Hiscox Insurance Company Inc. v. Presidio Insurance, LLC

CourtDistrict Court, M.D. Pennsylvania
DecidedSeptember 9, 2024
Docket3:23-cv-02102
StatusUnknown

This text of Hiscox Insurance Company Inc. v. Presidio Insurance, LLC (Hiscox Insurance Company Inc. v. Presidio Insurance, LLC) is published on Counsel Stack Legal Research, covering District Court, M.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hiscox Insurance Company Inc. v. Presidio Insurance, LLC, (M.D. Pa. 2024).

Opinion

UNITED STATES DISTRICT COURT MIDDLE DISTRICT OF PENNSYLVANIA HISCOX INSURANCE COMPANY INC., CIVIL ACTION NO. 3:23-CV-02102 Plaintiff, (MEHALCHICK, J.) v.

PRESIDIO INSURANCE, LLC,

Defendant.

MEMORANDUM This matter arises out of alleged misrepresentations made by Defendant Presidio Insurance, LLC (“Defendant” or “Presidio”) to Plaintiff Hiscox Insurance Company, Inc. (“Plaintiff” or “Hiscox”). Hiscox initiated this lawsuit on December 19, 2023, by filing a complaint (“Complaint”) against Presidio. Hiscox seeks declaratory relief in the form of a declaration that (1) it owes no duty to contribute to the defense of Presidio or indemnify Presidio in two underlying tort actions and (2) it may rescind its insurance contract with Hiscox. (Doc. 1). Presently before the Court is a motion to dismiss filed by Presidio, requesting that this Court refrain from exercising its discretionary jurisdiction over declaratory actions in this case. (Doc. 1). For the following reasons, the motion shall be DENIED. (Doc. 7). I. BACKGROUND AND PROCEDURAL HISTORY The following factual summary is taken from the Plaintiff’s Complaint. (Doc. 1). Hiscox insured Presidio under a Professional Liability – US Direct Errors and Omissions Insurance Policy (Doc. 1, ¶ 32). There are two other lawsuits against Presidio relevant to this matter that implicate Hiscox’s interests as Presidio’s insurer. (Doc. 1, ¶¶ 9, 18, 66). The first lawsuit involves two individuals named Teddy Kalinowski (“Kalinowski”) and James Connell (“Connell”). (Doc. 1, ¶¶ 17-20). Prior to January of 2019, Presidio, as an insurance broker, bound coverages with Liberty Mutual Insurance Company (“Liberty Mutual”) for Kalinowski. (Doc. 1, ¶ 18). Kalinowski performed snow removal services and was allegedly

responsible for Connell sustaining injuries as a result as a result of a slip and fall. (Doc. 1, ¶ 20). Connell submitted a claim to Liberty Mutual for his injuries, but Liberty Mutual disclaimed coverage on February 18, 2020 due to a snowplow exclusion in its insurance policy. (Doc. 1, ¶ 20-21). Presidio was allegedly copied on this February 18, 2020 disclaimer letter as well as a later disclaimer letter dated May 25, 2022. (Doc. 1, ¶¶ 22, 26). Presidio then applied for insurance coverage from Hiscox on or about August 12, 2020, without notifying Hiscox of Connell’s potential claim. (Doc. 1, ¶¶ 31, 50). Connell filed a lawsuit against Kalinowski on January 7, 2021 and was awarded $748,433.12 in a Judgment of Confession on May 12, 2022. (Doc. 1, ¶¶ 23, 25). On December 20, 2022, Kalinowski assigned his rights of recovery against Liberty Mutual and Defendant to Connell, and on June 6, 2023, Connell

filed a directed action against Liberty Mutual and Defendant. (Doc. 1, ¶¶ 28-29). It was only at this point that Presidio placed Hiscox on notice of the Connell claims, 34 months after beginning its insurance policy with Hiscox and 38 months after being copied on the February 2020 disclaimer letter. (Doc. 1, ¶¶ 22, 30, 50). The second lawsuit relevant to this matter involves the Grange Insurance Company (“Grange”). (Doc. 1, ¶¶ 8-15). On August 4, 2021, Grange made a demand for indemnification against Presidio for amounts Grange paid for claims by one of its insured in a lawsuit involving commercial vehicles. (Doc. 1, ¶ 9). Grange alleges that Presidio mispresented the class of a certain vehicle to be covered by the Grange policy. (Doc. 1, ¶ 12). As a result, Grange contends that it was required to defend and indemnify an entity called Shawnee Concrete in an action arising from a fatal accident involving the misclassified vehicle. (Doc. 1, ¶ 12-13). On July 29, 2022, Grange invoked an arbitration provision in the Agency Agreement between Grange and Presidio seeking reimbursement of all amounts paid

in the defense and indemnification of Shawnee Concrete. (Doc. 1, ¶¶ 10, 14). Presidio notified Hiscox of the potential Grange claims on February 16, 2021 (Doc. 1, ¶ 15). The insurance agreement between Hiscox and Presidio at issue expressly states: “This policy does not apply to and We shall have no obligation to pay for any Damages, Claim Expenses, or Supplemental Payments for any Claim based on or arising out of any actual or alleged Wrongful Act that You had knowledge of prior to the Policy Period and had a reasonable basis to believe that such Wrongful Act could give rise to a Claim; provided, however, that if this Policy is a renewal or replacement of a previous policy issued by Us providing materially identical coverage, the Policy Period referred to in this paragraph will be deemed to refer to the inception date of the first such policy issued by Us.

(Doc. 1, ¶ 38). The insurance policy also contains a provision noting that “in the event the Application contains misrepresentations which materially affect the acceptance of the risk assumed by Us under this Policy, this Policy shall be void ab initio.” (Doc. 1, ¶ 40). Hiscox alleges that Presidio continually failed to notify Hiscox of any potential claims when Presidio renewed its insurance policy in 2021 and 2022. (Doc. 1, ¶ 51). Hiscox further asserts that as a result of Presidio’s failure to notify Hiscox of the potential Connell claim at the time the policy was enacted or during any policy renewals, there is no coverage available to Presidio under the policy and the policy itself is void ab initio. (Doc. 1, ¶¶ 55-58). Consequently, Hiscox alleges that Presidio is not entitled to coverage on either the Connell claims or the Grange claims. (Doc. 1, ¶¶ 55-58). On December 19, 2023, Hiscox filed its Complaint for Declaratory Judgment pursuant to the Declaratory Judgment Act, 28 USC § 2201, (“DJA”) seeking that this Court declare that Hiscox has no duty to cover, indemnify, or defend Presidio in the related state court proceedings and that Hiscox is entitled to rescind its insurance policy covering Presidio. (Doc.

1, at 12, 14). On January 29, 2024, Presidio field its motion to dismiss the Complaint and an accompanying brief in support. (Doc. 7; Doc. 8). On February 9, 2024, Hiscox filed its brief in opposition.1 (Doc. 11-1). Accordingly, the motion to dismiss has been fully briefed and is ripe for disposition. II. LEGAL STANDARD Rule 12(b)(6) of the Federal Rules of Civil Procedure authorizes a defendant to move to dismiss for “failure to state a claim upon which relief can be granted.” Fed. R. Civ. P. 12(b)(6). To assess the sufficiency of a complaint on a Rule 12(b)(6) motion, a court must first take note of the elements a plaintiff must plead to state a claim, then identify mere conclusions

which are not entitled to the assumption of truth, and finally determine whether the complaint’s factual allegations, taken as true, could plausibly satisfy the elements of the legal claim. Burtch v. Milberg Factors, Inc., 662 F.3d 212, 221 (3d Cir. 2011). In deciding a Rule 12(b)(6) motion, the court may consider the facts alleged on the face of the complaint, as well as “documents incorporated into the complaint by reference, and matters of which a court may take judicial notice.” Tellabs, Inc. v. Makor Issues & Rights, Ltd., 551 U.S. 308, 322 (2007). After recognizing the required elements which make up the legal claim, a court should “begin by identifying pleadings that, because they are no more than conclusions, are not

1 Plaintiff is reminded of the requirements of Local Rules 7.6 and 7.8, governing structure of briefs in opposition. See L.R. 7.6 and 7.8. entitled to the assumption of truth.” Ashcroft v.

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Hiscox Insurance Company Inc. v. Presidio Insurance, LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hiscox-insurance-company-inc-v-presidio-insurance-llc-pamd-2024.