Morrison v. Indian Harbor Insurance Company
3:23-cv-00451
| S.D.W. Va | Jul 1, 2024Background
- Plaintiff Gary Morrison suffered flood damage to his home in Huntington, West Virginia, which was insured under a policy from Indian Harbor Insurance Company, a nonadmitted surplus lines insurer.
- The insurance policy was procured through Neptune Flood Inc. (a surplus lines licensee/excess line broker), and Peninsula Insurance Bureau, Inc. served as the administrator/loss adjuster for the claim.
- Following the flood, Morrison was paid the actual cash value (less depreciation and deductible) and signed a Sworn Statement in Proof of Loss, but alleges he had already completed repairs, entitling him to full replacement cost under the policy.
- Morrison alleges Defendants misrepresented the applicable coverage, improperly deducted depreciation, and failed to assist or inform him adequately about how to recover depreciation.
- Morrison brought claims for breach of contract (declaratory judgment), bad faith, and violation of the West Virginia Unfair Trade Practices Act (UTPA), seeking both individual and class-wide relief; Defendants moved to dismiss all claims.
- The Court considers the sufficiency of the pleadings under the Twombly and Iqbal plausibility standard, and whether Morrison's claims meet the required legal thresholds at the motion to dismiss stage.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Breach of contract for failing to pay full replacement cost | Repairs completed before depreciation deduction; entitled to replacement cost from outset | Actual cash value payment was consistent with policy; no claim for depreciation made | Denied dismissal—factual issues exist, pleadings plausible |
| Common law bad faith claim | Coextensive with breach of contract; refusal to pay full amount/assist was bad faith | No bad faith without breach of contract | Denied dismissal—claim survives with breach of contract |
| UTPA – General business practice allegation | Alleged multiple, discrete acts; plausible inference of general practice | Single claim does not show general business practice; insufficient allegations | Denied dismissal—premature without discovery |
| UTPA claim against Neptune (surplus lines broker) | Neptune acted outside statutory duties, including making coverage decisions | Statutory immunity for brokers; acts outside authority by 'rogue' employees not actionable | Denied dismissal—factual dispute on Neptune’s role; not dismissible now |
Key Cases Cited
- Bell Atlantic Corp. v. Twombly, 550 U.S. 544 (2007) (set the plausibility standard for pleadings under Rule 8)
- Ashcroft v. Iqbal, 556 U.S. 662 (2009) (clarified pleading standards and when claims are plausible)
