American Medical International, Inc.,plaintiff-Appellee v. National Union Fire Insurance Company of Pittsburgh,defendant-Appellant

244 F.3d 715, 2001 Daily Journal DAR 3043, 2001 U.S. App. LEXIS 4889, 2001 WL 289950
CourtCourt of Appeals for the Ninth Circuit
DecidedMarch 27, 2001
Docket97-56562
StatusPublished
Cited by10 cases

This text of 244 F.3d 715 (American Medical International, Inc.,plaintiff-Appellee v. National Union Fire Insurance Company of Pittsburgh,defendant-Appellant) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Medical International, Inc.,plaintiff-Appellee v. National Union Fire Insurance Company of Pittsburgh,defendant-Appellant, 244 F.3d 715, 2001 Daily Journal DAR 3043, 2001 U.S. App. LEXIS 4889, 2001 WL 289950 (9th Cir. 2001).

Opinion

*717 BERZON, Circuit Judge:

In this diversity action, defendant-appellant National Union Fire Insurance Company of Pittsburgh (“National Union”) seeks reversal of a $12 million jury verdict for its breach of an insurance policy’s implied covenant of good faith and fair dealing. National Union contends that as a matter of law, the policy did not cover plaintiff-appellee American Medical International’s (“AMI”) underlying claims and therefore, under the California Supreme Court’s decision in Waller v. Truck Insurance Exchange, Inc., 11 Cal.4th 1, 44 Cal.Rptr.2d 370, 900 P.2d 619 (1995), National Union may not be held liable for a breach of the implied covenant. After considering National Union’s coverage defenses, we conclude, in large part on the basis of a case decided by the California Court of Appeal after the district court decision giving rise to this appeal, that the policy did not cover AMI’s asserted claims. We therefore reverse the district court’s judgment and set aside the jury’s award.

I. Background

A Factual Overview

AMI is a Delaware corporation that owns and operates hospitals and medical research facilities. For close to a decade, it and National Union have been locked in this coverage dispute over a $5 million excess directors and officers (“D & O”) insurance policy. That policy supplemented a $10 million primary D & O policy AMI purchased from the Harbor Insurance Company (“Harbor”) and covered losses “arising from any claim ... against a director or officer of the corporation ... by reason of any wrongful act.”

The events that gave rise to this dispute began in 1988 when several prospective purchasers approached AMI’s board of directors with offers to buy the company. In order to manage the numerous bids and decide whether to accept one, AMI’s board formed a special committee to consider a possible sale. The board appointed Harold Williams, a former chairman of the Securities Exchange Commission and á member of AMI’s board, to head the committee.

The committee conducted what amounted to a silent auction and issued guidelines for bids and a deadline for offers from interested buyers. Three separate groups submitted bids. The board ultimately accepted an offer from the First Boston Corporation. Among the losing bidders was a group headed by Lee Pearce, a major investor in AMI and, like Williams, a director. Upon learning that AMI had denied his bid to buy the company, Pearce sold his shares and resigned from the board.

Shortly thereafter, several AMI shareholders filed separate class action lawsuits against Williams, Pearce and the other board members alleging misconduct in their handling of the sale. Pearce then filed a cross-claim against Williams and AMI, accusing Williams of treating his bid with animus and of specifically designing the auction to foil his attempt to buy the company.

Concerned about its potential liability, AMI requested permission from both Harbor and National Union to use the proceeds from its respective primary and excess D & O policies to settle the various suits. Harbor agreed, but only with regal'd to the shareholders’ actions. Citing a provision in the policy which barred coverage for claims brought by “past, present or future directors or officers,”’ it denied any obligation to cover losses stemming from Pearce’s cross-claim.

AMI used the money from Harbor and settled the shareholders’ suits for approximately $8.74 million. It then released Harbor from any further liability. AMI continued, however, to press National Union for permission to use the proceeds from its policy to settle Pearce’s cross-claim. National Union steadfastly refused, noting that AMI had failed to exhaust the full $10 million of coverage from its primary policy and, in any case, that its poli *718 cy, like Harbor’s, did not cover the Pearce action.

Without the benefit of the policy’s proceeds, neither AMI nor Williams was able to resolve their dispute with Pearce and the case went to trial. In the midst of the proceedings, however, National Union stepped in and brokered an unusual settlement between Pearce and Williams. National Union offered to pay Pearce $5 million, on the condition that Pearce release Williams from the suit but continue pressing his claims against AMI. Any amount Pearce won from AMI would then be deducted, dollar for dollar, from National Union’s payment. In other words, for his release of Williams, National Union offered Pearce a $5 million guarantee: if by settlement or verdict, Pearce collected $3 million from AMI, National Union would pay the other $2 million; but if Pearce collected $5 million or more, National Union would pay nothing. The agreement’s lone qualification was that National Union could refuse any settlement agreement that paid Pearce less than $4 million.

AMI vehemently objected to this “Mary Carter” agreement, 1 but Pearce accepted it and released his claims against Williams. AMI contends that Williams’ settlement, which came in the midst of his trial testimony, amounted to a virtual confession of guilt before the jury and was devastating to AMI’s defense. The trial nonetheless continued. While the jury deliberated, AMI settled with Pearce for $16 million, well above National Union’s $5 million guarantee and more than enough to relieve it of any liability to Pearce.

Following the settlement, AMI filed the instant suit against National Union, alleging breach of contract and breach of the implied covenant of good faith and fair dealing. A jury found National Union liable on both counts. Though the jury awarded no damages for the breach of contract, it did award AMI $12 million for National Union’s breach of the implied covenant. When National Union appealed, this court, in an unpublished decision, affirmed the jury’s verdict. The Supreme Court, however, noting the intervening Waller decision, granted certiorari and remanded the case for further consideration. National Union Fire Ins. Co. of Pittsburgh v. American Med. Int'l Inc., 516 U.S. 984, 116 S.Ct. 510, 133 L.Ed.2d 420 (1995). After the district court reinstated its judgment, National Union appealed once again.

B. The Policy Provisions

As this case is now, in light of Waller, essentially a coverage dispute, the terms of the underlying policies are of utmost importance and so we review them briefly here. As noted above, the primary Harbor policy paid for losses, on behalf of the corporation

arising from any claim or claims first made during the policy period against each and every person, jointly or severally, who was or now is or may hereafter be a director or officer of the corporation ...

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Bluebook (online)
244 F.3d 715, 2001 Daily Journal DAR 3043, 2001 U.S. App. LEXIS 4889, 2001 WL 289950, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-medical-international-incplaintiff-appellee-v-national-union-ca9-2001.