Davies v. GEICO

1 UNITED STATES DISTRICT COURT 2 DISTRICT OF NEVADA [3] ANDREW DAVIES, ) 4 ) Plaintiff, ) Case No.: 2:19-cv-01987-GMN-NJK [5] vs. ) 6 ) ORDER GOVERNMENT EMPLOYEES ) 7 INSURANCE COMPANY, ) ) [8] Defendant. ) [9] 10 Pending before the Court is the Motion to Dismiss, (ECF No. 6), or in the alternative, 11 Motion to Sever/Bifurcate and Stay Claims, (ECF No. 7),1 filed by Defendant Government 12 Employees Insurance Company (“Defendant” or “Geico”). Plaintiff Andrew Davies 13 (“Plaintiff”) filed a single Response, (ECF No. 9), and Defendant filed a single Reply, (ECF 14 No. 10). 15 I. BACKGROUND 16 This case arises from an insurance coverage dispute. Plaintiff alleges that on March 29, 17 2017, he was rear-ended by at-fault non-party driver, Jasmine Rubio-Arroyo (“Rubio-Arroyo”), 18 resulting in serious injuries to Plaintiff. (Compl. ¶¶ 12–15, ECF No. 1-1). Rubio-Arroyo was 19 covered by a USAA policy, and USAA tendered its $25,000.00 policy limit to Plaintiff. (Id. 20 ¶¶ 17, 18). Because Plaintiff’s medical bills exceeded $25,000.00, Plaintiff submitted a claim 21 with his insurer, Geico, for underinsured motorist (UIM) coverage in the amount of $15,000.00. 22 (Id. ¶¶ 16, 19). At the time, Plaintiff believed his UIM benefits to be $15,000.00 based on 23 documentation provided by Geico. (Id. ¶¶ 23, 24). However, on December 5, 2017, Defendant 24 offered $24,263.54 in exchange for a full and final release of all claims. (Id. ¶ 25). Plaintiff [25] 1 The two motions are identical and request relief in the alternative to one another. 1 alleges that a day later, Defendant verbally communicated the limits for Plaintiff’s UIM 2 coverage to be $100,000.00. (Id. ¶ 26). On December 8, 2017, after considering his past and 3 future medical damages and “the irreparable harm caused by the delay in getting necessary 4 medical treatment,” Plaintiff sent Defendant a demand for the entirety of his UIM limits. (Id. 5 ¶ 27). Defendant subsequently sent correspondence confirming policy limits were 6 $100,000.00, and indicating that its December 5, 2017 offer was based on Defendant’s 7 evaluation and investigation. (Id. ¶ 28). Plaintiff alleges that Defendant’s refusal to pay UIM 8 benefits was “willful, wanton, malicious, reckless, oppressive, and/or fraudulent.” (Id. ¶ 47). 9 On October 9, 2019, Plaintiff filed the instant action in Clark County District Court. (See 10 id. at 1). Plaintiff’s Complaint alleges the following causes of action: (1) breach of contract; 11 (2) violation of Nevada’s Unfair Claims Practices Act, NRS 686.310; and (3) breach of the 12 implied covenant of good faith and fair dealing (“bad faith”). On November 14, 2019, 13 Defendant removed this case to federal court on the basis of diversity jurisdiction. (Removal 14 Petition, ECF No. 1). Defendant now moves to dismiss Plaintiff’s bad faith and unfair claims 15 practices causes of action pursuant to Federal Rule of Civil Procedure 12(b)(6). (Mot. Dismiss 16 (“MTD”) at 5–10, ECF No. 6). Alternatively, Defendant moves to bifurcate said claims and 17 stay them “until the benefits claim is decided.” (Mot. Bifurcate and Stay (“Mot. Stay”) at 10– 18 13, ECF No. 7). 19 II. LEGAL STANDARD 20 Dismissal is appropriate under Federal Rule of Civil Procedure 12(b)(6) where a pleader 21 fails to state a claim upon which relief can be granted. Fed. R. Civ. P. 12(b)(6); Bell Atl. Corp. 22 v. Twombly, 550 U.S. 544, 555 (2007). A pleading must give fair notice of a legally cognizable 23 claim and the grounds on which it rests, and although a court must take all factual allegations as 24 true, legal conclusions couched as a factual allegations are insufficient. Twombly, 550 U.S. at 25 555. Accordingly, Rule 12(b)(6) requires “more than labels and conclusions, and a formulaic 1 recitation of the elements of a cause of action will not do.” Id. “To survive a motion to dismiss, 2 a complaint must contain sufficient factual matter, accepted as true, to ‘state a claim to relief 3 that is plausible on its face.’” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Twombly, [4] 550 U.S. at 570 ). “A claim has facial plausibility when the plaintiff pleads factual content that 5 allows the court to draw the reasonable inference that the defendant is liable for the misconduct 6 alleged.” Id. This standard “asks for more than a sheer possibility that a defendant has acted 7 unlawfully.” Id. 8 If the court grants a motion to dismiss for failure to state a claim, leave to amend should 9 be granted unless it is clear that the deficiencies of the complaint cannot be cured by 10 amendment. DeSoto v. Yellow Freight Sys., Inc., 957 F.2d 655, 658 (9th Cir. 1992). Pursuant 11 to Rule 15(a), the court should “freely” give leave to amend “when justice so requires,” and in 12 the absence of a reason such as “undue delay, bad faith or dilatory motive on the part of the 13 movant, repeated failure to cure deficiencies by amendments previously allowed, undue 14 prejudice to the opposing party by virtue of allowance of the amendment, futility of the 15 amendment, etc.” Foman v. Davis, 371 U.S. 178, 182 (1962). 16 III. DISCUSSION 17 Defendant does not move to dismiss Plaintiff’s breach of contract claim. Thus, the 18 Court will not address that claim here. However, Defendant makes several arguments as to 19 why Plaintiff’s bad faith and unfair claims practices causes of action should be dismissed. The 20 Court addresses these arguments below. 21 A. Breach of the Implied Covenant of Good Faith and Fair Dealing (Bad Faith) 22 1. prematurity 23 Defendant argues Plaintiff’s bad faith claim should be dismissed because it is premature, 24 meaning that the Court would have to find Defendant liable under Plaintiff’s breach of contract 25 claim before allowing the bad faith claim to proceed. (MTD at 9–10, ECF No. 6). The Court 1 disagrees. See Ahuja v. W. United Ins. Co., No. 3:13-cv-00038-MMD, 2013 WL 5316538 , at 2 *2–*3 (D. Nev. Sept. 23, 2013) (rejecting this same argument under applicable law); see also 3 Aiello v. Geico Gen. Ins. Co., 379 F. Supp. 3d 1123, 1129 (D. Nev. 2019). “To find otherwise 4 would require a plaintiff to commence two separate lawsuits even if the facts establish that the 5 insurer breached the insurance contract and acted in bad faith within the same factual 6 sequence.” Gildas v. Fin. Pac. Ins. Co., No. 2:19-cv-00851-JCM-VCF, 2019 WL 6700196 , at 7 *4 (D. Nev. Dec. 9, 2019). 8 2. genuine dispute doctrine 9 Defendant further contends that the parties dispute only the valuation of Plaintiff’s UIM 10 claim. (MTD at 6–7). Defendant argues that “[a]s a matter of law, such a dispute is not bad 11 faith under the Genuine Dispute doctrine.” (Id. at 7). To support this proposition, Defendant 12 cites numerous cases in which the court granted the defendants’ motions for summary judgment 13 and dismissed the plaintiffs’ respective bad-faith claims. See, e.g., Pioneer Chlor Alkali Co., [14] 863 F. Supp. 1237 (D. Nev. 1994); Gutting v. Am. Family Fin. Services, Inc., No. 2:15-cv15 02216-GMN-CWH, 2017 WL 1159722 , at *4 (D. Nev. Mar. 28, 2017); Williams v. Am. Family 16 Mut. Ins. Co., No. 2:09-cv-00675-KJD-VCF, 2012 WL 1574825 (D. Nev. May 2, 2012). But 17 this case does not come before the Court on a motion for summary judgment. Rather, 18 Defendant moves to dismiss Plaintiff’s bad faith claim at the onset of litigation. 19 There is no evidence before the Court regarding the pre-litigation dispute between 20 Plaintiff and Defendant. Therefore, the Court cannot yet say whether that dispute is genuine. 21 See Tracey v. Am. Family Mut. Ins. Co., No. 2:09-cv-01257-GMN-PAL, 2010 WL 3613875 , at 22 *2, *3 (D. Nev. Sept. 8, 2010) (noting that “a bad faith claim should be dismissed on summary 23 judgment if the defendant demonstrates that there was a genuine dispute as to coverage[,]” and 24 denying summary judgment to the insurer because the evidence before the court suggested the [25] 1 insurer’s investigation was unreasonable) (emphasis added) (citations omitted). Ruling on 2 Plaintiff’s claim under the genuine dispute doctrine is premature at this stage in the litigation. 3 3. failure to state a claim 4 Defendant argues that Plaintiff fails to state a claim upon which relief can be granted 5 because the Complaint does not sufficiently allege that Defendant knew or recklessly 6 disregarded that it had no reasonable basis to deny Plaintiff’s claim. (See MTD at 5–6). 7 Under Nevada law, an insurer breaches the duty of good faith when it refuses “without 8 proper cause to compensate its insured for a loss covered by the policy.” U.S. Fid. & Guar. Co. 9 v. Peterson, 540 P.2d 1070, 1071 (Nev. 1975). An insurer is without proper cause to deny a 10 claim when it has an “actual or implied awareness” that no reasonable basis exists to deny the 11 claim. Am. Excess Ins. Co. v. MGM Grand Hotels, Inc., 729 P.2d 1352, 1354 (Nev. 1986). An 12 unreasonable delay in payment can also constitute bad faith. Guar. Nat. Ins. Co. v. Potter, 912 13 P.2d 267 , 272 (Nev. 1996) (“[T]his court has addressed an insurer’s breach of the implied 14 covenant of good faith and fair dealing as the unreasonable denial or delay of payment of a 15 valid claim”). However, an “insurer does not act in bad faith merely because it disagrees with 16 the claimant’s estimation of his injuries or delays paying out benefits until it receives relevant 17 documents or expert opinions.” Igartua v. Mid-Century Ins. Co., 262 F. Supp. 3d 1050 , 1055 18 (D. Nev. 2017) (holding the insurer acted reasonably in handling an insured’s claim, despite 19 delaying payment several years, because there was a reasonable dispute about the extent of the 20 insured’s injuries and whether those injuries were caused by the accident). 21 Here, Plaintiff contends that Defendant’s refusal to “evaluate and/or pay Plaintiff’s 22 claims was done so in the absence of a reasonable basis for denying such benefits under the 23 policy, and was done with . . . knowledge and/or reckless disregard of the lack of a reasonable 24 basis for denying the claims.” (Compl. ¶ 44, ECF No. 1-1). More specifically, Plaintiff alleges 25 he believed the UIM policy limits to be $15,000.00 pursuant to Geico’s March 15, 2017 1 declarations page, and Geico’s April 17, 2017 correspondence listing coverages on the policy. 2 (Id. ¶ 23). In November 2017, Plaintiff made a claim with Defendant for Plaintiff’s UIM 3 benefits in the amount of $15,000.00, “which demand included the recommendation for the 4 future initial set of Transformational Epidural Injections at L3-L4 through L5-S1 along with 5 Plaintiff’s past medical billing and records which was approximately $44,263.54 at the time.” 6 (Id. ¶ 24). On December 5, 2017, Defendant offered $24,263.54 in exchange for a full and final 7 release of all claims. (Id. ¶ 25). On December 6, 2017—more than eight months after initially 8 representing that the UIM policy limits were $15,000.00—Defendant then verbally 9 communicated the policy limits were actually $100,000.00. (Id. ¶ 26). On December 8, 2017, 10 upon “considering the past medical bills, future medical treatment, and the irreparable harm 11 caused by the delay in getting necessary medical treatment,” Plaintiff rejected the December 5, 12 2017 offer and demanded the entirety of the UIM policy limits. (Id. ¶ 27). On December 15, 13 2017, Defendant sent correspondence confirming policy limits were $100,000.00, and 14 indicating that its December 5, 2017 offer was based on Defendant’s evaluation and 15 investigation. (Id. ¶ 28). Accepting the Complaint’s factual allegations as true and construing 16 the pleadings in the light most favorable to the nonmoving party, as the Court must do at this 17 stage, the Court finds Plaintiff sufficiently alleges a claim for bad faith.2 Defendant’s Motion 18 to Dismiss is denied as to this claim. 19 B. Unfair Claims Practices Act 20 Pertaining to Plaintiff’s claim under Nevada’s Unfair Claims Practices Act, Defendant 21 argues that Plaintiff’s allegations “are legal conclusions in the language of the statute.” (MTD 22 at 7). Nevada’s Unfair Claims Practices Act, NRS 686A.310, deals with unfair practices in [24] 2 While Defendant’s Reply maintains Defendant increased the policy’s UIM limits in December 2017 when 25 Defendant was “unable to locate the signed waiver form required under [NRS] 690.020(1),” the Court cannot consider those facts on a motion to dismiss because they do not appear in the Complaint. (See Reply at 2, 5–6, ECF No. 10). 1 settling claims and liability of the insurer for damages. This statute designates certain 2 insurance company activities as unfair practices and allows for a private right of action by an 3 insured against the insurer for a violation of the statute. See Hart v. Prudential Prop. & Cas. 4 Ins. Co., 848 F. Supp. 900, 903 (D. Nev. 1994). “Unlike a cause of action for bad faith, the 5 provisions of NRS 686A.310 ‘address the manner in which an insurer handles an insured’s 6 claim whether or not the claim is denied.’” Zurich Am. Ins. Co. v. Coeur Rochester, Inc., 720 F. 7 Supp. 2d 1223, 1236 (D. Nev. 2010) (quoting Schumacher v. State Farm Fire & Cas. Co., 467 8 F. Supp. 2d 1090, 1095 (D. Nev. 2006)). 9 Here, the allegations asserting violations of NRS 686.310(1)’s subsections (b) through 10 (f), are a mere recital of the statute’s language. (See Compl. ¶¶ 34–38). This is not enough to 11 survive a motion to dismiss. Iqbal, 556 U.S. at 678–79. However, looking at the allegations 12 that are incorporated by reference, the Court finds Plaintiff sufficiently asserts a claim under 13 NRS 686.310(1)(a), which provides that “[m]isrepresenting to insureds or claimants pertinent 14 facts or insurance policy provisions relating to any coverage at issue,” is an unfair practice. 15 NRS 686.310(1)(a). Indeed, Plaintiff alleges that in April 2017, Defendant’s correspondence 16 listed Plaintiff’s UIM benefits to be at $15,000.00. (Compl. ¶ 23). Eight months later, in 17 December 2017, Defendant confirmed “Plaintiff’s underinsured motorist coverage to actually 18 be $100,000.00.” (Id. ¶¶ 26, 28). Thus, Plaintiff asserts that Defendant “misrepresented to 19 Plaintiff pertinent facts or insurance policy provisions relating to the coverage at issue, as 20 prohibited by NRS 686.310(1)(a).” (Id. ¶ 33). 21 Accordingly, Defendant’s Motion to Dismiss Plaintiff’s second cause of action for 22 unfair claims practices is granted in part and denied in part. Plaintiff adequately alleges a claim 23 for relief, but only to the extent Plaintiff alleges a violation of NRS 686.310(1)(a). Plaintiff is 24 granted leave to amend as he may be able to plead additional facts establishing violations of 25 NRS 686.310(1)(b) through (f). 1 D. Motion to Bifurcate and Stay 2 Defendant submits that “the court’s interest in judicial economy warrants the severing 3 and staying the extra-contractual claims from the potentially dispositive contract claim here.” 4 (Mot. Stay at 10, ECF No. 7). Defendant contends bifurcation is the appropriate remedy in 5 insurance bad faith cases in order to avoid juror confusion and prejudice. (Id. at 11). 6 Federal Rule of Civil Procedure 42(b) authorizes courts to order a separate trial of any 7 claim when separation is in the interest of judicial economy, will further the parties’ 8 convenience, or will prevent undue prejudice. Fed. R. Civ. P. 42(b). The decision to bifurcate 9 is within the court’s discretion. Hirst v. Gertzen, 676 F.2d 1252, 1261 (9th Cir. 1982). 10 Bifurcation is particularly appropriate when resolution of a single claim or issue could be 11 dispositive of the entire case. Drennan v. Maryland Cas. Co., 366 F. Supp. 2d 1002, 1007 (D. 12 Nev. 2005 ). “However, bifurcation of the trial does not necessarily require bifurcation of 13 discovery.” Id. 14 The Court finds no reason to bifurcate or stay Plaintiff’s extra-contractual claims at this 15 stage. Plaintiff’s claims are intertwined, therefore, separating and staying at this time would 16 needlessly extend the process and waste judicial resources managing two phases of discovery. 17 Moreover, bifurcating the claims for trial would cause the parties to present much of the same 18 evidence twice, make many of the same arguments twice, and pay the cost of litigation twice. 19 Any concerns about confusion or prejudice on the jury’s part can be addressed through jury 20 instructions, opening statements, and closing arguments. Tracey v. Am. Family Mut. Ins. Co., 21 No. 2:09-cv-01257-GMN-PAL, 2010 WL 3613875 , at *7 (D. Nev. Sept. 8, 2010). 22 Accordingly, Defendant’s Motion to Bifurcate and Stay, (ECF No. 7), is denied. 23 /// 24 /// [25] 1 IV. CONCLUSION 2 IT IS HEREBY ORDERED that Defendant’s Motion to Dismiss, (ECF No. 6), is 3 GRANTED in part and DENIED in part, consistent with the foregoing. 4 IT IS FURTHER ORDERED that Defendant’s Motion to Sever/Bifurcate and Stay 5 Claims, (ECF No. 7), is DENIED. 6 IT IS FURTHER ORDERED that Plaintiff is GRANTED leave to amend. Plaintiff 7 shall have twenty-one (21) days from the date of this Order to file an amended complaint. 8 Failure to file an amended complaint by this date shall result in the Court dismissing with 9 prejudice Plaintiff’s second cause of action as it pertains to NRS 686.310(1)(b) through (f). 10 DATED this __3_1__ day of August, 2020. [11] 12 ___________________________________ Gloria M. Navarro, District Judge [13] United States District Court