Ruiz v. General Insurance Company of America

CourtDistrict Court, E.D. California
DecidedJuly 15, 2020
Docket1:20-cv-00218
StatusUnknown

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

Bluebook
Ruiz v. General Insurance Company of America, (E.D. Cal. 2020).

Opinion

3 UNITED STATES DISTRICT COURT 4 EASTERN DISTRICT OF CALIFORNIA 5

6 CASE: 1:20-cv-00218-AWI-EPG 7 MARTHA RUIZ, an individual, and YESENIA VERDUZCO, an individual, ORDER ON DEFENDANTS’ MOTION 8 TO DISMISS AND MOTION TO Plaintiffs, STRIKE THE COMPLAINT 9 v.

10 GENERAL INSURANCE COMPANY OF (Doc. No. 8) 11 AMERICA, a corporation, LIBERTY MUTUAL INSURANCE COMPANY, a

12 corporation and Does 1 through 10,

13 Defendants.

16 17 Plaintiffs Martha Ruiz and Yesenia Verduzco brought a claim for breach of the implied 18 covenant of good faith and fair dealing against General Insurance Company of America 19 (“General”) and Liberty Mutual Insurance Company (“LMIC” and together with General, 20 “Defendants”) alleging that Defendants failed, in bad faith, to make full payment under an 21 insurance policy on Plaintiffs’ home. Defendants brought a motion to dismiss the Complaint under 22 Rule 12(b)(6) of the Federal Rules of Civil Procedure,1 arguing that Plaintiffs failed to state a 23 claim and failed to allege that LMIC is General’s alter ego. Defendants further move the Court 24 under Rule 12(f) to strike all alter ego allegations in the Complaint. For the reasons set forth 25 below, the Court will grant Defendants’ motion to dismiss in its entirety, grant Plaintiffs leave to 26 amend, and deny Defendants’ motion to strike as moot. 27 1 SUMMARY OF ALLEGATIONS 2 As alleged in the Complaint, General is a New Hampshire corporation licensed to conduct 3 business in the State of California and LMIC is a Massachusetts corporation licensed by the 4 California Department of Insurance. Doc. No. 1 ¶¶ 2-3. General is sometimes referred to as a 5 “SAFECO Company.” Id. ¶ 3. 6 General issued a homeowner’s insurance policy (the “Policy”) to Plaintiffs that provided 7 up to $230,200 for repairs to Plaintiffs’ home, as well as $115,100 for replacement of personal 8 property and up to $46,040 for additional living expenses. Doc. No. 1 ¶ 8. Plaintiffs allege that 9 policies “underwritten by General are marketed and advertised as sold by Liberty Mutual, not the 10 true insuring entity, General.” and that the Policy “represents that the insurer is a non-existent 11 entity called ‘Safeco, a Liberty Mutual Company.’ ” Id. ¶¶ 13-14. 12 Plaintiffs promptly submitted a claim on the Policy (the “Claim”) after their home was 13 damaged by fire in February 2019. Doc. No. 1 ¶ 9. According to the Complaint, “LMIC 14 employees, supervisors, and managers were solely response for accepting, investigating and 15 adjusting” the Claim and “routinely represented they [we]re ‘Safeco’ or ‘General’ or ‘Liberty 16 Mutual’” in interactions with Plaintiffs and/or their agents. Id. ¶ 10. 17 Further, the Complaint alleges that, in processing the Claim, LMIC: (i) “faile[ed] to 18 conduct thorough, fair, and objective investigations of all bases the Claim”; (ii) “fail[ed] to 19 disclose benefits, coverages, and time limits that applied to the Claim”; (iii) “misrepresent[ed] and 20 conceal[ed] pertinent facts and coverages relating to the Claim”; (iv) “fail[ed] to pay or 21 unreasonably delay[ed] the payment of policy benefits due for repair to the dwelling, for personal 22 property and for additional living expenses relating to the Claim”; (v) “fail[ed] to set forth in any 23 denial letter a statement listing all bases for the denial of part of the claim and the factual and legal 24 bases for each reason given for the denial;” (vi) “fail[ed] to explain how it applied policy 25 exclusions to deny the claim in whole or in part”; and (vii) “violat[ed] Insurance Code § 26 790.03(h), and Fair Claims Settlement Practices Regulations §§ 2695.1 et seq.” Doc. No. 1 ¶ 25. 27 The Complaint also alleges that “LMIC, on behalf of General and many other insuring 1 provides claims investigation and adjusting services, is engaged in an illegal scheme to improperly 2 hide coverages from California insureds” and “to improperly deny fire loss claims brought under 3 California dwelling policies.” Doc. No. ¶ 22.k-1. 4 Finally, the Complaint alleges that “dividing insuring and claims handling functions” 5 between two entities, as Defendants allegedly have, is improper because doing so: increases 6 claims expenses and, therefore, premiums; reduces the asset size of insuring entities to avoid large 7 punitive damages awards; and improperly shields parent entities from discovery and liability. Doc. 8 No. 1 ¶ 23. 9 Based on these allegations, Plaintiffs allege a single claim for breach of the implied 10 covenant of good faith and fair dealing2 against General and LMIC. Doc. No. 1 ¶¶ 24-31. 11 LEGAL FRAMEWORK 12 Under Rule 12(b)(6), a claim may be dismissed for “failure to state a claim upon which 13 relief can be granted.” Fed.R.Civ.P. 12(b)(6). A dismissal under Rule 12(b)(6) may be based on 14 the lack of a cognizable legal theory or on the absence of sufficient facts alleged under a 15 cognizable legal theory. See Mollett v. Netflix, Inc., 795 F.3d 1062, 1065 (9th Cir. 2015). In 16 reviewing a complaint under Rule 12(b)(6), all well-pleaded allegations of material fact are taken 17 as true and construed in the light most favorable to the non-moving party. Kwan v. SanMedica, 18 Int’l, 854 F.3d 1088, 1096 (9th Cir. 2017). However, complaints that offer no more than “labels 19 and conclusions” or “a formulaic recitation of the elements of a cause of action will not do.” 20 Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009); Johnson v. Federal Home Loan Mortg. Corp., 793 21 F.3d 1005, 1008 (9th Cir. 2015). The Court is “not required to accept as true allegations that 22 contradict exhibits attached to the Complaint or matters properly subject to judicial notice, or 23 allegations that are merely conclusory, unwarranted deductions of fact, or unreasonable 24 inferences.” Seven Arts Filmed Entm’t, Ltd. v. Content Media Corp. PLC, 733 F.3d 1251, 1254 25 (9th Cir. 2013). 26 // 27 2 For brevity, Plaintiffs’ claim for breach of the implied covenant of good faith and fair dealing is sometimes referred 1 To avoid a Rule 12(b)(6) dismissal, “a complaint must contain sufficient factual matter, 2 accepted as true, to state a claim to relief that is plausible on its face.” Iqbal, 556 U.S. at 678; 3 Mollett, 795 F.3d at 1065. “A claim has facial plausibility when the plaintiff pleads factual content 4 that allows the court to draw the reasonable inference that the defendant is liable for the 5 misconduct alleged.” Iqbal, 556 U.S. at 678; Somers v. Apple, Inc., 729 F.3d 953, 959 (9th Cir. 6 2013). “Plausibility” means “more than a sheer possibility,” but less than a probability, and facts 7 that are “merely consistent” with liability fall short of “plausibility.” Iqbal, 556 U.S. at 678; 8 Somers, 729 F.3d at 960. 9 The Ninth Circuit has distilled the following principles for Rule 12(b)(6) motions: 10 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 11 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 12 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 13 continued litigation. 14 Levitt v.

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Ruiz v. General Insurance Company of America, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ruiz-v-general-insurance-company-of-america-caed-2020.