Sanders v. Phoenix Insurance Company

843 F.3d 37, 2016 U.S. App. LEXIS 21773, 2016 WL 7131484
CourtCourt of Appeals for the First Circuit
DecidedDecember 7, 2016
Docket15-2539P
StatusPublished
Cited by45 cases

This text of 843 F.3d 37 (Sanders v. Phoenix Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals for the First Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sanders v. Phoenix Insurance Company, 843 F.3d 37, 2016 U.S. App. LEXIS 21773, 2016 WL 7131484 (1st Cir. 2016).

Opinion

SELYA, Circuit Judge.

This case begins with a tragic tale of unrequited love and morphs into a series of imaginative questions regarding the coverage available under a standard form homeowner’s insurance policy. But when imagination runs headlong into settled legal precedent, imagination loses. Recognizing as much, the court below dismissed the complaint. After careful consideration, we affirm.

I. BACKGROUND

This diversity suit arises from the refusal of The Phoenix Insurance Company to defend and/or indemnify its named insured, an attorney whom we (like the court below) shall call “John Doe,” against claims advanced by Harry Sanders, suing in his capacities as executor of the estate of Nancy A. Andersen (his deceased spouse) and as Doe’s assignee. 1 Inasmuch as the district court dismissed Sanders’s complaint for failure to state a claim upon which relief could be granted, we take as true the raw facts as alleged in the complaint. See SEC v. Tambone, 597 F.3d 436, 441-42 (1st Cir. 2010) (en banc).

Doe met Andersen in January of 2011 when she sought legal representation in possible divorce proceedings against Sand *41 ers. Roughly four months later, Doe initiated divorce proceedings on Andersen’s behalf. During this interval, Doe learned that Andersen suffered from severe depression and anxiety, had been prescribed several anti-depressant and anti-anxiety medications, and had recently attempted suicide. Nevertheless, Doe and Andersen began an on-again/off-again intimate relationship. Despite his personal involvement, Doe did not withdraw as her counsel.

The relationship did not go smoothly. As the fall of 2011 approached, Doe’s ardor cooled and he became progressively distant. Correspondingly, Andersen’s anxiety increased. Matters came to a head when, on or around October 1, 2011, Doe promised to join Andersen at her apartment. He did not do so. Distraught, Andersen wrote a suicide note lamenting Doe’s inconstancy and proceeded to drink herself to death. Doe tried unsuccessfully to contact Andersen by telephone the next day. When he could not reach her, he went to her apartment and discovered her body.

Sanders was appointed as executor of Andersen’s estate. Slightly over a year after Andersen’s death, he sent Doe a demand letter pursuant to Massachusetts General Laws Chapter 93A, Section 9. 2 Cognizant that some of his meretricious interludes had occurred at his home, Doe promptly notified his homeowner’s insurance carrier (Phoenix). After looking into the matter, Phoenix denied coverage on two grounds: that Andersen’s death was not an “occurrence” covered under Doe’s homeowner’s policy (the Policy) and that the Policy’s professional services exclusion barred coverage.

In a letter dated September 19, 2013, Sanders notified Phoenix that he and Doe planned to mediate their dispute and invited Phoenix to participate. Phoenix declined the invitation. About three weeks later, Doe sought to have Phoenix reconsider its denial of coverage, informing it that Sanders was advancing a claim for negligent infliction of emotional distress; Unmoved, Phoenix reiterated its denial of coverage.

Eventually, Doe, Doe’s law firm, and Sanders reached an accord: the law firm’s insurers agreed to pay Sanders $500,000 in exchange for a release of all claims against the firm. Ancillary to the settlement, Doe agreed that his personal- liability to Sanders amounted to an additional $500,000 and assigned to Sanders all of Doe’s rights and interests under' the Policy vis-á-vis Andersen’s death and any claims that he might have against Phoenix as a result of its failure to defend and/or indemnify him. 3 Sanders followed up by sending a Chapter 93A demand letter to Phoenix, see supra note 2, accusing it of unfair settlement practices and demanding $500,000 (the limit of liability under the Policy). Phoenix refused the demand.

Sanders repaired to a Massachusetts state court and filed this suit. Citing diversity of citizenship and the existence of a controversy in the requisite amount, Phoenix removed the case to the federal district court. See 28 U.S.C. §§ 1332(a), 1441. Phoenix then moved to dismiss. See Fed. R. Civ. P. 12(b)(6). The district court re *42 ferred the motion to a magistrate judge, who recommended granting it. Sanders objected, and the district court, undertaking de novo review, overruled his objections and dismissed the action. 4 This timely appeal ensued.

II. ANALYSIS

We review a district court’s dismissal of a complaint for failure to state a claim de novo. See Artuso v. Vertex Pharm., Inc., 637 F.3d 1, 5 (1st Cir. 2011). Accepting as true all well-pleaded facts contained in the complaint, we are constrained to draw all reasonable inferences in the pleader’s favor. See id. Where relevant, we may supplement the pleaded facts with “documentation incorporated by reference-in the complaint.” Rivera-Díaz v. Humana Ins, of P.B., Inc., 748 F.3d 387, 388 (1st Cir. 2014); see Hidalgo-Vélez v. San Juan Asset Mgmt., Inc., 758 F.3d 98, 101-02 (1st Cir. 2014).

Because this case is brought in diversity jurisdiction, we must look to state law for the substantive rules of decision. See Erie R.R. Co. v. Tompkins, 304 U.S. 64, 78, 58 S.Ct. 817, 82 L.Ed. 1188 (1938). The parties agree that Massachusetts law applies, and we readily embrace that sensible agreement. See Artuso, 637 F.3d at 5 (“In determining which state’s law applies, a diversity court is free to honor the parties’ reasonable agreement.”).

If we are unable to discern any controlling Massachusetts authority on a particular point, we must make an “informed prophecy” as to how the state’s highest court — the Supreme Judicial Court (SJC) — would rule if faced with the issue. Ambrose v. New Eng. Ass’n of Schs. & Colls., Inc., 252 F.3d 488, 498 (1st Cir. 2001). Our prediction may be “guided, inter alia, by persuasive case law from other jurisdictions and relevant public policy considerations.” Id.

A, Alleged Breach of Duty to Defend.

We start with Sanders’s principal remonstrance (asserted in his capacity as Doe’s assignee): that Phoenix forsook its duty to defend Doe against the claims advanced by Sanders. In Massachusetts, the duty to defend under- an insurance policy arises “when the allegations in a complaint are reasonably susceptible of an interpretation that states or -roughly sketches a claim covered by the policy terms.” Billings v. Commerce Ins. Co., 458 Mass.

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Cite This Page — Counsel Stack

Bluebook (online)
843 F.3d 37, 2016 U.S. App. LEXIS 21773, 2016 WL 7131484, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sanders-v-phoenix-insurance-company-ca1-2016.