Chicago Insurance v. Borsody

165 F. Supp. 2d 592, 2001 U.S. Dist. LEXIS 15317, 2001 WL 1149833
CourtDistrict Court, S.D. New York
DecidedSeptember 27, 2001
Docket00 CIV. 4837(RWS)
StatusPublished
Cited by6 cases

This text of 165 F. Supp. 2d 592 (Chicago Insurance v. Borsody) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Chicago Insurance v. Borsody, 165 F. Supp. 2d 592, 2001 U.S. Dist. LEXIS 15317, 2001 WL 1149833 (S.D.N.Y. 2001).

Opinion

OPINION

SWEET, District Judge.

Defendant Robert P. Borsody (“Borso-dy”) has moved for summary judgment pursuant to Rule 56, Fed.R.Civ.P., to declare that the plaintiff Chicago Insurance Company (“CIC”) has an obligation under a lawyer’s professional liability insurance policy to defend and indemnify him arising out of an action Allstate Insurance Company, et ano. v. Northfield Medical Center, P.C., et al., Docket No. MRL-L-3228-99, pending in the Superior Court of New Jersey, Morris County (the “Allstate Action”) and in connection with a cross-claim against him asserted by defendant Scott Neuner (“Neuner”) in that action. CIC has also moved for summary judgment declaring the absence of any duty to defend and indemnify and for reimbursement of expenses incurred in connection with its defense of the Neuner cross-claim. For the reasons set forth below, the CIC motion is granted, and the Borsody motion is denied.

This coverage dispute between a lawyer and the company which issued a professional liability policy turns on the fraud exception to the policy when a lawyer is alleged to have participated in a fraud *594 under a state regulatory statute and to an interpretation of the requirements of immediate notice under the policy when a cross-claim is made in the same action by a former client, also a defendant.

Prior Proceedings

This action was commenced by CIC on June 29, 2000, seeking a declaration that it had no duty to defend and indemnify Bor-sody as a result of the Allstate Action and that it was entitled to the cost of its defense of the counterclaim asserted by Neuner in that action. On September 11, 2000, Borsody counterclaimed seeking coverage for both the Allstate Action and the Neuner cross-claim.

The instant motions for summary judgment were heard and marked fully submitted on June 13, 2001.

The Facts

The underlying facts relative to this coverage action are not in dispute, and are set forth in the parties’ respective Local Rule 56.1 Statements.

CIC is a corporation organized and existing under the laws of Illinois, with a principal place of business in the State of Illinois, and is authorized to issue insurance policies in the State of New York.

Borsody is an attorney duly licensed to practice law in the State of New York and currently maintains an office for such purpose at 909 Third Avenue, New York, New York. His practice has focused on business and financial issues involving health care law. He has written articles for various publications concerning the legal requirements of the formation of “multidisciplinary” medical practices, and has spoken to health care practitioners and their professional advisors, i.e. physicians, chiropractors, physical therapists, attorneys, accountants, businessmen, etc., at numerous seminars.

CIC issued a lawyer’s professional liability insurance policy to Borsody, No. LWB-3007967-1, effective for the claims-made period from October 1, 1998 to October 1, 2000 (the “Policy”).

In the fall of 1999, CIC proposed revisions of its lawyer’s professional liability insurance policy form to the New York State Department of Insurance. Those revisions were approved by the Department of Insurance on February 29, 2000. CIC adopted those revisions effective February 29, 2000.

In December 1999, Borsody was served with a summons and complaint in the Allstate Action. The 64-page complaint (“the Complaint”) alleged among other things that Borsody is a New York attorney, and that certain of the defendants, including Borsody, colluded to defraud Allstate, the insurance industry and the ratepayers of New Jersey by creating a sham medical corporation and entering into agreements for the purpose of circumventing New Jersey statutes and the Administrative Code regulating the providing of health care in New Jersey. It alleged that Borsody participated in this conspiracy, by speaking at a seminar and by assisting the defendants.

On December 1, 1999, Borsody sent a copy of the Allstate Action complaint to Bertholon-Rowland, the managing general agent of CIC, with a cover letter requesting that CIC defend the Allstate Action claim, stating therein that while the plaintiff Allstate was not a client of his “the action certainly seems to arise out of my legal practice.”

On December 14, 1999, CIC sent a letter to Borsody disclaiming coverage under the Policy on the grounds that the Policy only provides coverage for liability or damages “arising out of any negligent act, error, omission or Personal Injury in the rendering of or failure to render Professional Services” and that the Policy excludes cov *595 erage for acts “arising out of any dishonest, fraudulent, criminal or malicious act, omission or deliberate misrepresentation committed by or at the direction of, or with the knowledge of any Insured.”

Following receipt of CIC’s disclaimer, Borsody retained counsel to represent his interests in the Allstate Action. Borsody’s counsel became aware of the possible existence of two criminal investigations of Bor-sody involving the same or similar issues as alleged in the Allstate complaint.

On or about February 1, 2000, counsel for Borsody filed a motion to dismiss the Allstate action on behalf of Borsody, sought an order dismissing the First, Second and Third Counts due to the misconduct of Allstate’s counsel, or in the alternative, an order staying the Allstate Action or compelling discovery into Allstate’s role in encouraging a parallel and related criminal investigation or in the alternative severing the First, Second and Third Counts of the complaint.

As a result of a pretrial conference, an agreement was reached with Allstate that the portion of Borsody’s motion to stay the proceedings would be withdrawn in exchange for an agreement that discovery would be stayed until such time as Borso-dy’s counsel could consult with the appropriate law enforcement authorities to determine Borsody’s status in any pending criminal investigations. It was eventually confirmed that an investigation was being conducted by the Attorney General of the State of New Jersey and that the United States Attorney’s Office was not conducting an investigation of matters related to the Allstate Action.

On or about March 8, 2000, counsel to Borsody’s office was served with an answer and cross-claim of Neuner in the Allstate Action. Neuner was a former client of Borsody. The cross-claim asserted causes of action against Borsody, including one denominated “legal malpractice” related to issues in the Allstate Action.

On March 29, 2000, the Honorable Charles E. Villanueva denied Borsody’s motion to dismiss and/or stay the Allstate Action in a 12-page opinion (the “Opinion”).

Counsel to Borsody sought to determine whether the filing of an answer to either the main Allstate complaint or the Neuner cross-claim would constitute a waiver of Borsody’s Fifth Amendment privilege and, in the event that Borsody could not file an answer to the complaint and cross-claim due to Fifth Amendment considerations, whether CIC would deny coverage due to Borsody’s failure to cooperate with the carrier.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
165 F. Supp. 2d 592, 2001 U.S. Dist. LEXIS 15317, 2001 WL 1149833, Counsel Stack Legal Research, https://law.counselstack.com/opinion/chicago-insurance-v-borsody-nysd-2001.