Filed: Jun. 10, 2020
Latest Update: Jun. 10, 2020
Summary: FILED United States Court of Appeals UNITED STATES COURT OF APPEALS Tenth Circuit FOR THE TENTH CIRCUIT June 10, 2020 _ Christopher M. Wolpert Clerk of Court MJH PROPERTIES LLC, Plaintiff - Appellant, v. No. 20-6002 (D.C. No. 5:19-CV-00577-HE) WESTCHESTER SURPLUS LINES (W.D. Okla.) INSURANCE COMPANY, Defendant - Appellee. _ ORDER AND JUDGMENT* _ Before MATHESON, KELLY, and EID, Circuit Judges. _ MJH Properties, LLC (“MJH”) sued its insurer, Westchester Surplus Lines Insurance Company (“Westchest
Summary: FILED United States Court of Appeals UNITED STATES COURT OF APPEALS Tenth Circuit FOR THE TENTH CIRCUIT June 10, 2020 _ Christopher M. Wolpert Clerk of Court MJH PROPERTIES LLC, Plaintiff - Appellant, v. No. 20-6002 (D.C. No. 5:19-CV-00577-HE) WESTCHESTER SURPLUS LINES (W.D. Okla.) INSURANCE COMPANY, Defendant - Appellee. _ ORDER AND JUDGMENT* _ Before MATHESON, KELLY, and EID, Circuit Judges. _ MJH Properties, LLC (“MJH”) sued its insurer, Westchester Surplus Lines Insurance Company (“Westcheste..
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FILED
United States Court of Appeals
UNITED STATES COURT OF APPEALS Tenth Circuit
FOR THE TENTH CIRCUIT June 10, 2020
_________________________________
Christopher M. Wolpert
Clerk of Court
MJH PROPERTIES LLC,
Plaintiff - Appellant,
v. No. 20-6002
(D.C. No. 5:19-CV-00577-HE)
WESTCHESTER SURPLUS LINES (W.D. Okla.)
INSURANCE COMPANY,
Defendant - Appellee.
_________________________________
ORDER AND JUDGMENT*
_________________________________
Before MATHESON, KELLY, and EID, Circuit Judges.
_________________________________
MJH Properties, LLC (“MJH”) sued its insurer, Westchester Surplus Lines
Insurance Company (“Westchester”) in federal court, invoking diversity jurisdiction
under 28 U.S.C. § 1332. It sought damages for Westchester’s refusal to defend MJH
in an underlying lawsuit brought in state court. In the underlying lawsuit, two
*
After examining the briefs and appellate record, this panel has determined
unanimously that oral argument would not materially assist in the determination of
this appeal. See Fed. R. App. P. 34(a)(2); 10th Cir. R. 34.1(G). The case is therefore
ordered submitted without oral argument. This order and judgment is not binding
precedent, except under the doctrines of law of the case, res judicata, and collateral
estoppel. It may be cited, however, for its persuasive value consistent with
Fed. R. App. P. 32.1 and 10th Cir. R. 32.1.
individuals sued MJH for spraying pesticides that allegedly caused them substantial
bodily injury.
The district court granted Westchester’s motion to dismiss MJH’s breach of
contract and bad faith claims. It determined that the incident in the underlying
lawsuit fell under an express coverage exclusion in the policy, and Westchester
therefore did not breach any duty to defend or act in good faith. MJH appealed.
Exercising jurisdiction under 28 U.S.C. § 1291, we affirm.
I. BACKGROUND
A. Underlying Lawsuit
The plaintiffs in the underlying lawsuit—also described as third-party
claimants—alleged that on June 21, 2017, an MJH employee sprayed their work
premises with pest control pesticides that released toxic chemicals and caused them
substantial bodily injury. They contended that test samples of MJH’s spray showed it
contained Essentria IC3, piperonyl butoxide, and permethrins. They sued MJH for
various claims, including negligence and vicarious liability.
B. Insurance Policy
At the time of the underlying incident, MJH was covered by a general
commercial liability policy from Westchester (the “Policy”). The Policy obligated
Westchester to defend MJH against suits seeking damages due to “bodily injury” or
“property damage,” but disclaimed a duty to defend against suits “to which this
insurance does not apply.” App., Vol. I at 240. The Policy expressly excluded from
2
coverage “‘[b]odily injury’ or ‘property damage’ which would not have occurred in
whole or part but for the actual, alleged or threatened discharge, dispersal, seepage,
migration, release or escape of ‘pollutants’ at any time” (the “Total Pollution
Exclusion”).
Id. at 262. The Policy also expressly defined “pollutants.”1
C. Instant Action
MJH asked Westchester to defend it against the underlying lawsuit.
Westchester refused, explaining in its insurance appraiser’s letter that the Total
Pollution Exclusion precluded coverage because the plaintiffs alleged that
“pollutants” caused their injuries.
MJH sued Westchester, seeking damages for Westchester’s refusal to defend
under the Policy and alleging that Westchester had (1) breached the Policy by
refusing to defend MJH in the underlying lawsuit and (2) acted in bad faith.2 MJH
also alleged that its employee did not use “pollutants,” as defined in the Policy,
because the pest control pesticides contained only Essentria, which consists of “40%
1
The Policy defined “pollutants” as including “any solid, liquid, gaseous or
thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis,
chemicals and waste. Waste includes materials to be recycled, reconditioned or
reclaimed.” App., Vol. I at 254.
2
MJH also sued Chubb North American Claims (“CNAC”) in its original
complaint but not in its amended complaint. MJH requested CNAC’s dismissal in
the joint status report, Dist. Ct. Doc. 20 at 2, and the district court dismissed CNAC,
App., Vol. II at 15 n.1. MJH has not appealed CNAC’s dismissal.
3
mineral oil, 37% wintergreen oil, 10% rosemary oil and 13% other ingredients.”
Id.
at 185.
Westchester moved to dismiss under Federal Rule of Civil Procedure 12(b)(6)
for failure to state a claim. It again argued that because MJH used pesticides that
were “pollutants,” the Total Pollution Exclusion applied.
Id. at 195 (“[T]here was
and is no coverage, no breach of the policy and no basis for a claim for bad faith.”).
The district court granted the motion. First, it held that MJH failed to state a
breach of contract claim because the petition in the underlying lawsuit showed that
the Total Pollution Exclusion applied and Westchester thus had no duty to defend.
Second, the court held that because Oklahoma law required “an insured [to] show
that he is entitled to coverage to prevail on a bad-faith claim,” MJH had “failed to
state a bad-faith claim.” App., Vol. II at 19 (quotations omitted).
MJH timely appealed.
II. DISCUSSION
A. Standard of Review
“We review a district court’s dismissal under Federal Rule of Civil Procedure
12(b)(6) de novo.” Khalik v. United Air Lines,
671 F.3d 1188, 1190 (10th Cir. 2012).
“[T]o withstand a Rule 12(b)(6) motion to dismiss, a complaint must contain enough
allegations of facts, taken as true, ‘to state a claim to relief that is plausible on its
face.’”
Id. (quoting Bell Atl. Corp. v. Twombly,
550 U.S. 544, 570 (2007)).
4
B. Pertinent Oklahoma Law
In this diversity suit brought in the U.S. District Court for the Western District
of Oklahoma, the substantive law of the forum state of Oklahoma applies. Edens v.
The Netherlands Ins. Co.,
834 F.3d 1116, 1120 (10th Cir. 2016).
Contract Law
“Oklahoma contract law applies to this diversity action.” Automax Hyundai S.,
LLC v. Zurich Am. Ins. Co.,
720 F.3d 798, 804 (10th Cir. 2013). Under Oklahoma
law, an insurance policy is a contract and interpreted accordingly. First Bank of
Turley v. Fid. & Deposit Ins. Co. of Md.,
928 P.2d 298, 302 (Okla. 1996).3 In the
absence of ambiguous language, Oklahoma courts enforce an insurance contract’s
express terms and take the language’s plain and ordinary meaning. Pitco Prod. Co.
v. Chaparral Energy, Inc.,
63 P.3d 541, 546 (Okla. 2003). “The test for ambiguity is
whether the language is susceptible to two interpretations on its face from the
standpoint of a reasonably prudent lay person, not from that of a lawyer.” Am. Econ.
Ins. Co. v. Bogdahn,
89 P.3d 1051, 1054 (Okla. 2004) (quotations and alterations
omitted).
3
Under Oklahoma law, “[t]he general declaration of insurance coverage, as
established by the insurance policy and limited by its provisions, normally
determines the insurance carrier’s liability.” Dodson v. St. Paul Ins. Co,
812 P.2d
372, 377 (Okla. 1991). Exclusions are read serially, and each one “eliminates
coverage and operates independently against the general declaration of insurance
coverage and all prior exclusions.”
Id.
5
A liability insurance policy generally contains the insurer’s two basic
contractual duties to the insured: the duty to defend and the duty to indemnify. First
Bank of
Turley, 928 P.2d at 302-03. The insurer’s duty to defend is “broader than[]
the duty to indemnify” and applies “whenever [the insurer] ascertains the presence of
facts that give rise to the potential of liability under the policy.”
Id. at 303 (emphasis
omitted). This determination must be “measured by the facts that were known and
knowable—by what the insurer knows or by what the insurer was capable of
discovering itself—at the time the insured’s request was tendered.”
Id. at 305
(emphasis omitted); see Automax
Hyundai, 720 F.3d at 804 (explaining that under
Oklahoma law, “[t]he duty to defend is triggered by the facts reasonably available at
the time the defense is demanded”).
Duty to Defend
Under Oklahoma law, “[t]he insurer’s defense duty is determined on the basis
of information gleaned from the [underlying suit’s] petition (and other pleadings),
from the insured and from other sources available to the insurer at the time the
defense is demanded.” First Bank of
Turley, 928 P.2d at 303 (emphasis omitted).
Although the insured bears the initial burden to request a defense, once the request is
made, the insurer bears the burden to investigate the underlying facts and determine
whether they trigger coverage.
Id. at 304.4 In determining whether an insured has
4
“[W]hen presented with a claim by its insured, an insurer must conduct an
investigation reasonably appropriate under the circumstances . . . .” Newport v.
6
stated a plausible claim for breach of a duty to defend, the court may consider, in
addition to the breach complaint, the petition in the underlying action. See Smith v.
United States,
561 F.3d 1090, 1098 (10th Cir. 2009).5
In Bituminous Cas. Corp. v. Cowen Constr., Inc.,
55 P.3d 1030, 1035 (Okla.
2002), the Oklahoma Supreme Court upheld as “clear and unambiguous” a total
pollution exclusion provision nearly identical to the one here.6 Because the provision
was not limited to environmental pollutants, the Bituminous court determined it
USAA,
11 P.3d 190, 195 (Okla. 2000) (quotations omitted). “Under Oklahoma law,
an insurer’s investigation need only be reasonable, not perfect.” Shotts v. GEICO
Gen. Ins. Co.,
943 F.3d 1304, 1317 (10th Cir. 2019) (quotations and alterations
omitted).
5
To survive a motion to dismiss, the insured party must state a plausible claim
showing the insurer’s duty to defend. In evaluating a Rule 12(b)(6) motion to
dismiss, we may consider the petition in the underlying case. See
Smith, 561 F.3d at
1098 (“In evaluating a Rule 12(b)(6) motion to dismiss, courts may consider not only
the complaint itself, but also attached exhibits, and documents incorporated into the
complaint by reference[,] . . . [and] documents referred to in the complaint if the
documents are central to the plaintiff’s claim and the parties do not dispute the
documents’ authenticity.” (quotations and citations omitted)). MJH’s amended
complaint references the underlying petition, which, under First Bank of Turley, is
central to whether Westchester had a duty to
defend. 928 P.2d at 303.
6
In Bituminous, the total pollution exclusion provision exempted from
coverage third-party actions for “[b]odily injury or property damage arising out of the
actual, alleged or threatened discharge, dispersal, release or escape of
pollutants.”
55 P.3d at 1031 n.1. It defined “pollutants” as “any solid, liquid, gaseous or thermal
irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals
and waste.”
Id.
7
excluded the third-party claimant’s lead poisoning claims against the insured from
coverage. Id.7
Good Faith
Under Oklahoma law, “[a]n insurer has an implied-in-law duty to act in good
faith and deal fairly with the insured to ensure that the policy benefits are received.”
Badillo v. Mid Century Ins. Co.,
121 P.3d 1080, 1093 (Okla. 2005) (quotations
omitted). A plaintiff seeking damages for the insurer’s alleged bad faith conduct
must prove insurance coverage for its claim. See
id. at 1093-94 (finding district court
did not erroneously dismiss plaintiff’s bad faith claim where plaintiff failed to show
entitlement to insurance coverage);
Edens, 834 F.3d at 1129 (“Under Oklahoma law,
an insured must show that he is entitled to coverage to prevail on a bad-faith claim.”).
C. Analysis
Based on our review of relevant Oklahoma law, the terms of the Policy and
Total Pollution Exclusion, and the petition in the underlying state court action, we
affirm the district court’s determination that MJH has failed to state a breach of
contract or bad faith claim.
7
Since the 1970s, courts have addressed “the extent to which pollution
exclusions apply to preclude coverage in commercial general liability (CGL)
policies.” Headwaters Res., Inc. v. Illinois Union Ins. Co.,
770 F.3d 885, 889 (10th
Cir. 2014). Courts either (1) “apply the pollution exclusions as written because they
find them clear and unmistakable” or (2) “narrow the exclusions to traditional
environmental pollution.”
Id. (quotations omitted). Oklahoma falls into the first
camp. See
Bituminous, 55 P.3d at 1035.
8
First, the district court correctly dismissed the breach of contract claim
because MJH failed to show that Westchester had a duty to defend under the Policy.
The underlying lawsuit’s petition alleged that MJH used Essentria IC3, piperonyl
butoxide, and permethrins. See App., Vol. I at 283. MJH does not dispute on appeal
that piperonyl butoxide and permethrins are “pollutants” as defined in the Policy.
Aplt. Br. at 1, 8-9; see Aplt. Reply Br. at 1-2. Although the Oklahoma Supreme
Court did not address these specific substances in Bituminous, it interpreted a nearly
identical total pollution exclusion provision broadly to include non-environmental
pollutants. 55 P.3d at 1035. As in Bituminous, we find no ambiguity here and
conclude the district court did not err in determining that at least one of the
underlying petition’s three alleged substances is a “pollutant” within the defined
term’s plain and ordinary meaning. See Pitco Prod.
Co., 63 P.3d at 546.8
On appeal, MJH argues that its amended complaint (1) alleged that its
employee used only Essentria IC3, which contains non-pollutant substances; (2)
conflicts with the underlying petition; and (3) states a plausible claim. See Aplt. Br.
at 1, 8-9. But under Oklahoma law, the underlying petition’s alleged facts place the
spraying incident squarely in the Policy’s Total Pollution Exclusion provision. MJH
has not alleged that “facts that were known and knowable” by Westchester gave rise
8
The plain language of the Total Pollution Exclusion encompasses any
“actual, alleged, or threatened . . . ‘pollutants.’” App., Vol. I at 262 (emphasis
added).
9
to potential liability under the Policy. See First Bank of
Turley, 928 P.2d at 303,
305.9
Second, the district court correctly dismissed MJH’s bad faith claim. MJH has
failed to show coverage under the Policy, which is necessary to prevail on a bad faith
claim. See
Badillo, 121 P.3d at 1093-94. On appeal, MJH argues that Westchester
acted in bad faith by failing to defend, reasonably investigate, or properly consider
the test results. See Aplt. Br. at 10-11. These arguments are unresponsive to the
district court’s proper determination that MJH’s bad faith claim fails together with its
breach of contract claim.
9
The underlying petition stated that although the MJH employee “initially
advised the Oklahoma Highway Patrol that he only used a spray known as Essentria
IC3 in his spray canister to spray the Leased Premises,” the Highway Patrol’s test
results “indicated that in addition to the Essentria IC3, the spray contained two
additional toxic chemicals: piperonyl butoxide (PBO) and permethrins.” App., Vol.
I at 283 (emphasis added).
When Westchester denied coverage and a duty to defend, its appraiser’s letter
to MJH explained that it analyzed the Policy, the Total Pollution Exclusion, and the
underlying petition.
Id. at 292-93. The record does not show that MJH responded to
the appraiser by identifying facts that Westchester knew or should have known
concerning its duty to defend. In its federal lawsuit, MJH’s sole support for its
allegation that its employee used only Essentria was a one-page attachment from the
Highway Patrol’s report listing Essentria’s ingredients. See Dist. Ct. Doc. 9-1 at 1.
As the underlying petition alleged, this same report disclosed the test results showing
that the spray included toxic chemicals. See App., Vol. I at 283.
10
III. CONCLUSION
We affirm the district court’s grant of Westchester’s motion to dismiss.
Entered for the Court
Scott M. Matheson, Jr.
Circuit Judge
11