Henry v. Maxum Indemnity Company

District Court, E.D. Louisiana·Decided November 8, 2022·No. 2:20-cv-02995·Unknown

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF LOUISIANA

BRANDON HENRY, ET AL. CIVIL ACTION

VERSUS NO. 2:20-02995-WBV-JVM c/w 20-2997-WBV-JVM c/w 20-2998-WBV-JVM

MAXUM INDEMNITY COMPANY , ET AL. SECTION: D (1)

ORDER and REASONS1 Before the Court is Capitol Specialty Insurance Corporation’s Motion for Summary Judgment and Other Relief.2 Both the Plaintiffs and the Nations Defendants oppose the Motion,3 and Capitol Specialty Insurance Corporation has filed a Reply brief in response to each Opposition brief.4 After careful consideration of the parties’ memoranda and the applicable law, the Motion is GRANTED and Plaintiffs’ claims against Capitol Specialty Insurance Corporation are DISMISSED WITH PREJUDICE. I. FACTUAL AND PROCEDURAL BACKGROUND5 The Plaintiffs in this consolidated case allege that their BP Subsistence Claims were denied due to the actions and inactions of Howard L. Nations, APC (the “Nations Firm”), The Nicks Law Firm, LLC, Rueb & Motta, APLC, Joseph A. Motta, Attorney at Law, APLC, The Rueb Law Firm, APLC, Howard L. Nations, Cindy L. Nations,

1 Unless otherwise indicated, all of the citations to the record in this Order refer to documents filed in the master file of this consolidated matter, 20-cv-2995. 2 R. Doc. 316. 3 R. Docs. 401 & 409. The Nations Defendants include Howard L. Nations, APC, Howard L. Nations, and Cindy L. Nations. R. Doc. 409 at p. 1. 4 R. Docs. 426 & 428. 5 The factual background of this case was extensively detailed in several orders previously issued by this Court (See, R. Docs. 223 & 226) and, for the sake of brevity, will not be repeated here. Shantrell Nicks, Gregory D. Rueb, and Joseph A. Motta (collectively, the “Attorney- Defendants”), including their rushed and confusing intake process, their submission of unreasonable and inconsistent claimant data on each plaintiff’s claim form and

sworn statement, and that the Attorney-Defendants intentionally deceived each plaintiff regarding the factual reasons for their particular claim denial.6 Plaintiffs sued the Attorney-Defendants, along with their professional liability insurers, Maxum Indemnity Company (“Maxum”), QBE Insurance Corporation, Landmark American Insurance Company, and Capitol Specialty Insurance Corporation (“CapSpecialty”).7 In the instant Motion, CapSpecialty asserts that Maxum issued a professional

liability policy to the Nations Firm that provided coverage from January 25, 2019 to January 25, 2020 (the “Maxum policy”), and that, thereafter, CapSpecialty issued two professional liability policies to the Nations Firm that provided coverage from January 25, 2020 to January 25, 2021 (the “first CapSpecialty policy”) and from January 25, 2021 to January 25, 2022 (the “second CapSpecialty policy”).8 CapSpecialty claims that the Maxum and CapSpecialty policies are all “claims made

and reported” policies, meaning that coverage is only triggered if a “Claim” has been both first made against the Nations Firm and reported to the insurer during the policy period.9

6 R. Doc. 1-1 at ¶ 17; R. Doc. 1-1 at ¶ 17 in Civ. A. No. 20-2997, Charles Billiot, Jr., et al. v. Maxum Indem. Co., et al. (the “Billiot matter”); R. Doc. 1-1 at ¶ 17 in Civ. A. No. 20-2998, Gary Pierce v. Maxum Indem. Co., et al. (the “Pierce matter”). 7 R. Doc. 139 at ¶ 2. 8 R. Doc. 316-1 at pp. 2-3. 9 Id. at p. 3. Although the three state court cases that gave rise to this consolidated matter were filed in July 2020,10 during the first CapSpecialty policy period, CapSpecialty asserts that Plaintiffs’ claims against the Nations Defendants are not covered under

the policy because a “Claim” was first made against the Nations Defendants regarding the same or related “Wrongful Acts,” as those terms are defined in the CapSpecialty policies, when the Nations Defendants were served with the related suit, Civ. A. No. 19-10356, Deborah Gaudet, et al. v. Howard Nations, APLC, et al., (the “Gaudet matter”), on or about May 17, 2019, which would have been during the Maxum policy coverage.11 CapSpecialty claims that the Gaudet matter involves identical professional liability claims against the Attorney-Defendants based upon

their alleged failure to file BP Subsistence Claims on behalf of the plaintiffs in that case. Indeed, CapSpecialty contends that the only distinction between the cases is that the four insurers that issued primary or excess professional liability policies to the Nations Firm are named as direct action defendants in the current Henry lawsuit.12 CapSpecialty asserts that the Nations Firm promptly notified Maxum of the Gaudet matter prior to the inception of the first CapSpecialty policy, and that the

Nations Firm should have reasonably foreseen that the “Wrongful Acts” at issue in the Gaudet matter might become the basis for additional claims.13 Thus, CapSpecialty argues that its first policy (the “first CapSpecialty policy”) provides no coverage for Plaintiffs’ claims against the Nations Defendants because they are

10 See, R. Doc. 1-1; R. Doc. 1-1 in the Billiot matter; R. Doc. 1-1 in the Pierce matter. 11 R. Doc. 316-1 at pp. 2-5 & 14-23. See, R. Doc. 9 in the Gaudet matter. 12 R. Doc. 316-1 at p. 2. 13 Id. at pp. 4 & 14-16. deemed to be claims that were first made against the Nations Defendants when they were served with a copy of the Gaudet matter in May 2019, prior to the inception date of the first CapSpecialty policy. For the same reasons, and out of an abundance of

caution, CapSpecialty asserts that Plaintiffs’ claims are not covered under the second CapSpecialty policy, which provided coverage from January 25, 2021 to January 25, 2022.14 CapSpecialty further asserts that Endorsement No. 3 of the first CapSpecialty policy bars coverage for Plaintiffs’ claims because it excludes coverage for any BP Subsistence Claims that arise out of or are based on the Gaudet matter or any claim that arises out of a Texas state bar complaint filed by Jerald P. Block, counsel for the plaintiffs in the Gaudet and Henry matters, against the Nations

Firm.15 Plaintiffs oppose the Motion, asserting that their claims are separate and distinct from the claims in the Gaudet matter and, as such, do not involve the same or related “Wrongful Acts.”16 Plaintiffs point out that they have alleged that their BP Subsistence Claims were denied during the post-review process, while the Gaudet plaintiffs allege that their BP Subsistence Claims never reached the review stage.17

Plaintiffs claim that CapSpecialty’s position “flaunt[s]” this Court’s Order denying consolidation of the Henry and Gaudet matters because the Court held that the claims of the Gaudet and Henry plaintiffs are not interconnected or intertwined in such a

14 Id. at pp. 4 & 25. 15 Id. at pp. 4 & 23-25. 16 R. Doc. 401 at pp. 4-5. 17 Id. way to support consolidation.18 Although not a model of clarity, Plaintiffs seem to assert that Endorsement No. 3 in the first CapSpecialty policy does not exclude coverage for claims brought by Jerald Block because the disciplinary complaint he

filed against the Nations Firm only concerned the Gaudet plaintiffs.19 Finally, Plaintiffs claim that CapSpecialty’s argument that there is no coverage under its second policy is “inscrutable, confusing, and overbroad,” and that, “Capitol Specialty’s statement about occurrences during the policy period makes no sense in that the policy is a claims made – not an occurrence policy.”20 As such, Plaintiffs argue that CapSpecialty’s Motion for Summary Judgment should be denied. The Nations Defendants also oppose the Motion, asserting that the alleged

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