William Beaumont Hospital v. Federal Insurance Company

552 F. App'x 494
CourtCourt of Appeals for the Sixth Circuit
DecidedJanuary 16, 2014
Docket13-1468
StatusUnpublished
Cited by6 cases

This text of 552 F. App'x 494 (William Beaumont Hospital v. Federal Insurance Company) is published on Counsel Stack Legal Research, covering Court of Appeals for the Sixth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
William Beaumont Hospital v. Federal Insurance Company, 552 F. App'x 494 (6th Cir. 2014).

Opinion

OPINION

CARR, District Judge.

This is an appeal arising from an insurance coverage dispute. The district court held that defendant/appellant Federal Insurance Company (Federal) had to provide indemnification coverage to plaintiff/appel-lee William Beaumont Hospital (Beaumont) for the settlement of an antitrust class action by nurses against Beaumont and other Detroit-area hospitals. Federal argues on appeal that it owes no duty to indemnify Beaumont under the terms of its insurance policy (the Policy). Alternatively, Federal argues Michigan’s public policy bars any indemnification obligation that might arise under the Policy.

For the reasons that follow, we find that Federal is required to provide coverage under the explicit terms of its Policy and that Michigan’s public policy does not bar coverage. We, therefore, AFFIRM the district court’s order and opinion.

I. Factual and Procedural Background

A. The Insurance Policy

On July 31, 2007, Federal issued an insurance policy to Beaumont. Generally, the Policy provides coverage to Beaumont for:

[A]ll Loss for which the Insured becomes legally obligated to pay on account of any Claim first made against the Insured during the Policy Period ... for a Wrongful Act committed, attempted, or allegedly committed or attempted, by an Insured before or during the Policy Period. 1
R. 11-2 PAGE ID 188.

The Policy expressly provides coverage for antitrust claims under Endorsement No. 10:

[Federal] shall pay on behalf of the Insured the Covered Percentage ... of Loss, including Defense Expenses, from each Antitrust Claim first made against an Insured during the Policy Period.

Id. at 208.

Under this endorsement, “covered percentage” is defined as eighty percent. Id. The maximum amount of coverage Federal provides is $25 million. Id. “Antitrust Activity” is defined as:

any actual or alleged ... price fixing; restraint of trade; monopolization; unfair trade practices; or violation of the Federal Trade Commission Act, the Sherman Act, the Clayton Act, or any other federal statue [sic] involving antitrust, monopoly, price fixing, price discrimination, predatory pricing or restraint of trade activities, or of any rules or regulations promulgated under or in connection with any of the foregoing *496 statues [sic], or of any similar provision of any federal, state or local statute, rule or regulation or common law.

Id. at 209.

Both parties agree that the nurses’ action is an Antitrust Claim. The parties dispute the meaning of Loss. The Policy generally defines that term as:

[T]he total amount which any Insured becomes legally obligated to pay on account of each Claim and for all Claims in each Policy Period ... made against them for Wrongful Acts for which coverage applies, including, but not limited to, damages, judgments, settlements, costs and Defense Costs.

Id. at 194.

Endorsement No. 31 amended the definition of Loss to include “the multiple portion of any multiplied damage award.” Id. at 245. It also provides:

Solely with respect to any Claim based upon, arising from or in consequence of profit, remuneration or advantage to which an Insured was not legally entitled, the term Loss ... shall not include disgorgement by any Insured or any amount reimbursed by any Insured Person.

Id.

B. The Underlying Lawsuit

During the Policy term, two registered nurses, neither of whom Beaumont employed, instituted a class action against eight Detroit-area hospital systems including Beaumont. Cason-Merenda v. Detroit Med. Ctr., et al., Case No. 06-15601 (E.D.Mieh.) (the Action or the Underlying Lawsuit). The nurses claimed the hospitals had violated § 1 of the Sherman Act, 15 U.S.C. § 1, by 1) conspiring to depress wages of the nurses and 2) exchanging information regarding the compensation of nurses, which had the effect of depressing their wages.

On behalf of themselves and the class, the named plaintiffs sought “to recover for the compensation properly earned by [registered nurses] employed at Detroit-área hospitals but unlawfully retained by such hospitals as a result of the conspiracy alleged herein.” R. 1-3 PAGE ID 87. They further demanded recovery of “their damages against each defendant, jointly and severally, in an amount to be determined, and that this damages amount be trebled pursuant to 15 U.S.C. § 15(a).” Id. at 100. In total, the nurses sought approximately $1.8 billion in damages.

The district court granted summary judgment in favor of the hospitals on the nurses’ claim of a per se violation of § 1 of the Sherman Act arising from the defendants’ alleged conspiracy to depress nurse compensation levels. Cason-Merenda v. Detroit Medical Center, 862 F.Supp.2d 603, 641 (E.D.Mich.2012). The court, however, permitted the nurses to move forward on their § 1 “rule of reason” claim that the defendant hospitals had unlawfully agreed among themselves to share compensation information in a manner that harmed competition and depressed the nurses’ wages. Id. at 647-49.

C. Beaumont’s Claim for Policy Coverage

Once named a defendant in the Underlying Lawsuit, Beaumont timely requested coverage under the Policy for the Action. Federal recognized the Action as an Antitrust Claim as defined by the Policy, which provides that Federal will pay eighty percent of otherwise covered antitrust loss. Federal then consented to Beaumont’s choice of defense counsel and agreed, subject to a reservation of its right to seek reimbursement of its payment, to advance Beaumont eighty percent of its defense *497 costs (which came to total about $8.4 million). Federal also participated in settlement discussions for the Underlying Lawsuit.

During settlement discussions with the nurses, Beaumont sued Federal, seeking a declaration from the district court that Federal was obligated to indemnify the hospital. Federal counterclaimed, arguing that the settlement constituted disgorgement and was not considered a Loss under the Policy and thus was uninsurable. While the coverage action was pending, Beaumont settled with the nurses for approximately $11.8 million. Subject to a reservation of its right to reimbursement, Federal paid Beaumont eighty percent of the settlement, or approximately $9 million. That is the amount presently at issue in this appeal.

The settlement agreement defined “Defendant” as “any person or entity named as a defendant in the Complaint,” and the “Settlement Class” as:

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552 F. App'x 494, Counsel Stack Legal Research, https://law.counselstack.com/opinion/william-beaumont-hospital-v-federal-insurance-company-ca6-2014.