WILLIAM H. STEELE, CHIEF UNITED STATES DISTRICT JUDGE.
This matter is before the Court on the motion of defendant Aspen Specialty Insurance Company ("Aspen") to dismiss, brought pursuant to Rule 12(b)(6). (Doc. 102). The parties have filed briefs in support of their respective positions, (Docs. 103, 124, 128), and the motion is ripe for resolution. After careful consideration, the Court concludes that the motion is due to be denied.
According to the third amended complaint, (Doc. 182) ("the complaint"),
The third amended complaint asserts claims against Aspen for: breach of contract (Count One); negligence (Count Two); bad faith (Count Three); abnormal bad faith (Count Four); and declaratory relief (Count Nine). Aspen's motion targets only the bad faith claims.
Aspen argues that the bad faith counts fail to satisfy the pleading requirements of Rule 8(a) and that, in any event, it owed the plaintiffs no duty at the time it denied their claim.
To survive dismissal under Rule 12(b)(6), a complaint must first satisfy the pleading requirements of Rule 8(a)(2). Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 555, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007). "A pleading that states a claim for relief must contain ... a short and plain statement of the claim showing that the pleader is entitled to relief ...." Fed. R. Civ. P. 8(a)(2). Rule 8 establishes a regime of "notice pleading." Swierkiewicz v. Sorema N.A., 534 U.S. 506, 512, 513-14, 122 S.Ct. 992, 152 L.Ed.2d 1 (2002). It does not, however, eliminate all pleading requirements.
First, the complaint must address all the elements that must be shown in order to support recovery under one or more causes of action. "At a minimum, notice pleading requires that a complaint contain inferential allegations from which we can identify each of the material elements necessary to sustain a recovery under some viable legal theory." Wilchombe v. TeeVee Toons, Inc., 555 F.3d 949, 960 (11th Cir. 2009) (emphasis and internal quotes omitted).
Pleading elements is necessary, but it is not enough to satisfy Rule 8(a)(2). The rule "requires more than labels and conclusions, and a formulaic recitation of the elements of a cause of action will not do" to satisfy that rule. Twombly, 550 U.S. at 555, 127 S.Ct. 1955. There must in addition be a pleading of facts. Though they need not be detailed, "[f]actual allegations must be enough to raise a right to relief above the speculative level ...." Id. That is, the complaint must allege "enough facts to state a claim for relief that is plausible on its face." Id. at 570, 127 S.Ct. 1955. "A
These are the pleading requirements of Rule 8(a)(2), and failure to meet them exposes a complaint to dismissal under Rule 12(b)(6) for failure to state a claim on which relief can be granted. But the complaint is so exposed only if the defendant moves for dismissal under that rule, invokes the plausibility standard, and makes a satisfactory showing that, in certain, specified respects, for certain, specified reasons, the complaint falls short of that standard.
The parties agree as to the elements of a normal bad faith claim under Alabama law: (1) a breach of an insurance contract; (2) the intentional refusal to pay a claim; (3) the absence of an arguable reason for the refusal; and (4) the insurer's knowledge of the absence of an arguable reason for the refusal. They also agree that a claim of abnormal bad faith includes a fifth element: the intentional failure to determine whether there is an arguable basis for the refusal. (Doc. 103 at 5; Doc. 124 at 5).
Aspen does not dispute that the complaint adequately pleads the third element — that Aspen lacked an arguable reason for refusing to pay.
The quoted language, protests Aspen, is a "conclusory assertion devoid of factual enhancement and a mere recitation of some of the elements of a claim for bad faith" and thus a legally insufficient allegation. (Doc. 103 at 13 (internal quotes omitted)). It is not, however, the only relevant allegation since, as noted, Aspen does not challenge the adequacy of the complaint's allegation that Aspen lacked an arguable reason for refusing to pay. All that is required is a plausible allegation of knowledge, and it would appear facially plausible (though not necessarily correct in every case) that an insurer lacking any arguable basis for denying coverage would be aware it lacked an arguable basis. Certainly Aspen offers the Court no reason to believe otherwise.
Turning to the fifth element, an abnormal claim of bad faith can be based on an "intentional or reckless failure to investigate a claim." Singleton v. State Farm Fire & Casualty Co., 928 So.2d 280, 283 (Ala.2005). The complaint alleges that Aspen failed to investigate the underlying incident, the underlying lawsuit, and the plaintiffs' status as additional insureds. (Doc. 182 at 13, 20). Aspen characterizes this, in familiar language, as a conclusory assertion devoid of factual enhancement and a mere recitation of elements of the claim. (Doc. 103 at 7-8, 13). Assuming without deciding that a bad faith complaint must allege subsidiary facts supporting an allegation of a "failure to investigate" in order to satisfy Rule 8(a)(2), the complaint does so.
The complaint alleges that, at a July 2015 mediation, Aspen "asserted denials and reservations of coverage, and in doing so admitted that [it] had not investigated or evaluated the Southerland Lawsuit or Plaintiffs' demands and entitlement to coverage." (Doc. 182 at 14). It is certainly plausible that a defendant admitting it has not investigated has in fact not investigated. Aspen, however, labels this allegation "speculation," (Doc. 103 at 8), apparently on the theory that the plaintiffs are extrapolating a failure to investigate from a denial of coverage. That is, Aspen reads "in doing so" as meaning "by doing so." But "in doing so" can comfortably be read in the sense of "in the course of doing so," which would indicate that Aspen, while denying coverage at the mediation, also admitted it had performed no investigation.
Aspen suggests it could not have failed to investigate prior to the July 2015 mediation because this action was filed less than a week prior to the mediation. (Doc. 103 at 8-9). The Court is unable to make that impressive mental leap; a denial of coverage without an adequate investigation could occur at any time — including at the very moment the insurer becomes aware of a claim. Nothing in the alleged timing negates a failure to investigate.
Aspen next points to a letter it sent the plaintiffs the day before the July 2015 mediation; because the letter sets forth a reason for denying coverage, Aspen concludes that it must necessarily have conducted a legally sufficient investigation in order to come up with that reason. (Doc. 103 at 9). As a threshold matter, Aspen has not shown that the Court may consider the letter — which is neither an exhibit to the complaint nor referenced therein — on motion to dismiss. Even could the letter be considered, an insurer obviously could state a reason for denying a claim without having conducted any investigation to back it up — indeed, that is the very premise behind the abnormal variety of bad faith. The letter, in short, does not negate a failure to investigate.
Aspen focuses on "investigation," but an abnormal case of bad faith "can [also] consist of ... intentional or reckless failure to properly subject a claim to a cognitive evaluation or review ...." Singleton, 928 So.2d at 283. Thus, in abnormal bad faith cases, "[a] defendant's knowledge or reckless disregard of the fact that it had no legitimate or reasonable basis for denying a claim may be inferred and imputed to an insurer when it has shown a reckless indifference to facts or proof submitted by the insured." Ex parte Simmons, 791 So.2d 371, 379 (Ala.2000) (internal quotes omitted); see also Blackburn v. Fidelity and Deposit Co., 667 So.2d 661, 673 (Ala. 1995) (abnormal bad faith claim based on fact that the defendant "ignored other information as it became available"). Here, the complaint alleges that Aspen failed to conduct a "cognitive review and evaluation," (Doc. 182 at 20), but instead relied only on the pleadings in the underlying lawsuit, even after it was "provided and apprised of relevant and dispositive facts and evidence beyond those pleadings." (Id. at 16). Aspen does not assert that this allegation is implausible, (Doc. 103 at 11-12), and it plainly is plausible.
Aspen argues that, pursuant to the terms of its policy, it had "no duty whatsoever" to the plaintiffs until the primary insurer ("Zurich") paid its policy limits over to the underlying plaintiff.
"Every contract contains an implied in law covenant of good faith and fair dealing; this covenant provides that neither party will interfere with the rights of the other to receive the benefits of the agreement." Chavers v. National Security Fire & Casualty Co., 405 So.2d 1, 4 (Ala. 1981) (internal quotes omitted). However, "this requirement of good faith and fair dealing should be characterized as a duty implied by law." Id. at 4-5 (emphasis added). Again, "this good faith duty [is] imposed not by the contract itself, but rather by law ...." Id. at 6 (emphasis added); accord Gulf Atlantic Life Insurance Co. v. Barnes, 405 So.2d 916, 924 (Ala.1981) ("Bad faith is the intentional failure by an insurer to perform the duty implied by law of good faith [and] fair dealing.") (emphasis added). A breach of this duty occurs when the insurer, with no arguable reason and with knowledge (or culpable ignorance) that it has no arguable reason, intentionally refuses to pay a claim. State Farm Fire and Casualty Co. v. Brechbill, 144 So.3d 248, 258 (Ala.2013).
It may (or may not) be, as Aspen insists, that it was under no contractual duty to investigate or to settle before Zurich actually paid its policy limits in October 2015. And it may be assumed that Aspen was under no duty to make a coverage decision before that point. According to the complaint, however, Aspen was not content to delay its coverage decision until actual payment was made. According to the complaint, Aspen affirmatively and definitively denied coverage. (Doc. 182 at 16). As the plaintiffs note, (Doc. 124 at 18-19), by electing to deny coverage, Aspen became subject to the duty imposed by law to exercise good faith in making its coverage decision; that Aspen at that point in time may not have owed the plaintiffs any duty to investigate or settle imposed by contract is irrelevant. None of the authorities cited in Aspen's principal brief appear to support a contrary result, and in any event none of them were decided under Alabama law.
In its reply brief, Aspen offers no response to the plaintiffs' position. Instead, it again pivots to a brand-new argument wholly absent from its principal brief: that it "could not have engaged in bad faith because it was defending the complaint for declaratory judgment when it denied coverage." (Doc. 128 at 9). As previously noted, Aspen cannot obtain relief on the basis of an argument, previously available to it, not raised in its principal brief but only in reply. For that reason alone its argument is unavailing.
But the argument would fail even had it been timely presented. Aspen's authorities (none applying Alabama law) stand only for the proposition that an insurer's actions in defending a lawsuit brought by its insured generally cannot be used to establish the insurer's bad faith, on the theory that any probative value of such evidence is outweighed by the risk of unfair prejudice. That is, Aspen's cases only limit what evidence can be used to show that a denial
Moreover, the evidentiary exclusion extends only to an insurer's "litigation conduct,"
In a related vein, Aspen creatively proposes that, by filing an answer asserting that it investigated the plaintiffs' claim and had arguable reasons for denying coverage, it has insulated its denial from any bad faith claim, on the theory that its lawyers' Rule 11 certification must be held to be dispositive of the question. (Doc. 128 at 10-11). The argument, first raised in reply, comes too late to be considered, but it is in any event plainly meritless.
For the reasons set forth above, Aspen's motion to dismiss is
DONE and ORDERED this 21st day of April, 2016.
Even had this challenge been timely presented, it could not prevail. Aspen's position is that the complaint, by listing reasons Aspen gave for denying coverage, "demonstrates that Aspen had arguable reasons for denial of coverage." (Doc. 128 at 6-7). The complaint, however, does not reflect that the reasons Aspen gave for denying coverage were arguable, only that they were given. Far from suggesting that Aspen's reasons were arguable, the complaint characterizes them as "erroneous," based on "mischaracteri[zation]," "[in]applicable" provisions and a practice of "ignoring" governing facts and law, and, ultimately, with "no basis, factual or legal." (Doc. 182 at 16-17, 19). To the uncertain extent Aspen suggests that the complaint must "rebut" Aspen's articulated reasons and "sho[w]" they are inarguable, (Doc. 128 at 2, 8), it demands far too much of the plausibility standard. Cf. Austin v. Auto Owners Insurance Co., 2012 WL 3101693 at *5 n. 8 (S.D.Ala.2012) ("Nothing in the Twombly/Iqbal line of precedents would require a plaintiff to ... transform her complaint into a summary judgment-style memorandum of law setting forth the entirety of her coverage argument, extensive analysis and application of the relevant policy provisions, and so forth.").