Mid Century Insurance Company v. Mid-America Mental Health LLC

CourtDistrict Court, N.D. Indiana
DecidedMay 17, 2024
Docket2:23-cv-00052
StatusUnknown

This text of Mid Century Insurance Company v. Mid-America Mental Health LLC (Mid Century Insurance Company v. Mid-America Mental Health LLC) is published on Counsel Stack Legal Research, covering District Court, N.D. Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Mid Century Insurance Company v. Mid-America Mental Health LLC, (N.D. Ind. 2024).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF INDIANA HAMMOND DIVISION MID-CENTURY INSURANCE ) COMPANY, ) ) Plaintiff, ) ) vs. ) NO. 2:23-cv-52 ) MID-AMERICA MENTAL HEALTH ) LLC, et al., ) ) Defendants. ) OPINION AND ORDER This is a declaratory judgment action in which Mid-Century Insurance Company seeks a declaration that it has no duty to defend or indemnify Daud Rashidi or Mid- America Mental Health, LLC against the claims made by Jane Doe in state court. Doe alleges in the underlying lawsuit that Rashidi committed multiple sexual assaults on her while she was being treated by him and in the care of Mid-America. Mid-Century issued a business owners’ policy of insurance to Mid-America, and the Policy contained an “Abuse or Molestation Exclusion” for injuries arising from the abuse or molestation while in the care or control of any insured. Mid-Century seeks summary judgment [DE 21], principally on the grounds that the “Abuse or Molestation” exclusion precludes coverage. I agree that the language of the exclusion is unambiguous and leaves little room for doubt that Mid-Century Insurance owes no duty to defend or indemnify Mid- America Mental Health LLC or Rashidi against the claims made against them by Jane Doe. Summary judgment will therefore be granted to Mid-Century Insurance. Factual Background The facts, as alleged, are rather grim. Jane Doe was a patient of Mid-America Mental Health LLC from approximately February 2018 to June 2020 for treatment of

opioid dependence. [Response to Stmt. of Undisputed Facts, DE 33 at 1.] During this time, she had appointments at Mid-America about every two weeks for follow ups and to get refills for her suboxone medication. [Id. at 1-2.] Rashidi was a Physician Assistant employed by Mid-America who provided treatment and prescriptions to Doe. Id. On December 23, 2023, Doe filed a civil complaint against Rashidi and Mid-

America in Lake County Circuit Court, which case is still pending. [Id.; see 45C01-2112- CT-001246.] After Mid-Century filed its motion for summary judgment in this case, Doe filed a motion to amend her complaint in the underlying case, and the motion was granted. In the amended complaint, Doe alleges that while she was a patient of Mid- America and being treated by Rashidi, he forced her to have sexual relations with him by threatening that if she didn’t, he would stop prescribing the medication she needed

for her opioid dependence. [DE 41-1.] She further alleges that after several months of her treatment with Rashidi, he began repeatedly showing up at her home and forcing Doe to accompany him to a Motel 6 in Hammond, Indiana, for sex. [Id. at 8.] Doe alleges Rashidi forced her to engage in oral sex, vaginal sex, painful anal sex, and role- playing where she pretended to be his wife, and he instructed her to use terms of

endearment as if they were a couple. Id. Doe estimates she met with Rashidi at the 2 Motel 6 in Hammond on approximately 20 occasions. [DE 33 at 6.] Other assaults are alleged to have occurred at Mid-America’s office—Doe says Rashidi kissed her, grabbed her buttocks, and grabbed her breasts during office visits. Id. These approximately 15 occurrences happened between May 3, 2019 and April 13, 2020. Id. The sexual abuse

ended in June 2020. [Id. at 2.] Mid-Century issued three yearly Business Owners Liability Policies to Mid- America Mental Health for the period of April 11, 2018 to April 11, 2021. [Id. at 3.] Each of the three yearly policies had the same material terms and conditions. Id. The Policy contains the following definitions: the “named insured” is Mid-America Mental Health

LLC, and throughout the Policy the words “you” and “your” refer to the Named Insureds. [Id. at 3.] Under the subtitle “who is an insured,” the policy provides that if you are designated in the Declarations as: c. A limited liability company, you are an insured. Your members are also insureds, but only with respect to the conduct of your business. Your managers are insureds, but only with respect to their duties as your managers. * * * 2. Each of the following is also an insured: a. Your “employees”, other than either your “executive officers” (if you are an organization other than a partnership, joint venture of limited liability company) or your managers (if you are a limited liability company), but only for acts within the scope of their employment by you or while performing duties related to the conduct of your business. [Id. at 4; DE 1-2 at 11, 101, 109.] The Policy goes on to provide that Mid-Century will pay those sums the insured 3 becomes legally obligated to pay as damages because of bodily injury caused by an occurrence or to personal injury caused by an offense arising out of your business. [DE 1-2 at 101, 118.] The Policy also contains the following “Abuse or Molestation Exclusion” which provides as follows:

This insurance does not apply to “bodily injury”, “property damage”, “advertising injury” or “personal injury” arising out of: (a) The actual or threatened abuse or molestation by anyone of any person while in the care, custody or control of any insured, or (b) The negligent: (i) Employment: (ii) Investigation; (iii) Supervision; (iv) Reporting to the proper authorities, or failure to so report; or (v) Retention; of a person for whom any insured is or ever was legally responsible and whose conduct would be excluded by (a) above. [DE 1-2 at 125.] For his part, Rashidi claims his relationship with Doe was consensual. [DE 41-1 at 6.] Rashidi had minimal experience assisting drug dependent patients. [DE 37-7 at 7.] He admitted that he gave cash to Jane Doe, bought her food, went to her house, had a romantic sexual relationship with her, and went to a motel with her multiple times. [Id. at 6.] Rashidi never reported his romantic relationship with Jane Doe to Mid-America. Id. Rashidi developed feelings for Jane Doe. Id. He was not familiar with the core phenomenon in psychiatry called “transference”—a phenomenon where a patient and therapist develop sexual or romantic feelings for each other. [Id. at 7.] Rashidi had no 4 training in the concept of transference, and Mid-America did not provide him with any training or information about the risk of “transference” occurring between a doctor and their patient. Id. Mid-Century Insurance has moved for summary judgment, claiming the Policy

excludes coverage for Mid-America and Rashidi for Doe’s claims of sexual abuse. Specifically, it claims the abuse or molestation provision applies because the abuse happened when Doe was in the care or control of Rashidi and Mid-America. [DE 22 at 7-11.] With regard to the company, Mid-America, the insurance company claims because Doe’s injuries arose from alleged negligent hiring, supervision and retention of

Rashidi, coverage is excluded as to Mid-America too. [Id. at 12.] Discussion The parties agree that the substantive law applicable to this case is the law of the State of Indiana. Under Indiana law, an insurer can “clarify its obligation by means of a declaratory judgment action,” like this one. Liberty Mut. Ins. Co. v. Metzler, 586 N.E.2d 897, 902 (Ind. Ct. App. 1992).

Let’s start with some basics. The interpretation of an insurance policy, like other contracts, is typically a question of law that I can resolve on summary judgment. Bosecker v. Westfield Ins. Co., 724 N.E.2d 241, 243 (Ind. 2000). When interpreting an insurance policy, my goal is to ascertain and enforce the parties’ intent as reflected in the insurance contract. Buckeye State Mut. Ins. Co. v. Carfield, 914 N.E.2d 315, 318 (Ind.

Ct. App. 2009). If the policy language is clear and unambiguous, it should be given its 5 plain and ordinary meaning. Am.

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Bluebook (online)
Mid Century Insurance Company v. Mid-America Mental Health LLC, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mid-century-insurance-company-v-mid-america-mental-health-llc-innd-2024.