Trice, Geary & Myers, LLC v. CAMICO Mutual Insurance Company

Court of Appeals for the Fourth Circuit·Decided December 22, 2012·No. 10-1473·Unpublished

Opinion

UNPUBLISHED

UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT

No. 10-1473

TRICE, GEARY & MYERS, LLC; KEVIN MYERS, CPA, Plaintiffs - Appellants,

v.

CAMICO MUTUAL INSURANCE COMPANY, Defendant – Appellee.

Appeal from the United States District Court for the District of Maryland, at Baltimore. William D. Quarles, Jr., District Judge. (1:09-cv-02754-WDQ)

Argued: September 21, 2011 Decided: December 22, 2011

Before GREGORY, WYNN, and DIAZ, Circuit Judges.

Reversed and remanded by unpublished opinion. Judge Wynn wrote the opinion, in which Judge Gregory and Judge Diaz concurred.

ARGUED: Kamil Ismail, GOODELL DEVRIES LEECH & DANN, LLP, Baltimore, Maryland, for Appellants. Thomas S. Schaufelberger, SAUL EWING, LLP, Washington, D.C., for Appellee. ON BRIEF: Joseph B. Wolf, GOODELL DEVRIES LEECH & DANN, LLP, Baltimore, Maryland, for Appellants. Paul A. Fitzsimmons, SAUL EWING, LLP, Washington, D.C., for Appellee.

Unpublished opinions are not binding precedent in this circuit.

WYNN, Circuit Judge:

In this appeal, accounting firm Trice, Geary & Myers, LLC (“TGM”) and Kevin Myers, CPA (“Myers”) contend that their professional liability insurer CAMICO Mutual Insurance Company (“CAMICO Insurance”) breached its duty to provide a defense in connection with three state court lawsuits filed against them. CAMICO Insurance responds that the claims arose from TGM’s and Myers’s work as insurance agents and that it was thus not obligated to provide coverage because the policy excluded claims “in connection with or arising out of any act, error or omission by any Insured in his/her capacity as an [insurance] agent or broker.” J.A. 40.

However, the underlying actions allege that TGM and Myers rendered substandard tax and accounting advice. Because these claims raise a potentiality that there is coverage under the professional liability policy, we conclude that CAMICO Insurance’s duty to defend is triggered. We therefore reverse the district court’s grant of summary judgment in favor of CAMICO Insurance and remand for further proceedings. Furthermore, because any determination as to whether CAMICO Insurance has a duty to indemnify TGM and Myers must await the resolution of the underlying actions, we reverse the district court’s award of summary judgment in favor of CAMICO Insurance on its Counterclaim.

I.

A. The Accountants Professional Liability Insurance Policy In 2007, CAMICO Insurance issued a “claims made and reported” Accountants Professional Liability Insurance Policy (the “Policy”) to TGM. J.A. 20. The Policy, effective from July 1, 2007 to July 1, 2008, insured TGM for claims arising out of professional accounting services. 1 Myers, a principal of TGM, is an Insured under the Policy.

The Policy’s Insuring Agreement provides in pertinent part:

I. INSURING AGREEMENTS

A. Coverage for Damages and Reporting Requirements

1. The Company will pay those sums that an Insured becomes legally obligated to pay as Damages because of a Claim arising out of an Insured’s negligent act, error or omission in rendering or failing to render Professional Services performed after the Retroactive Date and before the end of the Policy Period . . . .

J.A. 21. Additionally, under the Insuring Agreements section of the Policy, CAMICO Insurance “has the right and duty to defend and settle Claims alleging Damages potentially covered by this Policy, even if the Claim is groundless, false or fraudulent.” J.A. 21.

1 CAMICO Insurance also issued a second policy, effective July 1, 2008, to July 1, 2009. The relevant terms of the two policies are identical.

The Policy also defines “Professional Services” as “any professional services performed by an Insured as long as the fees or commissions, if any, or other benefits from such services inure to the benefit of the Named Insured[.]” J.A. 26.

Most pertinent to this matter, the Policy includes the following “Special Exclusion Endorsement”:

This policy does not apply to any Claims in connection with, arising out of or relating to:

This Policy does not provide insurance for any Insured’s professional liability arising from acts, errors or omissions in the rendering or failure to render services as an insurance agent or broker.

Therefore, the Company and the Named Insured agree to amend the Policy as follows:

1. It is hereby agreed that the following sentence is added to Section I. DEFINITIONS, paragraph (n):

Professional Services do not include any professional services performed by an Insured in his/her capacity as an agent or broker for the placement or renewal of insurance products or for the sale of annuities.

2. It is hereby agreed that the following is added in Section IV. EXCLUSIONS:

This insurance does not apply to any Claim in connection with or arising out of any act, error or omission by any Insured in his/her capacity as an agent or broker for the placement or renewal of insurance products or for the sale of annuities.

It is agreed that the above coverage limitations will not preclude coverage for any Insured’s professional liability arising from referring any Person to another insurance agents [sic] for placement or renewal of life insurance products for the sale of annuities.

J.A. 40.

B. The Underlying Actions

1. Ruark Action

In April 2009, Thomas R. Ruark (“Ruark”), Baja Holdings, Inc. (“Baja Holdings”), Baja Holdings, Inc. Defined Benefit Pension Plan (“Baja Defined Benefit Plan”), and Bruce Abresch (“Abresch”), business clients of TGM and Myers (and collectively referred to herein as the “Ruark Companies”), filed a complaint (the “Ruark Action”) against Myers and TGM alleging causes of action for negligence and negligent misrepresentation in the provision of professional accounting and tax services. See Ruark v. Myers, Case No. 22-C-09-000708 (Cir. Ct. Wicomico County, Apr. 24, 2009).

The Ruark Action alleged that while “purporting to act as an accountant and tax advisor,” Myers recommended that Ruark create the Baja Defined Benefit Plan, which would be wholly funded by a life insurance policy and annuities written by Hartford Life Insurance Company (“Hartford Insurance”). J.A. 44, ¶ 13. Further, according to the complaint, Myers represented that this arrangement would comply with Internal Revenue Code section 412(i). Allegedly in reliance upon this advice, Baja Holdings invested some $14 million in life insurance to fund the Baja Defined Benefit Plan. The Ruark Companies contend that because of Myers’s incorrect advice, they

were audited by the Internal Revenue Service (“IRS”), incurred substantial related expenses, and expect to have a substantial tax debt.

2. Insurance Alternatives’ Third-Party Action The Ruark Companies also filed a suit against Hartford Insurance; Michael A. DiMayo, a Hartford insurance agent; and DiMayo’s employer, Insurance Alternatives, Inc. (“Insurance Alternatives”) in the Circuit Court for the County of Baltimore (“Hartford Action”). See Ruark v. Hartford Life & Annuity Ins. Co., Case No. 03-C-08-006022 (Cir. Ct. Baltimore County, Apr. 10, 2009). That suit, arising from the same events as the Ruark Action, was consolidated with the Ruark Action in the Circuit Court for the County of Baltimore.

In turn, Insurance Alternatives filed a third-party complaint (“Insurance Alternatives’ Third-Party Action”) against Myers and TGM seeking indemnification and contribution for any liability it incurs in connection with the Hartford Action. Insurance Alternatives’ Third-Party Action also alleged that TGM and Myers provided tax and accounting services for the Ruark Companies. The Insurance Alternatives’ Third-Party Action alleged that “Myers advised [Baja Holdings], through Abresch, that the premiums for the insurance products that funded the

[Baja Holdings] 412(i) Plan were tax deductible expenditures under the Internal Revenue Code.” J.A. 91, ¶6.

3. Fowler Action

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Trice, Geary & Myers, LLC v. CAMICO Mutual Insurance Company, (4th Cir. 2012).

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