Falvo v. Atlantic Specialty Insurance Company

CourtDistrict Court, M.D. Florida
DecidedJanuary 23, 2025
Docket8:24-cv-01412
StatusUnknown

This text of Falvo v. Atlantic Specialty Insurance Company (Falvo v. Atlantic Specialty Insurance Company) is published on Counsel Stack Legal Research, covering District Court, M.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Falvo v. Atlantic Specialty Insurance Company, (M.D. Fla. 2025).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF FLORIDA TAMPA DIVISION

THOMAS FALVO,

Plaintiff,

v. Case No. 8:24-cv-01412-WFJ-AEP

ATLANTIC SPECIALTY INSURANCE COMPANY,

Defendant. ____________________________________/

ORDER Before the Court is Defendant/Counterclaim Plaintiff Atlantic Specialty Insurance Company’s (“ASIC”) Motion for Judgment on the Pleadings. Dkt. 23. Plaintiff Thomas Falvo (“Falvo”) has responded in opposition, Dkt. 28, and ASIC has replied. Dkt. 30. Upon due consideration, the Court denies Defendant ASIC’s motion for judgment on the pleadings. FACTUAL BACKGROUND This case arises from a boating accident that occurred on or about April 26, 2021. Dkt. 1-1 ¶ 9. Defendant ASIC issued a yacht insurance policy (no. B5JS44393) to Plaintiff Falvo for his vessel, The Scoop, effective from May 17, 2020, to May 17, 2021 (the “ASIC Policy”). Dkt. 1-1 ¶ 5; Dkt. 10-5. On or about May 7, 2021, Falvo and Denise Fernetti (“Fernetti”) submitted a claim to ASIC asserting that on April 20, 2021, the vessel Falvo was operating hit a wake which injured Fernetti, a passenger on the boat. Dkt. 1-1 ¶¶ 9-10; Dkt. 10 ¶ 24. Fernetti, through her counsel,

subsequently demanded full coverage under the ASIC Policy for her alleged injuries. Dkt. 10 at ¶ 4; Dkt. 15 at ¶ 35. At the heart of this dispute is ASIC’s discovery that Fernetti was Falvo’s

sister-in-law. Dkt. 10 at ¶ 5. On August 16, 2023, Fernetti sued Falvo in a case currently pending in the Middle District of Florida (Denise Falvo v. Thomas Falvo, Case No. 8:23-cv01846-SDM-AEP). Dkt. 1-1 ¶ 10; Dkt. 10 ¶ 7. Fernetti also sued In Rem on February 2, 2024, styled Denise Falvo v. The Scoop, a 32-foot 2019

Tidewater fiberglass hull center console with HIN# NLPYC111L819, her two Yamaha engines, her gear and other appurtenances, IN REM, Case No. 8:24-cv- 000394-WFJ-AAS. Dkt. 15 ¶ 8; Dkt. 10 ¶ 8.

Pursuance to the ASIC Policy, ASIC initially provided legal representation to Falvo in Denise Falvo v. Thomas Falvo, Case No. 8:23-cv-01846-SDM-AEP, while it investigated the relationship between Fernetti and Falvo. Dkt. 10 ¶ 9. Once confirmed that Fernetti was “Denise Falvo” via her marriage to Falvo’s brother,

ASIC withdrew its legal defense for Falvo in Denise Falvo v. Thomas Falvo. Dkt. 10 at ¶ 11; Dkt. 15 ¶ 11. ASIC also subsequently informed Fernetti that, as a sister- in-law of Falvo, she was a “family member” under the terms of the ASIC Policy and

denied coverage of her claim. Dkt. 1-1 at ¶ 12; Dkt. 10 ¶ 6. As explained by ASIC’s October 2, 2023 denial letter, Falvo’s familial relationship with Fernetti fell under the “family member” liability exclusion in the

ASIC Policy. Dkt. 1-1 ¶ 12; Dkt. 15 ¶ 12; Dkt. 10-4. On March 13, 2024, Falvo invoked the arbitration provision in the ASIC Policy to resolve the insurance coverage dispute. Dkt. 1-1 ¶ 19. On March 25, 2024, ASIC denied the Falvo’s

demand for arbitration as “untimely.” Dkt. 1-1 ¶ 20. The ASIC Policy for Falvo’s vessel, as it pertains to losses covered, provides in relevant part: SECTION B-1 – LIABILITY INSURANCE

LOSSES COVERED

We will pay those sums you become legally obligated to pay as damages arising out of your ownership, operation or maintenance of the covered yacht as respects to:

1. Loss of life or bodily injury;

Dkt. 10-5 at 8 (emphasis and bolding in original). The ASIC Policy provides, in relevant part, the following definitions: DEFINITIONS (shown in bold/italics throughout the Declaration Page and policy)

Bodily Injury means physical injury to the body of a person including resulting death. . . .

Family Members means persons related by blood, marriage, civil union, or adoption (including a ward or foster child). Insured Person means the person named on the Declaration Page and any of his or her family members. It shall also include any person, firm, corporation or legal entity whom you permit to operate the covered yacht without charge and for private pleasure use only. It does not mean any person or organization or employee thereof operating a boatyard, marina, yacht chartering or sales agency, or similar organization.

Id. at 3 (emphasis and bolding in original). The ASIC Policy provides, in relevant part, the following coverage exclusions: LOSSES NOT COVERED (EXCLUSIONS) Section B-1 Liability and Section B-2 Pollution Liability

We will not pay: . . .

3. For any liability between or among family members; . ..

10. For any loss, damage or liability willfully or intentionally caused or incurred by an insured person; . . .

16. For loss of life or bodily injury to an Insured Person.

Id. at 9 (emphasis and bolding in original). Finally, the arbitration provision in the ASIC Policy states: ARBITRATION

If you make a claim under this policy and we disagree about whether the claim is payable or about the amount due to you under the policy, the disagreement must be resolved by binding arbitration before an arbitrator mutually acceptable to you and us. If you and we are unable to agree on a single arbitrator, then we will petition an appropriate court in the jurisdiction where this policy was issued to appoint an arbitrator. We will pay the arbitrator’s fees. The arbitrator need not be a member of any particular association of arbitrators, and may be a commercial person with relevant experience in the marine industry. The arbitrator shall have the same powers as arbitrators under the Federal Arbitration Act (9 U.S.C. Section 1, et. seq.). The demand for arbitration must be made within one (1) year of the date of the loss or damage.

Id. at 13 (emphasis and bolding in original). Plaintiff Falvo filed the instant complaint in state court seeking declaratory judgment (Count I) and specific performance compelling arbitration (Count II). See Dkt. 1-1. Defendant ASIC removed the case to federal court (Dkt. 1) and filed a counterclaim requesting a declaratory judgment that ASIC has no duty to defend or

indemnify Falvo under the ASIC Policy for any of the claims asserted in the two underlying actions. See Dkt. 10. Defendant’s motion for judgment on the pleadings asks this Court to find for ASIC on Counts I and III of its Countercomplaint (Dkt. 10) and Counts I and II of

Falvo’s Complaint (Dkt. 1-1), essentially declaring that ASIC has no duty to defend or indemnify Falvo. Dkt. 23. LEGAL STANDARD

The Federal Rules of Civil Procedure provide that “[a]fter the pleadings are closed—but early enough not to delay trial—a party may move for judgment on the pleadings.” Fed. R. Civ. P. 12(c). A judgment on the pleadings is limited to consideration of “the substance of the pleadings and any judicially noticed facts.”

Bankers Ins. Co. v. Fla. Residential Prop. & Cas. Joint Underwriting Ass'n, 137 F.3d 1293, 1295 (11th Cir. 1998). “A motion for judgment on the pleadings is governed by the same standard as a motion to dismiss under Rule 12(b)(6).” Carbone v. Cable News Network, Inc.,

910 F.3d 1345, 1350 (11th Cir. 2018). In evaluating a motion for judgment on the pleadings, the court must review the factual allegations in the light most favorable to the nonmoving party. Cannon v. City of W. Palm Beach, 250 F.3d 1299, 1301

(11th Cir. 2001).

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