Bay Area Roofers Health and Welfare Trust et al v. Sun Life Assurance Company of Canada

Filing 18

ORDER GRANTING PLAINTIFFS' MOTION TO STRIKE DEFENDANTS DEFENSES by Hon. William H. Orrick granting 9 Motion to Strike. Sun Lifes first and third through twenty-third purported defenses are STRICKEN. Sun Life of Canada is granted leave to file an amended answer. Any amended answer shall be filed within 20 days of this order.(jmdS, COURT STAFF) (Filed on 12/19/2013)

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1 2 3 4 UNITED STATES DISTRICT COURT 5 NORTHERN DISTRICT OF CALIFORNIA 6 7 BAY AREA ROOFERS HEALTH AND WELFARE TRUST, et al., Plaintiffs, 8 9 10 11 Case No. 13-cv-04192-WHO ORDER GRANTING PLAINTIFFS’ MOTION TO STRIKE DEFENDANT’S DEFENSES v. SUN LIFE ASSURANCE COMPANY OF CANADA, Dkt. No.: 9 United States District Court Northern District of California Defendant. 12 13 INTRODUCTION 14 Plaintiff Bay Area Roofers Health and Welfare Trust, its Joint Board of Trustees, and 15 Keith Robnett and Bruce Lau as Trustees (the “plaintiffs”) move to strike the first and third 16 through twenty-third defenses of Defendant Sun Life Assurance Company of Canada’s answer. 17 For the reasons stated below, the plaintiffs’ motion is GRANTED. 18 BACKGROUND 19 Plaintiff Bay Area Roofers Health and Welfare Trust provides health care for employees 20 and their dependents covered by collective bargaining agreements in the roofing industry in the 21 San Francisco Bay Area. Plaintiff Joint Board of Trustees purchased stop loss insurance from 22 defendant Sun Life to indemnify the Trust against potentially large health claims. In November 23 2011, the Trust submitted claims for reimbursement under the Sun Life stop loss policy for 24 medical treatment received by two prematurely born twin babies whose father was a plan 25 participant. The plaintiffs allege that Sun Life wrongfully denied the plaintiffs’ claims when it 26 discovered that the father was an undocumented immigrant. 27 28 The plaintiffs filed suit against Sun Life in September 2013, alleging breach of contract, breach of the covenant of good faith and fair dealing, and unfair competition. Dkt. No. 1. Sun 1 Life responded on October 18, 2013 with an answer that lists 23 “defenses.” Dkt. No. 8. On 2 November 8, 2013, the plaintiffs moved to strike Sun Life’s first and third through twenty-third 3 defenses as insufficient, immaterial, impertinent and redundant. Dkt. No. 9. In response to the motion to strike, Sun Life states that it had not been contacted by the 4 plaintiffs concerning the purported defects in its defenses. Sun Life asserts that had the plaintiffs 6 done so, “Sun Life would have considered withdrawing certain affirmative defenses as long as 7 plaintiffs agreed that Sun Life did not waive the argument by not alleging the argument as an 8 affirmative defense.” Dkt. No. 12 (“Opp.”) at 12. Sun Life further states that it would have 9 agreed to file an amended answer including additional facts supporting the affirmative defenses. 10 Id. Sun Life filed a proposed amended answer along with its opposition. Dkt. No. 12-1. It both 11 United States District Court Northern District of California 5 opposes the motion to strike and moves for leave to file its proposed amended answer. In their reply brief, the plaintiffs assert that Sun Life’s proposed amended answer “does not 12 13 contain facts sufficient to support the affirmative defenses. Plaintiffs’ motion should therefore be 14 granted without leave to amend.” 15 LEGAL STANDARD 16 Federal Rule of Civil Procedure 12(f) allows the Court to strike from a pleading an 17 insufficient defense or any redundant, immaterial, impertinent, or scandalous matter. Fed. R. Civ. 18 P. 12(f). “The function of a 12(f) motion to strike is to avoid the expenditure of time and money 19 that must arise from litigating spurious issues by dispensing with those issues prior to trial.” 20 Whittlestone, Inc. v. Handi-Craft Co., 618 F.3d 970, 973 (9th Cir. 2010) (citation and alteration 21 omitted). DISCUSSION 22 Sun Life’s first and third through twenty-third purported defenses are stricken for sundry 23 24 deficiencies.1 Many of the asserted defenses are not affirmative defenses at all, but are denials of 25 the plaintiffs’ case. Other purported defenses could plausibly be affirmative defenses, but are 26 1 27 28 The plaintiffs do not object to Sun Life’s second affirmative defense—that if this matter is governed by ERISA, the plaintiffs’ common law claims for relief for breach of contract, breach of the covenant of good faith and fair dealing, and unlawful competition are preempted by ERISA. Accordingly, that defense is not stricken. 2 1 insufficiently pleaded because they do not give the plaintiff fair notice of the nature of the defense. Rather than detail the deficiencies in each of the 22 purported defenses at issue, the Court 2 3 sets forth what constitutes a proper affirmative defense. Sun Life is granted leave to file an 4 amended answer. Any amended affirmative defenses shall comply with the guidance set forth 5 below. The Court does not address Sun Life’s proposed amended answer, other than to note that 6 many of the purported defenses asserted therein appear to suffer from the same flaws as those in 7 the original answer. Rule 8 states that “[i]n responding to a pleading, a party must affirmatively state any 8 9 avoidance or affirmative defense.”2 Fed. R. Civ. P. 8(c)(1). “An affirmative defense is an assertion raising new facts and arguments that, if true, will defeat plaintiff’s claim, even if all 11 United States District Court Northern District of California 10 allegations in complaint are true.” E.E.O.C. v. California Psychiatric Transitions, Inc., 725 F. 12 Supp. 2d 1100, 1118 (E.D. Cal. 2010). In contrast, a “defense which demonstrates that plaintiff 13 has not met its burden of proof is not an affirmative defense.” Zivkovic v. S. California Edison 14 Co., 302 F.3d 1080, 1088 (9th Cir. 2002) (“Edison’s attempt to prove that it provided a reasonable 15 accommodation merely negates an element that Zivkovic was required to prove and therefore was 16 not an affirmative defense required to be pled in Edison’s answer.”). In addition, an affirmative defense must provide the plaintiff fair notice of the nature of the 17 18 defense. See, e.g., Wyshak v. City Nat’l Bank, 607 F. 2d 824, 827 (9th Cir. 1979). “Where an 19 affirmative defense simply states a legal conclusion or theory without the support of facts 20 explaining how it connects to the instant case, it is insufficient and will not withstand a motion to 21 strike.” Solis v. Zenith Capital, LLC, 2009 WL 1324051, *2 (N.D. Cal. May 8, 2009). Consistent with the foregoing, any amended affirmative defenses must raise new facts and 22 23 arguments that, if true, will defeat plaintiff’s claim, even if all allegations in complaint are true. In 24 addition, the affirmative defenses must provide the plaintiff fair notice of the nature of the defense. 25 26 27 28 2 Rule 8 gives the following examples of affirmative defenses: accord and satisfaction; arbitration; and award; assumption of risk; contributory negligence; duress; estoppel; failure of consideration; fraud; illegality; injury by fellow servant; laches; license; payment; release; res judicata; statute of frauds; statute of limitations; and waiver. 3 1 It not sufficient that Sun Life’s answer or affirmative defenses refer to a letter purportedly 2 providing the factual support for its affirmative defenses. CONCLUSION 3 4 Sun Life’s first and third through twenty-third purported defenses are STRICKEN. Sun 5 Life of Canada is granted leave to file an amended answer. Any amended answer shall be filed 6 within 20 days of this order. 7 8 9 10 IT IS SO ORDERED. Dated: December 19, 2013 ______________________________________ WILLIAM H. ORRICK United States District Judge United States District Court Northern District of California 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 4

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