TRUSTED TRANSPORTATION SOLUTIONS, LLC. v. GUARANTEE INSURANCE COMPANY

District Court, D. New Jersey·Decided September 27, 2019·No. 1:16-cv-07094·Unknown

Opinion

UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY

TRUSTED TRANSPORTATION 1:16-cv-7094-NLH-JS SOLUTIONS, LLC, OPINION Plaintiff,

v.

GUARANTEE INSURANCE COMPANY, et al.,

Defendants.

APPEARANCES: WILLIAM B. IGOE CASEY GENE WATKINS WILLIAM J. DESANTIS BALLARD SPAHR LLP 210 LAKE DRIVE EAST SUITE 200 CHERRY HILL, NJ 08002

On behalf of Plaintiff

CHRISTINA M. RIEKER LARRY C. GREEN, JR. ANDREW N. JANOF WINGET, SPADAFORA & SCHWARTZENBERG LLP 2500 PLAZA 5 HARBORSIDE FINANCIAL CENTER JERSEY CITY, NEW JERSEY 07311

On behalf of Defendants

HILLMAN, District Judge,

In this matter that concerns claims of broker malpractice, pending before the Court are Defendants’ Motion for Summary Judgment (Docket Item 138) and Plaintiff’s Cross-Motion for Summary Judgment (Docket Item 147). For the reasons expressed below, both parties’ motions will be denied because genuine issues of material facts exist. BACKGROUND1 In this action, Plaintiff Trusted Transportation Solutions (“Plaintiff”) alleges that Defendants Brown & Brown of New Jersey (“Brown & Brown”) and John F. Corbett (“Corbett” and collectively “Defendants”) misrepresented the terms of a workers’ compensation insurance policy that Plaintiff purchased through Defendants. (See generally Docket Item 38.2) Plaintiff is a temporary staffing service solely owned by Brian Davis that provides truck drivers and warehouse personnel

1 The Court distills this undisputed version of events from the parties’ statements of material facts, affidavits, and exhibits, and recounts them in the manner most favorable to the party opposing summary judgment in each respective cross motion. The Court disregards, as it must, those portions of the parties’ statements of material facts that lack citation to relevant record evidence (unless admitted by the opponent), contain improper legal argument or conclusions, or recite factual irrelevancies. See generally L. CIV. R. 56.1(a); see also Kemly v. Werner Co., 151 F. Supp. 3d. 496, 499 n.2 (D.N.J. 2015) (disregarding portions of the parties’ statements of material facts on these grounds); Jones v. Sanko Steamship Co., Ltd., 148 F. Supp. 3d 374, 379 n.9 (D.N.J. 2015) (same). 2 The Court notes that there are two separate docket items that appear to be the operative Amended Complaint. (See Docket Item 35; Docket Item 38.) The Court further notes that those two Amended Complaints appear to be identical. In the interest of clarity, the Court will cite only to Docket Item 38 when referring to the operative Amended Complaint. to its clients. Defendant Corbett is a licensed insurance producer who works for Defendant Brown & Brown. Defendant Corbett began serving as one of Plaintiff’s insurance brokers in 2010. Guarantee Insurance Company (“Guarantee”), another defendant in this case, was the insurance company that issued the workers’ compensation policy in question to Plaintiff in 2015. Patriot Underwriters Inc. (“Patriot”), another defendant in this case, had a contract with Guarantee to market and underwrite policies issued by Guarantee. Douglas Cook, the final defendant in this case, was an employee of Patriot in 2015. From 2010 to 2014, Defendant Brown & Brown procured

guaranteed cost workers’ compensation insurance from the commercial market for Plaintiff. However, Plaintiff’s business is considered “high risk” and “difficult to place” for workers’ compensation insurance purposes. As a result, in 2014, Plaintiff’s commercial insurer refused to renew Plaintiff’s coverage. Therefore, Plaintiff was forced to get insurance from the state-run assigned risk pool, which requires higher premiums than the commercial market. A year later, in 2015, Plaintiff notified Defendants that it did not want to obtain insurance through the pool anymore. Plaintiff’s goal in finding a new policy was “[t]o find the best insurance that makes the most sense for” Plaintiff. (See Docket Item 153-1 ¶ 19.) The parties disagree over whether Plaintiff required getting a policy outside of the pool or merely preferred as much. (See Docket Item 147-4 ¶ 19; Docket Item 153-1 ¶ 19.) In searching for a new policy, Plaintiff, via Defendants and another broker, was unable to obtain from the commercial market a guaranteed cost policy, which tends to be less expensive than other policies. Defendants were only able to secure a proposal from Guarantee for a large deductible workers’ compensation policy, which Defendants provided to Plaintiff on March 31, 2015. Defendant Corbett also met in person with Davis on March 31, 2015. The parties dispute what occurred at this

meeting. The first dispute relates to the how Plaintiff’s premium would be calculated under Guarantee’s policy. Davis testified that Defendant Corbett repeatedly stated that Guarantee’s policy’s premium would be based on a “universal rate” of $5.32 per $100 of payroll, regardless of how employees were classified. (Docket Item 153-9 at 132:11-134:8.) Defendant Corbett testified that he did not make any such promise, but rather that there would be different rates based on how different employees were classified. (See Docket Item 138-7 at 87:14-90:20.) Defendant Corbett merely meant for the “universal rate” to be a reflection of the average rate of all of Plaintiff’s employees, based on previous years’ payrolls. (See id.) Plaintiff’s payroll for the policy period totaled $5,292,427.00, while the proposal had projected a payroll of $5,700,000. Had the “universal rate” applied, Plaintiff would have paid $281,557.12 in premiums during the policy period. Instead, Plaintiff paid $343,224.00 in premiums, or $61,666.88 more than it would have had the “universal rate” applied. Another aspect of the policy that was discussed at the March 31, 2015 meeting was the Loss Fund. Unlike some policies, Guarantee’s policy required Plaintiff to have a deductible of $250,000 per claim. To ensure the ability to do this, Guarantee

required Plaintiff to establish a Loss Fund in the amount of $650,000. Patriot would administer and use the Loss Fund to pay claims up to the deductible amount. At the meeting, Davis asked Defendant Corbett what fees would come out of the Loss Fund. The parties disagree over how that question was answered. Davis testified that Defendant Corbett called Douglas Cook, a Patriot employee, to help answer the question. (Docket Item 153-1 ¶ 67.) Both Defendant Corbett and Cook denied recalling such a call taking place. (Docket Item 153-3 at 101:6-11; Docket Item 147-8 at 94:24-95:9.) Davis alleges that Cook him, while Defendant Corbett was listening, that the Loss Fund would be used to pay only indemnity costs, medical expenses, and attorneys’ fees. (Docket Item 153-1 ¶ 68.) Cook told Davis that the premium, and not the Loss Fund, would cover “commissions and administrative fees and things,” according to Davis. (Id.) In addition to denying that the phone call ever took place, Defendant Corbett alleges that he informed Davis that claim payments would come out of the Loss Fund. (Docket Item 147-9 at 117:8-11.) As it turned out, the Loss Fund was used to pay “Allocated Loss Adjustment Expense” (“ALAE”) under the policy, which included numerous administrative costs — such as the costs of bill review services3 — beyond indemnity costs, medical expenses, and attorneys’ fees. During the Guarantee

policy period, Patriot paid $123,329.90 from the Loss Fund for costs beyond indemnity costs, medical expenses, and attorneys’ fees. Additionally, Plaintiff alleges that Defendant Corbett expressed to it that any unused portion of the Loss Fund would roll over to the next year if Plaintiff chose to renew its policy with Guarantee, which Plaintiff viewed as “a huge selling point.” (Docket Item 153-1 ¶¶ 77-78.) Defendant Corbett

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TRUSTED TRANSPORTATION SOLUTIONS, LLC. v. GUARANTEE INSURANCE COMPANY, (D.N.J. 2019).

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