MEMORANDUM
Defendant MetLife Insurance Company is an insurance provider from which Plaintiff West Chester University Foundation purchased two variable life insurance policies. Plaintiff alleges that Defendant fraudulently represented that after making six out of pocket payments on each policy, Plaintiff would never have to make another payment. Defendant allegedly assured Plaintiff that investments associated with the policies would yield sufficient returns to cover the cost of all future premiums. Plaintiffs made the six out of pocket payments on each policy, but the investments associated with the policies did not perform as projected, and were insufficient to cover the remaining payments owed. Based on the foregoing, Plaintiff brings suit against Defendant for fraud, fraud in the inducement, negligent misrepresentation, promissory estoppel, bad faith, and unjust enrichment. Pursuant to Federal Rule of Civil Procedure 12(b)(6), Defendant moves to dismiss each count of the Amended Complaint. For the reasons that follow, Defendant’s Motion to Dismiss is GRANTED IN PART and DENIED IN PART.
BACKGROUND
The court accepts Plaintiffs allegations as true at the motion to dismiss stage and therefore recites the facts as alleged by Plaintiff.
Plaintiff is a Pennsylvania based nonprofit corporation that, as part of its charitable purpose and through fundraising activities, donates resources to prospective contributors. (Am. Compl. ¶ 5, 9.) Defendant developed a vanishing premium scheme for flexible premium variable life insurance policies and advanced the scheme through misleading and false representations. (Am. Compl. ¶ 10, 13) Specifi
LEGAL STANDARD
In deciding a motion to dismiss pursuant to Rule 12(b)(6), courts must “accept all factual allegations as true, construe the complaint in the light most favorable to the plaintiff, and determine whether, under any reasonable reading of the complaint, the plaintiff may be entitled to relief.” Phillips v. Cnty. of Allegheny,
Because Counts I and II of the Amended Complaint allege fraud, they are subject to the heightened pleading requirements of Federal Rule of Civil Procedure 9(b). United States ex rel. Whatley v. Eastwick, Coll.,
In its Response to Defendant’s Motion to • Dismiss,. Plaintiff alleges that Defendant’s Motion was filed out of time, and should consequently be denied as time .barred. (Resp., 2). Plaintiff filed the Amended Complaint on June 20, 2016 and Defendant filed its Motion to Dismiss on July 7, 2016. Despite Plaintiffs contentions to the contrary, Defendant’s Motion was timely, as Federal Rule of Civil Procedure 6(d) afforded Defendant a total of seventeen days to file any responsive pleading, if said pleading would be filed electronically — as the present Motion was. Having established the timeliness of Defendant’s Motion, the court now considers each ground upon which Defendant contends that Plaintiffs Amended Complaint should be dismissed.
Pursuant to-Federal Rule of Civil Procedure 12(b)(6), Defendant moves to dismiss each claim advanced in Plaintiffs Amended Complaint. Defendant argues that all of Plaintiffs claims are procedurally barred by the applicable statutes of limitations and that each count of the Amended Complaint fails to substantively state a claim upon which relief can be granted. In the sections that follow, the court considers Defendant’s procedural challenge to the Amended Complaint, and each of Defendant’s substantive challenges to the Amended Complaint in turn.
I. Plaintiffs Claims are not Procedurally Barred by the Applicable Statutes of Limitations.
As a procedural matter, Defendant argues that all of Plaintiffs claims are time barred by the applicable statutes of limitations. . (Mot., 3). Pursuant to 42 Pa.C.S. § 5524, Plaintiffs fraud, fraud in the inducement, and negligent misrepresentation claims are subject to a two-year statute of limitations; pursuant to 42 Pa.C.S. § 8371, Plaintiffs bad faith claim is also subject to a two-year statute of limitations; and pursuant to 42 Pa.C.S. § 5525, Plaintiffs promissory estoppel and unjust enrichment claims are subject to a four-year statute of limitations. According to Defendant, the Policies at the heart of this action were executed in November of 2002 and March of 2003. (Mot., 3). As Plaintiff was entitled to annual policy statements — edch of which outlined the cash value of each policy, the premiums paid in the previous year, and the total loan account value— Defendant argues that Plaintiff stibuld have known in 2009 and 2010 respectively, that Plaintiffs six out of pocket payments had not yielded sufficient returns" to cover the remaining payments owed on the Policies. (Mot., 5). Upon consideration of all the applicable statutes of limitations, Defendant argues that Plaintiffs fraud, fraud in the inducement, negligent misrepresentation, and bad faith claims were barred as of 2011 for the November 2002 Policy, and 2012 for the March 2003 Policy, and that Plaintiffs promissory estoppel and unjust enrichment claims were procedurally barred as of 2013 and 2014, respectively. (Mot., 3-5).
Statutes of limitations require “aggrieved individuals to bring their claims within a certain time of injury so that the passage of time does not damage the defendant’s ability to adequately defend against the claims made.” Dalrymple v. Brown
Plaintiff argues that it was not until it received the Lapse Notice in May of 2014, which informed Plaintiff that the Policies were in danger of lapsing for want of payment, that Plaintiff became aware that it was required to make more than the six out of pocket payments. Plaintiff filed suit a year thereafter, whieh by Plaintiff’s logic was well within all applicable limitations periods. (Resp., 5). In contrast, Defendant maintains that reasonable review of the policy statements sent' to Plaintiff annually would have alerted Plaintiff to the fact that the investment returns were not performing well enough to cover the cost of future premium payments. (Mot., 5). As neither Defendant nor Plaintiff attached a copy of any one of the account statements reportedly sent to Plaintiff .each yea|’, on November 14,2016, this Court ordered Defendant to electronically file the account statement to which it referred in its Motion.-
Upon thorough and diligent review of the policy statement submitted by Defendant on December 2, 2016, this Court was unable to ascertain any reasonable means by which the average consumer could determine how well investment returns were performing or how likely it would be that the investment returns would cover future premium payments. The statements were complex, rife with confusing internal cross-references, and did not conspicuously relay the success or lack thereof of the investment returns associated with the. Policy. This Court finds that a reasonable review of the annual statements would not have alerted Plaintiff to the falsity of Defendant’s alleged statements regarding the vanishing premium scheme, and therefore concludes that only upon receipt of the November 2014 Lapse Notice was Plaintiff alerted to its injury. Because Plaintiff filed- the present action within a year of ascertaining its right to initiate and maintain suit, this Court finds that Plaintiff s claims are not procedurally barred by the applicable statutes of limitations.
II. Defendant’s Motion to Dismiss is Granted as it Relates to Counts IV and VI and Denied as it Relates to Counts I, II, III, and V.
In addition to Defendant’s assertion that the applicable limitations periods bar each of Plaintiffs causes of action, Defendant’s Motion , -tp Dismiss includes substantive challenges to each claim advanced within the Amended Complaint. The court considers each of Defendant’s substantive challenges to the Amended Complaint in turn, and for the- reasons that follow, Defendant’s Motion is granted with respect to Counts IV and VI of the Amended Complaint, and denied with respect to Counts I, II, III, and V of the Amended Complaint. ,
The first count of the Amended Complaint advances Plaintiff’s claim of fraud and alleges that Defendant intentionally employed sales techniques that omitted and concealed the material risks of Defendant’s vanishing premium policy scheme. (Am. Compl., ¶ 36-43). The first of Defendant’s substantive challenges to the Amended Complaint alleges that Plaintiffs claim of fraud should be dismissed because Plaintiff failed to plead facts that establish the elements of fraud under Pennsylvania law with sufficient specificity to satisfy the Rule 9(b) standard. As noted above, Federal Rule of Civil Procedure 9(b) states that “[i]n alleging fraud or mistake, a party must state with particularity the circumstances constituting fraud or mistake.” To prove fraud under Pennsylvania law requires a showing of the following elements: “(1) a representation; (2) which is material to the transaction at hand;. (3) made falsely, with knowledge of its falsity or recklessness as to whether it is true or false; (4) with the intent of misleading another into relying on it; (5) justifiable reliance on the misrepresentation; and (6) the resulting injury was proximately causéd by the reliance.” Gibbs v. Ernst,
“A district court must consider a complaint in its entirety without isolating each allegation for individualized review.” In re Processed Egg Prods. Antitrust Litig.,
2. Defendant’s Motion is Denied as it Relates to Count II of the Amended Complaint.
Count II of the Amended Complaint advances Plaintiffs claim against Defendant
Where parties deliberately put their agreement in writing, the parol evidence rule functions to bar the admission of “all preliminary negotiations, conversations, and verbal agreements” to contradict, modify, or otherwise alter the unambiguous terms of a fully integrated, written contract. Toy v. Metro. Life Ins. Co.,
Recognizing, as other courts have, that insurance contracts are neither freely negotiated nor easily digestible by most reasonable consumers, this Court is inclined to accept Plaintiff’s assertion that traditional contract principles should not apply and that Plaintiff should be permitted to introduce its parol evidence. But the legal terrain in this area is rocky to say the least, and this Court is reluctant to toe a line that even the Third Circuit struggled to find. See Tran,
Construing the pleaded facts as true, Defendant assured Plaintiffs that future premium payments would vanish after the out of pocket payment of a limited number of premiums, because investments made in connection' with the accounts would yield returns sufficient to cover the future payments. (Am. Compl. ¶ 12). Defendant asserts that the Policies do not mention that any premiums will vanish and that the policy illustrations state that the hypothetical rates of return are illustrative only, not guaranteed. (Mot., 1, 13). Defendant maintains that because the Policies constitute fully integrated contracts and the language of the Policies and policy illustrations are unambiguous, the parol evidence rule applies to preclude the admission of any evidence of promises made prior to the Policies’ execution. (Mot., 13). That the Policies constitute fully integrated contracts is not disputed, but this Court finds that-the Policies’ language is ambiguous and therefore not subject to the proscriptions of the parol evidence pule.. ,
“Contractual language is ambiguous if it is reasonably susceptible to different constructions and capable of being understood in more than one sense.” Alleman v. State Farm Life Ins. Co.,
For the foregoing reasons^ even if the parol evidence rule were to generally apply to insurance related Pennsylvania claims of fraud in the inducement, its application would be inapposite here. As this is the only basis upon which Defendant challenges Plaintiffs claim of fraud in the inducement, this Court denies Defendant’s Motion to Dismiss as it relates to Count II of the Amended Complaint.
3. Defendant’s Motion is Denied as it Relates to Count III of the Amended Complaint.
The third count of the Amended Complaint alleges that Defendant negligently misrepresented that the annual premiums on the Policies would vanish after six out of pocket payments. (Am. Compl. ¶ 54-55). In its third substantive challenge to the Amended Complaint, Defendant moves to dismiss Plaintiffs claim of negligent misrepresentation on the grounds that liability for negligent misrepresentation cannot be based on a defendant’s -representations about future occurrences. (Mot., 14). For the reasons that follow, this Court finds that this case falls within the exception to the general rule that negligent misrepresentation claims cannot be based on statements regarding future events.
“Negligent misrepresentation requires proof of: (1) a misrepresentation of material fact; (2) made under circumstances in which the misrepresenter ought to have known its falsity; (3) with an intent to induce another to act on it; and; (4) which results in injury to a party acting in justifiable reliance on the misrepresentation.” Bortz v. Noon,
In the presént case, Plaintiffs negligent misrepresentation claim is not based on. Defendant’s alleged representations about its own intended actions. Construing the pleaded-facts as true, Defendant’s representations related to the future performance of investments of which Defendant purported to have specialized knowledge, and the effect thereof on the premiums Plaintiff owed. About eleven years before his Opinion in Bennett, Judge Joyner carved out an exception -to the general rule disallowing .negligent misrepresentation claims based, on representations of future occurrences. “[I]f [Defendant] made statements about future occurrences ... which [Defendant] should have known [were] untrue or unlikely to occur, and [Defendant] failed to exercise reasonable care in eommunicatr ing this information, then negligent misrepresentation has occurred.” Killian v. McCulloch,
Plaintiffs pleaded facts fall squarely within this exception. Plaintiff alleges that
4. Defendant’s Motion is Granted as it Relates to Count IV of the Amended Complaint.
The fourth count of the Amended Complaint advances Plaintiffs claim for promissory estoppel. Plaintiff alleges that Defendant promised Plaintiff that the Policies would yield certain investment returns that would cover the costs of future policy premiums, and that Plaintiff relied on these promises to its detriment. (Am. Compl., ¶ 60-63). The fourth of Defendant’s substantive challenges to the Amended Complaint seeks dismissal of Plaintiffs claim for promissory estoppel on the grounds that in Pennsylvania, promissory estoppel claim can only exist in the absence of a contract. This Court agrees.
Promissory estoppel is an equitable remedy traditionally used to enforce a promise in the absence of bargained-for consideration. Bull Int’l, Inc. v. MTD Consumer Grp., Inc.,
Plaintiff argues that the Pennsylvania rule precluding promissory estoppel claims where a valid contract exists is inapplicable in the present instance. (Resp., 18). Plaintiff claims that the basis of its claim
.5. Defendant’s Motion is Denied as it Relates to Count V of the Amended Complaint.
Count V of the Amended Complaint advances Plaintiffs claim of bad faith under 42 Pa.C.S. § 8371. Plaintiff alleges that Defendant intentionally reduced its investment return projections in order to conceal the risks associated with its vanishing premium scheme and to secure additional premium payments on the Policies. (Am. Compl., ¶ 66-68). Defendant’s fifth substantive challenge to the Amended Complaint seeks dismissal of Plaintiffs bad faith claim on the grounds that the Amended Complaint fails pleading standards and bad faith claims are not available where there are allegations of deceptive practices in soliciting the purchase of a policy. (Mot., 16). As a preliminary matter, this Court rejects Defendant’s argument that Plaintiff fails to sufficiently plead bad faith. Plaintiff specifically identifies the conduct it avers amounts to bad fáith, and this Court is satisfied that Plaintiffs factual averments go beyond mere conclusory allegations.
This Court also rejects Defendant’s argument that Pennsylvania case law requires dismissal of Plaintiffs bad faith claim. Section 8371 does not itself identify the specific acts that would establish actionable bad faith toward the insured. Kofsky v. Unum Life Ins. Co. of Am.,
Defendant argues that Plaintiffs bad faith claim fails because the claim is based on allegations of deceptive practices relating to the solicitation and sale of the Policies at issue. While Plaintiffs bad faith claim alleges bad faith conduct related to the sale of the Policies, the claim also alleges deceptive practices occurring after the execution of the Policies. Specifically, Plaintiff alleges that for years after the Policies were sold, Defendant manipulated its investment return projections to conceal the true nature of its vanishing premium scheme. (Am. Compl. ¶ 67). It is clear that recent eases have determined'that, so long as “Plaintiffs allegations principally concern Defendant’s conduct in connection with its discharge of its obligations under the [Policies] after purchase by [Plaintiff],” a bad faith claim under § 8371 may be available. Jacoby,
6. Defendant’s Motion is Granted as it Relates to Count VI of the Amended Complaint.
The sixth and final count of the Amended Complaint advances Plaintiffs claim against Defendant for unjust enrichment. Plaintiff alleges that Defendant was unjustly enriched when Defendant retained the premium payments made by Plaintiff on the Policies without delivering on Defendant’s alleged promise that future payments would vanish. (Am. Compl., ¶ 70-71). Unjust enrichment is an equitable remedy not unlike promissory estoppel. Where the doctrine of promissory estoppel is applied to make enforceable a promise made by one party that induces action or forbearance on the part of another party, the doctrine of unjust enrichment is a remedy sought when one party received a benefit that would be unconscionable to retain without compensating the provider. Comcast,
“Under Pennsylvania law, the doctrine of unjust enrichment is inapplicable when the relationship between the parties is founded upon a written agreement or express contract,.,.” Grudkowski,
CONCLUSION
For all of the foregoing reasons, Defendant’s Motion to Dismiss is GRANTED as it relates to Counts 'IV and VI of the Aménded Complaint, and is DENIED as it relates to Counts I, II; III, and V of the Amended Complaint. Plaintiff is granted to leave to file a second amended complaint within thirty (30) days of the filing of this Opinion.
A corresponding Order follows.
