American Builders Insurance Company v. Keystone Insurers Group, Inc.

CourtDistrict Court, M.D. Pennsylvania
DecidedAugust 4, 2023
Docket4:19-cv-01497-MWB
StatusUnknown

This text of American Builders Insurance Company v. Keystone Insurers Group, Inc. (American Builders Insurance Company v. Keystone Insurers Group, Inc.) is published on Counsel Stack Legal Research, covering District Court, M.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Builders Insurance Company v. Keystone Insurers Group, Inc., (M.D. Pa. 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF PENNSYLVANIA

AMERICAN BUILDERS No. 4:19-CV-01497 INSURANCE COMPANY, (Chief Judge Brann) Plaintiff,

v.

KEYSTONE INSURERS GROUP and EBENSBURG INSURANCE AGENCY,

Defendant.

MEMORANDUM OPINION AUGUST 4, 2023 This case is about three sophisticated commercial parties in the insurance industry that entered into what appears, in hindsight, to be a somewhat unsophisticated business arrangement. That arrangement led to this complex litigation, which generally isn’t a good thing for a business arrangement to lead to. Plaintiff American Builders Insurance Company (“ABIC”) sues Defendant Ebensburg Insurance Company (“Ebensburg”) for its allegedly tortious misrepresentations in an application to ABIC for workers’ compensation insurance coverage on behalf of Ebensburg’s customer, Custom Installations Contracting Services, Inc. (“Custom”). The misrepresentations at issue involve whether Custom was engaged in roofing work and the maximum height of its operations. But before Ebensburg sent its insurance application to ABIC on Custom’s behalf, ABIC ceased writing workers’ compensation insurance for contractors

engaged in roofing work. On Custom’s application, Ebensburg indicated that Custom didn’t engage in roofing work and only operated at fifteen feet above the ground or lower. On that basis, ABIC issued Custom a workers’ compensation

insurance policy. Some time later, a Custom employee fell twenty-five feet from a rooftop while working on a commercial roofing job. The employee filed for workers’ compensation benefits, which ABIC unsuccessfully opposed. ABIC then filed a civil

action against Custom in the United States District Court for the Western District of Pennsylvania, which was ultimately dismissed for lack of jurisdiction. In this action, ABIC brings several tort claims against Ebensburg. Ebensburg

now moves for summary judgment on ABIC’s claims, arguing in part that they’re time-barred. The Court agrees, and for that reason, grants Ebensburg’s motion for summary judgment. I. BACKGROUND A. Underlying Facts

1. The Relationships Between ABIC, Ebensburg, and Keystone ABIC is a Georgia-based insurance company that issues workers compensation insurance in the Commonwealth of Pennsylvania.1 Ebensburg is an independent insurance agency operating in Pennsylvania owned by Carl DeYulis,

and managed in part by Carl’s son, Kurtis “Kurt” DeYulis.2 ABIC and Ebensburg have a relationship with Keystone Insurers Group (“Keystone”), a third insurance company.3

The relationship between ABIC and Keystone is governed by an Agency Agreement, which grants Keystone the authority to sell ABIC’s insurance products.4 Although Keystone has the legal ability to sell insurance products, it does not do so.5 Instead it acts as a franchise association that sits between retail-level insurance

agencies like Ebensburg (“Retail Agencies”) and large insurance carriers like ABIC, connecting the two to facilitate business.6 Through working with Keystone, Retail Agencies could do business with carriers like ABIC on more favorable terms.7

1 Ebensburg Statement of Undisputed Material Facts (“SUMF”), Doc. 105 ¶ 2; ABIC Response to Ebensburg SUMF (“RSUMF”), Doc. 124 ¶ 2. 2 SUMF, Doc. 104 ¶ 1; RSUMF, Doc. 124 ¶ 1. 3 See Dep. of Lea Ann Hawk, Doc. 139 at 52:18-54:2; Dep. of Carl DeYulis, Doc. 105-1 at 52:18-54:2. 4 Agency Agreement, Doc. 109-7. 5 See Dep. of Brian Brusoski, Doc. 138-1 at 17:15-18:13. 6 See Franchise Agreement, Doc. 117-17 at B-4; Keystone Operating Manual, Doc. 109-6 at 4. Keystone essentially operated as a sort of “matchmaker,” connecting ABIC to its network of Retail Agencies.8 Ebensburg is one of the Retail Agencies that is part of

the Keystone association.9 Its relationship with Keystone is governed by a Franchise Agreement.10 Through its affiliation with Keystone, Ebensburg had access to ABIC insurance products through ABIC’s application system: eQuotes.11 eQuotes is “an

electronic format for exchange of underwriting information sent by the agent to the underwriter.”12 Retail Agencies had their own log-in credentials to access eQuotes system and obtain ABIC insurance for their customers.13

2. ABIC’s Changes Its Underwriting Guidelines ABIC could and would change its underwriting guidelines from time to time. In 2011, ABIC revised its prior underwriting guidelines to require that all roofing risks be pre-inspected prior to a release of a quote from the underwriting

department.14 The new guidelines (the “2011 Roofing Underwriting Guidelines”),

8 Brusoski Dep., Doc. 138-1 at 17:22-20:16. 9 See Carl DeYulis Dep., Doc. 105-1 at 42:1-43:10, 52:15-54:19. 10 See Franchise Agreement, Doc. 117-17. 11 See Dep of Tom Maupin, Doc. 138-2 at 59:20-60:6. Tom Maupin was ABIC’s Senior Vice President of Marketing. See id. at 14:16-15:18. In addition, the Court notes that the parties heavily dispute the particulars of the ABIC-Ebensburg relationship, specifically whether Ebensburg was a subagent of Keystone or warranted as such. But those facts are irrelevant to the Court’s analysis in this Memorandum Opinion as it relates only to the statute of limitations on ABIC’s claims rather than their merits. 12 Maupin Dep., Doc. 138-2 at 82:22-83:3; see Brusoski Dep., Doc. 138-1 at 58:10-19. 13 Maupin Dep., Doc. 138-2 at 83:19-84:24. 14 See Oct. 11, 2011 Email from Jean Byers, ABIC Underwriter, to Melanie Carr-Rachau, provided that all roofing risks would “require pre-inspection prior to release of a quote from [ABIC].”15 Later in October 2011, ABIC further amended the 2011

Roofing Underwriting Guidelines to require a “minimum premium requirement of $75,000 and to prohibit residential roofing risks of any kind.”16 On November 3, 2011, ABIC issued a notice that it would not be underwriting “[r]oofing risks” in Pennsylvania.17 It updated its underwriting guidelines to reflect

that it would automatically decline customers who were classified as roofers by the Pennsylvania Compensation Rating Board.18 3. Custom’s Relationship with Ebensburg

In 2011, Bernard Dospoy, Custom’s principal, contacted Carol Myers, an Ebensburg producer, to obtain a general liability insurance policy.19 In 2012, Dospoy returned to Myers to obtain workers’ compensation insurance.20 Because Custom had never sought workers’ compensation insurance before, it obtained a policy

through the Commonwealth’s State Workers’ Insurance Fund (“SWIF”).21

15 Id. 16 Oct. 13, 2011 ABIC Agent Bulletin, Doc. 109-19. 17 Nov. 3, 2011 Email from Lisa Kwon, Doc. 109-21. 18 ABIC Underwriting Grades, Doc. 109-24 at 15. 19 Myers Dep., Doc. 109-25 at 23:25-24:19. Ebensburg’s “producers” would collect information about putative insureds and pass that information on to “raters” like Kurt DeYulis, who would convey the information to insurance companies to obtain quotes. See Kurt DeYulis Dep., Doc. 105-2 at 7:1-12:24. 20 Id. at 28:20-29:4 The SWIF ACORD22 indicated that: (1) Custom engaged in commercial and residential carpentry; (2) Custom didn’t perform any work over fifteen feet above

the ground; (3) approximately 90% of Custom’s work was residential and the remaining 10% was commercial; and (4) Custom used “basic hand tools” for its remodeling projects and to install replacement windows.23 The Pennsylvania

Compensation Rating Board (“PCRB”) required the above information about Custom’s operations to properly issue it “class codes” for the types of work it did.24 4. Custom Applies for Insurance from ABIC In 2015, Custom approached Ebensburg again to inquire about switching to a

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