K. MICHAEL MOORE, Chief Judge.
THIS CAUSE comes before the Court upon the Motions and Cross-Motions for Summary Judgment filed by Gemini Insurance Company ("Gemini"); Anda Inc. ("Anda"); Watson Pharmaceuticals, Inc. ("Watson") (referred to jointly with Anda as "Anda"); Federal Insurance Company ("Federal") and Great North Insurance Company ("Great Northern") (referred to jointly as "Federal"); and St. Paul Fire and Marine Insurance Company ("St. Paul") and The Travelers Property Casualty Company of America ("Travelers") (referred to jointly as "S & T").
Accordingly, UPON CONSIDERATION of the Motions for Summary Judgment, the Cross-Motions for Summary Judgment, the Responses, the Replies, the applicable evidence, and being otherwise fully advised in the premises, the Court enters the following Omnibus Order.
The issue in this Motion is whether Gemini owes Anda a duty to defend and indemnify Anda for a lawsuit brought by the State of West Virginia. West Virginia filed its Amended Complaint (ECF No. 191-6) (the "Underlying Complaint") seeking injunctive relief and damages for costs to the State resulting from the prescription drug abuse epidemic in West Virginia. See generally Underlying Compl. Anda is a major distributor of prescription drugs, which are also controlled substances. Id. ¶¶ 2-3. West Virginia alleges that Anda "violated West Virginia statutes and regulations that govern controlled substances and consumer protection" by "distributing controlled substances without sufficient monitoring and controls." Id. ¶¶ 5, 7. For example, West Virginia alleges that Anda and other prescription drug manufacturers sold pharmacies such large quantities of
The Underlying Complaint alleges the following counts: (I) Injunctive Relief for Violations of ... the West Virginia Uniform Controlled Substances Act; (II) Damages Resulting from Negligence and Violations of the West Virginia Uniform Controlled Substances Act; (III) Unfair Methods of Competition or Unfair or Deceptive Acts or Practices in Violation of the West Virginia Consumer Credit and Protection Act (WVCCPA); (IV) Public Nuisance; and (V) Negligence. See generally id. Key to the conceptualization of the Underlying Complaint is West Virginia's theory of relief — the State seeks relief solely for its own economic loss and not for any individual claims the persons harmed directly by the prescription drugs might assert.
Gemini moves for summary judgment against Anda's Second Amended Counter Complaint (ECF No. 74) and argues it has no duty to defend or indemnify Anda. Gemini argues it has no duty to defend or indemnify because: (1) the claims in the Underlying Complaint are not covered by the Policy because they are not claims "for bodily injury"; and (2) the Underlying Complaint alleges unfair competition, and the Policy's Unfair Competition Exclusion specifically excludes coverage for an entire suit where unfair competition is alleged.
Anda, on the other hand, argues that Gemini owes Anda a duty to defend and indemnify because the Policy covers claims "for bodily injury," and the damages alleged in the Underlying Complaint stem from the drug abuse and associated injuries suffered by West Virginia residents.
Prior to the Underlying Lawsuit, Gemini issued Anda an insurance policy (the "Gemini Policy") (ECF No. 191-9). The Parties
Physical:
Gemini Policy at 27, 75 (emphasis in original).
The relevant exclusion is as follows:
The following exclusions apply to all
In the event a
then this exclusion shall apply to preclude coverage from the entire
Id. at 46-47 (emphasis in original).
Summary judgment may be entered only where there is no genuine issue as to any material fact such that the moving party is entitled to judgment as a matter of law. Twiss v. Kury, 25 F.3d 1551, 1554 (11th Cir.1994); Fed.R.Civ.P. 56(a). An issue of fact is "material" if it is a legal element of the claim under the substantive law applicable to the case. Allen v. Tyson Foods, Inc., 121 F.3d 642, 646 (11th Cir. 1997). An issue of fact is "genuine" if the record taken as a whole could lead a rational trier of fact to find for the nonmoving party. Id.; see Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986). However, if the nonmoving party's evidence and arguments are merely colorable and raise only some doubt, summary judgment may be granted in favor of the moving party. See id. at 586, 106 S.Ct. 1348. "The mere existence of a scintilla of evidence in support of the [nonmovant's] position will be insufficient; there must be evidence on which the jury could reasonably find for the [nonmovant]." Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 252, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986).
The moving party bears the burden of meeting this standard, id., and the district court views the evidence and makes all factual inferences therefrom in the light most favorable to the nonmoving party. Tyson Foods, 121 F.3d at 646.
Declaratory judgment actions seeking a declaration regarding insurance coverage may be decided on summary judgment "when the insurer's duty, if any, rests solely on the applicability of the insurance policy, the construction and effect of which is a matter of law." Maryland Cas. Co. v. Fla. Atl. Orthopedics, LLC, 771 F.Supp.2d 1328, 1331-32 (S.D.Fla.2011), aff'd, 469 Fed.Appx. 722 (11th Cir.2012).
The first issue is whether New Jersey law applies because the Policy was executed in New Jersey, or whether Florida law applies because Florida is the forum state.
A district court exercising diversity jurisdiction generally applies the law of the forum state, including choice of law rules. Klaxon v. Stentor Elec. Mfg. Co., 313 U.S. 487, 496, 61 S.Ct. 1020, 85 L.Ed. 1477 (1941); Grupo Televisa, S.A. v. Telemundo Communs. Group, Inc., 485 F.3d 1233, 1240 (11th Cir.2007). Florida's choice of law rules therefore apply to the choice of law determination here.
"Where the laws of two jurisdictions would produce the same result on the particular issue presented, there is a `false conflict,' and the Court should avoid the choice-of-law question." James River Ins. Co. v. Med Waste Mgmt., 46 F.Supp.3d 1350, 1355 (S.D.Fla.2014); Levy v. Brown & Williamson Tobacco Corp., Case No. 96-2280-CIV, 1998 WL 35184005 *3 (M.D.Fla. April 9, 1998) (citing Williams v. Stone, 109 F.3d 890, 893 (3d Cir.1997)); see Tune v. Philip Morris Inc., 766 So.2d 350, 352 (Fla.Dist.Ct.App.2000) (deciding whether a "false conflict" exists as a threshold issue, and noting that a choice of law analysis is not required where a "false conflict" exists).
Here, the dispositive issue is one that requires only insurance contract interpretation — whether the provisions in the Gemini Policy obligate Gemini to indemnify and defend Anda for the Underlying Complaint. However, under both New Jersey law and Florida law, insurance contracts are interpreted according to their plain meaning, while ambiguous provisions and exclusions are interpreted against the insurer and in favor of the insured. See Sinopoli v. North River Ins. Co., 244 N.J.Super. 245, 581 A.2d 1368, 1370 (1990); Garcia v. Federal Ins. Co., 969 So.2d 288, 291 (Fla.2007). Thus, the New Jersey rule for insurance contract interpretation applicable to this case does not differ in any material respect from the Florida rule. Because the result in this case would be the same under both New Jersey law and Florida law, as further discussed below, the Court is presented with a "false conflict" and therefore foregoes a choice of law determination. See James River Ins., 46 F.Supp.3d at 1356.
The Court next addresses whether the Gemini Policy imposes on Gemini a duty to defend and indemnify Anda for the claims asserted in the Underlying Complaint.
Gemini argues that it does not owe Anda any duty, because: (1) West Virginia does not assert claims for bodily injury, but rather asserts claims for its own economic losses, Gemini MSJ at 2; and (2) even if the claims in the Underlying Complaint are "for bodily injury," the Unfair Competition Exclusion is triggered by the Unfair Competition Count alleged in the Underlying Complaint (Count III), thus precluding any coverage for the lawsuit. Id. at 3.
Anda argues it is covered by the Gemini Policy because West Virginia seeks damages "for bodily injury" given that its claims stem from addictions, diseases, and sickness related to West Virginia citizens' abuse of prescription drugs. Anda Resp. to Gemini MSJ at 7.
The interpretation of an insurance agreement is a question of law. See Maryland Cas. Co., 771 F.Supp.2d at 1331-32. Thus, any coverage determination "begins with a review of the plain language of the insurance policy as bargained for by the parties." Koikos v. Travelers Ins. Co., 849 So.2d 263, 266 (Fla. 2003). "[C]lear and unambiguous" provisions
"However, `a provision is not ambiguous merely because it requires analysis to interpret it.'" James River Ins., 46 F.Supp.3d at 1357 (quoting Interline Brands, Inc. v. Chartis Specialty Ins. Co., 749 F.3d 962, 965 (11th Cir.2014)). "Likewise, `provisions in a contract are not ambiguous merely because the parties attempt to interpret them differently.'" Id. (quoting Mount Vernon Fire Ins. Co. v. Creative Hous. Ltd., 88 N.Y.2d 347, 645 N.Y.S.2d 433, 668 N.E.2d 404, 406 (1996)).
Here, the relevant coverage provision states:
Gemini Policy at 27, 75 (emphasis in original).
Another district court has analyzed the insurance policy of a different pharmaceutical drug company sued in the same Underlying Complaint. Cincinnati Ins. Co. v. Richie Enterprises LLC, Case No. 1:12-CV-00816-JHM-HBB, 2014 WL 3513211 (W.D.Ky.2014). That court determined that the claims in the Underlying Complaint sought "damages for the money [West Virginia] has been required to spend because of the prescription drug abuse epidemic," i.e. "economic loss to the State of West Virginia," and not damages "because of bodily injury." Id. at *5. This Court finds the analysis in Richie Enterprises persuasive and also finds that the Gemini Policy does not cover the claims asserted in the Underlying Complaint because it seeks damages for the economic loss to the state of West Virginia and not "for bodily injury." See id.; Gemini Policy at 27, 75.
The Underlying Complaint makes clear that the claims asserted are for "costs to the State of West Virginia" incurred as a result of the prescription drug abuse epidemic. Underlying Compl. ¶ 1. West Virginia alleges that the "damage done by prescription drug abuse adversely affects West Virginia's hospitals, school, courts, social service agencies, jails and prisons..." to the tune of $430 million annually. Id. ¶¶ 1, 6(a). "[T]he State has borne these massive costs ... by having to provide necessary medical care, facilities, and services for treatment of citizens of West Virginia who are unable to afford or otherwise obtain such necessary medical care, facilities, and services." Id. ¶ 57. Thus, West Virginia asserts claims only for its own economic loss and not "for bodily injury." It does not purport to assert claims on behalf of individual citizens for the physical harm sustained personally by those citizens, for instance. Instead, West Virginia seeks relief from the massive costs suffered by the State due to Anda's distribution of drugs allegedly in excess of legitimate medical need.
The Gemini Policy also contains the aforementioned Unfair Competition Exclusion which states that "[i]n the event a claim is made or suit is brought ... alleging... any loss" "in any way related to any actual or alleged ... [u]nfair competition... and ... [a]ny other loss; then this exclusion shall apply to preclude coverage for the entire claim or suit ... or a duty to defend...." Gemini Policy at 46-47. Count III of the Underlying Complaint ("Violations of the West Virginia Consumer Credit and Protection Act (WVCCPA) — Unfair Methods of Competition or Unfair or Deceptive Acts or Practices") alleges unfair competition by Anda. Underlying Compl. ¶¶ 33-41. Thus, the Court finds that even if the Underlying Complaint asserted claims "for bodily injury," the Unfair Competition Exclusion clearly and unambiguously applies to preclude any duty on the part of Gemini to indemnify or defend Anda for the Underlying Complaint.
Anda argues that the Unfair Competition Exclusion is facially ambiguous and must therefore be interpreted in favor of Anda as the insured. Anda Resp. to Gemini MSJ at 13. However, this is a sham argument that has no basis in the actual language of the exclusion. There is nothing ambiguous about the exclusion. It straightforwardly excludes coverage for any lawsuit in which unfair competition is alleged in conjunction with any other theory of damages. As this Court has stated previously, a provision in an insurance contract is not ambiguous merely because a party might wish to interpret it differently. James River Ins., 46 F.Supp.3d at 1356-58 (citing Mount Vernon Fire Ins. Co., 645 N.Y.S.2d 433, 668 N.E.2d at 406).
For the foregoing reasons, the Court finds that Gemini owes Anda no duty to indemnify or defend against the Underlying Complaint.
Federal and Great Northern
Subject to the applicable Limits Of Insurance, we will pay damages the
sustained by a person and, if arising out of the foregoing, mental anguish, mental injury, shock, humiliation or death at any time.
We will have the right and duty to defend any
Federal Policies at 93, 95, 105, 108 (emphasis in original).
The above Federal Policies do not differ from the Gemini Policy in any appreciable manner. Compare Gemini Policy at 27, 75 ("We will pay all damages ... for bodily injury"), with Federal Policies at 93, 105, 108 ("we will pay damages ... for: bodily injury...."). Thus, for the same reasons discussed in Part I, supra, the Court finds that the Federal Policies do not cover the claims asserted in the Underlying Complaint. Specifically, the Underlying Complaint
In addition to arguing the Federal Policies do not cover Anda for the Underlying Complaint because it does not allege claims for bodily injury, Federal also argues that certain of the Federal Policies contain "Bodily Injury/Property Damage Exclusions." The Exclusions state:
Federal Policies at 109; 2005-2006 Federal Policies (ECF No. 72-4) at 90. Federal therefore argues the Federal Policies exclude coverage for the Underlying Complaint because "all alleged damages arise out of Anda's distribution of its products." Federal MSJ at 11.
Federal's argument is flawed. Federal prevailed on its coverage argument because the Underlying Complaint alleges only economic damages to the State and not claims "for bodily injury." Hence, the Bodily Injury Exclusion is not triggered by the Underlying Complaint. Nonetheless, the Federal Policies do not cover the claims asserted in the Underlying Complaint, as discussed in Part II.B, supra.
Based on the foregoing, the Court finds that Federal owes no duty to indemnify or defend Anda for the Underlying Complaint.
St. Paul issued Anda insurance policies covering the period May 15, 2006 — May 15, 2010 (ECF No. 181-3) (the "St. Paul Policies"). Travelers issued Anda insurance policies covering the period May 15, 2010 — May 15, 2013 (ECF No. 181-4) (the "Travelers Policies") (together with the St. Paul Policies, the "S & T Policies"). S & T and Anda dispute whether the S & T Policies cover Anda for the Underlying Complaint.
The St. Paul Policies' relevant provisions are as follows:
We'll pay amounts any protected person is legally required to pay as damages for covered bodily injury or property damage that: ...
We'll have the right and duty to defend any protected person against a claim or suit for injury or damage covered by this agreement.
St. Paul Policies at 21, 22, 23 (emphasis in original).
The Travelers Policies' relevant provisions are as follows:
"Bodily injury" means:
Travelers Policies at 16, 84 (emphasis in original).
The above S & T Policies do not differ from the Gemini Policy in any appreciable manner. Compare Gemini Policy at 27, 75 ("We will pay all damages ... for bodily injury"), with St. Paul Policies at 21, 22, 23 ("We'll pay ... damages ... for covered bodily injury ... that: ... [i]s caused by an event."), and Travelers Policies at 16, 84 ("We will pay ... damages because of "bodily injury" ... to which this insurance applies."). Thus, for the same reasons discussed in Part I, supra, the Court finds that the S & T Policies do not cover Anda for the Underlying Complaint. Specifically, the State does not assert claims "for bodily injury" or "because of bodily injury," because the claims are "for" and "because of" economic harm to the State.
The St. Paul Policies also contain a "Products Exclusion," which states: "We won't cover bodily injury or property damage that results from your products or completed work." St. Paul Policies at 58. The Travelers Policies also contains a similar Products Exclusion, which excludes from coverage: "`Bodily injury' or `property damage' ... occurring away from premises owned by or rented or loaned to you and arising out of `your product' or `your work'...." Travelers Policies at 55.
The S & T Products Exclusions do not differ from Federal's Bodily Injury/Property Damage Exclusion in any material manner. Hence, for the same reason discussed in Part II.C, supra, the Court finds that the S & T Policies' Products Exclusions are not triggered. Specifically, the Underlying Complaint does not assert claims for "bodily injury"; therefore, the S & T Products Exclusions for "bodily injury" are not triggered. Nonetheless, the S & T Policies do not cover the Underlying Complaint, as discussed in Part III.B, supra.
Based on the foregoing, the Court finds that S & T owe no duty to indemnify or defend Anda (and Watson) for the Underlying Complaint.
For the foregoing reasons, it is
Hereby ORDERED AND ADJUDGED as follows:
It is therefore FURTHER ORDERED AND ADJUDGED as follows:
All other Motions and relief requested in this case are DENIED AS MOOT. Should any Party contend it is entitled to fees or costs, it may move the Court for fees and costs and shall support its motion with all relevant arguments and, where applicable, exhibits.
The Clerk of Court is instructed to CLOSE this case.
Gemini filed a Motion for Summary Judgment (ECF No. 196) (the "Gemini MSJ"). Anda filed a Response (ECF No. 229) to that Motion and a Cross-Motion for Summary Judgment (ECF No. 202) that are substantively identical. Gemini filed a Response and a Reply (ECF Nos. 231, 240), and Anda filed a Reply (ECF No. 237).
Federal and Great Northern jointly filed a Motion for Summary Judgment (ECF No. 184) (the "Federal MSJ"). Anda filed a Response (ECF No. 204) to that Motion and a Cross-Motion for Summary Judgment (ECF No. 205) that are substantively identical. Federal and Great Northern filed a Response and a Reply (ECF Nos. 220, 221), and Anda filed a Reply (ECF No. 239).