American Home Assurance Co. v. Cohen

815 F. Supp. 365, 1993 WL 57616
CourtDistrict Court, W.D. Washington
DecidedMarch 3, 1993
DocketC92-923Z
StatusPublished
Cited by12 cases

This text of 815 F. Supp. 365 (American Home Assurance Co. v. Cohen) is published on Counsel Stack Legal Research, covering District Court, W.D. Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Home Assurance Co. v. Cohen, 815 F. Supp. 365, 1993 WL 57616 (W.D. Wash. 1993).

Opinion

ORDER

ZILLY, District Judge.

This matter comes before the Court on plaintiffs motion' for smftmary judgment against the defendants Theresa and Joseph Scott and for default judgment against defendant Dr. David Cohen, docket no. 10, and the defendants Scotts’ cross motion for summary judgment, docket no. 18. The Court heard oral argument on January 29, 1993. The Court has reviewed all of the records and files herein, including the parties’ supplemental briefs regarding the public policy issues, and the Court, being fully advised, hereby DENIES plaintiffs motion for summary judgment against the defendants Scotts and GRANTS in part and DENIES in part defendants Scotts’ cross motion for summary judgment. The Court also strikes plaintiffs motion for default judgment against defendant Cohen, without prejudice. This order relating to coverage will apply to all parties.

BACKGROUND

American Home Assurance Company (hereinafter “American Home”) is an insurance company incorporated in the State of New York. American Home issued to Dr. Cohen, a licensed psychologist in Washington, a policy of psychologist’s professional liability insurance (“Policy”), with a liability limit of $1,000,000, for the period from August 1, 1986 to August 1, 1987. Policy at 1, Exh. B, Boyle’s Deck, docket no. 12.

In January 1992, the Scotts, residents of Washington state, sued Dr. Cohen in King County Superior Court for professional negligence, breach of fiduciary duty, and loss of consortium. They allege that while Theresa Scott was in psychotherapy treatment under the care of Dr. Cohen from about November 1986 to November 1989, Dr. Cohen committed a number of acts that constitute malpractice. The Scotts claim that Dr. Cohen induced Ms. Scott to engage in sexual intercourse with him during these therapy sessions, failed to provide any therapy to Ms. Scott, and failed to seek consultation or supervision from other professionals regarding his conduct toward her. According to the complaint, Dr. Cohen’s sexual intimacies with Ms. Scott continued on a regular basis until December 1991. After that time, the complaint states, Dr. Cohen tried to induce Ms. Scott to return to see him, and threatened to take his life if she revealed what had transpired between them. See Complaint, Scott v. Cohen, et al., No. 92-2-01850-1, (King County Super.Ct. Jan. 24, 1992), Exh. A, Boyle’s Deck, docket no. 12. The Scotts’ Complaint was recently amended, to allege separate claims for each of Dr. Cohen’s alleged errors. See Amended Complaint, Scotts’ SuppkResp. to American Home’s Motion for Summary Judgment, docket no. 25.

American Home is currently defending Dr. Cohen in the state action subject to a reservation of rights. At the same time, American Home has filed the present action in this Court against Dr. Cohen and the Scotts for declaratory relief. American Home seeks a declaratory judgment that the Policy excludes coverage for the alleged sexual misconduct by Dr. Cohen or, in the alternative, that the Policy’s special provision concerning sexual misconduct limits American Home’s liability to $25,000 for all claims arising out of the therapeutic relationship between Dr. Cohen and Ms. Scott, even those alleging nonsexual misconduct. See Plaintiffs Memorandum, docket no. 11.

The Scotts have filed a cross motion for summary judgment arguing that the Policy provides coverage for the injuries alleged in their complaint against Dr. Cohen; that the sexual misconduct provision, which has a $25,000 sublimit, violates public policy; and that the alleged non-sexual misconduct by Dr. Cohen is subject to the Policy limit of $1,000,000. See Scotts’ Memorandum, docket no. 18.

Dr. Cohen has failed to file an answer to American Home’s complaint, and this Court has granted plaintiffs motion for default *368 against defendant Dr. Cohen by minute order dated January 5, 1993, docket no. 26.

DISCUSSION

A. Summary Judgment Standard

Summary judgment is appropriate only if “the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.” Fed.R.Civ.P. 56(c). In accordance with this standard, the question is whether the evidence, together with permissible inferences drawn from that evidence, is sufficient to establish a “genuine issue as to any material fact.” United Steelworkers of America v. Phelps Dodge Corp., 865 F.2d 1539 (9th Cir.1989), cert. denied, 493 U.S. 809, 110 S.Ct. 51, 107 L.Ed.2d 20 (1989).

B. Applicable Law

In a diversity action, a federal court must apply the law of the forum. Erie R. Co. v. Tompkins, 304 U.S. 64, 71-80, 58 S.Ct. 817, 819-823, 82 L.Ed. 1188, 1190-1195 (1938). Under Washington law, the interpretation of an insurance contract is a matter of law. McDonald v. State Farm Fire and Cas. Co., 119 Wash.2d 724, 730, 837 P.2d 1000, 1003 (1992). Summary judgment is proper unless an ambiguity in the contract exists and contradictory evidence is introduced to clarify the ambiguity. Time Oil Co. v. Cigna Property and Cas. Ins. Co., 743 F.Supp. 1400, 1406-7 (W.D.Wash.1990). The public policy issue before the Court is subject to the general rule that “[i]n a diversity case, “where the state’s highest court has not decided an issue, the task of the federal courts is to predict how the state high court would resolve it.’ ” Westlands Water Dist. v. Amoco Chemical Co., 953 F.2d 1109, 1111 (9th Cir.1991) (citations omitted).

C. The Exclusionary Provision under Paragraph (p)

The Policy issued by American Home provides for coverage of $1,000,000. The Policy contains exclusions and a $25,000 liability sublimit under a special provision concerning sexual misconduct. The exclusionary clause and the special provision at issue are set forth in the Policy as follows:

.[...] NOTE ALSO THAT A SMALLER LIMIT OF LIABILITY APPLIES TO JUDGEMENTS OR' SETTLEMENTS WHEN THERE ARE ALLEGATIONS OF SEXUAL MISCONDUCT (SEE THE SPECIAL PROVISION “SEXUAL MISCONDUCT” IN THE POLICY).
This policy does not apply:
******
(p) to any wrongful act committed with knowledge that, it was a wrongful act.
SPECIAL PROVISIONS
1. Sexual Misconduct — The total limit of the Company’s liability hereunder shall not exceed $25,000 in the aggregate for all damages with respect to .

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Cite This Page — Counsel Stack

Bluebook (online)
815 F. Supp. 365, 1993 WL 57616, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-home-assurance-co-v-cohen-wawd-1993.