Executive Risk Indemnity Inc. v. Cigna Corp.

81 Pa. D. & C.4th 410, 2006 Phila. Ct. Com. Pl. LEXIS 328
CourtPennsylvania Court of Common Pleas, Philadelphia County
DecidedAugust 18, 2006
Docketno. 1495
StatusPublished
Cited by4 cases

This text of 81 Pa. D. & C.4th 410 (Executive Risk Indemnity Inc. v. Cigna Corp.) is published on Counsel Stack Legal Research, covering Pennsylvania Court of Common Pleas, Philadelphia County primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Executive Risk Indemnity Inc. v. Cigna Corp., 81 Pa. D. & C.4th 410, 2006 Phila. Ct. Com. Pl. LEXIS 328 (Pa. Super. Ct. 2006).

Opinion

BERNSTEIN, J.,

This is a coverage dispute in connection with a number of federal and state class actions and individual lawsuits filed against defendant Cigna Corporation Inc. The underlying actions were resolved without trial. Plaintiff Executive Risk Indemnity Inc. seeks a declaration that no coverage is afforded and Cigna in its counterclaim seeks indemnification. Presently before the court are numerous discovery motions filed by Cigna. For the reasons discussed below, the motions are granted in part and denied in part.

BACKGROUND

Cigna operates and administers managed care organizations throughout the United States. Cigna enters into contractual agreements with designated physician and other providers who treat individuals who have become members of its managed care organization or who are employed by organizations that have entered into agreements with Cigna to serve as administrator of the employer organization’s self-funded third party health plan (Subscribers).

In or about 1999, a number of lawsuits were filed against Cigna throughout the United States in connection with the operation and administration of its managed care organizations. These Subscriber lawsuits alleged that Cigna failed to provide health care coverage based upon “medically necessary criteria” as determined by a medical professional. The Provider lawsuits alleged that Cigna failed to promptly pay Providers for medically necessary services as required under the Provider agreements. Some Provider and Subscriber lawsuits were consolidated and transferred to the Federal Judicial Panel on Multidistrict Litigation to the United States [413]*413District Court for the Southern District of Florida where they were placed on one of two tracks, the Subscriber track or the Provider track. On September 26,2002, the Multidistrict Litigation Court denied class certification for the Subscriber class litigation, and on May 14,2003 the Subscriber litigation was dismissed.

Lloyds of London was Cigna’s primary professional liability insurer for the policy period of March 30,1999 through March 30, 2002 and provided the first non-captive professional liability insurance coverage to Cigna. The Lloyds policy of insurance contained a liability limit of $50,000,000, subject to a $15,000,000 self insured retention per professional liability claim.

Executive Risk entered into an insurance agreement with Cigna to participate in the first excess layer of insurance coverage for the same policy period as Lloyds. Agricultural Excess and Surplus Insurance Company (AESIC), Travelers Insurance Company, Steadfast Insurance Company, Gulf Insurance Company, ACE Bermuda Insurance Ltd. and Reliance National Insurance Company (First Excess Layer Insurers) also entered into insurance agreements with Cigna as excess insurers.

Cigna provided notice of the Multidistrict Litigation to its insurers in March 2000.

In or about February or March 2002, plaintiff Executive Risk and Cigna’s other insurers entered into an oral joint defense agreement in anticipation of Cigna’s claim for coverage.

On September 4,2003, Cigna reached a settlement with the Providers and demanded that Lloyds advance payment or reimburse Cigna’s defense costs associated with both the Subscriber litigation and the Provider litigation and demanded that Lloyds and the excess carriers, including [414]*414plaintiff Executive Risk, indemnify Cigna for the costs associated with settlement of the Provider litigation.

On May 11, 2004, the First Excess Layer Insurers collectively issued a coverage analysis and reservation of rights letter to Cigna denying coverage for the claims presented in the Multidistrict Litigation. On June 18, 2004, Lloyds also denied coverage.

On May 13, 2004, the First Excess Layer Insurers and certain members of the Second Excess Layer Insurers, Steadfast Insurance Company, ERC Frankona Reinsurance Limited, London, UK, XL Insurance Company Ltd., Great Lakes Reinsurance (UK), PLC and Liberty International, attended a meeting with Cigna wherein Cigna proposed an excess carrier-only mediation to resolve the coverage issues surrounding the Multidistrict Litigation. Following that meeting, the First Excess Layer Insurers proposed mediation with all insurers including Lloyds, the primary carrier. Cigna agreed and all began working on protocol for the mediation including date, place, proposed list of mediators and information required for exchange.

In September 2004, Cigna informed the First Excess Layer Insurers that it would not participate in mediation with all Carriers but would participate in mediation with the First Excess Layer Insurers only. Four of the First Excess Layer Insurers, AESIC, Gulf, Travelers and Steadfast, agreed to participate in the mediation with Cigna excluding Lloyds. They developed a protocol for the mediation and scheduled the mediation for November 9,2004. Plaintiff Executive Risk and ACE Bermuda were not consulted on the mediation protocol.

On September 29,2004, because Cigna failed to provide a response to the First Excess Layer Insurers’ coverage position and failed to explain its refusal to par[415]*415ticipate in mediation with Lloyds, plaintiffExecutive Risk was unable to determine whether it would attend the mediation. On October 19, 2004, Cigna informed the First Excess Layer Insurers that it had settled with Lloyds and that the policy issued by Lloyds had been fully tendered.

On November 9,2004, four of the First Excess Layer Insurers and Cigna mediated the coverage dispute in New York City. Counsel for Executive Risk arrived to attend the mediation on Executive Risk’s behalf. However, counsel for Executive Risk was asked to leave. At the conclusion of the mediation, AESIC, Gulf, Steadfast and Travelers settled with Cigna.

On November 11,2004, plaintiffExecutive Risk filed this complaint against Cigna. Cigna filed a counterclaim against plaintiff Executive Risk for breach of contract and bad faith. Plaintiff Executive Risk inadvertently produced in discovery the handwritten notes of Peter Blejwas, Esquire, a claims examiner responsible for handling Cigna’s Multidistrict Litigation claims against plaintiffExecutive Risk. Cigna returned these documents and filed a motion for their production. Cigna has filed three other discovery motions, a motion to compel reinsurance and valuation information, a motion to determine the application of the joint defense privilege, attorney-client privilege and work product privilege and a motion to issue commissions for the depositions of three insurer adjuster attorneys. Each of these motions will be discussed seriatim.

A. Cigna’s Motion to Compel Reinsurance and Valuation Information

Cigna filed a motion seeking to compel Executive Risk to produce reinsurance information together with valu[416]*416ation and reserve information established in the Multidistrict Litigation. Specifically, Cigna served the following discovery requests on plaintiff Executive Risk:

“(10) all of the facts and circumstances and identify all witnesses and documents that reflect or relate to ERIFs valuation of Cigna’s coverage, claims, including but not limited to, their potential settlement value.

“(11) all of the facts and circumstances and identify all witnesses and documents that reflect or relate to the Other Insurers’ valuation of Cigna’s coverage claims including, but not limited to, their potential settlement value.

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Cite This Page — Counsel Stack

Bluebook (online)
81 Pa. D. & C.4th 410, 2006 Phila. Ct. Com. Pl. LEXIS 328, Counsel Stack Legal Research, https://law.counselstack.com/opinion/executive-risk-indemnity-inc-v-cigna-corp-pactcomplphilad-2006.