Day Kimball Healthcare, Inc. v. Allied World Surplus Lines Insurance Company

CourtDistrict Court, D. Connecticut
DecidedOctober 9, 2020
Docket3:19-cv-01521
StatusUnknown

This text of Day Kimball Healthcare, Inc. v. Allied World Surplus Lines Insurance Company (Day Kimball Healthcare, Inc. v. Allied World Surplus Lines Insurance Company) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Day Kimball Healthcare, Inc. v. Allied World Surplus Lines Insurance Company, (D. Conn. 2020).

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF CONNECTICUT DAY KIMBALL HEALTHCARE, INC., ) 3:19-CV-01521 (KAD) et al, ) Plaintiffs, ) ) v. ) ) ALLIED WORLD SURPLUS LINES ) INSURANCE COMPANY, et al, ) Defendants. ) October 9, 2020

MEMORANDUM OF DECISION RE: DEFENDANT STEADFAST INSURANCE COMPANY’S MOTION TO DISMISS [ECF NO. 18] AND DEFENDANT ALLIED WORLD SURPLUS LINES INSURANCE COMPANY’S MOTION TO DISMISS [ECF NO. 19] Kari A. Dooley, United States District Judge Plaintiffs, Day Kimball Healthcare, Inc. (“Day Kimball”) and Erica J. Kesselman, M.D. (“Dr. Kesselman”), seek a declaratory judgment finding that each Defendant, Allied World Surplus Lines Insurance Company f/k/a Darwin Select Insurance Company (“Allied World”) and Steadfast Insurance Company (“Steadfast”), has a duty to indemnify the Plaintiffs pursuant to their respective insurance policies in connection with an underlying medical malpractice lawsuit.1 Allied World and Steadfast each moved to dismiss on the ground that they properly denied coverage to Plaintiffs because their respective policies do not provide coverage for the underlying lawsuit. For the following reasons, Defendants’ motions to dismiss are GRANTED. Background and Procedural History Day Kimball and Dr. Kesselman seek insurance coverage under a policy issued by Allied World (“Allied World Policy”) and a policy issued by Steadfast (“Steadfast Policy”) in connection

1 Defendants argue that Dr. Kesselman is not a beneficiary of either insurance policy, but that issue is not the subject of either motion to dismiss. with an underlying medical malpractice lawsuit brought against Day Kimball and Dr. Kesselman on November 3, 2015 captioned Megan Corona, et al. v. Day Kimball Healthcare, Inc., et al., Docket No. X07-HHD-CV15-6075511 (Superior Court of Connecticut for the Judicial District of Putnam) (the “underlying lawsuit”). Underlying Lawsuit

According to the underlying lawsuit, on August 7, 2013, Meagan Corona gave birth to Estella Tabor at Day Kimball Hospital with the assistance of Dr. Kesselman, who performed the delivery. After the delivery, Estella Tabor was transported to the UMass Medical Center and placed in the neonatal intensive care unit. Thereafter, on November 3, 2015, Meagan Corona, individually and as PPA of Estella Corona (the “Corona Plaintiffs”), commenced the underlying lawsuit against Day Kimball and Dr. Kesselman. Therein, the Corona Plaintiffs allege that, due to Day Kimball’s and Dr. Kesselman’s professional negligence, (1) Estella Tabor suffers from cerebral palsy, brain injury, mental disabilities and defects, all with pain, suffering, mental and emotional anguish and distress, and physical limitations and (2) a surgical sponge was left inside Meagan Corona

requiring surgical removal, inflammation, infection, urinary tract infection, deformity, all with pain, suffering, mental and emotional distress, and physical limitations. The Instant Insurance Coverage Dispute Disposition of the instant motions to dismiss requires a general understanding of the relation between Plaintiffs’ various insurance policies. Plaintiffs’ primary insurance policy was issued by non-party Lexington Insurance Company (the “Lexington Policy”) and includes coverage for a variety of liabilities, to include, professional liability coverage for medical malpractice claims. (ECF No. 36-1 at 6). Beyond the Lexington Policy, Plaintiffs secured excess policies from both Allied World and Steadfast. The Allied World Policy consists of three Insuring Agreements: Insuring Agreement A, Insuring Agreement B, and Insuring Agreement C. (ECF No. 1 at 76–77). Insuring Agreement A provides excess coverage to the Lexington Policy for professional liability and is a “claims-made and reported policy,” meaning that Allied World only provides coverage for claims made and reported within the applicable policy period regardless of when the acts giving rise to the liability occurred. (Id. at 76). The applicable policy period for

Insuring Agreement A was October 1, 2012 through October 1, 2013. (Id. at 74, 76). Insuring Agreement B, irrelevant to this case, provides excess coverage to the Lexington Policy for general commercial lability. (Id. at 74, 76–77). The scope of coverage afforded by Insuring Agreement C is the issue to be resolved herein. Plaintiffs argue that Insuring Agreement C provides excess coverage to the Lexington Policy generally while Defendants argue that Insuring Agreement C only provides excess coverage to the Lexington Policy for employee benefits related claims. And finally, the Steadfast Policy is a follow-form policy providing excess coverage to the Allied World Policy. (ECF No. 1 at 111). On August 8, 2013, Day Kimball gave notice to Lexington under the Lexington Policy of

the issues relating to the birth of Estella Tabor. Under the Lexington Policy, Lexington agreed to defend and has been defending Day Kimball and Dr. Kesselman in the underlying lawsuit. On March 24, 2017, Day Kimball provided Allied World and Steadfast with notice of the underlying lawsuit. On April 10, 2017, Allied World declined to provide excess coverage for the underlying lawsuit under the Allied World Policy because the claim was brought outside the applicable policy period. And, on May 19, 2017, Steadfast followed suit and declined excess coverage for the underlying lawsuit. In response, on August 30, 2019, Plaintiffs brought the instant action in the Connecticut Superior Court seeking a declaratory judgment that each Defendant must indemnify Plaintiffs pursuant to their respective policies in connection with the underlying lawsuit. On September 26, 2019, Allied World, with Steadfast’s consent, removed the action to this Court. Thereafter, on October 17, 2019, each Defendant separately moved to dismiss Plaintiffs’ Complaint pursuant to Rule 12(b)(6). Plaintiffs responded to Defendants’ motions on November 21, 2019 and Defendants replied to Plaintiffs’ responses on December 6, 2019. This Court held oral argument on the motions on April 27, 2020.2

Standard of Review To survive a motion to dismiss under Rule 12(b)(6), “a complaint must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (quoting Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007)). “A claim has facial plausibility when the plaintiff pleads factual content that allows the court to draw the reasonable inference that the defendant is liable for the misconduct alleged.” Iqbal, 556 U.S. at 678. “The plausibility standard is not akin to a ‘probability requirement,’ but it asks for more than a sheer possibility that a defendant has acted unlawfully.” Id. (quoting Twombly, 550 U.S. at 556). The Court must accept well-pleaded factual allegations as true and draw “all

reasonable inferences in the nonmovant’s favor.” Interworks Sys. Inc. v. Merch. Fin. Corp., 604 F.3d 692, 699 (2d Cir. 2010). In doing so, the Court may consider “the facts alleged in the pleadings, documents attached as exhibits or incorporated by reference in the pleadings and matters of which judicial notice may be taken . . . .” Samuels v. Air Transp. Local 504, 992 F.2d 12, 15 (2d Cir. 1993). Because this is a diversity case, the Court applies Connecticut substantive law. Omega Eng'g, Inc. v. Omega, S.A., 432 F.3d 437, 443 (2d Cir.

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

Related

Bell Atlantic Corp. v. Twombly
550 U.S. 544 (Supreme Court, 2007)
Ashcroft v. Iqbal
556 U.S. 662 (Supreme Court, 2009)
Arrowood Surplus Lines Insurance v. Westport Insurance
395 F. App'x 778 (Second Circuit, 2010)
Richard Samuels v. Air Transport Local 504
992 F.2d 12 (Second Circuit, 1993)
Interworks Systems Inc. v. Merchant Financial Corp.
604 F.3d 692 (Second Circuit, 2010)
Arrowood Indem. Co. v. King
39 A.3d 712 (Supreme Court of Connecticut, 2012)
Acadia Insurance v. American Crushing & Recycling, LLC
475 F. Supp. 2d 168 (D. Connecticut, 2007)
Hammer v. Lumberman's Mutual Casualty Co.
573 A.2d 699 (Supreme Court of Connecticut, 1990)
Pacific Indemnity Insurance v. Aetna Casualty & Surety Co.
688 A.2d 319 (Supreme Court of Connecticut, 1997)

Cite This Page — Counsel Stack

Bluebook (online)
Day Kimball Healthcare, Inc. v. Allied World Surplus Lines Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/day-kimball-healthcare-inc-v-allied-world-surplus-lines-insurance-ctd-2020.