One Call Medical, Inc. v. National Fire & Marine Ins. Co.

CourtDistrict Court, E.D. California
DecidedAugust 2, 2019
Docket2:17-cv-01385
StatusUnknown

This text of One Call Medical, Inc. v. National Fire & Marine Ins. Co. (One Call Medical, Inc. v. National Fire & Marine Ins. Co.) is published on Counsel Stack Legal Research, covering District Court, E.D. California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
One Call Medical, Inc. v. National Fire & Marine Ins. Co., (E.D. Cal. 2019).

Opinion

1 2 3 4 5 6 7 8 UNITED STATES DISTRICT COURT 9 EASTERN DISTRICT OF CALIFORNIA 10 11 ONE CALL MEDICAL, INC., et al., No. 2:17-cv-01385-KJM-CKD 12 Plaintiffs, 13 v. ORDER 14 NATIONAL FIRE & MARINE INSURANCE COMPANY, 15 Defendant. 16

17 18 In this insurance coverage case, defendant moves for summary judgment of all of 19 plaintiffs’ claims. For the reasons below, the court GRANTS defendant’s motion and 20 DISMISSES the case. 21 I. BACKGROUND 22 Employers Insurance Group (“Employers”) is an insurer that issues policies 23 covering workers’ compensation risks. Undisputed Material Fact (UMF) 1, ECF No. 17-2. 24 Employers contracted with plaintiffs One Call Medical, Inc. and Zone Care USA of Delray, LLC 25 (collectively “One Call”) to have One Call provide workers’ compensation services to 26 Employers’ clients, including the arrangement of transportation for injured workers. UMF No. 2. 27 One Call’s parent company, Coral Acquisition, Inc., purchased a managed care errors and 28 ///// 1 omissions liability insurance policy for itself and its subsidiaries from defendant National Fire & 2 Marine Insurance Company (“National Fire”). UMF No. 3. 3 On September 6, 2016, One Call arranged for Tyrone Shacklefoot, an injured 4 worker covered under Employers, to be transported to his medical appointment in a Toyota 5 Sienna van taxi (“the van”), pursuant to One Call’s agreement with Employers. UMF No. 5–6. 6 The van was neither owned nor operated by One Call. Opp’n, ECF No. 20, at 151 (citing Mot. at 7 1–2; UMF 6, 8, 14). While transporting Mr. Shacklefoot back home from his appointment, the 8 van was involved in a five-vehicle collision; Mr. Shacklefoot was severely injured and rendered a 9 quadriplegic as a result. See UMF No. 7–8; Employers Demand Letter at 55. Employers 10 demanded indemnification from One Call with respect to the resulting costs (hereinafter the 11 “Employers Claim”). Demand Letter at 55. Before the court is One Call’s action against its 12 insurer, National Fire, in which One Call claims National Fire is obligated to defend and 13 indemnify One Call for the Employers Claim. Mot., ECF No. 17-1, at 7. 14 A. Employers’ Demand Letter and Arbitration Claims Against One Call 15 On September 30, 2016, Employers sent a demand letter to One Call seeking 16 “indemnification against all increased costs and benefits it is obligated to pay to Mr. Shacklefoot 17 as a result of the injuries he sustained in the cab ride on September 6, 2016.” Not. of Removal, 18 ECF No. 1, Ex. 1 (“Compl.”) ¶ 40; see also Mot., Ex. D, ECF No. 17-5 (“Demand Letter”), at 55. 19 When One Call refused to meet Employers’ demand, the parties entered arbitration over the 20 dispute, as required by the “Master Services Agreement” between them. See Alternative Dispute 21 Resolution Statement of Claim (“ADR Claim”), ECF No. 17-5, Ex. T. Employers’ statement of 22 its arbitration claim, dated August 2017, describes the Shacklefoot accident, ADR Claim ¶¶ 20– 23 24, and alleges the following claims against One Call: (1) fraudulent inducement, (2) negligent 24 misrepresentation, (3) breach of contract for failure to indemnify, (4) breach of contract for 25 failure to follow same service standards for all customers, (5) breach of contract for failure to 26 ///// 27

28 1 Citations to page numbers refer to the ECF pagination, not the document’s internal pagination. 1 permit audit, and (6) breach of contract for failure to maintain insurance coverage. ADR Claim 2 ¶¶ 35–82. 3 B. One Call’s Claim Against National Fire 4 On May 11, 2017, One Call filed the operative complaint here, which alleges 5 claims for declaratory relief and breach of contract against National Fire, and seeks legal defense 6 costs and indemnity from National Fire for Employers’ claim against One Call. Compl. at 12–14. 7 One Call’s complaint, filed before Employers’ statement of arbitration existed, only refers to the 8 claims made in the demand letter, which it terms the “Employers Claim.” See Compl. ¶ 40 (“All 9 claims asserted in the Demand Letter are hereinafter collectively referred to as the ‘Employers 10 Claim.’”). The more specific claims asserted in the arbitration—namely, fraudulent inducement, 11 negligent misrepresentation, breach of contract for failure to follow same service standards for all 12 customers, breach of contract for failure to permit audit, and breach of contract for failure to 13 maintain insurance coverage—are not part of the “Employers Claim” as it is defined in the 14 complaint. See id. 15 The complaint alleges that One Call forwarded Employers’ demand letter to 16 National Fire and requested coverage for the Employers Claim under the managed care and 17 omissions liability insurance policy One Call purchased from National Fire (“the Berkshire 18 policy”). Compl. ¶ 41. National Fire denied One Call’s claim, citing the policy’s automobile 19 exclusion clause, which provides: 20 Section 9 Exclusions 21 The Insurer will not be liable to make any payment for Loss in connection with any Claim made against any Insured: 22 . . . D. Motor Vehicle 23 based upon, arising out of, or attributable to, or directly or 24 indirectly resulting from or in any way involving the actual or alleged ownership, operation, use, maintenance, loading or 25 unloading of any motor vehicle, trailer, watercraft, aircraft or helipad. 26 27 UMF No. 12; Compl. ¶¶ 26, 43. One Call resubmitted its claim for coverage, asserting that the 28 Employers Claim was “for negligent management of Mr. Shacklefoot’s transportation,” and 1 therefore the exclusion did not apply. Compl. ¶ 44. National Fire denied the claim again. Id. 2 ¶ 45. 3 Based on these facts, One Call pleaded the following claims against National Fire: 4 (1) declaratory relief that “the Employers Claim qualifies for coverage under the Berkshire 5 Policy” and 6 [t]he Motor Vehicle exclusion in the Berkshire Policy does not apply to exclude coverage because the Employers Claim is not one for 7 negligent operation of motor vehicle. Instead, it alleges negligent management of Mr. Shacklefoot’s transportation needs, a 8 professional task encompassed by the Employers Contract. 9 Id. ¶¶ 48, 49,2 and (2) breach of the Berkshire policy contract, id. ¶ 56. 10 On October 17, 2018, National Fire moved for summary judgment on each of One 11 Call’s claims based on the application of the Motor Vehicle Exclusion contained in plaintiffs’ 12 policy. Mot. at 7–8. Plaintiffs opposed, ECF No. 20, and defendant filed a reply, ECF No. 23. 13 The court heard oral argument on January 11, 2019. For the following reasons, the court 14 GRANTS defendant’s motion for summary judgment. 15 II. LEGAL STANDARD 16 A court will grant summary judgment “if . . . there is no genuine dispute as to any 17 material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a). 18 The “threshold inquiry” is whether “there are any genuine factual issues that properly can be 19 resolved only by a finder of fact because they may reasonably be resolved in favor of either 20 party.” Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 250 (1986).3 21 The moving party bears the initial burden of showing the district court “that there 22 is an absence of evidence to support the nonmoving party’s case.” Celotex Corp. v. Catrett, 23 477 U.S. 317, 325 (1986). The burden then shifts to the nonmoving party, which “must establish 24 that there is a genuine issue of material fact . . . .” Matsushita Elec. Indus. Co. v. Zenith Radio

Free access — add to your briefcase to read the full text and ask questions with AI

Related

First Nat. Bank of Ariz. v. Cities Service Co.
391 U.S. 253 (Supreme Court, 1968)
Anderson v. Liberty Lobby, Inc.
477 U.S. 242 (Supreme Court, 1986)
Farmers Ins. Exchange v. Superior Court CA2/7
220 Cal. App. 4th 1199 (California Court of Appeal, 2013)
Whitman v. Mineta
541 F.3d 929 (Ninth Circuit, 2008)
State Farm Mutual Automobile Insurance v. Partridge
514 P.2d 123 (California Supreme Court, 1973)
Allstate Insurance v. Jones
139 Cal. App. 3d 271 (California Court of Appeal, 1983)
Essex Insurance v. City of Bakersfield
65 Cal. Rptr. 3d 1 (California Court of Appeal, 2007)
Estrada v. Fedex Ground Package System, Inc.
64 Cal. Rptr. 3d 327 (California Court of Appeal, 2007)
Dominguez v. Financial Indemnity Co.
183 Cal. App. 4th 388 (California Court of Appeal, 2010)
Costco Wholesale Corp. v. Liberty Mutual Insurance
472 F. Supp. 2d 1183 (S.D. California, 2007)
Wash. Mut. Bank v. Superior Court of Orange Cty.
15 P.3d 1071 (California Supreme Court, 2001)
Haynes v. Farmers Insurance Exchange
89 P.3d 381 (California Supreme Court, 2004)
Sierra Club v. United States Army Corps of Engineers
990 F. Supp. 2d 9 (District of Columbia, 2013)
Hall v. Cayot
74 P. 299 (California Supreme Court, 1903)
Carter v. Carr
33 P.2d 852 (California Court of Appeal, 1934)
Arno v. Club Med Inc.
22 F.3d 1464 (Ninth Circuit, 1994)
Evanston Insurance Co. v. Atain Specialty Insurance Co.
254 F. Supp. 3d 1150 (N.D. California, 2017)
Maxum Indem. Co. v. Kaur
356 F. Supp. 3d 987 (E.D. California, 2018)

Cite This Page — Counsel Stack

Bluebook (online)
One Call Medical, Inc. v. National Fire & Marine Ins. Co., Counsel Stack Legal Research, https://law.counselstack.com/opinion/one-call-medical-inc-v-national-fire-marine-ins-co-caed-2019.