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Hall v. Assoc. International Insurace, 11-3347 (2012)

Court: Court of Appeals for the Tenth Circuit Number: 11-3347 Visitors: 7
Filed: Aug. 21, 2012
Latest Update: Feb. 12, 2020
Summary: FILED United States Court of Appeals UNITED STATES COURT OF APPEALS Tenth Circuit FOR THE TENTH CIRCUIT August 21, 2012 Elisabeth A. Shumaker Clerk of Court GEORGE HALL, Plaintiff-Appellant, v. No. 11-3347 (D.C. No. 5:11-CV-04013-JTM-DJW) ASSOCIATED INTERNATIONAL (D. Kan.) INSURANCE COMPANY; PROCTOR FINANCIAL, INC., Defendants-Appellees. ORDER AND JUDGMENT* Before HOLMES, Circuit Judge, BRORBY, Senior Circuit Judge, and EBEL, Circuit Judge. George Hall appeals from the district court’s decision
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                                                              FILED
                                                  United States Court of Appeals
                     UNITED STATES COURT OF APPEALS       Tenth Circuit

                            FOR THE TENTH CIRCUIT                       August 21, 2012

                                                                      Elisabeth A. Shumaker
                                                                          Clerk of Court
GEORGE HALL,

             Plaintiff-Appellant,

v.                                                         No. 11-3347
                                               (D.C. No. 5:11-CV-04013-JTM-DJW)
ASSOCIATED INTERNATIONAL                                     (D. Kan.)
INSURANCE COMPANY; PROCTOR
FINANCIAL, INC.,

             Defendants-Appellees.


                            ORDER AND JUDGMENT*


Before HOLMES, Circuit Judge, BRORBY, Senior Circuit Judge, and EBEL,
Circuit Judge.



      George Hall appeals from the district court’s decision dismissing his complaint

pursuant to Fed. R. Civ. P. 12(b)(6) for failure to state a claim upon which relief can

be granted. Exercising jurisdiction under 28 U.S.C. § 1291, we AFFIRM.



*
      After examining the briefs and appellate record, this panel has determined
unanimously that oral argument would not materially assist the determination of this
appeal. See Fed. R. App. P. 34(a)(2); 10th Cir. R. 34.1(G). The case is therefore
ordered submitted without oral argument. This order and judgment is not binding
precedent, except under the doctrines of law of the case, res judicata, and collateral
estoppel. It may be cited, however, for its persuasive value consistent with
Fed. R. App. P. 32.1 and 10th Cir. R. 32.1.
                                          I.

      Mr. Hall owns a farm in Kansas. At some point, Mr. Hall let the insurance on

his farm lapse. As a result, the bank who held the mortgage acquired insurance to

protect its interest in the farm (this is commonly known as “forced-placed”

insurance). The bank acquired its insurance through defendant Proctor Financial,

Inc., who acted as the agent for defendant Associated International Insurance

Company.

      The original insurance policy provided coverage up to $90,000, but Mr. Hall

subsequently notified the bank that the value of the bank’s collateral was $185,000.

A new policy was issued with coverage up to $190,000. On unknown dates, Mr. Hall

received two notices titled “Evidence of Insurance.” The notices stated:

      Your Lending Institution (hereinafter called “the Named Insured”) has
      procured insurance under the above referenced Master Policy. This
      Master Policy has been issued by Associated International (hereinafter
      called carrier) in respect of coverage and limits as required by the
      Named Insured (hereinafter called “Required Perils”) as agreed and
      fully detailed within the terms and conditions of your Loan agreement.

      This document is issued to notify you that the Named Insured has
      included your property under the above-mentioned Master Policy for
      Required Perils. The insurance provided is in accordance with the
      terms, limitations, conditions and exclusions contained in the Master
      Policy and any attachments thereto, held on file at the office of the
      Named Insured. The Original Master Policy may be inspected at the
      office of the Named Insured, situated at the above address.

      In the event of a claim or any circumstances giving rise to the
      possibility of a claim the Named Insured must IMMEDIATELY notify
      the person(s) named within the Master Policy.



                                         -2-
      THIS DOCUMENT IS ISSUED AS EVIDENCE OF INSURANCE
      ONLY. IT DOES NOT CONSTITUTE A LEGAL CONTRACT OF
      INSURANCE

Aplt. App. at 7, 8.

      In June 2009, Mr. Hall’s farm sustained damage from a storm. The bank made

a claim on its insurance policy with Associated and received a payment on that claim.

In October 2009, Proctor received notice that Mr. Hall disputed the amount paid on

the insurance claim.

      In November 2009, Mr. Hall brought suit against the bank and Proctor.

Mr. Hall settled his claim with the bank and voluntarily dismissed his action against

Proctor without prejudice. The parties agreed to certain stipulations that were

memorialized in an Agreed Order of Dismissal. In February 2011, Mr. Hall filed a

complaint against Proctor and Associated.

      Proctor moved to dismiss the complaint for lack of subject matter jurisdiction,

failure to state a claim upon which relief can be granted and failure to plead fraud

with particularity. The district court granted Proctor’s motion to dismiss under

Fed. R. Civ. P. 12(b)(6). Associated then filed a motion to dismiss, arguing that all

of Mr. Hall’s claims against it were derivative of his claims against Proctor. The

district court granted the motion. Mr. Hall now appeals from the district court’s

orders granting Proctor and Associated’s motions to dismiss.




                                          -3-
                                             II.

       We review de novo the district court’s Rule 12(b)(6) dismissal. Smith v.

United States, 
561 F.3d 1090
, 1098 (10th Cir. 2009). To survive a Rule 12(b)(6)

motion, the complaint must include “enough facts to state a claim to relief that is

plausible on its face.” 
Id. (quotations omitted).
“In evaluating a Rule 12(b)(6)

motion to dismiss, courts may consider not only the complaint itself, but also

attached exhibits, and documents incorporated into the complaint by reference.” 
Id. (citations omitted).
Courts may also “consider documents referred to in the

complaint if the documents are central to the plaintiff’s claim and the parties do not

dispute the documents’ authenticity.” 
Id. (quotations omitted).
       The court must accept as true factual allegations in the complaint, but this rule

does not apply to legal conclusions. Ashcroft v. Iqbal, 
556 U.S. 662
, 678 (2009).

“Threadbare recitals of the elements of a cause of action, supported by mere

conclusory statements, do not suffice.” 
Id. Also, “factual
allegations that

contradict . . . a properly considered document are not well-pleaded facts that the

court must accept as true.” GFF Corp. v. Associated Wholesale Grocers, 
130 F.3d 1381
, 1385 (10th Cir. 1997).

       When considering a motion to dismiss, the court must first identify conclusory

allegations not entitled to the assumption of truth. Hall v. Witteman, 
584 F.3d 859
,

863 (10th Cir. 2009). The court must then determine whether the remaining

allegations plausibly suggest the plaintiff is entitled to relief. 
Id. -4- III.
      In its first order, the district court considered Proctor’s motion to dismiss. The

court noted that Mr. Hall’s complaint did not contain specifically enumerated claims,

but explained that Proctor and the court had construed the complaint as alleging three

causes of action: (1) a third-party beneficiary claim based on the forced-place

insurance policy (the Master policy); (2) a promissory estoppel claim based on the

notices titled “Evidence of Insurance”; and (3) a fraudulent misrepresentation claim

based on the same notices. In addition to the complaint, the district court considered

the notices titled “Evidence of Insurance,” which were attached to the complaint; the

dismissal order with the stipulations from the prior lawsuit; the loan documents; the

Agreement to Provide Insurance; and the Master Policy. These documents were

central to Mr. Hall’s claims and he did not dispute their authenticity.

      Mr. Hall alleged in his complaint that, under the terms of the mortgage, the

bank was obligated to insure all of his property held as collateral by the bank. But

the district court concluded that this allegation was not entitled to an assumption of

truth because it was contradicted by the loan documents and the stipulations from the

prior lawsuit, both of which state that Mr. Hall was required to maintain insurance on

the property. Likewise, one of the related contracts to the mortgage, the Agreement

to Provide Insurance, states that the bank may provide insurance at Mr. Hall’s

expense, but any such insurance will provide limited protection against physical




                                          -5-
damage to the collateral and that Mr. Hall’s interest in the collateral “may not be

insured.” Aplt. App. at 279.

      The district court next addressed the claims in the complaint. First, the district

court determined that Mr. Hall’s claim that he was a third-party beneficiary of the

insurance policy could not survive the motion to dismiss because he could not point

to any provision in the insurance policy that operated to his benefit, see Byers v.

Snyder, 
237 P.3d 1258
, 1265 (Kan. Ct. App. 2010) (“[P]arties are presumed to

contract for themselves, and their intent that a third person receive a direct benefit

must be clearly expressed in the contract.”). The policy was purchased by the bank

to protect its interest in Mr. Hall’s property and any losses under the policy would be

payable to the bank. Although Mr. Hall benefited indirectly from the policy because

it protected him by covering his loan obligation, his role as an incidental beneficiary

did not entitle him to bring a claim as a third-party beneficiary of the contract, see 
id. (“Third-party beneficiaries
of a contract are divided into intended beneficiaries and

incidental beneficiaries, and only intended beneficiaries have standing to sue for

damages resulting from the breach of a contract.”).

      Next, the district court considered Mr. Hall’s claims for promissory estoppel

and fraudulent misrepresentation. These claims were based on Mr. Hall’s allegations

that defendants “represented to plaintiff that the coverage provided on plaintiff’s

property would provide protection for plaintiff’s property given to the bank as

collateral and plaintiff relied on that series of representations” and defendants


                                           -6-
“misrepresented that the insurance coverage complied with the bank’s obligations

under the loan documents.” Aplt. App. at 4. The court noted that both of these

claims require justifiable reliance. The court then explained that to withstand the

motion to dismiss, “[Mr. Hall’s] allegations must support a reasonable inference that

he did in fact rely to his detriment on Proctor’s representations, be they promises or

false statements, that the Master Policy protected [his] ownership interest in his

property and that his reliance was reasonable.” 
Id. at 291.
After considering the

allegations in the complaint and the relevant documents, the court ultimately

concluded that “[t]he Master Policy was not intended to insure [Mr. Hall], and the

facts [he] alleges in his Complaint are insufficient, or otherwise directly contradicted

by properly considered documents, to support his claim that he justifiably relied on

any representations by Proctor.” 
Id. at 293.
      In its second order addressing Associated’s motion to dismiss, the district

court explained that Mr. Hall’s claims against Associated “are based entirely on its

liability for Proctor’s actions” and “[b]ecause [Mr. Hall’s] complaint fails to state a

claim against Proctor, it also fails to state a claim against Associated.” 
Id. at 307.
      On appeal, Mr. Hall argues that the court erred in granting Proctor and

Associated’s motions to dismiss. Mr. Hall also contends that his complaint contains

a claim for negligent misrepresentation, not fraudulent misrepresentation. This issue

was not litigated in the district court, which would normally result in its waiver on

appeal. In this case, however, it makes no difference if Mr. Hall’s claim was for


                                          -7-
negligent or fraudulent misrepresentation because both claims require justifiable

reliance, see Aplt. Br. at 13 (explaining that “Kansas has adopted the Restatement’s

definition of negligent misrepresentation,” which requires “justifiable reliance upon

the information” (quotation omitted)). Accordingly, the district court’s conclusion

that there were insufficient allegations to support Mr. Hall’s claim that he justifiably

relied on any representations by Proctor would result in the dismissal of either claim.

      We conclude that the district court did not err in granting defendants’ motions

to dismiss. The district court’s analysis is thorough and well-reasoned. We therefore

AFFIRM the district court’s judgment for substantially the same reasons as stated in

its Memorandum and Order filed August 1, 2011, and its Memorandum and Order

filed November 10, 2011.


                                                Entered for the Court


                                                David M. Ebel
                                                Circuit Judge




                                          -8-

Source:  CourtListener

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