Nieves v. United of Omaha Life Insurance Company

District Court, S.D. California·Decided March 28, 2023·No. 3:21-cv-01415·Unknown

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF CALIFORNIA

MARILYN NIEVES, individually, and on Case No.: 21-cv-01415-H-KSC behalf of the class, ORDER DENYING PLAINTIFF’S Plaintiff, MOTION FOR CLASS v. CERTIFICATION

[Doc. No. 58.] INSURANCE COMPANY, a Nebraska Corporation, and DOES 1 through 10, inclusive, Defendants. On July 6, 2021, Plaintiff filed a class action suit in San Diego Superior Court. (Doc. No. 1, Ex. A, State Court Complaint.) One month later, United removed the case to this Court. (Doc. No. 1.) On October 18, 2021, Plaintiff filed an amended complaint on behalf of herself and a purported class of similarly situated individuals, asserting claims for declaratory relief, breach of contract, bad faith, and unfair competition. (Doc. No. 22, First Amended Complaint (“FAC”).) On January 13, 2023, Plaintiff Marilyn Nieves (“Plaintiff”) filed a motion for class certification (the “Motion”). (Doc. No. 58.) On March 7, 2023, Defendant United of Omaha Life Insurance Company (“United”) filed its opposition to Plaintiff’s Motion for class certification. (Doc. No. 66.) On March 13, 2023, Plaintiff filed a reply in support of her Motion. (Doc. No. 67.) The Court held a hearing on Plaintiff’s Motion on March 27, 2023. Alex Tomasevic appeared on behalf of Plaintiff and Larry Golub and Vivian Orlando appeared on behalf of United. For the following reasons, the Court denies Plaintiff’s Motion. A. Plaintiff’s Policy In June 2016, Plaintiff purchased a whole life insurance policy (the “Policy”) from United that insured the life of her son. (Doc. No. 58-7, “Plt. Decl.” ¶ 2, Ex. A, Whole Life Insurance Policy.) Plaintiff is the owner and sole beneficiary of the Policy. (Doc. No. 58-7, Plt. Decl. ¶ 2.) Plaintiff set up an automatic monthly payment to pay the Policy premium. (Id. ¶ 3.) On February 6, 2018, Plaintiff’s automatic premium payment did not go through. (Id.) On March 16, 2018, United sent Plaintiff a notice that her February 6, 2018 payment had been returned. (Id. ¶ 4.) In response, Plaintiff sent United a letter providing new payment authorization and requested that United deduct the past due premiums on April 2, 2018. (Id.) United received the letter on March 26, 2018. (Id.) United admitted that it mistakenly did not process the new payment authorization information contained in Plaintiff’s letter. (Doc. No. 66-5, “Dougherty Decl.” ¶ 9.) Due to this error, United notified Plaintiff on April 6, 2018 that her policy had been terminated. (Id. ¶ 10; Doc. No. 58-7, Plt. Decl. ¶ 5, Ex. B, Termination Letter.) Following her receipt of the April 6 termination letter, Plaintiff contacted United and asked to reinstate the Policy. (Doc. No. 66-5, Dougherty Decl. ¶ 11.) On April 16, 2018, United provided Plaintiff with an application for reinstatement. (Id.) Plaintiff filled out the application and returned it to United. (Id.) On June 8, 2018, United denied Plaintiff’s reinstatement application due to her son’s medical condition.1 (Id. ¶ 12; Doc.

1 In both Plaintiff’s initial application to purchase the Policy and Plaintiff’s April No. 58-7, Plt. Decl. ¶ 7.) On September 3, 2020, Plaintiff’s counsel contacted United and stated that United may have failed to comply with the Statutes and improperly terminated the Policy. (Doc. No. 66-5, Dougherty Decl. ¶ 13.) On November 17, 2020, United sent a letter to Plaintiff offering to reinstate the Policy so long as Plaintiff paid the premium payments due since February 6, 2018. (Id.) Plaintiff did not respond. (Id.) On July 23, 2021, United sent Plaintiff another letter indicating that United “reinstated the [P]olicy without the payment of past due premiums.” (Id. ¶ 14, Ex. P United’s July 23, 2021 Letter.) Following United’s reinstatement, Plaintiff resumed paying the Policy’s monthly premiums. (Id. ¶ 15.) Plaintiff’s Policy is currently in force. (Id.) Plaintiff’s son is living and Plaintiff has not made a claim under the Policy. (Id.) B. The Putative Class Plaintiff’s primary argument is that United failed to comply with California Insurance Code Sections 10113.71 and 10113.72 (commonly known as “the Statutes”). (See generally Doc Nos. 22, 58.) The Statutes impose several requirements on life insurance companies. Specifically, the Statues require insurers to: (i) give policy holders a 60-day grace period before canceling a policy; (ii) inform policy holders of their right to designate at least one additional person to receive notices of an overdue premium or impending termination; (iii) provide written notice of nonpayment to the policy holder and any named designee within 30 days of nonpayment; and (iv) provide written notice to the policy holder and any named designee at least thirty 30 days before a policy is terminated. Cal. Ins. Code §§ 10113.71, 10113.72. The Statutes went into effect on January 1, 2013. The California Supreme Court had been treated by a doctor or a health care provider for any health condition. (Doc. No. 66-5, Dougherty Decl. ¶ 11, Ex. M Reapplication.) As part of the reapplication process, Plaintiff provided United with the authorization to obtain her son’s medical records. (Id. ¶ 12.) United obtained records that indicated Plaintiff’s son had been prescribed medications for a person with autism, which disqualified him from obtaining recently held that the Statutes “apply to all life insurance policies in force when these two sections went into effect, regardless of when the policies were originally issued.” McHugh v. Protective Life Ins. Co., 12 Cal. 5th 213, 220 (2021). Based on the McHugh decision, Plaintiff seeks to certify following class: “All vested owners and beneficiaries of life insurance policies issued or delivered by Defendant in California, and which, after January 1, 2013, were lapsed or terminated for nonpayment of premium without Defendant first providing all the protections required by Insurance Code Section 10113.71 and 10113.72. Plaintiff excludes from the Class all the class members in the prior certified case of Bentley v. United of Omaha.” (Doc. No. 58 at 5.) Plaintiff’s putative class includes 41,856 individuals with United life insurance policies that lapsed after January 1, 2013.2 (Doc. No. 66-2, Ex. A “Craig Merrill’s Expert Report” at 17.) The class includes 21,458 individuals with policies that were issued before January 1, 2013 and 20,398 individuals with policies that were issued after January 1, 2013. (Id.) The class includes four different types of life insurance policies: universal, variable universal, whole, and term. (Doc. No. 66-3, Curtis Decl. ¶ 8.) Plaintiff’s Policy is for whole life insurance. (Doc. No. 58-7, Plt. Decl. ¶ 2, Ex. A, Whole Life Insurance Policy.) II. LEGAL STANDARDS Motions for class certification proceed under Rule 23 of the Federal Rules of Civil Procedure. In order to maintain a class action, a plaintiff bears the burden of showing she has satisfied the prerequisites of Federal Rule of Civil Procedure 23(a), as well as one of the prongs of Rule 23(b). Fed. R. Civ. P. 23; Zinser v. Accufix Research Inst., Inc., 253 F.3d 1180, 1188 (9th Cir. 2001). “Rule 23 does not set forth a mere pleading standard. A party seeking class certification must affirmatively demonstrate his compliance with the Rule—that is, he must be prepared to prove that there are in fact sufficiently numerous

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Nieves v. United of Omaha Life Insurance Company, (S.D. Cal. 2023).

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