr. Phillip Gear and Just for Kids, P.L.C. Wendee Thompson and her parents, Joseph and Mildred, sued Dr. Gear and Just for Kids in state court, asserting medical malpractice claims based on Dr. Gear’s alleged failure to discover and prevent Wendee’s sexual abuse at a long-term care facility and her resulting pregnancy. See Thompson v. Gear, No. CV2019-057584 (Maricopa Cty. Super. Ct. Dec. 24, 2019); http://www.superiorcourt.maricopa.gov/docket/CivilCourt Cases/caseInfo.asp?caseNumber=CV2019-057584 (last visited April 23, 2021). Pursuant to the Declaratory Judgment Act, 28 U.S.C. § 2201(a), Plaintiff brought this federal action against Dr. Gear and Just for Kids to establish that there is no coverage for the Thompsons’ state court tort claims. Doc. 1. The Court allowed the Thompsons to intervene as Defendants after they had dismissed Just for Kids from the state court case and Dr. Gear had assigned to the Thompsons his rights under the policy pursuant to a Morris agreement. Docs. 15, 17, 24.1 Defendants filed an answer and counterclaims for declaratory relief, breach of contract, and bad faith. Doc. 26. In November 2020, the Court granted Defendants’ motion to stay this action in favor of resolving all issues in state court, finding that a stay was warranted under both the Brillhart and Colorado River doctrines. Docs. 27, 35; see Brillhart v. Excess Ins. Co. of Am., 316 U.S. 491, 494-95 (1942); Colo. River Water Conservation Dist. v. United States, 424 U.S. 800, 814-17 (1976). Defendants’ breach of contract and bad faith claims were dismissed without prejudice, to be litigated in state court. Docs. 34 at 3, 35 at 3. In December 2020, Plaintiff sought leave to amend its complaint and assert a rescission claim, asserting that newly discovered evidence shows Dr. Gear made a fraudulent misrepresentation on his 2018 renewal application. Doc. 38 at 2-7.2 Plaintiff stated that in November 2020 it obtained what appears to be an entry written by Dr. Gear in the Transverse Myelitis Association Journal in January 2011. Doc. 38 at 4 (citing Doc. 38-4). Dr. Gear described his November 2002 diagnosis with transverse myelitis and his ongoing symptoms. Doc. 38-4 at 1-2.3 Plaintiff claimed that Dr. Gear failed to disclose this chronic illness on the 2018 insurance application. Doc. 38 at 7. Specifically, Plaintiff alleged that Dr. Gear answered “no” to question number 12 of the application, which, according to Plaintiff, asked whether 1 See United Servs. Auto. Ass’n v. Morris, 741 P.2d 246 (Ariz. 1987). 2 The application is dated January 22, 2018, and the policy was in effect for one year beginning March 13, 2018. See Doc. 43-1 ¶¶ 24-25. 3 Generally speaking, transverse myelitis is an inflammation of the spinal cord that can cause pain, sensory problems, and weakness in the legs and arms. See National Institute of Neurological Disorders and Stroke, https://www.ninds.nih.gov/Disorders/ Patient-Caregiver-Education/Fact-Sheets/Transverse-myelitis-fact-sheet (last visited Apr. 23, 2021). he had been diagnosed with or treated for a “chronic physical illness.” Doc. 38-1 ¶¶ 25-27. But question 12 actually asked whether Dr. Gear had been diagnosed with or treated for a “chronic physician illness.” Doc. 38-2 at 3 (emphasis added). The Court found that the amended complaint failed to state a plausible fraudulent misrepresentation on the part of Dr. Gear because he clearly did not misrepresent that he had no “physical” illness as the proposed claim alleged – that question was not asked in the application. Doc. 42 at 3. Because Plaintiff made no allegation that Dr. Gear failed to disclose a “physician” illness, what such an illness might be, or why it was material, the Court denied leave to amend as futile. Id. at 3-4. Given the denial, Plaintiff’s request for reconsideration of the stay order was denied as moot. Id. at 4; see Doc. 38 at 7-8. Plaintiff now seeks leave to amend “to correct the reference to the application question and the wording including ‘chronic physician illness.’” Doc. 43 at 7. Plaintiff asserts that “[t]he plain and ordinary meaning of ‘chronic physician illness’ is a chronic illness that a physician has[,]” and that Dr. Gear was a physician who failed to disclose his chronic transverse myelitis on the 2018 application. Id. at 6. Plaintiff argues that leave to amend should be granted under Rule 15’s liberal amendment policy, and that the stay order should be vacated because the rescission claim takes this case outside the Brillhart abstention doctrine and Colorado River does not support a stay. Id. at 5-10. II. Leave to Amend. Rule 15 provides that the Court “should freely give leave [to amend] when justice so requires.” Fed. R. Civ. P. 15(a)(2). The liberal amendment policy must not only be heeded, Foman v. Davis, 371 U.S. 178, 182 (1962), it must be applied with “extreme liberality,” Owens v. Kaiser Found. Health Plan, Inc., 244 F.3d 708, 712 (9th Cir. 2001). The Court may deny a motion to amend where there is undue delay or bad faith on the part of the amending party, undue prejudice to the opposing party, or futility of the proposed amendment. Foman, 371 U.S. at 182. As the parties opposing amendment, Defendants “bear[] the burden of establishing futility or one of the other permissible reasons for denying a motion to amend.” World Nutrition Inc. v. Advanced Enzymes USA, No. CV-19-00265-PHX-GMS, 2021 WL 632684, at *1 (D. Ariz. Feb. 18, 2021); see DCD Programs, Ltd. v. Leighton, 833 F.2d 183, 187 (9th Cir. 1987). Defendants contend that leave to amend should be denied on each of the four grounds articulated in Foman. Doc. 46 at 7. A. Futility. The standard for assessing whether a proposed amendment is futile is the same as the standard for motions to dismiss under Rule 12(b)(6), “although ‘viewed through the lens of the requirement that courts freely give leave to amend when justice so requires.’” SCI Collaboration, LLC v. Sports Car Int’l, LLC, No. 3:20-CV-170-AC, 2020 WL 6531912, at *5 (D. Or. Nov. 5, 2020) (citations omitted). Under Rule 12(b)(6), the well-pled factual allegations of the complaint are taken as true and construed in the light most favorable to the plaintiff. Cousins v. Lockyer, 568 F.3d 1063, 1067 (9th Cir. 2009). A complaint that sets forth a cognizable legal theory will survive a motion to dismiss if it contains “sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’” Ashcroft v. Iqbal,

James River Insurance Company v. Gear, (D. Ariz. 2021).

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