Homeland Insurance Company of New York v. Corvel Corporation

Superior Court of Delaware·Decided January 5, 2018·No. N11C-01-089 ALR·Published

Opinion

IN THE SUPERIOR COURT OF THE STATE OF DELAWARE

HOMELAND INSURANCE ) COMPANY OF NEW YORK, )

)

Plaintiff, )

)

v. ) C.A. No. N11C-01-089 ALR )

CORVEL CORPORATION, )

)

Defendant. )

)

CORVEL CORPORATION, )

)

Plaintiff, )

)

v. ) CA. No. N15C-05-069 ALR )

HOMELAND INSURANCE ) COMPANY OF NEW YORK, )

)

Defendant. )

Submitted: November 17, 2017 Decided: January 5, 2018

MEMORANDUM OPINION

Upon CorVel Corporation’s Motion for Summary Judgment GRANTED IN PART

Upon Homeland Insurance Company of New York’s Motion for Summary Judgment

DENIED IN PART

ROCANELLI, J.

Before the Court are cross-motions for summary judgment filed by CorVel Corporation (“CorVel”) and Homeland Insurance Company of New York (“Homeland”). CorVel contends that Homeland committed bad faith under a Louisiana statute (“Louisiana Bad Faith Statute”) by knowingly “misrepresenting pertinent facts or insurance policy provisions relating to any coverages at issue.” 1 Homeland challenges both the applicability of the Louisiana Bad Faith Statute and the merits of CorVel’s bad faith claim. This is the Court’s decision on CorVel and Homeland’s cross-motions for summary judgment.

Factual and Procedural Background I. The Parties CorVel is a Delaware corporation that owns and operates a Preferred Provider Organization (“PPO”) network throughout the United States.2 CorVel entered into a number of PPO agreements with providers in Louisiana, which has a statute providing certain notice requirements that a PPO must meet when it applies a discount (“Louisiana PPO Statute”).3 If a PPO fails to comply with the Louisiana PPO Statute’s notice requirements, it can be subjected to financial consequences.4

1 La. R.S. § 22:1973(B)(1). 2 See CorVel Corporation v. Homeland Insurance Company of New York, 112 A.3d 863, 864 (Del. 2015) (providing a general description of the facts in the underlying coverage litigation). 3 La. R.S. § 40:2203.1. 4 La. R.S. § 40:2203.1(G).

Homeland is an insurance company incorporated in New York. Homeland issued a Managed Care Organizations Errors and Omissions Liability Policy to CorVel for a policy period of October 31, 2005 to October 31, 2006 (“Homeland Policy”). The Homeland Policy was subsequently renewed for two continuous policy periods of October 31, 2006 to October 31, 2007 and October 31, 2007 to December 1, 2007. The Homeland Policy was a “claims-made” policy, which provided:

The Underwriter will pay on behalf of the Insured any Loss which the Insured is legally obligated to pay as a result of any Claim that is first made against the Insured during the Policy Period and reported to the Underwriter either during the Policy Period or in any event within ninety (90) days after the end of the Policy Period…5

II. The Louisiana Arbitration Action In December 2006, a Louisiana hospital initiated a class action arbitration (“Louisiana Arbitration Action”) against CorVel, alleging that CorVel violated the notice requirements of the Louisiana PPO Statute. On March 28, 2007, CorVel’s director of legal services, Sharon O’Connor, called Homeland’s claims administrator, Virginia Troy, to notify Homeland of the claim asserted against CorVel in the Louisiana Arbitration Action. On the same day, O’Connor sent Troy documents relating to the Louisiana Arbitration Action, including: (1) a December 4, 2006 letter from counsel for the class notifying CorVel of the class’s intention to

5 Joint Appendix (“J.A.”) at 21.

initiate the Louisiana Arbitration Action; (2) an engagement letter confirming CorVel’s engagement of counsel in connection with pending litigation and “related arbitration proceeding;” and (3) a letter from CorVel’s counsel to the Case Manager for the American Arbitration Association regarding the pending Louisiana Arbitration Action.6 In December 2010, CorVel sought permission from Homeland to settle the Louisiana Arbitration Action for the policy limits of the Homeland Policy.7 However, Homeland did not consent to a settlement. Furthermore, Homeland never provided a coverage determination to CorVel.

III. Homeland’s Delaware Declaratory Judgment Action Homeland filed a declaratory judgment action in this Court on January 10, 2011 (“Delaware Declaratory Judgment Action”) seeking a declaration that there was no coverage for the Louisiana Arbitration Action under the Homeland Policy. Homeland contended that there was no coverage for four reasons: (1) coverage was barred by a prior proceedings exclusion in the Homeland Policy; (2) the claim was first made before the policy period; (3) CorVel failed to report the Louisiana Arbitration Action in compliance with the reporting requirements of the Homeland

6 See J.A. at 47-53. 7 See J.A. at 106 (stating that CorVel asked Homeland to commit to a settlement of up to the limits of the Homeland Policy at a December 22, 2010 teleconference).

Policy; and (4) the Louisiana Arbitration Action sought recovery of penalty damages that would not qualify as an insured loss under the Homeland Policy.8 IV. CorVel’s Settlement On March 24, 2011, CorVel and Homeland9 were named as defendants in a class action already filed in Louisiana state court alleging the same violations of the Louisiana PPO Statute (“Louisiana Class Action”).10 Shortly thereafter, CorVel notified Homeland that it agreed to settle the Louisiana Arbitration Action and the Louisiana Class Action.11 On June 23, 2011, CorVel entered into a settlement agreement with the Louisiana Class for $9 million and an assignment of CorVel’s insurance claim against Homeland.12 Thereafter, the Louisiana Class continued to litigate against Homeland13 in Louisiana (“Louisiana Coverage Action”), and the Delaware Declaratory Judgment Action and the Louisiana Coverage Action continued on parallel tracks.

8 See J.A. at 474-86. 9 Homeland was named as a defendant pursuant to a Louisiana statute allowing an injured party to bring suit directly against an insurer. La. R.S. § 22:1269. Another CorVel insurer, Executive Risk Specialty Insurance Company (“Executive Risk”), was also named as a defendant. 10 The case was captioned Williams v. SIF Consultants of Louisiana, Inc., et al., No. 09-C-05244-C (Dist. Ct., St. Landry Parish, La.). 11 See J.A. at 744. 12 See J.A. at 111-83. 13 The Louisiana Class also continued to litigate against Executive Risk. However, Executive Risk eventually settled with the Louisiana Class for $1,750,000. See J.A. 631-33.

V. Conflict Between Delaware and Louisiana on Penalty Issue On June 13, 2013, the Delaware Superior Court granted partial summary judgment to Homeland in the Delaware Declaratory Judgment Action, concluding that the damages available under the Louisiana PPO Statute were an uninsurable penalty rather than a covered loss.14 However, seven weeks later, the Louisiana trial court reached the opposite conclusion in the Louisiana Coverage Action. The Louisiana trial court granted partial summary judgment to the Louisiana Class, holding that the damages available under the Louisiana PPO Statute were covered damages, not uninsurable penalties.15 As a result, on April 2, 2015, the Delaware Supreme Court reversed the Delaware Superior Court’s order and deferred to Louisiana’s interpretation of its own statute as a matter of comity.16 VI. CorVel’s Bad Faith Action On May 8, 2015, CorVel commenced its own action in this Court, alleging breach of contract for Homeland’s refusal to provide indemnification and defense pursuant to the terms of the Homeland Policy. CorVel subsequently amended its complaint to add a claim for violation of Homeland’s duty of good faith and fair

14 Homeland Insurance Co. v. CorVel Corporation, 2013 WL 3937022 (Del. Super. June 13, 2013). The judge who issued the June 13, 2013 opinion retired shortly thereafter and the case was reassigned to this judicial officer. 15 Williams v. SIF Consultants of Louisiana, Inc., 2013 WL 7330225 (La. Dist. Ct. July 29, 2013). 16 CorVel Corporation v. Homeland, 112 A.3d at 868.

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