New Hampshire Ins. Co. v. Diller

678 F. Supp. 2d 288, 2009 WL 5171866
CourtDistrict Court, D. New Jersey
DecidedJanuary 13, 2010
DocketCivil Action 07-cv-1131 (NLH)(JS)
StatusPublished
Cited by14 cases

This text of 678 F. Supp. 2d 288 (New Hampshire Ins. Co. v. Diller) is published on Counsel Stack Legal Research, covering District Court, D. New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
New Hampshire Ins. Co. v. Diller, 678 F. Supp. 2d 288, 2009 WL 5171866 (D.N.J. 2010).

Opinion

OPINION

HILLMAN, District Judge.

This case presents the issue, among others, of whether an insurance company may *292 draft and enter into a marine insurance contract with an insured which on its face allows it to void coverage for only intentional misrepresentations, and later, when the issue of intent is unclear, rely on a common law doctrine to deny coverage which deems intent irrelevant. We conclude that it may not.

Plaintiff, New Hampshire Insurance Company (“NHIC”), filed a complaint against its insured, defendant/counter-claimant/third-party plaintiff, William Diller, Jr., requesting a declaratory judgment denying marine insurance coverage for damage to Diller’s 60-foot vessel, “MW Dream Catcher.” Diller counterclaimed against NHIC and also filed a third-party complaint against his insurance broker, John C. Kopp, Jr. (sued as “Jay Kopp”), and Kopp’s employer, NIA Group Associates, LLC (“NIA”). Subsequently, Diller filed an amended third-party complaint in which he also named as a third-party defendant Mann Custom Boats, Inc. (“Mann”), the designer, manufacturer, and repairer of the vessel.

Presently before the Court are several motions: NHIC’s Motion for Summary Judgment; Kopp and NIA’s (collectively “Kopp/NIA”) Motion for Summary Judgment 1 and Motion on the Pleadings to Dismiss the Amended Third-party Complaint; and Diller’s Cross-motion for Partial Summary Judgment on its Counterclaim and Motion for Leave to File a Surreply and Affidavit. For the reasons explained below, NHIC’s Motion for Summary Judgment, Kopp/NIA’s Motion for Summary Judgment, and Diller’s Cross-motion for Partial Summary Judgment are all denied. However, Diller’s Motion for Leave to File a Sur-reply is granted and Kopp/NIA’s Motion to Dismiss will be granted with leave to re-file under certain conditions.

I. JURISDICTION

This Court exercises subject matter jurisdiction over the underlying claim pursuant to 28 U.S.C. § 1332. There is complete diversity between the plaintiff in the underlying action who is a citizen of the Commonwealth of Pennsylvania where it is incorporated and of New York where it has its principal place of business, and defendant/counter-claimant/third-party plaintiff who is a citizen of New Jersey. 2 Plaintiff alleges that the amount in controversy exceeds $75,000.

II. BACKGROUND

Diller, who owned MW Dream Catcher (the “vessel”), requested that NIA obtain a quote for marine insurance coverage for the vessel for the 2006-07 policy year. *293 Diller was a client of NIA, and Kopp, who was employed by NIA, had been Diller’s insurance broker for several years. To obtain a quote for Diller, Kopp filled out a request form on a website maintained by Maritime General Agency (“MGA”), the intermediary for NHIC. Kopp stated in his affidavit that one of the fields on the MGA website requested information for the “number of claims in last 5 years.”

After Kopp filled in the form on the MGA website, the information was electronically submitted to MGA. The information was reviewed by Michael Terrier, an MGA underwriter. On the basis of this information, MGA provided a quote and application for coverage from NHIC. Kopp filled out the application including information requesting “Loss History: (Date, Cause, Amount).” At the center of this case is the absence of certain information from Diller’s “Loss History,” as well as other alleged misrepresentations or omissions relating to Diller’s application.

Among the information absent from Diller’s application to NHIC was an incident that occurred in February 2001. Diller’s vessel was involved in a “grounding,” for which the vessel’s insurer at the time paid $115,000. Also as a result of that accident, a mate on the vessel suffered a personal injury, resulting in a $3,000 claim.

Second, Kopp stated on the application that in December 2002, Diller’s vessel hit an object and that the amount paid for that accident was $19,000. In an insurance application to CIGNA Insurance Company dated July 16, 2003, 3 however, the amount paid as a result of the December 2002 incident was listed as $32,000. 4

Third, in August 2004, the vessel, with Diller aboard, suffered damage to its hull and began taking on seawater, forcing the crew to radio a “Mayday” distress call. The vessel was escorted to port by the United States Coast Guard and was later repaired by Mann. This casualty was not reported on the application.

Fourth, on the application Kopp checked off the “Licensed Capt.” box based on information from Diller that the vessel was being operated by a licensed captain. Diller, however, admits that he is not a licensed captain, but reports that he employed Michael Bennett, who is a licensed captain.

Finally, the total horsepower of the vessel’s engine as indicated on the application was “1350.” Its actual horsepower was approximately 2,700.

After filling in the application, Kopp forwarded it to Diller with instructions for Diller to sign it and return it to Kopp with a check for the insurance premium due. Diller stated that after reviewing the application he noticed that the February 2001 and August 2004 incidents were not reported on the application. Diller asked Kopp why they were excluded. With regard to the February 2001 incident, Kopp replied that he understood the application’s request for “Loss History” to be asking for any claims made within the past five years, just as the MGA website form had requested. By Kopp’s estimation, the *294 February 2001 incident occurred more than five years prior to completing the current application to NHIC and, therefore, did not have to be reported. 5 Further, Kopp said that the August 2004 incident did not have to be disclosed because Diller did not pursue an insurance claim in relation to it. 6 In June 2006, Diller signed the application, which was forwarded by Kopp to NHIC. Shortly thereafter, NHIC issued a policy for the vessel for the period of June 29, 2006 through June 29, 2007.

On August 9, 2006, while participating in a fishing contest in the Atlantic Ocean, the vessel’s hull was damaged. Diller submitted a claim to NHIC for coverage of this accident. NHIC began an investigation of Diller’s claim and, on October 20, 2006, took his examination under oath (“EUO”).

During the EUO, Diller was asked whether he had suffered any losses with his vessel other than the December 2002 claim. Diller answered yes, and recalled the August 2004 incident. When asked if he had submitted an insurance claim to his previous marine insurer in connection to the August 2004 claim, Diller replied that he had not. However, Diller acknowledged that he had told Kopp of the incident and did not know whether Kopp had reported it to the insurer.

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Cite This Page — Counsel Stack

Bluebook (online)
678 F. Supp. 2d 288, 2009 WL 5171866, Counsel Stack Legal Research, https://law.counselstack.com/opinion/new-hampshire-ins-co-v-diller-njd-2010.