Helms v. Hanover Insurance Group Incorporated

District Court, D. Arizona·Decided August 20, 2021·No. 2:20-cv-01728·Unknown

Opinion

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

9 Julie-Anne Helms, et al., No. CV-20-01728-PHX-DWL

10 Plaintiffs, ORDER

11 v.

12 Hanover Insurance Group Incorporated, et al., 13 Defendants. 14 15 This insurance dispute arises from a bizarre real estate transaction gone wrong. 16 Julie-Anne Helms (a realtor) and Helms & Helms, P.L.L.C. (her real estate agency) 17 (together, “Plaintiffs”) were representing a couple interested in purchasing a home in 18 Arizona. When the couple attempted to wire the closing funds (nearly $120,000), they sent 19 it to fraudsters who had used forged emails and payment instructions to impersonate the 20 title company representative. Afterward, the couple sued Plaintiffs in an attempt to recoup 21 the lost money. Plaintiffs, in turn, notified their insurance company, The Hanover 22 Insurance Company (“Hanover”), of the lawsuit and sought a defense, but Hanover 23 declined to provide a defense based on various policy exclusions. In this action, Plaintiffs 24 challenge Hanover’s denial of a defense. 25 Now pending before the Court is Hanover’s1 motion for summary judgment. For 26 the following reasons, the motion is granted. 27 1 The Court will use “Hanover” to refer to both Hanover Insurance Group Inc. and 28 the lone remaining co-defendant Hanover Insurance Company. Hanover maintains that Hanover Insurance Group Inc. was erroneously named and sued. (Doc. 23 at 1.) 1 BACKGROUND 2 I. Factual Background 3 The facts below are derived from the parties’ summary judgment submissions. 4 In March 2018, Hanover issued a Professional Liability Policy (“the Policy”) to 5 Conrad Financial Services d/b/a ReMax Preferred Choice, the named insured (“ReMax”). 6 (Doc. 23-1.) Plaintiffs work for ReMax as independent contractors. (Doc. 23-4 at 2-3.) 7 In May 2018, Joseph and Carla Thuney (the “Thuneys”) filed a complaint in this 8 District, Thuney v. Lawyer’s Title of Arizona Inc., 18-cv-01513-HRH, against Plaintiffs 9 and others. (Doc. 23-2.) In their complaint, the Thuneys alleged that they hired Plaintiffs, 10 who were working as contractors for ReMax, to assist them in purchasing a home in 11 Arizona. (Id. ¶¶ 17, 21.) After Plaintiffs exchanged unencrypted emails with the title 12 company, the Thuneys received an email from someone masquerading as an agent of the 13 title company with wire transfer instructions for the Thuneys’ almost $120,000 down 14 payment. (Id. ¶¶ 25-39.) The Thuneys, unsuspecting of any fraud, wired the payment to 15 the impersonators. (Id. ¶¶ 36-42.) The Thuneys discovered the fraud soon afterward but, 16 despite their efforts to stop the wire transfer, the funds were released to the fraudsters. (Id. 17 ¶¶ 43-56.) As discussed in more detail below, the Thuneys asserted claims against 18 Plaintiffs for breach of confidential or fiduciary duty (id. ¶¶ 67-71) and negligence or gross 19 negligence (id. ¶¶ 75-76). 20 On June 12, 2018, ReMax notified Hanover of the lawsuit. (Doc. 23-3.) Hanover 21 opened an investigation into the claim. (Doc. 23-4 at 5-10.) As part of its investigation, 22 Hanover reviewed the Thuneys’ complaint and the Policy and had several discussions with 23 ReMax. (Id.) 24 On June 22, 2018, Hanover informed ReMax of its denial of coverage. (Doc. 23- 25 5.) Hanover provided three bases for the denial. (Id.) The first was an exclusion in the 26 Policy barring coverage for claims “arising out of or resulting . . . from any . . . 27 commingling, misappropriation or improper use of funds or monies,” which Hanover 28 deemed applicable because the claims against Plaintiffs “involve[d] funds which were 1 embezzled and/or misappropriated.” (Id. at 5, internal quotation marks omitted.) Second 2 was a different exclusion barring coverage for “any conversion or improper use of funds,” 3 which Hanover deemed applicable because the claims against Plaintiffs arose out of 4 “misappropriation or conversion of funds.” (Id.) Third was an exclusion barring coverage 5 for claims related to, or arising out of, a “transfer, payment, or delivery of funds . . . which 6 was caused or induced by trick, artifice, or the fraudulent representation of a material fact,” 7 which Hanover deemed applicable because the claims against Plaintiffs were premised on 8 the allegation that “funds were transferred due to trick . . . through a social engineering 9 scam.” (Id.) Hanover told ReMax that it had 30 days to respond if it disagreed. (Id.) 10 On September 17, 2018, Hanover closed the file because it received “no pushback 11 from [the] insured.” (Doc. 23-4 at 4.) 12 Because Hanover declined to defend Plaintiffs in the Thuneys’ lawsuit, Plaintiffs 13 had to hire their own counsel and continued to do so until it “became no longer financially 14 feasible.” (Doc. 30 at 21.) Julie-Anne Helms later filed for bankruptcy. (Id.) 15 II. The Policy 16 The Policy is entitled “Miscellaneous Professional Liability Insurance Policy.” 17 (Doc. 23-1 at 6.) Section A of the Policy provides coverage for, inter alia, the payment of 18 “damages and claim expenses because of a claim against you arising from a wrongful act 19 in the rendering or failure to render professional services” (id., emphases omitted), while 20 Section B provides for the defense of covered claims: “We have . . . the exclusive right to 21 defend any claim made under this policy . . . [but] [i]f a claim is not covered under this 22 policy, we will have no duty to defend it.” (Id. at 7, emphases omitted). 23 The Policy defines “professional services” as: 24 [T]hose services described in Item 6. of the Declarations page [Real Estate Agent/Broker, Business Broker and/or Property Management] which you 25 perform for others including advice given or services performed by an 26 insured for others as a real estate agent, but solely when such services are performed on behalf of an insured as a real estate agency, and provided that 27 the insured is appropriately licensed by the state in which the insured is doing 28 business. 1 (Id. at 3, 27, emphases omitted.) The term “insured” includes the named insured (i.e., 2 ReMax) and, depending on the circumstances, individuals acting in the service of the 3 named insured, such as independent contractors. (Id. at 9.) 4 The Policy contains several exclusions, including, as relevant here, exclusions for 5 claims: (1) “[a]rising out of or resulting, directly or indirectly from any actual or alleged 6 commingling, misappropriation or improper use of funds or monies” (id. at 11); (2) 7 “[b]ased upon or arising out of . . . [a]ny conversion or improper use of funds or property” 8 (id. at 28); and (3) “based upon, arising out of or in any way related to any transfer, payment 9 or delivery of funds, money or property, by anyone, which was caused or induced by trick, 10 artifice, or the fraudulent misrepresentation of a material fact including, but not limited to, 11 social engineering, pretexting, phishing, spear phishing, or any other confidence trick” (id. 12 at 31). The final exclusion will be referred to as the “False Pretenses Exclusion.” 13 III. The Thuneys’ Complaint 14 The Thuneys’ first claim against Plaintiffs was for “Breach of a Confidential or 15 Fiduciary Duty.” (Doc. 23-2 ¶¶ 67-61.) In this claim, the Thuneys alleged that, as real 16 estate agents, Plaintiffs had a “fiduciary relation[ship] of trust and confidence,” which 17 Plaintiffs breached “as more fully described herein.” (Id. ¶¶ 68-69.) The factual 18 allegations concerning Plaintiffs’ conduct were as follows: 19 ▪ On May 9, 2017, Plaintiffs “sent an unencrypted email with a copy of the 20 Executed Contract for the property to Joe Thuney and advised him that the 21 file had been sent to [the title company] to establish an escrow account and 22 that Amanda Zalenski would be contacting them by phone.” (Id.

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Helms v. Hanover Insurance Group Incorporated, (D. Ariz. 2021).

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