TERENCE C. KERN District Judge.
Before the Court is Defendants' Motion to Dismiss (Doc. 6).
In their Complaint filed January 5, 2011, Plaintiffs Debrah and Steve Lumpkins allege that they entered into a "Homeowners' Insurance Policy" on property located at 9250 S. 42585, Inola, Oklahoma ("Property") with Defendants Meritplan Insurance Company ("Meritplan") and Balboa Insurance Company ("Balboa") (collectively "Defendants").
Defendants filed a motion to dismiss pursuant to Federal Rule of Civil Procedure 12(b)(6) ("Rule 12(b)(6)"), arguing that Plaintiffs failed to state a claim because Plaintiffs are not named insureds or third-party beneficiaries of the relevant insurance policy. Defendants attached to their motion a policy entitled Risk Based Protection Policy, Policy Number 6043-0002 ("Policy"), which was issued March 5, 2009. The Policy was issued by Meritplan and names "GMAC Mortgage, LLC" as the insured. (Ex. 1 to Defs.' Mot. to Dismiss.) Defendants also attached two notices dated October 13, 2009, which provide notice to Plaintiff Debrah Lumpkins of the Policy between Meritplan and GMAC Mortgage, LLC ("GMAC"). (Ex. 2 to Defs.' Mot. to Dismiss.) One notice, entitled "Notice of Placement," is on GMAC letterhead, is from GMAC to its mortgagor Debrah Lumpkins, and informs her that it has obtained "lender-placed insurance coverage" with Meritplan. (See id. at 2-3.)
In their response to the motion to dismiss, Plaintiffs admit that their breach of contract and bad faith claims arise from the Policy between Meritplan and GMAC. Plaintiffs argue that they are nonetheless entitled to assert breach of contract and
For reasons explained below, the Court may consider only the four corners of the insurance Policy, and any documents incorporated therein, in deciding the questions presented. Therefore, the Court will consider only (1) the Policy, and (2) the Notice of Lender-Placed Insurance, which is at page 4 of exhibit 2 to Defendants' motion to dismiss.
In considering a motion to dismiss under Rule 12(b)(6), a court must determine whether the plaintiff has stated a claim upon which relief may be granted. The inquiry is "whether the complaint contains `enough facts to state a claim to relief that is plausible on its face.'" Ridge at Red Hawk, LLC v. Schneider, 493 F.3d 1174, 1177 (10th Cir.2007) (quoting Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007)). In order to survive a Rule 12(b)(6) motion to dismiss, a plaintiff must "`nudge [ ][his] claims across the line from conceivable to plausible.'" Schneider, 493 F.3d at 1177 (quoting Twombly, 127 S.Ct. at 1974). Thus, "the mere metaphysical possibility that some plaintiff could prove some set of facts in support of the pleaded claims is insufficient; the complaint must give the court reason to believe that this plaintiff has a reasonable likelihood of mustering factual support for these claims." Schneider, 493 F.3d at 1177.
A third-party beneficiary of an insurance policy may sue for breach of contract. See Okla. Stat. tit. 15, § 29 ("A contract, made expressly for the benefit of a third person, may be enforced by him at any time before the parties thereto rescind it."); Shebester v. Triple Crown Insurers, 974 F.2d 135, 138 (10th Cir.1992) (applying Okla. Stat. tit. 15, § 29 in context of alleged third-party beneficiary to an insurance policy). A third-party beneficiary of an insurance contract may also sue for breach of the duty of good faith and fair dealing inherent in insurance contracts. See Roach v. Atlas Life Ins. Co., 769 P.2d 158 (Okla.1989) (reasoning that "[t]he failure
The Oklahoma Supreme Court has outlined the following test for determining whether a party is a third-party beneficiary of a contract:
G.A. Mosites Co. of Ft. Worth, Inc. v. Aetna Cas. & Sur. Co., 545 P.2d 746, 749 (Okla.1976) (quoting 17 Am.Jur.2d Contracts § 304); accord Shebester, 974 F.2d at 138; Keel v. Titan Constr. Corp., 639 P.2d 1228, 1231 (Okla.1981). A person "need not be a party to or named in the contract to occupy third-party beneficiary status." Shebester, 974 F.2d at 138.
In discerning the parties' intent, a court must consider "the terms of the contract as a whole, construed in the light of the circumstances under which it was made and the apparent purpose that the parties are trying to accomplish." Id.; see also Shebester, 974 F.2d at 138 ("The question is one of construction of the contract, determined by the terms of the contract."). Where the language of an insurance policy "is clear and unambiguous on its face, that which stands expressed within its four corners must be given effect." May v. Mid-Century Ins. Co., 151 P.3d 132, 140 (Okla. 2006). An insurance policy "should receive a construction that makes it reasonable, lawful, definite and capable of being carried into effect if it can be done without violating the intent of the parties." Id.
With these principles in mind, the Court turns to the Policy. The Policy is entitled a "Risk Based Protection Policy," and it consists of four parts: (1) Declarations Page; (2) Lender's General Form; (3) Residential Property Fire Insurance Form; and (4) Manufactured Home Fire Insurance Form. The Declarations Page states that the "insurance applies to direct physical loss or damage by the perils insured against to real property. No coverage is provided for contents, personal effects, additional living expense, fair rental value or liability." (Ex. 1 to Defs.' Mot. to Dismiss at 3.) It sets forth a maximum amount of insurance of $5,000,000.00 for residential property and $100,000.00 for manufactured homes. Relevant definitions include:
(Ex. 1 to Defs.' Mot. to Dismiss at 7 (internal quotations omitted and footnotes added).)
One relevant "condition" under the Policy is a requirement that the named insured provide notice of the loss, protect the property from further damage, and submit a sworn proof of loss setting forth, inter alia, its interest in the property. (See id. at 10 at Condition 4.) Another relevant condition, which is the most crucial in deciding the issue presented, is entitled "Loss Payment" ("Loss Payment Provision"):
(Id. at 11 at Condition 13 (emphasis added).) Also relevant is the following statement in the Notice of Insurance, which provides:
(Ex. 2 to Defs.' Mot. to Dismiss at 4.)
The Court finds the Policy to be unambiguous, rendering consideration of extraneous evidence improper. See May, 151 P.3d at 140.
Plaintiffs do, however, have one "right" under the Policy, which is contained in the Loss Payment Provision. It is a "potential right" to payment of proceeds in the event that the amount of loss exceeds GMAC's insurable interest in the Property. In this event, payment would come from GMAC from proceeds paid to it by Meritplan that exceed GMAC's insurable interest in the Property. Based on this potential right contained in the Loss Payment Provision, the more specific issue presented is whether a "potential" right of payment from GMAC is sufficient to render Plaintiffs third-party beneficiaries of the Policy.
The Oklahoma Supreme Court addressed analogous circumstances and held that the plaintiff was not a third-party beneficiary of an insurance policy. In May v. Mid-Century Ins. Co., 151 P.3d 132, 140 (Okla.2006), the plaintiff was the owner of a condominium unit that incurred damages in a fire. The plaintiff sued for bad faith breach of an insurance policy, which was between the condominium owners' association and the insurer. The loss payment provision in that policy gave the insurer the option of settling covered losses directly with the owners or with the association for the account of the owners. The plaintiff argued that she was a third-party beneficiary of such contract because (1) she paid a portion of the premiums, (2) the policy was intended to insure against damage to property owned solely by her; (3) the policy allowed the insurer to adjust her loss and pay policy benefits directly to her; and (4) the association held the policy as trustee for the benefit of all the unit owners. Notwithstanding this option to pay owners directly, the court reasoned:
May, 151 P.3d at 140-41.
Applying the reasoning in May, the Court concludes that Plaintiffs are not third-party beneficiaries of the Policy. Like the plaintiff in May, Plaintiffs are individuals "to whom, by the express terms of a contract, no obligation is due from [Meritplan]." See id. at 141. This is because the Policy does not obligate Meritplan to pay Plaintiffs insurance proceeds under any circumstances. All obligations to pay proceeds and to engage in good faith and fair dealing are owed directly to GMAC. Unlike the insurer in May, Meritplan does not even have the option to directly pay Plaintiffs. If an insurer's "option" to directly pay the plaintiff was insufficient to confer third-party beneficiary status in May, the absence of any contractual option or obligation to directly pay Plaintiffs is fatal to Plaintiffs' argument. Although Plaintiffs have a "potential right" and "may" be entitled to ultimate receipt of proceeds paid to GMAC under the language of the Policy, Meritplan does not have any contractually conferred decision-making power as to whether GMAC makes such payment. Plaintiffs have not distinguished May or explained why May's reasoning should not extend to the Policy, and the Court finds May controlling.
Courts that have directly addressed this issue have reached different outcomes. Compare, e.g., Simpson, 2009 WL 1291275, at **1, 5 (addressing policy that "did not provide any coverage for loss of use, liability or personal property" but "did provide that the plaintiff could become an additional insured as to any policy benefits payable which exceeded the mortgage interest of [the lender] in the property") (holding that borrower/property owner failed to "provide any evidence of a legal obligation or duty to him" under the policy and that "any benefit to the plaintiff under this contract would be incidental, which is insufficient under Mississippi law to confer third-party beneficiary status"), and Hume v. Evanston Ins. Co., No. 1:08cv189, 2008 WL 5233415, at *3 (S.D.Miss. Dec. 10, 2008) (same), with Mingo v. Meritplan Ins. Co., No. 2:06CV 1914, 2007 WL 4292026, at *2 (W.D.La. Dec. 4, 2007) (denying motion to dismiss in case involving lender protection policy and a similar loss payment provision to that presented here) (reasoning that it needed additional evidence regarding the amount of loss to determine the plaintiff's status under the contract). The Court declines to follow Mingo because it is contrary to the Oklahoma Supreme Court's reasoning in May and the Court's obligation to determine third-party beneficiary status based on the four corners of an unambiguous policy.
The Report (Doc. 23) is DENIED as moot, and this Opinion and Order serves as the Order of the Court. Defendants' Motion to Dismiss (Doc. 6) is GRANTED. The Court will enter a separate judgment of dismissal.