RICHARD G. STEARNS, District Judge.
Plaintiff Robert Oden hired defendant United States Adjusters (U.S. Adjusters) to assist in filing a claim of loss with his insurer, Vermont Mutual Insurance Company (Vermont Mutual). After several failed attempts at settlement with the insurer, Oden brought this lawsuit alleging that U.S. Adjusters, negligently and in breach of contract, failed to call his attention to a provision in his Vermont Mutual homeowner's policy requiring legal claims to be brought within two years of the date of loss. U.S. Adjusters now moves to dismiss the Complaint.
Oden resides in Onset, Massachusetts. U.S. Adjusters is a public insurance adjuster incorporated in Florida with its principal place of business in Coral Springs, Florida. As advertised, U.S. Adjusters represents the insured in dealings with the insurer over claims. On August 28, 2011, the roof of Oden's home collapsed. Oden's Vermont Mutual homeowner's policy provided coverage of $383,500.00 for his home, $268,450.00 for personal property, and $76,700.00 for loss of use. Vermont Mutual made an immediate payment of $53,788.56 to Oden for essential repairs, while Oden paid an additional $55,000 from his own funds. Following the repairs, Oden and Vermont Mutual became embroiled in a disagreement over the fair market value of the loss.
On April 24, 2013, Oden entered into a written contract with U.S. Adjusters. The contract specified that U.S. Adjusters would "assist in the preparation, presentation and adjustment of all applicable claims for [ ] loss or damage," in return for a contingency fee amounting to 10% of any insurance collected. U.S. Adjusters investigated the damage to Oden's home from April 24 to April 30, 2013, and sent a demand letter to Vermont Mutual seeking $124,894.69 in satisfaction of Oden's claim. Vermont Mutual never responded with a counteroffer and no agreement was ever reached. On August 28, 2013, the day the policy's limitations period expired, U.S. Adjusters mailed Oden a letter declaring their contract"null and void from this point forward." No explanation was offered nor was the two-year claims limitations period mentioned. This lawsuit followed.
To survive a motion to dismiss, "a complaint must contain sufficient factual matter, accepted as true, to `state a claim to relief that is plausible on its face.'" Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009), quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007). Two basic principles guide the court's analysis. "First, the tenet that a court must accept as true all of the allegations contained in a complaint is inapplicable to legal conclusions." Iqbal, 556 U.S. at 678. "Second, only a complaint that states a plausible claim for relief survives a motion to dismiss." Id. at 679. A claim is facially plausible if its factual content "allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged." Id. at 678. "If the factual allegations in the complaint are too meager, vague, or conclusory to remove the possibility of relief from the realm of mere conjecture, the complaint is open to dismissal." S.E.C. v. Tambone, 597 F.3d 436, 442 (1st Cir. 2010).
U.S. Adjusters argues in the first instance that any warning that it might have given Oden regarding the two-year limitations period would have "impact[ed] his legal rights," putting U.S. Adjusters in the position of giving "legal advice" in violation of Massachusetts law prohibiting the unauthorized practice of law. See Mass. Gen. Laws, ch. 221, § 41. The argument is ingenious, but the suggestion that an insurance adjuster (holding itself out to be "more experienced and versed in the insurance industry then [sic] most") would require a legal education and a law degree to read a commonplace provision in an insurance policy is risible.
But there is more. The "About Us" blurb on U.S. Adjusters' website states that "[o]ur nationwide team includes structural engineers, forensic accountants and attorneys on retainer that are ready and willing to advise you immediately of any limitations and/or exclusions that may be applicable to your policy, which may limit recovery of your claim." (emphasis added).
The next arrow in U.S. Adjusters' quiver is the argument that it cannot be liable on a theory of negligence because it did not owe Oden a duty to advise him of the claims limitation period. While a strong argument can be made that U.S. Adjusters nonetheless assumed such a duty, as a matter of law, U.S. Adjusters as Oden's agent owed him a duty of competent representation that is no different than the one owed by an adjuster to an employer-insurer. See Bockser v. Dorchester Mut. Fire. Ins. Co., 327 Mass. 473, 478 (1951) (public adjuster hired by an insured is an agent of the insured); Chubb & Son Inc. v. Consoli, 283 A.D.2d 297, 298-299 (N.Y. App. Div., First Dep't 2001) (same; public adjusters are not exempt from general agency principles). An agent owes its principal a fiduciary duty of utmost good faith and absolute loyalty; the agent must act solely in furtherance of the principal's interest, even at the expense of its own in matters connected with the agency.
Here, U.S. Adjusters agreed to represent Oden in prosecuting his claim against Vermont Mutual. Oden alleges that during the four months of their relationship, U.S. Adjusters "handled all dealings" with Vermont Mutual, causing him "no reason to believe that anything was wrong" until shortly after August 28, 2013, when he received the "null and void" letter from U.S. Adjusters.
With respect to Oden's claims for breach of contract and breach of the covenant of good and fair dealing, U.S. Adjusters argues that the contract obligates it only "to assist in the preparation, presentation and adjustment" of Oden's claim and not to monitor limitations deadlines. U.S. Adjusters is therefore correct that, by the explicit terms of the contract, Oden cannot state a viable claim under either theory.
For the foregoing reasons, United States Adjusters' motion to dismiss Oden's negligence claim (Count I) is
SO ORDERED.