M&C Holdings Delaware Partnership v. Great American Insurance Company

CourtDistrict Court, S.D. Ohio
DecidedJanuary 4, 2021
Docket1:20-cv-00121
StatusUnknown

This text of M&C Holdings Delaware Partnership v. Great American Insurance Company (M&C Holdings Delaware Partnership v. Great American Insurance Company) is published on Counsel Stack Legal Research, covering District Court, S.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
M&C Holdings Delaware Partnership v. Great American Insurance Company, (S.D. Ohio 2021).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF OHIO WESTERN DIVISION

M&C HOLDINGS DELAWARE, Case No. 1:20-cv-121 PARTNERSHIP, et al., Dlott, J. Plaintiffs, Litkovitz, M.J.

v.

GREAT AMERICAN INSURANCE REPORT AND COMPANY, RECOMMENDATION Defendant.

This matter is before the Court on plaintiffs’ motion to strike defendant’s affirmative defenses (Doc. 32), defendant’s response in opposition (Doc. 38), and plaintiffs’ reply memorandum (Doc. 39). The Court recommends that plaintiffs’ motion be granted in part and denied in part.1 I. Background On February 13, 2020, plaintiffs filed a complaint (Doc. 1) asserting breach of contract (Count I), bad faith denial of coverage (Count II), and declaratory relief (Count III) claims related to an insurance policy issued by defendant to plaintiffs. Plaintiffs operate hotels and, as part of their business model, paid commissions to third-party travel agencies in exchange for bookings. One of plaintiffs’ employees, Wayne Merdis, engaged in a fraudulent scheme to siphon off these commission payments to fictious travel agencies created by Merdis. He both diverted payments legitimately owed to third-party travel agencies for services those travel

1 While the Sixth Circuit has not expressly addressed whether motions to strike are dispositive, non-dispositive, or a hybrid, courts within the Circuit have reasoned that motions to strike entire claims or defense are dispositive. See Oppenheimer v. City of Madeira, Ohio, No. 1:19-cv-770, 2020 WL 5106710, at *1 (S.D. Ohio Aug. 31, 2020) (citing Berry v. Citi Credit Bureau, No. 2:18-cv-2654, 2020 WL 4596774 at *3 (W.D. Tenn. Aug. 11, 2020)). agencies actually rendered and accepted payments for services that were not rendered at all. Plaintiffs allege that both types of commission payments amounted to $1,954,329.13, all of which they transferred to Merdis’s fictitious travel agencies as a result of his fraudulent scheme. Plaintiffs made a claim under the insurance policy issued by defendant. Defendant denied a

portion of the claim on the basis that plaintiffs had not sustained a covered loss. In its October 26, 2020 Order adopting the undersigned’s Report and Recommendation (Doc. 24), the District Court denied defendant’s motion to dismiss plaintiffs’ complaint. (Doc. 29). Therein, the District Court held that plaintiffs stated a plausible claim that they had suffered a loss under the insurance policy and raised a plausible question of whether defendant waived enforcement of the insurance policy’s limitations period. (Doc. 29 at PAGEID 325, 328). Subsequent to this decision, defendant filed an answer to plaintiffs’ complaint that included eleven affirmative defenses: FIRST AFFIRMATIVE DEFENSE

The Complaint fails to state a claim upon which relief can be granted, either in whole or in part.

SECOND AFFIRMATIVE DEFENSE

Section A of the Policy provides that [defendant] will “pay for loss covered by an Insuring Agreement of this Policy that you sustain resulting directly from acts committed or events occurring at any time and discovered by you during the Policy Period.” (Emphasis added). Insuring Agreement 1 of the Policy, in turn provides:

We will pay for loss resulting directly from dishonest acts committed by an employee, whether identified or not, acting alone or in collusion with other persons with the manifest intent to: a. Cause you to sustain a loss; and b. Obtain an improper benefit for: (1) the employee; or (2) any person or organization intended by the employee to receive that benefit. [Emphasis added] [bolding in original omitted] There is no covered “loss” or manifest intent to cause a loss to the extent that Merdis diverted commissions to himself that were owed to legitimate third- party travel agents whom [plaintiffs] did not pay. [Plaintiffs have] never provided evidence that [they] paid those legitimate travel agencies and has since refused to answer whether [they] did or did not. Therefore, any “loss” [plaintiffs] might have incurred by virtue of Merdis’s theft is offset by legitimate liabilities of which [plaintiffs were] relieved as a direct result thereof.

THIRD AFFIRMATIVE DEFENSE

Section E.18 of the Policy under the caption Records states that: “You must keep records of all covered property so we can verify the amount of any loss.” [Plaintiffs] did not meet this condition with respect to that part of Merdis’s theft that occurred between 2001 and 2007 because [plaintiffs] lack[] documentation from which it can be determined whether commissions during that time period were diverted from legitimate third-party travel agencies or did not involve a legitimate travel agency. This lack of documentation further prevents [plaintiffs] from fulfilling [their] common law burden to prove [their] loss and the quantum of [their] loss.

FOURTH AFFIRMATIVE DEFENSE

[Plaintiffs’] claims are barred by the limitations clause set forth in the Policy, Section E.11 of the Policy, under the caption “Legal Action Against Us,” which states, in relevant part: “You may not bring any legal action against us involving loss . . . [u]nless brought within 2 years from the date you discover the loss.” (“Limitations Clause”). [Plaintiffs] brought suit more than two (2) years from the date [they] discovered the loss as sworn to in [their] Proof of Loss, [they] did not ask for or receive a tolling agreement during that time period, and there are no acts of [defendant] that prevented [plaintiffs] from doing so. It is [plaintiffs’] burden to demonstrate that [defendant] acted in such a manner that it cannot rely on the Limitations Clause.

FIFTH AFFIRMATIVE DEFENSE

[Plaintiffs’] claims are barred, in whole or in part, by the doctrines of in pari delicto and/or unclean hands, to the extent that [plaintiffs] seek[] payment from [defendant] for legitimately earned commissions [plaintiffs] owe[] to third- party travel agencies whom [plaintiffs have] not paid and ha[ve] no intention of ever paying.

SIXTH AFFIRMATIVE DEFENSE

[Plaintiffs’] claims are barred on the grounds that [plaintiffs] suffered an uncovered bookkeeping or theoretical loss to the extent that Merdis diverted legitimate commission payments owed to third-party travel agencies because [plaintiffs have] not reimbursed those third-party agencies.

SEVENTH AFFIRMATIVE DEFENSE

All or part of the Complaint is barred by the indemnity principle of insurance that does not allow the insureds to obtain a windfall from insurers.

EIGHTH AFFIRMATIVE DEFENSE

All or some of [plaintiffs’] claims are barred by the provisions of the Policy.

NINTH AFFIRMATIVE DEFENSE

All of some of [plaintiffs’] claims are barred by the doctrines of laches, estoppel and waiver.

TENTH AFFIRMATIVE DEFENSE

[Plaintiffs’] tort claims are barred, in whole or in part, by the economic loss rule.

ELEVENTH AFFIRMATIVE DEFENSE

[Defendant] reserves the right to assert additional affirmative defenses and rely on other provisions of the Policy as discovery in this matter progresses.

(Doc. 30 at PAGEID 339-41). Plaintiffs now move to strike all of these affirmative defenses. II. Standard of Review Rule 12(f) provides that on motion made by a party, the Court “may strike from a pleading an insufficient defense or any redundant, immaterial, impertinent, or scandalous matter.” Fed. R. Civ. P. 12(f)(2). Striking a pleading is a drastic remedy, and “[m]otions to strike are viewed with disfavor and are not frequently granted.” Operating Eng’rs Loc. 324 Health Care Plan v. G & W Const. Co., 783 F.3d 1045, 1050 (6th Cir. 2015); see also Mapp v. Bd. of Ed.

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M&C Holdings Delaware Partnership v. Great American Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mc-holdings-delaware-partnership-v-great-american-insurance-company-ohsd-2021.