HealthTrackRx Indiana, Inc. v. RSUI Indemnity Company

CourtDistrict Court, E.D. Texas
DecidedApril 17, 2025
Docket4:23-cv-01063
StatusUnknown

This text of HealthTrackRx Indiana, Inc. v. RSUI Indemnity Company (HealthTrackRx Indiana, Inc. v. RSUI Indemnity Company) is published on Counsel Stack Legal Research, covering District Court, E.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
HealthTrackRx Indiana, Inc. v. RSUI Indemnity Company, (E.D. Tex. 2025).

Opinion

United States District Court EASTERN DISTRICT OF TEXAS SHERMAN DIVISION

HEALTHTRACKRX INDIANA, INC., § § Plaintiff, § v. § Civil Action No. 4:23-cv-1063 § Judge Mazzant RSUI INDEMNITY COMPANY, § § Defendant. §

MEMORANDUM ADOPTING IN PART THE REPORT AND RECOMMENDATION OF UNITED STATES MAGISTRATE JUDGE

Came on for consideration the Report and Recommendation (“Report”) of the United States Magistrate Judge in this action, this matter having been heretofore referred to the Magistrate Judge under 28 U.S.C. § 636. The instant controversy stems from cross motions for judgment on the pleadings (Dkt. #14; Dkt. #15; Dkt. #21). On March 7, 2025, the Magistrate Judge entered a Report (Dkt. #21). Through it, the Magistrate Judge recommended that Defendant’s Motion for Judgment on the Pleadings (Dkt. #14) be granted in part and denied in part. The Report also recommends that Plaintiff’s Motion for Judgment on the Pleadings (Dkt. #15) be denied. After conducting a de novo review, and having considered the parties’ objections, the relevant pleadings, and the applicable law, the Court concludes that the Report should be ADOPTED in part. Defendant’s Motion for Judgment on the Pleadings (Dkt. #14) should be GRANTED in part and DENIED in part. Plaintiff’s Motion for Judgment on the Pleadings (Dkt. #15) should be DENIED. Part III.C. of the Report should be RETURNED for further consideration. BACKGROUND I. Factual Background This is an insurance coverage dispute. Plaintiff HealthTrackRX Indiana, Inc. is a provider of infectious-disease laboratory testing subject to significant regulatory oversight (Dkt. #1 at p. 3).

Plaintiff’s parent company is PL Parent, LLC (“PL Parent”) (Dkt. #1 at p. 4). PL Parent purchased an insurance policy (the “Policy”) from Defendant RSUI Indemnity Company (Dkt. #1 at p. 4). The Policy contemplates a one-year coverage period of July 19, 2022, to July 19, 2023 (Dkt. #1 at p. 4). The Policy provides certain coverage for regulatory claims. During 2023, Plaintiff received two regulatory claims (Dkt. #1 at p. 3). First, around January 27, 2023, Plaintiff received a regulatory claim which sought production of sixteen types of

Plaintiff’s documents and propounded upon Plaintiff twenty-five interrogatories (Dkt. #1 at p. 4). Second, around July 5, 2023, Plaintiff received another regulatory claim which sought the production of ten types of Plaintiff’s documents and propounded upon Plaintiff eleven interrogatories (Dkt. #1 at p. 4). When Plaintiff notified Defendant of the regulatory claims, Defendant agreed to defend Plaintiff against those claims and consented to Plaintiff’s selection of defense counsel (Dkt. #21 at p. 1). However, Defendant communicated to Plaintiff that the costs of defending Plaintiff were subject to: (1) a $250,000 “retention” that Plaintiff would have to pay

before coverage under the Policy would be triggered, and (2) a $250,000 limit on liability coverage (Dkt. #21 at p. 1). Plaintiff disputes the applicability of both conditions. This litigation followed. II. The Relevant Policy Language Because the resolution of the instant dispute turns almost exclusively on the language of the Policy at issue, the Court deems it appropriate to summarize the Policy provisions at play. “The parties have stipulated on a true, correct, and complete copy of the Policy,” which Defendant submitted alongside its Motion for Judgment on the Pleadings (Dkt. #14-1). Section V.P. of the Policy includes a choice-of-law provision (Dkt. #14-1 at p. 24). The parties do not object to the Report’s interpretation of that provision as an enforceable one that, in this case, requires

that the Policy be interpreted under Indiana law (Dkt. #21 at p. 3; Dkt. #22; Dkt. #23). The parties also agree on the provisions at issue. Though dense, there are only a few. Starting at the top, the Policy’s declarations include three types of coverage sections, which simply denote the general contours of the insured’s coverage (Dkt. #14-1 at pp. 2, 19; Dkt. #21 at p. 3). They are: (1) Directors and Officers Liability Insurance; (2) Employment Practices Liability Insurance; and (3) Fiduciary Liability Insurance (Dkt. #14-1 at p. 2; Dkt. #21 at p. 3). Only the

Directors and Officers Liability Insurance Coverage Section is at issue here (Dkt. #21 at p. 4). Next, as to the general terms of the Policy, the Report observes that it includes a “Common Policy Terms and Conditions Coverage Section,” which defines terms most frequently used in the Policy (Dkt. #14-1 at p. 18; Dkt. #21 at p. 4). Sub-section I. of that Section states: Section I. – Common Policy Terms and Conditions The Common Policy Terms and Conditions Section of this Policy shall apply to all Coverage Sections. Unless stated to the contrary in any Coverage Section, the terms and conditions of each Coverage Section of this policy shall apply only to that Coverage Section and shall not apply to any other Coverage Section of this policy. If any provision in the Common Policy Terms and Conditions sections is inconsistent or in conflict with the terms and conditions in any Coverage Section, including any endorsements attached thereto, the terms and conditions of such Coverage Section or endorsement, shall supersede for the purposes of that Coverage Section. (Dkt. #14-1 at p. 18).1 This Common Policy Terms and Conditions Coverage Section defines, as the Report observes, a “critical term” at the heart of this dispute: Loss (Dkt. #14-1 at p. 19; Dkt. #21 at p. 4).

Turning to the narrower provision at issue, the Directors and Officers Liability Coverage Section contemplates three different Insuring Agreements (Dkt. #14-1 at p. 43). The parties agree that the only Agreement at issue here is the third (labeled as “C”), which states, in relevant part: If purchased, as indicated in Item 3. of the Common Policy Declarations Page, and in consideration of the payment of premium and in reliance upon all statements made to the Insurer in the Application, and subject to the terms, conditions, definitions, exclusions, and limitations provided hereinafter or in the Common Policy Terms and Conditions, the Insurer agrees: . . . With the Insured Organization, that if a Claim or Wrongful Act is first made against the Insured Organization during the Policy Period and reported in accordance with SECTION V. – CONDITIONS, C. Notice of Claim or Circumstance in the Common Policy Terms and Conditions of this policy, the Insurer will pay on behalf of the Insured Organization all Loss the Insured Organization is legally obligated to pay. (Dkt. #14-1 at p. 43). The terms used above take on special meanings, as defined by both the COMMON POLICY TERMS AND CONDITIONS COVERAGE SECTION and the Directors and Officers Liability Insurance Coverage Section (Dkt. #14-1 at pp. 19, 44). The Common Policy Terms and Conditions Section does not concretely define Loss. Instead, it states that “Loss shall have the meaning set forth in each applicable Coverage Section or any applicable endorsements attached to this policy” (Dkt. #14-1 at p. 19) (cleaned up). In turn, the Directors and Officers Liability

1 Terms that appear in bold indicate that the term appears as such and is defined in the Policy and is used in this Order in accordance with those definitions. Insurance Coverage Section defines Loss as “damages, settlements, judgments (including pre- and post-judgment interest on a covered judgment) and Defense Expenses” (Dkt. #14-1 at p. 44). As the Report notes, while the Directors and Officers Liability Insurance Coverage Section

does not define Defense Expenses as used in that Section’s definition of Loss, the Common Policy Terms and Conditions Section does (See Dkt. #14-1 at pp. 44–45).

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HealthTrackRx Indiana, Inc. v. RSUI Indemnity Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/healthtrackrx-indiana-inc-v-rsui-indemnity-company-txed-2025.