Recovery Resource Counsel v. ACE American Insurance Company et al
Filing
17
MEMORANDUM OPINION AND ORDER granting 4 Dismiss for Failure to State a Claim. The Court grants Kirn's motion to dismiss without prejudice and grants RRC leave to amend its complaint within thirty (30) days of the date of this Order. (Ordered by Judge David C Godbey on 7/24/2018) (epm)
IN THE UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF TEXAS
DALLAS DIVISION
RECOVERY RESOURCE COUNSEL,
Plaintiff,
v.
ACE AMERICAN INSURANCE
COMPANY, et al.,
Defendants.
§
§
§
§
§
§
§
§
§
§
Civil Action No. 3:17-CV-2787-N
MEMORANDUM OPINION AND ORDER
This Memorandum Opinion and Order addresses Defendant Ridge B. Kirn’s motion
to dismiss [4]. For the reasons set forth below, the Court grants the motion.
I. ORIGINS OF THE DISPUTE
This case is an insurance dispute. Plaintiff Recovery Resource Counsel (“RRC”)
alleges that it reported a claim to its insurer, Defendant ACE American Insurance Company
(“ACE”), in 2017 for wind and hail damage to its property. ACE hired Kirn, an independent
insurance adjuster, to investigate RRC’s insurance claim. RRC alleges that Kirn then hired
nonparty Douglas Structure to determine whether RRC’s property had indeed sustained hail
damage. Douglas Structure subsequently issued a report opining that the property had not
sustained hail damage. ACE denied RRC’s insurance claim based on Douglas Structure’s
report.
MEMORANDUM OPINION AND ORDER – PAGE 1
RRC filed suit in Dallas County District Court on September 29, 2017 as a result of
ACE’s denial of its insurance claim [1-2]. RRC asserts claims against ACE for breach of
contract, breach of the common law duty of good faith and fair dealing, violations of the
Texas Deceptive Trade Practices Act, TEX. BUS. & COM. CODE §§ 17.46, 17.50 (“DTPA”)
and violations of the Texas Insurance Code, TEX. INS. CODE ANN. §§ 541.060, 541.061 (the
“Insurance Code”). RRC also asserts claims against Kirn for violations of the DTPA and the
Insurance Code.
On October 11, 2017, ACE and Kirn removed the action to this Court on grounds of
improper joinder [1]. Kirn now moves to dismiss RRC’s claims.
II. LEGAL STANDARD FOR IMPROPER JOINDER
The improper joinder doctrine allows a court to “ignore an improperly joined,
non-diverse defendant in determining subject matter jurisdiction.” Ross v. Nationwide Prop.
& Cas. Ins. Co., 2013 WL 1290225, at *2 (S.D. Tex. 2013) (citing Smallwood v. Ill. Cent.
R.R. Co., 385 F.3d 568, 572 (5th Cir. 2004) (en banc)). To establish improper joinder, a
defendant “must demonstrate ‘that there is no possibility of recovery by the plaintiff against
a nondiverse defendant . . . .’” Int’l Energy Ventures Mgmt., L.L.C. v. United Energy Group,
Ltd., 818 F.3d 193, 199–200 (5th Cir. 2016) (quoting Smallwood, 385 F.3d at 573).
Courts conduct a “Rule 12(b)(6)-type analysis” to determine whether a plaintiff has
a reasonable basis for recovery. Id. at 200. This “analysis necessarily incorporates the
federal pleading standard articulated in . . . Twombly,” 550 U.S. at 547. Int’l Energy, 818
F.3d at 200 (emphasis in original). To survive a Rule 12(b)(6) analysis, “a complaint must
MEMORANDUM OPINION AND ORDER – PAGE 2
have contained ‘enough facts to state a claim to relief that is plausible on its face.’” Id.
(quoting Reece v. U.S. Bank Nat’l Ass’n, 762 F.3d 422, 424 (5th Cir. 2014)). To meet this
“facial plausibility” standard, a plaintiff must “plead[] factual content that allows the court
to draw the reasonable inference that the defendant is liable for the misconduct alleged.”
Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009). A court generally accepts well-pleaded facts
as true and construes the complaint in the light most favorable to the plaintiff. Gines v. D.R.
Horton, Inc., 699 F.3d 812, 816 (5th Cir. 2012). But a court does not accept as true
“conclusory allegations, unwarranted factual inferences, or legal conclusions.” Ferrer v.
Chevron Corp., 484 F.3d 776, 780 (5th Cir. 2007). A plaintiff must provide “more than
labels and conclusions, and a formulaic recitation of the elements of a cause of action will
not do.” Twombly, 550 U.S. at 555 (citations omitted). “Factual allegations must be enough
to raise a right to relief above the speculative level . . . on the assumption that all the
allegations in the complaint are true (even if doubtful in fact).” Id. (citations omitted).
III. THE COURT GRANTS KIRN’S MOTION TO DISMISS
Kirn now moves to dismiss RRC’s claims against him. The Court grants Kirn’s
motion.
A. Independent Insurance Adjusters Can be Liable Under the Insurance Code
Kirn first asserts that RRC’s claims fail as a matter of law because independent
insurance adjusters cannot be liable under the Insurance Code provisions on which RRC
relies. But this Court has previously held that independent insurance adjusters can indeed
be liable under section 541 of the Insurance Code:
MEMORANDUM OPINION AND ORDER – PAGE 3
[The plaintiff] alleges, among other claims, that [the defendant] violated
section 541.060(a) of the Texas Insurance Code by engaging in unfair
settlement practices. See TEX. INS. CODE § 541.060(a). “Chapter 541 of the
Texas Insurance Code authorizes actions against insurance adjusters in their
individual capacities.” Arana v. Allstate Texas Lloyds, 2013 WL 2149589, at
*5 (N.D. Tex. 2013) (citing Warren v. State Farm Mut. Auto. Ins. Co., 2008
WL 4133377, at *3 (N.D. Tex. 2008)). Adjusters who are direct employees
of the insurer as well as independent adjusters hired by the insurer can be
liable under section 541. See Western States Asset Mgmt., Inc. v. AIX
Specialty Ins. Co., 2013 WL 3349514, at *5 (N.D. Tex. 2013) (Lynn, J.) (“The
Court notes that this finding is consistent with several recent decisions that
have also found independent adjusters and/or third party administrators subject
to the Texas Insurance Code.” (collecting cases)); see also Richnow v. NGM
Ins. Co., 2012 WL 5185874, at *4 (S.D. Tex. 2012) (Lake, J.) (“District courts
within this circuit have held that independent adjusters are subject to liability
under the provisions of the Texas Insurance Code.” (collecting cases)).
Interial v. State Farm Lloyds, No. 3:13-CV-4880-N, 2014 WL 12580460, at *1 (N.D. Tex.
Mar. 7, 2014). The Court thus rejects Kirn’s argument that he cannot be liable under the
Insurance Code provisions on which RRC relies by virtue of his status as an independent
insurance adjuster.
B. Rule 9(b) Does Not Apply to RRC’s Claims
Kirn next asserts that RRC’s claims are subject to Rule 9(b), which requires a plaintiff
to plead allegations of fraud or mistake with particularity. See FED. R. CIV. P. 9(b) (“In
alleging fraud or mistake, a party must state with particularity the circumstances constituting
fraud or mistake.”). But the Court previously considered and rejected this argument in Abbey
on Preston H.O.A. v. Admiral Insurance Company, No. 3:13-CV-0102-N, 2013 WL
12137742, at *2 (N.D. Tex. July 29, 2013). The Court held in Abbey that “Rule 9(b)’s
stringent pleading requirements should not be extended to causes of action not enumerated
therein.” Id. (quoting Am. Realty Trust, Inc. v. Hamilton Lane Advisors, Inc., 115 Fed.
MEMORANDUM OPINION AND ORDER – PAGE 4
App’x 662, 668 (5th Cir. 2004) and citing Gen. Elec. Capital Corp. v. Posey, 415 F.3d 391,
396–97 (5th Cir. 2005)). The Court noted that “a motion to dismiss under Rule 9(b) can
result in the dismissal of claims other than fraud only in extraordinary circumstances.”
Abbey, 2013 WL 12137742, at *2. As the Court further stated:
Where averments of fraud are made in a claim in which fraud is not an
element, an inadequate averment of fraud does not mean that no claim has
been stated. The proper route is to disregard averments of fraud not meeting
Rule 9(b)’s standard and then ask whether a claim has been stated.
Id. (quoting Lone Star Ladies Inv. Club v. Schlotzky’s, Inc., 238 F.3d 363, 368 (5th
Cir. 2001).
The Court also noted in Abbey that some courts apply Rule 9(b) to DTPA claims
where the DTPA claims depend on the same set of facts that support a fraud claim. Abbey,
2013 WL 12137742, at *2; see also, e.g., Ranzy v. Extra Cash of Tex., Inc., No. H-09-3334,
2011 WL 6719881, at *4-5 (S.D. Tex. Dec. 21, 2011) (“There are cases that have applied
Rule 9(b)’s heightened specificity requirements to claims under the DTPA, but in those cases
the underlying claims involved fraud.” (citations omitted)). Here, although misrepresentation
is an element of RRC’s Insurance Code and DTPA claims, fraud is not. Rule 9(b) therefore
does not govern the claims. See Abbey, 2013 WL 12137742, at *2; see also Kennard v.
Indianapolis Life Ins. Co., 420 F. Supp. 2d 601, 609 (N.D. Tex. 2006) (declining to apply
Rule 9(b) where plaintiff did not allege fraud).
MEMORANDUM OPINION AND ORDER – PAGE 5
C. The Court Grants Kirn’s Motion to Dismiss
While independent insurance adjusters may indeed be liable under the Insurance
Code, see Interial, 2014 WL 12580460, at *1, the Court nevertheless grants Kirn’s motion
to dismiss on other grounds. To survive a motion to dismiss, RRC’s petition must contain
“‘enough facts to state a claim to relief that is plausible on its face.’” Int’l Energy, 818 F.3d
at 200 (quoting Reece, 762 F.3d at 424). RRC’s petition fails to do so.
RRC’s petition contains only three paragraphs of factual allegations. RRC asserts that
it had an insurance policy, that it made a claim on the policy, and that, “[u]pon information
and belief, Kirn hired Douglas Structure” to investigate its claim “because it was known that
it would issue a report on which the claim could be denied.” Pet. ¶¶ 7–8 [1-2]. RRC’s only
remaining assertion is that Douglas Structure did indeed issue a report, based on which ACE
denied the claim. Id. ¶ 9. The rest of RRC’s petition merely recites the elements of each
alleged cause of action, along with a conclusory assertion that Kirn is liable for each one.
RRC’s “[t]hreadbare recitals of the elements of” its claims, “supported by mere conclusory
statements, do not suffice” to state a claim under Rule 12(b)(6). See Iqbal, 556 U.S. at 678
(citing Twombly, 550 U.S. at 555). The Court thus grants Kirn’s motion to dismiss.
CONCLUSION
The Court grants Kirn’s motion to dismiss without prejudice and grants RRC leave
to amend its complaint within thirty (30) days of the date of this Order.
MEMORANDUM OPINION AND ORDER – PAGE 6
Signed July 24, 2018.
____________________________________
David C. Godbey
United States District Judge
MEMORANDUM OPINION AND ORDER – PAGE 7
Disclaimer: Justia Dockets & Filings provides public litigation records from the federal appellate and district courts. These filings and docket sheets should not be considered findings of fact or liability, nor do they necessarily reflect the view of Justia.
Why Is My Information Online?