William Young v. The Allstate Company

District Court, C.D. California·Decided March 17, 2023·No. 2:20-cv-04048·Unknown

Opinion

Case 2:20-cv-04048-TJH-PVC Document 84 Filed 03/17/23 Page 1 of 12 Page ID #:1892

United States District Court Central District of California Western Division WILLIAM YOUNG, et al., CV 20-04048 TJH (PVCx) Plaintiffs, Order v. and Judgment Defendant. [76] [JS-6] The Court has considered Defendant The Allstate Company’s [“Allstate”] motion for summary judgment [dkt. # 76], together with the moving and opposing papers. Plaintiffs William Young and Kelly Young [collectively “the Youngs”] own a house in Malibu, California. On November 10, 2018, the house was destroyed by the Woolsey Fire. Allstate insured the Youngs’ house under a homeowner’s policy that the Young first acquired in 2012 [“the Policy”]. The Youngs’ Allstate agents were the father and son team of Mike and Scott Herman [“the Hermans”] The Policy had a base dwelling limit of $449,915.00, plus an additional 50% of Order and Judgment Page 1 of 12 Case 2:20-cv-04048-TJH-PVC Document 84 Filed 03/17/23 Page 2 of 12 Page ID #:1893

the base dwelling limit under a Building Structure Reimbursement Extended Limits Endorsement [“Extended Endorsement”], which increased the dwelling limit to a total of $674,872.50 [“the Dwelling Limit”]. The policy covered the repair or replacement of the house with “like kind and quality.” After the house was destroyed, Allstate issued payments to the Youngs totaling $1,398,070.83. That amount included many coverage limits of the Policy, including, but not limited to, the Dwelling Limit of $674,872.50. On May 1, 2020, the Youngs filed this case against Allstate, alleging that they could not rebuild their house for the Policy’s Dwelling Limit and that they had relied on the Hermans’ representations that they were adequately covered. On November 6, 2020, the Youngs filed their First Amended Complaint [“FAC”]. On November 20, 2020, Allstate filed its Answer. On June 22, 2021, this case was assigned to this Court from Judge André Birotte, Jr. On March 22, 2022, the Court approved the proposed Joint Final Pretrial Conference Order [“FPTCO”]. The FPTCO represented, inter alia, that the Youngs would pursue only three of their claims: (1) Negligence; (2) Negligent misrepresentation; and (3) Promissory estoppel. Until the instant motion was filed, there was no substantive motion practice in this case. On February 21, 2023, because the Court had continued the trial date and could not determine, from the sparse record, whether any issues, here, might be resolvable before trial, the Court informed the parties that it would entertain any motions for summary judgment or partial summary judgment. Allstate, now, moves for summary judgment. Summary Judgment Standard At trial, the Youngs will have the burden of proof on all issues; consequently, summary judgment could be granted, here, only if the Youngs failed to produce sufficient admissible evidence to establish a prima facie case as to each of their claims. Order and Judgment Page 2 of 12 Case 2:20-cv-04048-TJH-PVC Document 84 Filed 03/17/23 Page 3 of 12 Page ID #:1894

See Celotex Corp. v. Catrett, 477 U.S. 317, 322 (1986). Allstate, however, has the initial burden to show that the Youngs lack enough evidence to establish a prima facie case. See Williams v. Gerber Prods. Co., 552 F. 3d 934, 938 (9th Cir. 2008). Allstate has met that initial burden. Consequently, the burden is now on the Youngs to establish, with admissible evidence, a prima facie case for each of their claims. See Celotex, 477 U.S. at 322. When considering a summary judgment motion, the Court cannot weigh evidence or make credibility determinations. Anderson v. Liberty Lobby, 477 U.S. 242, 255 (1986). Further, the Court must accept the Youngs’ admissible facts as true and draw all reasonable inferences in their favor. Liberty Lobby, 477 U.S. at 255. Integration Clause As an initial matter, Allstate argued that the integration clause in the Policy precludes all of the Youngs’ claims. However, Allstate did not assert an affirmative defense based on the integration clause. That defense should have been asserted as an affirmative defense because, if established, it would have negated Allstate’s liability even if the Youngs prevailed on their claims. See Addison v. City of Baker City, 258 F. Supp. 3d 1207, 1239 (D. Or. 2017). Because Allstate did not plead that affirmative defense, it was waived. KST Data, Inc. v. DXC Tech. Co., 980 F.3d 709, 714 (9th Cir. 2020). Moreover, Allstate confirmed in the FPTCO that it would not advance any affirmative defenses at trial. Regardless, even if not waived, the integration clause defense would not have succeeded here. When an insurance policy contains an integration clause that limits the agreements between insurer and insured to those contained in the written policy, the insured cannot assert that the insurance agent orally changed the policy’s terms in a way that would be inconsistent with the written policy. Everett v. State Farm Gen. Ins. Co., 162 Cal. App. 4th 649, 663 (2008). Here, the Youngs did not allege or argue that there was an oral modification of the Policy. Order and Judgment Page 3 of 12 Case 2:20-cv-04048-TJH-PVC Document 84 Filed 03/17/23 Page 4 of 12 Page ID #:1895

Negligence Claims’ Duty of Care The Youngs’ negligence claims require them to establish that Allstate owed them a special duty of care as to the Hermans’ advice regarding coverage limits. Generally, under California law, insurance agents do not owe insureds a duty to advise them on the adequacy of their insurance coverage. Wallman v. Suddock, 200 Cal. App. 4th 1288, 1309 (2011). However, there are three exceptions: (1) When the agent misrepresents the nature, extent, or scope of the insured’s coverage; (2) When the insured requests or inquires about a particular type, or extent, of coverage; and (3) When there is either an express agreement or the agents held themselves out as having expertise in a given field of insurance being sought by the insured. Moriarty v. Bayside Ins. Assocs., Inc., No. 20-56139, 2021 WL 4061105, at *1-*2 (9th Cir. Sept. 7, 2021) (citing Fitzpatrick v. Hayes, 57 Cal. App. 4th 916, 927 (1997). Here, based on the FPTCO, the Youngs’ negligent misrepresentation claim is based on the Hermans’ alleged misrepresentations that the Dwelling Limit would be adequate to rebuild the house; the negligence claim is based on the Hermans’ alleged failure to provide a policy with an adequate Dwelling Limit, as the Youngs had requested; and promissory estoppel claim is based on the argument that Allstate is bound by the Hermans’ promise to the Youngs that the Dwelling Limit was adequate to rebuild the house. Therefore, the Youngs’ claims invoke the first and second exceptions to the general rule that insurance agents do not owe a special duty of care to insureds. See Moriarty, 2021 WL 4061105, at *1-*2. To establish its prima facie case on those claims, William Young provided a declaration in opposition to the instant motion. Young declared, inter alia, that: (1) On several occasions, including in the fall of 2017, he spoke with the Hermans and explained that he was concerned the Policy would not cover the cost to rebuild his house; (2) He asked the Hermans whether they would be better off with a Guaranteed Replacement Cost Coverage policy, which, he understood at the time, would cover the cost to rebuild their house regardless of the actual amount; (3) The Hermans told him Order and Judgment Page 4 of 12 Case 2:20-cv-04048-TJH-PVC Document 84 Filed 03/17/23 Page 5 of 12 Page ID #:1896

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