Prime Insurance Syndicate, Inc. v. Damaso

471 F. Supp. 2d 1087, 2007 U.S. Dist. LEXIS 4516
CourtDistrict Court, D. Nevada
DecidedJanuary 19, 2007
Docket2:06-mj-00503
StatusPublished
Cited by6 cases

This text of 471 F. Supp. 2d 1087 (Prime Insurance Syndicate, Inc. v. Damaso) is published on Counsel Stack Legal Research, covering District Court, D. Nevada primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Prime Insurance Syndicate, Inc. v. Damaso, 471 F. Supp. 2d 1087, 2007 U.S. Dist. LEXIS 4516 (D. Nev. 2007).

Opinion

ORDER

PHILIP M. PRO, Chief Judge.

Presently before the Court is Plaintiff Prime Insurance Syndicate, Inc.’s (“Prime”) Motion for Summary Judgment (Doc. # 17) filed on October 3, 2006. On October 23, 2006, Defendants filed an Opposition to Prime’s Motion for Summary Judgment (Doc. # 22). Prime filed a Reply (Doc. # 24) on November 6, 2006. On November 9, 2006, Defendants filed a Supplement to their Opposition (Doc. #25). Prime filed a Supplement to its Reply in Support of Motion for Summary Judgment (Doc. # 32) on December 7, 2006. On December 15, 2006, Defendants filed an Opposition to Prime’s Supplement to its Reply (Doc. # 34). Finally, on December 28, 2006, Prime filed a Reply (Doc. # 39) in support of its supplement.

*1091 I. BACKGROUND

Defendants Herbert and Emilie Dama-so, owners of Defendant Cleveland Rest Home, procured a professional liability insurance policy from Prime for the period of September 19, 2003 to September 19, 2004. (Defs.’ Opp’n to Prime’s Mot. for Summ. J, Ex. 10 [“First Policy”].) At the top of the first page of the policy it states:

THIS POLICY ... DIFFERS SIGNIFICANTLY FROM THE LIABILITY COVERAGE OFFERED BY OTHER INSURANCE COMPANIES. IT IS WRITTEN ON A CLAIMS MADE BASIS. COVERAGE IS PROVIDED ONLY FOR OTHERWISE COVERED CLAIMS:
(1) WHICH ARE FIRST MADE AGAINST YOU DURING THE POLICY PERIOD; and
(2) WHICH RESULT FROM WRONGFUL ACTS DURING THE POLICY PERIOD[.]

(Id.) On October 27, 2004, Prime issued a new insurance policy to Defendants (“Second Policy”) to cover the period of October 27, 2004 to October 27, 2005. (Defs.’ Opp’n to Prime’s Mot. for Summ. J., Ex. 12.) The Second Policy contains restrictive language similar to the First Policy. The Second Policy states:

THIS HEALTHCARE SERVICES PROFESSIONAL LIABILITY INSURANCE POLICY (“Policy”) differs significantly from claims made or occurrence-type general liability policies offered by other insurance companies. It is a manuscript policy with very strict reporting requirements.... Coverage is provided only for otherwise covered Claims:
(1) Which are first made against an Insured during the Policy Period, and
(2) Which result from a Wrongful Act occurring during the Policy Period, and
(3) For which written notice is given to the Insurer during the Policy Period.

(Id.) Prime cancelled the Second Policy on February 18, 2005. (Prime’s Reply to Defs.’ Opp’n to Prime’s Mot. for Summ. J., Ex. 6.)

On March 14, 2004, Mary Jane Stewart (“Stewart”) died while in the care of Defendants’ facility. (Prime’s Mot. for Summ. J. at 3; Defs.’ Opp’n to Prime’s Mot. for Summ. J. at 2.) Stewart’s estate filed a complaint against Defendants in State Court on July 19, 2005, alleging negligence and gross negligence. 1 (Prime’s Mot. for Summ. J., Ex. B; Defs.’ Opp’n to Prime’s Mot. for Summ. J., Ex. 2.)

On July 27, 2005, Defendants reported the claim relating to Stewart’s death to Prime. (Prime’s Mot. for Summ. J. at 5; Defs.’ Opp’n to Prime’s Mot. for Summ. J. at 2.) The following day, Prime notified Defendants it was denying coverage for the claim. (Prime’s Mot. for Summ. J. at 5; Defs.’ Opp’n to Prime’s Mot. for Summ. J. at 2.) On February 21, 2006, Defendants’ attorney advised Prime that Defendants would hold Prime responsible for any liability arising from the claim and would pursue legal action against Prime if Prime failed to provide a defense or coverage for the claim. (Defs.’ Opp’n to Prime’s Mot. for Summ. J., Ex. 5.) On March 6, 2006, Prime’s counsel notified Defendants’ counsel that it was representing Prime with respect to the claim at issue. (Defs.’ Opp’n to Prime’s Mot. for Summ. J., Ex. 6.) In response, on March 9, 2006, Defendants’ counsel sent correspondence to *1092 Prime’s counsel requesting another review of Prime’s denial of coverage. (Defs.’ Opp’n to Prime’s Mot. for Summ. J., Ex. 7.)

On March 20, 2006, Defendants’ counsel sent correspondence to Prime’s counsel enclosing a billing ledger for costs and attorneys’ fees totaling $5,226.56 that Defendants had incurred as a result of defending against the claim in state court. (Defs.’ Opp’n to Prime’s Mot. for Summ. J., Ex. 8.) On April 24, 2006, Prime filed the instant action seeking declaratory judgment regarding Prime’s non-coverage of the claim under the First and Second Policies. The next day, Prime sent a check in the amount of $5,226.56 to Defendants’ counsel representing payment of Defendants’ invoice. (Defs.’ Opp’n to Prime’s Mot. for Summ. J., Ex. 9.)

Prime moves for summary judgment arguing there is no genuine issue of material fact and it is entitled to judgment as a matter of law because the insurance policies are unambiguous and enforceable. In response, Defendants urge the Court to deny Prime’s motion for summary judgment contending Prime has not properly authenticated its exhibits, genuine issues of material fact still remain, further discovery is needed, the insurance policies are void as against public policy under Nevada law, and Prime’s payment of Defendants’ fees and costs show that Prime changed its mind and decided to provide coverage for the claim.

II. LEGAL STANDARD

Summary judgment is appropriate if “the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any” demonstrate “there is no genuine issue as to any material fact and ... the moving party is entitled to a judgment as a matter of law.” Fed.R.Civ.P. 56(c). The substantive law defines which facts are material. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). All justifiable inferences must be viewed in the light most favorable to the non-moving party. County of Tuolumne v. Sonora Cmty. Hosp., 236 F.3d 1148, 1154 (9th Cir.2001).

The party moving for summary judgment bears the initial burden of showing the absence of a genuine issue of material fact. Fairbank v. Wunderman Cato Johnson, 212 F.3d 528, 531 (9th Cir.2000). The burden then shifts to the non-moving party to go beyond the pleadings and set forth specific facts demonstrating there is a genuine issue for trial. Id.; Far Out Prods., Inc. v. Oskar, 247 F.3d 986, 997 (9th Cir.2001).

III. DISCUSSION

A. Authentication of Exhibits

Defendants argue this Court should deny Prime’s motion for summary judgment because Prime failed to attach an affidavit to its motion supporting the factual allegations set forth therein.

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Bluebook (online)
471 F. Supp. 2d 1087, 2007 U.S. Dist. LEXIS 4516, Counsel Stack Legal Research, https://law.counselstack.com/opinion/prime-insurance-syndicate-inc-v-damaso-nvd-2007.