Judge: Teresa A. Beaudet, Case: 22STCV03454, Date: 2022-08-29 Tentative Ruling
Case Number: 22STCV03454 Hearing Date: August 29, 2022 Dept: 50
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AMIR NAYEBDADASH, et al., Plaintiffs, vs. INSZONE INSURANCE SERVICES LLC, et al., Defendants. |
Case No.: |
22STCV03454 |
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Hearing Date: |
August 29, 2022 |
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Hearing Time: |
2:00 p.m. |
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[TENTATIVE] ORDER RE: DEFENDANTS
INSZONE INSURANCE SERVICES, PAT GRIGNON, AND COREY ELSASSER’S DEMURRER TO
PLAINTIFFS’ FIRST AMENDED COMPLAINT |
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Background
Plaintiffs Amir
Nayebdadash (“Amir”) and Danielle Nayebdadash (“Danielle”) (jointly,
“Plaintiffs”) filed this action
on January 27, 2022 against Defendants Inszone Insurance Services LLC
(“Inszone”), Pat Grignon (“Grignon”), and Corey Elsasser (“Elsasser”) (collectively, “Defendants”). The operative
First Amended Complaint (“FAC”) was filed on March 18, 2022, and asserts causes
of action for (1) intentional misrepresentation, (2) negligent
misrepresentation, (3) negligence, (4) breach of contract, (5) breach of the
covenant of good faith and fair dealing, and (6) fraud and conspiracy.[1]
Defendants now demur to
each of the causes of action of the FAC. Plaintiffs oppose.
Discussion
A. Legal Standard
A demurrer can be used
only to challenge defects that appear on the face of the pleading under attack
or from matters outside the pleading that are judicially noticeable. (
A
pleading is uncertain if it is ambiguous or unintelligible. (Code Civ. Proc., § 430.10, subd. (f).) A demurrer
for uncertainty may lie if the failure to label the parties and claims renders
the complaint so confusing defendant cannot tell what he or she is supposed to
respond to.¿ (Williams v. Beechnut Nutrition
Corp. (1986) 185 Cal.App.3d 135,
139, fn. 2.) However, “[a] demurrer for uncertainty is strictly
construed, even where a complaint is in some respects uncertain, because
ambiguities can be clarified under modern discovery procedures.” (Khoury v. Maly's of California, Inc. (1993) 14 Cal.App.4th 612, 616.)¿¿
B. Allegations of the
FAC
In the FAC, Plaintiffs
alleges that in or about June
2020, they spoke with Elsasser and Inszone about renewing their homeowner’s insurance policy with
the Standard Fire Insurance Company, a subsidiary or affiliate of The Travelers
Indemnity Company (“Travelers”). (FAC, ¶¶
11, 12.) Elsasser and Grignon are personal insurance specialists with Inszone. (FAC,
¶¶ 7, 8.)
Plaintiffs explained to Elsasser that they have a substantial amount
of valuable personal items such as watches, bags, shoes, jewelry, and clothing
that they want insured by Travelers. (FAC, ¶ 12.) On June 9, 2020, Elsasser and
Inszone gave Plaintiffs copies of their “Home Owner
Application,” “Evidence of Property Insurance,” and “Insurance Binders”
(the “Policy”). (FAC, ¶ 14.) Inszone and Elsasser represented that Defendants were
able to procure insurance coverage for Plaintiffs’ personal property and that
said property would have a coverage limit of $433,500. (FAC, ¶ 14.)
On June 12, 2020, Elsasser and Inszone advised Plaintiffs in a written
e-mail that the Policy would be “actual cash value” for the loss of personal
property and offered replacement
cost for an additional premium. (FAC, ¶ 15.) On June 12, 2020,
Travelers insured Plaintiffs with a Policy period that started on June 12, 2020
and extended to June 12, 2022. (FAC, ¶ 17.)
On February 2, 2021, Plaintiffs notified Inszone that the property
address referenced
in the Policy was wrong. (FAC, ¶ 18.) Elsasser stated that “Travelers
was able to do an internal rewrite of this policy so no signatures will be
needed in this case.” (the “Rewritten Policy”). (FAC, ¶ 18.) The Rewritten
Policy now included a “special limit” on personal property claims. (FAC, ¶
18.)
On July 10, 2021, Plaintiffs’ personal property was stolen from Amir’s
Las Vegas hotel room. (FAC, ¶ 20.) The following items were stolen: (1) Audemars
Piguet watch; (2) Panerai watch; (3) Tom Ford sunglasses; and (4) three
thousand dollars ($3,000) in cash (collectively, the “Stolen Items”). (FAC, ¶
20.) Plaintiffs notified Elsasser and Inszone of their loss on July 10, 2021.
(FAC, ¶ 20.)
On July 11, 2021, Plaintiffs contacted Elsasser to confirm that the
Stolen Items were fully covered by the Rewritten Policy. (FAC, ¶ 21.) Elsasser
denied the items were fully covered and informed them that a “special limit”
applied and capped the benefit at $1,500. (FAC, ¶ 21.)
Plaintiffs allege
that (1) in June 2020, Elsasser misrepresented the terms of the Policy when he
intentionally or negligently failed to disclose the existence of a “special
limit” and/or requirements to obtain the “actual cash value” or “replacement
value” for personal property claims; or, (2) in February 2021, Elsasser and
Inszone acted fraudulently and outside the scope of their authority as agents
for Plaintiffs when they agreed to bind Plaintiffs without their consent (or
signature) to the Rewritten Policy that now included a “special limit” for
personal property claims. (FAC, ¶ 19.)
C.
Uncertainty
As an initial matter, the Court does not find that any of the causes of action are
ambiguous or unintelligible. Therefore, the special demurrer on the basis of
uncertainty is overruled.¿
D.
Causes of Action for Intentional
Misrepresentation, Negligent Misrepresentation, and Fraud and Conspiracy
Defendants assert that Plaintiffs’ first and
second causes of action for intentional and negligent
misrepresentation are not sufficiently specific and “improperly lump Elsasser
and Inszone together.” Defendants assert that Plaintiffs’ sixth cause of action
for fraud and conspiracy is similarly defective.
“The elements of fraud are (a) misrepresentation (false
representation, concealment, or nondisclosure); (b) knowledge of falsity (or
scienter); (c) intent to defraud, i.e., to
induce reliance; (d) justifiable reliance; and (e) resulting damage. The elements of negligent misrepresentation
are similar to intentional fraud except for the requirement of scienter; in a
claim for negligent misrepresentation, the plaintiff need not allege the
defendant made an intentionally false statement, but simply one as to which he
or she lacked any reasonable ground for believing the statement to be true.” (Charnay v. Cobert (2006) 145 Cal.App.4th 170, 184
[internal quotations and citations omitted].) “In California, fraud must be pled specifically;
general and conclusory allegations do not suffice…This particularity
requirement necessitates pleading facts which show how, when, where, to whom,
and by what means the representations were tendered.” (Lazar v. Superior Court (1996)
12 Cal.4th 631, 645 [internal quotations omitted].)
Defendants assert that absent from Plaintiff’s
allegations “[i]s whether Amir, Danielle, or both were the recipient of this
purported ‘misrepresentation,’ where it took place, or how Plaintiffs can
reconcile the contradictory allegations that they were ‘misled’ about the
requirements of the Policy while at the same time admitting that they were told
about the Special Sublimit, the requirements to itemize and schedule items to
be covered, and that the Policy was ‘rewritten’ to include the $1,500 sublimit
months before the [l]oss.” (Demurrer at p. 15:3-8.)
As to whether Amir, Danielle, or both were
the recipient of the alleged misrepresentations, Plaintiffs assert that Elsasser
and Inszone are responsible for any representation that they knew or expected a
husband would
repeat to his wife (and vice versa).[2]
Plaintiffs cite to CACI 1906, which concerns
misrepresentations made to persons other than the plaintiff, and provides “[defendant] is responsible for a
representation that was not made directly to [plaintiff] if [defendant]
made the representation [to a group of persons including [plaintiff]]
[or] [to another person, intending or reasonably expecting that it would be
repeated to [plaintiff]].” Defendants do not respond to this point
in the reply. Plaintiffs also note that they allege that “[i]n or about June 2020, the Plaintiffs
spoke with Elsasser and Inszone about renewing their homeowner’s
insurance policy with Travelers.” (FAC, ¶ 12, emphasis added.)
As to the “where” element and Plaintiffs’
purportedly contradictory allegations, Plaintiffs counter that they allege Elsasser misrepresented the terms of
the Policy to Plaintiffs when he failed to disclose the existence of a “special
limit” and/or requirements to obtain the “actual cash value” or “replacement
value” for personal property claims in June 2020 over a series of
phone calls and email communications. (Citing to FAC, ¶¶ 12-17; see, e.g.,
FAC, ¶ 16, which alleges, “[o]n or about June 12, 2020, Plaintiffs spoke to
Elsasser on a recorded phone call to seek clarification about the coverages.
During that call, Elsasser confirmed that Plaintiffs did not have to provide
him with a list of valuables he previously requested. Elsasser did not advise Plaintiffs
that Travelers could apply a ‘special limit’ to personal property rather than
pay the ‘actual cash value’ or ‘replacement cost’ as he represented in his
e-mail dated June 12, 2020. Indeed, Elsasser’s written representation was the
opposite: ‘[c]urrently it is written as Actual Cash Value’ and ‘did not include
replacement cost on personal property.’”) The Court does not find that the
“where” element is deficient. The Court also does not find that Defendants have
shown that the first, second, and sixth causes of action must fail because they
purportedly contain contradictory allegations.
Next, the Court does not
see how Plaintiffs “improperly lump Elsasser and Inszone together,” in the
intentional and negligent misrepresentation causes of action or in the fraud
and conspiracy cause of action. These causes of action refer to Elsasser, Inszone,
and Grignon individually,
and also refer to “Defendants.” Plaintiffs allege that “Defendants Inszone,
Elsasser, Grignon and Doe Defendants 1 through 25 are collectively referred to
herein as ‘Defendants.’” (FAC, ¶ 10.)
Defendants also assert
that the sixth cause of action for “fraud and conspiracy” is duplicative of the
first and second causes of action for intentional and negligent
misrepresentation. But as Plaintiffs note, the sixth cause of action is alleged
against all Defendants. It alleges that “Defendants attempted to conceal their
misleading and materially false statements by withholding and destroying the
recorded phone lines that memorialize their fraudulent conduct as alleged
herein.” (FAC, ¶ 55.) The sixth cause of action further alleges that
“Defendants, and each of them, acted in concert together as co-venturer, and/or
co-conspirator of
each of the other Defendants.” (FAC, ¶
57.) Such allegations are not included in the first and second causes of
action.
Defendants
also argue that “Elsasser, who is an individual agent performing services on
behalf of the principal, cannot be held liable by Plaintiffs…Thus, Elsasser
should be dismissed from all fraud claims.” (Demurrer at p. 15:9-11.) In
support of this assertion, Defendants cite to Lippert v. Bailey (1966) 241 Cal.App.2d
376. In Lippert, the plaintiffs purchased a property in
Los Angeles County. (Id. at p. 378.) Defendant “Bailey” was a licensed general insurance agent doing business
under the name of Bailey and Company, and Bailey was an authorized agent for Fireman’s Fund Insurance
Company. (Ibid.) Bailey “issued, or procured and signed as agent,” a three-year
Fireman’s Fund Homeowners’ Policy insuring the subject real property. (Ibid.) Subsequently, a fire on the
insured premises occurred, the plaintiffs’ claim for the loss was denied, and the
plaintiffs filed an action against defendants Fireman’s Fund, Bailey, and “Roy
Marcom, Jr.” (Id. at p. 379.)
“The plaintiffs
contend[ed] that if defendants, Bailey and
Marcom, were negligent in their primary obligation in regard to maintaining and
providing insurance coverage for plaintiffs, they were primarily liable, and if
they were negligent while acting as agent for Fireman’s Fund, the Company would
be secondarily liable for such negligence.” (Id.
at p. 382 [internal quotations omitted].) The Court of Appeal found that “[w]hile an insurance agent may
be personally liable to the insured for damages which are the result of the
agent’s negligent failure to insure property as contracted, the agent’s
personal liability is dependent upon the extent of the disclosure of his
agency. The rule is correctly stated in 44 Corpus Juris
Secundum, Insurance, section 165, page 852: [Liability] to the
applicant or insured for acts or contracts of an insurance agent within the
scope of his agency, with a full disclosure of the principal, rests on the
company, . . . This requirement was upheld in Gibbs v. Home
Ins. Co. of New York, 252 App.Div. 805 [298 N.Y.S. 856]. The plaintiff
sought a judgment reforming an insurance policy issued by the insurance
company, and in the alternative, damages against the agent for negligently
failing to provide an adequate insurance policy. The court held: Where an agent is duly constituted and names
his principal and contracts in his name and does not exceed his authority, the
principal is responsible and not the agent. This view has been adopted in
California. Where the signature as agent and not as a
principal appears on the face of the contract, the principal is liable and not
the agent.” (Id. at p. 382 [internal quotations
omitted].) The Court of Appeal found that “[t]he action against defendants, Bailey and Marcom, is not maintainable as it appears from the
plaintiffs’ complaint that the defendants, Bailey and
Barcom, were known to the plaintiffs to be the agents of the codefendant,
Fireman’s Fund…” (Id. at p. 383.)
Plaintiffs assert that
they “do not allege that Inszone, Elsasser or Grignon were agents of Travelers;
rather, Plaintiffs entered into an agreement with Inszone for it to act as
their insurance broker empowered to obtain and procure insurance for their real
estate and personal property.” (Opp’n at p. 10:10-13.) But the Court does not
see how this argument distinguishes Lippert. As set forth
above, the Lippert Court noted that “[Liability] to the applicant or insured for acts or
contracts of an insurance agent within the scope of his agency, with a full
disclosure of the principal, rests on the company…” (Lippert v. Bailey, supra, 241 Cal.App.2d 376,
382.) Plaintiffs allege that Elsasser “was a personal insurance specialist
with Inszone acting within the course and scope of
his employment at all times…” (FAC, ¶ 7.) Plaintiffs do not assert that there was not a full disclosure
of the principal here.
Lastly, Defendants assert
that Plaintiffs’ conspiracy cause of action should be dismissed. They note that
“[c]ivil conspiracy is not an
independent tort. Instead, it is a legal doctrine that imposes liability on
persons who, although not actually committing a tort themselves, share with the
immediate tortfeasors a common plan or design in its perpetration.” (City of Industry v. City of
Fillmore (2011) 198
Cal.App.4th 191, 211-212 [internal quotations omitted].) However, Plaintiffs’
sixth cause of action is for “fraud and conspiracy.” The
Court notes that “a demurrer cannot rightfully be sustained to part of a cause
of action or to a particular type of damage or remedy.” (Kong
v. City of Hawaiian Gardens Redevelopment Agency (2002) 108 Cal.App.4th 1028, 1047; see also PH II, Inc. v. Superior
Court (1995) 33 Cal.App.4th 1680, 1682 [“A demurrer does not lie to a portion
of a cause of action.”].)
In light of the foregoing,
the Court sustains the demurrer to the first, second, and sixth causes of
action as to Elsasser
only.[3] The
Court otherwise overrules the demurrer to the first, second, and sixth causes of action.
E.
Cause of Action for
Negligence
In support of the third cause of action for negligence, Plaintiffs allege that Elsasser breached his duty
of care owed to Plaintiffs by either: (1) in June 2020, misrepresenting the
terms of the Policy when he negligently failed to disclose the existence of a
“special limit” and/or requirements to obtain the “actual cash value” or “replacement
value” for personal property claims; or, (2) in February 2021, acting
negligently and outside the scope of his authority (along with Inszone) by
agreeing to bind Plaintiffs without their consent (or signature) to the
Rewritten Policy that included a “special limit” for personal property claims.
(FAC, ¶ 42.) Plaintiffs allege that Elsasser also negligently failed to
communicate the requirements necessary for Plaintiffs to obtain the “actual
cash value” or “replacement cost” for the Stolen Items. (FAC, ¶ 42.)
Defendants argue that
the negligence cause of action fails against Elsasser under Lippert.
Plaintiffs counter that the
Lippert Court found that “an insurance agent may be
personally liable to the insured for damages which are the result of the agent’s
negligent failure to insure property as contracted…” (Opp’n at p. 14:1-3,
citing Lippert v. Bailey, supra,
241 Cal.App.2d 376, 382.) But Plaintiffs do not cite to the entirety of the
sentence, which provides “[w]hile
an insurance agent may be personally liable to the insured for damages which
are the result of the agent’s negligent failure to insure property as
contracted, the agent’s personal liability is dependent upon the extent of the
disclosure of his agency.” (Lippert
v. Bailey, supra, 241 Cal.App.2d 376, 382.) “Where the signature
as agent and not as a principal appears on the face of the contract, the
principal is liable and not the agent.” (Ibid.)
Plaintiffs do not allege that Elsasser
is acting as a principal. As
set forth above, Plaintiffs allege that Elsasser was a personal insurance specialist
with Inszone acting within the course and scope of
his employment at all times. (FAC, ¶ 7.) Plaintiffs also allege that Inszone is
a licensed brokerage firm that employed Elsasser, a licensed insurance agent.
(FAC, ¶ 29.)
In
light of the foregoing, the Court sustains Defendants’ demurrer to the
third cause of action for negligence as to Elsasser only.
F.
Cause of Action for Breach of Contract
Defendants assert that Plaintiffs’
fourth cause of action for breach of contract against Inszone is deficient.
First, Defendants assert that the FAC fails to allege whether the contract was
written, oral, or was otherwise implied by conduct. Pursuant to Code of Civil Procedure section 430.10, subdivision
(g), a party may demur to a pleading on the grounds that “[i]n an action founded upon a contract, it
cannot be ascertained from the pleading whether the contract is written, is
oral, or is implied by conduct.” Defendants also argue that Inszone is
an insurance broker, not the insurer. They assert that the subject contract for
insurance is between Plaintiffs and Travelers, not Inszone.
Plaintiffs
counter that paragraph 12 of the FAC is clear that an oral agreement was entered into between Inszone and
Plaintiffs in June 2020. In paragraph 12, Plaintiffs allege that “[i]n or about
June 2020, the Plaintiffs spoke with Elsasser and Inszone about renewing their
homeowner’s insurance policy with Travelers…During these calls, Plaintiffs
explained to Elsasser that they have a substantial amount of valuable personal
items…that they want insured by Travelers. At that time, Plaintiffs entered
into an agreement with Inszone for it to act as their insurance broker
empowered to obtain and procure insurance for their real estate and personal
property.” (FAC, ¶ 12.) Defendants appear to concede in the reply that these allegations
are sufficient, stating, “[t]he FAC itself does not specify anywhere whether
the purported contract is written,
oral, or implied by conduct, though Plaintiffs’ Opposition apparently now
clarifies it may be an oral agreement.” (Reply at p. 2:24-26.)
Defendants also contend that the FAC
fails to allege whether the parties performed, how the purported contract
was breached, and who breached the purported contract.[4]
Plaintiffs allege that “Inszone
contracted with Plaintiffs to obtain insurance coverage for Plaintiffs’ personal
property. Specifically, Inszone agreed to procure a policy that paid either the
‘actual cash value’ or the ‘replacement cost’ for the Stolen Items.” (FAC, ¶
45.) Plaintiffs allege that “Inszone breached that duty by procuring the
Rewritten Policy from Travelers that applied a ‘special limit’ of $1500 to the
loss of the Stolen Items rather than the ‘actual cash value’ or ‘replacement cost’
of the Stolen Items.” (FAC, ¶ 46.) However, Plaintiffs do not allege in the
fourth cause of action that they performed their obligations under the alleged
contract. Plaintiffs’ opposition does not point to any allegations regarding
their alleged performance.
Thus, the Court sustains
the demurrer to the fourth cause of action for breach of contract.
G. Cause
of Action for Breach of the Covenant of Good Faith and Fair Dealing
Defendants first assert that
Plaintiffs’ fifth cause of action for breach of the covenant of good faith and
fair dealing fails because Plaintiffs fail to allege any “contract”
between Plaintiffs and Inszone. As discussed above, the FAC does contain
allegations regarding a contract between Plaintiffs and Inszone. (See
FAC, ¶ 12.)
Next,
Defendants argue that “[i]n the event the ‘bad faith’ claim is based on the
insurer’s (Traveler’s) refusal to settle a claim, again, Inszone is an
insurance brokerage, not an insurer.” (Demurrer at p. 18:14-15.) But Plaintiffs
allege that “Inszone
breached its agreement in bad faith by fraudulently inducing Plaintiffs to
purchase the Policy
and Rewritten Policy when it knew that Plaintiffs would not receive the
replacement cost or actual
value [sic] the Stolen Items.” (FAC, ¶
50.)
Defendants do not cite to any legal authority indicating that Plaintiffs may
not allege a cause of action for breach of the covenant of good faith and fair
dealing against an insurance broker (as opposed to the insurer).
Lastly,
Defendants assert that there can be no bad faith action against an insurer’s officers,
agents, or employees. But the
fifth cause of action for breach of the covenant of good faith and fair dealing
is only alleged against Inszone.
In light of the foregoing,
the Court overrules the demurrer to the fifth cause of action for breach of the
covenant of good faith and fair dealing.
Conclusion
Based on the foregoing, Defendants’
demurrer to the FAC is sustained in part and overruled in part.
The Court sustains the demurrer to the
first, second, third, and sixth causes of action as to Elsasser only, with
leave to amend. The Court sustains the demurrer to the fourth cause of action
in its entirety, with leave to amend. The Court overrules the demurrer to the
fifth cause of action.
The Court orders Plaintiffs
to file and serve an amended complaint, if any, within 20 days of the date of
this order. If no amended complaint is filed within 20 days, the Court orders
Defendants to file and serve their answer to the FAC within 30 days of the date
of this order.
Defendants are ordered
to give notice of this order.
DATED:
________________________________
Hon. Teresa A. Beaudet
Judge, Los Angeles Superior Court
[1]The
first, second, and third causes of action are alleged against Inszone and Elsasser.
The fourth and fifth causes of action are alleged against Inszone only. The
sixth cause of action is alleged against all Defendants.
[2]Plaintiffs
allege they are married. (FAC, ¶¶ 4-5.)
[3]The
Court notes that the demurrer does not argue that Grignon should be dismissed from the
sixth cause of action under Lippert v. Bailey (1966) 241 Cal.App.2d 376. The demurrer does not contain arguments
concerning Grignon
specifically.
[4]The
essential elements of cause of
action for breach of
contract are “(1) the
contract, (2) plaintiff’s performance or excuse for nonperformance, (3)
defendant’s breach, and (4) the resulting damages to plaintiff.” (Reichert v. General Ins. Co . (1968) 68 Cal.2d 822, 830 [69 Cal.Rptr. 321, 442 P.2d 377].)