ZURICH AMERICAN INSURANCE COMPANY v. ASPHALT PAVING SYSTEMS, INC.

CourtDistrict Court, D. New Jersey
DecidedJanuary 13, 2023
Docket1:22-cv-01535
StatusUnknown

This text of ZURICH AMERICAN INSURANCE COMPANY v. ASPHALT PAVING SYSTEMS, INC. (ZURICH AMERICAN INSURANCE COMPANY v. ASPHALT PAVING SYSTEMS, INC.) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
ZURICH AMERICAN INSURANCE COMPANY v. ASPHALT PAVING SYSTEMS, INC., (D.N.J. 2023).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY

ZURICH AMERICAN INSURANCE

COMPANY,

Plaintiff, No. 1:22-cv-01535

v.

OPINION ASPHALT PAVING SYSTEMS, INC.,

Defendant.

APPEARANCES: Christopher B. Fontenelli LOCKE LORD LLP One Gateway Center Newark, NJ 07102

Steven T. Whitmer, pro hac vice Julie L. Young, pro hac vice Hannah M. Oswald, pro hac vice LOCKE LORD LLP 111 South Wacker Drive Chicago, IL 60606

On behalf of Plaintiff.

John F. Palladino Colin G. Bell HANKIN SANDMAN PALLADINO WEINTROB & BELL, P.C. 30 S. New York Avenue Atlantic City, NJ 08401

On behalf of Defendant. O’HEARN, District Judge. This matter comes before the Court on the Defendant Asphalt Paving Systems, Inc.’s (“Defendant”) Motion to Dismiss Counts VII, VIII, and IX of Plaintiff Zurich American Insurance Company’s (“Plaintiff”) Amended Complaint. (ECF No. 30). The Court did not hear oral argument

pursuant to Local Rule 78.1. For the reasons that follow, Defendant’s Motion is GRANTED IN PART and DENIED IN PART. I. BACKGROUND Defendant is a New Jersey “construction company specializing in pavement preservation,” to which Plaintiff—a New York insurance corporation principally operating out of Illinois— provided business automobile insurance for five separate policy terms from 2016 to 2021. (Am. Compl., ECF No. 24, ¶¶ 4–5, 8–9). Generally, the insurance policies provided the following coverage for Defendant’s vehicles, or “autos”— a) Autos: liability coverage for any “autos” utilized by [Defendant], whether owned, non-owned or hired; b) Owned autos: auto medical payment, uninsured motorist, underinsured motorist, physical damage, and collision coverage for any “owned autos,” whether acquired by [Defendant] before or after policy inception; c) Owned autos subject to no-fault: personal injury protection for any “owned autos subject to no-fault” benefit laws, whether acquired by [Defendant] before or after policy inception; and d) Hired autos: physical damage and collision coverage for any “hired autos,” whether leased, rented or borrowed by [Defendant].

(ECF No. 24, ¶ 15). In exchange for this coverage, as with most insurance agreements, Defendant agreed to pay Plaintiff annual premium and “some other fees.” (ECF No. 24, ¶ 15). The annual premium that Defendant was to pay Plaintiff was calculated each year through the application of some agreed-upon formulas. (ECF No. 24, ¶ 17). In general, Defendant would disclose the number of vehicles it owned at the start of each policy year and “the parties then multiplied that number times an agreed composite rate to calculate the estimated premium.” (ECF No. 24, ¶ 18). Following this calculation, Defendant “would pay [Plaintiff] estimated premium based on its estimated exposure for the insurance.” (ECF No. 24, ¶ 16). Then, after the policies expired each year, Plaintiff would conduct “an audit to determine whether the actual number of

owned autos fluctuated over the course of the policy year.” (ECF No. 24, ¶ 19). If this fluctuation resulted in a premium greater than that which Defendant had already paid, Defendant would be responsible for the balance; if Defendant had overpaid, Plaintiff would issue a partial refund. (ECF No. 24, ¶ 20). In line with this procedure, at the start of the 2020–2021 policy year, Defendant reported to Plaintiff that, consistent with prior policy years, Defendant owned 70 vehicles. (ECF No. 24, ¶ 21). Accordingly, Plaintiff “applied the agreed composite rate and charged [Defendant] $626,039 in estimated premium.” (ECF No. 24, ¶ 21). However, in January 2021, Plaintiff became aware that Defendant actually owned more than 200 vehicles. (ECF No. 24, ¶ 22). When confronted with this information, Defendant’s insurance broker confirmed that, in truth, Defendant owned 297

vehicles, including (i) the 70 vehicles that had previously been disclosed; (ii) 28 new vehicles that had been acquired during that policy year; and (iii) 199 previously undisclosed vehicles that Defendant had owned prior to the 2020-2021 policy’s inception. (ECF No. 24, ¶ 22).1 Plaintiff responded by issuing a new invoice seeking an additional $1,779,735 in premium based on these additional vehicles. (ECF No. 24, ¶ 23). Defendant has yet to pay that invoice. (ECF No. 24, ¶ 23).

1 Notably, although it could have requested otherwise, Defendant’s insurance coverage extended not only those vehicles it disclosed to Plaintiff, but to “all autos,” “owned autos,” “owned autos subject to no-fault,” and “hired autos.” (ECF No. 24, ¶ 30). Indeed, Plaintiff is aware of at least two instances in which Defendant submitted claims for vehicles it had not disclosed, and therefore, for which it had not paid any premium. (ECF No. 24, ¶¶ 32–34). Plaintiff believes Defendant submitted additional claims for vehicles it had not disclosed. (ECF No. 24, ¶ 30). Plaintiff alleges that it did not notice these discrepancies until January 2021. (ECF No. 24, ¶ 36). Based on the revelation of the dozens of unreported vehicles, Plaintiff alleges that Defendant knowingly misrepresented the number of vehicles it owned to reduce its premium charges. (ECF No. 24, ¶ 23). Plaintiff asserts that Defendant lied twice per year: at the outset of each policy year when it reported its owned vehicles, and at the end of each year during the end-

of-year audit, when it failed to correct the record. (ECF No. 24, ¶¶ 25–27, 29). Plaintiff alleges that if it had known about Defendant’s additional vehicles, it would have charged more in premium, or would not have issued the policies at all. (ECF No. 24, ¶ 30). In light of the foregoing, Plaintiff filed suit. (Compl., ECF No. 1). II. PROCEDURAL HISTORY Plaintiff initiated this action on March 18, 2022, with the filing of its Complaint, alleging Defendant’s breach of a series of contracts between them, common law and statutory insurance fraud, and unjust enrichment. (ECF No. 1). Defendant responded by filing a Motion to Dismiss pursuant to Federal Rule of Civil Procedure 12(b)(6). (ECF No. 15). Plaintiff then amended its Complaint as a matter of course pursuant to Rule 15(a)(1)(B). (ECF No. 24).

The Amended Complaint comprises ten counts: (i)–(vi) breach of the parties’ successive annual contracts (“Counts I–VI”); (vii) common law fraud (“Count VII”); (viii) violation of the New Jersey Insurance Fraud Prevention Act (“NJIFPA”), N.J. STAT. ANN. § 17:33A-7 et seq. (“Count VIII”); (ix) unjust enrichment (“Count IX”); and (x) breach of the implied duty of good faith and fair dealing (“Count X”). (ECF No. 24). Now before the Court is another Motion filed by Defendant that seeks the dismissal of Counts VII, VIII, and IX of the Amended Complaint for failure to state a claim under Rule 12(b)(6). (ECF No. 30).2 Plaintiff responded in opposition, (ECF No. 32), and Defendant replied in further support, (ECF No. 33). III. LEGAL STANDARD To state a claim, a complaint needs only to provide a “short and plain statement of the

claim showing that the pleader is entitled to relief.” FED. R. CIV. P. 8(a)(2). Although “short and plain,” this statement must “give the defendant fair notice of what the claim is and the grounds upon which it rests.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 555 (2007) (quotations, alterations, and citation omitted). “[A] plaintiff’s obligation to provide the ‘grounds’ of his ‘entitle[ment] to relief’ requires more than labels and conclusions, and a formulaic recitation of the elements of a cause of action will not do . . . .” Id. (citations omitted). Rather, a complaint must contain sufficient factual allegations “to state a claim to relief that is plausible on its face.” Id. at 570.

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