AMERICAN SOUTHERN HOME INSURANCE COMPANY v. UNITY BANK
3:16-cv-03046
D.N.J.Apr 25, 2017Background
- American Southern issued a forced-placed commercial property policy to Unity covering vandalism but excluding theft-related losses; loss occurred Jan. 1, 2016 at 856 Landis Ave., Elmer, NJ.
- Unity reported vandalism; American Southern’s third-party adjuster (Mello) inspected and concluded damage resulted from theft (dismantled refrigeration, auction stickers, removed copper piping and heaters).
- American Southern denied coverage and filed a declaratory judgment action seeking a ruling that the loss was theft (not covered).
- Unity answered and asserted three counterclaims: (I) breach of contract, (II) declaratory judgment (vandalism = covered), and (III) bad faith breach of the duty of good faith and fair dealing; Unity also sought attorneys’ fees.
- American Southern moved to dismiss Counterclaim III (bad faith) under Rule 12(b)(6) and to strike Unity’s request for attorneys’ fees; the court granted both motions (bad faith claim dismissed without prejudice; fees struck).
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Unity adequately pled bad faith (breach of duty of good faith and fair dealing) | American Southern: Unity fails to allege lack of reasonable basis for denial or insurer knowledge/reckless disregard | Unity: Denial was wrongful because insurer failed to conduct a proper, independent investigation | Dismissed without prejudice — Unity’s allegations only contest adequacy of investigation and amount to disagreement or negligence, not bad faith (need absence of reasonable basis plus knowledge/reckless disregard) |
| Whether attorneys’ fees are available under N.J. Ct. R. 4:42-9(a)(6) | American Southern: Fees unavailable because Unity seeks first-party coverage, not fees authorized by rule | Unity: Fees allowable because it must defend against insurer’s declaratory action and asserted bad faith counterclaim | Fees struck — Rule 4:42-9(a)(6) applies narrowly to suits to indemnify/defend third-party liability (and a few limited inter-insurer contexts); it does not authorize fees for insureds’ direct first-party coverage suits |
Key Cases Cited
- Pickett v. Lloyd’s, 131 N.J. 457 (1993) (elements and fairly debatable standard for bad faith in insurance context)
- Wadeer v. N.J. Mfrs. Ins. Co., 220 N.J. 591 (2015) (insurance contracts include implied duty of good faith and fair dealing)
- Badiali v. N.J. Mfrs. Ins. Grp., 220 N.J. 544 (2015) (distinguishing negligence from bad faith in insurer investigations)
- Eagle Fire Prot. Corp. v. First Indem. of Am. Ins. Co., 145 N.J. 345 (1996) (Rule 4:42-9(a)(6) limited to insurer’s refusal to indemnify/defend third-party liability)
- Occhifinto v. Olivo Const. Co., LLC, 221 N.J. 443 (2015) (discussion of American Rule and narrow exceptions for fee-shifting under Rule 4:42-9(a))
- Bell Atl. Corp. v. Twombly, 550 U.S. 544 (2007) (pleading standard requiring allegations to raise claim above speculative level)
