United National Insurance v. Indian Harbor Insurance

160 F. Supp. 3d 828, 2016 WL 465451, 2016 U.S. Dist. LEXIS 14791
CourtDistrict Court, E.D. Pennsylvania
DecidedFebruary 8, 2016
DocketCIVIL ACTION NO. 14-6425
StatusPublished
Cited by6 cases

This text of 160 F. Supp. 3d 828 (United National Insurance v. Indian Harbor Insurance) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United National Insurance v. Indian Harbor Insurance, 160 F. Supp. 3d 828, 2016 WL 465451, 2016 U.S. Dist. LEXIS 14791 (E.D. Pa. 2016).

Opinion

MEMORANDUM

Bartle, District Judge.

Before the court are the cross-motions for summary judgment of plaintiff Penn-America Insurance Company (“Penn-America”) and defendant Indian Harbor Insurance Company (“Indian Harbor”).

Penn-America was insured by Indian Harbor under a professional liability insurance policy (“Indian Harbor policy”). Penn-America has sued Indian .Harbor in this diversity action alleging breach of contract, breach of duties, and waiver and estoppel.1 It alleges that Indian Harbor improperly failed to pay Penn-America or Penn-America’s insureds amounts owed under the Indian Harbor policy in connection with two separate underlying coverage disputes involving Penn-America’s insureds.

Indian Harbor has moved for summary judgment on the meaning and application of the Indian Harbor policy in Counts I and III as well as on Penn-America’s “breach of duties” claim in Count II. Penn-America has moved for summary judgment in four separate motions and four accompanying briefs.2 Those motions request summary judgment on Indian Harbor’s affirmative defenses two through twelve, partial summary judgment that the allocation provision in the Indian Harbor policy does not apply, partial summary judgment that Indian Harbor breached its contractual obligation to “pay on behalf of’ [834]*834Penn-America, and partial summary judgment that Indian Harbor may not as a matter of law deny coverage based on Exclusion (H) in the Indian Harbor policy.

I.

The following facts are not in dispute. Both coverage claims at issue here arise under the Indian Harbor policy issued to United America Indemnity, Ltd. Penn-America was insured under the policy as a subsidiary of United America Indemnity, Ltd.3 Under the Indian Harbor policy, Penn-America retained the first $1,000,000 per claim.

Penn-America’s first claim arises out of an automobile accident caused by a patron of Peccadillos, Inc. (“Peccadillos”), Penn-America’s insured. The accident resulted in the deaths of two women and injuries to two children, collectively referred to as the “Swartwood claimants.” The Swartwood claimants sued Peccadillos in the Pennsylvania state court alleging liquor liability, punitive damages, and outrageous conduct/infliction of emotional distress. At the time, Peccadillos had a Penn-America insurance policy for $1,000,000 (hereinafter “Penn-America policy”). This policy excluded coverage for liquor liability.

After the Swartwood claimants filed suit against Peccadillos, Penn-America denied coverage based on the liquor liability exclusion in the Penn-America policy and took the affirmative step of suing for a declaratory judgment that it had no obligation to defend Peccadillos or to provide coverage. Affirming a decision by the Court of Common Pleas of Erie County, a nine-judge panel of the Pennsylvania Superior Court held that Penn-America had a duty to defend on behalf of Peccadillos because some of the Swartwood claims fell outside the scope of the liquor liability exclusion. The court did not reach the issue of coverage. See Penn-America Ins. Co. v. Peccadillos, Inc., 27 A.3d 259, 268-69 (Pa.Super.Ct.2011).

While the declaratory judgment action was pending, Penn-America refused a demand by the Swartwood claimants to settle for the $1,000,000 Penn-America policy limit. Peccadillos and Swartwood then entered into consent judgments totaling $5,000,000 and sued Penn-America for breach of contract, common law bad faith, and statutory bad faith based on Penn-America’s conduct in the original action. Penn-America settled this lawsuit against it for $3,500,000 in June 2014 (hereinafter “Peccadillos settlement”). It is one of the settlements which is at issue here.

Penn-America sought compensation of $2,500,000 from Indian Harbor for the Peccadillos settlement. This sum represented the $3,500,000 settlement minus the $1,000,000 retention. Penn-America asserted that the entire amount claimed was covered under the Indian Harbor policy. Indian Harbor subsequently paid $1,500,000 towards the Peccadillos settlement as well as $355,440.21 towards the defense fees and costs. This left $1,000,000 of the settlement above the retention, which Penn-America now seeks to recover from Indian Harbor.

The second settlement stemmed from a lawsuit filed by Colleen Jackson (“Jackson”) against Penn-America’s insured, Sweet & Sassy, Inc. (“Sweet & Sassy”), after she was injured in an automobile accident by one of Sweet & Sassy’s intoxicated patrons. Penn-America defended Sweet & Sassy in that action. Jackson litigated the case for more than six years before receiving a $1,020,000 jury verdict against Sweet & Sassy in a Kentucky state [835]*835court.4 After the verdict, Penn-America settled the case with Jackson on behalf of Sweet & Sassy for $1,028,250.

Jackson then amended her complaint to add claims against Penn-America for acting in bad faith by failing to make a reasonable settlement offer earlier in the litigation in spite of clear liability. She sought $850,000 in compensatory damages for anxiety, mental anguish, worry, stress, and inconvenience. She also sought $8.4 million in punitive damages, statutory interest, and attorney’s fees. The claim for statutory interest was dismissed by the state court. Penn-America settled these claims with Jackson for $1,350,000 in October 2010 (hereinafter “Jackson settlement”). Penn-America made a claim under the Indian Harbor policy for $350,000, the amount of the settlement above the $1,000,000 retention, plus attorney’s fees. Again, Penn-America asserted that the entire Jackson settlement represented payment for losses covered under the Indian Harbor policy. Indian Harbor did not pay anything towards the Jackson settlement because it determined that covered losses fell below the $1,000,000 retention.

II.

Under Rule 56 of the Federal Rules of Civil Procedure, summary judgment is appropriate “if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a); see also Celotex Corp. v. Catrett, 477 U.S. 317, 323, 106 S.Ct. 2548, 91 L.Ed.2d 265 (1986). A dispute is genuine if the evidence is such that a reasonable factfinder could return a verdict for the nonmoving party. See Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 254, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986). Summary judgment is granted where there is insufficient record evidence for a reasonable fact-finder to find for the nonmovant. See id. at 252,106 S.Ct. 2505. “The mere existence of a scintilla of evidence in support of the [nonmoving partyj’s position will be insufficient; there must be evidence on which the jury could reasonably find for [that party].” Id,

When ruling on a motion for summary judgment, we may only rely on admissible evidence. See, e.g., Blackburn v. United Parcel Serv., Inc.,

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Bluebook (online)
160 F. Supp. 3d 828, 2016 WL 465451, 2016 U.S. Dist. LEXIS 14791, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-national-insurance-v-indian-harbor-insurance-paed-2016.