Robertson Stephens, Inc. v. Chubb Corp.

473 F. Supp. 2d 265, 2007 U.S. Dist. LEXIS 11071, 2007 WL 476328
CourtDistrict Court, D. Rhode Island
DecidedFebruary 14, 2007
DocketC.A. 05-360 S
StatusPublished
Cited by10 cases

This text of 473 F. Supp. 2d 265 (Robertson Stephens, Inc. v. Chubb Corp.) is published on Counsel Stack Legal Research, covering District Court, D. Rhode Island primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Robertson Stephens, Inc. v. Chubb Corp., 473 F. Supp. 2d 265, 2007 U.S. Dist. LEXIS 11071, 2007 WL 476328 (D.R.I. 2007).

Opinion

OPINION AND ORDER

SMITH, District Judge.

This diversity action raises several novel and interesting insurance law issues. It arises from an insured’s allegation that its insurer both failed to defend it from claims of breach and to indemnify it for a settlement within the policy’s aggregate limit. The insured also has sued the insurer’s claims administrator. The relationships of *267 the parties gives the case the interesting twist: the insurer is a captive of the insured and the claims administrator is also one of the reinsurers under the policy. The claims administrator has moved to dismiss all counts against it (Counts IV through VI). The questions before the Court are whether an independent claims administrator can be liable to an insured for bad faith claims handling (Count IV), tortious interference with contractual relations (Count V), or negligence (Count VI). For the reasons set forth below, the Court finds that the insured can maintain the bad faith and tortious interference claims, but not the negligence claim.

I. BACKGROUND

Under the familiar Fed.R.Civ.P. 12(b)(6) rubric, the Court accepts as true the factual allegations in the complaint and draws all reasonable inferences in the plaintiffs’ favor. Educadores Puertorriquenos en Accion v. Hernandez, 367 F.3d 61, 62 (1st Cir.2004). In deciding the motion, the Court may also consider documents (such as the contracts discussed below) integral to or explicitly relied upon in the complaint, whether or not those documents are attached to the complaint. Jorge v. Rumsfeld, 404 F.3d 556, 559 (1st Cir.2005); Beddall v. State St. Bank & Trust Co., 137 F.3d 12, 17 (1st Cir.1998). The Court recites only those facts necessary to decide the present motion, beginning with a brief introduction of the parties.

Robertson Stephens, Inc. (“RSI”) is an investment and securities firm that is wholly owned by Robertson Stephens Groups, Inc. (“RSGI”), a holding company. Bank of America Corporation is successor-in-interest to FleetBoston Financial Corporation (collectively, “Fleet” or “Plaintiffs”), and wholly owns RSGI. FFG Insurance Co., Ltd. (“FFG”) was, 1 at all times relevant to this case, a captive insurance company (“captive”) of Fleet. 2 Federal Insurance Company (“Federal” or “Defendant”) is FFG’s claims administrator and, by a separate agreement, one of the rein-surers of coverage. 3

Three documents define the relationships among the parties to this dispute. The first is the “Combined Risk Protection Program” (the “Policy”), which is a primary insurance policy FFG issued to its owner, Fleet. The Policy provides coverage to Fleet and its subsidiaries, including RSI, against certain losses. For example, § 6, entitled “Employment Practices Liability,” requires FFG to “pay on behalf of the Insureds all Loss for which the Insured becomes legally obligated to pay on account of any Claim first made against the Insured during the Policy Period,” (Policy § 6-1), and to “defend against any Claim covered by this Policy.” (Id. § 6-6.) Coverage, however, was subject to a *268 lengthy list of exclusions, (id. § 6-3), and required that “the Insureds shall, as a condition precedent to exercising their rights under this Policy, give to the Company written notice of any Claim made against any of them for a Wrongful Act after any Insured determines it is reasonably possible that Loss on account of such Claim will meet or exceed $5,000,000.” (Id. § 6-7.) The Policy maintains a $100 million aggregate limit, with a $10 million per-loss/claim retention amount.

The second is the “Claims Administration Agreement” (“Administration Agreement”) between FFG and Federal. The Administration Agreement delegates to Federal the authority “to receive, review and evaluate any Claims” brought under the Policy, (Administration Agreement § 2(A)), and “to interpret [Policy] language, make [Policy] coverage decisions, and to settle covered Claims for any amount up to the [Policy] limits.” (Id. § 2(C).) Although Federal’s authority “to deny, negotiate, adjust or settle” claims was contingent on FFG’s express written permission, (id. § 2(A)), seemingly conflicting language indicates that “[a]ll decisions with respect to the ultimate disposition of a Claim ... shall be made by [Federal].” (Id. § 2E.) In the end analysis, however, FFG is “solely liable for the payments of all Claim amounts.” (Id. § 6(3).)

The third and final document is a “Certificate of Facultative Casualty Reinsurance” (“Reinsurance Agreement”) that Federal entered into with FFG. Under the terms of the Reinsurance Agreement, Federal became (in addition to the claims administrator under the Administration Agreement) one of the reinsurers of coverage under the Policy, obligated to provide a quota share of 30% of the $100 million reinsurance limit of liability. 4

The events that put these documents in play began in July 2002 when RSI announced that it would cease its broker-dealer operations and begin winding down. Eleven months later, several RSI executives served on Fleet a written demand, enclosing a draft civil complaint seeking damages, indemnity, and penalties arising from RSI and Fleet’s alleged breach of their employment agreements, and a draft demand for arbitration of their claims. Shortly thereafter, Fleet filed a claim with FFG, requesting defense and indemnification for itself and RSI. Fleet also forwarded to FFG a copy of the demand letter, draft civil complaint, and draft arbitration demand.

When neither Federal nor FFG responded to their claim, Plaintiffs began to negotiate a settlement with the aggrieved RSI executives in September 2003. Negotiations continued into December 2003, when Federal, mistakenly relying on a scrivener’s error in the Policy, informed Fleet orally that its claims were not covered. Soon thereafter, Plaintiffs reached a settlement within the aggregate limit of the Policy, telling FFG on January 9, 2004. Federal finally responded in writing to Fleet’s claim on February 24, 2004, acknowledging apologetically that the executives’ claims were covered and asserting that it would further investigate the claims and possible defenses. However, because FFG did not reimburse Plaintiffs for defense costs or the settlement payment, Plaintiffs filed this action. Federal then *269 moved to dismiss, pursuant to Rule 12(b)(6).

II. STANDARD OF REVIEW

If the allegations in the complaint, under any theory, are sufficient to state a cause of action, this Court must deny the motion to dismiss. Vartanian v. Monsanto Co., 14 F.3d 697, 700 (1st Cir.1994).

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Bluebook (online)
473 F. Supp. 2d 265, 2007 U.S. Dist. LEXIS 11071, 2007 WL 476328, Counsel Stack Legal Research, https://law.counselstack.com/opinion/robertson-stephens-inc-v-chubb-corp-rid-2007.