Point/Arc of Northern Kentucky, Inc. v. Philadelphia Indemnity Insurance

154 F. Supp. 3d 503, 2015 U.S. Dist. LEXIS 171207, 2015 WL 9424141
CourtDistrict Court, E.D. Kentucky
DecidedDecember 22, 2015
DocketCIVIL ACTION NO. 09-81-DLB-CJS
StatusPublished
Cited by4 cases

This text of 154 F. Supp. 3d 503 (Point/Arc of Northern Kentucky, Inc. v. Philadelphia Indemnity Insurance) is published on Counsel Stack Legal Research, covering District Court, E.D. Kentucky primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Point/Arc of Northern Kentucky, Inc. v. Philadelphia Indemnity Insurance, 154 F. Supp. 3d 503, 2015 U.S. Dist. LEXIS 171207, 2015 WL 9424141 (E.D. Ky. 2015).

Opinion

MEMORANDUM OPINION AND ORDER

David L. Bunning, United States District Judge

This breach of contract, bad faith, and Kentucky Unfair Claims Settlement Practices Act action arises from Defendant Philadelphia Indemnity Insurance Company’s failure to defend and indemnify Plaintiffs, The Point/Arc of Northern Kentucky, Inc., Judi Gerding, and Jo Anne Mahor-ney, during and after the settlement of a tort case. The parties have filed Cross-Motions for Summary Judgment (Docs. # 90 and 91). The matter is fully briefed (Docs. # 93, 96, 100, and 101) and ripe for review. For the reasons stated below, Plaintiffs’ Motion for Summary Judgment is granted, and Defendant’s Motion for Summary Judgment is denied.

I. Factual and Procedural Background

The Point is a non-profit corporation which owns and operates eight group homes for the developmentally disabled. Among these eight homes is Point Ridge Group Home in Burlington, Kentucky. Joseph Daniel was a sixty-one-year-old mentally handicapped man who resided at Point Ridge. While under The Point’s care, Daniel was allegedly neglected and abused, physically and fiscally, by Mary Ellen Allen, a live-in manager at Point Ridge. Alen was accused of neglecting Daniel by failing to provide adequate healthcare and nutrition and of misappropriating Daniel’s personal funds. Daniel was left unsupervised [506]*506and suffered multiple falls. He was also fed food that was over two years out-of-date.

On April 19, 2006, two weeks after one of his falls, Daniel died. Concerned about the circumstances surrounding .Daniel’s death, The Point contacted their Directors and Officers policy provider,. Defendant Philadelphia Indemnity, .and asked it to confirm its responsibilities and intentions regarding defense and indemnity of The Point in the event of a lawsuit or other claim against the company. Defendant denied any coverage for a claim arising from Allen’s conduct or that of any other The Point employee.

• On March 24, 2008, Carl Daniels,1 brother of Joseph Daniel, filed suit'in Boone County, Kentucky, Circuit -Court, alleging, among other things, negligence by The Point in supervising and auditing Daniel’s funds. After this suit was filed, -The Point again contacted Defendant to apprise them of the-situation and to seek another opinion- .as to defense and coverage of the Daniel'Estate’s claim. Defendant again denied any duty to defend and all responsibility for indemnifying a potential claim.

Meanwhile, Great American Insurance, which providéd general liability coverage to The Point, agreed to defend the compa-py against Daniel’s suit. The case ultimately settled in mediation for $350,000. Great American and. The- Point then executed a “Loan and Prosecution Agreement” .in which Great American agreed to loan The Point the settlement funds- in exchange for a promise to seek indemnity against Defendant. ...

' Following through with their promise to seek indemnity from Defendant, Plaintiffs filed the instant action on June 15, 2009 (Doc. # 1). The Court previously found that Defendant had breached its duty to defend Plaintiffs in the underlying tort case (Doc. #12). The remaining issues are: (1) whether Defendant is obligated to indemnify Plaintiffs for some or all of the settlement amount; (2) 'if so, what' amount do they owe Plaintiffs; (3) whether Defendant' must reimburse Plaintiffs’ defense costs; and (4) whether Defendant’s conduct rises to the level of bad faith. Plaintiffs and Defendant have each moved for .summary judgment on these issues.

II. Analysis

A.. Standard of Review

Summary judgment is appropriate if “the mpvant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a). In deciding a motion for summary judgment, the Court must view the evidence arid draw all reasonable inferences in favor of the nonmov-ing party. Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986). The “moving party bears -the burden-of showing the absence, of -any genuine issues of material fact.” Sigler v. Am. Honda Motor Co., 532 F.3d 469, 483 (6th Cir.2008).

Once the movant has satisfied its burden, the nonmoving party must “do more than simply show that there is some riieta-physical doubt as to the material facts,” Matsushita Elec., Indus. Co., 475 U.S. at 586, 106 S.Ct. 1348; rather, it must produce specific facts showing that a genuine issue remains. Plant v. Morton Int'l, Inc., 212 F.3d 929, 934 (6th Cir.2000). If, after reviewing the record in its entirety, a rational fact finder could not find for the nonmoving party, summary judgment should be granted. Ercegovich v. Goodyear [507]*507Tire & Rubber Co., 154 F.3d 344, 349 (6th Cir.1998).

Importantly, the standard of review does not change simply because the parties present cross-motions. Taft Broad. Co. v. United States, 929 F.2d 240, 248 (6th Cir.1991). Such motions require the Court to “evaluate' each motion on its own' merits and view all facts and' inferences in the light most favorable to the non-moving party.” Beck v. City of Cleveland, Ohio, 390 F.3d 912, 917 (6th Cir.2004) (quoting Wiley v. United States, 20 F.3d 222, 224 (6th Cir.2004).

B. Defendant Philadelphia Indemnity’s Director & Officer’s Policy covers the Daniel’s Settlement

The Court must now consider under what circumstances, and pursuant to what legal standard, an insurer that has breached its duty to defend must indemnify its insured for the costs of settlement. Neither Kentucky courts nor the Sixth Circuit have addressed the precise question raised in this case, so the Court" must survey related case law in order to formulate an appropriate rule.

1. Relevant Case Law

a. Kentucky Case Law

If an insured asked its insurer to defend it in. an action, the insurer has several options. Of course, it can defend its insured. If, however, the insurer does not believe its policy provides defense coverage for the underlying matter, it can either outright refuse to defend or offer its defense under a reservation of rights. But the latter is the preferred course of action, Philadelphia Indem. Ins. Co. v. Youth Alive, Inc., 732 F.3d 645, 652 (6th Cir.2013), and an insurer that elects not to defend its insured does so at its own peril. Cincinnati Ins. Co. v. Vance,

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154 F. Supp. 3d 503, 2015 U.S. Dist. LEXIS 171207, 2015 WL 9424141, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pointarc-of-northern-kentucky-inc-v-philadelphia-indemnity-insurance-kyed-2015.