Scott v. Paychex Insurance Agency, Inc.

CourtDistrict Court, S.D. Florida
DecidedAugust 8, 2023
Docket0:22-cv-62052
StatusUnknown

This text of Scott v. Paychex Insurance Agency, Inc. (Scott v. Paychex Insurance Agency, Inc.) is published on Counsel Stack Legal Research, covering District Court, S.D. Florida primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Scott v. Paychex Insurance Agency, Inc., (S.D. Fla. 2023).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF FLORIDA

CASE NO. 22-62052-CIV-ALTONAGA/Strauss

DENNIS SCOTT,

Plaintiff, v.

PAYCHEX INSURANCE AGENCY, INC.,

Defendant. __________________________/

ORDER

THIS CAUSE came before the Court on Plaintiff, Dennis Scott’s Motion for Partial Summary Judgment [ECF No. 74], and Defendant, Paychex Insurance Agency, Inc.’s Motion for Final Summary Judgment [ECF No. 78]. Plaintiff and Defendant filed their respective Responses (see [ECF Nos. 84, 88]), followed by Replies (see [ECF Nos. 93, 97]). The Court has carefully considered the record, the parties’ written submissions,1 and applicable law. For the following reasons, Plaintiff’s Motion is granted in part and denied in part, and Defendant’s Motion is denied.

1 The parties’ factual submissions include Plaintiff’s Statement of Material Facts in Support of its [sic] Motion for Partial Summary Judgment (“Pl.’s Mot. SOF”) [ECF No. 75]; Defendant’s Response to Plaintiff’s Statement of Material Facts in Support of Plaintiff’s Motion for Partial Summary Judgment (Def.’s Resp. SOF”) [ECF No. 89]; Plaintiff’s Reply Statement of Material Facts in Support of its [sic] Motion for Partial Summary Judgment (Pl.’s Reply SOF”) [ECF No. 94]); Defendant’s Statement of Undisputed Material Facts in Support of Motion for Final Summary Judgment (“Def.’s Mot. SOF”) [ECF No. 79]); Plaintiff’s Statement of Material Facts in Opposition to Defendant’s Motion for Summary Judgment (“Pl.’s Resp. SOF”) [ECF No. 85]; and Defendant’s Reply Statement of Material Facts (“Def.’s Reply SOF”) [ECF No. 96].

The statements of facts are questionably compliant (at best) with the Local Rules. See generally Local Rule 56.1. I. BACKGROUND This case arises from an allegedly fraudulent or misleading Certificate of Insurance (the “COI”) that Defendant issued to non-party James A. Jones, a general contractor. (See generally Second Am. Compl. (“SAC”) [ECF No. 43]; Pl.’s Mot. SOF, Ex. E, COI [ECF No. 75-5]). As

described below, Jones later assigned to Plaintiff any claims it might have against Defendant stemming from the COI. (See Def.’s Mot. SOF ¶ 7). In this action, Plaintiff asserts those assigned claims. (See generally SAC). By way of background, in early 2018, Jones — the general contractor on a construction project (the “Project”) — engaged the services of non-party Central Florida Siding Pros, LLC (“CFSP”) as a subcontractor on the Project. (See Def.’s Mot. SOF ¶ 5). Jones required proof of workers’ compensation insurance from subcontractors in the form of certificates of insurance verifying the subcontractor’s insurance coverage. (See id. ¶ 22).2 General contractors may require these certificates as a method of verifying a subcontractor’s insurance status. (See, e.g., Def.’s Reply SOF ¶ 63).

CFSP had a workers’ compensation policy issued by non-party NorGuard, an insurer. (See Def.’s Mot. SOF ¶ 8). CFSP obtained the policy through Defendant, an insurance agent. (See id. ¶ 3). At the time the policy was obtained, the coverage period was April 29, 2017 through April 29, 2018. (See id.). On February 6, 2018, Defendant issued the COI to Jones, verifying CFSP’s insurance status and stating the coverage period was April 29, 2017 through April 29, 2018. (See id. ¶ 24). The COI also contained multiple disclaimers regarding the language and information it

2 The parties dispute the extent to which Jones relied on the COI in its determination to retain CFSP on the Project. (Compare Pl.’s Mot. SOF ¶ 5 with Def.’s Resp. SOF ¶ 5). provided. (See generally COI). After receiving the COI, Jones did nothing further to verify the information regarding CFSP’s insurance. (See Def.’s Mot. SOF ¶ 41).3 At the time the COI was issued, CFSP’s workers’ compensation insurance policy was in jeopardy. (See id. ¶¶ 11, 16; Pl’s Resp. SOF ¶ 11). In short: under the terms of CFSP’s coverage,

CFSP was to run payroll and pay its insurance premiums through Defendant. (See Def.’s Mot. SOF ¶ 11). Should CFSP fail to pay its premiums, Defendant was required to notify NorGuard. (See id. ¶ 9). Further, Defendant knew that reporting this information to NorGuard might “result in [CFSP’s] loss of coverage and/or non–renewal of coverage.” (Id. (alteration added; citations omitted)). Defendant was also aware that once it notified NorGuard of CFSP’s noncompliance, NorGuard would likely soon cancel the policy. (See id. ¶ 11; Pl.’s Resp. SOF ¶ 11). How “soon” that cancellation could occur, as well as how “aware” Defendant was of this possibility, are disputed. (Compare Def.’s Mot. SOF ¶ 11 with Pl.’s Resp. SOF ¶ 11). As of January 16, 2018, CFSP had failed to run payroll and pay its premiums, and on

January 23, 2018, Defendant informed NorGuard of CFSP’s noncompliance. (See Def.’s Mot. SOF ¶ 16). Thus, on January 24, 2018, NorGuard sent a Notice of Cancellation to CFSP, indicating the policy coverage would expire on February 10, 2018. (See id. ¶ 19). The parties dispute when Defendant in fact obtained knowledge of this pending expiration date. (Compare id. with Pl.’s Resp. SOF ¶ 18). The parties also dispute the extent to which Defendant can monitor the status of policies — like CFSP’s at the time — which are pending cancellation, and whether Defendant may include that information in issued certificates. (See, e.g., Pl.’s Resp. SOF ¶ 30).

3 Defendant claims there are certain actions Jones might have taken to investigate the COI (see Def.’s Mot. SOF ¶¶ 38, 43–46); according to Plaintiff, some of these options were not available to Jones (see Pl.’s Resp. SOF ¶ 38). Despite the pending cancellation, the COI stated that CFSP’s insurance would run through April 29, 2018. (See COI). The policy was cancelled on February 10, 2018. (See Def.’s Mot. SOF ¶ 20). On April 24, 2018, Plaintiff was injured while working on the Project. (See id. ¶ 52). In the ensuing workers’ compensation proceedings,4 the JCC determined that, at the time

of the injury, CFSP employed Plaintiff; CFSP did not have workers’ compensation insurance; Jones was to be considered Plaintiff’s employer; and Jones did not carry the required workers’ compensation coverage for non-lease employees — making Jones liable for Scott’s injuries.5 (See id. ¶ 54; compare Pl.’s Resp. SOF ¶ 64 with Def.’s Reply SOF ¶ 64; see also Pl.’s Mot. SOF, Ex. A, JCC Compensation Order [75-1] 25).6 Following the JCC’s Compensation Order, Jones and Plaintiff entered a joint stipulation, approved by the JCC, which stated there were $1.85 million in damages to Plaintiff, for which Jones was liable. (See Def.’s Mot. SOF ¶ 59; Pl.’s Resp. SOF ¶ 59). After the stipulation’s approval, Jones and Plaintiff settled their dispute. (See Def.’s Mot. SOF ¶ 7). By the terms of their settlement, Jones assigned to Plaintiff all claims Jones might have against Defendant. (See id.).

Plaintiff alleges four claims for relief arising from Defendant’s “misrepresent[ation] [of] the status of the insurance policy” on the COI. (SAC ¶ 16 (alterations added)). First, Plaintiff asserts that Defendant fraudulently misrepresented the material fact of the expiring insurance

4 In Florida, workers’ compensation proceedings are adjudicated before the Office of the Judges of Compensation Claims, an administrative court. See generally Fla. Stat. § 440. Findings and determinations made by a Judge of Compensation Claims (the “JCC”) may then be appealed to the Florida First District Court of Appeal. See id. § 440.271.

5 Despite the prior JCC findings, the parties dispute whether Plaintiff, at the time of the accident, was in fact employed by Jones and CFSP or by some other entity. (Compare Def.’s Resp. SOF ¶ 20 with Pl.’s Reply SOF ¶ 20; see also Def.’s Mot. SOF ¶ 52; Pl.’s Resp. SOF ¶ 52).

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Scott v. Paychex Insurance Agency, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/scott-v-paychex-insurance-agency-inc-flsd-2023.