GE HFS Holdings, Inc. v. National Union Fire Ins.

520 F. Supp. 2d 213, 2007 U.S. Dist. LEXIS 102026, 2007 WL 3102078
CourtDistrict Court, D. Massachusetts
DecidedSeptember 5, 2007
DocketCivil Action 05-11128-NG
StatusPublished
Cited by9 cases

This text of 520 F. Supp. 2d 213 (GE HFS Holdings, Inc. v. National Union Fire Ins.) is published on Counsel Stack Legal Research, covering District Court, D. Massachusetts primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
GE HFS Holdings, Inc. v. National Union Fire Ins., 520 F. Supp. 2d 213, 2007 U.S. Dist. LEXIS 102026, 2007 WL 3102078 (D. Mass. 2007).

Opinion

ORDER

NANCY GERTNER, District Judge.

Order granting 66 Motion for Summary Judgment brought by National Union as against the Intervenor/Plaintiff Michael Ingoldsby; denying 70 Motion for Summary Judgment brought by International Insurance Group against Ingoldsby; adopting Report and Recommendations re 99 Report and Recommendations with respect to docket # 70; adopting Report and Recommendations re 100 Report and Recommendations with respect to docket # 66. One additional issue not addressed in the pleadings thus far, namely Ingoldsby’s standing to bring the claims against International Insurance Group, the only claim going forward, in the light of the fact that Ingoldsby did not schedule these potential claims during his bankruptcy proceedings. Ingoldsby is to file a brief on this subject by September 18, 2007; International Insurance Group is to respond by September 28, 2007.

REPORT AND RECOMMENDATION ON MOTION OF NATIONAL UNION FIRE INSURANCE CO. OF PITTSBURGH, PA FOR SUMMARY JUDGMENT

JUDITH GAIL DEIN, United States Magistrate Judge.

I. INTRODUCTION

The intervenor/plaintiff, Michael Ingoldsby (“Ingoldsby”), was the Chairman of the Board of Managed Health Care Systems, Inc. (“MHCS”) and, as such, was covered under a Directors and Officers (“D & O”) insurance policy issued by National Union Fire Insurance Co. of Pittsburgh, PA (“National Union”). International Insurance Group, Ltd. (“IIG”), an insurance broker, obtained the policy. Ingoldsby filed a claim under the policy which National Union denied, relying on an exclusion in the policy for claims “alleging, arising out of, based upon or attributable to any actual or alleged contractual liability *217 of the Company or an Insured.... ” Ingoldsby has brought suit against National Union challenging the denial, and against IIG alleging that IIG failed to obtain the proper insurance coverage and failed to disclose and/or explain the exclusion. (See Docket No. 20 (First Amended Complaint in Intervention)).

The matter is presently before the court on National Union’s Motion for Summary Judgment (Docket No. 66), and Ingoldsby’s Cross-Motion for Summary Judgment (Docket No. 78). 1 National Union contends that Ingoldsby is judicially estopped from maintaining his claims against National Union because he failed to list them in his bankruptcy schedules. In addition, National Union contends that the policy exclusion is unambiguous, and that the company properly denied coverage. Ingoldsby, on the other hand, contends that as a matter of law the denial of coverage was wrongful.

For the reasons detailed herein, this court concludes that while Ingoldsby is not judicially estopped from maintaining his claim, the contract exclusion is clear and unambiguous and that National Union properly denied coverage. Therefore, this court recommends to the District Judge to whom this case is assigned that National Union’s motion for summary judgment (Docket No. 66) be ALLOWED and that Ingoldsby’s cross-motion for summary judgment (Docket Nol 78) be DENIED.

II. STATEMENT OF FACTS 2

In ruling on a motion for summary judgment, the court must “view the facts in the light most favorable to the non-moving party, drawing all reasonable inferences in that party’s favor.” Barbour v. Dynamics Research Corp., 63 F.3d 32, 36 (1st Cir. 1995). Applying this principle, the facts are as follows.

The D & 0 Policy

MHCS was a private home health care agency which provided home health care services to Medicare beneficiaries in Massachusetts. (DF ¶ 4). At all relevant times, Ingoldsby was the Chairman of the Board of MHCS. (DF ¶ 5). He was not, however, involved in the day-to-day operations of the company. (PF ¶ 5). Rather, Ingoldsby has been disabled since 1999 due to a medical condition, and he has been collecting disability insurance since then. (PFfl5).

National Union first issued a D & 0 Policy to MHCS effective August 4, 2000 through August 4, 2001. (DF ¶ 6). That policy contained an exclusion for claims:

Alleging, arising out of, based upon or attributable to any actual or alleged contractual liability of the Company or any other Insured under any express contract or agreement....

*218 (DF ¶ 6). While Ingoldsby admits to receiving a copy of the policy, he contends that this contractual liability exclusion was never explained or described to him. (PF ¶ 7). Moreover, had he been advised about the exclusion, and National Union’s interpretation thereof, Ingoldsby contends that he would have advised the company not to purchase the policy. (PF ¶ 7).

MHCS filed for bankruptcy on February 23, 2001. (DF ¶ 8). Thereafter, National Union issued a renewal D & 0 policy to MHCS, which was in effect from August 4, 2001 to August 4, 2002. (DF ¶ 9). The policy was issued with knowledge that MHCS was in bankruptcy. (See Def. Ex. A). That policy included a new “For Profit Healthcare Organization Amendatory Endorsement.” (See DF ¶ 9). That endorsement included a new Exclusion 4(h) which provided that the policy excluded coverage for claims:

(h) alleging, arising out of, based upon or attributable to any actual or alleged contractual liability of the Company or an Insured under any express (written or oral) contract or agreement (including, but not limited to, any liquidated damages, severance agreement or payment, golden parachute agreement, or any compensation agreement payable upon termination of any Insured); provided, however, that the exclusion shall not apply to:
(1) Employment Practices Claims to the extent that any liability does not arise from such express contract or agreement; or
(2) Claims for Loss alleging Wrongful Acts of an Insured(s) with respect to hospital practice, privileges, credentialing or peer review matters.

(PF ¶ 9; Def. Ex. A). Under Section 2(g) of the policy, a Wrongful Act is defined as:

any breach of duty, neglect, error, misstatement, misleading statement, omission or act by the Directors or Officers of the Company in their respective capacities as such, or any matter claimed against them solely by reason of their status as Directors or Officers of the Company.

(PF ¶ 9). While Ingoldsby denies having knowledge or an understanding of Exclusion 4(h), it is undisputed that it was sent to MHCS for review before the policy issued. (See PF ¶¶ 11-12; DF ¶ 11; Def. Ex. A).

According to Ingoldsby’s expert, James Martocci, not all D & O policies issued in August 2001 had such contractual liability exclusions. (Martocci Aff. ¶ 7). Some policies contained provisions which limited contractual liability exclusions only to claims brought against the company. (Id. ¶ 10).

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520 F. Supp. 2d 213, 2007 U.S. Dist. LEXIS 102026, 2007 WL 3102078, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ge-hfs-holdings-inc-v-national-union-fire-ins-mad-2007.