Employers Reinsurance Corp. v. Jefferson Pilot Financial Insurance

176 F. Supp. 2d 1183, 2001 U.S. Dist. LEXIS 20469, 2001 WL 1561792
CourtDistrict Court, D. Kansas
DecidedNovember 20, 2001
DocketCIV.A. 01-2123-KHV
StatusPublished

This text of 176 F. Supp. 2d 1183 (Employers Reinsurance Corp. v. Jefferson Pilot Financial Insurance) is published on Counsel Stack Legal Research, covering District Court, D. Kansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Employers Reinsurance Corp. v. Jefferson Pilot Financial Insurance, 176 F. Supp. 2d 1183, 2001 U.S. Dist. LEXIS 20469, 2001 WL 1561792 (D. Kan. 2001).

Opinion

MEMORANDUM AND ORDER

VRATIL, District Judge.

Employers Reinsurance Corporation (“ERC”) brings suit against Jefferson Pilot Financial Insurance Company (“Jefferson Pilot”), formerly known as Chubb Life Insurance Company of America (“Chubb”), to recover adjusted professional liability insurance premium payments. Jefferson Phot has filed counterclaims for injurious falsehood and recoupment. This matter comes before the Court on Defendant’s Motion To Dismiss For Failure To State A Claim And Memorandum In Support (“Defendant’s Motion”) (Doc. # 7) filed June 25, 2001 and Plaintiffs Cross-Motion For Summary Judgment And Motion To Dismiss Counterclaim (Doc. # 12) filed August 1, 2001. 1 Because Jefferson Pilot presents matters outside the pleadings, the Court treats its motion as one for summary judgment. See Rule 12(b), Fed. R.Civ.P. 2 For reasons stated below, the Court grants summary judgment in favor of ERC on its claim for recovery of adjusted professional liability insurance premium payments.

Legal Standards

Summary judgment is appropriate if the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law. Rule 56(c), Fed.R.Civ.P.; accord Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986); Vitkus v. Beatrice Co., 11 F.3d 1535, 1538-39 (10th Cir.1993). A factual dispute is “material” only if it “might affect the outcome of the suit under the governing law.” Anderson, 477 U.S. at 248, 106 S.Ct. 2505. A “genuine” factual dispute requires more than a mere scintilla of evidence. Id. at 252, 106 S.Ct. 2505.

The moving party bears the initial burden of showing the absence of any genuine issue of material fact. See Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986); Hicks v. City of Watonga, Okla., 942 F.2d 737, 743 (10th Cir.1991). Once the moving party meets its burden, the burden shifts to the non-moving party to demonstrate that genuine issues remain for trial “as to those disposi-tive matters for which it carries the burden of proof.” Applied Genetics Int’l, Inc. v. First Affiliated Secs., Inc., 912 F.2d 1238, 1241 (10th Cir.1990); see also Matsushita Elec. Indus. Co. v. Zenith Radio *1186 Corp., 475 U.S. 574, 586-87, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986); Bacchus Indus., Inc. v. Arvin Indus., Inc., 939 F.2d 887, 891 (10th Cir.1991). The nonmoving party may not rest on its pleadings but must set forth specific facts. See Applied Genetics, 912 F.2d at 1241.

The Court must view the record in a light most favorable to the party opposing the motion for summary judgment. See Deepwater Invs., Ltd. v. Jackson Hole Ski Corp., 938 F.2d 1105, 1110 (10th Cir.1991). Summary judgment may be granted if the non-moving party’s evidence is merely col-orable or is not significantly probative. See Anderson, 477 U.S. at 250-51, 106 S.Ct. 2505. “In a response to a motion for summary judgment, a party cannot rely on ignorance of facts, on speculation, or on suspicion, and may not escape summary judgment in the mere hope that something will turn up at trial.” Conaway v. Smith, 853 F.2d 789, 794 (10th Cir.1988). Essentially, the inquiry is “whether the evidence presents a sufficient disagreement to require submission to the jury or whether it is so one-sided that one party must prevail as a matter of law.” Anderson, 477 U.S. at 251-52, 106 S.Ct. 2505.

Facts

The following facts are undisputed.

ERC is incorporated under the laws of the State of Missouri. Its statutory home office is in Jefferson City, Missouri, where Nicholas Monaco, its registered agent in Missouri, is located. ERC maintains its principal administrative and executive office in Overland Park, Kansas. ERC is not registered with the Kansas Secretary of State, but it is registered with the Kansas Department of Insurance and it is authorized to do business in the State of Kansas.

Until 1997, Chubb was a New Hampshire corporation with its principal place of business in Concord, New Hampshire. In 1997, Jefferson Pilot acquired Chubb. Jefferson Pilot is a Nebraska corporation. The record contains no evidence regarding Jefferson Phot’s principal place of business. 3

In 1991, Chubb purchased a professional liability insurance policy from ERC, Policy No. LEO-80093 (“the policy”) effective April 16, 1991 to April 16, 1992. Chubb renewed the policy for two consecutive annual periods before it terminated on April 16,1994.

As part of the policy, ERC and Chubb executed a Retrospective Insurance Premium Adjustment Plan (“the Retrospective Plan”) effective April 16, 1992. The Retrospective Plan provides that premium payments may be adjusted, depending on losses paid during the applicable accounting period. If incurred losses exceed a certain limit, ERC is entitled to additional premium payments. If incurred losses fall below that limit, Chubb can recover a dividend payment from ERC. More specifically, if incurred losses exceed 70 per cent of Chubb’s initial premium for the policy year, Chubb must pay the difference to ERC, up to a maximum adjustment payment of 30 per cent of the initial premium. On the other hand, if incurred losses are less than 70 percent of the initial premium, ERC must return the difference to Chubb, up to 30 per cent of the initial premium. The Retrospective Plan requires the adjustment payment to be paid 23 months after the end of each accounting period, which ends on April 16 of each particular policy year. Thus, any adjustment payment for the 1993-94 policy year was due March 16,1996.

*1187 The Retrospective Plan defines “incurred losses” as follows:

Incurred losses shall mean losses plus claim expense paid by [ERC] plus [ERC’s] share of losses outstanding, all as a result of claims first made during such accounting period.

Retrospective Plan, Exhibit D to Defendant’s Motion. The Retrospective Plan does not define the term “losses,” but the underlying policy provides as follows:

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176 F. Supp. 2d 1183, 2001 U.S. Dist. LEXIS 20469, 2001 WL 1561792, Counsel Stack Legal Research, https://law.counselstack.com/opinion/employers-reinsurance-corp-v-jefferson-pilot-financial-insurance-ksd-2001.