Jenkins v. Prime Insurance

CourtCourt of Appeals for the Tenth Circuit
DecidedSeptember 4, 2024
Docket23-4113
StatusUnpublished

This text of Jenkins v. Prime Insurance (Jenkins v. Prime Insurance) is published on Counsel Stack Legal Research, covering Court of Appeals for the Tenth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jenkins v. Prime Insurance, (10th Cir. 2024).

Opinion

Appellate Case: 23-4113 Document: 010111105053 Date Filed: 09/04/2024 Page: 1 FILED United States Court of Appeals UNITED STATES COURT OF APPEALS Tenth Circuit

FOR THE TENTH CIRCUIT September 4, 2024 _______________________________________ Christopher M. Wolpert Clerk of Court HAL JENKINS, as the assignee of certain of the claims of CLJ Healthcare, LLC; CLJ HEALTHCARE, LLC, as to certain non-assigned claims,

Plaintiffs - Appellants

v. No. 23-4113 (D.C. No. 2:21-CV-00130-DAK) PRIME INSURANCE, CO.; PRIME (D. Utah) HOLDINGS INSURANCE SERVICES, INC., d/b/a Claims Direct Access; DAVID McBRIDE, ESQ.; EVOLUTION INSURANCE BROKERS, LC,

Defendants - Appellees.

___________________________________________

ORDER AND JUDGMENT * ___________________________________________

Before HARTZ, BACHARACH, and ROSSMAN, Circuit Judges. ___________________________________________

This appeal grew out of a medical malpractice action against a

physician’s company (CLJ Healthcare, LLC). CLJ had liability insurance

* This order and judgment does not constitute binding precedent except under the doctrines of law of the case, res judicata, and collateral estoppel. But the order and judgment may be cited for its persuasive value if otherwise appropriate. Fed. R. App. P. 32.1(a); 10th Cir. R. 32.1(A). Appellate Case: 23-4113 Document: 010111105053 Date Filed: 09/04/2024 Page: 2

through a wasting policy, where the amount for indemnity is reduced by the

amount spent on defense costs. See SEC v. DeYoung, 850 F.3d 1172, 1177

n.2 (10th Cir. 2017) (defining a wasting policy).

The policy limit gave rise to a dispute, which stymied settlement

negotiations with the plaintiff in the malpractice action. But the insurer

(Prime Insurance Co.) then obtained a favorable declaratory judgment on

the policy limit.

When the settlement negotiations fell apart, the malpractice action

resulted in a large excess judgment against CLJ. By then, however, Prime

had exhausted the policy limit. So Prime stopped providing a defense,

which led CLJ to sue Prime, its former attorney (Mr. David McBride), and

the company that had sold the policy (Evolution Insurance Brokers, LC).

These suits give rise to four sets of appellate issues:

1. Effect of the declaratory judgment on the contract claim. CLJ claimed that Prime had breached the insurance contract because the policy limit had been $100,000; Prime claimed that the policy limit had been only $50,000. A state court issued a declaratory judgment stating that the policy limit had been only $50,000. CLJ denies that it’s bound by the declaratory judgment, arguing that the state court lacked jurisdiction and didn’t allow full and fair litigation of the issue. We disagree. The court did have jurisdiction, and CLJ had notice and an opportunity to contest Prime’s characterization of the policy limit. So CLJ is bound by the declaratory judgment.

2. Timeliness of the bad faith claim. CLJ also sued Prime for bad faith. This claim could involve either a contract or tort. CLJ asserts a tort theory, and Prime urges a right to summary judgment on the ground that the tort claim is time-barred. We disagree with Prime. A tort claim wouldn’t accrue until final

2 Appellate Case: 23-4113 Document: 010111105053 Date Filed: 09/04/2024 Page: 3

disposition of the underlying malpractice claim. With that disposition as the accrual date, CLJ sued for bad faith within the limitations period. So the bad faith claim is timely and should have withstood a summary-judgment motion.

3. Timeliness of the claims for legal malpractice and breach of fiduciary duty. CLJ also sued its former attorney. The district court properly dismissed these claims based on timeliness because CLJ could have sued when the former attorney withdrew.

4. The existence of a cause of action for unauthorized sale of insurance. CLJ also sued Evolution Insurance under a state statute. In district court, however, CLJ hadn’t adequately briefed the availability of a cause of action under the statute. By failing to adequately develop this argument in district court, CLJ failed to preserve the issue.

Background

I. Prime unsuccessfully negotiates with the victim and stops defending CLJ.

CLJ’s policy was triggered when a woman died after getting

liposuction surgery. The death led the woman’s father, Mr. Hal Jenkins, to

sue CLJ for malpractice. In turn, CLJ submitted a claim to Prime. Prime

then retained Mr. David McBride to represent CLJ in the malpractice

action.

In an effort to settle, Prime offered $50,000 to Mr. Jenkins, stating

that this amount was the policy limit. Mr. Jenkins counter-offered with

$100,000, stating that this was the actual amount of the policy limit. By

the time he counter-offered, Prime had spent roughly $11,000 in the

litigation, reducing the policy limit. So Prime offered the remaining policy

3 Appellate Case: 23-4113 Document: 010111105053 Date Filed: 09/04/2024 Page: 4

limit (about $39,000) to Mr. Jenkins. He counter-offered with $100,000,

insisting that this was the actual policy amount. The negotiations

collapsed.

As the litigation continued, Prime said that it had spent the entire

$50,000 in defense, leaving nothing to indemnify CLJ in the event of an

adverse judgment. So Prime withdrew its defense of CLJ and requested a

release.

II. Prime gets a declaratory judgment, and Mr. Jenkins gets an excess judgment.

CLJ declined to release Prime, arguing that the policy limit had been

$100,000. Prime disagreed and sued in Utah state court for a declaration

discontinuing any further duty to defend CLJ. But CLJ didn’t appear, so

the court granted a default judgment to Prime, declaring that the policy

limit had been $50,000—not $100,000. Mr. Jenkins later obtained a

judgment for $60 million against CLJ.

III. CLJ unsuccessfully sues Mr. McBride, Evolution Insurance, and Prime.

CLJ sued in Georgia, 1 and the Georgia federal district court

dismissed the claims against Mr. McBride and Evolution Insurance. The

action was then transferred to Utah federal district court. That court

• concluded that Prime’s default judgment had prevented CLJ from relitigating the amount of the policy limit and

1 In the Georgia case, there were two plaintiffs:

4 Appellate Case: 23-4113 Document: 010111105053 Date Filed: 09/04/2024 Page: 5

• dismissed the claims for breach of contract and negligence.

The dismissals left the bad-faith claim against Prime.

But the Utah federal district court then granted summary judgment to

Prime on the bad-faith claim. In granting summary judgment, the court

adopted all of the rulings previously made by the Georgia federal district

court.

CLJ’s Claims Against Prime

I. The declaratory judgment prevented liability for breach of contract.

CLJ questions the district court’s reliance on the declaratory

judgment, arguing that (1) the state court lacked jurisdiction and (2) the

entry of a default judgment didn’t entail full, fair litigation of the amount

of the policy limit. We reject both arguments.

A. We apply the standard for dismissal.

When reviewing this ruling, we conduct de novo review based on the

standard that applied in district court. See Cty. of Santa Fe v. Pub. Serv.

1. CLJ

2. Mr. Jenkins as the assignee of some of CLJ’s claims.

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Jenkins v. Prime Insurance, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jenkins-v-prime-insurance-ca10-2024.