WIENER, Circuit Judge:
Plaintiff-Appellant Cambridge Integrated Services Group, Inc. ("Cambridge") appeals the district court's grant of Defendant-Appellee Concentra Integrated Services, Inc.'s ("Concentra") motion for summary judgment. Cambridge and Concentra owed each other contractual duties of defense and indemnification. Cambridge and a subsidiary of Concentra were later named as defendants in a state court lawsuit. Concentra settled and obtained a release that benefitted Cambridge to the extent of Concentra's indemnification obligation; however, Concentra rejected Cambridge's tender of defense. Cambridge filed suit in federal court seeking a declaratory judgment that Concentra owed it contractual defense and indemnification for the costs that Cambridge incurred in settling the state-court litigation. The district court granted summary judgment in favor of Concentra, holding that the settlement satisfied its duty to defend and indemnify Cambridge. We affirm in part and reverse in part, and we remand for further proceedings.
Cambridge is a third-party administrator of workers compensation claims. Concentra provides services to administrators like Cambridge. Concentra and Cambridge entered into a Services Agreement in which Concentra agreed to review medical bills, recommend payments, and provide
Paragraph 9.3(c) of the Services Agreement extended Concentra's defense and indemnification obligations to unclear allegations of wrongdoing:
In 2004, Cambridge and FOCUS Healthcare Management Inc. ("Focus"), a subsidiary of Concentra, were among a number of parties named as defendants in Clark A. Gunderson, M.D., et al. v. F.A. Richard & Associates, Inc., et al., a suit filed in the state district court of Calcasieu Parish, Louisiana ("Gunderson"). The Gunderson plaintiffs, a proposed class of medical providers, alleged that the defendants imposed PPO reductions on workers compensation payments without complying with the notice requirements of Louisiana's Any Willing Providers Act.
In January 2007, Focus and Concentra settled with the Gunderson plaintiffs for $12 million ("the Focus Settlement"). Although Cambridge was not a party to the Focus Settlement and did not participate in negotiating it, the Gunderson plaintiffs also released their claims for "Liability" against Cambridge. The Focus Settlement defined the liability released by the plaintiffs as follows:
(emphasis in original).
The Gunderson plaintiffs did not, however, release their claims against Cambridge for any "Independent Liability," defined as follows:
Finally, Paragraph 8.6 of the Focus Settlement prohibited the Gunderson plaintiffs from settling with Cambridge without obtaining a release of Cambridge's claims against Concentra:
The state court granted preliminary approval of the Focus Settlement in January 2007.
The Focus Settlement did not result in Cambridge's dismissal from Gunderson or from any OWC proceedings. Cambridge took the position that (1) it had contractually delegated the state-law notice duty to Concentra, (2) it could seek indemnification from Concentra for any claims against it, and (3) the Gunderson plaintiffs' post-settlement claims had therefore been released. Accordingly, Cambridge wrote to Concentra in January 2008, requesting "written confirmation that Focus's indemnity obligations specifically apply to the Louisiana class action and OWC proceedings so that Cambridge can seek appropriate orders dismissing it from these Louisiana litigations." Concentra declined to provide that confirmation. Early in February 2008, Cambridge formally demanded defense and indemnification from Concentra with respect to Gunderson and the OWC proceedings. Concentra refused to provide a defense or indemnification.
The following month, Cambridge filed the instant declaratory judgment action in the district court, seeking a holding that Concentra owed it defense and indemnification for any future liability in Gunderson and in the OWC proceedings. Concentra sought and obtained a stay of this action, and Gunderson proceeded against Cambridge.
Cambridge did not assert the Focus Settlement release as a defense in Gunderson. Instead, in November 2009, Cambridge settled with the Gunderson plaintiffs ("the Cambridge Settlement").
In May 2010, Cambridge sought and obtained a lift of the stay in the instant district court declaratory action and amended its complaint to pursue damages for the amounts it spent defending and settling Gunderson. Concentra responded by filing a motion for summary judgment, contending that the Focus Settlement satisfied its defense and indemnification obligations to Cambridge by releasing Cambridge from any possible liability for which indemnification might be owed. Concentra asserted in the alternative that Cambridge had released all claims for defense and indemnification in the subsequent Cambridge Settlement.
The district court granted Concentra's motion for summary judgment, holding that Concentra had satisfied its defense and indemnification duties under the Services Agreement by negotiating the Focus Settlement and obtaining, for the benefit of Cambridge, a release of all Liability for which Cambridge could have received indemnification. Cambridge timely appealed.
We review a district court's grant of summary judgment de novo, applying the same legal standards as the district court.
Concentra urges that because "state law governs issues in dispute, some deference is due to the district court's interpretation of the law of the state in which it sits."
"Under Louisiana law, indemnity provisions are construed in accordance with general rules governing contract interpretation. When the terms of a contract are unambiguous and lead to no absurd consequences, we interpret them as a matter of law."
Through the Focus Settlement, Concentra obtained a release of the Gunderson plaintiffs' claims against Cambridge for "Liability," but not for "Independent Liability." We repeat for emphasis that, in the Focus Settlement, Liability is defined as all claims for which Concentra owed Cambridge indemnification; Independent Liability is defined as everything else. Thus, the scope of the release was defined by and coextensive with Concentra's duty to indemnify Cambridge under the Services Agreement. Any claim against Cambridge for which it could have sought indemnification ceased to exist by operation of the release and under res judicata, thus relieving Cambridge of any liability for Concentra's conduct. We agree with the district court that Concentra preemptively satisfied its duty to indemnify Cambridge by securing the release from the Gunderson plaintiffs on Cambridge's behalf.
The district court did not distinguish between Concentra's duty to indemnify and its duty to defend. But "[t]he duty to indemnify and the duty to defend clearly are separate and distinct duties."
Concentra owed a duty to defend Cambridge against "any and all claims ... arising or resulting from" Concentra's conduct. And, if the conduct alleged to give rise to a claim could not be determined from the pleadings, Concentra's duty to defend continues "until the conduct complained of is clarified during the course of the litigation."
After the Focus Settlement, the Gunderson plaintiffs pursued claims that they contended were for unreleased Independent Liability arising solely from Cambridge's own conduct. And, the Gunderson plaintiffs presumably would not knowingly pursue claims that had been released. But Cambridge was not a party to the Focus Settlement and thus was not bound to agree with the Gunderson plaintiffs that it had any unreleased Independent Liability whatsoever. Rather, just as the Gunderson plaintiffs were entitled to attempt to prove any Independent Liability that they could based on Cambridge's own conduct, Cambridge was entitled to prove that the claims arose solely from Concentra's conduct and thus had been totally released.
When, on this record, we draw every reasonable inference in favor of Cambridge, we cannot say as a matter of law that all of the claims asserted by the Gunderson plaintiffs following execution of the Focus Settlement arose exclusively from Cambridge's conduct.
Although the district court granted summary judgment on an incorrect basis, we may affirm such a judgment "on any grounds supported by the record."
Paragraph 8.6 of the Focus Settlement contractually prohibited the Gunderson plaintiffs from settling with Cambridge without also securing a release of Cambridge's claims against Concentra. Paragraph 7(D) of the Cambridge Settlement incorporates this requirement and releases Cambridge's claims against Concentra "to the extent, and only to the extent, that such release is required by Paragraph 8.6 of the Focus Settlement Agreement." But Paragraph 7(D) also states that Cambridge "retain[s] all rights to assert claims outside of Paragraph 8.6, including claims arising from Focus, Concentra, or Broadsphire's [sic] breach of their contractual, tort, or indemnity obligations with respect to the defense of the Gunderson matter, the OWC proceedings, or any applicable arbitration proceedings."
Paragraph 7(D) is in tension with itself. The first sentence expresses Cambridge's intent to release all claims against Concentra; the second sentence, however, expresses an intent to retain an indemnification claim against Concentra. Construing Paragraph 7(D) narrowly, as is required by Louisiana law, we find it internally inconsistent and ambiguous as to which claims Cambridge intended to release. Accordingly, we cannot say that Concentra has borne its burden to show that Cambridge's present claims come within the ambit of the release. The summary judgment cannot be affirmed on that basis.
As a drafter of the Cambridge Settlement, Cambridge is at least partially responsible for the ambiguity in Paragraph 7(D). Perhaps it is problematic to allow Cambridge to benefit from that ambiguity, but on these facts, the only reason a release exists at all is because the original Focus Settlement preemptively required the Gunderson plaintiffs to secure one. Cambridge was not a party to the Focus Settlement and was under no independent contractual obligation to release Concentra. If the release does not achieve all the results that Concentra wanted, its remedy should lie against the Gunderson plaintiffs.
Because we must remand on the issue of the duty to defend, Cambridge is entitled to prove the quantum of damages caused by that breach, including fees and costs of defense in Gunderson. It is impossible for us to tell from the present record what those defense costs or other damages might have been. This is particularly true because Concentra's duty to defend would have lasted only "until the conduct complained of is clarified during the course of the litigation." The district court is in the better position to address these fact-intensive issues on remand.
Concentra raises other arguments in favor of affirming the summary judgment, none of which avoid the need for a remand. First, Concentra claims that the PPO discounts it recommended to Cambridge pursuant to the Services Agreement, which were the subject of at least part of the claims in Gunderson, were permissible under Louisiana law. But Cambridge's suit is premised on breach of the duty to defend under the Services Agreement. Whether Concentra's conduct complied with Louisiana law may have been a defense to the state-law claims in Gunderson, but that does not defeat Concentra's duty to assert that defense on Cambridge's behalf.
Second, Concentra claims that Cambridge failed to mitigate its damages when it did not assert the Focus Settlement
For the foregoing reasons, we affirm the summary judgment of the district court dismissing Cambridge's claims against Concentra for indemnification, but we reverse the summary judgment with respect to Concentra's duty to defend.
AFFIRMED IN PART, REVERSED IN PART AND REMANDED.