Mary Tagliaferri v. Palomar Specialty Insurance Company, et al.

CourtDistrict Court, N.D. California
DecidedDecember 1, 2025
Docket4:25-cv-02148
StatusUnknown

This text of Mary Tagliaferri v. Palomar Specialty Insurance Company, et al. (Mary Tagliaferri v. Palomar Specialty Insurance Company, et al.) is published on Counsel Stack Legal Research, covering District Court, N.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mary Tagliaferri v. Palomar Specialty Insurance Company, et al., (N.D. Cal. 2025).

Opinion

1 2 3 4 UNITED STATES DISTRICT COURT 5 NORTHERN DISTRICT OF CALIFORNIA 6 7 MARY TAGLIAFERRI, Case No. 25-cv-02148-KAW

8 Plaintiff, ORDER GRANTING MOTION TO 9 v. DISMISS; GRANTING MOTION TO STRIKE 10 PALOMAR SPECIALTY INSURANCE COMPANY, et al., Re: Dkt. Nos. 27, 28 11 Defendants. 12 13 Plaintiff Mary Tagliaferri brings the instant action against Defendants Palomar Specialty 14 Insurance Co. (“Palomar”) and Sedgwick Claims Management Services (“Sedgwick”), alleging 15 that Defendants failed to pay the total amount due under an insurance policy. (First Amend. 16 Compl. (“FAC”) ¶ 15, Dkt. No. 25.) Pending before the Court are: (1) Defendants’ motion to 17 dismiss the first amended complaint, and (2) Defendants’ motion to strike Plaintiff’s request for 18 punitive damages. (Defs.’ Mot. to Dismiss, Dkt. No. 27; Defs.’ Mot. to Strike, Dkt. No. 28.) 19 Having considered the parties’ filings, the relevant legal authorities, and the arguments 20 made at the August 21, 2025 and November 6, 20251 hearings, the Court GRANTS Defendants’ 21 motion to dismiss and GRANTS Defendants’ motion to strike. 22 I. BACKGROUND 23 Plaintiff is the owner of a property located in San Anselmo, California (“Subject 24 Property”). (FAC ¶ 1.) The Subject Property is covered by a flood insurance policy (the “Policy”) 25 issued by Defendant Palomar, with claims administered by Defendants Sedgwick. (FAC ¶ 2.) 26 In January 2023, a severe rainstorm caused water damage to the Subject Property. (FAC 27 1 ¶¶ 13-14.) Although Plaintiff submitted to Defendants detailed estimates for remedial repairs in 2 the amount of $189,070.25 and requested $50,000 for loss of use of the Subject Property, 3 Defendants ultimately paid $86,423.06. (FAC ¶ 15.) In denying the remainder, Defendants found 4 that Plaintiff’s repairs were “improvements” that were not covered under the Policy. (FAC ¶¶ 15, 5 18.) Plaintiff disputes this finding, arguing that the repairs were necessary to stop water intrusion 6 from the January 2023 storms. (FAC ¶¶ 16, 20.) 7 Plaintiff provides a timeline of her interactions with Defendants starting on January 30, 8 2023 -- the first site visit by Defendant Sedgwick’s field adjuster, John Weber -- and August 6, 9 2024 -- the final denial by Defendant Palomar’s Vice President for Property Claims. (FAC ¶¶ 22- 10 59.) These interactions included Mr. Weber’s site inspections, communications from Plaintiff to 11 Defendants regarding her concerns about the mishandling of her claim and the delay of 12 reimbursements, the findings of Plaintiff’s independent expert, and the assignment of three 13 different examining adjusters to her case. (“FAC ¶¶ 24, 27-30, 33-36, 38, 39-42, 49-58.) 14 On March 3, 2025, Plaintiff filed the instant case. (Dkt. No. 1.) On June 26, 2025, 15 Plaintiff filed the first amended complaint pursuant to the parties’ stipulation. Plaintiff asserted 16 claims for: (1) breach of contract, (2) breach of the implied obligation of good faith and fair 17 dealing, (3) bad faith -- failure to properly investigate claim, (4) intentional infliction of emotional 18 distress (“IIED”), (5) negligent infliction of emotional distress (“NIED”), (6) intentional 19 misrepresentation, and (7) negligent misrepresentation. Plaintiff also sought punitive damages. 20 (FAC ¶ 92.) 21 On July 10, 2025, Defendants filed a motion to dismiss and a motion to strike the punitive 22 damages request. Plaintiff did not file oppositions to either motion; on July 25, 2025, the Court 23 issued an order to show cause. (Dkt. No. 29.) In the order to show cause, the Court noted: 24 “Pursuant to the undersigned’s standing order, ‘[t]he failure of the opposing party to file a 25 memorandum of points and authorities in opposition to any motion shall constitute consent to the 26 granting of the motion.’” (Id. (quoting Judge Westmore’s General Standing Order ¶ 23).) The 27 Court extended Plaintiff’s opposition deadline to July 31, 2025. (Id.) 1 No. 30.) Plaintiff’s counsel also filed a declaration explaining the late filing of the opposition to 2 the motion to dismiss. (Dkt. No. 31.) Plaintiff did not file an opposition to the motion to strike, 3 and neither the opposition to the motion to dismiss nor the declaration by Plaintiff’s counsel 4 addressed the motion to strike. 5 On August 7, 2025, Defendants filed their reply in support of their motion to dismiss. 6 (Defs.’ Reply, Dkt. No. 34.) 7 II. LEGAL STANDARD 8 Under Federal Rule of Civil Procedure 12(b)(6), a party may file a motion to dismiss based 9 on the failure to state a claim upon which relief may be granted. A motion to dismiss under Rule 10 12(b)(6) tests the legal sufficiency of the claims asserted in the complaint. Navarro v. Block, 250 11 F.3d 729, 732 (9th Cir. 2001). 12 In considering such a motion, a court must “accept as true all of the factual allegations 13 contained in the complaint,” Erickson v. Pardus, 551 U.S. 89, 94 (2007) (per curiam) (citation 14 omitted), and may dismiss the case or a claim “only where there is no cognizable legal theory” or 15 there is an absence of “sufficient factual matter to state a facially plausible claim to relief.” 16 Shroyer v. New Cingular Wireless Servs., Inc., 622 F.3d 1035, 1041 (9th Cir. 2010) (citing 17 Ashcroft v. Iqbal, 556 U.S. 662, 677-78 (2009); Navarro, 250 F.3d at 732) (internal quotation 18 marks omitted). 19 A claim is plausible on its face when a plaintiff “pleads factual content that allows the 20 court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” 21 Iqbal, 556 U.S. at 678 (citation omitted). In other words, the facts alleged must demonstrate 22 “more than labels and conclusions, and a formulaic recitation of the elements of a cause of action 23 will not do.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007). 24 “Threadbare recitals of the elements of a cause of action” and “conclusory statements” are 25 inadequate. Iqbal, 556 U.S. at 678; see also Epstein v. Wash. Energy Co., 83 F.3d 1136, 1140 (9th 26 Cir. 1996) (“[C]onclusory allegations of law and unwarranted inferences are insufficient to defeat 27 a motion to dismiss for failure to state a claim.”). “The plausibility standard is not akin to a 1 unlawfully . . . When a complaint pleads facts that are merely consistent with a defendant's 2 liability, it stops short of the line between possibility and plausibility of entitlement to relief.” 3 Iqbal, 556 U.S. at 678 (quoting Twombly, 550 U.S. at 557) (internal citations omitted). 4 Generally, if the court grants a motion to dismiss, it should grant leave to amend even if no 5 request to amend is made “unless it determines that the pleading could not possibly be cured by 6 the allegation of other facts.” Lopez v. Smith, 203 F.3d 1122, 1127 (9th Cir. 2000) (citations 7 omitted). 8 III. DISCUSSION 9 A. Order to Show Cause and Motion to Strike 10 As previously noted, Defendants filed a motion to dismiss and a motion to strike, which 11 Plaintiff failed to timely oppose. After the Court issued an order to show cause, Plaintiff filed an 12 opposition as to the motion to dismiss only. 13 Accordingly, the Court DISCHARGES the order to show cause in part.

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Mary Tagliaferri v. Palomar Specialty Insurance Company, et al., Counsel Stack Legal Research, https://law.counselstack.com/opinion/mary-tagliaferri-v-palomar-specialty-insurance-company-et-al-cand-2025.