ProSight Specialty Mgt. Co., Inc. v. Altruis Group, LLC

2024 NY Slip Op 33245(U)
New York Supreme Court, New York County·Decided September 16, 2024·No. Index No. 653775/2023·Unpublished

Opinion

ProSight Specialty Mgt. Co., Inc. v Altruis Group, LLC 2024 NY Slip Op 33245(U) September 16, 2024 Supreme Court, New York County Docket Number: Index No. 653775/2023 Judge: Andrew Borrok Cases posted with a "30000" identifier, i.e., 2013 NY Slip Op 30001(U), are republished from various New York State and local government sources, including the New York State Unified Court System's eCourts Service. This opinion is uncorrected and not selected for official publication. INDEX NO. 653775/2023 NYSCEF DOC. NO. 155 RECEIVED NYSCEF: 09/16/2024

SUPREME COURT OF THE STATE OF NEW YORK COUNTY OF NEW YORK: COMMERCIAL DIVISION PART 53 ----------------------------------------------------------------------------------- X

PROSIGHT SPECIAL TY MANAGEMENT COMPANY, INDEX NO. 653775/2023 INC.,NEW YORK MARINE AND GENERAL INSURANCE COMPANY,GOTHAMINSURANCECOMPANY 03/29/2024, 04/01/2024, Plaintiff, MOTION DATE 03/29/2024

- V - MOTION SEQ. NO. 002 003 004 ALTRUIS GROUP, LLC, DECISION+ ORDER ON Defendant. MOTION

----------------------------------------------------------------------------------- X

HON. ANDREW BORROK:

The following e-filed documents, listed by NYSCEF document number (Motion 002) 52, 53, 54, 55, 56, 57,58,59, 60, 61, 62, 63, 64, 65, 66, 67, 68, 69, 70, 71, 72, 73, 74, 75, 76, 77, 78, 79, 80, 86, 97, 98, 99,100,101,102,103,104,105,106,107,108,109,110,111,112,113,114,115,116,117,118,119, 120, 121, 122, 123, 124, 125, 126, 127, 128, 144, 145, 146 were read on this motion to/for JUDGMENT-SUMMARY

The following e-filed documents, listed by NYSCEF document number (Motion 003) 81, 82, 83, 84, 85, 88, 89, 90, 91, 92, 93, 94, 95, 96 were read on this motion to/for STAY

The following e-filed documents, listed by NYSCEF document number (Motion 004) 33, 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45, 46, 47, 48, 49, 50, 51, 129, 130, 131,132,133, 134, 135, 136, 137, 138, 139, 140, 141, 142, 143 were read on this motion to/for PARTIAL SUMMARY JUDGMENT

Upon the foregoing documents and for the reasons set forth below, (i) Altrius Group, LLC

(Altrius)'s and ProSight Specialty Management Company, Inc. n/k/a Coaction Specialty

Management Company, Inc., New York Marine and General Insurance Company, and Gotham

Insurance Company (collectively, ProSight)'s competing motions for summary judgment (Mtn.

Seq. Nos. 002 and 004) and (ii) Altrius' motion to stay arbitration (Mtn. Seq. No. 003) are

DENIED.

653775/2023 PROSIGHT SPECIAL TY MANAGEMENT COMPANY, INC. ET AL vs. AL TRUIS Page 1 of 16 GROUP, LLC Motion No. 002 003 004

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I. Summary Judgment is Denied

Summary judgment shall be granted only when the movant presents evidentiary proof in

admissible form that there are no triable issues of material fact and that there is either no defense

to the cause of action or that the cause of action or defense has no merit ( CPLR § 3212 [b ];

Alvarez v Prospect Hosp., 68 NY2d 320, 324 [ 1986]). The proponent of a summary judgment

motion carries the initial burden to make a prima facie showing of entitlement to judgment as a

matter oflaw (Alvarez, 68 NY2d at 324). Failure to make such a showing requires denial of the

motion (id., citing Winegrad v New York Univ. Med. Ctr., 64 NY2d 851, 853 [1985]). Once this

showing has been made, the burden shifts to the party opposing the motion to produce

evidentiary proof in admissible form to establish the existence of material issues of fact requiring

trial (id.).

The heart of what is at issue on the competing motions for summary judgment is (i) what certain

language means in a Niche Management Agreement (the Original NMA; NYSCEF Doc. No.

38), dated February 4, 2020, as amended by a certain Amendment to Niche Management

Agreement, effective as of May 4, 2024 (NYSCEF Doc. No. 39, the Amendment; the

Amendment together with the Original NMA, hereinafter, collectively, the NMA), each by and

between ProSight, and Altruis and (ii) whether Altruis performed under the NMA as the parties

understood that it was required to perform.

Upon further review neither motion for summary judgment can be granted. Trial is required.

A. The NMA means that Altruis was required to do "some, all or none of the minimum services" as required by ProSight

653775/2023 PROSIGHT SPECIAL TY MANAGEMENT COMPANY, INC. ET AL vs. AL TRUIS Page 2 of 16 GROUP, LLC Motion No. 002 003 004

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The first issue, what the NMA says and means, presents a matter of contract interpretation

soundly within the provenance of the Court. As the United States District Court for the Southern

District of New York (the SDNY Court) indicated, both parties argue the language is

unambiguous. Both however urge the Court to accept a different meaning.

The language in dispute is as follows:

A. Beginning at the Appointment Point, the Niche Administrator is hereby authorized and obligated to perform all the minimum services set forth below in this Section 6.1 (the "Minimum Services") with respect to any and/or all Captive Capabilities Niche transactions. At the Company's sole option, the Niche Administrator shall perform some, all, or none of the Minimum Services with respect to any and/or all Captive Capabilities Niche transactions. To the extent the Niche Administrator shall perform additional services with respect to a Captive Capabilities Niche transaction, the Company and the Niche Administrator shall separately agree in writing to which Captive Services the Niche Administrator shall perform and the amount of any Commission applicable in such Captive Capabilities Niche transaction, and shall be attached hereto in sequence in Exhibit B, the terms of which shall be governed by this Agreement as addendums thereto.

(NYSCEF Doc. No. 39 § 2[A][A]).

According to Altruis, this language means that Altruis was obligated to perform any of the

Minimum Services for a Captive when specifically requested to do so by ProSight (NYSCEF

Doc. No. 131, at 14-15). Altruis contends that, because it performed all the services that

Pro Sight made a request for during the duration of the NMA, Altruis is thus entitled to payment

of the Minimum Commission (id. at 15).

653775/2023 PROSIGHT SPECIAL TY MANAGEMENT COMPANY, INC. ET AL vs. AL TRUIS Page 3 of 16 GROUP, LLC Motion No. 002 003 004

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According to ProSight, Altruis is not entitled to the Minimum Commission set forth in the NMA

(id. at 19) because this provision means that Altruis was obligated to perform all of the

Minimum Services for all of the Captives, regardless of whether Pro Sight made any request for

such services. In fact, according to ProSight, Altruis' performance was excused only when

ProSight informed Altruis that it did not have to provide the Minimum Services for any

particular Captive (NYSCEF Doc. No. 34, at 11). Inasmuch as Altruis did not perform all the

Minimum Services at any time for all Captives since the NMA was executed, Altrius was and is

not entitled to payment of the Minimum Commission.

Previously, Altruis had brought a lawsuit in the SDNY Court seeking, among other things,

enforcement of the terms of the NMA to be paid its Minimum Commission. As discussed below,

ultimately, the SDNY Court dismissed the case brought there on jurisdictional grounds before it

determined a prevailing party as to the enforcement of the NMA. issue.

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