New You Spa v. Citizen's Insurance Group

• Court: District Court, N.D. California
• Decided: May 5, 2021
• Docket: 3:21-cv-02102
• Status: Unknown

Opinion

1 2 3 4 5 IN THE UNITED STATES DISTRICT COURT 6 FOR THE NORTHERN DISTRICT OF CALIFORNIA 7 8 NEW YOU SPA, et al., Case No. 21-cv-02102-CRB

9 Plaintiffs, ORDER GRANTING MOTION TO 10 v. DISMISS

11 CITIZEN'S INSURANCE GROUP, 12 Defendant.

13 Plaintiffs New You Spa and Emilia Khajavi are suing Defendants The Hanover 14 Insurance Group, Citizens Insurance Company of America (Citizens) and Does 1–50 for 15 breach of contract and breach of the covenant of good faith and fair dealing. See 16 Complaint (dkt. 1) ¶¶ 21–32. The Court accepts the allegations in the Complaint as true. 17 Those allegations indicate that in March 2016 the insured, Elite Surgical Services, LLC, 18 Elite Surgical Services, and Nosrat Khajavi (“Elite”) experienced a water intrusion that 19 harmed Plaintiffs’ business, and Plaintiffs “made claim upon Elite for payment of 20 damages.” Id. ¶¶ 3, 8. Elite tendered the claim to Citizens, which neither denied nor 21 acknowledged coverage while repeatedly asking for more information. Id. ¶¶ 9–11. 22 Plaintiffs and Elite expected Citizens to deny or acknowledge coverage by August 9, 2019. 23 Id. ¶ 12. But Citizens did not communicate a decision until March 2020, when Citizens 24 asserted that Plaintiffs’ legal claims against Elite were time-barred. Id. ¶ 13. Nonetheless, 25 in August 2020, Plaintiffs and Elite entered into a “Confession of Judgment,” under which 26 Elite agreed to pay Plaintiffs $318,982.60. Id. ¶¶ 19–20. Elite also assigned its rights 27 under the insurance policy to Plaintiffs. Id. ¶ 3. 1 depend on the rights and obligations of the parties under the policy, such that the policy is 2 incorporated by reference in the Complaint. See Tellabs, Inc. v. Makor Issues & Rights, 3 Ltd., 551 U.S. 308, 322 (2007); Khoja v. Orexigen Therapeutics, Inc., 899 F.3d 988, 1002 4 (9th Cir. 2018). The Court need not (and does not) consider other documents. 5 The court grants Citizens’ motion to dismiss for two independent reasons. 6 First, Citizens did not breach the general policy provision. That provision requires 7 Citizens to “pay those sums that the insured becomes legally obligated to pay as damages 8 because of bodily injury, property damage, or personal and advertising injury to which this 9 insurance applies.” And Citizens “will have the right and duty to defend the insured 10 against any “suit” seeking those damages.” Policy (dkt. 5-2) at 45, ECF pg. 101. 11 Plaintiffs’ allegations show that Citizens complied with this provision. Although Plaintiffs 12 did not bring a “suit” against Elite seeking damages, Citizens defended Elite by asserting 13 that Plaintiffs’ claim was time-barred. And Plaintiffs’ allegations do not show that Elite 14 was “legally obligated” to pay anything as damages. They show only that Elite 15 volunteered to pay Plaintiffs via the confession of judgment. 16 Second, the insurance policy provides that “[n]o insured will, except at the insured’s 17 own cost, voluntarily make a payment, assume any obligation, or incur any expense, other 18 than for first aid, without [Citizens’] consent.” Policy at 58, ECF pg. 114. And “[n]o 19 person or organization has a right under this policy . . . [t]o sue [Citizens] unless all of its 20 terms have been fully complied with.” Id. Here, Plaintiffs allege that Elite assumed an 21 obligation to pay Plaintiffs, via the confession of judgment, without Citizens’ consent. 22 Therefore, neither Elite nor Plaintiffs (once assigned Elite’s rights) could sue Citizens 23 under the policy. Plaintiffs’ argument to the contrary—that Citizens may not invoke the 24 “no-voluntary-payments” provision of the policy because Citizens effectively declined to 25 defend and thus abandoned Elite, see Opp. to Mot. to Dismiss (dkt. 10) at 5 (citing 26 Jamestown Builders, Inc. v. General Star Indem. Co., 77 Cal. App. 4th 341, 347–48 27 (1999)), is belied by the allegations in the Complaint. Whatever confusion Citizens’ delay 1 || into the agreement to pay Plaintiffs (i.e., the confession of judgment) until August 2020, 2 || months after Citizens asserted that Plaintiffs’ claims against Elite were time-barred. 3 For the foregoing reasons, Plaintiffs have failed to state a breach of contract claim 4 || for which relief may be granted. And with no breach of contract, there can be no breach of 5 || the covenant of good faith and fair dealing. See Waller v. Truck Ins. Exch. Inc., 11 Cal.4th 6 || 1,36 (1995). Because the allegations in the Complaint and the plain language of the 7 || policy demonstrate that amendment would be futile, the Court grants Citizens’ motion to 8 || dismiss with prejudice. See Cook, Perkiss & Leihe, Inc. v. N. Cal. Collection Serv. Inc., 9 || 911 F.2d 242, 247 (9th Cir. 1990). 10 IT ISSO ORDERED. cE 11 Dated: May 5, 2021 CHARLES R. BREYER United States District Judge o 15 16

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