The Dentists Insurance Company v. Yousefian

District Court, W.D. Washington·Decided June 21, 2023·No. 2:20-cv-01076·Unknown

Opinion

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON THE DENTISTS INSURANCE COMPANY, Case No. C20-1076RSL

Plaintiff, ORDER ON PARTIES’ v. CROSS-MOTIONS FOR SUMMARY JUDGMENT JOSEPH Z. YOUSEFIAN, et al., Defendants. This matter comes before the Court on defendant’s “Motion for Partial Summary Judgment” (Dkt. # 57) and plaintiff’s “Cross-Motion for Partial Summary Judgment” (Dkt. # 67). The Court held oral argument on both motions on May 9, 2023. See Dkt. # 111. The Court also considers plaintiff’s “Motion to Supplement the Record” (Dkt. # 109), defendant’s “Unopposed Motion to Supplement the Record” (Dkt. # 90), and the accompanying briefing, declarations, and exhibits. See Dkts. # 91, 110, 112-16. Having heard the parties’ arguments, reviewed their submissions, and considered the remainder of the record, the Court denies plaintiff’s motion for summary judgment and grants defendant’s motion for partial summary judgment in part. Specifically, the Court grants defendant summary judgment on (1) his scope of coverage claim and (2) his claim of insurance bad faith with regard to plaintiff’s failure to reasonably investigate defendant’s claim. I. Background A. Basis for Defendant’s Insurance Claim Beginning in March 2011, defendant Joseph Yousefian, DMD, MS, leased a suite in Bellevue, WA, for his orthodontics practice. Dkt. # 58 at 92. On March 23, 2020, the tenant in the suite above his deliberately started a fire, causing the fire suppression system in the building to be activated, which resulted in water damaging property contained within Dr. Yousefian’s suite. Dkt. # 1 at 2-3. At the time of the fire, Dr. Yousefian was insured under a business owner policy issued by The Dentists Insurance Company (“TDIC”). Id. at 3. This policy provided coverage for physical loss or damage to covered “Business Personal Property” – the subject of the instant suit. Id. Under the policy, “Business Personal Property” includes “Tenant Improvements,” which are defined as “fixtures, alterations, installments or additions that: a) Are made a part of the building or structure you occupy but do not own b) Are made or acquired at your expense but that you cannot legally remove.” Id. at 5. Dr. Yousefian immediately tendered a property damage claim to TDIC, seeking insurance coverage for the damage caused by the March 2020 fire. Id. at 3; Dkt. # 57 at 4. B. June 2020 Coverage Estimate On March 24, 2020, Robert Petty, a claims specialist at TDIC, responded to Dr. Yousefian’s claim, confirming that the claim was “covered” and explaining that under the policy, “Business Personal Property is pretty much anything and everything in your office + the cost to dry out the office and rebuild it.” Dkt. # 58 at 86. Mr. Petty further noted that “[i]t may be some of those costs are the responsibility of the landlord, so please provide a lease for review.” Id. On March 27, 2020, after having an attorney review the lease provided by Dr. Yousefian, Mr. Petty reported that TDIC was “unable to find any language that would require the landlord” to take responsibility for “water mitigation,” and that the lease appeared to be “fairly one-sided . . . tilting towards the landlord.” Id. at 130. On April 15, 2020, TDIC informed Dr. Yousefian that the “building owner’s [insurance] carrier (Hartford) has accepted responsibility for all building repairs–from water mitigation to repairs in any and all suites.” Id. at 132. TDIC explained that although Hartford was “primary, we continue to be responsible for any damage to your equipment, loss of business income and ‘extra expense’ to keep your practice producing revenue to off set loss of business income.” Id. Mr. Petty’s log notes reflect that on April 28, 2020, he was contacted by “Hartford claims rep Bruce Torrenga who informed me their rendering of the lease is that the building owner owns all the insured’s improvements to the space and they would be the primary, and only, carrier to effect repairs.” Dkt. # 68-1 at 2. On May 1, 2020, TDIC wrote to Dr. Yousefian, stating: You have raised a concern as to the damage to your office and believe you should be compensated for repairs despite the fact Hartford Insurance is rebuilding your space. You base this on my telling you that there was coverage for such repairs and that if you opted to not repair your office you could use the money elsewhere. The rebuilding of your office space at your location is referred to as ‘making you whole’. However, once Hartford took over as primary payer and shut me out of the repairs, they are now making you whole as they are effecting repairs. In other words, your insurable interest in repairs have been superseded by Hartford’s taking primary responsibility for repairs. As things stand now so far as I am led to believe, you have a valid lease agreement and are a legal tenant of this building. However, if this disposition changes please have Mr. Ross so inform me and I will re-evaluate our position. It is hard for me to speculate on ‘what ifs’, but I am very willing to reconsider if things change.

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