SENTINEL INSURANCE COMPANY LTD. v. SALAMA

CourtDistrict Court, M.D. North Carolina
DecidedJune 25, 2020
Docket1:17-cv-00328
StatusUnknown

This text of SENTINEL INSURANCE COMPANY LTD. v. SALAMA (SENTINEL INSURANCE COMPANY LTD. v. SALAMA) is published on Counsel Stack Legal Research, covering District Court, M.D. North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
SENTINEL INSURANCE COMPANY LTD. v. SALAMA, (M.D.N.C. 2020).

Opinion

IN THE UNITED STATES DISTRICT COURT FOR THE MIDDLE DISTRICT OF NORTH CAROLINA

SENTINEL INSURANCE COMPANY LTD., ) ) Plaintiff, ) ) v. ) 1:17CV328 ) GEORGE SALAMA, D.C. and G.Y.S. ) CHIRO, INC. d/b/a SALAMA ) CHIROPRACTIC CENTER, ) ) Defendants. )

MEMORANDUM OPINION AND ORDER LORETTA C. BIGGS, District Judge. George Salama, D.C. and G.Y.S. Chiro, Inc. (together, “Salama”), a chiropractor and his practice, are named defendants in a putative class-action lawsuit currently pending before this Court, Dvorsky v. Salama, et al., No. 1:16-cv-1180 (the “underlying action”). The plaintiffs in the underlying action allege that Salama violated the Driver’s Privacy Protection Act of 1994, 18 U.S.C. § 2721 et seq. (“DPPA”), by obtaining their names and addresses from automobile accident reports and using that information for marketing purposes.1 Salama tendered defense of the underlying action to Sentinel Insurance Company Ltd. (“Sentinel”),2 which had issued a series of business-liability policies to Salama between

1 The operative complaint in the underlying action was provided as an attachment to the complaint in this case. (See ECF No. 1-1.)

2 Sentinel temporarily agreed to defend Salama in the underlying action, but did so under a full reservation of rights. (See ECF No. 18 at 2.) October 2011 and October 2017 (the “Policies”).3 (See ECF No. 1 ¶¶ 1, 18.) Sentinel initiated this action shortly thereafter, seeking a declaration that the Policies do not provide coverage for the claims asserted in the underlying action and that, as a result, it has no duty to defend

or indemnify Salama. (See id. at 14.) Sentinel now moves for judgment on the pleadings. (ECF No. 21.) For the reasons that follow, its motion will be granted. I. LEGAL STANDARD Under Federal Rule of Civil Procedure 12(c), “[a]fter the pleadings are closed—but early enough not to delay trial—a party may move for judgment on the pleadings.” Fed. R. Civ. P. 12(c). Such a motion “is assessed under the same standards as a motion to dismiss

under Rule 12(b)(6),” Occupy Columbia v. Haley, 738 F.3d 107, 115 (4th Cir. 2013)—that is, the reviewing court “takes the facts in the light most favorable to the non-moving party, but it need not accept as true unwarranted inferences, unreasonable conclusions, or arguments,” see Blue Rhino Glob. Sourcing, Inc. v. Well Traveled Imports, Inc., 888 F. Supp. 2d 718, 721 (M.D.N.C. 2012) (quoting Giarratano v. Johnson, 521 F.3d 298, 302 (4th Cir. 2008)). Along with the complaint and the answer, when ruling on a 12(c) motion, a court may

also consider documents integral to and explicitly relied on in the pleadings, so long as there is no question about their authenticity. See Goines v. Valley Cmty. Servs. Bd., 822 F.3d 159, 166 (4th Cir. 2016). As such, this Court will consider—in addition to the allegations in the pleadings themselves—the operative complaint in the underlying action, as well as the applicable Policies in evaluating Sentinel’s motion.

3 The Policies all have the same material terms. Copies of each were appended to the briefing accompanying the instant motion. (See ECF Nos. 22-1 through 22-6.) II. DISCUSSION In North Carolina,4 the interpretation of language in an insurance policy is a question of law for the Court. Nat’l Quarry Servs., Inc. v. First Mercury Ins. Co., 372 F. Supp. 3d 296, 302

(M.D.N.C. 2019) (quoting N.C. Farm Bureau Mut. Ins. Co. v. Mizell, 530 S.E.2d 93, 95 (N.C. Ct. App. 2000)). “[T]he object of construing an insurance policy is to arrive at the insurance coverage intended by the parties when the policy was issued.” Harleysville Mut. Ins. Co. v. Buzz Off Insect Shield, L.L.C., 692 S.E.2d 605, 612 (N.C. 2010). Clear and unambiguous language must be enforced as written. Cont’l Cas. Co. v. Amerisure Ins. Co., 886 F.3d 366, 371 (4th Cir. 2018). However, ambiguities are resolved (within reason) against the insurance company. Id.

Relatedly, provisions extending coverage are viewed liberally, whereas those excluding coverage are construed narrowly. Harleysville, 692 S.E.2d at 612. This is in keeping with the “well settled [rule] in North Carolina that insurance policies are construed strictly against insurance companies and in favor of the insured.” See State Capital Ins. Co. v. Nationwide Mut. Ins. Co., 350 S.E.2d 66, 73 (N.C. 1986). In deciding whether an insurer has a duty to defend, the reviewing court compares the

underlying complaint and the relevant policies side-by-side to determine “whether the events as alleged are covered or excluded.” See Harleysville, 692 S.E.2d at 610. In the course of this analysis, the insured must initially show that the alleged underlying facts arguably fall within

4 As a federal court sitting in diversity, this Court is bound to apply the choice-of-law rules of the state in which it sits. See Klaxon Co. v. Stentor Elec. Mfg. Co. Inc., 313 U.S. 487, 496–97 (1941). North Carolina generally follows the rule of lex loci contractus, meaning “the substantive law of the state where the last act to make a binding contract occurred, usually delivery of the policy, controls the interpretation of the contract.” Fortune Ins. Co. v. Owens, 526 S.E.2d 463, 466 (N.C. 2000). The applicable Policies were issued in North Carolina. (See, e.g., ECF No. 22-1 at 3.) Thus, the Court must interpret them according to North Carolina law. the policy’s coverage. Kubit v. MAG Mut. Ins. Co., 708 S.E.2d 138, 147 (N.C. Ct. App. 2011). Once that burden is met, the onus “shifts to the insurer to prove that a policy exclusion excepts the particular injury from coverage.” Id. If the insurer is successful, the burden shifts back to

the insured to “prov[e] that an exception to the exclusion exists and applies to restore coverage.” See Home Indem. Co. v. Hoechst Celanese Corp., 494 S.E.2d 774, 783 (N.C. Ct. App. 1998). Ultimately, “if the insurance policy provides coverage for the facts as alleged,” then the insurer has a duty to defend; however, if the allegations are “not within, or [are] excluded from, the coverage provided by the insurance policy,” then no such duty arises. See Harleysville, 692 S.E.2d at 611.

Unlike the duty to defend, which hinges on the facts as alleged in the underlying complaint, the duty to indemnify is ordinarily “measured by the facts [as] ultimately determined at trial.” Id.

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