Lasorte v. Those Certain Underwriters at Lloyd's Severally Subscribing to Policy Numbers 115nap108111970 & 115nap109111970

995 F. Supp. 2d 1134, 2014 WL 465308, 2014 U.S. Dist. LEXIS 14352
CourtDistrict Court, D. Montana
DecidedFebruary 5, 2014
DocketNo. CV 12-87-M-DWM
StatusPublished
Cited by2 cases

This text of 995 F. Supp. 2d 1134 (Lasorte v. Those Certain Underwriters at Lloyd's Severally Subscribing to Policy Numbers 115nap108111970 & 115nap109111970) is published on Counsel Stack Legal Research, covering District Court, D. Montana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lasorte v. Those Certain Underwriters at Lloyd's Severally Subscribing to Policy Numbers 115nap108111970 & 115nap109111970, 995 F. Supp. 2d 1134, 2014 WL 465308, 2014 U.S. Dist. LEXIS 14352 (D. Mont. 2014).

Opinion

ORDER

DONALD W. MOLLOY, District Judge.

Introduction

This is a breach of contract case. Plaintiff Samantha Lasorte seeks judgment against Defendant, Those Certain Underwriters at Lloyd’s (“Defendants” or “the Insurer”), for breach of an insurance policy issued by the Insurer to Plaintiffs employer, Real Estate Client Referrals (“the Employer” or “the Insured”), against whom Lasorte acquired judgment in an underlying state court discrimination suit. Defendants have moved for summary judgment. For the reasons set forth below the motion is denied in part and granted in part. Based on the existing record, the parties are hereby given notice that summary judgment in favor of Plaintiff is likely to be granted under Fed.R.Civ.P. 56(f)(1) (“After giving notice and a reasonable time to respond, the court may grant summary judgment for a nonmovant”). Within ten (10) days of the entry of this Order the parties shall submit simultaneous briefs of no more than ten (10) pages in support of or in opposition to granting summary judgment in favor of Plaintiff.

Statement of Facts and Procedural History

Lasorte filed a sexual discrimination and retaliation suit against her employer Real Estate Client Referrals in underlying litigation before Judges Dusty Deschamps and Karen Townsend in Montana’s Fourth Judicial District Court. At the time, the Employer was insured under an Employment Practices Insurance Policy (“the Policy”) issued by the Defendants Lloyd’s (“the Insurer”).1 The Policy contained a Self Insured Retention (“SIR” in the parties’ briefs) provision that required the insured to act as its own insurer for the first $25,000 in costs associated with a claim. The Employer notified the Insurer of the claim and retained defense counsel. The Insurer responded with a letter to the Employer acknowledging the claim was covered by the policy, and expressing approval of the Employer’s choice of counsel. [1137]*1137The letter then advised the Employer that the $25,000 Self Insured Retention had to be satisfied before the Insurer would be on the hook for any loss or defense cost payments under the Policy.

The Employer resolved the discrimination suit by entering into a stipulated judgment in favor of Lasorte for $210,000, an assignment of claims, and a covenant not to execute. As a part of the settlement agreement, the Employer agreed to payment of $2,000 to Lasorte. It is not clear from the record whether the Employer actually paid those amounts. According to the affidavit of the Employer’s counsel, Malin Stearns Johnson, the Employer did not pay any money toward defense counsel’s fees.

The Insurer refuses to indemnify the Employer for the stipulated judgment, claiming its duty to pay any loss amount under the Policy was never triggered because the Employer, by failing to pay $25,000 toward the judgement or for defense costs, failed to exhaust the Self Insured Retention. Prior to execution of the stipulated judgment, counsel for the Employer, through its correspondence, gave the Insurer the opportunity to exercise its right to defend and assume defense of the employment discrimination claim. The Insurer chose not to exercise its right to defend.

Lasorte then filed suit against the Insurer in Montana’s Fourth Judicial District Court claiming the Insurer breached the terms of the Policy by refusing to indemnify the Employer for the stipulated judgment. The Defendants removed the case to this Court.

Defendants filed a motion for summary judgment arguing that, as a matter of law, its duties to defend or indemnify the Employer were not triggered until the Employer first paid the entire Self-Insured Retention, which the Employer failed or refused to do. The Defendants look to the following provisions in the Policy to support its argument:

I. COVERAGE: WHAT IS COVERED
A. We will pay Loss amounts that an Insured is legally obligated to pay on account of a Claim because of an Insured Event to which this policy applies. However, the amount we will pay is limited as described in' the LIMIT OF LIABILITY and SELF INSURED RETENTION sections of this policy.
VIL HOW COVERAGE LIMITS AND SELF INSURED RETENTIONS ARE APPLIED TO CLAIMS INVOLVING CLIENT COMPANIES
When a Claim is made solely against a Client Company, the Client Company Any One Insured Event amount, as shown in the Declarations, shall apply first, when exhausted the Client Company Each Insured Event amount, as shown in the Declarations, shall apply. ...
VIII. SELF INSURED RETENTION
Our obligations to pay under this policy applies [sic] only to the amount of Loss in excess of any Self Insured Retention amount, as shown in the Declarations, and the LIMIT OF LIABILITY will not be reduced by the amount of such Self Insured Retention.
DECLARATIONS
5. SELF INSURED RETENTION
[1138]*1138b) USD 25,000 Client Company Any One Insured Event in respect of Client Companies with more than 15 employees.

Although the Defendants do not cite them, two policy definitions are relevant:

X. DEFINITIONS

D. Defense Costs means those reasonable and necessary expenses that result from the investigation, settlement or defense of a specific Claim including attorney fees and expenses, the cost of legal proceedings, the cost of appeal bonds, the cost of bonds to release property being used to secure a legal obligation (but only for bond amounts within the LIMIT OF LIABILITY that applies). We have no obligation to furnish and bonds.
The following are not Defense Costs:
2. Amounts incurred prior to giving notice to us or our Authorized Representatives, as shown in the Declarations.
L. Loss means damages, judgments, settlements, statutory attorney fees and Defense Costs.

Plaintiff here insists that because the Defendants refused to defend the Employer against her claim in the underlying employment discrimination suit, Defendants are now estopped from denying coverage and are liable for the judgment entered in favor the Plaintiff. Plaintiff invokes the following sections of the Policy to support her arguments:

I. COVERAGE: WHAT IS COVERED
C. Defense. We have the right and duty to defend any Claim for an Insured Event made or brought against any Insured to which this policy applies.
E. Duty to pay. We have the duty to pay any Loss that results from any Claim for an Insured Event made or brought against any Insured to which this policy applies. Our duty to pay ends when the available LIMIT OF LIABILITY has been exhausted. We will not pay more than the applicable LIMIT OF LIABILITY.
We have the duty to pay Defense Costs incurred for the defense of any Claim that is controlled by us. Payment of Defense Costs are included in the LIMIT OF LIABILITY, they are not in addition to the LIMIT OF LIABILITY.

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Bluebook (online)
995 F. Supp. 2d 1134, 2014 WL 465308, 2014 U.S. Dist. LEXIS 14352, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lasorte-v-those-certain-underwriters-at-lloyds-severally-subscribing-to-mtd-2014.