Team Health Holdings, Inc. v. Ironshore Specialty Insurance Company

CourtDistrict Court, E.D. Texas
DecidedMay 17, 2023
Docket5:22-cv-00143
StatusUnknown

This text of Team Health Holdings, Inc. v. Ironshore Specialty Insurance Company (Team Health Holdings, Inc. v. Ironshore Specialty Insurance Company) is published on Counsel Stack Legal Research, covering District Court, E.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Team Health Holdings, Inc. v. Ironshore Specialty Insurance Company, (E.D. Tex. 2023).

Opinion

UNITED STATES DISTRICT COURT EASTERN DISTRICT OF TEXAS TEXARKANA DIVISION

TEAM HEALTH HOLDINGS INC., ET § AL. § § v. § Case No. 5:22-cv-143-RWS-JBB § IRONSHORE SPECIALTY INSURANCE § COMPANY AND ALLIANT INSURANCE § SERVICES, INC. §

ORDER

The above-referenced case was referred to the undersigned United States Magistrate Judge for pretrial purposes in accordance with 28 U.S.C. § 636. The following pending motions are before the Court: Ironshore Specialty Insurance Company’s Motion to Transfer and Supporting Memorandum of Law (Dkt. No. 16); and

Defendant Alliant Insurance Services Inc.’s Motion for Joinder in Plaintiffs’ Response to Ironshore’s Motion to Transfer (Dkt. No. 25).

The Court, having carefully considered the relevant briefing and hearing arguments of counsel March 21, 2023, DENIES Ironshore’s motion to transfer and GRANTS Alliant’s motion for joinder in TeamHealth’s response to Ironshore’s motion to transfer. I. BACKGROUND A. Factual background This is an insurance coverage dispute. Plaintiffs Team Health Holdings, Inc., TeamHealth, LLC (f/k/a Team Health, Inc.), Team Finance, LLC, AmeriTeam Services, LLC, HCFS Health Care Financial Services, LLC, and Quantum Plus LLC (d/b/a TeamHealth West) (collectively, “TeamHealth”) filed the above-entitled and numbered cause of action against Defendant Ironshore Specialty Insurance Company (“Ironshore”) and alternatively against its insurance broker, Defendant Alliant Insurance Services, Inc. (“Alliant”). TeamHealth seeks reimbursement from an insurance policy which it purchased from Ironshore to cover liabilities in excess of its purchased AIG Policy. TeamHealth’s alleged loss arises out of the settlement of an underlying investigation demand and litigation against TeamHealth in the Eastern District of Texas (the Hernandez Action

described in further detail below). 1. The parties Team Health Holdings, Inc. is a corporation organized under the laws of Delaware with its principal place of business in Knoxville, Tennessee. Amended Complaint, Dkt. No. 43, ¶ 10. TeamHealth is a collection of integrated healthcare companies with operations nationwide, including within the Eastern District of Texas. Id., ¶ 24. Defendant Ironshore is a corporation organized under the laws of Arizona with its principal place of business in Massachusetts. Id., ¶ 18. Defendant Alliant is a corporation organized under the laws of California with its principal place of business in California. Id., ¶ 19. TeamHealth alleges Alliant sold the AIG and Ironshore policies from Alliant’s office in Texas to insure risk in

Texas. Id., ¶ 21. TeamHealth further alleges Alliant entered into the below “Agreement” through an officer in the Alliant office in Texas. Id. 2. TeamHealth’s Agreement with Alliant On June 2, 2008, Team Health, Inc. (“THI”) (now Team Health, LLC) and Alliant entered into an agreement entitled “Agreement,” whereby Alliant was to provide insurance and consulting services solely to THI in respect to certain insurance coverages. Id., ¶ 28; see also Dkt. No. 43-1 (the “Agreement”). The Agreement provides, among other things, that Alliant will “[m]anage [the] claim reporting process” for TeamHealth. Id., ¶ 27; see also Dkt. No. 43-1 at 9. The Agreement with Alliant included lines of coverage for “Billing and Errors Omissions” and “Miscellaneous Errors and Omissions.” Dkt. No. 43-1 at 11. For the insurance year 2016-2017, Alliant recommended and TeamHealth agreed to purchase two layers of specialized Professional Liability Insurance, including $10,000,000 of primary coverage from AIG and $10,000,000 of excess coverage from Ironshore. Dkt. No. 43, ¶ 29.

3. AIG and Ironshore Policies AIG Policy AIG issued Policy No. 01-285-30-91, which is a primary professional liability policy for the policy period of March 31, 2016 to March 31, 2017 (“AIG Policy,” Dkt. No. 43-2). Id., ¶ 30. The AIG Policy has a limit of $10,000,000 and a retention of $1,000,000. Id., ¶¶ 31-32. The AIG policy requires written notice to be provided “as soon as practicable” after certain specified events but in all events “no later than either: (1) forty-five (45) days after the end of the Policy Period; or (2) the end of any applicable Discovery Period.” Dkt. No. 43-2 at 12, AIG Policy, General Terms and Conditions, 6(a) (emphasis original). The AIG Policy also prohibits TeamHealth, “without the Insurer’s prior written consent,” to (1) “assume any financial obligation

or incur any cost unless specifically allowed to settle any Claim on behalf of all Insureds within the retention pursuant to a Coverage Section;” or (2) “take any action, or fail to take any required action which prejudices the Insurer’s rights under this policy.” Id. at 13, General Terms and Conditions, 7 (emphasis removed). The AIG Policy contains a Dispute Resolution Process which provides that no “judicial or arbitration proceeding shall be commenced until at least 90 days after the date the non-binding mediation shall be deemed concluded or terminated.” Id. at 16, General Terms and Conditions, 15. Ironshore Policy Ironshore issued an E&O – Miscellaneous Professional Excess Liability Insurance Policy (“Ironshore Policy”), No. 002711900, for the policy period of March 31, 2016-March 31, 2017, to Team Health Holdings, Inc. Dkt. No. 43, ¶ 35, see also Dkt. No. 43-3. The Ironshore Policy,

subject to its terms, definitions, exclusions and limitations, follows form to the terms, definitions, conditions, exclusions and limitations of AIG policy. Dkt. No. 43-3 at 4, Declarations, Item 3; see id. at 6 (I), Insuring Agreement. Item 3 provides the Followed Policy as “Specialty Risk Protector” and the Insurer as “AIG Specialty Insurance Company.” Dkt. No. 43-3 at 4, Declarations, Item 3. The Ironshore Policy further includes a notice provision specifying how TeamHealth must provide notice of claims to Ironshore. Id. at 6 (IV), Policy Terms, C. The April 19, 2016 letter with the attached Ironshore Policy is addressed to Alliant’s James Tolfree in New York. Dkt. No. 43-3 at 2. The Ironshore Policy expressly states in the letter and on the Declarations Page: “This insurance contract is with an insurer not licensed to transact insurance in this state and is issued and delivered as a surplus lines coverage pursuant to the Tennessee insurance statutes.” Id. at 3-4.

Following the first above statement, the letter provides the following additional information: Surplus Lines Broker Name: Alliant Insurance Services Houston, LLC Address of the Licensee: 5444 Westheimer, Suite 900, Houston, Texas 77056 Id. at 3. However, Item 10 of the Ironshore Policy lists the broker address as James Tolfree with Alliant’s New York address. Id. at 5. 4. Underlying Hernandez Action On April 25, 2016, certain Relators filed a complaint in the United States District Court for the Eastern District of Texas, pursuant to the qui tam provisions of the False Claims Act, captioned United States ex rel. Hernandez, et al. v. Team Health Holdings, Inc., et al., No. 2:16-cv-00432- JRG (the “Hernandez Action”). Relators alleged claims against TeamHealth relating to billing for emergency services that TeamHealth now alleges fell within the scope of coverage provided by the AIG Policy and followed by the Ironshore Policy. Dkt. No. 43, ¶ 46. On October 25, 2016, TeamHealth received a Civil Investigative Demand (“Demand”)

from the U.S. Department of Justice related to the Hernandez Action. Id., ¶ 47. TeamHealth alleges it provided a copy of that Demand to Alliant in 2016 and a copy of the Hernandez Complaint in 2018. Id., ¶¶ 51-53. TeamHealth, AIG, and Ironshore agreed to renew the AIG Policy and Ironshore Policy again for the 2017-18 policy years. Dkt. No. 43, ¶ 42.

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Team Health Holdings, Inc. v. Ironshore Specialty Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/team-health-holdings-inc-v-ironshore-specialty-insurance-company-txed-2023.