MMG Insurance Co. v. Podiatry Insurance Co. of America

263 F. Supp. 3d 327
CourtDistrict Court, D. Maine
DecidedApril 18, 2017
Docket2:16-cv-00605-JAW
StatusPublished
Cited by6 cases

This text of 263 F. Supp. 3d 327 (MMG Insurance Co. v. Podiatry Insurance Co. of America) is published on Counsel Stack Legal Research, covering District Court, D. Maine primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
MMG Insurance Co. v. Podiatry Insurance Co. of America, 263 F. Supp. 3d 327 (D. Me. 2017).

Opinion

ORDER ON MOTION TO DISMISS "

JOHN A. WOODCOCK, JR., UNITED STATES DISTRICT JUDGE '

An insurance company alleges that, as part of the settlement of an underlying personal injury action, it agreed to split a settlement amount with another insurer, and that the insurers expressly reserved the right, to seek recovery from the other based on various coverage defenses. Relying on its reservation of rights and principles of equity, the insurance company filed suit, seeking reimbursement from the other insurer for the portion of the settlement it paid, and claiming that the accident was excluded under its policy and covered under the other insurer’s policy. The insurer’s lawsuit contains three counts: (1). breach of agreement, (2) equitable contribution, and (3) equitable subrogation.

The other insurer moves to dismiss all of the counts for failure to state a claim. The Court dismisses the equitable contribution count because the doctrine is inapplicable when a party seeks -to be relieved of the entire burden of its loss. The Court, however, denies the motion to dismiss the two remaining counts because the insurance-company has pleaded sufficient facts to demonstrate that it' may be entitled to-recover its portion of the -settlement payment from the other insurer, either based on their agreement or on the doctrine of equitable subrogation.

I. PROCEDURAL BACKGROUND

On November 10, 2016, MMG Insurance Company (MMG) filed a complaint against Podiatry Insurance Company of America (PICA) in the state of Maine Cumberland County Superior Court claiming it was entitled to be reimbursed by PICA for the amount of its contribution to the settlement in an underlying case. Notice of Removal Attach. 3 Compl. (ECF No. 1); Aff. of Braden M. Clement Attach. 1 Docket R. (ECF No. 14).,PICA removed the case to this Court on December 7, 2016. Notice of Removal (ECF No. 1).

On December 7, 2016, PICA also filed the instant motion to dismiss. Def.’s Mot. to Dismiss (ECF No. 5) (.Def.’s Mot:). On December 27, 2016, MMG filed an amended complaint. Am. Compl. (ECF No. 17). On the same day, it responded to PICA’s motion to' dismiss. PI. Resp. 'to Def. Mot. to Dismiss (ECF No. 18)'(PI⅛ Opp’n). PICA replied on January 10, 2017, moving to dismiss both the Complaint and Amended Complaint. Def.’s Reply in Supp. of its Mot. to Dismiss (ECF No. 25) (Def’s Reply).

II. THE AMENDED COMPLAINT

As an initial matter, the Court addresses the amendment of the complaint after PICA filed its motion to dismiss. Under Federal Rule of Civil Procedure 15(a), a party “may amend' its pleading once as* a matter of course within ... 21 days after service of-a motion under Rule 12(b).” Fed. R. Civ. P. 15(a)(1)(B). MMG properly did [331]*331so on December 27, 2016, twenty days after PICA filed its motion to dismiss under Rule 12(b)(6).

In its opposition to the motion to dismiss, MMG explained that “[a]lthough [it] does not believe its complaint is legally deficient, it has filed an Amended Complaint as a matter of course pursuant to Rule 15(a)(1)(B) that more clearly sets forth the multiple bases upon which MMG is entitled to assert its claims against PICA.” Pi’s Opp’n at 1 n.1. Specifically, MMG added three counts to the Amended Complaint not explicitly stated in the original Complaint: Count I — Reapportionment/Contribution by Agreement, Count II — Equitable Contribution, and Count III — Equitable Subrogation. See Am. Compl at 3-6. MMG also added details concerning the alleged agreement and- settlement payment: MMG alleges it expressly reserved its rights to seek recovery from PICA and MMG further alleges that its settlement “payment was not made as ‘volunteer’, but rather as an insurer against whom claims were asserted.” See id. ¶¶ 8-9,13,19.

Typically, this amendment would render the' pending motion to dismiss moot. See Cate St. Capital Inc. v. Indus. Intelligence Inc., No. 1:14-cv-00200-JDL, 2014 WL 12539642, at *1, 2014 U.S. Dist. LEXIS 171548, at *2 (D. Me. Nov. 17, 2014), adopted by 2014 WL 12539645, 2014 U.S. Dist. LEXIS 170629 (D. Me. Dec. 10, 2014) (“Because Plaintiff’s amended complaint is now the operative pleading, Defendants’ response to the original complaint (i,e., the pending motions to dismiss) is moot”). However, in its motion to dismiss, PICA anticipated potential claims, including the claims for equitable contribution and sub-rogation that MMG added in its Amended Complaint, - and PICA addressed those claims in both its motion to dismiss and reply. It would be futile to dismiss PICA’s motion without, prejudice, only to have PICA refile another motion to .dismiss with effectively , the same arguments. As the later amendment of the Complaint does not affect the substance of the pending motion to dismiss, the Court considers the Amended Complaint as the operative complaint for purposes of the motion. See Edson v. Riverview Psychiatric Ctr., No. 1:16-cv-00079-JAW, 2017 WL 780787, at *2 n.1, 2017 U.S. Dist. LEXIS 27808, at *3 n.1 (D. Me. Feb. 28, 2017).

III. THE ALLEGATIONS IN THE AMENDED COMPLAINT1

MMG ,is an insurance company organized under the laws of the state of Maine with authority to transact the business of insurance in the state of Maine. Am. Compl. ¶ 1. PICA is an insurance company authorized to conduct business in the state of Maine that issues professional liability insurance policies in the state of Maine. Id. ¶ 2.

On or about May 15, 2013, William Dickson, now deceased, visited his podiatrist Peter Ocampo, DPM, for treatment of his foot, specifically to perform a debridement procedure. Id. ¶ 3. Debridement is a medical procedure involving the removal of dead, damaged, and infected tissue to improve the healing potential of the remaining healthy tissue. Id. ¶ 4. During the visit, Dr. Ocampo wheeled Mr. Dickson’s wheelchair adjacent to a footrest of the treatment chair. Id. ¶ 5. Dr. Ocampo lifted Mr. Dickson’s foot approximately six to ten inches off the footrest of the wheelchair, at [332]*332which time the wheelchair flipped over backwards causing Mr. Dickson to hit his head on the floor (the accident). Id.

The Estate of William Dickson commenced a civil action against Dr. Ocampo in Cumberland County Superior Court with Docket No. CV-15-491 (the Civil Action) for injuries sustained in the accident. Id. ¶ 6. Both MMG and PICA agreed to provide Dr. Ocampo with a defense subject to a reservation of rights. Id. ¶ 7. A mediation of the Civil Action took place on June 2, 2016; both MMG and PICA participated in the mediation despite a coverage dispute between PICA and MMG. Id. ¶ 8. MMG and PICA could not resolve their coverage dispute at the mediation but agreed to settle the claims in the Civil Action by making equal contributions to the settlement, with each insurer reserving the right to seek recovery from the other based on the various coverage defenses. Id. ¶ 9.

MMG had issued a Businessowners policy to Southern Maine Foot and Ankle, P.A. with Policy No. BP20936165 that was in effect at the time of the 2013 accident. Id. ¶ 10.

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263 F. Supp. 3d 327, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mmg-insurance-co-v-podiatry-insurance-co-of-america-med-2017.