Prof'l Solution Ins. Co. v. Giolas

297 F. Supp. 3d 805
CourtDistrict Court, E.D. Illinois
DecidedNovember 8, 2017
DocketCase No. 16 C 9868
StatusPublished
Cited by3 cases

This text of 297 F. Supp. 3d 805 (Prof'l Solution Ins. Co. v. Giolas) is published on Counsel Stack Legal Research, covering District Court, E.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Prof'l Solution Ins. Co. v. Giolas, 297 F. Supp. 3d 805 (illinoised 2017).

Opinion

Harry D. Leinenweber, Judge

This is an insurance coverage dispute arising out of a psychiatrist's alleged sexual misconduct with a patient. Before the Court are Cross Motions for Summary Judgment [ECF Nos. 18-19, 22]. For the reasons stated herein, the Court grants Defendant Giolas' Motion and denies Plaintiff's Motion.

I. FACTUAL BACKGROUND

Plaintiff Professional Solutions Insurance Company ("PSIC") brought a declaratory action seeking a declaration that it does not have a duty to defend Defendant Dale Giolas, M.D. ("Giolas") in an Illinois state court lawsuit. For the purposes of the coverage dispute and the cross motions before the Court, the facts are undisputed. Both parties filed Rule 56.1(a)(3) statements, but neither filed a Local Rule 56.1(b) response. See , N.D. Ill. L.R. 56.1(a)(3)(C) ("All material facts set forth in the statement required of the moving *808party will be deemed to be admitted unless controverted by the [ L.R. 56.1(b) ] statement of the opposing party."). As such, the Court considers the facts contained in both parties' statements admitted. The Court does not deem any legal conclusions admitted. The facts of the underlying state court action are as follows.

Giolas, a licensed psychiatrist, treated Staci Ferguson ("Ferguson") as a patient from 2011 until early 2016. (See , PSIC's 56.1(a)(3) Statement, ECF No. 20 ("PSIC's Fact Statement") ¶ 4.) On August 25, 2016, Ferguson brought a lawsuit in Illinois state court alleging that Giolas repeatedly engaged in improper sexual activity with her while he was treating her. (See , Giolas' 56.1(a)(3) Statement, ECF No. 21 ("Giolas' Fact Statement") ¶¶ 1-2; PSIC's Fact Statement ¶¶ 3-4.) Ferguson alleged that Giolas' improper sexual activity violated the Sexual Exploitation in Psychotherapy, Professional Health Services, and Professional Mental Health Services Act, 740 ILCS 140/1 et seq. , the Gender Violence Act, 740 ILCS 82/1 et seq. , and constituted common law battery. (See , Complaint, Ex. A to "Complaint for Declaratory Judgment," ECF No. 1 (the "Underlying Complaint"); see also , Giolas' Fact Statement ¶ 1.) Both parties acknowledge that Giolas denies engaging in any sexual activity with Ferguson. (See , Giolas' Fact Statement ¶ 3; PSIC's Fact Statement ¶ 5.) After receiving notice of the Underlying Complaint, Giolas tendered it to PSIC, his professional liability insurer. The underlying state court case remains pending. (See , Giolas' Fact Statement ¶ 4.)

The insurance policy at issue, entitled Physician and Surgeon Medical Professional Liability Insurance Policy (the "Policy"), was issued by PSIC to Giolas and was in effect when Ferguson filed the Underlying Complaint. (See , Policy, Ex. B to Complaint, ECF No. 1 (the "Policy"); PSIC's Fact Statement ¶ 12; Giolas' Fact Statement ¶ 5.) The policy states, in relevant part:

Section II. Coverage Agreement
Within the limit of liability shown on the Declarations :
In return for payment of premium and subject to all the terms of this Policy and the exclusions stated in Section VIII. Exclusions , We will pay on behalf of an Insured all sums in excess of the Deductible to which this insurance applies and for which an Insured becomes legally obligated to pay as Damages because of an Injury caused by an Incident in the performance of Professional Services by You or someone for whom You are legally responsible as provided in this Policy . The Injury must occur on or after the Retroactive Date shown on the Declarations and before this Policy or coverage for an Insured terminates. Any Claim associated with an Injury caused by an Incident must be first reported to Us in writing during the Policy Period or the Automatic Extended Reporting Period . The Injury must also be caused by an Insured under this Policy . (See , Policy § II.)

The term "Injury" is defined as:

[B]odily injury, sickness, disease or death sustained by any one person. (Id. § I.14.)

The term "incident" is defined as:

[A]ny negligent omission, act or error in the providing of Professional Services . All such omissions, errors or acts causally related to the rendering of or failure to render Professional Services to one person shall be considered one Incident . Causally related acts, errors or omissions that have a common cause or form a causal chain of events shall be considered one Incident . An Incident shall be deemed to have occurred at the time of the earliest act, error or omission comprising that Incident . (Id. § I.13.)

*809The term "Professional Services" is defined as:

[T]he diagnosis of, treatment or medical care for or medical consultation regarding a patient's medical condition. (Id. § I.23.)

Relevant exclusions to coverage, as amended, are described as follows:

Sexual impropriety, sexual intimacy, sexual assault, sexual harassment or any other similarly defined act. However, notwithstanding the foregoing, the Insured shall be protected under the terms of this Policy as to any Claim and or allegation which may be covered by the Policy upon which any Claim or Suit may be brought against the Insured , for any such alleged behavior by an Insured unless a judgment or a final adjudication adverse to the Insured shall establish that such behavior occurred as an essential element of the cause of action so adjudicated. (Id. , Illinois Amendatory Endorsement at 1.)
* * *
The intentional infliction of Injury . (Id. § VIII.10.)
* * *
This Policy does not apply to punitive or exemplary Damages , fines, penalties imposed by law, or matters uninsurable under the law pursuant to which this Policy is construed, unless the law of the state in which the Insured is licensed to practice prohibits such an exclusion. (Id. § VIII.13.)

II. DISCUSSION

A. Legal Standard

Summary judgment is appropriate when there are no genuine issues of material fact and the moving party is entitled to judgment as a matter of law. See , FED. R. CIV. P. 56(a).

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Related

Professional Solutions Insurance Co. v. Karuparthy
2023 IL App (4th) 220409 (Appellate Court of Illinois, 2023)
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2021 IL App (5th) 190460 (Appellate Court of Illinois, 2021)

Cite This Page — Counsel Stack

Bluebook (online)
297 F. Supp. 3d 805, Counsel Stack Legal Research, https://law.counselstack.com/opinion/profl-solution-ins-co-v-giolas-illinoised-2017.