Yogeshwar, Inc v. Society Insurance

CourtDistrict Court, N.D. Iowa
DecidedAugust 15, 2023
Docket2:23-cv-01005
StatusUnknown

This text of Yogeshwar, Inc v. Society Insurance (Yogeshwar, Inc v. Society Insurance) is published on Counsel Stack Legal Research, covering District Court, N.D. Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Yogeshwar, Inc v. Society Insurance, (N.D. Iowa 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF IOWA EASTERN DIVISION

YOGESHWAR, INC., Plaintiff, No. C23-1005-LTS-KEM vs. MEMORANDUM SOCIETY INSURANCE, et al., OPINION AND ORDER

Defendants.

I. INTRODUCTION This case is before me on two motions by defendant Society Insurance (Society): a motion (Doc. 29) for judgment on the pleadings and a motion (Doc. 30) for sanctions against plaintiff Yogeshwar, Inc. (Yogeshwar) and its counsel. Yogeshwar has filed resistances (Docs. 31 and 32) and Society has filed replies (Docs. 33 and 34). Oral argument is not necessary. See Local Rule 7(c).

II. PROCEDURAL HISTORY Yogeshwar commenced this action by filing a petition at law and jury demand in the Iowa District Court for Dubuque County on March 6, 2023. Doc. 2. On April 5, 2023, Society filed a notice (Doc. 1) of removal to this court based on diversity of citizenship jurisdiction. 28 U.S.C. § 1332. Society then filed a motion to dismiss under Federal Rule of Civil Procedure 12(b)(6), arguing that Yogeshwar’s lawsuit was filed after the contractual limitations period in the insurance policy (Policy) expired. Yogeshwar sought leave to amend its petition to assert facts suggesting that Society waived any contractual limitations period, additional facts to support allegations of fraudulent statements made by Society and an additional count of fraud against Society. On May 19, 2023, Chief United States Magistrate Judge Kelly K.E. Mahoney entered an order (Doc. 21) granting the motion to amend. The amended petition (Doc. 22) asserts the following claims against Society: • Count I – Declaratory relief against Society • Count II – Breach of the Society Policy • Count III – Bad faith denial of coverage • Count VI – Fraud Doc. 22. Yogeshwar’s claims arise from a derecho storm on August 10, 2020, that caused damage to its property in Peosta, Iowa (the Subject Property). Specifically, Yogeshwar alleges that Society breached the Policy by failing to indemnify Yogeshwar for losses sustained to the Subject Property. With regard to its bad faith and fraud claims, Yogeshwar alleges that Society’s appraiser and/or the selected umpire made material misrepresentations to Yogeshwar’s appraiser during the appraisal process that the appraisal could not consider Iowa’s Line of Sight rule,1 or interior damage, because Society would address these items after completion of the appraisal. Yogeshwar subsequently provided Society with an iTEL Roof Repair Analysis Report, showing that because the Subject Property’s roof is a single roof, Yogeshwar could not simply replace a portion of the roof to repair the storm damage. Rather, the entire roof needed to be replaced.

1 See Iowa Admin. Code r. 191-15.44(1)(b): When a loss requires replacement of items and the replaced items do not match in quality, color or size, the insurer shall replace as much of the item as is necessary to result in a reasonably uniform appearance within the same line of sight. This subrule applies to interior and exterior losses. Exceptions may be made on a case-by-case basis. The insured shall not bear any cost over the applicable deductible, if any. Yogeshwar also requested that Society make a coverage determination or “adjust” the interior water damage and apply the Line of Sight rule to the claim. In a letter dated July 29, 2022, Yogeshwar alleges that Society wrote: both appraisers and umpire agreed that the interior damage to the insured property was the result of prior damage to the insured roof and not attributable to the alleged loss . . . [and] both appraisers and the umpire agreed that no consideration would be given for the Line of Sight Rule due to the fact that at the time of the alleged loss the insured property had at least three different color shingles on its roof.2

Doc. 22 at ¶ 32. Yogeshwar contends this letter invited further discussion and negotiation of the claim and did not mention any contractual limitations period. According to Yogeshwar, because the parties failed to agree on a settlement and there was an ongoing dispute regarding statements and representations made during the appraisal, Society waived any contractual limitation period. Yogeshwar sent a letter on August 10, 2022, reserving its rights under the Policy to receive recoverable depreciation under the Policy once the claim was resolved. Society did not respond.

III. DISCUSSION A. Motion for Sanctions Society asserts that Yogeshwar made the following false allegation in its amended petition and in reply to Society’s resistance to Yogeshwar’s motion to amend: “Yogeshwar first learned of the false statements of material fact on or about July 29, 2022 when it received a letter on or about that date from Society regarding such matters.” Doc. 22 at ¶ 61; Doc. 18-1 at 13. In support of its claim that Yogeshwar’s statement is false, Society cites a letter dated May 16, 2022, in which counsel for Yogeshwar wrote Society:

2 Yogeshwar asserts that it “first learned of the false statements of material fact on or about July 29, 2022, when it received a letter on or about that date from Society regarding such matters.” Id. at ¶ 61. This allegation is the basis of Society’s motion for sanctions. Further, during the recent appraisal, Society Insurance’s appraiser indicated to the Insured’s appraiser – unbeknownst to the Insured – the appraisal reports cannot include interior damage because such damage was purportedly not mentioned by the original adjuster. Therefore, Society Insurance’s appraiser and/or adjuster provided fraudulent misrepresentations during the appraisal process regarding the interior water damage issue.

Doc. 30-2 at 2. The letter also enclosed the iTEL Roof Repair Analysis Report and referenced the Line of Sight rule, arguing that Society was required to pay for the entire roof to be replaced. Id. Society argues that Yogeshwar’s allegation3 does not have evidentiary support and was prejudicial to Society because the court relied on it in ruling on the motion to amend. See Doc. 21 at 4-6. It seeks dismissal of all counts against Society and attorney fees for litigating the present motion, answering the amended petition and litigating any other dispositive or non-dispositive motion which may be pending. In response, Yogeshwar states when it sent the May 16, 2022, letter, Yogeshwar suspected that Society’s appraiser had made false or mistaken statements of material fact during the December 2021 appraisal, but its suspicion was unsubstantiated until it received Society’s July 29, 2022, letter. Yogeshwar contends its May 16, 2022, letter was an attempt to reasonably inquire about the potential fraudulent misrepresentations and to obtain Society’s position as to the outstanding disputed issues. Yogeshwar asserts that Society’s July 29, 2022, letter was the first time Society expressed to Yogeshwar that:

3 In its motion, Society suggests that Yogeshwar made an additional misrepresentation in its amended petition by stating that Society “has refused and continues to refuse to provide any coverage determination for the interior water damage . . . .” Doc. 18-1 at 5-6; Doc. 22 at 5-6. Society cites numerous pre-appraisal communications in which Society stated it was denying coverage, some of which specifically addressed interior water damage. It also cites Yogeshwar’s May 16, 2022, letter in which counsel acknowledged Society had denied coverage as to the interior damage. However, Society did not address this misrepresentation in the argument section of its brief, suggesting it is seeking sanctions only with regard to the statement that Yogeshwar first learned of the false statement of material fact on or about July 29, 2022.

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Yogeshwar, Inc v. Society Insurance, Counsel Stack Legal Research, https://law.counselstack.com/opinion/yogeshwar-inc-v-society-insurance-iand-2023.