IRONSHORE SPECIALTY INSURANCE COMPANY v. LOGAN

District Court, M.D. Georgia·Decided August 2, 2024·No. 5:23-cv-00358·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF GEORGIA MACON DIVISION

IRONSHORE SPECIALTY ) INSURANCE COMPANY, ) ) Plaintiff, ) ) v. ) CIVIL ACTION NO. 5:23-cv-358 (MTT) ) ALPHONZO LOGAN, et al., ) ) Defendants. ) __________________ )

ORDER Plaintiff Ironshore Specialty Insurance Company (“Ironshore”) filed this declaratory judgment action against defendants Alphonzo Logan, Dewayne Logan, Jamaar Dewayne Logan as Executor of the Estate of Mary Francis Logan (“the Logans”), and 4 West Holdings, Inc. (“4 West”).1 Doc. 1. The Logans claim they properly obtained a judgment against 4 West’s subsidiary and Ironshore, as 4 West’s insurer, is responsible for that judgment. See Doc. 36. Ironshore moves for judgment on the pleadings arguing 4 West is not legally obligated to pay the judgment and, thus, the judgment is not a covered loss. Doc. 32. The Logans move for summary judgment arguing that Ironshore is responsible for satisfying the judgment because Ironshore “abandoned” 4 West. Doc. 28.

1 4 West is in default. See Doc. 23. I. BACKGROUND2 A. The Policy “Ironshore issued [a] Long Term Care Organizations Professional Liability, General Liability and Employee Benefits Liability Insurance Policy … to 4 West for the

Policy Period of December 29, 2014 to December 29, 2015.” Docs. 1 ¶ 15; 1-1; 18 ¶ 15. Covenant Dove Healthcare of Macon, later known as Macon Rehabilitation and Healthcare Center LLC (“Macon Rehab”) is a named insured under the policy.3 Docs. 1 ¶ 19; 18 ¶ 19. The policy states, “[t]he Insurer will pay on behalf of the Insured any Loss that the Insured is legally obligated to pay as a result of any covered Claim[.]” Doc. 1-1 at 6 (emphasis in original). “Loss” is defined as “damages, settlements, judgments or other amounts…in excess of the applicable Retention…and not exceeding the applicable Limit of Liability.” Id. at 10-11 (emphasis added). Additionally, “claim” is defined as “a written demand received by an Insured for monetary damages resulting from a Wrongful

Act or an Occurrence.” Id. at 8. Note the emphasis on 4 West’s retention. The policy was subject to a self- insured retention of $500,000. Doc. 1 ¶¶ 18, 24. Thus, 4 West was responsible for any loss, including defense costs, within the self-insured retention. Doc. 1-1 at 21. Ironshore’s obligation was limited to losses or defense expenses in excess of $500,000, assuming, of course, the loss was otherwise covered by the policy. Id.

2 The facts stated here are taken from Ironshore’s complaint, the attachments to the complaint, and the Logan’s answer. Docs. 1; 18.

3 “Macon Rehab no longer exists.” Docs. 1 ¶ 12; 18 ¶ 12. B. The Underlying Lawsuit Mary Francis Logan was a resident of Macon Rehab, a long-term care facility. Docs. 1 ¶ 25; 18 ¶ 25. In October of 2014, Mary Francis fractured her hip “when a facility employee was moving her to the shower.” Docs. 1 ¶ 25; 18 ¶ 25. “On April 28,

2015, counsel for the Logans wrote [to Macon Rehab] stating that it ‘may be liable to Ms. Logan for her personal injury,’ and requested disclosure of the relevant insurance policies.” Docs. 1 ¶ 26; 18 ¶ 26. “After the potential claim was reported to Ironshore, Ironshore’[s] third-party-administrator—Hamlin & Burton—acknowledged receipt of the notice, assigned defense counsel, and issued a reservation of rights letter.” Docs. 1 ¶ 27; 18 ¶ 27. “Defense counsel was directed to submit its invoices to the insured’s third- party administrator—HC Navigator—until the insured’s $500,000 retention was exhausted.” Docs. 1 ¶ 28; 18 ¶ 28. In 2016, Alphonzo Logan, Dewayne Logan, and Jamaar Dewayne Logan—Mary Francis’s children—“filed a personal injury lawsuit against Macon Rehab [] in Bibb County, Georgia.”4 Docs. 1 ¶ 30; 18 ¶ 30.

On March 6, 2018, 4 West and Macon Rehab “filed for bankruptcy in the United States Bankruptcy Court for the Northern District of Texas.” Docs. 1 ¶ 31; 18 ¶ 31. On March 20, 2020, the Logans settled their claims within 4 West’s self-insured retention and executed a release, “which discharged all claims against 4 West and Macon Rehab.” Docs. 1 ¶ 32; 1-2; 18 ¶ 32; 47 at 3. The release states: [The Logans] (hereinafter collectively referred to as “Releasors”), for and in consideration of the sum of … or other valuable considerations, hereby remise, release, acquit, satisfy and forever discharge 4 West Holdings, Inc., Macon Rehabilitation and Healthcare Center, LLC f/k/a Covenant Dove Healthcare of Macon, LLC f/k/a Laurel Baye Healthcare of Macon, LLC, and their parents, subsidiaries, affiliates, managers, operators, assignees, officers, directors, members and employees

4 Mary Francis died in 2016. Docs. 1 ¶ 29; 18 ¶ 29. (hereinafter collectively referred to as “Releasees”), of and from any and all manner of action and actions, cause and causes of action, suits, debts, dues, sums of money, accounts, reckonings, bonds, bills, specialties, covenants, contracts, controversies, agreements, promises, variances, trespasses, damages, judgments, executions, claims and demands whatsoever, in law or in equity, which said Releasors ever had, now have, or which any personal representative, successor, heir or assign of said Releasors, hereafter can, shall or may have against said Releasees for, upon or by reason of any matter, cause or thing whatsoever, from the beginning of the world to the day of these presents, and more particularly with reference to any and all claims, specifically relative to the subject matter of: Estate of Mary Logan, Alphonzo Logan and Dewayne Logan v. Macon Rehabilitation and Healthcare Center, LLC, et al., filed in the State Court of Bibb County, Georgia, Case No.: 86465, and the Proof(s) of Claim on behalf of the Releasors filed by The Reynolds Law Group in the United States Bankruptcy Court, Northern District of Texas, Case Number 18-30777 (Jointly Administered), including any and all claims for wrongful death and survival damages, claims for attorneys’ fees and costs, and any and all claims that may exist on behalf of the spouse, if any, and any and all natural and/or adopted children of Mary Logan, related to the subject matter of the lawsuit referenced herein. …

It is further understood and agreed that this release does not, and is not intended to, release or discharge any claim or potential claim against any other person or entity not identified herein, including, but not limited to, any insurer of the Debtors under the insurance policies under the insurance policies, any other nursing home, any surgeon or doctor, or their professional association, nurses, or independent contractors, any therapy company or pharmaceutical company, consultants, or any hospital except those specifically provided herein. Doc. 1-2 at 2-3 (emphasis in original). After the execution of the release, “Macon Rehab’s defense counsel withdrew from the State Court Action.” Docs. 1 ¶ 34; 18 ¶ 34. “Despite the broad Release, the Logans continued to prosecute their purported claims against the defendants and, after 4 West and Macon Rehab exited bankruptcy and the automatic stay was lifted, asked the State Court to schedule a trial.” Docs. 1 ¶ 35; 18 ¶ 35. On February 22, 2023, the State Court sent a notice of a non-jury trial addressed to Macon Rehab. Docs. 1 ¶ 36; 18 ¶ 36. “Because Macon Rehab did not appear for trial, the State Court granted the Logans’ motion to strike Macon Rehab’s answer and deemed liability admitted. After a trial on damages, the State Court entered the Judgment for the Logans and awarded them $2.1 million in damages plus court costs and interest.” Docs. 1 ¶ 37; 1-3; 18 ¶ 37. On August 18, 2023, counsel for the Logans emailed Ironshore demanding payment of the State Court judgment. Docs. 1 ¶

39; 18 ¶ 39. The Logans are attempting to garnish Ironshore. Logan et al v. Macon Rehabilitation and Healthcare Center LLC et al, No. 5:24-cv-00057-MTT (M.D. Ga. Feb. 14, 2024). C.

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