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Some claims proceedCivilTrial court
McCall v. Progressive Fleet & Specialty Programs, Inc.
- Court
- District Court, District of Columbia
- Decided
- Oct 2, 2026
- Docket
- Civil Action No. 2026-1184
- Judges
- Chief Judge James E. Boasberg
Detailed analysis & 3-line summary
AI breakdown
Where this case stands
This decision ·
Some claims proceed
- This is the first court to decide the case, so there's no lower-court ruling.
TL;DR
- 1A worker sued insurance companies, claiming they delayed his medical treatment after a job-related accident.
- 2The court allowed some of his claims to proceed but others for not being timely.
- 3The decision hinged on complex legal rules about when claims are too late to file.
Key issues
- 1
Were the worker's claims filed too late?
Holding · The court found that some claims were timely due to equitable considerations, while others were not.
- 2
Can the worker claim insurer bad faith?
Holding · The court the bad faith claim under D.C. law, which does not recognize it.
Why it matters
This decision affects how workers can challenge insurance companies for delays and relate to nuanced legal deadlines.
If you were the judge?
A worker says insurance delays hurt him. Can he sue?
- 1A worker got hurt on the job and needed his insurance for medical treatment.
- 2He says his insurance company and administrators delayed his claims, causing him harm.
- 3The insurance companies argue it's too late for him to sue, but he disputes this.
Can the worker's claims against the insurance companies proceed despite timeliness issues?
Parties
Plaintiff
McCall
Defendant
Progressive Fleet & Specialty Programs, Inc.
Roles are inferred from the case caption.
Opinion of the court
UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF COLUMBIA
ERIC MCCALL,
Plaintiff,
v. Civil Action No. 26-1184 (JEB)
PROTECTIVE INSURANCE COMPANY,
et al.,
Defendants.
MEMORANDUM OPINION
Plaintiff Eric McCall, a D.C. resident, sustained grievous bodily injuries from an
automobile accident in 2021 while on the job in Virginia. He alleges in this suit that the three
companies involved in administering his occupational-accident insurance policy â Defendants
Protective Insurance Company, Independent Haulers Association, and SCI, LLC â defaulted on
a range of duties, causing him delay in accessing covered medical care at great physical,
economic, and emotional cost. He has thus brought claims for breach of contract, insurer bad
faith, and fraudulent misrepresentation against Protective and negligence against IHA and SCI,
as well as a separate count seeking declaratory relief. Protective has now moved to dismiss the
counts against it on grounds of untimeliness and failure to state a claim, and IHA and SCI have
jointly done the same.
Behind such a pedestrian description lie myriad nuanced choice-of-law questions, given
that the underlying insurance policy was issued in Indiana. After walking through all the
conflicts analysis, the Court ultimately concludes that Plaintiff has stated plausible claims for
breach of contract against Protective and negligence against IHA and SCI. The Court will, on
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the other hand, grant Protectiveâs Motion with respect to Plaintiffâs counts for insurer bad faith,
fraudulent misrepresentation, and declaratory relief because the applicable law does not
recognize them as standalone claims except in circumstances not plausibly present here.
I. Background
The Court draws its facts from the Amended Complaint. See Naz v. Wright, 177 F.4th
1242, 1244 (D.C. Cir. 2026). It also relies, as it may at this stage, on documents âincorporated
by reference in the complaint, or documents upon which the plaintiffâs complaint necessarily
relies.â Thomas v. Pompeo, 438 F. Supp. 3d 35, 40 (D.D.C. 2020) (quotation marks and citation
omitted).
A. Factual Background
On November 24, 2021, McCall was involved in a motor-vehicle accident while working
â presumably as a truck driver â in Virginia, where he lived at the time. See ECF No. 17 (Am.
Compl.), ¶¶ 1â2, 12; see also id., ¶¶ 1, 22, 39 (never specifying Plaintiffâs occupation but stating
that IHA sponsored his insurance). He lost the functional use of his left hand and suffered
serious brain, knee, ankle, and eye injuries, as well as other orthopedic and neurological harm.
Id., ¶¶ 1â2, 54. At some point after the accident, he moved to Washington, D.C. Id., ¶ 17.
Plaintiff was covered by an occupational-accident insurance policy jointly administered
by IHA and SCI and underwritten by Protective (sometimes mislabeled as âProgressiveâ in the
pleadings). Id., ¶¶ 39, 74â76; see generally ECF No. 1-3 (Policy). IHA and SCI served as
intermediaries between Plaintiff and Protective, handling enrollment, recordkeeping, premium
payments, notice of loss, and policy administration generally. See Am. Compl., ¶¶ 45â46, 48;
see also id., ¶ 77 (listing duties related to claim intake, documentation, and communication). For
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example, SCI deducted premiums from Plaintiffâs wages and served as Protectiveâs chief âclaims
administrator.â Id., ¶¶ 47, 75. IHA oversaw and helped administer the program. Id., ¶¶ 48, 76.
About nine days after the accident, on December 3, 2021, Plaintiff called and emailed
SCI to initiate a claim. Id., ¶ 55. He also called Protective directly. Id., ¶ 63. Both paths led to
dead ends. SCI assigned McCall a claim number but then allegedly failed to transmit his claim
to Protective and withheld information from McCall about his claim and policy. Id., ¶ 57; see
also id., ¶ 69 (âPlaintiff did not have access to the Policy.â); id., ¶ 101 (âSCI breached [its] duties
by . . . [f]ailing to provide Plaintiff with access to the Policy . . . .â). During Plaintiffâs call with
Protective, an intake agent told him âin substanceâ that his âonly option for medical coverageâ
was Medicare, not his private insurance plan. Id., ¶ 63.
The agent, McCall now alleges, was wrong. Id., ¶ 66. He says that the policyâs âplain
languageâ covered medical expenses âincurred as a direct result ofâ a âsudden, unforeseen, and
unexpected [occupational] event causing bodily injury,â regardless of fault. Id., ¶¶ 40, 93; see
ECF No. 18 (Opp.) at 10; but see Policy (apparently not containing quoted language verbatim).
Those covered expenses allegedly included âreasonable and necessary medical treatment,
hospitalization, surgery, and related care.â Am. Compl., ¶ 40. And nothing in the plan
conditioned benefits on Medicare status. Id., ¶ 42. McCall does not explain why he lacked
access to the policy from the start.
The agentâs words swayed McCall at the time. He stopped pursuing his claim, even as he
kept paying premiums. Id., ¶¶ 70, 90. In his telling, he believed that âno private occupational
accident coverage existedâ because an âauthorized claims representativeâ had said so âduring
formal claim intake . . . , at a time when [Protective] possessed superior knowledge of coverage
unavailable to Plaintiff, and while Plaintiff did not have access to the Policy.â Id., ¶¶ 69â70.
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About two years later, McCall learned from a coworker that such coverage in fact
existed. Id., ¶ 70. He âpromptlyâ contacted SCI again to pursue benefits. Id. According to
McCall, however, Defendantsâ conduct had already caused him to delay treatment, leading to
out-of-pocket medical expenses, aggravation of his injuries, permanent physical and cognitive
impairment, and other economic and emotional harm. See id., ¶ 72; see also id., ¶ 96 (listing
similar set of harms); id., ¶ 137 (listing bases for damages).
While the Amended Complaint does not describe what happened next, Plaintiff states in
his Opposition that an SCI representative âallegedly acknowledged that SCI had failed to report,
transmit, or act on the noticeâ that McCall originally submitted. See Opp. at 1â2. In addition,
Plaintiff at some point provided âProof of Lossâ related to his accident, as required by the policy.
See Am. Compl., ¶ 110. Protective eventually âadjusted the claim,â though it âpaid only
approximately $10,579.20, while full benefitsâ â in an unspecified amount â âremain unpaid.â
Opp. at 2.
Several other factual allegations are embedded elsewhere in the Amended Complaint.
Because the timing and details are not entirely clear, the Court rehearses them here in bulk. As
to Protective, McCall alleges not only that the company misrepresented his coverage and failed
to process his claim but also that it (1) never provided him with a complete copy of his insurance
policy upon request; (2) misclassified his claim as non-occupational and therefore not covered;
(3) failed to issue payment or a formal written denial identifying an applicable exclusion from
coverage; (4) demanded âduplicative and burdensomeâ documentation without identifying
deficiencies in Plaintiffâs prior submissions; (5) refused to correct âknown misrepresentations
once discoveredâ; and (6) engaged in a âpattern of delay and obstruction designed to discourage
pursuit of benefits.â Am. Compl., ¶ 91. McCall likewise alleges that SCI â in addition to not
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processing his claim properly at the outset â did not provide him with access to his policy or
correct âknown misstatements of coverage.â Id., ¶ 101. And he states that IHA failed to ensure
proper claim processing, correct known claim mishandling, and provide policy documentation
upon request. Id., ¶ 103; see also id., ¶ 82 (making similar allegations about all three companies
acting in âcoordinatedâ manner).
B. Procedural Background
McCall sued Defendants in D.C. Superior Court on February 16, 2026. See generally
ECF No. 1-2 (Super. Ct. Compl.). IHA and SCI filed a Notice of Removal on April 7, pursuant
to 28 U.S.C. § 1332. See ECF No. 1 (Removal Notice), ¶¶ 5â6 (alleging complete diversity of
citizenship and amount in controversy above $75,000). They then moved to dismiss the
Complaint on April 7. See ECF No. 2 (First IHA/SCI MTD). After some back and forth,
Plaintiff filed an Amended Complaint that clarified Protectiveâs identity but remained
substantially the same. See ECF No. 13 (Mot. for Leave to File Am. Compl.) at 3 (describing
changes).
That operative pleading offers a mix of claims sounding in contract and tort, including
breach of contract, insurer bad faith, and fraudulent misrepresentation against Protective (Counts
IâIII) and negligence against IHA and SCI (Count IV). See Am. Compl., ¶¶ 107â33. McCall
seeks declaratory relief, framed as a separate cause of action (Count V); an order compelling
payment of all benefits due; and compensatory damages. Id., ¶¶ 135, 137â38. He also seeks
punitive damages against Protective. Id., ¶ 138.
IHA and SCI have now filed a renewed Motion to Dismiss, see generally ECF No. 15
(IHA/SCI MTD), and Protective has similarly moved. See generally ECF No. 16 (Protective
MTD).
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II. Legal Standard
Federal Rule of Civil Procedure 12(b)(6) provides for the dismissal of an action where a
complaint fails to âstate a claim upon which relief can be granted.â Although âdetailed factual
allegationsâ are not necessary to withstand a Rule 12(b)(6) motion, Bell Atl. Corp. v. Twombly,
550 U.S. 544, 555 (2007), âa complaint must contain sufficient factual matter, accepted as true,
to state a claim to relief that is plausible on its face.â Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009)
(quotation marks and citation omitted).
In evaluating a 12(b)(6) motion, a court must treat âwell-pleaded factual allegations as
trueâ and draw âall reasonable inferencesâ in the plaintiffâs favor. Animal Legal Def. Fund, Inc.
v. Vilsack, 111 F.4th 1219, 1223 (D.C. Cir. 2024) (citation omitted); see also Iqbal, 556 U.S. at
678. But the court need not accept as true âa legal conclusion couched as a factual allegation,â
nor an inference unsupported by the facts set forth in the complaint. Trudeau v. FTC, 456 F.3d
178, 193 (D.C. Cir. 2006) (quoting Papasan v. Allain, 478 U.S. 265, 286 (1986)).
Finally, where a defendantâs 12(b)(6) motion raises a statute of limitations as a basis for
dismissal, the case âcannot be dismissed [on that ground] unless it appears beyond doubt that the
plaintiff can prove no state of facts in support of his claim that would entitle him to relief.â
Jones v. Rogers Memâl Hosp., 442 F.2d 773, 775 (D.C. Cir. 1971). That is a high bar,
particularly given that âstatute of limitations issues often depend on contested questions of fact.â
Firestone v. Firestone, 76 F.3d 1205, 1209 (D.C. Cir. 1996). A complaint may be dismissed
under Rule 12(b)(6) as âconclusively time-barredâ only if âa trial court determines that the
allegation of other facts consistent with the challenged pleading could not possibly cure the
deficiency.â Momenian v. Davidson, 878 F.3d 381, 387 (D.C. Cir. 2017) (quotation marks and
citation omitted).
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III. Analysis
As a preliminary matter, Indiana and D.C. laws loom large in the briefing. Under Erie
Railroad Co. v. Tompkins, 304 U.S. 64 (1938), and its progeny, a federal court sitting in
diversity jurisdiction âmust apply state law to the substantive issues before it,â including statutes
of limitations. A.I. Trade Fin., Inc. v. Petra Intâl Banking Corp., 62 F.3d 1454, 1458 (D.C. Cir.
1995) (citing Erie and Guar. Tr. Co. of N.Y. v. York, 326 U.S. 99 (1945)). To determine which
stateâs law applies, it must look to the choice-of-law rules of the state in which it sits â here, the
Districtâs. Petra, 62 F.3d at 1458; see also id. (confirming that same principles apply even
though District is not a state).
Plaintiff argues that Indiana law governs the entire suit based on the terms of his
insurance policy, see Am. Compl., ¶¶ 27â28, which was âissued and delivered in the State of
Indiana and is governed by the laws of Indiana.â Policy at ECF p. 27. He nonetheless relies on
caselaw from both jurisdictions to argue that his claims should not be dismissed as time-barred.
See Opp. at 5â9. On the other side, Protective often alternates between Indiana and D.C.
authorities without providing arguments for when or why a particular jurisdictionâs law should
apply. See, e.g., Protective MTD at 5â7. IHA and SCI, meanwhile, contend that D.C. law
governs Plaintiffâs negligence claim and the corresponding statute of limitations under Erie and
the applicable D.C. choice-of-law rules. See IHA/SCI MTD at 4, 7â8.
To deal with this fine kettle of fish, the Court addresses choice-of-law issues only as
needed. It first considers whether Plaintiffâs claims are time-barred âbeyond doubt.â Jones, 442
F.2d at 775. Finding that they are not, it moves to the merits.
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A. Timeliness
According to Defendants, the limitations period for Plaintiffâs claims is three years,
whether under the insurance policy or D.C. law, rendering his suit too late. See Protective MTD
at 4â5, 7â8; IHA/SCI MTD at 4â5; see also Policy at ECF p. 24 (âNo lawsuit [to recover on this
policy] may be brought after three (3) years from the time written Proof of Loss is required to be
given by this policy.â) (formatting altered). McCall nowhere disputes that number, instead
arguing that he did not miss the deadline because his claims accrued later than Defendants
suppose and, in any event, equitable principles justify an exception from strict application of the
limitations period. See Am. Compl., ¶¶ 29â34; Opp. at 5â10. The Court looks separately at the
claims brought against Protective and IHA/SCI because it finds different bases to allow certain
counts to proceed.
1. Claims Against Protective
As it is unclear whether Plaintiff is making two separate arguments related to claim
accrual against Protective, compare Opp. at 4â5 (possibly relating to accrual under insurance
contract), with id. at 9â10 (relating to accrual under D.C. law), the Court begins and ends with
his argument for equitable estoppel, which would apply regardless. On that front, a conflict-of-
laws analysis is âunnecessaryâ because no relevant conflict exists between Indiana and D.C.
laws, as shown below. Young Womenâs Christian Assân of the Natâl Cap. Area, Inc. v. Allstate
Ins. Co. of Canada, 275 F.3d 1145, 1150 (D.C. Cir. 2002).
Plaintiff principally contends that â[a]ny statute of limitations or contractual suit-
limitation is tolled by Progressiveâs [sic] active and intentional fraudulent concealment of the
existence and availability of coverage,â Am. Compl., ¶ 29, and that it should be âequitably
8
estoppedâ from asserting a timeliness defense. Id., ¶ 33. He later frames substantially the same
argument in terms of âwaiver,â âprevention,â and âlulling,â too. See Opp. at 3, 5â6, 8.
Equitable estoppel is a âflexible doctrineâ that âprevents one party from misleading
another to the other partyâs detriment or to the misleading partyâs own benefit.â 28 Am. Jur. 2d
Estoppel and Waiver § 1 (2026). Under both Indiana and D.C. laws, the party seeking estoppel
must show that he lacked knowledge or the means to acquire knowledge of the relevant facts;
that he relied on the conduct of the party being estopped; and that he acted accordingly in a way
that changed his position for the worse. Story Bed & Breakfast, LLP v. Brown Cnty. Area Plan
Commân, 819 N.E.2d 55, 67 (Ind. 2004); see Cassidy v. Owen, 533 A.2d 253, 255 (D.C. 1987)
(additionally requiring that estopped party make false representation or conceal material fact
with actual or constructive knowledge of truth and with intention that other party rely on
misrepresentation). Generally, estoppel is appropriate in the statute-of-limitations context only
where the defendant has acted affirmatively to delay the plaintiff from filing suit. See Kenworth
of Indianapolis, Inc. v. Seventy-Seven Ltd., 134 N.E.3d 370, 383 (Ind. 2019) (stating that partyâs
conduct âmust be of a sufficient affirmative character to prevent inquiry or to elude investigation
or to mislead and hinderâ) (citation omitted); Onyeneho v. Allstate Ins. Co., 80 A.3d 641, 647
(D.C. 2013) (âEquitable estoppel, sometimes called fraudulent concealment, only comes into
play if the defendant takes active steps to prevent the plaintiff from suing in time . . . .â) (cleaned
up).
Here, Plaintiff has presented facts sufficient to warrant equitable estoppel, whether the
relevant limitations period is established by the contract (and thus governed by Indiana law) or
set by D.C. law. Consistent with the elements of equitable estoppel in both jurisdictions, he has
alleged that (1) Protective, through its agent, affirmatively misrepresented his insurance coverage
9
by telling him that his only option was Medicare, see Am. Compl., ¶¶ 4, 31; (2) Protective
intended that he rely on that misrepresentation, id., ¶¶ 29, 68; (3) it knew or should have known
that McCallâs insurance covered his injuries, id., ¶ 67; (4) Plaintiff relied on this
misrepresentation, id., ¶ 69; and (5) he therefore delayed pursuing his claim and filing suit, to his
detriment. Id., ¶¶ 70, 72. Critically, McCall also alleges that (6) he lacked knowledge of the
truth or the means to acquire it because he did not have access to his insurance policy and
Defendants refused to provide it upon request. Id., ¶¶ 69, 101, 104, 128; Opp. at 15, 19, 22, 23.
To be sure, Plaintiffâs case for equitable estoppel is close. Several points of fact and law
appear to weigh against his claim, but they are ultimately not enough to justify dismissal.
First, according to the D.C. Court of Appeals, the âgeneral ruleâ in the insurance context
is that a company âis not estopped to assert [a contractual] limitations period as a bar to a claim[]
unless the company has conceded liability and some discussion of a settlement offer has
occurred,â Bailey v. Greenberg, 516 A.2d 934, 938â39 (D.C. 1986) (emphasis added), which
Plaintiff does not allege occurred during his initial phone call with Protective. But that âgeneral
ruleâ rests on caselaw from other jurisdictions, id., and was not part of the holding in Bailey,
since the company in that case allegedly told the claimant that her claim would be paid. Id. at
940. Baileyâs dicta is insufficient evidence that that the D.C. Court of Appeals â much less the
Indiana Supreme Court â would apply such a rule in a case where, as here, a plaintiff has
otherwise pled facts sufficient to support equitable estoppel and was not issued a formal claim
denial when the misrepresentation allegedly occurred. See Am. Compl., ¶¶ 82, 91.
Second, as Protective notes, see Protective MTD at 6â7, âan insured cannot estop the
insurer from asserting a policyâs limitations periodâ when âthe inducement by the insurance
company not to file suit ended well before the limitations period expired.â 1426 Wisconsin
10
L.L.C. v. Travelers Indem. Co. of Am., 110 F. Supp. 3d 259, 263 (D.D.C. 2015) (quoting Bailey,
516 A.2d at 939). Judge John Bates of our district in 1426 Wisconsin deemed one year âample
timeâ to file suit in such a scenario â approximately the amount of time that passed between
when McCall learned he had coverage and the 2024 deadlines that Protective invokes. Id. at
263â64; see Protective MTD at 6â7. Yet Judge Bates did so at the summary-judgment stage,
1426 Wisconsin, 110 F. Supp. 3d at 261, based in part on facts about subsequent dealings
between the parties. Id. at 270. Here, the details of what transpired after Plaintiff learned of his
coverage are fuzzy. See supra Section I.A. Dismissing the suit now because Plaintiff might
have had âample timeâ to file would therefore be premature, particularly in light of the rule that a
complaint may be dismissed as âconclusively time-barredâ only if no other facts consistent with
the challenged pleading could âpossibly cureâ the deficiency. Momenian, 878 F.3d at 387
(citation omitted).
Third, Protectiveâs appeal to the âfailure to discover damagesâ rule is inapt: the Indiana
cases it cites deal with discovery of property damage that itself would have been compensable
under the insurance contract if found sooner. See Protective MTD at 5â6 (citing United Techs.
Auto. Sys., Inc. v. Affiliated FM Ins. Co., 725 N.E.2d 871 (Ind. Ct. App. 2000), and New Welton
Homes v. Eckman, 830 N.E.2d 32 (Ind. 2005)). In those cases, the plaintiffs discovered physical
damage to their property after the relevant contractual limitations period had expired, including
environmental contamination and structural flaws in a homeâs drainage system, respectively.
United Techs., 725 N.E.2d at 873; New Welton Homes, 830 N.E.2d at 33â34. By contrast, this
case involves Plaintiffâs discovery of the fact of coverage after Protectiveâs alleged
âmisdirection.â Opp. at 7. So the Indiana rule that failure to discover damages does not justify
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tolling an insurance contractâs limitations period â to the extent it applies at all here â is not
necessarily dispositive.
While equitable estoppel is an âextraordinary remedy,â 28 Am. Jur. 2d, supra, § 3,
Plaintiffâs estoppel argument does not lie outside the realm of plausibility. Given the fact-
intensive nature of the inquiry and the high threshold for deeming a claim conclusively time-
barred at this stage, dismissal of the claims against Protective on timeliness grounds is not
appropriate. Cf. Suarez v. Compass Coffee LLC, 2025 WL 3062798, at *11â12 (D.D.C. Nov. 3,
2025) (citation omitted) (citing âmany contested questions of factâ in declining to dismiss claim
based on statute of limitations where parties disputed issues related to accrual and equitable
estoppel).
2. Claims Against IHA and SCI
Plaintiff similarly argues that his claims against IHA and SCI should not be dismissed as
time-barred because (1) they plausibly accrued when he learned of his coverage from a coworker
around December 2023, making them timely, and (2) even if they were prima facie untimely,
equitable tolling and estoppel are appropriate. See Opp. at 17â18; see also East v. Graphic Arts
Indus. Joint Pension Tr., 718 A.2d 153, 160 n.21 (D.C. 1998) (distinguishing between related
doctrines known as âthe discovery rule, equitable estoppel, and equitable tollingâ). Because the
Court agrees with McCall on the first point, it need not address the second. In addition, no
relevant conflict of laws exists with respect to accrual, as the cases below show, so the Court
need not conduct a full conflicts analysis. See Young Womenâs Christian Assân, 275 F.3d at
1150.
A cause of action generally accrues â and the applicable limitations period begins to run
â when the injury occurs. Radbod v. Moghim, 269 A.3d 1035, 1044 (D.C. 2022); see also Keep
12
v. Noble Cnty. Depât of Pub. Welfare, 696 N.E.2d 422, 425 (Ind. Ct. App. 1998) (âGenerally, a
cause of action accrues when a wrongfully inflicted injury causes damage.â). Under the
âdiscovery rule,â however, a cause of action can accrue later if certain information was
âobscureâ when the injury happened; in that scenario, the cause of action accrues when âone
must know or by the exercise of reasonable diligence should knowâ of the injury, âits cause in
fact,â and âsome evidence of wrongdoing.â Morton v. Natâl Med. Enters., Inc., 725 A.2d 462,
468 (D.C. 1999) (citation and emphasis omitted); see also Pflanz v. Foster, 888 N.E.2d 756, 759
(Ind. 2008) (âUnder Indianaâs discovery rule, a cause of action accrues, and the statute of
limitations begins to run, when a claimant knows or in exercise of ordinary diligence should have
known of the injury.â); cf. supra Section II.A.1 (distinguishing Indiana caselaw cabining
discovery rule).
What counts as sufficient diligence is a âhighly factual analysisâ that requires
consideration of âall relevant circumstances,â including the defendantâs conduct, âthe
reasonableness of the plaintiffâs reliance,â and the plaintiffâs âconfidenceâ in the defendant.
Radbod, 269 A.3d at 1044 (citation omitted); see also Wehling v. Citizens Natâl Bank, 586
N.E.2d 840, 843 (Ind. 1992) (describing discovery ruleâs applicability as âa question of fact for
the factfinder to answerâ). Sometimes, the ârelevant facts may be such that it may be reasonable
to conduct no investigation at all.â Radbod, 269 A.3d at 1045 (citation omitted).
Here, IHA and SCI insist that Plaintiffâs negligence claim accrued more than three years
before he filed this suit, making it untimely under the Districtâs default three-year statute of
limitations. See IHA/SCI MTD at 5; D.C. Code § 12-301. Specifically, they argue that Plaintiff
should have known the relevant information on December 3, 2021, when the Protective
representative told him that Medicare was his only option and McCall therefore learned that
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âthere was no claim being adjusted.â IHA/SCI MTD at 5. Plaintiff counters that he âdid not
discover the existenceâ of his coverage until about two years later, see Opp. at 17, and maintains
that he âacted reasonably and with due diligence in relying on Defendantsâ misrepresentations
and omissions[,] and in later discovering coverage.â Am. Compl., ¶ 30.
While McCall does not allege many facts demonstrating diligent investigation, he does
not need to do so at this stage. The facts that he does allege suggest that it might have been
reasonable for him not to investigate the alleged omissions for some time because he believed â
based on Protectiveâs statements â that he had no valid claim for IHA and SCI to act (or sit) on.
Rather than bolstering IHA and SCIâs accrual argument, the phone call with Protective on
December 3, 2021, undercuts it.
Of course, additional facts could show that Plaintiff knew or should have known that IHA
and SCI owed him continuing duties or that his reliance on Protectiveâs statements was
unreasonable. Such a showing might be enough to prove that his negligence claims accrued on
December 3, 2021, as IHA and SCI contend. But none of those conclusions flows inexorably
from the facts that McCall alleges, and the Court cannot dismiss a claim as time-barred unless âit
appears beyond doubt that the plaintiff can prove no state of facts in support of his claim that
would entitle him to relief.â Jones, 442 F.2d at 775; see also E.M. v. Shady Grove Reprod. Sci.
Ctr., P.C., 2025 WL 947515, at *6 (D.D.C. Mar. 28, 2025), opinion clarified, 2025 WL 1707695
(D.D.C. June 18, 2025) (not dismissing count as time-barred where there was âfactual dispute
regarding when the tort accruedâ). Here, that demanding standard for dismissal is not met:
Plaintiff plausibly alleges an accrual date that would render his negligence claims timely, and so
the Court will not dismiss that count as conclusively time-barred.
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B. Merits
The Court now turns to the merits. It preliminarily notes that Protective does not argue
that Plaintiffâs breach-of-contract claim (Count I) should be dismissed on grounds other than
timeliness, compare Protective MTD at 4â8, with id. at 8â11, so the Court will allow it to
proceed without further analysis. As for the other counts, Defendants maintain that McCall has
failed to state a claim for each under D.C. law. See Protective MTD at 8â11; IHA/SCI MTD at
6â10. He responds that his claims all arise under Indiana law, see Am. Compl., ¶ 28, while
maintaining that he has stated claims under D.C. and Indiana law alike. See, e.g., Opp. 13â15,
18â19. The Court must thus analyze choice-of-law issues claim by claim. See Lopez v. Council
on Am.-Islamic Rels. Action Network, Inc., 741 F. Supp. 2d 222, 235 (D.D.C. 2010) (âUnder
District of Columbia conflict of laws principles, the Court must conduct the choice of law
analysis for each claim being adjudicated.â).
1. Count II: Insurer Bad Faith Against Protective
To make out his claim of âinsurer bad faithâ â which he styles as a tort â Plaintiff
alleges that Protective owed him a âduty of good faith in claim handlingâ and that it knowingly
breached that duty by (1) concealing coverage, (2) misdirecting him to Medicare, (3) failing to
initiate a claim and conduct a reasonable investigation, (4) irrationally delaying payment without
issuing a written denial identifying an exclusion, (5) acting with âdishonest purpose and
conscious wrongdoing,â and (6) â[p]rioritizing its financial interests over Plaintiffâs rights.â Am.
Compl., ¶¶ 115â16. He states that Protectiveâs conduct was âwillful, malicious, and in reckless
disregard of [his] rights,â id., ¶ 117, and accordingly seeks punitive damages. Id., ¶ 119.
15
a. Choice of Law
Unfortunately for the reader, there is a genuine conflict between D.C. and Indiana laws
on insurer bad faith. In Choharis v. State Farm Fire & Cas. Co., 961 A.2d 1080 (D.C. 2008), the
D.C. Court of Appeals declined to recognize a tort of insurer bad faith because every contract
contains an implied covenant of good faith under D.C. law, meaning that damages for insurer
bad faith can generally be recovered as part of an action for breach of contract. Id. at 1087â88.
By contrast, in Erie Insurance Co. v. Hickman ex rel. Smith, 622 N.E.2d 515 (Ind. 1993), the
Indiana Supreme Court reaffirmed âthe existence of a duty that an insurer deal in good faith with
its insuredâ and recognized âa cause of action in tort for the breach of that duty.â Id. at 517. The
Court must therefore undertake a choice-of-law analysis.
Not surprisingly, the parties offer opposing positions. Protective assumes without
argument that D.C. law governs Plaintiffâs bad-faith claim and relies on D.C. precedent to argue
that this count is a contract claim masquerading as a tort. See ECF No. 21 (Protective Reply) at
2 (âPlaintiff allege[s] breach of contract claims disguised as a tort.â) Plaintiff meanwhile insists
that Indiana law governs all his claims, even as he contends that they are entirely independent
from the contract. See, e.g., Opp at 13â15, 22. The threshold question, then, is not just whose
choice-of-law rules apply, but what kind of choice-of-law rules apply â those applicable to
contract claims, see, e.g., Restatement (Second) of Conflict of Laws § 187 (Am. L. Inst. 1971),
or those associated with tort claims. See, e.g., id., § 145.
The âwhose rulesâ question is easy. âA federal court sitting in diversity must apply the
choice-of-law rules of the forum state â here, the District of Columbia.â In re APA Assessment
Fee Litig., 766 F.3d 39, 51 (D.C. Cir. 2014). The âwhat rulesâ question is harder. Because the
D.C. Court of Appeals has not squarely addressed whether a bad-faith claim pleaded as a tort
16
independent from any contract is subject to tort- or contract-related choice-of-law rules, this
Court must âpredictâ how that court would rule. Edge Inv., LLC v. Dist. of Columbia, 927 F.3d
549, 559 n.10 (D.C. Cir. 2019) (quoting Rolick v. Collins Pine Co., 925 F.2d 661, 664 (3d Cir.
1991)).
In this Courtâs view, the D.C. Court of Appeals would likely treat Plaintiffâs bad-faith
claim as a tort claim for choice-of-law purposes (consistent with the pleadings) and apply its
general governmental-interests analysis rather than a choice-of-law test tailored to contract
claims. Although the D.C. Court of Appeals did not grapple with this issue in Choharis, its
treatment of the bad-faith claim there is instructive. After determining that insurer bad faith was
generally compensable under contract principles and thus not cognizable as an independent tort,
see 961 A.2d at 1087, the court did not take it upon itself to reconstrue the plaintiffâs claim as a
permissible breach-of-contract claim; instead, it affirmed the lower courtâs dismissal of the bad-
faith claim. See id. at 1083 (affirming on all issues); id. at 1086 (noting that trial court dismissed
bad-faith claim as matter of law); id. at 1088 (âThe trial court here correctly dismissed the count
based on a distinct tort of bad faith.â). If the court took the plaintiffâs tort framing at face value
in Choharis when considering whether to dismiss his bad-faith claim, it would likely follow the
same straightforward approach when deciding what choice-of-law rules to apply here.
To be sure, some courts have taken a different tack, most notably in Maryland. The
Choharis court cast Maryland law as persuasive authority on insurer bad faith, see id. at 1088
(quoting Fourth Circuitâs gloss on Maryland law), and federal courts in Maryland have applied
contract-related choice-of-law principles to insurer-bad-faith claims on at least two occasions.
See Cecilia Schwaber Trust Two v. Hartford Accident & Indemnity Co., 437 F. Supp. 2d 485,
488â89 (D. Md. 2006) (applying lex loci contractus rule to insurer-bad-faith claim where no
17
such tort existed); see also E. Stainless Corp. v. Am. Prot. Ins. Co., 829 F. Supp. 797, 798â99,
801 (D. Md. 1993) (taking similar approach before state high court had ruled on whether bad-
faith tort existed). That said, the federal district court in Cecilia Schwaber did not confront a
situation where, as here, applying the law selected in the contract would contravene the forum
stateâs âconsidered choiceâ to bar tort claims of insurer bad faith. See 437 F. Supp. 2d at 489.
On the contrary, one reason that the court treated the bad-faith claim as contractual for choice-of-
law purposes was that doing otherwise would allow the claim to proceed, which would ârun[ ]
counter to Maryland public policy.â Id. While that logic might seem objectionably results
oriented, it at least suggests that the Maryland cases are distinguishable and do not defeat this
Courtâs prediction that the D.C. Court of Appeals here would not apply choice-of-law rules made
for contract claims.
The Court will accordingly apply the Districtâs general method for analyzing choice-of-
law questions in tort cases, known as âmodified governmental interests analysis.â Washkoviak
v. Student Loan Mktg. Assân, 900 A.2d 168, 180 (D.C. 2006) (quotation marks and citation
omitted); cf. Vaughan v. Nationwide Mut. Ins. Co., 702 A.2d 198, 202â03 (D.C. 1997) (treating
interests-based analysis as âgeneralâ approach also relevant to contract claims in insurance
context). To âidentify the jurisdiction with the most significant relationship to the dispute,â D.C.
courts âevaluate the governmental policies underlying the applicable laws and determine which
jurisdictionâs policy would be more advanced by the application of its law to the facts of the case
under review.â Washkoviak, 900 A.2d at 180 (quotation marks and citation omitted); see also In
re APA Assessment Fee Litig., 766 F.3d at 51 (employing Washkoviak âas our guideâ).
As relevant here, the rule announced in Choharis rests on the D.C. courtâs determination
that contract principles should chiefly govern insurer-insured relationships and that any further
18
regulation of those relationships is âmost appropriatelyâ left to the legislature. See 961 A.2d at
1087; see also Firemanâs Fund Ins. Co. v. CTIA, 480 F. Supp. 2d 7, 10 (D.D.C. 2007) (noting
that D.C. Code lacks general cause of action for insurer bad faith). The Indiana Supreme Courtâs
different conclusion in Hickman hinges primarily on the âspecial relationshipâ between insurer
and insured, the harm that results from insurer bad faith, and the notion that âit is in societyâs
interest that there be fair play between insurer and insured.â 622 N.E.2d at 518â19.
Neither set of policies clearly trumps the other. The District has a strong interest in
holding insurers doing business there accountable to their contract terms â and those terms
alone â absent a truly independent basis for tort recovery or a decision by the legislature to
regulate the insurance industry differently. Cf. In re APA Assessment Fee Litig., 766 F.3d at 53
(noting, based on D.C. law, that rules of ânon-liabilityâ are owed âthe same consideration in the
choice-of-law processâ as rules that impose liability). At the same time, Indiana has a strong
interest in ensuring that its corporate citizens and other companies executing contracts in the
state deal fairly with consumers. The Court thus âcannot sayâ whether the policies underlying
either jurisdictionâs rule would be âmore advanced than the policies of the other by the
application of its lawâ to this case. Washkoviak, 900 A.2d at 180.
Where no governmentâs interest prevails, D.C. courts also consider (1) âthe place where
the injury occurredâ; (2) âthe place where the conduct causing the injury occurredâ; (3) âthe
domicile, residence, nationality, place of incorporation and place of business of the partiesâ; and
(4) âthe place where the relationship is centered.â Id. at 180â81 (citation omitted); see also
Restatement (Second) of Conflict of Laws § 145 (enumerating same factors). Again, those
factors do not point decisively in either direction. Although Plaintiff alleges that Defendants
âcaused tortious injury in the District of Columbia,â including âbad-faith claim delay,â he says
19
that the company did so âby acts and omissions outside the District.â Am. Compl., ¶ 16
(emphasis added). And while McCall is domiciled in the District, see id., ¶ 35, Protective is
incorporated and has its principal place of business in Indiana. See Removal Notice, ¶ 6.
Finally, the partiesâ relationship is not squarely centered in one jurisdiction or the other: the
insurance policy was âdeliveredâ in Indiana, see Policy at ECF pp. 2, 27, but Plaintiff alleges that
Defendants âtransacted business in the District of Columbia by administering, adjusting,
supervising, and communicating regarding Plaintiffâs insurance claim while Plaintiff resided in
the District.â Am. Compl., ¶ 15. In addition, the âinsured riskâ likely lay in Virginia, given that
McCall lived and worked there before he moved to the District. Vaughan, 702 A.2d at 202
(citation omitted); Am. Compl., ¶¶ 12, 52.
So must we flip a coin? Fortunately, there is a rule for this situation. Where the Court
âcannot determine from the pleadings which jurisdiction has a greater interest in the
controversyâ â particularly given that neither Plaintiff nor Protective has briefed the choice-of-
law issues fully â it âmust apply the law of the forum state, which in this case is the District of
Columbia.â Malvitz v. Fincantieri Marine Grp., LLC, 2025 WL 1663077, at *6 (D.D.C. June 12,
2025) (quoting Washkoviak, 900 A.2d at 182); see also Wu v. Stomber, 750 F.3d 944, 949 (D.C.
Cir. 2014) (âD.C. choice-of-law rules require, in a case where the factors do not point to a clear
answer, that we apply D.C. tort law, the law of the forum state.â). D.C. law it is.
b. Application of D.C. Law
As stated above, the choice of D.C. law sinks McCallâs bad-faith count because such a
tort does not exist here. Choharis, 961 A.2d at 1087â88. He tries to distinguish this case from
Choharis by framing the Protective agentâs statements as misrepresentations that
âextinguishe[d]â the claim âbefore the contractual processâ began, as distinct from
20
misrepresentations made during interactions contemplated by the contract. See Opp. at 13.
While it is true that Choharis involved âa dispute over how to perform a contractual obligation,â
id. (emphasis added) â including, for example, the insurerâs duty to provide the plaintiff with
short-term housing while his home was uninhabitable, see 961 A.2d at 1084 â its holding is not
so narrow. See id. at 1088 (â[W]e reject the broad claim of bad faith as a viable tort.â). In
refusing to recognize a tort of bad faith, the court reasoned that âbad faith conduct can be
compensated within [contract] principlesâ and that âno compelling basisâ existed for
âintertwiningâ contract disputes with âconsiderations peculiar to tort.â Id. at 1087.
The same logic applies here. Plaintiff alleges in his Amended Complaint that the
Protective agent who directed him to Medicare âeffectively deni[ed] the existence of applicable
private coverage,â Am. Compl., ¶ 4 â in other words, Protective initially refused to process a
claim that it was contractually obligated to pay. That allegation is well within the ambit of the
contractual relationship and contract law.
Further, the fact that Protectiveâs alleged bad faith might have caused McCall harm
beyond nonpayment of benefits does not change the outcome. In Choharis, the plaintiff sought
additional damages resulting from insurer misrepresentations and delay, including the costs of
living in a hotel and punitive damages. See 961 A.2d at 1089â90. He did so under the headings
of fraud, negligent misrepresentation, and breach of contract, but the courtâs reasoning is equally
applicable to bad-faith claims like McCallâs. In ruling against the plaintiff, the court explained
that his hotel costs âwould fall within the realm of recoverable contract damagesâ and that
punitive damages were not available because the relevant actions âcannot be characterized as
ones that merge with and assume the character of a willful tort.â Id. at 1090 (cleaned up).
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While the harms McCall alleges here are significant â âeconomic loss, delayed medical
treatment, aggravation of physical injury, and emotional distress,â Am. Compl., ¶ 18 â they are
âdirectly related toâ Protectiveâs contractual obligation to pay valid claims and are therefore
âpotentially compensable under contract principles.â Choharis, 961 A.2d at 1090. Plaintiff
likewise cannot recover punitive damages because bad faith alone does not âmerge with and
assume the character of a willful tort,â as the Choharis court made abundantly clear. Id.; see id.
at 1087â88; see also Sere v. Grp. Hospitalization, Inc., 443 A.2d 33, 37 (D.C. 1982) (stating that
âpunitive damages will not lieâ for mere breach of contract âeven if it is proved that the breach
was willful, wanton, or maliciousâ).
To the extent Plaintiff wishes to amend his breach-of-contract count to account for
damages beyond âbenefits owed,â Am. Compl., ¶ 111, he must file a written motion and attach
âthe proposed pleading as amended.â United States ex rel. Adams v. Dell Computer Corp., 496
F. Supp. 3d 91, 102 (D.D.C. 2020) (quoting Local Civ. Rule 15.1); see also Belizan v. Hershon,
434 F.3d 579, 582 (D.C. Cir. 2006). His âbare request in [his] opposition â without any
indication of the particular grounds on which amendment is sought â does not constitute a
motion within the contemplation of Rule 15(a).â U.S. ex rel. Williams v. Martin-Baker Aircraft
Co., 389 F.3d 1251, 1259 (D.C. Cir. 2004) (citation omitted); see Opp. at 22 (requesting leave to
amend under Rule 15(a)(2) if Court finds pleading deficiency).
2. Count III: Fraudulent Misrepresentation Against Protective
Plaintiff also brings a claim of fraudulent misrepresentation against Protective on the
ground that Defendant, through its agent, âmisrepresented that Plaintiffâs only coverage option
was Medicare.â Am. Compl., ¶ 121; see Sibley v. St. Albans Sch., 134 A.3d 789, 808â09 & n.13
(D.C. 2016) (recognizing âfraudulent misrepresentationâ claim as distinctive type of fraud). He
22
alleges that the âstatement was false,â âcontradicted the Policyâs express provisions,â and âwas
made knowingly or recklessly in the course of claim intake and at a time when [Protective]
possessed superior knowledge of coverage unavailable to Plaintiff.â Am. Compl., ¶¶ 122â23.
He says that he âreasonably relied on the misrepresentationâ and âsuffered damages as a direct
and proximate result.â Id., ¶¶ 124â25.
a. Choice of Law
As with bad faith, the D.C. Court of Appeals in Choharis dismissed several tort claims
sounding in fraud and misrepresentation because they arose from a contractual relationship. See
961 A.2d at 1089. The rules and rationales that it articulated thus apply equally here for
purposes of choice of law.
Plaintiff cites no Indiana authority on the elements of fraudulent misrepresentation,
focusing instead on defending the particularity of his pleading even though that is not
Protectiveâs main line of attack. Assuming, however, that a genuine conflict of laws exists as to
this purported tort, the same choice-of-law analysis as before would govern. Specific to this
count, the two jurisdictions presumably have comparable interests in preventing insurer fraud,
whether for the sake of protecting residents or holding corporate citizens in check, while the
District also maintains its interest in holding insurers accountable to their contracts (and only
their contracts). McCall himself points to no differences in governmental interests or facts that
might alter the four-factor Restatement analysis. For the reasons stated earlier, then, D.C. law
also governs his fraudulent-misrepresentation claim.
b. Application of D.C. Law
Choharis again dooms Plaintiffâs count. His arguments for fraudulent misrepresentation
rest on a subset of the facts underlying his bad-faith claim â specifically, his allegations that
23
Protective knowingly or recklessly concealed and misrepresented his coverage. Compare Am.
Compl., ¶¶ 121â23, with id., ¶¶ 115â16. The Court has already explained why the harms related
to insurer bad faith were directly related to Protectiveâs contractual obligations and are
potentially compensable under the contract. The same is true here: Protectiveâs alleged
concealment and misrepresentation of Plaintiffâs coverage is clearly not âseparable from the
terms of the contractâ since the contract is what defines and creates the coverage itself.
Choharis, 961 A.2d at 1089. And nowhere does McCall allege that Protective committed fraud
âin matters leading to the procurement of the contract.â Id. at 1088 n.11. Unlike the duty not to
assault or slander someone, id. at 1088, the âduty . . . to be accurateâ in assessing whether a
claim is covered âflow[s] basically from the contractual relationship.â Id. at 1089â90. False
assertions about a valid claim, in turn, âdirectly relate[ ] to an obligation arising under the
contract.â Id. at 1090. This count thus does not survive.
3. Count IV: Negligence Against IHA and SCI
Switching Defendants in Count IV, Plaintiff alleges negligence against IHA and SCI on
the theory that they âundertook direct communications and claim intake responsibilities
independent of [Protectiveâs] contractual duty to pay benefits.â Am. Compl., ¶ 132. He asserts
that those undertakings âcreated independent duties of reasonable careâ that IHA and SCI then
breached, causing him âpersonal injury and physical harm.â Id., ¶¶ 132â33.
a. Choice of Law
Yet again, Choharis assists in framing the governmental-interests analysis, even though it
did not itself involve a plain-vanilla negligence claim like McCallâs. See 961 A.2d at 1088â89
(broadly declining to recognize any tort arising from contractual relationship).
24
The reasons that D.C. law governs Plaintiffâs other tort claims apply again here. If it
turns out that McCallâs negligence count fundamentally arises from his contractual relationship
with IHA and SCI, then the governmental interests at stake mirror those already described. If, on
the other hand, the count âexist[s] in its own right,â Choharis, 961 A.2d at 1089, then the
governmental interests balance out, too: both jurisdictions have strong interests in preventing
insurer negligence, whether to protect residents or to regulate companies contracting in the state.
The four-factor Restatement test, however, tips the scales further toward the District than before
since neither IHA nor SCI is incorporated or has a principal place of business in Indiana. See
Removal Notice, ¶ 6 (stating that âSCI is incorporated in and has a principal place of business in
Delawareâ and that âIHA is a non-profit corporation incorporated and with principal place of
business in Tennesseeâ); see also ECF No. 12 (Notice of Members), ¶¶ 1â6 (listing SCIâs
members, none of which is incorporated in or a resident of Indiana). The Court will thus apply
D.C. law to McCallâs negligence claim.
b. Application of D.C. Law
Under Choharis, the key question is whether McCallâs negligence claim arises from his
contractual relationship with IHA and SCI. But the contours of that relationship are blurry at
best. The only contract provided to the Court and cited by the parties is the insurance policy
signed by Protectiveâs â[a]uthorized [r]epresentative.â Policy at ECF pp. 30, 32, 35â37. That
document names IHA as the plan âSponsorâ and SCI (somewhat opaquely) as the âSpecified
Entity,â id. at ECF pp. 1â3; it makes no other mention of them, and no party has taken a position
on whether Protectiveâs insurance policy binds them. Plaintiff, meanwhile, has not even
acknowledged the existence of separate contracts with IHA and SCI. See, e.g., Am. Compl.,
¶¶ 127â28 (stating that IHA and SCI âowed Plaintiff duties independent of [Protectiveâs]
25
contractual obligationsâ arising from âtheir voluntary undertaking of enrollment, premium
collection, policy administration, and notice of loss functions,â as well as their âcontrol over
claim intake,â their âpossession and maintenance of coverage records,â and their âsuperior
access to coverage information unavailable to Plaintiffâ).
The two Defendants nonetheless maintain that their conduct is âgoverned solely by the
contracts entered by Plaintiff with SCI and IHAâ and that those contracts do not require them to
âparticipate, assist, or process an insurance claim.â IHA/SCI MTD at 8. But that only raises
further questions. Where are those contracts? And if they do not dictate claim-handling duties,
what do they require?
Such uncertainty leaves the Court little choice but to allow Plaintiffâs negligence count to
proceed. Assuming that (1) IHA and SCI played key roles in claim administration and oversight,
as Plaintiff alleges, see Am. Compl., ¶¶ 45â49, 101â03, yet (2) they had no contractual claim-
handling obligations, as they acknowledge (to Plaintiffâs benefit under Choharis), see IHA/SCI
MTD at 8, the companies might well owe duties outside the contract. See Hedgepeth v.
Whitman Walker Clinic, 22 A.3d 789, 794 (D.C. 2011) (â[T]he scope of the defendantâs
undertaking determines the scope of its duty . . . .â) (cleaned up). And that might mean the rule
of Choharis does not bar Plaintiffâs negligence claims. See Choharis, 961 A.2d at 1089 (â[A]
cause of action that could be considered a tort independent of contract performance is a viable
claim, even in the insurance context.â). Without more, it is plausible â albeit still unlikely â
that the negligence at issue would âstand as a tort even ifâ the relevant contractual relationships
âdid not exist.â Id.
IHA and SCIâs remaining argument is that McCall has not plausibly alleged causation
because his damages âarise out ofâ Protectiveâs âdenial of his claimâ over the phone on
26
December 3, 2021, ânot the failure to transmit or âadministerâ his claim by SCI and IHA.â
IHA/SCI MTD at 10. Proximate cause, a requirement for negligence, has two components:
ââcause-in-factâ and a âpolicy element[,]â which limits a defendantâs liability when the chain of
events leading to the plaintiffâs injury is unforeseeable or âhighly extraordinaryâ in retrospect.â
Majeska v. District of Columbia, 812 A.2d 948, 950 (D.C. 2002) (citation omitted). Questions of
proximate cause are normally fact laden: they âpass from the realm of fact to one of lawâ only in
âexceptional cases.â Id. (citation omitted).
Plaintiff plausibly alleges causation in maintaining that IHAâs and SCIâs omissions led to
harmful delays in his medical care. True, he says the same about Protectiveâs misrepresentation,
which arguably played a more significant causal role. But it could still be the case that IHAâs
and SCIâs alleged negligence was âof itself . . . sufficient to bring aboutâ the harms, even if it
was not a but-for cause. See Restatement (Second) of Torts § 432(2) (Am. L. Inst. 1965). And
at this stage, the Court is not prepared to infer that Protectiveâs conduct completely neutralized
any negligence by IHA and SCI, particularly in light of Plaintiffâs allegations that IHA and SCI
had continuing oversight and claim-handling duties. See Am. Compl., ¶¶ 17, 101â03. McCallâs
negligence claims can therefore proceed.
4. Count V: Declaratory Relief
Plaintiff last frames his request for declaratory relief as a freestanding count. Id., ¶¶ 134â
36. He asks for a declaration that his insurance policy covers his accident and his resulting
expenses and that âDefendants are obligated to pay benefits.â Id., ¶ 135. He also seeks an
âorder compelling payment of all covered benefits due,â which the Court construes as a request
for enforcement of the contract terms rather than for declaratory relief. Id.
27
a. Choice of Law
Because Plaintiff offers no authorities to guide the Courtâs analysis, see Am. Compl.,
¶¶ 134â36; Opp. at 15, it will assume that whatever law might govern this count is procedural for
vertical choice-of-law purposes and will accordingly apply federal law. See Erie, 304 U.S. at 78;
cf. Medtronic, Inc. v. Mirowski Fam. Ventures, LLC, 571 U.S. 191, 199 (2014) (âWe have long
considered the operation of the [federal] Declaratory Judgment Act to be only procedural.â)
(quotation marks and citation omitted); Coccaro v. Geico Gen. Ins. Co., 648 F. Appâx 876, 880â
81 (11th Cir. 2016) (deeming state law governing declaratory judgments âproceduralâ and thus
construing count as arising under federal Declaratory Judgment Act).
b. Application of Federal Law
Protectiveâs main argument for dismissal is that no actual controversy exists because the
rest of the suit âis time barred and does not state claims upon which relief may be grantedâ â an
argument now rendered obsolete. See Protective MTD at 11; see also Protective Reply at 8; see
generally IHA/SCI MTD (not addressing count at all). The better argument is that declaratory
relief âis not cognizable as a separate cause of action,â Intelsat USA Sales Corp. v. Juch-Tech,
Inc., 935 F. Supp. 2d 101, 120 (D.D.C. 2013), and, in any event, it would âadd nothingâ to this
suit given that the breach-of-contract claim remains in play. Butler v. Enter. Integration Corp.,
459 F. Supp. 3d 78, 108 (D.D.C. 2020) (citation omitted). The Court will therefore dismiss the
count for declaratory relief.
* * *
With the main issues resolved, the Court turns to a handful of miscellaneous requests.
28
First, Protective asks it to strike Plaintiffâs demand for punitive damages, which
accompanies his bad-faith claim. See Protective MTD at 11â12 (invoking Fed. R. Civ. Proc.
12(f)); Am. Compl., ¶ 119. Given that such count does not survive, nor can this demand.
Second, Protective asks the Court to strike âPlaintiffâs attempt to identify Protective as
any other entity other than its correct legal name.â Protective MTD at 11. It contends that
McCall â who frequently refers to the company as âProgressiveâ in his Amended Complaint â
âhas no grounds to assert claims as to âProgressive,â âProgressive Fleet & Specialty Programs,
Inc.,â or âand/or Affiliated Entityâ because these companies do not exist.â Id. at 12. Plaintiff
responds that he encountered such names during the âclaims processâ and that he is entitled to
plead facts accordingly. See Opp. at 16. The Court will deny Protectiveâs request, as the
company has not identified any prejudice it will suffer if the pleadings stay intact, and Plaintiff
already introduces the company in the Amended Complaint as âDefendant Protective Insurance
Company.â Am. Compl., ¶ 36.
Third and last, McCall has filed a Motion for Leave to File a Surreply responding to
Defendantsâ Replies. See generally ECF No. 22 (Mot. for Leave to File Surreply). The standard
for granting leave is âwhether the party making the motion would be unable to contest matters
presented to the court for the first time in the opposing partyâs reply.â Lewis v. Rumsfeld, 154 F.
Supp. 2d 56, 61 (D.D.C. 2001); see also Ben-Kotel v. Howard Univ., 319 F.3d 532, 536 (D.C.
Cir. 2003). McCall argues that Protectiveâs newfound reliance on certain allegations in the
Amended Complaint justifies granting leave. See Mot. for Leave to File Surreply at 2;
Protective Reply at 4â5; Am. Compl., ¶ 84 (stating that âDefendants were on actual and
constructive notice of reasonably foreseeable litigation no later than December 3, 2021,â and that
Plaintiff âsubsequently served preservation demands on [Protective] and SCIâ at an unspecified
29
time). As those rather ambiguous allegations did not factor into the Courtâs analysis in this
Opinion, any need to respond is now moot. Plaintiffâs myriad other arguments focus on how
Defendants have allegedly âmischaracterized [his] positionâ â an objection that âdoes not
involve a new matter.â Lewis, 154 F. Supp. 2d at 61; see Mot. for Leave to File Surreply at 2â5.
He also objects to Defendantsâ elaboration on preexisting legal arguments and their reliance on
additional cases, which similarly does not warrant granting leave. See Mot. for Leave to File
Surreply at 2â4. The Court will therefore deny Plaintiffâs Motion.
IV. Conclusion
For the foregoing reasons, the Court will grant Protectiveâs Motion to Dismiss Counts II
(insurer bad faith), III (fraudulent misrepresentation), and V (declaratory relief), but it will deny
the Motion with respect to Count I (breach of contract). It will also deny IHA and SCIâs Motion
to Dismiss Count IV (negligence). Finally, the Court will deny Protectiveâs two requests to
strike material from Plaintiffâs pleadings and will likewise deny his Motion for Leave to File a
Surreply. An Order so stating will issue this day.
/s/ James E. Boasberg
JAMES E. BOASBERG
Chief Judge
Date: October 2, 2026
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