Rosenberg-Wohl v. State Farm Fire and Casualty Company

CourtDistrict Court, N.D. California
DecidedMarch 28, 2022
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. 2022).

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 SECOND AMENDED COMPLAINT 10 STATE FARM FIRE AND CASUALTY COMPANY, Re: Dkt. No. 33 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 second 16 amended complaint (“SAC”). [Docket No. 33.] 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 SAC, 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. 32 (SAC) ¶ 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. 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, 25. 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 In its August 26, 2019 denial letter, State Farm notified Rosenberg-Wohl of the statute of 27 limitations provision in the policy, as follows: compliance with the policy provisions. The action must be started 1 within one year after the date of loss or damage. . . . [t]he one-year period referred to does not include the time we take to investigate your 2 claim. The time from the date of loss (April 23rd, 2019) to the date you reported your claim to your agent does count in computing the 3 amount of time that has already expired. The suit limitation period is again running as of the date of this letter. 4 5 Id. at ¶ 8. Rosenberg-Wohl alleges that “State Farm’s position that the statute of limitations began 6 running on April 23, 2019 is erroneous” because “date of loss” is “ambiguous under the policy” 7 and “‘loss’ is not a defined term in the context of property damage[.]” According to Rosenberg- 8 Wohl, “loss” could “mean knowledge that money spent and expected to be reimbursed would not 9 in fact be reimbursed,” and under such a definition, the date of loss was August 26, 2019, the date 10 of State Farm’s denial letter. Id. at ¶ 11. She further alleges that her position about the date of 11 loss is supported by California law regarding the accrual of a claim, citing Pooshs v. Philip Morris 12 USA, Inc., 51 Cal. 4th 788, 797 (2011). Id. at ¶ 12. 13 Rosenberg-Wohl also alleges that “State Farm expressly extended the running of the statue 14 for [her] claim here.” Specifically, on August 10, 2020, Rita Lee, a State Farm representative, left 15 Rosenberg-Wohl a telephone message in response to her inquiry. Rosenberg-Wohl alleges that 16 Lee “stated that State Farm had ‘reopened’” the claim and stated she “was making herself 17 available to address and possibly resolve any questions [Rosenberg-Wohl] had about coverage 18 before [Rosenberg-Wohl] might want to ‘move forward with the next step.’” Id. at ¶¶ 13, 14. 19 According to Rosenberg-Wohl, “‘reopened’ clearly indicates a decision made by State Farm to 20 reconsider a claim that could have been considered time barred but had received special approval 21 to re-adjudicate.” Id. at ¶ 15. 22 On August 24, 2020, Rosenberg-Wohl’s counsel spoke with Lee. Lee stated that State 23 Farm “had reopened the claim ‘for some reason.’” Rosenberg-Wohl alleges that Lee’s “choice of 24 words . . . confirmed that State Farm had abandoned any statute of limitations claim.” Id. at ¶ 19. 25 Immediately following the August 24, 2020 conversation, Lee issued a denial of Rosenberg- 26 Wohl’s claim. The denial stated, “[b]ased on the investigation findings, there was no evidence of 27 a covered cause for accidental direct physical damage to the property,” and “[t]he policy does not 1 responsibility of the property owner to properly maintain the property to keep it safe.” Id. at ¶ 20. 2 The denial did not address Rosenberg-Wohl’s “point that her repair was not maintenance— 3 stumbling on the stairs had recently been occurring, indicating that danger was manifest and that 4 further injury was imminent”; instead, Lee “simply denied the claim on the basis of management’s 5 approval of the earlier outright denial.” Id. at ¶ 21. The August 24, 2020 letter also contained no 6 language or statement about the statute of limitations, “confirm[ing] that State Farm had chosen to 7 stop the running of the statute and to communicate this to” Rosenberg-Wohl. Id. at ¶ 22. 8 Rosenberg-Wohl contends that whether the one-year statute of limitations is “calculated from 9 State Farm’s communications with [her] on August 10 or 24, 2020,” her lawsuit, which was filed 10 on October 22, 2020, was timely. Id. at ¶ 23. 11 The SAC alleges two claims for relief: 1) breach of contract, based on State Farm’s refusal 12 to “properly reimburse [her] for expenses incurred due to a covered loss to property,” SAC ¶ 30; 13 and 2) tortious breach of the implied covenant of good faith and fair dealing in an insurance 14 contract. 15 B. Procedural History 16 Rosenberg-Wohl filed the complaint on October 22, 2020 in San Francisco Superior Court. 17 [Docket No. 1 (Notice of Removal) ¶ 1.] State Farm removed the action to this court under 18 diversity jurisdiction on December 23, 2020. State Farm moved to dismiss the complaint and 19 Rosenberg-Wohl timely filed the first amended complaint (“FAC”) pursuant to Rule 15(a)(1)(B).

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