Green Fili LLC v. United States Liability Insurance Company

CourtDistrict Court, D. Arizona
DecidedOctober 12, 2023
Docket2:23-cv-00655
StatusUnknown

This text of Green Fili LLC v. United States Liability Insurance Company (Green Fili LLC v. United States Liability Insurance Company) is published on Counsel Stack Legal Research, covering District Court, D. Arizona primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Green Fili LLC v. United States Liability Insurance Company, (D. Ariz. 2023).

Opinion

1 WO 2 3 4 5 6 IN THE UNITED STATES DISTRICT COURT 7 FOR THE DISTRICT OF ARIZONA 8

10 Green Fili, LLC, an Arizona limited liability No. CV-23-00655-PHX-DGC company, 11 ORDER Plaintiff, 12 v. 13 United States Liability Insurance Company, 14 a Nebraska company,

15 Defendant. 16 17 18 This case involves an insurance coverage dispute stemming from a lawsuit against 19 Plaintiff Green Fili, LLC. Plaintiff asserts breach of contract and related claims against 20 Defendant United States Liability Insurance Company. Doc. 1-3 at 5-19. Defendant has 21 filed a motion for summary judgment. Doc. 13. The motion is fully briefed and neither 22 side requests oral argument. For reasons stated below, the Court will grant the motion. 23 I. Background. 24 The following facts are not disputed for purposes of summary judgment. Plaintiff 25 operates a Filiberto’s restaurant located in Tempe, Arizona. Doc. 16 ¶ 6. In August 2021, 26 several former employees of the restaurant filed a civil complaint in state court alleging 27 that Plaintiff had failed to pay them minimum wages and overtime pay in violation of the 28 Fair Labor Standards Act and various state laws (the “Lawsuit”). Docs. 14 ¶ 4, 16 ¶ 9; see 1 Doc. 14-1 at 60-76. An amended complaint was filed in the Lawsuit and served on Plaintiff 2 in November 2021. Docs. 14 ¶ 5, 16 ¶ 10; see Doc.14-1 at 78-117.1 3 Between 2016 and 2023, Plaintiff was insured under employment practices liability 4 insurance policies issued by Defendant (the “EPL Policies”). Doc. 16 ¶ 2. The EPL 5 Policies are “claims made” policies – they limit coverage to certain employment-related 6 claims first made against an insured during the respective policy period and reported to 7 Defendant within that period or a specified time thereafter. The EPL Policy at issue here 8 was in effect from January 8, 2021 to January 8, 2022 (the “21-22 Policy”). Docs. 14 ¶ 1, 9 16 ¶ 3; see Doc. 14-1 at 3-28. The 21-22 Policy was renewed for an additional one-year 10 period, from January 8, 2022 to January 8, 2023 (the “22-23 Policy”). Docs. 14 ¶ 2, 16 11 ¶ 4; see Doc. 14-1 at 33-58. 12 The allegations in the Lawsuit qualify as a “Claim” under the 21-22 Policy. Doc. 13 14 ¶ 7. Plaintiff first reported that Claim to Defendant on March 30, 2022. Docs. 14 ¶ 8, 14 16 ¶¶ 16-17. On April 11, 2022, Defendant denied coverage under the 21-22 Policy’s 15 Notice of Claim provision because Plaintiff did not report the Claim within 60 days after 16 the Policy expired on January 8, 2022. Docs. 14 ¶ 14, 16 ¶¶ 18-19; see Docs. 14-1 at 17 15-16, 123-26.2 The Lawsuit was settled and dismissed in September 2022. Doc. 1-3 at 8, 18 ¶ 23. 19 Plaintiff brought this action in March 2023, alleging that Defendant wrongfully 20 denied coverage under the EPL Policies. Id. at 5-26. Specifically, Plaintiff alleges that 21 because each successive EPL Policy was renewed between 2016 and 2023, the “continuum 22 of coverage” resolved any discrepancies with respect to timely notice of the Claim. Id. 23 1 See also Guadarrama v. Green Fili, LLC, No. CV2021-013286; Judicial Branch 24 of Arizona, Maricopa County, Civil Court Case Information, https://www.superiorcourt. maricopa.gov/docket/CivilCourtCases/caseInfo.asp?caseNumber=CV2021-013286 (last 25 visited Oct. 9, 2023).

26 2 No coverage exists under the 22-23 Policy because the Claim was not first made during that policy period (January 8, 2022 to January 8, 2023). See Docs. 13 at 6-7, 14 27 ¶ 15, 14-1 at 123-24; see also Tucker v. Am. Int’l Grp., Inc., No. 3:09-CV-1499 CSH, 2015 WL 403195, at *10 (D. Conn. Jan. 28, 2015) (courts enforce the plain language of claims 28 made policies “to hold there is no coverage when the claim is made before the operative date of the policy”). 1 at 7-8. Plaintiff asserts state law claims for breach of contract, breach of the implied 2 covenant of good faith and fair dealing, unjust enrichment, intentional misrepresentation, 3 and bad faith. Id. at 8-18. Defendant moves for summary judgment on all claims. Doc. 13. 4 II. Legal Standards. 5 Summary judgment is appropriate if the moving party shows that there is no genuine 6 dispute as to any material fact and that it is entitled to judgment as a matter of law. Fed. 7 R. Civ. P. 56(a). The moving party “bears the initial responsibility of informing the court 8 of the basis for its motion, and identifying those portions of [the record] which it believes 9 demonstrate the absence of a genuine issue of material fact.” Celotex Corp. v. Catrett, 477 10 U.S. 317, 323 (1986). Only disputes over facts that might affect the outcome of the suit 11 will preclude the entry of summary judgment, and the disputed evidence must be “such 12 that a reasonable jury could return a verdict for the nonmoving party.” Anderson v. Liberty 13 Lobby, Inc., 477 U.S. 242, 248 (1986). 14 Under Arizona law, the interpretation of an insurance policy is a question of law for 15 the court to decide. See Univ. Mech. Contractors of Ariz., Inc. v. Puritan Ins. Co., 723 16 P.2d 648, 650 (Ariz. 1986); Keggi v. Northbrook Prop. & Cas. Ins. Co., 13 P.3d 785, 788 17 (Ariz. Ct. App. 2000).3 The provisions and undefined terms of an insurance policy must 18 be construed according to their plain, ordinary, and everyday sense. See Keggi, 13 P.3d 19 at 788 (citing Sparks v. Republic Nat. Life Ins. Co., 647 P.2d 1127, 1132 (Ariz. 1982)); 20 Ariz. Prop. & Cas. Ins. Guar. Fund v. Dailey, 751 P.2d 573, 575 (Ariz. Ct. App. 1987). 21 An ambiguity exists only when the language of the policy is unclear and reasonably can be 22 construed in more than one sense. See Roberts v. State Farm Fire & Cas. Co., 705 P.2d 23 1335, 1337 (1985) (citing Sparks, 647 P.2d at 1132). 24 III. Discussion. 25 A. Claims Made Policies vs. Occurrence Policies. 26 In addressing the parties’ arguments below, it is important to consider the 27 differences between a “claims made” policy and an “occurrence” policy. An occurrence

28 3 The 21-22 Policy does not contain a choice-of-law provision. Both parties cite Arizona law as controlling, and the Court will do the same. See Docs. 13 at 5-10, 15 at 4-8. 1 policy of liability insurance covers certain negligent or wrongful acts of the insured that 2 occur within the policy period, regardless of the date of discovery or the date a claim is 3 made against the insured. This type of policy generally requires that notice be given to the 4 insurer within a specified time after the insured event. Because discovery of the insured 5 event may not occur until years after the occurrence policy has expired, an extended 6 exposure time, or “tail,” is created. Occurrence policies with a “tail” that extends beyond 7 the policy period pose a problem for the insurer because it cannot calculate the premium 8 for the risk with any certainty. To reduce exposure to an unpredictable and lengthy “tail” 9 of claims made years after the occurrence policy has expired, insurers shifted to claims 10 made policies. See Thoracic Cardiovascular Assocs., Ltd. v. St. Paul Fire & Marine Ins. 11 Co., 891 P.2d 916, 919 (Ariz. Ct. App. 1994). 12 A claims made policy differs from an occurrence policy in several important 13 respects. A claims made policy covers an insured only for claims made against it during 14 the policy period. See Thoracic Cardiovascular, 891 P.2d at 920.

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Bluebook (online)
Green Fili LLC v. United States Liability Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/green-fili-llc-v-united-states-liability-insurance-company-azd-2023.