Setty v. United Financial Casualty Company, Inc.

CourtDistrict Court, N.D. California
DecidedAugust 11, 2023
Docket3:23-cv-02464
StatusUnknown

This text of Setty v. United Financial Casualty Company, Inc. (Setty v. United Financial Casualty Company, Inc.) 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
Setty v. United Financial Casualty Company, Inc., (N.D. Cal. 2023).

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 NORTHERN DISTRICT OF CALIFORNIA 10 San Francisco Division 11 BRIAN SETTY, Case No. 23-cv-02464-LB

12 Plaintiff, 13 v. ORDER ADDRESSING MOTION TO DISMISS 14 UNITED FINANCIAL CASUALTY COMPANY, INC., 15 Defendant. Re: ECF No. 6 16 17 INTRODUCTION 18 The plaintiff, who was seriously injured in a car accident and incurred at least $900,000 in 19 medical expenses, sued his car-insurance company over a dispute about whether his insurance 20 policy was effective at the time of the accident. The plaintiff had insurance until September 27, 21 2020, and the policy was to renew for another six months if the plaintiff made payment. Before 22 September 27, and as required by California Insurance Code § 663, the defendant sent him various 23 documents that amounted to an offer of renewal. One of those documents mentioned a fee for late 24 payments. The accident then happened on September 30, 2020, and the plaintiff made a late 25 payment on October 8. The parties dispute whether, in light of the insurance contract, the pre- 26 27 1 renewal documents, and § 663, the policy renewed on September 27 or instead lapsed until the late 2 payment.1 3 The defendant moved to dismiss the complaint under Federal Rule of Civil Procedure 4 12(b)(6), arguing that as a matter of law, the plaintiff’s policy was not effective as of September 5 30, 2020.2 The plaintiff argues among other things that in specifying a late-payment-fee amount, 6 the defendant’s renewal offer implied that late payments are an effective acceptance of the offer.3 7 Because an important contractual document was not submitted until the reply brief, this order sets 8 out the court’s preliminary analysis and allows further briefing. 9 10 STATEMENT 11 1. Factual Background 12 The plaintiff had car insurance under Progressive Policy Number 93308838.4 He sued the 13 underwriter of the insurance policy, United Financial Casualty Company.5 His policy provided 14 underinsured motorist coverage with a limit of $500,000.6 On September 30, 2020, he was 15 “seriously injured” in a car accident caused by another driver in Sacramento County. The other 16 driver was at fault and underinsured.7 The plaintiff “was hospitalized for a lengthy period of time 17 and underwent multiple surgeries,” incurring “no less than $901,875.62” in medical expenses.8 18 The plaintiff’s insurance policy provided coverage for six-month policy periods and provided 19 for renewal of the policy after the expiration date of each period. One such period lasted from 20 21 1 Compl. – ECF No. 1-1 at 6–15. Citations refer to material in the Electronic Case File (ECF); pinpoint citations are to the ECF-generated page numbers at the top of documents and sometimes also to the 22 page numbers at the bottom of documents. 2 Mot. – ECF No. 6. 23 3 Opp’n – ECF No. 12. 24 4 Compl. – ECF No. 1-1 at 7 (¶ 7). 25 5 Id. at 6 (¶¶ 1–2). The plaintiff originally sued United Financial’s parent company Progressive Holdings as well, but that entity was dismissed from the case. Clerk’s Entry of Dismissal, Ex. B to 26 Notice of Removal – ECF No. 1-2. 6 Compl. – ECF No. 1-1 at 7 (¶ 7). 27 7 Id. at 9 (¶ 18). 1 March 27, 2020 until September 27, 2020.9 The policy also provided that the insurer “may 2 nonrenew for . . . nonpayment of premium” and had the following “Automatic Termination” 3 provision: 4 If we or an affiliate offers to renew or continue this policy and you or your representative does not accept, this policy will automatically terminate at the end of 5 the current policy period. Failure to pay the required renewal or continuation premium when due will mean that you have not accepted our offer.10 6 7 The plaintiff alleges that on August 25, 2020, the defendant sent “several documents” to the 8 plaintiff “offering a renewal of the policy” to last from September 27, 2020 until March 27, 9 2021.11 One such document, the “Renewal Declarations Page,” provided that “[t]he coverages, 10 limits and policy period shown apply only if you pay for this policy to renew” and “[y]our 11 coverage begins on September 27, 2020.”12 It included a payment schedule under which payments 12 were due on the 27th of each month, including on September 27. As part of this payment schedule, 13 the correspondence “stated [that] there may be a late payment fee applied of $10.”13 The 14 correspondence “did not communicate [that] payment must be made before September 27, 2020 15 for the policy to renew and/or for the coverages to apply during the stated coverage period.”14 16 The second August 25 document sent by the defendant, titled “Your Policy is Ready for 17 Renewal,” was submitted only with the defendant’s reply brief.15 It stated “[t]his renewal offer is 18 for the policy period September 27, 2020 through March 27, 2021,” asked the plaintiff to choose a 19 payment option (the full premium or an initial installment), provided that a “[r]enewal [p]ayment” 20 21 22 9 Id. at 7 (¶¶ 7–8); Policy, Ex. 1 to Henry Decl. – ECF No. 7-1 at 2 (p. 1). The court can consider the 23 documents submitted with the defendant’s motion under the incorporation-by-reference doctrine. Knievel v. ESPN, 393 F.3d 1068, 1076 (9th Cir. 2005). 24 10 Policy, Ex. 1 to Henry Decl. – ECF No. 7-1 at 39 (p. 32). 25 11 Compl. – ECF No. 1-1 at 7 (¶ 9). 26 12 Renewal Decls. Page, Ex. 2 to Henry Decl. – ECF No. 7-2 at 2 (p. 1). 13 Compl. – ECF No. 1-1 at 7–8 (¶¶ 10–11). 27 14 Id. at 8 (¶ 12). 1 was due by September 27, 2020, and set out a “[r]enewal [p]ayment [s]chedule” with payments 2 due on the 27th of each month.16 3 “On September 11, 2020, sixteen days before expiration of the policy,” the defendant sent the 4 plaintiff another correspondence.17 This correspondence, a “Renewal Reminder,” said “[w]e 5 recently sent the renewal policy information for your next policy period. . . . This renewal offer is 6 for the policy period September 27, 2020 through March 27, 2021.”18 It had a “Payment Coupon” 7 section stating that “[t]o avoid a lapse in coverage, your payment must be received or postmarked 8 by 12:01 a.m. on September 27, 2020.”19 It also provided for the option of paying the full 9 premium of $682.88 or an “initial installment” payment of $122.57.20 10 On October 8, 2020, the plaintiff “made a payment of $122.57, the amount indicated in [the] 11 defendants’ multiple offers to provide coverage from September 27, 2020 through March 27, 12 2021.”21 The plaintiff alleges that this payment consummated a contract for insurance coverage for 13 that period.22 But the defendant “denied coverage, claiming the policy lapsed and/or was not in 14 effect as of the date of loss, September 30, 2020.”23 The defendant declares that because the 15 payment was not made by September 27, the policy expired on that date and then was “reinstated 16 on October 9, 2020 for the period October 9, 2020 to April 9, 2021.”24 The reinstated policy 17 provides that it covers that period.25 18 19 20

21 16 Renewal Notice, Ex. 1 to Suppl. Henry Decl. – ECF No. 13-1 at 4–5 (pp. 1–2). 22 17 Compl. – ECF No. 1-1 at 8 (¶ 13). 23 18 Renewal Reminder, Ex. 3 to Henry Decl. – ECF No. 7-3 at 2 (p. 1). 19 Id.; Compl. – ECF No. 1-1 at 8 (¶ 13). 24 20 Renewal Reminder, Ex. 3 to Henry Decl. – ECF No. 7-3 at 2 (p. 1). 25 21 Compl. – ECF No. 1-1 at 8 (¶ 15). 26 22 Id. (¶ 16). 23 Id. at 9 (¶ 20). 27 24 Henry Decl. – ECF No. 7 at 2 (¶¶ 5–7). 1 2. Procedural History 2 The plaintiff filed the complaint in state court and the defendant removed it to this court.26 The 3 complaint has two claims: breach of contract and breach of the implied covenant of good faith and 4 fair dealing.27 5 It is undisputed that the court has diversity jurisdiction. 28 U.S.C.

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Setty v. United Financial Casualty Company, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/setty-v-united-financial-casualty-company-inc-cand-2023.