RICHARD F. BOULWARE, II, District Judge.
Before the Court is Defendant's Motion to Dismiss. ECF No. 5. For the reasons stated below, the Court grants the motion.
Defendant filed the petition for removal with attached complain on April 4, 2016. ECF No. The Complaint asserts the following claims: (1) Breach of Contract, (2) Breach of Duty of Good Faith, (3) Negligence, and (4) Negligence Per Se for violation of NRS 686A.310 et seq. and NAC 686A.600 et seq. Defendant filed the Motion to Dismiss on May 4, 2016. ECF No. 5. The Motion attacks only the (3) and (4) claims for Negligence and Negligence Per Se on the grounds that they are not legally cognizable in this context. Plaintiff responded on May 20, 2016, and Defendant replied on May 27, 2016. ECF Nos. 10, 11.
In order to state a claim upon which relief can be granted, a pleading 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). In ruling on a motion to dismiss for failure to state a claim, "[a]ll well-pleaded allegations of material fact in the complaint are accepted as true and are construed in the light most favorable to the non-moving party."
The Court incorporates by reference the factual allegations of the Complaint. The Court does make note of the following allegations in the Complaint. On May 13, 2012, Plaintiff was rearended as the vehicle slowed down for traffic. Helen Danshell Gooch ("Gooch") was driving the fourth vehicle in a line of four, and the resultant chain of rear-ends led to plaintiff being rear-ended. Gooch was negligent and liable for Plaintiff's damages. At the time of the accident, Gooch was covered by Geico with limits of $15,000 per person and $30,000 per accident. Plaintiff was insured for underinsured motorist ("UIM") coverage under policy #0786072-E02-28 with coverage limits of $100,000.00 per person and $300,000.00 per accident. On November 8, 2013, Chacon presented Defendants with proof of claim for damages for injuries to his neck and back. The proof contained billing showing he had incurred $86,821.28 in medical treatment as a result of the accident, and provided a copy of the Accident Report. Based on the proof of claim, Chacon demanded the policy limit of $100,000 and gave Defendants 30 days to evaluate the plan. On April 23, 2015, Defendants sent correspondence stating that they were only able to consider and thus offer $7,020 medical special damages for Chacon's urgent care visit, physical therapy, and massage therapy under the UIM plan.
Plaintiff alleges that Defendants unreasonably and unfairly denied him coverage by failing to adequately investigate and evaluate his claim, or provide him reasons for their denial determination. Among other deficiencies in the coverage investigation, Plaintiff alleges: failure to take a recorded statement of Chacon; failure to consider sufficient pain and suffering damages and/or diminished earning capacity damages, or if they did, failure to inform Chacon in writing of their evaluation or the basis for them; failure to consult with a spine surgeon; failure to follow up with Dr. Schifini after being notified of additional treatment; and failure to have or articulate a basis for Schifini's pre-existing condition determination.
In this Motion to Dismiss Defendants argue only that the claims of negligence and negligence per se are not legally cognizable in this case.
"To establish a prima facie case of bad-faith refusal to pay an insurance claim, the plaintiff must establish that the insurer had no reasonable basis for disputing coverage, and that the insurer knew or recklessly disregarded the fact that there was no reasonable basis for disputing coverage."
The Nevada Supreme Court does not appear to have directly addressed whether a plaintiff may plead negligence per se for underlying conduct for which there is a synonymous statutory private right of action. NRS 686A.310 provides its own statutory private cause of action: "In addition to any rights or remedies available to the Commissioner, an insurer is liable to its insured for any damages sustained by the insured as a result of the commission of any act set forth in subsection 1 as an unfair practice." NRS 686A.310(2). Subsection 1 of 686A.310 provides various possible grounds for a claim under Subsection 2 including, but not limited to: a.) "[f]ailing to adopt and implement reasonable standards for the prompt investigation and processing of claims arising under insurance policies and b.) "[f]ailing to provide promptly to an insured a reasonable explanation of the basis in the insurance policy, with respect to the facts of the insured's claim and the applicable law, for the denial of the claim."
Nevada also recognizes a common law tort for violation of the good faith covenant in the insurance context. "Nevada law recognizes the existence of an implied covenant of good faith and fair dealing in every contract. An insurer fails to act in good faith when it refuses without proper cause to compensate the insured for a loss covered by the policy."
The Nevada Supreme Court has recognized that where an analogous statutory remedy exists, that would provide the same kind of relief for the same kind of conduct, the legislature has defined the scope of the remedy, and no claim will lie in tort.
Plaintiff argues that there is unambiguously a private right of action under NRS 686A.675 and that because Nevada law does not preclude a private right of action, a remedy should lie in negligence. Plaintiff relies principally on
The Court rejects the Plaintiff's argument. Under Nevada law, there exists a statutory scheme under NRS 686.310 et seq., which provides a private right of action for various misconduct by insurance companies when dealing with those that they insure. There also exists a more specific common law tort, which provides a cause of action for bad-faith failure to pay insurance claims. As alleged in the Complaint, Plaintiff's claim of negligence per se derives from and references the duties created under NRS 686A.310. The same duties explicitly give rise to a private right of action by the insured for any violation of these prescribed duties. The existence of such a statutory scheme with a private right of action to address particular alleged conduct would and does preclude the recognition by this Court of an additional and parallel common law tort for negligence per se for the very duties established under NRS 686A.310 et seq.