Penn-America Insurance v. Lewis

395 F. Supp. 2d 250, 2005 U.S. Dist. LEXIS 25795, 2005 WL 2839759
CourtDistrict Court, D. Maryland
DecidedOctober 27, 2005
DocketCIV. JFM-04-1829
StatusPublished
Cited by1 cases

This text of 395 F. Supp. 2d 250 (Penn-America Insurance v. Lewis) is published on Counsel Stack Legal Research, covering District Court, D. Maryland primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Penn-America Insurance v. Lewis, 395 F. Supp. 2d 250, 2005 U.S. Dist. LEXIS 25795, 2005 WL 2839759 (D. Md. 2005).

Opinion

OPINION

MOTZ, District Judge.

The issue presented in this case is whether Penn-America Insurance Company (“Penn-America”) is obligated to indemnify Defendant Paradox Entertainment Group (“Paradox”) for a consent judgment entered in an underlying case brought by Defendant Toi-Marie Lewis (“Lewis”) against Paradox.

In the underlying action, Lewis brought suit for personal injuries caused by the alleged conduct of a bouncer employed at a club operated by Paradox. After a consent judgment was entered in Lewis’s favor, Lewis petitioned Paradox’s insurer Penn-America for payment in the amount of the judgment. Penn-America refused coverage, and filed the instant suit seeking declaratory judgment to establish lack of coverage. Paradox and Lewis both filed counterclaims seeking indemnification or payment of the damages awarded. Penn-America then filed a motion for summary judgment. For the reasons stated below, the motion will be granted.

I.

A. The Underlying Suit — Lewis & Johnson v. Paradox

The underlying suit results from the alleged conduct of a bouncer at a club operated by Paradox in February 2002. Lewis was present at the club when she became involved in an dispute with another patron. According to Lewis, a bouncer employed by Paradox then “grasped Lewis, lifted her from the floor and threw her through a set of doors onto the street outside of the Paradox facility.” Complaint, Lewis & Johnson v. Paradox, Circuit Court for Baltimore City, Case No. 24C02001485, at ¶ 2. She asserted claims for assault, battery, negligence, and negligent hiring. After an initial trial resulted *253 in a mistrial, Lewis and Paradox entered into a consent judgment in the amount of $120,000. The judgment was entered on the negligence count alone. The other counts were dismissed.

B. The Penn-America Policy

The Penn-America policy held by Paradox (the “Policy”) excludes coverage of damages awarded as a result of: “ ‘Bodily Injury’, ‘Property Damage’, Personal Injury, Advertising Injury, Medical Payments or any other damages resulting from assault and battery or physical altercations that occur in, on, near or away from the insured’s premises.” Penn-America Mot. for Su mm. J., ex. A, Assault and Battery Exclusion, at 1. After Paradox filed its claim for indemnification with Penn-America, Penn-America provided Paradox with a letter refusing coverage. Penn-America Complaint, ex. 3, 4/22/02 Denial Letter. That letter quoted the above language and stated clearly that there would be no coverage because Lewis’s claim was for “ ‘bodily injury,’ ‘property damage’ or ‘personal injury’ including false arrest, imprisonment or slander, [arising] out of an assault and battery or physical altercation.” Id. at 3.

II.

Summary judgment is proper where there is no genuine issue of material fact and the moving party proves that it is entitled to judgment as a matter of law. See FED. R. CIV. P. 56. Materiality is determined by the substantive law of the case; if a fact is in dispute that might affect the outcome of a case, it is considered to be material. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). In the context of a suit for declaratory judgment resolving insurance coverage, summary judgment in favor of the insurer is proper where there are no material facts in dispute which would lead to a potentiality for coverage. See e.g., Montgomery Co. Bd. Of Educ. v. Horace Mann Ins. Co., 154 Md.App. 502, 840 A.2d 220, 224 (2003), aff'd, 383 Md. 527, 860 A.2d 909 (2004) (finding no genuine disputes as to material facts because the sole question to be resolved by the court was the legal interpretation of “relevant statutes, the various insurance agreements between the parties, and the Complaint,” and granting summary judgment).

III.

A.

Under Maryland law two inquiries are made to determine whether an insurer has a duty to defend its insured against tort suits. See, e.g., St. Paul Fire & Ins. Co. v. Pryseski, 292 Md. 187, 438 A.2d 282, 285 (1981). First, the court examines the coverage provided for in the policy and any defenses under its terms. Id. Second, the court asks whether the allegations in the complaint potentially bring the claim within the coverage. Id. Thus, the court inquires first as to the boundaries of coverage, and second as to the allegations made in the underlying suit.

In determining the boundaries of coverage, the court construes an insurance policy just as it does any other contract, by giving its terms their “customary, ordinary, and accepted meaning.” Aetna Cas. & Sur. Co. v. Cochran, 337 Md. 98, 651 A.2d 859, 862 (1995). If a term is ambiguous, extrinsic evidence may be admitted to show both the intent of the parties and any possible special trade usage of terms. Pryseski, 438 A.2d at 288. Here, however, it is not necessary to consider extrinsic evidence because the Penn-America policy uses clear language and defines any terms that might otherwise be found ambiguous. *254 The resulting coverage excludes from its scope those injuries resulting from “assault and battery or physical altercations.” Penn-America M. for Summ. J., ex. A, Assault and Battery Exclusion, at 1.

Once the court has determined the scope of coverage, the court considers the allegations in the underlying tort suit to determine whether the claim is potentially covered by the policy. Montgomery County Bd. of Educ., 840 A.2d at 226. This test favors coverage, since, as the Maryland Supreme Court has noted, “representation from the insurer ... is part of the bargained-for exchange in any insurance policy.” Montgomery Co. Bd. Of Educ., 840 A.2d at 225-26 (citing Cochran, 651 A.2d at 865). Even where a tort plaintiff fails to allege facts that clearly bring the claim within coverage, the insurer must defend if the plaintiff shows a potentiality of coverage. Brohawn v. Transamerica Ins. Co., 276 Md. 396, 347 A.2d 842, 850 (1975). If the court is unsure about coverage, any doubts should be resolved in favor of the insured.

B.

Where, as here, the underlying tort trial has already been completed, the insurer is ordinarily bound by the findings of the court as to the nature of the claims. Allstate Ins. Co. v. Atwood, 319 Md. 247, 572 A.2d 154

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Bluebook (online)
395 F. Supp. 2d 250, 2005 U.S. Dist. LEXIS 25795, 2005 WL 2839759, Counsel Stack Legal Research, https://law.counselstack.com/opinion/penn-america-insurance-v-lewis-mdd-2005.