T. MICHAEL PUTNAM, Magistrate Judge.
Pending before the court is defendant Atlas Healthcare, LLC's ("Atlas") motion for partial judgment on the pleadings, filed pursuant to Federal Rule of Civil Procedure 12(c).
The defendant seeks judgment on the pleadings based on the following: (1) that the plaintiff has not sufficiently pleaded a claim of fraud in Count One of the Complaint; (2) that the plaintiff cannot show the requisite intent to deceive to support the fraud claim; and (3) that the plaintiff has not alleged material misrepresentations of fact. The plaintiff, Cincinnati Insurance Company ("Cincinnati"), counters that the claim relating to the alleged fraud is pleaded with particularity as required by Federal Rule of Civil Procedure 9(b) and is not subject to dismissal under Rule 12.
Rule 12(c) provides that a party may move for a judgment on the pleadings "[a]fter the pleadings are closed—but early enough not to delay trial." Entry of a "[j]udgment on the pleadings is appropriate when there are no material facts in dispute, and judgment may be rendered by considering the substance of the pleadings and any judicially noticed facts."
This action arises from a business insurance policy issued by Cincinnati to Atlas. Atlas is a company that procures contracts with healthcare professionals who can then be deployed to medical facilities that require additional staff. The policy included coverage for "Business Income (and Extra Expense)." On July 18, 2016, the building where Atlas was a tenant was damaged by water, and Atlas filed a claim that included a claim for lost business income of more than a million dollars, asserting that the damage to their office caused Atlas to lose opportunities to recruit, hire, and deploy medical professionals to medical facilities.
Count One of the complaint asserts that Atlas, "the insured, in violation of the express provisions of the policy, intentionally concealed or misrepresented material facts or circumstances to the company . . . during the investigation of this loss." (Doc. 1, ¶ 21). The complaint refers to a proof of loss document filed with Cincinnati by Atlas on December 5, 2016, which listed the amount of lost business income as "Unknown At This Time," and further asserts that the claim was ultimately submitted for $1,780,815.00, which the plaintiff asserts was a misrepresentation of the loss, and that the claim specifically misrepresented an alleged lost relationship with a Nebraska facility, and misrepresented the application status of the subjects of the claim. (Doc. 1, ¶¶ 22-23). In addition, the complaint's factual allegations name nine individuals concerning whom the insured sought lost income, and refers to eight other unnamed medical professionals about whom the loss is disputed.
Under Federal Rule of Civil Procedure 9(b), a claim of fraud must "state with particularity the circumstances constituting fraud." Fed. R. Civ. P. 9(b). Under Eleventh Circuit law, the particularity required generally must include the time, place, and person responsible for the misrepresentations, and must refer to any documents or statements that are alleged to be fraudulent. "In other words, the plaintiff must allege the who, what, where, when, and how of each element, except scienter, which can be pleaded generally."
In this case, the complaint contains sufficient factual allegations to effectively plead fraud under Alabama law and under Federal Rule of Civil Procedure 9(b). The complaint specifies when Atlas made the representations about the loss of business, and it names the particular healthcare providers from whom Atlas represented it lost business opportunities. The complaint alleges that Atlas represented to Cincinnati that certain specifically-identified contracts with healthcare providers were lost due to Atlas's inability to communicate with the providers due to the water damage it suffered.
Under Alabama law, a claim of fraudulent misrepresentation sufficient to void an insurance policy must be premised upon an "actual intent to deceive." Ala. Code § 27-14-28.
Cincinatti's complaint alleges that the insured, "in violation of the express provisions of the policy, intentionally concealed or misrepresented material facts" relating to the amount of the loss. While the insurer may find the burden of proving such intent to deceive to be a high hurdle at trial or even at summary judgment, the burden at the pleading stage is merely to allege that the insured had the requisite intent.
Atlas further asserts that the alleged misrepresentations upon which Cincinnati bases its claim are not misrepresentations of material fact, but are simply a differing opinion as to the value of the loss. Under Alabama law, in a case cited by the defendant, another court in this district has noted that an insurance policy cannot be voided where the insured simply provides a "bona fide opinion about the value of the claim."
For the reasons set forth herein, the defendant's motion for judgment on the pleadings (doc. 26) is due to be and hereby is DENIED. As mentioned in footnote 1 above, the motion for partial summary judgment (doc. 29) also is denied without prejudice to refiling (or replacing with a different motion for summary judgment) before March 1, 2019.