Columbia Casualty Company v. Valor Health Network, LLC

CourtDistrict Court, D. Colorado
DecidedJuly 31, 2024
Docket1:23-cv-00998
StatusUnknown

This text of Columbia Casualty Company v. Valor Health Network, LLC (Columbia Casualty Company v. Valor Health Network, LLC) is published on Counsel Stack Legal Research, covering District Court, D. Colorado primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Columbia Casualty Company v. Valor Health Network, LLC, (D. Colo. 2024).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF COLORADO Judge Charlotte N. Sweeney Civil Action No. 23-cv-00998-CNS-STV COLUMBIA CASUALTY COMPANY, Plaintiff, v. VALOR HEALTH NETWORK, LLC; VALOR HEALTH NETWORK MANAGEMENT SERVICES, LLC; HEART LIVING CENTERS OF COLORADO, LLC; HRE COLORADO SPRINGS, LLC, and; DAVID K. REED, Defendants. ORDER This matter is before the Court on Plaintiff Columbia Casualty Company’s Motion for Default Judgment against Defendants Valor Health Network, LLC; Valor Health Network Management Service, LLC; Heart Living Centers of Colorado, LLC; HRE Colorado Springs, LLC; and David K. Reed. ECF No. 44. For following reasons, the Court GRANTS the motion in part. I. BACKGROUND1 Plaintiff brings claims for breach of contract, account stated, and unjust enrichment against Valor Health Network (VHN). Plaintiff also brings a claim for negligent misrepresentation against Defendant Reed. See ECF No. 1. Plaintiff, Columbia Casualty Company, is an insurance carrier that provides professional liability insurance. Id., ¶ 1. Defendants are members of or different iterations of the same company, which owned and managed healthcare facilities.2 Id., ¶ 12. Plaintiff issued two policies of professional liability insurance to Valor Health Network. ECF No. 44-12, 44-14. The policies outlined VHN’s varying deductible

obligations to Plaintiff for different liabilities, ranging from $25,000 to $100,000 per claim. See id. During the period of coverage, Defendants filed six claims with Plaintiff. ECF No. 1, ¶¶ 19, 29, 38, 47, 56, 65. In response to each claim, Plaintiff met its contractual obligations by providing insurance coverage for the liabilities set forth in the agreements. Id., ¶¶ 20, 30, 39, 48, 57, 66. Plaintiff provided VHN with approximately seventy weeks to remit payment of their deductible obligations. ECF No. 1, ¶¶ 23, 33, 42, 51, 60, 69. VHN failed to remit payment on any of the claims within that time frame. Id., ¶¶ 24, 37, 46, 55, 64, 73.

1 The background facts in this Order are drawn from Plaintiff’s Complaint, ECF No. 1; Plaintiff’s Motion for Entry of Default Judgment, ECF No. 13; and Plaintiff’s Motion for Default Judgment and its attached exhibits, ECF No. 44. 2 Defendants originally filed for insurance coverage with Plaintiff under the name Heart Living Centers, a parent organization that consisted of Heart Living Centers of Colorado, LLC, and HRE Colorado Springs, LLC. ECF No. 1, ¶ 11, 12. In 2019, Defendants rebranded their business from Heart Living Centers to Valor Health Network (VHN), which consists of Valor Health Network, LLC, and Valor Health Network Management Services, LLC. Id., ¶ 11. Defendants continued operations under the VHN name. Id. Plaintiff treats these corporations as a single actor, so the Court will do the same. Plaintiff’s claim recovery unit contacted VHN in August 2021, inquiring about the overdue deductible balances. ECF No. 44-16 at 2. VHN promised Plaintiff that five of the six outstanding deductible balances would be paid following the sale of VHN’s facility located in Colorado Springs, Colorado (the Facility). ECF No. 1, ¶¶ 35, 44, 53, 62, 71. On August 25, 2021, Lauren Hawcroft, the CFO of VHN, confirmed with Plaintiff via email that the outstanding deductibles for the two policies were due and listed in her books to pay. See ECF No. 44-9, ¶¶ 66–68; ECF No. 44-16 at 1. On May 4, 2023, following the filing of this suit, CFO Hawcroft responded to Plaintiff’s counsel and represented that her statements made on August 25, 2021 were “100% based on discussions [she] had with

ownership on what items were planned to be paid by the escrow [of the Facility] when the funds were released to pay debts.” ECF No. 44-17 at 2. Although VHN successfully completed the sale of the Facility, it failed to remit payment on any of the outstanding balances owed to Plaintiff. See ECF No. 44-9. As of March 26, 2024, VHN owed Plaintiff a balance of $500,000 in outstanding deductibles and $106,632.21 in interest accrued on unpaid claims. ECF No. 44-9 ¶¶ 71– 72. Plaintiff filed this lawsuit on April 20, 2023 to claim the unpaid balance. ECF No. 1. VHN and Defendant Reed have not responded to this suit.3

3 The parties stipulated to dismiss Defendant Kurt Ravenstein, the only Defendant to respond, so there are currently no active Defendants. ECF No. 32. Because there are no active defendants, the Frow rule, which bars default judgment if there are other active defendants, does not apply and default judgment may be entered against the remaining defendants. See Frow v. De La Vega, 82 U.S. 552, 554 (1872); 10 C. Wright, A. Miller & M. Kane, Federal Practice and Procedure § 2690, at 455-56 (1983) (“when one of several defendants who is alleged to be jointly liable defaults, judgment should not be entered against him until the matter has been adjudicated with regard to all defendants, or all defendants have defaulted."). II. LEGAL STANDARD Motions for default judgement are governed by Rule 55 of the Federal Rules of Civil Procedure. The moving party must first file a motion for default with the Clerk of the Court, and then file for default judgment. Id. “A party is not entitled to a default judgment as of right; rather the entry of a default judgment is entrusted to the sound judicial discretion of the court.” Villanueva v. Acct. Discovery Sys., LLC, 77 F. Supp. 3d 1058, 1066 (D. Colo. 2015) (internal quotations omitted). “Strong policies favor resolution of disputes on their merits,” and default judgment should be “available only when the adversary process has been halted because of an essentially unresponsive party.” In re

Rains, 946 F.2d 731, 732 (10th Cir. 1991) (citations and quotations omitted). To enter default judgment, a court must have both personal jurisdiction over each defaulting defendant and subject matter jurisdiction over the action. Williams v. Life Sav. & Loan, 802 F.2d 1200, 1203 (10th Cir. 1986). If jurisdiction is proper, the Court must decide whether judgment is supported by a sufficient basis in the pleadings, meaning that the plaintiff has alleged sufficient facts to support the claims. Tripodi v. Welch, 810 F.3d 761, 765 (10th Cir. 2016). The complaint “must contain either direct or inferential allegations respecting all the material elements necessary to sustain a recovery under some viable legal theory.” Bryson v. Gonzales, 534 F.3d 1282, 1286 (10th Cir. 2008) (citations and quotations omitted); see also Bixler v. Foster, 596 F.3d 751, 762 (10th Cir.

2010) (“[I]t remains for the court to consider whether the unchallenged facts constitute a legitimate cause of action, since a party in default does not admit mere conclusions of law.” (internal quotations omitted)). When deciding on a motion for default judgment, the Court accepts all well-pleaded factual allegations in the complaint as true. Olcott v. Del. Food Co., 327 F.3d 1115, 1125 (10th Cir. 2003). Undisputed facts alleged in the affidavits or exhibits are also deemed true. Id. at 1124. If the plaintiff fails to allege facts in support of a claim, the plaintiff cannot prevail on default judgment on that claim.

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Bluebook (online)
Columbia Casualty Company v. Valor Health Network, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/columbia-casualty-company-v-valor-health-network-llc-cod-2024.