School Union No. 37 v. United National Insurance

617 F.3d 554, 2010 U.S. App. LEXIS 17280, 2010 WL 3260113
CourtCourt of Appeals for the First Circuit
DecidedAugust 19, 2010
Docket09-2040
StatusPublished
Cited by287 cases

This text of 617 F.3d 554 (School Union No. 37 v. United National Insurance) 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
School Union No. 37 v. United National Insurance, 617 F.3d 554, 2010 U.S. App. LEXIS 17280, 2010 WL 3260113 (1st Cir. 2010).

Opinion

*557 TORRUELLA, Circuit Judge.

The dispute in this case involves the scope of coverage afforded by an Educator’s Liability Policy. 1

Plaintiff-Appellant School Union 37 (SU 37) 2 appeals the district court’s dismissal on summary judgment of its claim asserting that Defendant-Appellee, United National Insurance Company (United National) had a duty to indemnify SU 37 for the costs incurred in defending a claim for reimbursement of non-tuition expenses under the Individuals with Disabilities Education Act (IDEA), 20 U.S.C. §§ 1400-1490. SU 37 also challenges the dismissal of its claim asserting that United National unreasonably failed to timely settle SU 37’s claim for coverage in violation of Maine’s Unfair Claims Settlement Practices Act (UCSPA). Me.Rev.Stat. tit. 24-A, § 2436-A(1)(E). For the reasons stated below, we reverse the district court’s dismissal of SU 37’s claims for coverage under the Policy and affirm the dismissal of SU 37’s claim under Maine’s UCSPA.

I. Background and Procedural History

A. Background

The coverage dispute in this case stems from United National’s refusal to indemnify SU 37 for the costs SU 37 incurred in defending an administrative claim for reimbursement of non-tuition expenses paid by DB and Ms. C—a public school student and his mother—in a private school placement.

In 2005, Ms. C and DB filed an administrative request for a due process hearing with the Maine Department of Education, claiming that SU 37 had failed to provide free and appropriate education to DB as required by IDEA, 20 U.S.C. §§ 1400-1482, and by Maine’s special education laws, Me.Rev.Stat. tit. 20-A, § 7001 et seq. 3 Because Ms. C and DB filed the administrative claim after DB had completed his schooling and his tuition expenses had been paid, they sought “reimbursement for past room and board and transportation expenses associated with DB’s education in private schools outside of Maine.” Sch. Union No. 37 v. Ms. C., 518 F.3d 31, 33 (1st Cir.2008). The claim was submitted to an officer appointed by the Commissioner of Maine’s Department of Education, who awarded Ms. C and DB $48,890.00 for room and board and $3,241.33 for transportation expenses. Id. at 34. SU 37 subsequently filed suit in the United States District Court for the District of Maine challenging the administrative decision. The district court reversed and entered judgment in SU 37’s favor. We affirmed that decision on February 26, 2008. Id. at 31. SU 37 incurred and paid litigation expenses in the amount of $73,052.14.

At the time Ms. C and DB filed their claim for reimbursement, SU 37 had purchased an Educator’s Liability Policy (the Policy) from United National. During the course of the underlying IDEA-based litigation, SU 37 sought coverage under the Policy for the costs incurred in defending *558 Ms. C’s and DB’s claim. In two letters dated June 9, 2005 and September 25, 2005, United National informed SU 37 that a claim for reimbursement was not covered under the Policy. United National explained that (1) if IDEA indeed required SU 37 to pay for DB’s education expenses, SU 37 would be liable for reimbursement by virtue of its statutory obligation and not as a result of a wrongful act that would trigger coverage under the Policy; and (2) the willful violation of a statute, ordinance or law was excluded from coverage under the Policy.

Under the terms of the Policy, United National—the insurer—has the duty to “pay on behalf of the Insureds loss and defense expenses in excess of the stated deductible and up to the stated limit of liability for any claim due to a Wrongful Act to which th[e] policy applies.” (Emphasis added). The term “claim” is defined as “any written demand for money damages to which th[e] policy applies;” loss is “any amount which the Insureds are legally obligated to pay as damages including back and future pay awards,” and a “Wrongful Act” includes “any actual or alleged error, misstatement, misleading statement, act, omission, neglect or breach of duty by the Educational Entity.” (Emphasis added). Relevant to this appeal, the Policy excluded coverage for claims “seeking [relief] other than money damages” (Emphasis added).

B. Procedural History

After prevailing in the underlying IDEA-based litigation, SU 37 filed suit in the Franklin County Superior Court, claiming that United National had breached the terms of the Policy by refusing to provide coverage for the costs SU 37 incurred in defending Ms. C’s and DB’s claim for reimbursement. The complaint also included a claim asserting that United National violated its duty to promptly settle the coverage dispute in violation of Maine’s UCSPA. Me.Rev.Stat. Ann. tit. 24-A, § 2436-A(1)(E).

On July 3, 2008, United National removed the action to the United States District Court for the District of Maine. The parties subsequently filed cross-motions for summary judgment on stipulated facts. On March 6, 2009, the magistrate judge recommended that summary judgment be granted in United National’s favor. The magistrate concluded that Ms. C and DB had alleged a “wrongful act” as defined under the Policy, but that the claim for reimbursement under IDEA was not a claim for money damages that could trigger coverage. Finding that there was no coverage for the underlying claim for reimbursement, the magistrate judge concluded that United National had not engaged in an unfair settlement practice under UCSPA.

SU 37 timely objected to the Recommended Decision, but United National did not file any objections. On July 1, 2009, the district court adopted the Recommended Decision and granted United National’s motion for summary judgment. SU 37 now appeals that decision.

II. Discussion

We review the district court’s grant of summary judgment on cross-motions for summary judgment de novo. 4 *559 Barnes v. Fleet Nat’l Bank N.A., 370 F.3d 164, 170 (1st Cir.2004). “‘Cross-motions [for summary judgment] ... require us to determine whether either of the parties deserves judgment as a matter of law on facts that are not disputed.’ ” Littlefield v. Acadia Ins. Co., 392 F.3d 1, 6 (1st Cir.2004) (quoting Barnes, 370 F.3d at 170).

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617 F.3d 554, 2010 U.S. App. LEXIS 17280, 2010 WL 3260113, Counsel Stack Legal Research, https://law.counselstack.com/opinion/school-union-no-37-v-united-national-insurance-ca1-2010.