Pacific Employers Insurance v. Travelers Casualty & Surety Co.

888 F. Supp. 2d 271, 2012 WL 3132960, 2012 U.S. Dist. LEXIS 111614
CourtDistrict Court, D. Connecticut
DecidedApril 19, 2012
DocketNo. 3:11cv924 (MRK)
StatusPublished
Cited by2 cases

This text of 888 F. Supp. 2d 271 (Pacific Employers Insurance v. Travelers Casualty & Surety Co.) is published on Counsel Stack Legal Research, covering District Court, D. Connecticut primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Pacific Employers Insurance v. Travelers Casualty & Surety Co., 888 F. Supp. 2d 271, 2012 WL 3132960, 2012 U.S. Dist. LEXIS 111614 (D. Conn. 2012).

Opinion

MEMORANDUM OF DECISION

MARK R. KRAYITZ, District Judge.

This case arises out of the scores of claims brought against St. Francis Hospital by victims of the late George Reardon, a former endocrinologist at the Hospital who from 1963 to 1993 is said to have sexually abused many of the children who were his patients. These claims — most of which have settled, though two have gone to trial, one is on appeal, and approximately forty are still being litigated — have all been brought in Connecticut state court. The case before this Court is far more limited. The parties here are the Hospital and three of its insurers (or their successors in interest) from the period January 1, 1981 to October 1, 1985. They seek a declaratory judgment as to which type of insurance coverage applies to the claims in the underlying litigation: professional liability coverage or general liability coverage. This judgment will determine which of the parties have a duty to defend, and which have a duty to indemnify, St. Fran[273]*273cis Hospital for claims arising from the period at issue.

The Court does not yet have enough information to determine whether the varied claims raised by the plaintiffs in the underlying litigation fall exclusively within the insurers’ professional liability coverage, as Defendants Travelers1 and Evans-ton would have the Court find. Thus, the Court cannot enter summary judgment on their behalf. The Court is, however, able to grant Pacific Employers’ (“PEIC’s”) more limited motion for summary judgment, as it is clear on the record before the Court that “an allegation of the [underlying] complaint falls even possibly within” St. Francis’s general liability coverage, R.T. Vanderbilt Co. v. Cont’l Cas. Co., 273 Conn. 448, 470, 870 A.2d 1048 (2005), and thus that Travelers has a duty to defend St. Francis under that coverage until its general liability coverage limit is reached and PEIC’s excess coverage takes over.

I.

A.

St. Francis Hospital and Medical Center (the name under which Defendant St. Francis Care, Inc. does business) maintained its primary insurance with Travelers from at least 1963 until October 1, 1984. Evanston provided St. Francis with its primary insurance for the period from October 1, 1984 to October 1, 1985. PEIC issued five insurance policies to St. Francis that, together, provided excess coverage from January 1, 1981 to October 1, 1985. PEIC’s policies “follow form” to the Travelers’ and Evanston policies, providing excess coverage to the Hospital on the same terms as the primary-level policies. PEIC’s coverage kicks in when the primary-level policies’ coverage limits are reached. PEIC’s policy includes a duty to defend St. Francis against personal injury suits only once the “limits of liability of the underlying insurance are exhausted.” Mot. for Partial Summ. J. [doc. # 105-13] Ex. J (PEIC Policy).

Since the questions raised by Defendants’ summary judgment motions turn on the specific language of the Travelers and Evanston policies, the Court will quote them at some length. The four policies issued by Travelers and the one policy issued by Evanston during the period in question all contain two types of coverage: Hospital Professional Liability (“HPL”) and General Liability (“GL”), each with its own claim and aggregate coverage limits. Three of the four Travelers policies — those from 1980, 1982, and 1983 — use the same language to describe the coverage. Travelers’ 1981 policy is worded somewhat differently, but none of the parties have contended that the differences are relevant here.

Travelers’ 1980, 1982, and 1983 HPL forms state:

The company will pay on behalf of the insured all sums which the insured shall become legally obligated to pay as damages because of injury to any person arising out of the rendering of or failure to render, during the policy period, the following professional services:
(a) medical, surgical, dental or nursing treatment2 to such person or the person inflicting the injury including the furnishing of food or beverages in connection therewith,
[274]*274(b) furnishing or dispensing of drugs or medical, dental or surgical supplies or appliances ...,
(c) handling of or performing postmortem examinations on human bodies, or
(d) service by any person as a member of a formal accreditation or similar professional board or committee of the named insured, or as a person charged with the duty of executing directives of any such board or committee.3

Aff. of Maria T. Erkfitz [doc. # 130] Exs. A, C, and D.

Two other provisions in Travelers’ HPL coverage from those years are relevant to this suit as well. First, the HPL form provides that

the company shall have the right and duty to defend any suit against the insured seeking such damages, even if any of the allegations of the suit are groundless, false or fraudulent ..., but the company shall not be obligated to ... defend any suit after the applicable limit of the company’s liability has been exhausted.

Id. A second crucial paragraph — which Travelers refers to as the “non-concurrency provision” — governs the interaction between each policy’s two forms of coverage. This provision is found in paragraph V.C of the HPL form:

Limitation of Coverage Under Any Other Liability. Except as stated in this Part, the policy does not apply to injury arising out of the rendering of or failure to render the professional services described in paragraph 1 above.

Id.4 According to Travelers, the non-concurrency provision prevents any overlap between its HPL and GL coverage; the two coverage parts, it says, are mutually exclusive. Thus, if an injury alleged in the underlying litigation were to fall within Travelers’ HPL coverage, Travelers’ GL coverage would not apply. Further, once Travelers reached the limit of its HPL coverage, it would no longer have a duty to defend against such a claim.

Travelers’ GL coverage provides indemnity to St. Francis for

damages because of bodily injury or property damage to which this insurance applies, caused by an occurrence and [Travelers] shall have the right and duty to defend any suit against the insured seeking damages on account of such bodily injury or property damage, ... but the company shall not be obligated to pay any claim or judgment or to defend any suit after the applicable limit of the company’s liability has been exhausted ....

Id. The Travelers policy defines “occurrence” as “an accident, including continuous or repeated exposure to conditions, which results in bodily injury or property damage neither expected nor intended from the standpoint of the insured.” Id.

Evanston’s policy distinguishes its two forms of coverage in these terms:

(a) Coverage A — Professional Liability — To indemnify the Insured for the excess net loss in excess of the retained limit which the Insured shall become legally obligated to pay as damages as a result of malpractice arising out of the rendering of or the [275]

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Bluebook (online)
888 F. Supp. 2d 271, 2012 WL 3132960, 2012 U.S. Dist. LEXIS 111614, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pacific-employers-insurance-v-travelers-casualty-surety-co-ctd-2012.