Rosenberg-Wohl v. State Farm Fire and Casualty Company

CourtDistrict Court, N.D. California
DecidedSeptember 17, 2021
Docket4:20-cv-09316
StatusUnknown

This text of Rosenberg-Wohl v. State Farm Fire and Casualty Company (Rosenberg-Wohl v. State Farm Fire and Casualty Company) 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
Rosenberg-Wohl v. State Farm Fire and Casualty Company, (N.D. Cal. 2021).

Opinion

1 2 3 4 UNITED STATES DISTRICT COURT 5 NORTHERN DISTRICT OF CALIFORNIA 6 7 KATHERINE ROSENBERG-WOHL, Case No. 20-cv-09316-DMR

8 Plaintiff, ORDER GRANTING MOTION TO 9 v. DISMISS

10 STATE FARM FIRE AND CASUALTY Re: Dkt. No. 11 COMPANY, 11 Defendant. 12 13 Plaintiff Katherine Rosenberg-Wohl filed a complaint against State Farm Fire and Casualty 14 Company (“State Farm”), alleging it breached her State Farm homeowner’s insurance policy. 15 State Farm now moves pursuant to Federal Rule of Civil Procedure 12(b)(6) to dismiss the first 16 amended complaint (“FAC”). [Docket No. 11.] This matter is suitable for resolution without a 17 hearing. Civ. L.R. 7-1(b). For the following reasons, the motion is granted. 18 I. BACKGROUND 19 A. Factual Background 20 Rosenberg-Wohl makes the following allegations in the FAC, all of which are taken as true 21 for purposes of this motion.1 Rosenberg-Wohl owns a house that is insured by a State Farm 22 homeowner’s policy. [Docket No. 9 (FAC) ¶ 1.] She has always kept the house in good repair. 23 Id. at ¶ 2. In approximately 2019, she noticed that elderly neighbors “began having difficulty” 24 with the stairs in front of her house, including difficulty descending the stairs. Id. at ¶¶ 3, 5. On 25 occasion they lost their balance and fell or stopped themselves from falling by grasping the 26

27 1 When reviewing a motion to dismiss for failure to state a claim, the court must “accept as true all 1 handrail. Rosenberg-Wohl became concerned about their safety, “as falling had begun to occur 2 and injury was imminent,” as well as “the possibility of a liability claim under policies also 3 underwritten by” State Farm. Id. at ¶ 3. 4 Rosenberg-Wohl had a building contractor inspect the stairs. The contractor “noted the 5 need to repair and/or replace them at that time.” Rosenberg-Wohl “immediately undertook to 6 repair/replace her stairs and immediately contacted [State Farm], on or about April 23, 2019.” Id. 7 at ¶ 4. Her “understanding is that some portion of the staircase had just settled.” Id. Following 8 the staircase replacement, which cost nearly $70,000, a State Farm representative met Rosenberg- 9 Wohl’s husband in front of the house on or about July 23, 2019. The representative “looked at the 10 (now) new staircase and spoke with [the husband] for a minute or two,” but did not inspect the 11 stairs or ask for information about the neighbors or contractors. Id. at ¶¶ 5, 14. 12 On August 9, 2019, Rosenberg-Wohl submitted a formal claim to State Farm under her 13 homeowner’s policy, No. 05-CZ-6166-9, claiming “as a loss the safe egress from her house (by 14 way of her staircase) and the risk of resulting injury.” Id. at ¶ 6. State Farm denied the claim on 15 August 26, 2019 on the ground “that there was ‘no evidence of a covered cause or loss nor any 16 covered accidental direct physical loss to the front exterior stairway.’” It further stated that 17 Rosenberg-Wohl’s policy “excludes coverage for this type of damage,” identifying five categories 18 of damage excluded from coverage:

19 i. wear, tear, marring, scratching, deterioration, inherent vice, latent defect or mechanical breakdown; 20 ii. corrosion, electrolysis or rust; 21 iii. wet or dry rot; 22 iv. settling, cracking, shrinking, bulging, or expansion of pavements, 23 patios, foundation, walls, floors, roofs or ceilings; [and]

24 v. fungus[.] 25 Id. at ¶ 7. 26 At some point in 2020, Rosenberg-Wohl made a “follow-up inquiry” with State Farm. On 27 August 10, 2020, Rita Lee, a State Farm representative, left Rosenberg-Wohl a telephone message 1 claim as ‘reopened’ and [stated she] wanted to address questions [Rosenberg-Wohl] had about 2 coverage before [Rosenberg-Wohl] would ‘move forward with the next step.’” Id. at ¶ 8. 3 Rosenberg-Wohl alleges on information and belief that State Farm reopened her claim “as a result 4 of the longstanding relationship between” Rosenberg-Wohl and State Farm “across a host of 5 insurance policies,” and that “[a]ny reasonable person in [Rosenberg-Wohl’s] position would so 6 believe.” Id. 7 On August 24, 2020, Rosenberg-Wohl’s counsel spoke with Lee. Lee stated that State 8 Farm “had reopened the claim ‘for some reason’” and “referenced the notes and photos of the 9 ‘prior adjuster.’” Lee said the adjuster’s notes “mentioned the safety issue but gave no indication 10 of imminence—[Lee] specifically said those notes did not refer to any neighbor tripping coming 11 down the stairs.” Id. at ¶ 9. Lee also “acknowledged that the items listed as ‘this type of damage’ 12 did not match the conversation referenced in the notes but said ‘we just put it all in.’” Id. During 13 this conversation, Lee stated State Farm’s belief that the “cause of loss” was “wear and tear,” and 14 that “[w]hat [Rosenberg-Wohl] had claimed, she said, was just ‘preventative.’” Id. at ¶ 10. 15 Immediately following the August 24, 2020 conversation, Lee issued a denial of 16 Rosenberg-Wohl’s claim. The denial stated, “[b]ased on the investigation findings, there was no 17 evidence of a covered cause for accidental direct physical damage to the property,” and “[t]he 18 policy does not provide coverage for preventative nor safety measures to the property. 19 Maintenance would be the responsibility of the property owner to properly maintain the property 20 to keep it safe.” Id. at ¶ 11. The denial did not address Rosenberg-Wohl’s “point that her repair 21 was not maintenance—stumbling on the stairs had recently been occurring, indicating that danger 22 was manifest and that further injury was imminent”; instead, Lee “simply denied the claim on the 23 basis of management’s approval of the earlier outright denial.” Id. at ¶¶ 12, 13. 24 Rosenberg-Wohl alleges two claims for relief: 1) breach of contract, based on State Farm’s 25 refusal to “properly compensate [her] for expenses incurred due to a covered loss to property,” 26 FAC ¶ 18; and 2) tortious breach of the implied covenant of good faith and fair dealing in an 27 insurance contract. B. Procedural History 1 Rosenberg-Wohl filed the complaint on October 22, 2020 in San Francisco Superior Court. 2 [Docket No. 1 (Notice of Removal) ¶ 1.] State Farm removed the action to this court under 3 diversity jurisdiction on December 23, 2020. State Farm moved to dismiss the complaint and 4 Rosenberg-Wohl timely filed the FAC pursuant to Rule 15(a)(1)(B). [Docket No. 9.] State Farm 5 now moves to dismiss the FAC. 6 One of the arguments raised by State Farm is now moot. State Farm originally argued that 7 the FAC should be dismissed under Rule 12(b)(7) for failure to join David M. Rosenberg-Wohl as 8 a necessary indispensable party. He is a named insured person under the policy at issue in this 9 action. Mot. 21-22. After the briefing was complete, the parties submitted a stipulation that 10 David M. Rosenberg-Wohl, identified as Katherine Rosenberg-Wohl’s husband and attorney, 11 “agrees to be bound by any judgment entered in” this case and that State Farm withdraws its 12 motion to dismiss under Rule 12(b)(7). [Docket No. 18.] 13 II. LEGAL STANDARD 14 A motion to dismiss under Rule 12(b)(6) tests the legal sufficiency of the claims alleged in 15 the complaint. See Parks Sch. of Bus., Inc. v. Symington, 51 F.3d 1480, 1484 (9th Cir. 1995). 16 When reviewing a motion to dismiss for failure to state a claim, the court must “accept as true all 17 of the factual allegations contained in the complaint,” Erickson, 551 U.S. at 94 (citation omitted), 18 and may dismiss a claim “only where there is no cognizable legal theory” or there is an absence of 19 “sufficient factual matter to state a facially plausible claim to relief.” Shroyer v.

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Rosenberg-Wohl v. State Farm Fire and Casualty Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rosenberg-wohl-v-state-farm-fire-and-casualty-company-cand-2021.