RICHARD A. LAZZARA, District Judge.
Before the Court is Defendants Sandip I. Patel, Jeff Ludy and Deepak Desai's Motion to Dismiss or, in the alternative, to Abate Count III (Dkt. 30), Defendants Akshay M. Desai and Seema Desai's Notice of Joinder in the Motion (Dkt. 41), and Plaintiff's Response in Opposition (Dkt. 43). After careful consideration of the allegations of the Complaint, the applicable law, and the entire file, the Court concludes that the motion to dismiss should be denied and the motion to abate granted.
Universal Health Care Group, Inc. (Universal Group), a health maintenance and holding company for subsidiaries operating as insurance companies, suffered a $29 million loss in 2011. A year later, Plaintiff RSUI Indemnity Company (RSUI), based on an application allegedly fraught with material misrepresentations, issued a directors and officers liability policy to Universal Group effective November 1, 2012, to November 1, 2013, on the premise that Universal Group's financial condition had vastly improved. This proved not to be the case.
Universal Health Care Insurance Company (UHCIC), along with Universal Health Care, Inc. (UHC), and two other companies, all subsidiaries of Universal Group, operated as insurance companies; however, Georgia insurance regulators barred UHCIC from selling any new insurance policies as early as November 15, 2012, and Ohio regulators barred UHCIC on December 18, 2012. Just before the scheduled foreclosure of Universal Group's equity interests in the four subsidiaries, in early February 2013, the Florida Office of Insurance Regulation and the Florida Department of Financial Services (DFS) commenced receivership proceedings against UHCIC and UHC. Universal Group filed for protection under Chapter 11 of the Bankruptcy Code one day later. In late March 2013, the state court ordered UHCIC and UHC into receivership and appointed the DFS as receiver. Grand jury subpoenas followed along with a raid of Universal Group's headquarters by the Federal Bureau of Investigation.
RSUI was informed in April 2013 of the criminal investigation as well as certain "clawback letters" and "receiver's letters." The DFS issued clawback letters to four of the individual Defendants who received $4.5 million in the form of a bonus and other compensation, directing them to return same. The clawback letters stated that the bonus and compensation were received at a time when UHCIC's and UHC's insolvent financial condition should have been known to the officers of the companies. The DFS also issued demand letters to RSUI, which are referred to as the receiver's letters. The receiver's letters demand $16 million in damages for a sham receivable intended to cover up UHCIC's insolvency.
In this action for declaratory relief based on diversity of citizenship, RSUI seeks a determination in count I that no coverage exists under the policy as a result of the alleged misrepresentations in the application for insurance. Count II requests a declaration that no duty to defend exists with respect to the criminal investigation leading up to any indictments returned against four of the individual Defendants and Universal Group. Count III requests this Court to determine whether RSUI owes a duty to indemnify four of the individual Defendants, who are either or both former officers and directors of UHCIC, with respect to the clawback letters. RSUI agreed to defend the four Defendants under a reservation of rights with respect to the clawback letters; however, RSUI denied the duty to indemnify them.
Defendants seek a dismissal or, in the alternative, an abatement or stay, of count III requesting a declaration that RSUI must indemnify the DFS's claims against Sandip Patel, Jeff Ludy, Deepak Desai, and Akshay Desai with respect to the clawback letters. Defendants cite cases for the premise that the duty to indemnify is not ripe for adjudication in a declaratory relief action until the outcome of the claims of the DFS has been decided against the insured in the underlying suit.
In attempting to resolve the present motion and reconcile the continued reliance on
Having noted that Florida law does not require that the underlying state lawsuit be decided prior to a state court declaratory claim seeking to determine coverage, the resolution of the motion must be decided in the context of the particular facts and procedural posture of this declaratory action pending in federal court. In its response, RSUI invokes the exception under Florida law concerning exclusions, that the facts as alleged fail to bring the case within the coverage of the policy.
Nevertheless, the present declaratory action was brought approximately eight months after state court proceedings for receivership began. According to the Defendants, the resolution of the claims against them now pending in the state court proceedings will determine whether any liability exists. Applying the factors set forth in
It is therefore