Edenfield v. Hiscox, Inc.

District Court, S.D. Georgia·Decided November 22, 2022·No. 4:22-cv-00146·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE SOUTHERN DISTRICT OF GEORGIA SAVANNAH DIVISION

CHERYL EDENFIELD, as legal guardian and next friend of QUINCY EDENFIELD,

Plaintiff, CIVIL ACTION NO.: 4:22-cv-146

v.

HISCOX, INC.; HISCOX INSURANCE COMPANY INC.; LLOYD’S AMERICA, INC., d/b/a Certain Underwriters at Lloyd’s, London; and CERTAIN UNDERWRITERS AT LLOYD’s, LONDON,

Defendants.

O RDE R Presently before the Court is Plaintiff Cheryl Edenfield’s Motion to Remand. (Doc. 23.) Plaintiff brought this suit in Liberty County State Court on behalf of her son Quincy Edenfield against Defendants Hiscox, Inc., Hiscox Insurance Company Inc., Lloyd’s America, Inc., d/b/a Certain Underwriters at Lloyd’s, London, and Certain Underwriters at Lloyd’s, London (collectively “Defendants”). (See doc. 1-1.) Plaintiff alleges, inter alia, that Defendants negligently and in bad faith failed to settle a separate tort suit brought by Plaintiff against HealthCare Staffing, Inc. (“HCS”), for injuries Quincy received while residing at Gateway Behavioral Health Services (“Gateway”). (Id.) Defendant Certain Underwriters at Lloyd’s, London (“Underwriters”) removed to this Court, (doc. 1), and Plaintiff filed the at-issue Motion to Remand, (doc. 23), which includes a request for attorneys’ fees.1 For the reasons stated below,

1 Also pending in this case are three separate motions to dismiss filed, respectively, by Defendants Hiscox, Inc., (doc. 9), Hiscox Insurance Company Inc., (doc. 14), and Lloyd’s America, Inc., (doc. 15), as well as a Motion to Reassign and Consolidate this case with three other civil actions pending before the Court, the Court GRANTS in part and DENIES in part the Motion. (Id.) The Court GRANTS Plaintiff’s request for remand but DENIES Plaintiff’s request for attorneys’ fees and costs pursuant to 28 U.S.C. § 1447(c). The Court DIRECTS the Clerk of Court to REMAND this case to the State Court of Liberty County, Georgia, and to TERMINATE all pending motions and

deadlines and CLOSE this case. BACKGROUND I. The Parties and HCS’s Insurance Policy The following allegations are set forth in the Complaint, (doc. 1-1). Plaintiff Cheryl Edenfield is a Georgia resident and the mother and legal guardian of Quincy Edenfield, an incapacitated adult who suffers from severe autism. (Id. at p. 2.) Defendants are engaged in the insurance business in Georgia. (Id. at pp. 2–3.) Except for Defendant Hiscox, Inc., which is headquartered in Georgia, Defendants are foreign corporations. (Id.) Non-party HCS (the defendant in the tort action brought by Plaintiff) is a Georgia staffing agency that supplies individuals to serve on the staffs of hospitals, nursing homes, long-term care facilities, and

community service boards in Georgia. (Id. at p. 4.) Prior to the incidents giving rise to this suit, Hiscox, Inc.2 entered into a contract with a syndicate of Defendants Lloyd’s America, Inc., and Underwriters (collectively, “Lloyd’s”) by which Hiscox, Inc. would write and issue insurance policies, make coverage determinations, and

(doc. 10). Because the Court finds that Defendants have failed to show that Hiscox, Inc. was fraudulently joined, see Discussion Section I, infra, the Court lacks jurisdiction to rule on these motions.

2 The Complaint uses the short form “Hiscox” to refer collectively to Defendants Hiscox, Inc. and Hiscox Insurance Company Inc. (Doc. 1-1, p. 2.) As such, the Complaint’s allegations against “Hiscox,” in effect, are attributable to both Defendants. However, because Defendants’ Motion alleges only that Hiscox, Inc. has been fraudulently joined, (see generally doc. 23), the Court sets forth the Complaint’s allegations as they relate to Hiscox, Inc. otherwise act as the insured’s insurance company, while the Lloyd’s syndicate’s members would pay claims and/or defense costs. (Id. at p. 7.) Hiscox, Inc. wrote and issued a policy on behalf of HCS which included both commercial general liability (“CGL”) and professional liability coverage, policy number AH00000154-01 (the “Policy”).3 (Id. at p. 6.) The Policy had per-claim

liability limits of $1,000,000.00 and an aggregate limit of $3,000,000.00 for both its CGL and professional liability coverages. (Id.; see id. at p. 55.) Additionally, the Policy contained an “Abuse or Molestation Exclusion” which provided that the Policy’s CGL coverage did not apply to “bodily injury” arising out of “the actual or threatened abuse or molestation by anyone of any person while in the care, custody or control of any insured,” or the negligent employment, supervision, or retention of a person who abuses or molests a person in their care.4 (Id. at pp. 9, 58.) II. Quincy’s Abuse, the Tort Action, and Plaintiff’s Settlement Attempts Plaintiff alleges that, from December 2015 through February 2016, Quincy was physically and mentally abused by an HCS employee named Errol Wilkins while residing as a patient at

Gateway, which is a legislatively created entity that serves individuals with developmental disabilities. (Id. at pp. 4–5.) According to the Complaint, on multiple occasions, Wilkins hit Quincy with his fists and threatened, intimidated, and humiliated him. (Id. at p. 5.) On September 6, 2017, on Quincy’s behalf, Plaintiff brought various tort claims against HCS in the State Court of Liberty County, including negligent training and retention and assault and battery (the “Tort Action”). (Id. at p. 8; see id. at pp. 20–35.) Shortly thereafter, Plaintiff’s counsel sent a demand letter to HCS offering to resolve Quincy’s claims against it for $12,000,000. (Id. at p. 8; see id. at

3 The Policy was effective during, at least, the period from July 24, 2015, through July 24, 2016. (Doc. 1- 1, p. 6.)

4 This exclusion is set forth in Endorsement E9979.1 to the Policy. (Doc. 1-1, pp. 9, 58.) pp. 48–54.) HCS forwarded the demand letter to Hiscox, Inc., and, a few months later, Hiscox, Inc. sent HCS a “Coverage Declination” letter (the “Denial Letter”). (Id. at pp. 8–9; see id. at pp. 55–58.) The Denial Letter, which is written on “Hiscox” letterhead, states, “Certain Underwriters at Lloyd’s London (‘Hiscox’) has recently been made aware of a lawsuit filed against [HCS] on

September 6, 2017[,] by [Plaintiff],” and “[i]t is our understanding that HCS seeks coverage for this claim under the . . . [P]olicy.” (Id. at p. 55.) The Denial Letter continues, “Based on Hiscox’s understanding of the facts to date, Hiscox must respectfully advise you that there is no coverage available for HCS under the Hiscox Policy.” (Id.) Specifically, the Denial Letter reasons that “all of the allegations in the [Tort Action] are precluded by” the Policy’s abuse exclusion. (Id. at p. 56.) Hiscox, Inc. did not provide legal representation or a defense to HCS in the Tort Action, and, thus, HCS litigated the case at its own expense. (Id. at p. 11.) On March 18, 2019, Plaintiff served HCS an offer to settle the case for $1,000,000. (Id.) Hiscox, Inc. did not tender the demanded amount. (Id. at p. 12.) Subsequently, on December 20, 2021, HCS withdrew its answer

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