Commercial Underwriters Insurance v. Royal Surplus Lines Insurance

345 F. Supp. 2d 652, 2004 U.S. Dist. LEXIS 26567, 2004 WL 2725744
CourtDistrict Court, S.D. Texas
DecidedOctober 29, 2004
DocketCIV.A. H-03-2922
StatusPublished
Cited by5 cases

This text of 345 F. Supp. 2d 652 (Commercial Underwriters Insurance v. Royal Surplus Lines Insurance) is published on Counsel Stack Legal Research, covering District Court, S.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Commercial Underwriters Insurance v. Royal Surplus Lines Insurance, 345 F. Supp. 2d 652, 2004 U.S. Dist. LEXIS 26567, 2004 WL 2725744 (S.D. Tex. 2004).

Opinion

*654 MEMORANDUM & ORDER

HARMON, District Judge.

Pending before the Court is Defendant Royal Surplus Lines Insurance Company’s motion for partial summary judgment (Doc. 24). For the reasons set forth below, the Court ORDERS that the motion is GRANTED. In addition, the Court ORDERS that the various pending motions seeking additional time and/or leave for filings (Docs. 26, 30 & 34) are all GRANTED.

I. BACKGROUND AND RELEVANT FACTS

This is an insurance coverage dispute between an excess insurer and two primary insurers. The dispute stems from the insureds’ tort liability in connection with their operation of a nursing home and the serious injuries suffered by one of their resident patients. There are four central issues presented by the pending motion:

(1) Is there any insurance coverage for the punitive damages assessed against the insureds in the underlying tort action?
(2) Can the limits of consecutive, non-overlapping primary policies be “stacked,” so as to provide a greater aggregate amount of primary coverage for the insureds’ tort liability?
(3) Is there coverage under the Commercial General Liability portion of Defendant Royal Surplus Lines Insurance Company’s primary policies for the insureds’ tortious operation of the nursing home and the resulting injuries to the tort victim?
(4)Are Defendant Royal Surplus Lines Insurance Company’s primary policies “erosion” policies, so that the policy limits are eroded by Royal’s costs incurred in defending the underlying tort suit?

As discussed below, the Court concludes that the answer to the first three questions is no and the answer to the last question is yes.

The insureds in this case, whom for the sake of clarity the Court will refer to collectively as the “Nursing Home Defendants,” 1 are (1) a nursing home, Heritage Geriatric Housing Development VIII, Inc. d/b/a Heritage Sam Houston Gardens (“SH Gardens”); (2) its corporate owner/manager, Heritage Housing Development, Inc. (“Heritage Housing”); and (3) its employees, including Chandra White (“White”), the Administrator of SH Gardens, Linda Ruth Williams (“Williams”), SH Gardens’s Director of Nursing, and three SH Gardens nurses, Brenda Lee George (“George”), Deborah Gray (“Gray”), and John Hodnett (“Hodnett”). The tort victim was Raymond Carr, a resident patient of SH Gardens from 18 February 1999 through 01 June 2000. In the fall of 2001, Mr. Carr and his wife filed suit against the insureds in state court (the “underlying suit”). 2 In August 2002, shortly after Mr. Carr’s death, Mrs. Carr filed a Second Amended Petition, the operative pleading in the underlying suit. In her Second Amended Petition Mrs. Carr alleged that, “[a]t all times material, Raymond Carr was an elderly, disabled, and dependent individual, as such term is de *655 fined by Texas law, who occupied a certified bed in a nursing facility.” 3 Furthermore, she asserted, “[t]he serious bodily injuries made the basis of this lawsuit were proximately caused by the continuing negligence and negligence per se of the named Defendants or their agents or employees acting in the course and scope of their employment.” 4 Mrs. Carr also alleged that the Nursing Home Defendants’ conduct constituted gross negligence, malice, and a violation of Texas’s Penal Code § 22.04, “Injury to Child, Elderly or Disabled Individual.” 5

The Carr suit was tried to verdict and the state court entered final judgment in October 2003. 6 The Nursing Home Defendants were found liable as follows:

PRE-JUDGMENT ACTUAL INTEREST PUNITIVE DEFENDANT DAMAGES (from 5/15/01) DAMAGES TOTAL

Heritage Housing Development, Ine. $ 991,800.00 $120,236.10 $ 998,000.00 . $2,110,036.10

Heritage Geriatric Housing Development VIII, Inc. (d/b/a Heritage Sam Houston Gardens) $ 881,600.00 $106,881.45 $ 998,000.00 $1,986,481.45

Chandra White $ 220,400.00 $ 26,718.15 $ 8,500.00 $ 255,618.15

Linda Ruth Williams $ 66,120.00 $ 8,018.10 $ 6,000.00 $ 80,138.10

John Hodnett $ 44,080.00 $ 5,345.40 $ 5,000.00 $ 54,425.40

Subtotal Judgment $2,204,000.00 $267,199.20 $2,015,500.00 $4,486,699.20

Court Costs as of 8/5/03 $ 26,372.83 7

Total Judgment $4,513,072.03

This brings us to the parties in the present case. Defendant Royal Surplus Lines Insurance Company (“Royal”) issued two primary insurance policies to named insured Heritage Geriatric Housing Development VIII (i.e., SH Gardens): (1) Royal Policy # KZW200093 for the period of 14 April 1998 to 09 April 1999 (the “First Royal Policy”); and (2) Royal Policy # KZC521247 for the period of 09 April 1999 to 09 April 2000 (the “Second Royal Policy”) (collectively the “Royal Policies”). 8 Each Royal policy had limits of liability of $1 million and is comprised of two non-overlapping distinct coverage parts: (1) the Commercial General Liability (“CGL”) Coverage Part; and (2) the Hospital Professional Liability (“HPL”) Coverage Part. The listed insureds are the same under the Royal Policies, with one notable exception: Heritage Housing is not an insured under the HPL Coverage Part of the Second Royal Policy, but is only an insured under the CGL Coverage Part of that policy. It is, however, an insured under both coverage parts of the First Royal Policy.

Defendant Evanston Insurance Company (“Evanston”) issued primary policy *656 # SM806284 to the same insureds for one policy year, April 9, 2000 to April 9, 2001 (the “Evanston Policy”). 9 It provided $500,000 in primary coverage.

Plaintiff Commercial Underwriters Insurance Company (“CUIC”) issued two excess insurance policies to named insured Heritage Geriatric Housing Development VIII (ie., SH Gardens): (1) CUIC Policy # CEL015843 for the period of 30 April 1998 to 09 April 1999 (the “First CUIC Excess Policy”); and (2) CUIC Policy # CEL016732 for the period of 09 April 1999 to 09 April 2000 (the “Second CUIC Excess Policy”) (collectively the “CUIC Excess Policies”). 10 Each of the CUIC Excess Policies provides coverage to the same insureds and each has a $5 million limit of liability.

The following chart summarizes the status of each of the Nursing Home Defendants as insureds on the insurance policies that are the focus of the present motion:

Dependant in the UUNDERLYING SUIT First Royal Policy First CUIC Second Excess Royal Policy Policy Second CUIC Excess Policy

Coverage Part CGL HPL CGL HPL CGL HPL CGL HPL

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Bluebook (online)
345 F. Supp. 2d 652, 2004 U.S. Dist. LEXIS 26567, 2004 WL 2725744, Counsel Stack Legal Research, https://law.counselstack.com/opinion/commercial-underwriters-insurance-v-royal-surplus-lines-insurance-txsd-2004.