Nieves v. United of Omaha Life Insurance Company

CourtDistrict Court, S.D. California
DecidedFebruary 11, 2022
Docket3:21-cv-01415
StatusUnknown

This text of Nieves v. United of Omaha Life Insurance Company (Nieves v. United of Omaha Life Insurance Company) is published on Counsel Stack Legal Research, covering District Court, S.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nieves v. United of Omaha Life Insurance Company, (S.D. Cal. 2022).

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 SOUTHERN DISTRICT OF CALIFORNIA 10 11 MARILYN NIEVES, individually, and on Case No.: 3:21-cv-01415-H-KSC behalf of a class, 12 ORDER DENYING DEFENDANT’S Plaintiffs, 13 MOTION TO DISMISS AND v. DENYING PLAINTIFF’S MOTION 14 TO STRIKE UNITED OF OMAHA LIFE 15 INSURANCE CO., Nebraska corporation; [Doc. Nos. 23, 27-1.] 16 and DOES 1 thru 10, inclusive,

17 Defendants. 18 On July 6, 2021, Plaintiff Marilyn Nieves (“Plaintiff”) filed her Complaint alleging 19 claims for declaratory relief, breach of contract, bad faith, and unfair competition against 20 Defendant United of Omaha Life Insurance Company (“Defendant” or “United”) and 21 unnamed Does 1 through 10 in the Superior Court of California, San Diego County, on 22 behalf of herself and a putative class of similarly situated individuals. (Doc. No. 1-2.) 23 Defendant removed the action to this Court on August 6, 2021 pursuant to the Class Action 24 Fairness Act, 28 U.S.C. §§ 1332, 1441, and 1453 and federal diversity jurisdiction. (Doc. 25 No. 1.) Defendant filed a motion to dismiss on September 13, 2021. (Doc. No. 14.) 26 Plaintiff then filed her First Amended Complaint (“FAC”) on October 18, 2021. (Doc. No. 27 22.) Defendant filed a subsequent motion to dismiss on November 5, 2021. (Doc. No. 23.) 28 1 On January 4, 2022, Plaintiff filed her opposition and a motion to strike several of 2 Defendant’s evidentiary submissions. (Doc. Nos. 27, 27-1.) Defendant filed its reply in 3 support of its motion and an opposition to Plaintiff’s motion to strike on January 18, 2022. 4 (Doc. Nos. 28, 29.) The Court held a hearing on the motion on January 31, 2022. (Doc. 5 No. 32.) Alex M. Tomasevic and Jack B. Winters appeared on behalf of the Plaintiff and 6 Larry Mark Golub and Vivian Ilana Orlando appeared on behalf of the Defendant. For the 7 foregoing reasons, the Court denies Defendant’s motion to dismiss. 8 BACKGROUND1 9 I. Plaintiff’s Factual Allegations 10 In June of 2016, Plaintiff, a resident of San Diego County, California, purchased a 11 $30,000 whole life policy (the “Policy”) from United that insured the life of her son. (FAC 12 ¶¶ 42, 72.) Plaintiff is the owner and sole beneficiary of the Policy. (Id. ¶ 42.) United is 13 a Nebraska corporation that administers life insurance policies in California, including 14 Plaintiff’s Policy. (Id. ¶ 43.) Plaintiff’s individual claims center on United’s alleged acts 15 related to the Policy. Plaintiff alleges that United repeated the same unlawful acts across 16 thousands of other life insurance policies. (Id. ¶ 2.) 17 The Policy requires a premium payment of $224.40 per year. (Id. ¶ 74.) Plaintiff 18 set up an automatic monthly payment from her bank account to pay the Policy premium. 19 (Id. ¶ 77.) Premiums were paid by this method until February of 2018, when an automatic 20 payment was returned. (Id.) On March 16, 2018, Plaintiff received a notice from United 21 that her payment due on February 6, 2018 was returned. (Id.) Plaintiff subsequently 22 provided a new payment authorization for automatic payments and requested that United 23 deduct the premiums due on April 2, 2018. (Id.) On March 26, 2018, United confirmed 24 receipt of her payment authorization by letter. (Id.) 25 On April 6, 2018, United sent Plaintiff a notice indicating that payment for the 26 February premium had not been received and that as a result, coverage under the Policy 27 28 1 The following allegations are taken from Plaintiff’s FAC. 1 had terminated. (Id. ¶ 78.) Plaintiff alleges that no pre-termination notice was sent to any 2 Policy designee or Plaintiff. (Id.) According to Plaintiff, after issuance of the Policy in 3 2016, she was never advised of her right to designate a second addressee on an annual basis 4 in violation of Cal. Ins. Code § 10113.72(b). (Id. ¶ 75.) 5 Plaintiff contacted United to reinstate her Policy. She was told that “as a condition 6 of seeking reinstatement, she had to pay premiums for the period of time that United had 7 declared her policy void.” (Id. ¶ 79.) On April 16, 2018, United provided Plaintiff with 8 an Application for Reinstatement. (Id. ¶ 81.) Plaintiff alleges that the application requested 9 detailed medical information and the payment of premiums for the uninsured period. (Id.) 10 On May 18, 2018, United received Plaintiff’s reinstatement application. (Id. ¶ 83.) At that 11 time, United purportedly “again violated [Cal. Ins. Code § 10113.72(a)] by failing to 12 provide Plaintiff . . . with a right to designate.” (Id.) 13 On June 8, 2018, United denied reinstatement “based in part on pharmaceutical 14 information we received.” (Id. ¶ 84.) Plaintiff purports that the “pharmaceutical 15 information” indicated that the insured was taking medication to treat his autism—a 16 condition that purportedly existed at the time that the Policy was issued. (Id.) Plaintiff 17 alleges that United used the lapse of insurance coverage as an opportunity to rewrite and 18 renegotiate her Policy. Plaintiff alleges that this practice allows United to remove from its 19 pool of insureds “those individuals who had health issues that were less acute, or that [the 20 insurer] had not fully appreciated, at the time of the original underwriting.” (Id.) 21 Plaintiff alleges that United’s conduct violated the California Insurance Code 22 Sections 10113.71 and 10113.72 (commonly known as “the Statutes”), which regulate the 23 termination of life insurance policies for nonpayment of premiums. (Id. ¶ 1.) Plaintiff 24 alleges that United violated the Statues in several respects by: (i) not offering a right of 25 designation to all “applicants” for various forms of life insurance; (ii) not providing a 60- 26 day grace period; (iii) not mailing accurate 30-day pending lapse notices; (iv) not providing 27 annual notifications to policy owners of their rights to designate; (v) not applying the 28 mandates of the Statutes as an absolute condition for termination of any policy for 1 nonpayment of premium; (vi) treating policy owners directly and indirectly as if they were 2 in default for payment of premiums; (vii) demanding the payment of Unearned Premiums2 3 on policies that were illegally terminated and repudiated; and (viii) concealing its failure 4 to company with the Statutes. (Id. ¶¶ 65, 99.) According to Plaintiff, when United failed 5 to abide by the Statutes, its termination of her Policy was ineffective. (Id. ¶¶ 9, 53.) 6 Plaintiff states that in May of 2021, United “admitted that it had erred in declaring 7 [Plaintiff’s] policy as having been properly terminated.” (Id. ¶ 92.) But United still 8 required Plaintiff to pay the Unearned Premiums. (Id.) Plaintiff alleges that United has 9 unlawfully charged policy owners “tens of millions of dollars” in Unearned Premiums. (Id. 10 ¶¶ 3, 29.) Plaintiff also alleges that United is withholding “tens of millions of dollars of 11 policy benefits . . . on the patently false assertion that the policies were properly and legally 12 terminated.” (Id. ¶ 29.) 13 On July 23, 2021, after Plaintiff’s suit was originally filed and subsequently removed 14 to this Court, United offered to “unconditionally reinstate the policy and waive any demand 15 for payment of prior premiums.” (Id. ¶¶ 94, 98.) Plaintiff calls United’s offer a “litigation 16 tactic[]” aimed at “eliminat[ing] Plaintiff’s individual and putative Class claims.” (Id.

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Bluebook (online)
Nieves v. United of Omaha Life Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nieves-v-united-of-omaha-life-insurance-company-casd-2022.