National Union Fire Insurance v. West Lake Academy

548 F.3d 8, 2008 U.S. App. LEXIS 23306
CourtCourt of Appeals for the First Circuit
DecidedNovember 13, 2008
DocketNos. 07-2190, 07-2204
StatusPublished
Cited by22 cases

This text of 548 F.3d 8 (National Union Fire Insurance v. West Lake Academy) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
National Union Fire Insurance v. West Lake Academy, 548 F.3d 8, 2008 U.S. App. LEXIS 23306 (1st Cir. 2008).

Opinion

DYK, Circuit Judge.

Fourth-party plaintiff Jane Doe (“Doe”) appeals from a final judgment in favor of fourth-party defendant National Union Fire Insurance Company of Pittsburgh, Pennsylvania (“National Union”). In a prior Massachusetts state court action, Doe obtained a judgment against one of National Union’s insureds, Ed Hovestadt. In this appeal, Doe challenges a final judg[11]*11ment in favor of National Union entered by the United States District Court for the District of Massachusetts based on (1) an adverse jury verdict on Doe’s claims under Mass. Gen. Laws ch. 93A, § 9, for failure to settle an insurance claim; (2) summary judgment on Doe’s claim to recover on Hovestadt’s insurance coverage; and (3) summary judgment on Doe’s claim for misrepresentation by National Union as to the policy limits. For the reasons stated below, we affirm.

I. Background

Between 1993 and June 1995, Doe, who was at the time a minor, was involuntarily committed to West Lake Academy (“West Lake”), a facility for mentally ill teenagers. In June 1995, Jeffrey Senechal, a West Lake employee, transported Doe between West Lake and a bus station on several occasions without another staff member’s being present. On at least some of these occasions, Senechal had sexual intercourse with Doe. Doe became pregnant, and although Senechal initially denied having had sexual intercourse with Doe, he has since admitted that he engaged in sexual intercourse with her and, indeed, he was deemed the father of Doe’s child. Ed Hovestadt, another West Lake employee, was allegedly negligent in allowing Sene-chal to travel alone with Doe.

National Union provided a commercial general liability insurance policy (the “National Union policy”) to West Lake, Health and Education Services, Inc. (“HES,” a corporate parent of West Lake), and their employees, including Hovestadt (collectively “the insureds”).

In November 1997 Doe filed a suit in Massachusetts Superior Court against Senechal, West Lake, and HES. Doe asserted, inter alia, that Senechal’s sexual activity with her was actionable and that West Lake and HES were negligent in their security, hiring, training, and supervision. Doe later amended her complaint to add as defendants several additional West Lake employees, including Hoves-tadt, on a theory that they negligently allowed Senechal to be alone with Doe. After trial, Senechal and Hovestadt were found liable to Doe. Doe obtained a judgment against Senechal alone in the amount of $500,000 for intentional infliction of emotional distress and against Senechal and Hovestadt jointly in the amount of $750,000 on the theory that Hovestadt was negligent in allowing Senechal to transport Doe alone, which proximately caused Doe’s injury. See Doe v. Senechal, 66 Mass.App.Ct. 68, 845 N.E.2d 418 (2006). The total judgment was for $1.25 million plus interest, and this judgement was affirmed on appeal and became final. Doe’s claims against National Union in the present case are based on the judgement for $750,000 plus interest against Hovestadt. As will be seen, Doe asserts that under the policy National Union was obligated to pay Ho-vestadt the amount of Doe’s judgment against him. She asserts a right to stand in Hovestadt’s shoes insofar as Hovestadt had claims against National Union by virtue of the National Union insurance policy.

On July 28, 2000, National Union filed suit in the District Court for the District of Massachusetts against its insureds, including West Lake, HES, Senechal, and Hovestadt. National Union’s complaint sought a declaratory judgment limiting its exposure under the policy. Among a series of exclusions from the commercial general liability coverage, the National Union policy included an “Abuse or Molestation Exclusion,” which excluded from coverage claims based on abuse or molestation of anyone in the custody of the insureds. Limited coverage for such claims was provided through a “Sexual Abuse Endorsement.” National Union’s [12]*12theory was two-fold. National Union asserted that the Abuse or Molestation Exclusion and the Sexual Abuse Endorsement limited coverage for the claims at issue to $100,000 per occurrence and $300,000 in total.1 National Union also asserted that the policy coverage provided by the Sexual Abuse Endorsement was what is known in the industry as a “wasting” policy. Under a wasting policy, the coverage provided is reduced by the amount paid by the insurance company to defend against claims brought by third parties against the insured. There is no dispute that the commercial general liability provisions of the National Union policy were not wasting, but National Union contended that coverage under the Sexual Abuse Endorsement was wasting.

The insureds (with the exception of Sen-echal), in turn, answered and counterclaimed against National Union asserting violations of Massachusetts insurance regulations and consumer protection statutes, including claims under Mass. Gen. Laws chs. 176D, § 3(9)(f) and 93A, § 9 (hereinafter the “Chapter 93A claim”) that National Union failed to take reasonable steps to effectuate prompt settlement of Doe’s claim against Hovestadt after liability had become reasonably clear.2 The insureds also asserted third-party claims against other parties, including The Travelers Indemnity Company of Illinois (“Travelers”), which had issued an umbrella liability policy covering the insureds, and Doe. While the Travelers dispute was settled and is not directly involved in this appeal, the dispute between the insureds and Travelers nonetheless is pertinent for reasons described below.

Doe answered as a third-party defendant, and later amended her answer to include fourth-party claims against National Union (and other parties, including Travelers), asserting the same claims that Hovestadt, as an insured, had asserted against these parties. She claimed to stand in Hovestadt’s shoes both as Hoves-tadt’s judgment creditor and as his assign-ee.3 Doe ultimately asserted three claims against National Union. First, Doe alleged that she had a right to recover on the insurance policy, up to the applicable policy limits, to satisfy the judgment against Hovestadt. She contended that the policy limits were not limited by the Abuse or Molestation Exclusion and that the coverage provided by the Sexual Abuse Endorsement was not wasting. Second, Doe asserted a Chapter 93A claim for failure to settle. Finally, Doe asserted (apparently in the alternative) a claim that National Union misrepresented to the insureds the nature and scope of coverage [13]*13available, leading the insureds to believe that the policy coverage was not limited to the Sexual Abuse Endorsement and that the Endorsement coverage was not wasting.

On February 27, 2007, the district court granted summary judgment in favor of National Union as to Doe’s coverage and misrepresentation claims, finding that coverage for the claims at issue was limited by the Abuse or Molestation Exclusion and that the coverage provided by the Sexual Abuse Endorsement was wasting. The court also found that there was no misrepresentation by National Union concerning the policy’s wasting nature. The district court denied summary judgment as to Doe’s failure-to-settle claim under Chapter 93A, concluding that there was a material issue of fact as to whether National Union had offered to settle Doe’s claim.

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548 F.3d 8, 2008 U.S. App. LEXIS 23306, Counsel Stack Legal Research, https://law.counselstack.com/opinion/national-union-fire-insurance-v-west-lake-academy-ca1-2008.