Ruiz v. General Insurance Company of America

District Court, E.D. California·Decided July 15, 2020·No. 1:20-cv-00218·Unknown

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF CALIFORNIA

CASE: 1:20-cv-00218-AWI-EPG MARTHA RUIZ, an individual, and YESENIA VERDUZCO, an individual, ORDER ON DEFENDANTS’ MOTION TO DISMISS AND MOTION TO Plaintiffs, STRIKE THE COMPLAINT v.

GENERAL INSURANCE COMPANY OF (Doc. No. 8) AMERICA, a corporation, LIBERTY MUTUAL INSURANCE COMPANY, a

corporation and Does 1 through 10,

Defendants.

Plaintiffs Martha Ruiz and Yesenia Verduzco brought a claim for breach of the implied covenant of good faith and fair dealing against General Insurance Company of America (“General”) and Liberty Mutual Insurance Company (“LMIC” and together with General, “Defendants”) alleging that Defendants failed, in bad faith, to make full payment under an insurance policy on Plaintiffs’ home. Defendants brought a motion to dismiss the Complaint under Rule 12(b)(6) of the Federal Rules of Civil Procedure,1 arguing that Plaintiffs failed to state a claim and failed to allege that LMIC is General’s alter ego. Defendants further move the Court under Rule 12(f) to strike all alter ego allegations in the Complaint. For the reasons set forth below, the Court will grant Defendants’ motion to dismiss in its entirety, grant Plaintiffs leave to amend, and deny Defendants’ motion to strike as moot. As alleged in the Complaint, General is a New Hampshire corporation licensed to conduct business in the State of California and LMIC is a Massachusetts corporation licensed by the California Department of Insurance. Doc. No. 1 ¶¶ 2-3. General is sometimes referred to as a “SAFECO Company.” Id. ¶ 3. General issued a homeowner’s insurance policy (the “Policy”) to Plaintiffs that provided up to $230,200 for repairs to Plaintiffs’ home, as well as $115,100 for replacement of personal property and up to $46,040 for additional living expenses. Doc. No. 1 ¶ 8. Plaintiffs allege that policies “underwritten by General are marketed and advertised as sold by Liberty Mutual, not the true insuring entity, General.” and that the Policy “represents that the insurer is a non-existent entity called ‘Safeco, a Liberty Mutual Company.’ ” Id. ¶¶ 13-14. Plaintiffs promptly submitted a claim on the Policy (the “Claim”) after their home was damaged by fire in February 2019. Doc. No. 1 ¶ 9. According to the Complaint, “LMIC employees, supervisors, and managers were solely response for accepting, investigating and adjusting” the Claim and “routinely represented they [we]re ‘Safeco’ or ‘General’ or ‘Liberty Mutual’” in interactions with Plaintiffs and/or their agents. Id. ¶ 10. Further, the Complaint alleges that, in processing the Claim, LMIC: (i) “faile[ed] to conduct thorough, fair, and objective investigations of all bases the Claim”; (ii) “fail[ed] to disclose benefits, coverages, and time limits that applied to the Claim”; (iii) “misrepresent[ed] and conceal[ed] pertinent facts and coverages relating to the Claim”; (iv) “fail[ed] to pay or unreasonably delay[ed] the payment of policy benefits due for repair to the dwelling, for personal property and for additional living expenses relating to the Claim”; (v) “fail[ed] to set forth in any denial letter a statement listing all bases for the denial of part of the claim and the factual and legal bases for each reason given for the denial;” (vi) “fail[ed] to explain how it applied policy exclusions to deny the claim in whole or in part”; and (vii) “violat[ed] Insurance Code § 790.03(h), and Fair Claims Settlement Practices Regulations §§ 2695.1 et seq.” Doc. No. 1 ¶ 25. The Complaint also alleges that “LMIC, on behalf of General and many other insuring provides claims investigation and adjusting services, is engaged in an illegal scheme to improperly hide coverages from California insureds” and “to improperly deny fire loss claims brought under California dwelling policies.” Doc. No. ¶ 22.k-1. Finally, the Complaint alleges that “dividing insuring and claims handling functions” between two entities, as Defendants allegedly have, is improper because doing so: increases claims expenses and, therefore, premiums; reduces the asset size of insuring entities to avoid large punitive damages awards; and improperly shields parent entities from discovery and liability. Doc. No. 1 ¶ 23. Based on these allegations, Plaintiffs allege a single claim for breach of the implied covenant of good faith and fair dealing2 against General and LMIC. Doc. No. 1 ¶¶ 24-31. Under Rule 12(b)(6), a claim may be dismissed for “failure to state a claim upon which relief can be granted.” Fed.R.Civ.P. 12(b)(6). A dismissal under Rule 12(b)(6) may be based on the lack of a cognizable legal theory or on the absence of sufficient facts alleged under a cognizable legal theory. See Mollett v. Netflix, Inc., 795 F.3d 1062, 1065 (9th Cir. 2015). In reviewing a complaint under Rule 12(b)(6), all well-pleaded allegations of material fact are taken as true and construed in the light most favorable to the non-moving party. Kwan v. SanMedica, Int’l, 854 F.3d 1088, 1096 (9th Cir. 2017). However, complaints that offer no more than “labels and conclusions” or “a formulaic recitation of the elements of a cause of action will not do.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009); Johnson v. Federal Home Loan Mortg. Corp., 793 F.3d 1005, 1008 (9th Cir. 2015). The Court is “not required to accept as true allegations that contradict exhibits attached to the Complaint or matters properly subject to judicial notice, or allegations that are merely conclusory, unwarranted deductions of fact, or unreasonable inferences.” Seven Arts Filmed Entm’t, Ltd. v. Content Media Corp. PLC, 733 F.3d 1251, 1254 (9th Cir. 2013). // 2 For brevity, Plaintiffs’ claim for breach of the implied covenant of good faith and fair dealing is sometimes referred To avoid a Rule 12(b)(6) dismissal, “a complaint must contain sufficient factual matter, accepted as true, to state a claim to relief that is plausible on its face.” Iqbal, 556 U.S. at 678; Mollett, 795 F.3d at 1065. “A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Iqbal, 556 U.S. at 678; Somers v. Apple, Inc., 729 F.3d 953, 959 (9th Cir. 2013). “Plausibility” means “more than a sheer possibility,” but less than a probability, and facts that are “merely consistent” with liability fall short of “plausibility.” Iqbal, 556 U.S. at 678; Somers, 729 F.3d at 960. The Ninth Circuit has distilled the following principles for Rule 12(b)(6) motions: First, to be entitled to the presumption of truth, allegations in a complaint or counterclaim may not simply recite the elements of a cause of action, but must contain sufficient allegations of underlying facts to give fair notice and to enable the opposing party to defend itself effectively. Second, the factual allegations that are taken as true must plausibly suggest entitlement to relief, such that it is not unfair to require the opposing party to be subjected to the expense of discovery and continued litigation. Levitt v. Yelp! Inc., 765 F.3d 1123, 1135 (9th Cir. 2014) (citation omitted). In assessing a motion to dismiss, courts may consider documents attached to the complaint, documents incorporated by reference in the complaint, or matters subject to judicial notice

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