Jenkins v. Prime Insurance Co.

District Court, D. Utah·Decided August 23, 2021·No. 2:21-cv-00130·Unknown

Opinion

IN THE UNITED STATES DISTRICT COURT

FOR THE DISTRICT OF UTAH

HAL JENKINS and CLJ HEALTHCARE, LLC,

Plaintiffs, MEMORANDUM DECISION AND ORDER vs. Case No. 2:21-cv-00130-DAK PRIME INSURANCE CO. et al., Judge Dale A. Kimball Defendants.

BACKGROUND This matter is before the court on Defendants Prime Insurance Company (“Prime”) and Prime Holdings Insurance Services, Inc.’s, d/b/a Claims Direct Access’ (“Claims Direct”) (collectively, “Defendants”) Motion to Dismiss Counts Three, Four, Six, and Seven of Hal Jenkins (assignee of CLJ Healthcare, LLC) and CLJ Healthcare, LLC’s (“CLJ”) Complaint. (ECF No. 54.) This action arises from Plaintiffs’ attempt to collect from Defendants a portion of the $60,000,000 default verdict for wrongful death that Mr. Jenkins won against CLJ. At the time of that verdict Defendants were CLJ’s insurance companies. The Policy Prime issued professional liability insurance coverage to CLJ (the “Policy”). Prime is a Utah company and all of its operations are in Utah. CLJ is a Georgia company that operates its relevant surgical centers in Georgia. The Policy at issue lasted from December 22, 2012, through December 22, 2013, and set forth a Professional Liability limit of $50,000 and an Aggregate Limit of $100,000. The Policy contains provisions under which the limits were diminished if Prime incurred costs in defending the insured. (See Policy, ECF No. 4-2 at 8–9 (noting that expenses paid in defense of a claim “shall directly diminish the respective Limits of Liability as stated on the Declarations”).) The Jenkins Claim

On February 19, 2013, April Jenkins died after a liposuction procedure performed at CLJ by Dr. Dodds. On August 5, 2013, Hal Jenkins, April’s father and administrator of April’s estate, filed a suit against CLJ and Dr. Dodds in Georgia, seeking to recover damages arising out of her death (the “Jenkins Claim”). Prime, as required by the Policy, defended CLJ and Dodds in that action, under a reservation of rights. On August 22, 2013, Mr. McBride, Prime’s Senior Vice-President and Corporate Attorney at that time, tendered $50,000 to Mr. Jenkins’ attorney as a settlement offer. Mr. Jenkins rejected that tender. On April 11, 2014, Jenkins’ attorney made a demand for $100,000. Prime responded by counteroffering $39,000, which was the amount allegedly remaining on the Policy since Prime’s defense had diminished the amount available under the Policy. Mr. Jenkins

also rejected this offer. On May 6, 2014, Prime notified CLJ that Prime had completely depleted the Policy’s Professional Liability Limit of $50,000. Thus, Prime withdrew from representing CLJ and Dr. Dodds pursuant to a court order dated July 8, 2014. Mr. Jenkins then dropped Dr. Dodds from the lawsuit and proceeded against CLJ. CLJ did nothing to protect its interest and the case proceeded to trial. During the trial, CLJ was unrepresented and a jury awarded $60,000,000 to Jenkins on December 18, 2018. Utah Declaratory Judgment Action On January 27, 2015, Prime filed a declaratory judgment action in the Third Judicial District Court of Salt Lake County, Utah. See Prime Insurance Co. v. Nedra Dodds, M.D. and CLJ Healthcare, LLC d/b/a Opulence Medicine, Case No. 150900592 (Jan. 27, 2015)

[hereinafter the Declaratory Judgment Action]. (ECF No. 4-6.) The Declaratory Judgment Action arose out of two wrongful death claims made against CLJ and Dodds, the Jenkins claim and the Bearun claim. Prime sought a declaratory judgment that it owed no further obligations under the Policy for those claims because the Policy’s limits had been exhausted. Despite being served with the Declaratory Judgment Action via United States Mail, as authorized by court order, CLJ and Dodds failed to appear. Naturally, Prime moved for default judgment. After a bankruptcy stay was lifted with respect to the Jenkins claim, Prime filed a Renewed Motion for Default Judgment on February 14, 2019—two months after Mr. Jenkins received the $60 million verdict in his favor. In support of this renewed motion, Prime attached various documents including the Policy, pleadings from the Jenkins claim, and an affidavit from

Mr. McBride. On March 19, 2019, the Utah state court entered an order granting Prime’s Renewed Motion for Default Judgment (the “Default Judgment”). (ECF No. 54-2.) The Default Judgment states, in relevant part, that: Jurisdiction and venue are proper in [Utah state court] and [Salt Lake County]. *** (a) Prime has no obligation to defend or indemnify Dr. Dodds and/or CLJ in the Jenkins claim beyond the $50,000 Professional Liability limit applicable to that claim. (b) Prime also has no obligations under the Policy when the $100,000 [A]ggregate [L]imit is exhausted. (c) Inasmuch as Prime incurred in excess of $50,000 in defending the Jenkins claim, . . . it has no obligation to indemnify CLJ or Dr. Dodds for the judgment entered against them in the Jenkins lawsuit. (ECF No. 54-2.) On May 29, 2019, after obtaining the Default Judgment, Prime attempted to domesticate that judgment in Georgia, invoking O.C.G.A. § 9-12-133, the Georgia Uniform Enforcement of Foreign Judgments Act. (ECF No. 70-13.) Mr. Jenkins filed a motion to set aside the domesticated judgment (ECF No 70-14) and a motion to intervene in the domesticated action. (ECF No. 70-13, 70-15.) CLJ joined in the motion to set aside. (ECF No. 70-16.) The Superior Court of Cobb County, Georgia, has not yet ruled on the motions filed by CLJ and Mr. Jenkins in the Vacatur Action. The Present Action

In March 2020, Mr. Jenkins, as the assignee of CLJ, and CLJ initiated the present action in Georgia state court, seeking to recover a portion of the $60,000,000 judgment from Prime and others. (ECF No. 1.) That action was subsequently removed to the United States District Court, Northern District of Georgia. Defendants filed a Motion to Dismiss Counts One, Two, and Five of Plaintiffs’ Complaint. (ECF No 1, 4.) The court granted that Motion and dismissed Defendants McBride and Evolution Insurance Brokers, LC. (ECF No. 47.) In that same order, the Georgia court deferred on ruling on the remaining causes of action, finding that a Utah court was better positioned to determine the controlling question of whether Prime’s Default Judgment has a preclusive effect on the remaining causes of action. (ECF No. 47 at 24.) Accordingly, the

case was transferred to this court for a determination on the remaining claims: Count Three for breach of contract; Count Four for negligence; Count Six for punitive damages; and Count Seven for attorneys’ fees (the “Deferred Causes of Action”). (ECF No. 47 at 24.) After the briefing was complete on the present motion, the court ordered the parties to submit additional briefing on Utah’s law regarding the elements of collateral estoppel. (ECF No. 80.) The additional briefing was timely filed by both parties. (ECF No. 81, 82.) Now that the issues have been fully briefed, the court issues the following Memorandum Decision and Order. DISCUSSION Defendants bring a Motion to Dismiss Deferred Causes of Action: Count Three for

breach of contract; Count Four for negligence; Count Six for punitive damages; and Count Seven for attorneys’ fees. (ECF No. 1, 54.) To resolve this motion the court will address the following: (I) the standard of review and applicable law; (II) the application of collateral estoppel; (III) whether Plaintiffs must lodge a direct appeal of the Default Judgment; (IV) whether the Policy itself is sufficient to dismiss the remaining causes of action; (V) whether Plaintiffs can assert a stand-alone punitive damages claim; and (VI) whether Plaintiffs can assert a cause of action for attorneys’ fees. I.

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Jenkins v. Prime Insurance Co., (D. Utah 2021).

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