U.S. Bank National Ass'n v. PHL Variable Life Insurance

112 F. Supp. 3d 122, 2015 U.S. Dist. LEXIS 81080
CourtDistrict Court, S.D. New York
DecidedJune 22, 2015
DocketNos. 12 Civ. 6811(CM), 13 Civ. 1580(CM)
StatusPublished
Cited by27 cases

This text of 112 F. Supp. 3d 122 (U.S. Bank National Ass'n v. PHL Variable Life Insurance) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
U.S. Bank National Ass'n v. PHL Variable Life Insurance, 112 F. Supp. 3d 122, 2015 U.S. Dist. LEXIS 81080 (S.D.N.Y. 2015).

Opinion

DECISION AND ORDER

McMAHON, District Judge.

The court, for its rulings in limine on the motions filed by U.S. Bank National Association (“U.S. Bank”) arid PHL Variable Life Insurance Company (“Phoenix”) (see Docket ## 179, 182 in No. 13 Civ. 1580 and Docket ## 386, 389 in No. 12 Civ. 6811), and on an untimely motion for judgment by the pleadings filed by Phoenix, (see Docket # 398 in No. 12 Civ. 6811):

I. Phoenix’s Motion for Judgment on the Pleadings

Phoenix has filed a motion for judgment on the pleadings in No. 12 Civ. 6811 seeking,, dismissal of U.S. Bank’s claim for breach of the covenant of good faith and fair dealing. I had previously dismissed an analogous claim in No. 13 Civ. 1580; applying New York law, I held that the claim was duplicative of U.S. Bank’s breach of contract claim. (No. 13 Civ. 1580, Docket # 149.) Phoenix argues that dismissal of the analogous claim in No. 12 Civ. 6811 is compelled under California law as well, because U.S. Bank’s bases for alleging that Phoenix breached the covenant of good faith and fair dealing depend on Phoenix’s having improperly exercised discretion afforded to it by the life insurance contracts at issue. U.S. Bank alleges that Phoenix failed to exercise its discretion to set COI rates in good faith by raising rates to penalize policyholders who exercised their rights to minimally fund their policies, by using COI rate increases to make policies prohibitively expensive and encourage lapses, and by using COI rate increases to manage Phoenix’s profitability at the expense of policyholders. [129]*129According to Phoenix, California law does not recognize a claim for breach of the covenant of good faith and fair dealing based on one party’s exercise of discretion afforded it under a contract.

The motion is DENIED.

Phoenix misstates the applicable law. Under California law, “There is ah implied covenant of good faith and fair dealing in every contract that neither party will do anything which will injure the right of the other to receive'the benefits of the agreement.” Comunale v. Traders & Gen. Ins. Co., 50 Cal.2d 654, 328 P.2d 198, 200 (1958). “This principle is applicable to policies of insurance.” Id. Further, “The covenant of good faith finds' particular application in situations where one party is invested with a discretionary .power affecting the rights of another. Such power must be exercised in good faith.” Carma Developers (Cal.), Inc. v. Marathon Dev. California, Inc., 2 Cal.4th 342, 6 Cal.Rptr.2d 467, 826 P.2d 710, 726 (1992) (emphasis added). Thus, “where a contract confers on one party a discretionary power affecting the rights of the other, a duty is imposed to exercise that discretion in good faith and in accordance with fair, dealing.” Perdue v. Crocker Nat’l Bank, 38 Cal.3d 913, 216 Cal.Rptr. 345, 702 P.2d 503, 510 (1985) (internal quotation marks and citation omitted).

However, “The covenant of good faith is plainly subject to the exception that the parties may, by express provisions of the contract, grant the right to engage in the very acts and conduct which would otherwise have been forbidden by an implied covenant of good faith and fair dealing.” Carma Developers, 6 Cal.Rptr.2d 467, 826 P.2d at 728 (internal quotation marks and citation omitted); see also Third Story Music, Inc. v. Waits, 41 Cal.App.4th 798, 803, 48 Cal.Rptr.2d 747 (1995). That exception, in turn, is subject to its own exception. Courts will imply a covenant of 'good faith and fair dealing to cabin a party’s exercise of express contractual rights when failing to do so would render the contract itself illusory for want of consideration. Perdue, 216 Cal.Rptr. 345, 702 P.2d at 510; Third Story Music, 41 Cal.App.4th at 804-08, 48 Cal.Rptr.2d 747.

Phoenix flips these principles on their head by treating the implied covenant of good faith and fair dealing as an exception, inapplicable to any exercise of discretion under a contract unless unbounded discretion would render the contract illusory. The actual rule is that a covenant of good faith and fair dealing governs all exercises of contractual discretion except when the parties expressly‘permit certain acts that would otherwise violate an implied covenant.

Here, the insurance policies at issue unquestionable grant Phoenix discretion to set COI rates, subject to specific constraints: “We review our Cost of Insurance rates periodically and may re-determine Cost of Insurance rates at such time on a basis that does not discriminate unfairly within any class of insureds.” (Docket # 203, Ex. 2 at 12.) “No more frequent than once per year and no less frequent than once every five years, We will review the monthly Cost of Insurance Rates to determine if these rates should be changed.” (Docket # 203, Ex. 3 at 11.) Phoenix admits that these rate increases are subject to certain express conditions, including that they be based on . permissible factors and that COI rates not, exceed maximum permissible rates.

These insurance policies do not expressly permit the acts alleged in the complaint. While the policies provide Phoenix bounded discretion in setting insurance rates, there is no language suggesting that Phoenix was free to set rates 'as it pleased subject only to the express limitations of [130]*130the contract. Nothing,-for example, permits Phoenix to set its rates in a. manner designed to penalize and deter policyholders from exercising them contractual rights to fund their policies minimally, or to force policyholders to let their policies lapse, or to use COI rate increases to manage Phoenix’s profitability. Nothing permits Phoenix to set rates in a manner that discriminates among policy holders who, actuarially' speaking, belong in the same class (indeed, that is expressly prohibited). Nothing suggests that Phoenix need not set COI rates in good faith.

Phoenix points to Baymiller v. Guarantee Mut. Life Co., No. SA CV 99-1566 DOC AN, 2000 WL 1026565 (C.D.Cal. May 3, 2000), as an opinion dismissing a claim that an insurer breached the implied covenant of good faith and fair dealing by increasing insurance rates. But the contract in Baymiller included language expressly permitting any rate increase “in the amount and by the method to be determined by the Company.” Id. at *1-2. Here, the policies merely state that Phoenix will periodically review and change COI rates, but will not do so in a way that does not discriminate unfairly within a class of insured and subject to the other terms of the policy that were the subject of extensive discussion in the opinion denying the motion for summary judgment. More analogous cases are those where insurance policies permit-an insurer’ to take action such as increasing premiums, and to' do so based on certain factors, but with no language absolving the insurer of its responsibility to exercise its responsibility reasonably. In those cases — where discretion exists without broad, Baymiller-like language — California courts have consistently implied a covenant of good faith and fair dealing. Acree v. Gen. Motors Acceptance Corp., 92 Cal.App.4th 385, 394-95, 112 Cal.Rptr.2d 99 (2001); Saver v. Principal Mut. Life Ins. Co., No.

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112 F. Supp. 3d 122, 2015 U.S. Dist. LEXIS 81080, Counsel Stack Legal Research, https://law.counselstack.com/opinion/us-bank-national-assn-v-phl-variable-life-insurance-nysd-2015.