R. BRYAN HARWELL, District Judge.
This action arises from a contractual dispute between Plaintiff Rudolph Rush and Defendant Zurich American Insurance Company. Plaintiff filed this action in state court, but Defendant removed it to this Court on October 27, 2015. See ECF No. 1. Presently before the Court is Defendant's Motion for Partial Dismissal of Plaintiff's claims brought under the South Carolina Improper Claims Practices Act
In October 2012, Plaintiff, a truck driver, sustained a shoulder injury while making a delivery. His employer maintained an insurance policy with Defendant that provided benefits to Plaintiff as an injured person under the policy. Plaintiff reported his injury to his employer, sought treatment from his physician, and submitted a claim to Defendant seeking the benefits under the policy. Defendant responded by requesting additional documentation concerning Plaintiff's claim. Plaintiff complied, yet Defendant still requested more information. This back-and-forth occurred several more times without Defendant processing Plaintiff's claim.
In October 2015, Plaintiff filed a complaint in state court alleging five causes of action: breach of contract, improper claims practice, improper trade practices, breach of contract accompanied by a fraudulent act, and bad faith. See Complaint, ECF No. 1-1. Defendant removed the action to this Court and filed a motion for partial dismissal pursuant to Federal Rule of Civil Procedure 12(b)(6), seeking dismissal of Plaintiff's causes of action brought under the Improper Claims Practices Act and the Insurance Trade Practices Act on the basis that neither law creates a private cause of action. See ECF No. 6. Plaintiff filed a response in opposition, and Defendant filed a reply. See ECF Nos. 13 & 14.
When deciding a motion to dismiss made under Federal Rule of Civil Procedure 12(b)(6), the Court must accept all well-pled facts alleged in the complaint as true and draw all reasonable inferences in the plaintiff's favor. Nemet Chevrolet, Ltd. v. Consumeraffairs.com, Inc., 591 F.3d 250, 253 (4th Cir. 2009). A complaint must state a "`plausible claim for relief'" to survive a 12(b)(6) motion to dismiss. Walters v. McMahen, 684 F.3d 435, 439 (4th Cir. 2012) (quoting Ashcroft v. Iqbal, 556 U.S. 662, 679 (2009)). The Court will not dismiss the plaintiff's complaint so long as he provides adequate detail about his claims to show he has a "more-than-conceivable chance of success on the merits." Owens v. Baltimore City State's Attorneys Office, 767 F.3d 379, 396 (4th Cir. 2014) (citing Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2006)). "Once a claim has been stated adequately, it may be supported by showing any set of facts consistent with the allegations in the complaint." Twombly, 550 U.S. at 563. A complaint will survive a motion to dismiss if it contains "enough facts to state a claim to relief that is plausible on its face." Id. at 570.
In his second cause of action, Plaintiff alleges Defendant violated section 38-59-20 of the Improper Claims Practice Act (S.C. Code Ann. § 38-59-20 (2015)) and that it did so without reasonable cause and in bad faith. See Compl. at ¶ 29. Plaintiff seeks an award of attorney's fees pursuant to S.C. Code Ann. § 38-59-40 (2015). Id. at ¶ 30. Defendant requests dismissal of this cause of action, arguing the Improper Claims Practice Act does not create a private cause of action. See ECF No. 6-1.
The Improper Claims Practices Act states that if an insurer commits any of the specific actions listed in the statute without just cause and so frequently that it indicates a general business practice, the action constitutes an improper claim practice. S.C. Code Ann. § 38-59-20 (2015). Such acts include:
Id. In Masterclean, Inc. v. Star Insurance Co., the South Carolina Supreme Court held third parties do not have a private right of action under the Improper Claims Practices Act and are only entitled to administrative review before the Chief Insurance Commissioner. 347 S.C. 405, 415, 556 S.E.2d 371, 377 (2001). Similarly, in Ocean Winds Council of Co-Owners, Inc. v. Auto-Owners Ins. Co., the district court discussed Masterclean and noted § 38-59-20 does not distinguish between first-party and third-party claims. 241 F.Supp.2d 572, 578 (D.S.C. 2002). The Ocean Winds court "conclude[d] based on South Carolina court decisions in the third party context that the South Carolina courts would also conclude that section 38-59-20 does not create a statutory private cause of action for first-party claimants." Id.
Defendant relies on Masterclean and Ocean Winds to support its argument that no private cause of action exists for first-party claimants such as Plaintiff. ECF No. 6-1 at 2.
S.C. Code Ann. § 38-59-40(1) (2015) (emphasis added).
Plaintiff has alleged a breach of contract claim in addition to a tort "bad faith" claim, and as a result, he may properly seek the statutory attorney's fees applicable to the breach of contract action pursuant to § 38-59-40. Accordingly, the Court will not dismiss Plaintiff's second cause of action.
In his third cause of action, Plaintiff alleges Defendant violated sections 38-57-30 and 38-57-70 of the Insurance Trade Practices Act (S.C. Code Ann. § 38-57-30 and -70 (2015)). See Compl. at ¶ 32. Plaintiff seeks an award of actual and punitive damages. Id. Defendant seeks dismissal of this cause of action, arguing the Insurance Trade Practices Act does not create a private cause of action. See ECF No. 6-1.
The purpose of the Insurance Trade Practices Act is "to regulate trade practices in the business of insurance in accordance with the intent of Congress . . . by defining, or providing for the determination of, all the practices in this State which constitute unfair methods of competition or unfair or deceptive acts or practices and by prohibiting the trade practices so defined or determined." S.C. Code Ann. § 38-57-10 (2015). This law prohibits any person from engaging in any trade practice determined to be "an unfair method of competition or an unfair or deceptive act or practice in the business of insurance." S.C. Code Ann. § 38-57-30 (2015). Nor may a person misrepresent the terms, coverage, or effect of the contract or policy to an insured or any other person who has an interest in the proceeds payable under the contract or policy for the purpose of settlement of the claim, loss, or damage under the contract or policy on less favorable terms than those provided by the contract or policy. S.C. Code Ann. § 38-57-70 (2015).
In Masterclean, supra, the South Carolina Supreme Court held the Insurance Trade Practices Act does not create a private cause of action. 347 S.C. at 415, 556 S.E.2d at 377 ("The statute clearly manifests legislative intent to create an administrative remedy and not a private right of action."). In Lewis v. Omni Indemnity Co., the district court ruled the individual plaintiff was barred from bringing an action under the Insurance Trade Practices Act. 970 F.Supp.2d 437, 451-52 (D.S.C. 2013). For the same reason, Plaintiff in this case is likewise barred from bringing a civil claim under the Insurance Trade Practices Act. Accordingly, the Court will dismiss this cause of action.
Based on the above analysis, the Court denies Defendant's motion as to Plaintiff's second cause of action that solely requests attorney's fees under § 38-59-40 of the Improper Claims Practices Act. The Court grants Defendant's motion as to Plaintiff's third cause of action brought under the Insurance Trade Practices Act. Accordingly, Defendant's Motion for Partial Dismissal is