Pflueger, Inc. v. AIU Holdings, Inc.

516 P.3d 984, 151 Haw. 430
Hawaii Intermediate Court of Appeals·Decided August 31, 2022·No. CAAP-17-0000234·Published·Cited by 1 cases

Opinion

Electronically Filed

Intermediate Court of Appeals CAAP-XX-XXXXXXX

31-AUG-2022

09:15 AM

Dkt. 111 SO

NO. CAAP-XX-XXXXXXX

IN THE INTERMEDIATE COURT OF APPEALS OF THE STATE OF HAWAI#I

PFLUEGER, INC., Plaintiff-Appellant, v.

AIU HOLDINGS, INC., NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PENNSYLVANIA, Defendants/Crossclaim Defendants-

Appellees, and NOGUCHI & ASSOCIATES, INC., Defendant/Crossclaim Plaintiff-Appellee, and DOE CORPORATIONS 1-10; DOE PARTNERSHIPS 1-10;

and DOE ENTITIES 1-10, Defendants.

APPEAL FROM THE CIRCUIT COURT OF THE FIRST CIRCUIT (CIVIL NO. 09-1-1326)

SUMMARY DISPOSITION ORDER (By: Wadsworth and McCullen, JJ., with Hiraoka, Presiding Judge, concurring separately)

Plaintiff-Appellant Pflueger, Inc. (Pflueger) appeals from the Circuit Court of the First Circuit's March 14, 2017 Final Judgment, which was entered in favor of Pflueger's insurance broker, Defendant/Crossclaim Plaintiff-Appellee Noguchi & Associates, Inc. (Noguchi).1 In its points of error on appeal, Pflueger contends that the circuit court erred in (1) granting Noguchi's motion for summary judgment, (2) denying Pflueger's motion for reconsideration, and (3) entering final judgment in favor of Noguchi.

1 The Honorable Jeannette H. Castagnetti presided.

Specifically, Pflueger argues that, "as to causation, despite the deposition testimony of Mr. Van Dina and Ms. Ngeo, there still exists a question of fact as to whether the insurer would have found coverage and ultimately covered the claim, had the subpoenas been timely tendered."

Upon careful review of the record and the briefs submitted by the parties and the issues raised, we resolve this

case as discussed below, and vacate and remand.

Background

Because this case has a long history spanning approximately fourteen years, we reiterate only the facts

relevant to resolving this appeal. Subpoenas and Claims

During the relevant time, Pflueger was insured by Defendant/Crossclaim Defendant-Appellee National Union Fire Insurance Company of Pittsburgh, Pennsylvania (National Union). Defendant/Crossclaim Defendant-Appellee AIU Holdings, Inc. (AIU) was National Union's "authorized representative." In May 2008,

when Pflueger notified Noguchi that it had received certain federal grand jury subpoenas, Noguchi informed Pflueger that the

subpoenas did not qualify as a "claim" under two insurance policies issued by National Union to Pflueger (Policies). Noguchi did not forward a claim or the subpoenas to AIU or National Union, and did not seek clarification as to whether the grand jury subpoenas were covered under the Policies. Relying on Noguchi's representations, Pflueger took no further action until its attorney submitted a demand letter tendering Pflueger's

defense to National Union approximately nine months later, in February 2009.

AIU's claims analyst, Dennis Van Dina (Van Dina), responded to Pflueger's attorney in two letters dated April 29, 2009, one for each of the Policies. Van Dina concluded that

Pflueger's claim was untimely, as follows:

(1) "Policy no. 052-68-49 has a Policy Period September 27, 2007 to September 27, 2008. Coverage B states that the Policy provides coverage for Claims first made against the Company or an Individual Insured during the Policy Period or Discovery Period (if applicable). The Grand Jury Subpoena was issued on May 22, 2008. Thus, the matter will be deemed to have been made on May 22, 2008. Clause 7 requires that a Claim must be both made and reported during the Policy Period or Discovery Period (if applicable) . .

. . However, this matter was submitted to National Union on February 17, 2009; outside the applicable reporting periods found with Clause 7 Notice/Claim Reporting Provisions, and as amended by Endorsement #2. Therefore, coverage is precluded."

(2) "Policy no. 052-68-49[ 2] [sic] has a Policy Period September 27, 2008 to September 27, 2009. Coverage B states that the Policy provides coverage for Claims first made against the Company or an Individual Insured during the Policy Period or Discovery Period (if applicable). The Grand Jury Subpoena was issued on May 22, 2008. Thus, the matter will be deemed to have been made on May 22, 2008; outside the Policy Period. Clause 7 requires that a Claim must be both made and reported during the Policy Period or Discovery Period (if applicable) . . . . However, this Claim was made outside the Policy Period.

Therefore, coverage is precluded."

(Emphases added.) Regarding each of the Policies, Van Dina added, "assuming this matter was both made and reported as per the requirements of the Policy, the materials submitted to National Union would not constitute a Claim." Van Dina stated, "the language of the Policy requires that an indictment, information or similar document is necessary for a Claim as defined." Van Dina further stated, "National Union's preliminary coverage position is based on the information presently

2 Van Dina incorrectly lists the Policy No. as 052-68-49. The correct Policy No. is 01-277-00-32.

available[,]" and asked that Pflueger provide "any additional information . . . you feel would either cause us to review our position or would assist us in our investigation or determination[.]"

Following Van Dina's letters, Pflueger filed an action against Noguchi, AIU, and National Union. Pflueger brought negligence and negligent misrepresentation claims against Noguchi. Pflueger alleged that Noguchi failed to tender the

grand jury proceeding to AIU and National Union, and that as a proximate result of Noguchi's negligence, Pflueger was denied

coverage for the matter. Pflueger further alleged that Noguchi made untrue representations that the grand jury proceeding was not covered under the Policies, and that Pflueger reasonably relied on these representations in declining for a time to tender the grand jury matter directly to AIU and National Union; as a proximate result, AIU and National Union denied Pflueger's eventual tender of the grand jury matter as untimely and denied

coverage. Tiffany Ngeo's Testimony

In preparation for litigation, AIU's Senior Complex Claims Director, Tiffany Ngeo (Ngeo), was deposed. She was asked whether it was AIU's "position that there was no coverage afforded for the grand jury subpoenas, regardless of when they were reported to . . . AIU . . . ." Ngeo responded, "Well, we have two defenses. One of them for each of the policy [sic], is that it was either not made or reported within the policy. And the other defense is that the grand jury subpoenas were not a claim per the policy."

Ngeo was also asked, "Is it fair to say that [AIU's]

position is that, first, there's no coverage for the grand jury subpoenas –- grand jury subpoenas under the policy; and second, even if there was coverage, they were not reported timely[?]" Ngeo responded, "the grand jury subpoenas do not meet the

definition of a claim under either policy." Van Dina's Testimony

Van Dina was also deposed and was asked, "Even if it

had been made timely, it's not a covered claim; is that right?" Van Dina responded, "Right. Well, no. I'm sorry. Let me

rephrase that. Not that –- it may not even constitute the definition of a claim." (Emphasis added.)

Van Dina was later asked, "[a]ssuming this claim had been reported to where you found it to be timely, would there still have be [sic] coverage under the policy?" Van Dina responded, "I do not believe, based on what I reviewed today, that –- that a claim would have been made at that time. So I would say that coverage would not be available."

Van Dina was asked again, "regardless of whether the claim was reported in May of 2008 allegedly when the insured

received or was served with the subpoena or in February of 2009 when it came across your desk, your position with respect to coverage would not change?" Van Dina answered, "No." Van Dina confirmed that his position was the subpoenas were not claims

under the policy. Pflueger Settles With AIU and National Union

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Pflueger, Inc. v. AIU Holdings, Inc., 516 P.3d 984, 151 Haw. 430 (hawapp 2022).

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