First Specialty Insurance v. Novapro Risk Solutions LP

468 F. Supp. 2d 1321, 2007 U.S. Dist. LEXIS 2505, 2007 WL 60798
CourtDistrict Court, D. Kansas
DecidedJanuary 8, 2007
Docket04-2359-JPO
StatusPublished
Cited by1 cases

This text of 468 F. Supp. 2d 1321 (First Specialty Insurance v. Novapro Risk Solutions LP) 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
First Specialty Insurance v. Novapro Risk Solutions LP, 468 F. Supp. 2d 1321, 2007 U.S. Dist. LEXIS 2505, 2007 WL 60798 (D. Kan. 2007).

Opinion

MEMORANDUM AND ORDER

O’HARA, United States Magistrate Judge.

I. Introduction

This insurance case arises out of the settlement of a New Jersey personal injury lawsuit filed by a nightclub patron who was attacked by unknown assailants. The present ease involves an equitable subro-gation claim by one insurer of the nightclub against another, and a neghgence claim by the first insurer against its claims administrator.

The court has diversity subject matter jurisdiction pursuant to 28 U.S.C. *1323 § 1332(a)(1). Although the underlying occurrence and litigation both were in New Jersey, this case was filed in Kansas because one of the insurers and its claims administrator transact business here.

Pursuant to 28 U.S.C. § 636(c) and Fed. R.Civ.P. 73, the parties consented to the disposition of this case by U.S. Magistrate Judge James P. O’Hara, and also waived a jury trial. A seven-day bench trial was held in late November 2006. As required by Fed.R.Civ.P. 52(a), this memorandum and order will serve as the court’s findings of fact and conclusions of law.

II. Uncontroverted Facts

The final pretrial order filed pursuant to Fed.R.Civ.P. 16 on March 20, 2006 (doc. 190, pp. 3-8), reflects that the parties have stipulated to many of the material facts of this case, specifically, as follows: 1

Although for different one-year policy periods, the plaintiff, First Specialty Insurance Corporation (“First Specialty”), and defendant Underwriters at Lloyd’s, London, a/k/a Certain Underwriters at Lloyd’s, London (“Lloyd’s”), shared a common insured, namely, Omnium Corporation, d/b/a Hunka Bunka Ballroom (“Hun-ka Bunka”), which operated a very large nightclub in Sayreville, New Jersey. Lloyd’s issued Policy No. PNJ2019 (the “Lloyd’s policy”), which was in effect from August 15, 1999 through August 15, 2000. Exhibit 149. First Specialty issued Policy No. PGL 70219 (the “First Specialty policy”), which was in effect from August 15, 2000 to August 15, 2001. Exhibit 603. The insured, Hunka Bunka, obtained each of these commercial general liability (“CGL”) policies by applying for coverage through a local New Jersey insurance agency, Connolly, Campion & Wright (“Connolly”).

The nightclub patron and claimant in the underlying case, Vincent Femia, was aL tacked and beaten by several unknown persons while at Hunka Bunka during the late evening hours of April 22, 2000 (or the very early morning hours of April 23, 2000). Regardless of whether Femia was injured on April 22nd or April 23rd, this occurrence was within the effective dates of the Lloyd’s policy. And, of course, it follows that the occurrence was outside the effective dates of the later-issued First Specialty policy.

Approximately ten months after Femia was attacked in April 2000, Hunka Bunka received a letter dated February 14, 2001 from Femia’s attorney (at that time, Damon A. Vespi). Exhibit 175. The letter did not state the date on which Femia had been injured. Nor did the letter make any settlement demand. It just informed Hun-ka Bunka that Femia had sustained personal injuries while a patron at the nightclub, that Femia had retained Vespi, and that Vespi wanted to be contacted by the nightclub’s liability insurer.

Above five weeks later (i.e., on or about March 20, 2001), Hunka Bunka notified Connolly of Vespi’s February 14, 2001 letter, and provided Connolly a copy of the letter. Exhibit 255. On or about March 23, 2001, defendant NovaPro Risk Solutions, LP, i/k/a Ward North America Holding, Inc. and formerly d/b/a Ward North America, Inc. (“Ward”), acting in its contractual capacity as First Specialty’s third-party claims administrator (“TPA”), received a copy of the February 14, 2001 letter from Connolly. Exhibit 177.

On October 15, 2001, about eight months after first giving written notice of Femia’s claim, Vespi filed suit on behalf of Femia against Hunka Bunka in the Superior *1324 Court of Middlesex County, New Jersey. 2 Exhibit 40. Ward assigned the personal injury lawsuit to Stephen Wellinghorst, one of Ward’s regular insurance defense attorneys in New Jersey. On or about November 8, 2001, Wellinghorst wrote Ward and formally acknowledged his assignment to defend Hunka Bunka. On November 14, 2001, Wellinghorst filed an answer to Femia’s complaint on behalf of Hunka Bunka. Exhibit 1.

On or about June 29, 2002, the Middle-sex County Superior Court sent a notice to counsel of record reminding them that the period allowed for discovery in the Femia case was set to end September 10, 2002. Exhibit 628. On or about September 8, 2002, the court sent another notice to counsel setting a non-binding arbitration hearing for November 19, 2002. Exhibit 643. The arbitration hearing in the Femia suit against Hunka Bunka actually occurred on January 7, 2003. In any event, as a result of that proceeding, the arbitrator, Rochelle Gizinski (an attorney in private practice), found that Hunka Bunka was 100% liable for Femia’s injuries and awarded him $175,000 in damages. 3 Exhibit 61.

It was not until March 17, 2003 (nearly two years after Hunka Bunka notified Connolly of the claim, and more than two months after the non-binding arbitration proceeding), that Ward notified Metcom Excess (“Metcom”), of Femia’s claim and lawsuit against Hunka Bunka. The next day (March 18, 2003), Metcom notified G.A. Mavon & Company (“Mavon”), the managing general agent identified for notice-of-claim purposes in the Lloyd’s policy, of the claim and suit. Exhibit 20.

Femia’s deposition was taken by Wellin-ghorst on March 21, 2003. Exhibit 79.

On March 24, 2003, Lloyd’s TPA, Elli-ston, LLC (“Elliston”), 4 received notice of Femia’s claim and lawsuit against Hunka Bunka from Mavon. Exhibit 115.

In late March 2003, Lloyd’s retained coverage counsel in New Jersey, Stanley W. Kallman, to review Wellinghorst’s file. Exhibit 13.

On April 22, 2003, Janet Van Pelt, a claims adjuster at Elliston, wrote to Amy O’Quain, a claims adjuster at Ward, stating that, “after a careful review of your defense attorney’s file and the materials that you forwarded to our office, at this time we must reject your request for Underwriters to defend Hunka Bunka Ballroom.” Exhibit 4.

On May 13, 2003, O’Quain responded to Van Pelt’s letter of April 22, 2003. Exhibit 138.

At Wellinghorst’s request (on behalf of Hunka Bunka), Stephen H. Fried performed an independent medical evaluation of Femia on May 9, 2003. Exhibit 37.

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468 F. Supp. 2d 1321, 2007 U.S. Dist. LEXIS 2505, 2007 WL 60798, Counsel Stack Legal Research, https://law.counselstack.com/opinion/first-specialty-insurance-v-novapro-risk-solutions-lp-ksd-2007.