Koken v. Legion Insurance

900 A.2d 418
CourtCommonwealth Court of Pennsylvania
DecidedMay 22, 2006
StatusPublished
Cited by4 cases

This text of 900 A.2d 418 (Koken v. Legion Insurance) is published on Counsel Stack Legal Research, covering Commonwealth Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Koken v. Legion Insurance, 900 A.2d 418 (Pa. Ct. App. 2006).

Opinion

Re: Liquidator’s Application for Order Against Bank of America, N.A., To Prevent Assertion of Impermissible Affirmative Defenses

OPINION BY

Judge LEAVITT.

The Statutory Liquidator of Legion Insurance Company (In Liquidation) requests this Court to order Bank of America, N.A. (Bank) not to assert the doctrines of setoff and recoupment as defenses in a tort action initiated by Legion in the Circuit Court of Hillsborough County in Florida. 1 Legion filed this suit in 1999 to recover damages suffered as a result of the Bank’s alleged breach of fiduciary duty. The Bank counterclaimed in quasi-eon-tract, seeking recovery from Legion for overdrafts that allegedly benefited Legion. Before the case was tried, Legion was placed into receivership, which stayed litigation against Legion and the Liquidator. It is this stay, the Liquidator contends, that prevents the Bank from pursuing its quasi-contract claim, even as a defense, in the Florida litigation. In response, the Bank contends that the overdrafts it made reduced Legion’s actual damages and should, therefore, reduce the amount that Legion can recover from the Bank.

It has already been decided by this Court that the Bank may not pursue its quasi-contract claim as a counterclaim against Legion in the Florida litigation. Koken v. Legion Insurance Co., 865 A.2d 1, 7 (Pa.Cmwlth.2005)(Bank of America *420 I) 2 It has also been decided that the Bank may raise affirmative defenses in the Florida matter. Id. 3 The question is whether the Bank can use setoff and re-coupment to pursue its quasi-contract claim as an affirmative defense without violating Pennsylvania’s insurance insolvency law, Article V of The Insurance Department Act of 1921, Act of May 17, 1921, P.L. 789, added by Section 2 of Act of December 14,1977, P.L. 280, as amended, 40 P.S. §§ 221.1-221.63 (Article V).

BACKGROUND

The Florida action arises from a business relationship between Legion and Scott Wetzel Services, Inc., a third party administrator that adjudicated and paid policyholder claims for Legion and for other insurance companies. Wetzel Services set up accounts at Barnett Bank, N.A., the Bank’s corporate predecessor, for the payment of policyholder claims. The particulars of the business relationship between Legion and Wetzel Services have yet to be decided in a trial; its outlines are known from pleadings in the Florida Circuit Court and from petitions and answers filed in this insolvency proceeding. An abbreviated history of the Florida litigation is recited here only to frame the legal questions raised by the Liquidator’s Application and not to usurp the factfinding responsibility of the Florida Circuit Court. 4

Wetzel Services used “zero accounts” to cut checks needed to pay policyholder claims; zero accounts were used for that purpose alone. An account titled “Scott Wetzel Services, Inc., ITF Legion Insurance Master Account” (Master Account) provided the monies for the Legion zero accounts. 5 Legion was not a depositor with the .Bank, and it did not have signatory authority over the Master Account. Wetzel Services drew on a Legion account held in a Milwaukee bank to put funds into the Master Account when needed. Although the Master Account was established for the sole purpose of putting monies into the zero accounts for policyholder claim payments, the Master Account was drawn down by Wetzel Services for other purposes.

The Bank maintains that checks in the amount of $1,054,312.55 were issued from the ■ Legion zero account to pay Legion policyholder claims, without sufficient funds available in the Master Account to cover them. ' The Liquidator responds that these zero account overdrafts are a debt owed to the Bank by Wetzel Services and not by Legion. Legion had placed funds into the Master Account sufficient to cover its claim payments, and had the Bank established appropriate controls, the improp *421 er transfer of funds out of the Master Account would have never occurred. After Wetzel Services filed for bankruptcy on October 21, 1998, the Bank filed a proof of claim for approximately $4 million in the bankruptcy proceeding. The U.S. Bankruptcy Court approved a compromise that allowed the Bank to take funds from certain depository accounts to settle part of its claim against the estate of Wetzel Services. 6 Legion objected to the compromise. Legion filed a proof of claim for approximately $6 million against Wetzel Services for funds misappropriated from the Master Account. It also initiated its tort claim against the Bank in the Florida Circuit Court seeking to hold the Bank liable for the misappropriation of funds from the Master Account.

When Legion was ordered to be liquidated on July 25, 2008, the Florida litigation was stayed. After the Liquidator elected to pursue the litigation initiated by Legion pre-receivership, the Bank intervened in the Legion liquidation proceeding to request relief from the automatic stay provided in Section 526(a) of Article V. 7 It did so because it sought to pursue a quasi-contract claim against Legion as a counterclaim in the Florida litigation. The Bank’s request was denied by this Court on August 27, 2004. The Bank then amended its answer in the Florida case to pursue its claim against Legion by using the doctrine of recoupment as an affirmative defense; it had asserted setoff as an affirmative defense from the beginning. The Liquidator responded with the above-captioned Application.

The Liquidator asserts three reasons why the Bank cannot assert setoff or re-coupment defensively in these circumstances. First, the Liquidator contends that the Bank’s attempt to pursue its quasi-contract claim using the doctrines of setoff and recoupment is simply a “recasting” of the action it sought to pursue as a counterclaim that was precluded by this Court’s order of August 27, 2004. Second, the Liquidator contends that Article Y limits the right to setoff to “mutual” debts, and the Bank cannot establish the requisite mutuality. 8 Third, the Liquidator contends that the Bank cannot assert recoupment because this theory is available only where the defendant’s claim arises from the same transaction that gave rise to the plaintiffs action. Here, there were a series of transactions involving two accounts, the Master Account and the zero accounts, that gave rise to the Florida controversy.

*422 The Bank counters that only “actions at law or equity” are stayed by Section 526(a) of Article V. The Bank’s quasi-contract claim is not an action where it is raised only as an affirmative defense. By contrast, a counterclaim has potential to provide an award over and above the damages awarded Legion. 9

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Cite This Page — Counsel Stack

Bluebook (online)
900 A.2d 418, Counsel Stack Legal Research, https://law.counselstack.com/opinion/koken-v-legion-insurance-pacommwct-2006.