MELINDA HARMON, District Judge.
Pending before the Court is Plaintiff Timothy Keen's motion to remand this case to the 152nd District Court for Harris County. Doc. 8. Also pending before the Court are motions to dismiss Keen's amended complaint filed by Defendants Adrianne Annette Herrera (Doc. 15) and Wausau Business Insurance Company ("Wausau") (Doc. 19).
Defendants have responded to Keen's motion to remand and argued that Keen cannot state a claim against Herrera, the non-diverse Defendant in this case, and that Herrera therefore is improperly joined in this case. Doc. 12.
Having considered the motion to remand, the facts of this case, and the relevant law, the Court finds that the Herrera is improperly joined and should be dismissed. Because no non-diverse parties
In its motion to dismiss, Wausau urges the Court to dismiss Keen's amended complaint in light of the Texas Supreme Court's recent decision in Ruttiger.
The Court finds that Ruttiger forecloses Keen's claims under the Texas Insurance Code and the DTPA and therefore grants Liberty's motion for summary judgment as to these claims. Because Ruttiger did not explicitly foreclose the traditional cause of action for breach of common law duties of good faith and fair dealing, however, the Court denies Wausau's motion on this ground. Nevertheless, because Keen fails to satisfy the pleading requirements of Rule 8(a)(2), the Court dismisses this remaining claim but grants Keen leave to amend.
This case arises out of the Defendants' purported mishandling of Keen's workers' compensation claim. Doc. 10 at 3. In his amended complaint, Keen asserts that he was injured on the job while working for Cencor Realty Services, Inc. Id. Keen does not identify the cause, nature, or extent of his injuries. Nor does he state that he sought or received medical care for the injuries.
Although Keen does not state as much, it appears from the nature of his complaint that Wausau provided workers' compensation coverage to Keen's employer, Cencor Realty Services, and that Herrera was the adjuster assigned to his case. Keen also fails to allege that he filed for workers' compensation benefits, but claims that "[r]ather than properly investigate Mr. Keen's injuries to ensure Mr. Keen would receive the medical and other benefits to which he was entitled[,] ... without reasonable basis, WAUSAU and Ms. Herrera chose to continue to deny timely payment of insurance benefits." Id. Keen alleges that Wausau and Herrera denied his claim for benefits on August 12, 2009, and October 15, 2009. Id. "After proceeding through all preliminary proceedings before the Texas Department of Insurance, Mr. Keen was able to secure a binding final determination from the Texas Department of Insurance, Division of Workers' Compensation, ordering payment of the long overdue benefits." Id. at 4.
Keen filed his original petition against Wausau and Herrera in the 152nd District Court for Harris County on March 4, 2011 asserting claims for violations of the Texas Insurance Code and the Texas Deceptive Trade Practices Act ("DTPA"). Doc. 1 at 12-20. On April 13, Defendants removed that case to this Court stating that Herrera, a Texas citizen, was joined improperly and that complete diversity existed between the parties. Id. at 1-7. On June 15, Keen moved to remand this case to the 152nd District Court (Doc. 8) and on June 22, he filed an amended complaint adding a claim for breach of the duty of good faith and fair dealing against both Defendants. On August 26, Herrera filed a motion to dismiss. Doc. 15. On October 11, Wausau filed its own motion to dismiss. Doc. 19.
Federal diversity jurisdiction exists "where the matter in controversy exceeds the sum or value of $75,000.00 ... and is between ... citizens of different States." 28 U.S.C. § 1332(a); Addo v. Globe Life and Accident Ins. Co., 230 F.3d 759, 761 (5th Cir.2000). "Defendants may remove an action on the basis of diversity of citizenship if there is complete diversity between all named plaintiffs and all named
After removal, a plaintiff may move for remand and, if "it appears that the district court lacks subject matter jurisdiction, the case shall be remanded." 28 U.S.C. § 1447(c). Removal statutes are construed "strictly against removal and for remand." Eastus v. Blue Bell Creameries, L.P., 97 F.3d 100, 106 (5th Cir.1996); Shamrock Oil & Gas Corp. v. Sheets, 313 U.S. 100, 108-09, 61 S.Ct. 868, 85 L.Ed. 1214 (1941). All "doubts regarding whether removal jurisdiction is proper should be resolved against federal jurisdiction." Acuna v. Brown & Root, Inc., 200 F.3d 335, 339 (5th Cir.2000). Once a motion to remand has been filed, the burden is on the removing party to establish that federal jurisdiction exists. De Aguilar v. Boeing Co., 47 F.3d 1404, 1408 (5th Cir.1995). All factual allegations are evaluated in the light most favorable to the plaintiff. Guillory v. PPG Indus., Inc., 434 F.3d 303, 308 (5th Cir.2005).
A removing party can establish federal jurisdiction on the basis of 28 U.S.C. § 1332 by demonstrating that in-state defendants have been "improperly joined." See Smallwood v. Illinois Cent. R. Co., 385 F.3d 568, 573 (5th Cir.2004). To establish improper joinder, a removing party must show either "`(1) actual fraud in the pleading of jurisdictional facts, or (2) inability of the plaintiff to establish a cause of action against the non-diverse party in state court.'" Id. (quoting Travis v. Irby, 326 F.3d 644, 646-47 (5th Cir.2003)). The Fifth Circuit has made it clear that "the test for fraudulent joinder is whether the defendant has demonstrated that there is no possibility of recovery by the plaintiff against an in-state defendant, which stated differently means that there is no reasonable basis for the district court to predict that the plaintiff might be able to recover against an in-state defendant." Id. A court may determine a plaintiff's possibility of recovery by conducting "a Rule 12(b) (6)-type analysis, looking initially at the allegations of the complaint to determine whether the complaint states a claim under state law against the in-state defendant." Id.
Rule 12(b)(6) allows dismissal if a plaintiff fails "to state a claim upon which relief can be granted." FED. R. CIV. P. 12(b)(6). In Bell Atlantic Corp. v. Twombly, 550 U.S. 544, 555, 127 S.Ct. 1955, 167 L.Ed.2d 929 (2007), and Ashcroft v. Iqbal, 556 U.S. 662, 129 S.Ct. 1937, 1949, 173 L.Ed.2d 868 (2009), the Supreme Court confirmed that Rule 12(b)(6) must be read in conjunction with Rule 8(a), which requires "a short and plain statement of the claim showing that the pleader is entitled to relief." FED. R. CIV. P. 8(a)(2).
To withstand a Rule 12(b)(6) motion, a complaint must contain "enough facts to state a claim to relief that is plausible on its face." Twombly, 550 U.S. at 570, 127 S.Ct. 1955; see also Elsensohn v. St. Tammany Parish Sheriff's Office, 530 F.3d 368, 372 (5th Cir.2008). Under Rule 8(a)(2), plaintiffs are not required to include "`detailed factual allegations,' but
In his motion to remand, Keen argues that the Court lacks subject matter jurisdiction because the parties are not completely diverse. Doc. 8. Defendants respond that Keen improperly joined Herrera to defeat diversity.
The question here is whether "there is no reasonable basis for the district court to predict that the plaintiff might be able to recover against" Herrera, the in-state defendant. Smallwood, 385 F.3d at 573. Defendants urge that Keen cannot recover from Herrera because he has not "pled any factual allegations regarding Defendant Herrera that form the basis of any cause of action against her individually, as opposed to the carrier." Doc. 1 at 4. Keen argues that his "unambiguous pleadings outlin[e] Herrera's personal responsibility for the wrongful acts at issue" sufficient to state a claim against Herrera in her individual capacity. Doc. 8 at 2.
While Keen is correct that specific and individualized factual allegations against an adjuster can give rise to individual liability, his complaint fails to meet this standard. Keen alleges generally that "[t]he Defendants ... fail[ed] to conduct a reasonable investigation of the events and facts relating to Mr. Keen's claim." Doc. 10 at 4. His allegations against Herrera in her individual capacity are an almost verbatim recitation that Herrera "fail[ed] to conduct a reasonable and objective investigation of the facts giving rise to Plaintiff's claim." Id. at 5.
This Court previously has stated that when an adjuster's actions "can be accomplished by [the insurer] through an agent" and when the claims against the adjuster are identical to those against the insurer, the adjuster's actions "are indistinguishable from [the insurer's] actions" and hence are insufficient to support a claim against the adjuster. Centro Cristiano Cosecha Final, Inc. v. Ohio Cas. Ins. Co., 2011 WL 240335, *14 (S.D.Tex. Jan. 20, 2011).
Here, because Keen's claims against Herrera are identical to his claims against Wausau, he fails adequately to state a claim against Herrera. For that reason, Herrera is improperly joined in this action and Keen's motion to remand is denied.
Wausau argues that, as a result of the Ruttiger decision, "[i]ndividual plaintiffs may no longer pursue actions against workers' compensation carriers under Texas Insurance Code Section 541.060" or the DTPA. Doc. 19 at 2-3. Wausau additionally asserts that "it is almost certain that plaintiffs may no longer assert common law bad faith claims either" and that Keen's claims for Wausau's alleged breach of the common law duty of good faith and fair dealing also must be dismissed. Id.
In his amended complaint, Keen claims that Wausau's initial denial of his workers' compensation claims violated the Texas Insurance Code provisions which prohibit unfair settlement practices by an insurer "with respect to a claim by an insured."
Tex.Ins.Code §§ 541.060(a)(2)(A), (a)(3), (a)(7). Keen also alleges that Wausau breached portions of the Texas Insurance Code that prohibit an insurer from:
Keen's claims are foreclosed by the Texas Supreme Court's ruling in Tex. Mut. Ins. Co. v. Ruttiger, 381 S.W.3d 430.
Because Keen asserts rights to private action under § 541.060 that have been foreclosed by the Texas Supreme Court, the Court finds that Keen's claims must be dismissed.
Keen also alleged in his initial complaint that "Defendants' violations of the Texas Insurance Code create a cause of action under the DTPA." The Texas Supreme Court in Ruttiger confronted the same circumstance in which a plaintiff's DTPA claims turn on a defendant's violation of the Insurance Code and found that, because Insurance Code claims were foreclosed, DTPA claims also must fail. Ruttiger, 381 S.W.3d at 446. Here, because Keen cannot recover on his Insurance Code claims, his DTPA claims necessarily must fail. The Court therefore dismisses Keen's DTPA claims.
Keen asserts that Wausau "had a duty to deal fairly and in good faith with Mr. Keen in the processing of the workers' compensation claim" that it breached when it "refus[ed] to properly investigate" that claim. Doc. 10 at 8. Keen's common law claim asserts a right within the framework of Aranda v. Ins. Co. of North America, which established the right of employees to assert claims for breach of the duty of good faith and fair dealing against workers' compensation insurers. 748 S.W.2d 210, 215 (Tex.1988). Wausau contends that "[t]he Texas Supreme Court's Ruttiger decision also likely precludes claims for common law bad faith against carriers," but admits that Ruttiger does not explicitly eliminate common law claims for breach of the duty of good faith and fair dealing. Doc. 19 at 5. In the absence of an explicit ruling by the Texas Supreme Court on the continuing vitality of the Aranda action, this Court declines to overrule established state law precedent. Wausau's motion to dismiss on this ground therefore is denied.
As discussed above, however, Keen's amended complaint contains little more than "an unadorned, the-defendant-unlawfully-harmed-me accusation." Twombly, 550 U.S. at 555, 127 S.Ct. 1955. Apart from his allegations that he a) worked for Cencor Realty Services, b) was injured on the job, and c) that Wausau denied his claim, Keen's amended complaint consists almost entirely of legal conclusions. See Doc. 10. His allegations relating to breach of the duty of good faith and fair dealing are that Wausau "breached this duty by refusing to properly investigate and effectively denying medical care and other benefits ... [and that Wausau] knew or should have known that there was no reasonable basis for denying or delaying the required benefits." Id. at 8. Such a statement, unaccompanied by factual allegations, fails to satisfy the pleading requirements of Rule 8(a)(2). The Court therefore dismisses Keen's remaining claim for breach of the duty of good faith and fair dealing, but grants Keen leave to amend his claim to conform to the federal pleading requirements.
For the foregoing reasons, the Court hereby