Ironshore Specialty Insurance Company v. Scott

CourtDistrict Court, N.D. Texas
DecidedOctober 17, 2023
Docket3:23-cv-00296
StatusUnknown

This text of Ironshore Specialty Insurance Company v. Scott (Ironshore Specialty Insurance Company v. Scott) is published on Counsel Stack Legal Research, covering District Court, N.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Ironshore Specialty Insurance Company v. Scott, (N.D. Tex. 2023).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF TEXAS DALLAS DIVISION

IRONSHORE SPECIALTY INSURANCE COMPANY,

Plaintiff,

v.

FACILITY IMS, LLC, THOMAS D. Civil Action No. 3:23-CV-00296-K SCOTT, ROBERT J. RIEK, GARY D. ANDERSON, GENE LUNCEFORD, MELINDA S. PROVENCE, and EVELYN BREAUX TENNYSON, as administrator of the ESTATE OF MICHAEL D. TENNYSON,

Defendants.

MEMORANDUM OPINION AND ORDER Before the Court are Plaintiff Ironshore Specialty Insurance Company’s (“Iron- shore”) Motion for Leave to File First Amended Complaint and First Amended Answer to Defendants’ Counterclaim (the “Motion for Leave to Amend”), Doc. No. 66, De- fendants Facility IMS, LLC, Thomas D. Scott, and Robert J. Riek’s (collectively, “Fa- cility IMS,” and, together with Ironshore, the “Parties”) Response and Supporting Brief in Opposition to Ironshore’s Motion for Leave to File First Amended Complaint and First Amended Answer, Doc. No. 69, Ironshore’s Reply in Support of Its First Amended Complaint and First Amended Answer to Defendants’ Counterclaim, Doc. No. 71, Fa- cility IMS’s Motion for Summary Judgment Denying Plaintiff’s Claims (the “Motion for Summary Judgment”) and Brief and Appendix in support thereof, Doc. Nos. 39– 41, Ironshore’s Response in Opposition to the Facility IMS Defendants’ Motion for Summary Judgment and Brief and Appendix in support thereof, Doc. Nos. 50–52, Fa-

cility IMS’s Reply in Support of Motion for Summary Judgment Denying Plaintiff’s Claims, Doc. No. 59, Facility IMS’s Response and Brief in Opposition to Ironshore’s Alternative Motion for Leave to Amend Complaint, Doc. No. 58, Facility IMS’s Mo- tion and Supporting Brief to Strike Ironshore’s Opposition Summary Judgment Evi- dence (the “Motion to Strike”), Doc. No. 56, Ironshore’s Brief in Opposition to the

Facility IMS Defendants’ Motion to Strike Ironshore’s Summary Judgment Opposition Evidence, Doc. No. 65, Facility IMS’s Reply in Support of Motion to Strike Ironshore’s Opposition Summary Judgment Evidence, Doc. No. 68, Ironshore’s Motion for Leave to File Supplemental Declaration (the “Motion for Leave to File”), Doc. No. 57, Facil-

ity IMS’s Response and Supporting Brief in Opposition to Ironshore’s Motion for Leave to File Supplemental Declaration, Doc. No. 62, Ironshore’s Amended Motion for Leave to File Documents Under Seal (the “First Amended Motion to Seal”), Doc. No. 54, and Ironshore’s superseding Amended Motion for Leave to File Documents

Under Seal (the “Second Amended Motion to Seal”) and Provisionally Sealed Brief in support thereof, Doc. Nos. 60–61. Upon consideration of the Parties’ submissions, the Court GRANTS Ironshore’s Motion for Leave to Amend its pleadings in part and DENIES it in part without prej- udice. Ironshore, an insurer, primarily seeks permission to pursue recovery of overpay-

ments it may have made to Facility IMS, its insured. Facility IMS offers no persuasive reason to prevent Ironshore from trying to recover the allegedly excessive payments, and the Court will permit Ironshore to do so. Facility IMS argues more persuasively

that Ironshore’s remaining allegations are futile. Ironshore alleges that Facility IMS breached contractual obligations to cooperate with Ironshore and settle claims with its consent, but Ironshore fails to allege that the breaches caused Ironshore harm. The Court will permit Ironshore to file another motion for leave to amend its pleading to address this failure.

Because the Court grants Ironshore’s Motion for Leave to Amend in part, the Court DENIES Facility IMS’s Motion for Summary Judgment without prejudice. In the interest of judicial economy, each Party may file or renew a summary judgment motion addressing all amended or unamended claims on which it seeks judgment in a

single brief. Since the Court denies Facility IMS’s Motion for Summary Judgment, it also DENIES Facility IMS’s Motion to Strike Ironshore’s summary judgment evidence and Ironshore’s Motion for Leave to File supplemental summary judgment evidence as moot.

The Court DENIES without prejudice Ironshore’s Motion to Seal several por- tions of its summary judgment filings. Some of the information Ironshore seeks to seal appears to be stale. Other information concerns amounts Ironshore actually paid or considered paying to settle claims against Facility IMS. Ironshore predicts that disclo- sure of these amounts will make settlement of other claims against Facility IMS more

challenging, but the Fifth Circuit has expressly rejected this rationale for sealing documents. Nor can the Court accept Ironshore’s alternative contention that the amounts are privileged. Ironshore appears to have filed the allegedly privileged material

voluntarily, and Ironshore has not supported its contention with citations to applicable Texas privilege law. The Court will allow Ironshore one more opportunity to strengthen its Motion to Seal before it unseals the documents Ironshore submitted. I. BACKGROUND A. Facts The Court draws the following facts from Ironshore’s proposed First Amended

Complaint and its attachments and assumes they are true. Doc. No. 66-1 (“FAC”); Doc. Nos. 1-2, 1-3, 1-4, 1-5 (collectively, “Pol’y”); Doc. No. 1-1. Facility IMS is the subject of numerous lawsuits across the country alleging that it operated nursing homes where residents suffered injuries or died (the “Underlying Lawsuits”). FAC ¶ 15. Between 2014 and 2018, Ironshore insured Facility IMS and

some of its personnel against errors and omissions in providing their customers profes- sional services. Pol’y § I(A). Because of the Underlying Lawsuits against Facility IMS, Ironshore has now spent more than a million dollars paying defense costs and judg- ments or settlements for Facility IMS. FAC ¶¶ 43–50.

Under the insurance policies issued by Ironshore (the “Policies”), one million dollars is Ironshore’s maximum liability for a single claim against Facility IMS. Id. ¶¶ 44–45. The Policies provide that related claims “shall be deemed to be” and “will be treated as a single Claim” regardless of the number or timing of related claims, the number or identity of the claimants or insureds, and whether the claims arise in indi- vidual or class actions. Id. ¶ 30. Related claims are claims

arising out of, directly or indirectly resulting from, in consequence of, or in any way involving the same or related facts, circumstances, situations, transactions, or events or the same or related series of facts, circum- stances, situations, transactions, or events, whether related logically, caus- ally, or in any other way, in any combination, whether or not involving more than one policy, practice, procedure or product, including any course of treatment, and whether or not deemed a continuous tort. Id. ¶ 29. The Policies contemplate that Ironshore and Facility IMS will work together to settle claims. A “Cooperation Provision” states that, in the “event of a Claim, [Facil- ity IMS] shall provide [Ironshore] with all information, assistance and cooperation that [Ironshore] reasonably requests.” Id. ¶ 54. A “Consent Provision” states that no “In- sured shall, except at its own cost, incur any expense, make any payment, admit liability for, assume any obligation, or settle any Claim without [Ironshore’s] written consent.” Id. ¶ 52. Ironshore need not cover a claim until Facility IMS pays a $350,000 “self-in- sured retention” toward the claim. Id. ¶ 26; Pol’y Item 4. A “Reimbursement Provi- sion” of the Policies gives Ironshore the “right and option” to “pay all or any portion of the applicable . . . self-insured retention on behalf of” Facility IMS, “in which event [Facility IMS] will repay [Ironshore] any amounts so paid.” FAC ¶ 26.

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