CHARLES S. HAIGHT, Jr., Senior District Judge.
Plaintiff Teri Tucker brings this diversity action on an insurance policy issued by the Defendant insurance companies. After extensive discovery, the Defendants move for summary judgment.
Plaintiff seeks damages from her former employer's insurers, Defendants American International Group, Inc. ("AIG") and National Union Fire Insurance Company of Pittsburgh, PA ("National Union") (collectively "Defendants"), arising from her unlawful discharge by that former employer in 2003. Plaintiff's suit is based upon an employment practices liability insurance policy issued by Defendants to that employer (herein "2004 Policy" or "the Policy").
Pending before the Court is Defendants' Motion for Summary Judgment [Doc. 97] as to all counts of Plaintiff's Amended Complaint [Doc. 126]. This Ruling resolves that motion.
The factual background of the case has been repeatedly recounted in detail in a series of prior opinions by the Court, including 728 F.Supp.2d 114 (D.Conn. 2010), 745 F.Supp.2d 53 (D.Conn. 2010), 2011 WL 6020851 (D.Conn. Dec. 2, 2011), 2012 WL 314866 (D.Conn. Jan. 31, 2012), 2012 WL 685461 (D.Conn. Mar. 2, 2012), 281 F.R.D. 85 (D.Conn. 2012), and 936 F.Supp.2d 1 (D.Conn. 2013). Familiarity is assumed regarding the facts recounted within those opinions. However, for purposes of the pending summary judgment motion, the Court sets forth the following relevant facts, as established by the record — i.e., pleadings, affidavits, and exhibits — including those newly presented on summary judgment.
In August 2000, Plaintiff Teri Tucker was hired to supervise the telemarketing department of the New Haven Register, LLC, a company wholly-owned by Journal Register East, Inc., whose ultimate parent company is Journal Register Company ("Journal Register").
On November 3, 2003, Tucker's then counsel, Stephen P. Horner, sent a letter (herein "November 3, 2003 Letter") to Kevin Walsh, publisher of the New Haven Register, in which Horner alleged, on behalf of Tucker, that she had been wrongfully discharged and retaliated against in violation of Connecticut's discrimination statutes (Conn. Gen. Stat. § 46a-60), Title VII of the Civil Rights Act, and public policy. Doc. 154-9, Ex. H, p. 2. The letter further asserted that Journal Register had "financial exposure for such violations," which "include[d] the following: (a) reinstatement of [Tucker], or front pay; (b) payment of all lost back wages to [Tucker]; (c) reimbursement for lost fringe benefits; (d) payment of [Tucker's] attorney's fees; and (e) punitive damages." Id., p. 4. Horner also advised Walsh that if Walsh had "interest in resolving [Tucker's] claims," he should contact Horner "within two weeks of the date of this letter;" otherwise, if Horner and Walsh were "unable to resolve this matter, [Tucker] ha[d] authorized [Horner] to file administrative complaints with [the] CHRO and EEOC." Id. The letter concluded with the statement that "[i]n exchange for a severance package," Tucker would be willing to "provide a full release of liability and agree to maintain the terms of the agreement as fully confidential." Id., p. 4-5. As set forth below, Defendants assert that the November 3, 2003 Letter was a "demand letter" which served notice to Journal Register of a claim made against it pursuant to the 2004 Policy. Plaintiff disagrees with that characterization of the letter.
Tucker filed a Complaint with the Connecticut Commission on Human Rights and Opportunities ("CCHRO") and the Equal Employment Opportunities Commission ("EEOC") on or about March 2, 2004. Doc.100-2, Ex. B, ¶¶ 19-20.
AIG acknowledged receipt of Tucker's claim on June 1, 2004 and made a full and express reservation of rights to Journal Register's broker. Doc. 154, ¶ 41; Doc. 154-24, Ex. W (letter from Meghan McConville, AIG, to Douglas S. Worth, Marsh USA, acknowledging submission of Tucker's claim and reserving all "rights, privileges, and defenses under the policy and available at law or in equity"). At that time, Meghan McConville, in AIG's Corporate D&O Claims Department, instructed Journal Register's insurance broker, Douglas Worth of Marsh USA, Inc., to notify her of "any significant events including, litigation, mediation, arbitration, withdrawal, or settlement within the retention." Id. Four years later, Journal Register, through Marsh, contacted AIG on July 22, 2008, to advise that the "matter [was] now in suit" and "had already proceeded to a jury trial." Doc. 154, ¶ 42; Doc. 154-25, Ex. X, p. 9 ("General Note" on Claim Number 371-031428-001 (Claimant Teri Tucker) by Brian Conlin, AIG, dated July 25, 2008).
On February 28, 2006, Plaintiff filed her claim against Journal Register in Tucker I in this District, No. 3:06-CV-307 (SRU). On July 23, 2008 the jury found in her favor on all counts and awarded her $1 million in compensatory damages and $3 million in punitive damages. Tucker I, Doc. 69. The jury also found that Tucker was entitled to economic damages in an amount to be determined by the court. Id. On July 29, 2008, Judge Underhill entered judgment on the verdict in the amount of $4 million. Id., Doc. 73.
Post-trial, Tucker sought a prejudgment remedy "(PJR") to secure recovery of the judgment. Id., Doc. 75-77. In addition, she filed motions for preliminary injunction, disclosure of assets, and prejudgment and post judgment interest. Id., Doc. 77 & 107. In Tucker's memorandum in support of a PJR, her counsel noted that "[w]hile there are limitations on the amount of punitive damages under Title VII, the likely final judgment ... remains substantial." Id., Doc. 76, p. 4, para. 1.4
Defendant Journal Register opposed Plaintiff's post-trial motions and also filed, inter alia, motions to stay execution of the judgment and for a new trial. Id., Doc. 83 & 89. On February 20, 2009, Judge Underhill granted Tucker's motion for a PJR in the amount of $500,000 and her motion for disclosure of assets to satisfy the PJR. Id., Doc. 129. He specifically found that probable cause existed that a judgment of $500,000 would ultimately be entered for Tucker and that the defendant was not adequately secured by insurance. Judge Underhill, however, denied Tucker's motion to preliminarily enjoin the defendant from disposing of its assets, finding that Tucker had failed to show the existence of "irreparable harm" if the injunction were not granted. Id.
On February 21, 2009, Journal Register filed a voluntary petition for bankruptcy protection under Chapter 11 of the Bankruptcy Code in the Southern District of New York. In re Journal Register Co., et al., No. 09-10769(ALG) (Bankr. S.D.N.Y.2009). Pursuant to § 362 of the Bankruptcy Code, an automatic stay went into effect, thereby barring continuation of judicial proceedings against the debtor and its affiliated debtors to recover claims arising prior to the bankruptcy filing.
Plaintiff commenced the present action ("Tucker II") on September 23, 2009 against insurers National Union and AIG as the underwriters of the $5 million 2004 Policy issued to Journal Register, under which Plaintiff seeks to recover the $4 million judgment she recovered against Journal Register in her jury trial before Judge Underhill in Tucker I. Specifically, pursuant to her Amended Complaint, Plaintiff seeks compensatory and punitive damages "caused by the defendant insurers' failure to satisfy" the judgment in her favor and "against their insured, Journal Register Company." Tucker II, Doc. 126, p. 1 (¶ 1). As set forth below, Plaintiff alleged that after obtaining the judgment in Tucker I, she became a "subrogee and intended third party beneficiary under the policy . . . who possesses contractual and statutory rights to take legal action directly against the defendants to satisfy her judgment." Id.
On January 5, 2011, Plaintiff's unsecured claim in Journal Register's bankruptcy was reduced to $3 million in exchange for Journal Register's agreement to waive any objections to her claim in bankruptcy court. Doc. 126, p. 17 (¶ 70). With respect to Tucker I, Plaintiff and Journal Register entered into a Stipulated Settlement Agreement (Tucker I, Doc. 142-1) in which she agreed to accept $109,457.00 in exchange for providing Journal Register with a specific and general release of her claims. Moreover, as part of that agreement, Journal Register assigned all claims and rights under the 2004 Policy to Tucker, including "any and all claims against National Union, AIG and/or their or [the insured's] brokers or agents." Tucker I, Doc. 142-1, ¶ 7. Journal Register expressly excluded any representation or warranty as to the viability of any claims or rights under the 2004 Policy. Id., ¶ 8.
"Journal Register withdrew all post-trial motions pending in the underlying action [Tucker I] . . . with prejudice and agreed `to be forever barred from prosecuting said motions or seeking to affect the Judgment in any way, including through appeal.'" Tucker II, Doc. 126, ¶ 72; see also Doc. 128-2, Ex. A ("Stipulation," dated January 5, 2011), p. 5, at ¶ 4. Tucker concluded that in these circumstances, she "possesses a final judgment in the underlying action in the amount of $4 million and now stands in the shoes of the insured under the policies issued to [t]he Journal Register." Doc. 126, ¶ 73.
In this highly contested and vigorously litigated action of Tucker II, Defendants move the Court for summary judgment [Doc. 97], requesting the Court to enter "judgment in their favor on all counts" of the Amended Complaint.
Defendants initially moved this Court for summary judgment "in their favor on all counts contained in Plaintiff Teri Tucker's [original] Complaint." Doc. 97. As set forth supra, Plaintiff filed an Amended Complaint [Doc. 126] per this Court's Order [Doc. 123]. Thereafter, Defendants filed supplemental papers, renewing their motion for summary judgment and modifying it to address the currently operative Amended Complaint. Plaintiff filed opposition papers to Defendants' summary judgment motion, both in original and renewed form.
At present, Defendants seek judgment with respect to each of Plaintiffs' claims, including the following Counts: (1) breach of contract; (2) breach of the implied covenant of good faith and fair dealing; (3) recovery as a subrogee of Journal Register under Connecticut's direct action statute, Conn. Gen. Stat. § 38a-321; (4) violation of the Connecticut Unfair Trade Practices Act ("CUTPA"), Conn. Gen. Stat. § 42-110a, et seq.; (5) procedural bad faith ("in the handling Tucker's claim in violation of the common law of Connecticut"); and (6) equitable estoppel (to estop Defendants from "denying coverage of Tucker's claim after waiting 4.3 years after Tucker's claim was first submitted to deny coverage, and only after a substantial adverse verdict"). Defendants' overriding argument on summary judgment is that Tucker "has sued for recovery pursuant to a 2004 claims first made insurance policy that does not apply to her underlying claim." Doc. 98, p. 1. Specifically, Defendants argue that "Tucker's claim was first made on November 3, 2003," but "[t]he policy at issue became effective on January 12, 2004." Id. Defendants maintain that under such reasoning, if Tucker's claim against Defendants is not covered by the Policy, all of her dependent causes of action fail.
Pursuant to Federal Rule 56(a) of Civil Procedure, "[t]he court shall grant summary judgment if the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." See also Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 256 (1986); Pippins v. KPMG, LLP, 759 F.3d 235, 239 (2d Cir. 2014). "Summary judgment is appropriate where, construing all evidence in the light most favorable to the non-moving party," Pabon v. Wright, 459 F.3d 241, 247 (2d Cir. 2006), "the pleadings, the discovery and disclosure materials on file, and any affidavits show that there is no genuine issue as to any material fact and that the movant is entitled to judgment as a matter of law," Sousa v. Roque, 578 F.3d 164, 169 (2d Cir.2009) (quoting Fed. R. Civ. P. 56). See also Fincher v. Depository Trust and Clearing Corp., 604 F.3d 712, 720 (2d Cir. 2010) (same).
An issue of fact is "material" if it "might affect the outcome of the suit under the governing law," and "genuine" if "a reasonable jury could return a verdict for the nonmoving party" based upon it. Liberty Lobby, 477 U.S. at 248. See also Benn v. Kissane, 510 F. App'x 34, 36 (2d Cir. 2013) ("A genuine dispute exists `if the evidence is such that a reasonable jury could return a verdict for the nonmoving party.'") (quoting Gen. Star Nat'l Ins. Co. v. Universal Fabricators, Inc., 585 F.3d 662, 669 (2d Cir. 2009) (citation and internal quotation marks omitted)), cert. denied, ___ U.S. ___, 134 S.Ct. 78 (2013); Beyer v. County of Nassau, 524 F.3d 160, 163 (2d Cir. 2008) ("A dispute about a `genuine issue' exists for summary judgment purposes where the evidence is such that a reasonable jury could decide in the non-movant's favor.") (citation omitted). "[U]nsupported allegations do not create a material issue of fact." Weinstock v. Columbia Univ., 224 F.3d 33, 41 (2d Cir. 2000) (citations omitted), cert. denied, 540 U.S. 811 (2003).
"[T]he moving party bears the burden of showing that he or she is entitled to summary judgment." United Transp. Union v. Nat'l R.R. Passenger Corp., 588 F.3d 805, 809 (2d Cir. 2009). Once that burden is satisfied — for example, by presenting documentary evidence and/or sworn affidavits — the non-moving party must present sufficient evident to demonstrate that a reasonable fact-finder could find genuine issues of fact. Wright v. Goord, 554 F.3d 255, 266 (2d Cir. 2009). Furthermore, the nonmoving party "cannot escape summary judgment merely by vaguely asserting the existence of some unspecified disputed material facts, or defeat the motion through mere speculation or conjecture." Western World Ins. Co. v. Stack Oil, Inc., 922 F.2d 118, 121 (2d Cir. 1990) (citations and internal quotation marks omitted). The "mere of existence of a scintilla of evidence in support of the [nonmoving party's] position will be insufficient; there must be evidence on which the jury could reasonably find for [him]." Dawson v. County of Westchester, 373 F.3d 265, 272 (2d Cir. 2004) (quoting Liberty Lobby, 477 U.S. at 252). See also BellSouth Telecomms., Inc. v. W.R. Grace & Co., 77 F.3d 603, 615 (2d Cir.1996) (to defeat summary judgment, "conclusory allegations or denials" will not suffice).
In ruling on a motion for summary judgment, the district court must "resolve all ambiguities and draw all permissible factual inferences in favor of the party against whom summary judgment is sought." Donnelly v. Greenburgh Cent. School Dist. No. 7, 691 F.3d 134, 141 (2d Cir. 2012) (citation and internal quotation marks omitted). Summary judgment is appropriate only "[w]here the record taken as a whole could not lead a rational trier of fact to find for the non-moving party." Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587 (1986); accord Donnelly, 691 F.3d at 141. "[A]t the summary judgment stage the judge's function is not himself to weigh the evidence and determine the truth of the matter but to determine whether there is a genuine issue for trial." Redd v. New York Div. of Parole, 678 F.3d 166, 173-74 (2d Cir. 2012) (quoting Liberty Lobby, 477 U.S. at 249).
With respect to her breach of contract claim in Count One, Plaintiff alleges that Defendants' "failure to provide coverage for Tucker's claim and [to] pay Tucker's judgment is a breach of its contract with its insured, which has been the proximate cause of substantial compensatory and actual damages to Tucker." Doc. 126, ¶ 87. In moving to dismiss this claim on summary judgment, as set forth supra, Defendants assert that Tucker's judgment, as secured in Tucker I, falls outside the specified coverage of the 2004 Policy and, accordingly, Defendants' failure to pay Tucker's judgment does not constitute of a breach of that policy.
With respect to Count One, Defendants emphasize that in Plaintiff's original Complaint [Doc. 1], she "judicially admitted that the 2004 Policy `provides coverage for the Journal Register, and its subsidiaries, on claims first made between January 12, 2004 to January 12, 2005." Doc. 98, p. 4 (quoting Doc. 1, p. 4, ¶ 9). In support of said factual admission, Defendants cite Ferreira v. Pringle, 255 Conn. 330, 345 (2001), holding that "[f]actual allegations contained in pleadings upon which the case is tried are considered judicial admissions and hence irrefutable." Doc. 98, p. 4.
Defendants further argue that Tucker first made a "claim" within the meaning of the 2004 Policy when her "retained legal counsel [ Stephen P. Horner] . . . sent a factually detailed demand letter to Mr. Kevin Walsh, publisher of the New Haven Register, on November 3, 2003," alleging wrongful discharge and retaliation in violation of the Civil Rights Act of 1964 (Title VII),
Defendants stress that pursuant to the 2004 Policy, coverage was "generally limited to liability for only those claims that [were] first made against the insureds during the policy period and reported in writing to the insurer pursuant to the [Policy's] terms." Doc. 153, p. 8 (quoting Doc. 100-2 (2004 Policy, "Notice" in preamble), p. 30, para. 1) (emphasis in original). The "Policy Period," as explicitly defined, was from "January 12, 2004 to January 12, 2005." Doc. 153, p. 8 (quoting Doc. 100-2, p. 30 ("Declarations," Item 3). Moreover, the 2004 Policy specified that it would "pay the Loss of each and every Insured arising from a Claim first made against such Insured during the Policy Period . . . and reported to the Insurer pursuant to the terms of this policy for any actual or alleged Employment Practices Violation." Doc. 153, p. 8 (quoting Doc. 100-2, p. 34 ("Insuring Agreements," ¶ 1)). Under the Policy's listed definitions, a "claim" included, inter alia, "a written demand for monetary or non-monetary relief." Doc. 153, p. 9 (quoting Doc. 100-2, p. 34, ¶ 2(b)).
Defendants also stress that pursuant to Section 18 of the Policy, with respect to actions against National Union, as the "insurer," "no action shall lie against the Insurer unless, as a condition precedent thereto, there shall have been full compliance with all the terms of this policy . . ." Doc. 100, p. 9-10, ¶ 38 (citing Doc. 100-2, p. 47 (¶ 18, "Action Against Insurer")). Defendants further point to an email sent by Tucker's counsel on March 11, 2009 in the Journal Register East bankruptcy proceedings when he was "seeking a copy of the 2004 Policy and agreement to obtain relief from the [bankruptcy] stay to pursue Journal Register's claim for coverage against National Union." Doc. 100, p. 11, ¶ 40. In that email, Tucker's counsel, Jed Horwitt, wrote to Journal Register's counsel: "We understand that there are coverage issues and I assume the client may be concerned about having blown coverage. That is something we can work on together." Doc. 100-22 (email from Jed Horwitt, Esq., counsel for Tucker, to Shaunna D. Jones, Wilkie Farr & Gallagher LLP, Mar. 11, 2009).
In sum, according to Defendants, Tucker "sued for recovery pursuant to a 2004 claims first made insurance policy that does not apply to her underlying claim." Doc. 98, p. 1. She allegedly first made her claim on November 3, 2003, but the policy at issue became effective on January 12, 2004. Id. Therefore, Defendants maintain that her claim, having predated the applicable policy period, fell outside of it. Id.; see also Doc. 153 (Defendants' Supplemental Memo), p. 9-19.
Plaintiff responds that her claim should not be precluded because the "November 2003 letter does not satisfy the narrow definition of `Claim' in the Policy." Doc. 143, p. 1. She emphasizes that the 2004 Policy defines a "claim" as "[a] written demand for monetary or non-monetary relief," Doc. 143-1, § 2(b), and distinguishes such language from that of Conn. Gen. Stat. § 38a-327-1(a), defining "claim" to include "[w]ritten notice of any action or omission of the insured, or of any incident, alleged to have caused injury that the insured is legally obligated to pay, whether or not constituting a legal complaint." Doc. 143, p. 16-17. In making such a distinction, she contends that Defendants "indirectly prompt the Court to import the definition of `claim' from an extraneous source;" and in so doing, "they violate the settled principles of insurance contract construction." Id., p. 1.
In arguing that the November 3, 2003 Letter [Doc. 154-9] does not constitute a claim, she concedes that the letter was "obviously . . . from an attorney," but points out that "it contains no 'demand for monetary or equitable relief,' which is what is required be the unambiguous language of section 2(b) of the Policy." Doc. 143, p. 15. "[I]nstead," she claims, the letter merely "offers or proposes to release Tucker's claims in exchange for severance." Id. "[I]t does not demand any amount of money or equitable relief such as reinstatement" and "invites a discussion of settlement." Id. In sum, Plaintiff contends that the letter was a "proposal" rather than a "demand." Id., p. 23.
In further support of her argument, Plaintiff cites a Fourth Circuit case, SNL Financial, LC v. Philadelphia Indemnity Insurance Company, 455 F. App'x 363 (4th Cir. 2011), which Plaintiff contends "strongly supports [her] position that the November 2003 letter was not a `claim' as defined by the [2004] policy." Doc. 155, p. 3. Specifically, Plaintiff asserts that the Court in SNL found that "two letters from an attorney discussing `certain discriminatory conduct'" made no demand for money or equitable relief and therefore were not "claims" within the meaning of the relevant policy. Id., p. 4.
Tucker asserts that her claim was actually first made when her counsel "filed her CHRO/EEOC charge in May 2004 and the Journal Register gave notice of it." Doc. 155, p. 2. That administrative filing occurred during the 2004 Policy Period; and Defendants acknowledged notice of her claim on June 1, 2004. Id.
Alternatively, Plaintiff argues that even if the Court finds that the November 3, 2003 Letter constituted a "claim," her action should not be precluded because Defendants should not be allowed to "play `gotcha' by claiming that they should have first heard about Tucker's potential claim in November 2003, instead of May 2004 (while never complaining about this fact for seven years after receiving notice)." Doc. 155-1, p. 20.
Tucker points to the fact that "Journal Register continued to renew the Policy with National Union every year from 2000 through 2008." Id., p. 20. She asserts that "[c]ourts have recognized that successive renewals of an insurance policy make an insurer's claims of late notice much less persuasive on claims which span, or are claimed to span, the renewal dates of two given policy years." Id. (citing Cast Steel Products, Inc. v. Admiral Ins. Co., 348 F.3d 1298, 1304 (11th Cir. 2003)) (holding that it is "illogical and inequitable to deny coverage to the insured who chooses to renew its claims-made policy for successive years with the same insurer" — especially where the claim was made "mere hours after expiration" of one policy and during the period when the next policy became effective)), cert. denied, 541 U.S. 1071 (2004)).
Lastly, Plaintiff argues that Defendants should be estopped from now claiming "late notice" because they have twice previously affirmed that the 2004 Policy was the correct policy under which to adjust Tucker's claims, especially when they were in receipt of the November 3, 2003 Letter long before making their statements that the claim is not covered.
Pursuant to Connecticut law, "[i]t is the function of the court to construe the provisions of the contract of insurance." QSP, Inc. v. Aetna Cas. & Sur. Co., 256 Conn. 343, 351 (2001) (citation and internal quotation marks omitted). Moreover, "[a]n insurance contract is interpreted under ordinary common-law contract principles," and courts must "give effect to the intent of the parties as expressed in the clear language of the contract." MBIA Inc. v. Fed. Ins. Co., 652 F.3d 152, 158 (2d Cir. 2011) (quoting Morgan Stanley Grp., Inc. v. New Eng. Ins. Co., 225 F.3d 270, 275 (2d Cir. 2000)); accord Griswold v. Union Labor Life Ins. Co., 186 Conn. 507, 442 A.2d 920, 923 (Conn. 1982). When a contract's terms are unambiguous, the plain meaning of those terms will control. Buell Indus., Inc. v. Greater N.Y. Mut. Ins. Co., 259 Conn. 527, 545 (2002). "If the words in the policy are plain and unambiguous . . . the language, from which the intention of the parties is to be deduced, must be accorded its natural and ordinary meaning, and courts cannot indulge in a forced construction ignoring provisions or so distorting them as to accord a meaning other than that evidently intended by the parties." Id. (citation omitted). See also Jurrius v. Maccabees Mut. Life Ins. Co., 587 F.Supp. 1301, 1304-05 (D.Conn. 1984) (1984) ("insurance policies must be construed as a whole, taking all of their relevant provisions together," reading "the policy language as a layman," without "tortur[ing] words to import ambiguity" where none exists) (citations and internal quotation marks omitted).
Moreover, "[e]ach and every sentence, clause, and word of a contract of insurance should be given operative effect. Since it must be assumed that each word contained in an insurance policy is intended to serve a purpose, every term will be given effect if that can be done by any reasonable construction. . . ." Buell Indus., Inc., 259 Conn. at 539 (citation and internal quotation marks omitted); accord Downs v. Nat'l Cas. Co., 146 Conn. 490, 495 (1959) (in interpreting an insurance contract, the Court has a duty to give each provision "effect, if possible" so that "no word or clause [should be] eliminated as meaningless, or disregarded as inoperative, if any reasonable meaning consistent with the other parts of the policy can be given to it").
In addition, an insurance policy "must be read pursuant to the law existing when [the insurance contract was] entered into . . . because it is presumed that the parties bargained with each other on the basis of existing law." Aetna Cas. & Sur. Co. v. Lighty, 3 Conn.App. 697, 701 (1985) (citations omitted).
Perhaps most importantly with respect to this case, when interpreting insurance contracts, federal courts have consistently recognized the fundamental distinction between "claims made" and "occurrence" policies. With respect to this distinction, the United States Supreme Court noted that "[i]n place of [the] traditional `occurrence' trigger of coverage," insurers may desire "a `claims made' trigger, obligating the insurer to pay or defend only those claims made during the policy period." Hartford Fire Ins. Co. v. California, 509 U.S. 764, 771 (1993). "Such a policy has the distinct advantage for the insurer that when the policy period ends without a claim having been made, the insurer can be certain that the policy will not expose it to any further liability." Id.
In Checkrite Ltd., Inc. v. Illinois Nat'l Ins. Co., 95 F.Supp.2d 180, 191 (S.D.N.Y. 2000), Judge Sweet elaborated usefully upon the distinction between "claims made" and "occurrence" policies:
This Court offered the same analysis in Amer. Home Assur. Co. v. Abrams, 69 F.Supp.2d 339, 346 (D.Conn. 1999) (Goettel, J.) ("The essence of a claims-made policy is notice to the carrier within the policy period. Such a policy has the distinct advantage for the insurer of providing certainty that, when the policy period ends without a claim having been made, the insurer will be exposed to no further liability. The insurer can better set `reserves' for potential losses.") (internal citation omitted).
In a "claims made" policy, the insurer's limited obligation to cover only those claims made during the policy period is "material" to the parties' agreement — in fact, "the essence of the insurance agreement which permits insurers to rationally estimate appropriate reserves and thus allow lower rates on insurance." ITC Invs., Inc. v. Emp'rs Reinsurance Corp., No. CV98115128, 2000 WL 1996233, at *14 (Conn. Super. Ct. Dec. 11, 2000). It thus follows that "[c]laims made policies are generally cheaper; the insurer trades a reduced coverage period and the ability to `close the book on an account' in exchange for lower payments." Bepko v. St. Paul Fire & Marine Ins. Co., No. 3:04-CV1996 (PCD), 2006 WL 2331076, at *8 (D.Conn. Aug. 10, 2006). "Claims made policies can be especially useful in more complicated insurance situations where damages may not appear for some time." Id. Moreover, "Connecticut has no statute prohibiting or limiting claims made policies." Id.
Connecticut courts have enforced the plain language of claims first made policies to hold there is no coverage when the claim is made before the operative date of the policy. ITC Invs., 2000 WL 1996233, at *12; City of New London v. Gen. Star Indem. Co., No. 532435, 1995 WL 684792, at *2-3 (Conn. Super. Ct. Nov. 13, 1995) (denying coverage for employee's claim made one month before effective date of claims first made policy).
In ITC Investments, Inc. v. Employers Reinsurance Corporation, a Connecticut court summarized, as follows:
2000 WL 1996233, at *14.
Moreover, the "only roughly analogous problem arises in cases where in claims made policies the act of negligence for example occurs during the policy period or a retroactive period, a claim or suit is brought within the policy period but the claim is not reported to the insurer until after the effective date of the policy period." ITC Invs., 2000 WL 1996233, at *14. Under those circumstances, the insured often argues that coverage should exist due to the "so-called notice/prejudice rule to the effect that the breach of a policy provision by an insured cannot provide a valid defense to the insurer unless the insurer substantially was prejudiced by the breach." Id. (citing Burns v. Int'l Ins. Co., 929 F.2d 1422, 1424 (9th Cir. 1991)). However, "[t]he Burns court and every other court this writer could find have held that the so-called notice/prejudice rule does not apply to claims made policies in this situation." ITC Invs., 2000 WL 1996233, at *14 (emphasis added) (collecting cases). "The application of the prejudice rule here would negate the purpose of the claims made policy by creating insurance coverage for which the parties did not contract." ITC Invs., 2000 WL 1996233, at *14 (quoting Brumfield v. Shelton, 831 F.Supp. 562, 566 (E.D. La. 1993)).
In the case at bar, the 2004 Policy is, as Defendants assert, a "claims made" policy on its face. Pursuant to section 1, outlining the "Insuring Agreements," the parties agreed that the 2004 "policy shall pay the Loss of each and every Insured arising from a Claim first made against such Insured during this Policy Period or the Discovery Period (if applicable) and reported to the Insurer pursuant to the terms of this policy for any actual or alleged Employment Practices Violation."
A "Claim," for the purposes of this Policy, is explicitly defined by the Policy itself, which provides in pertinent part:
Id. at p. 34. Such "[a] Claim shall be considered to have been first made against the Insured when written notice of such Claim is received by any Insured, by the Company on behalf of any Insured or by the Insurer, whichever comes first." Id. (section 7), p. 40 (emphasis added).
The Court finds that the relevant terms of the 2004 Policy are plain and unambiguous. The language of these provisions, from which the intention of the parties is to be deduced, must be accorded its natural and ordinary meaning. The Court must therefore give effect to the intent of the parties as expressed in the language of the policy. I find that it is clear from the terms of the aforementioned sections that the parties intended to create a "claims made first" policy. In sum, the Defendants agreed to cover liability under the 2004 Policy only if a claim was first made against the insured Journal Register during the policy period of January 12, 2004 to January 12, 2005. Any claim made before January 12, 2004 would fall outside the policy.
Furthermore, under the Policy, as Defendants assert, one instance when a claim was "first made" was when the Insured received a written notice of a demand for monetary or non-monetary relief. A layman's interpretation of demand would be a request for something. A claim under the policy would thus include, for example, a demand letter from a party seeking recovery against the Insured.
In the case at bar, on November 3, 2003, when Tucker's then-attorney, Stephen Horner, penned a letter to Kevin Walsh, in his capacity as "Publisher, New Haven Register," that letter contained multiple characteristics of a "demand" letter in that it clearly set forth an urgent request. Specifically, the letter detailed Tucker's alleged claims against her employer in written form and requested a severance package, "[i]n exchange [for which she would] provide a full release of liability" for the claims. See Doc. 154-9, p. 4-5. In essence, that letter constituted "a written demand for monetary or non-monetary relief" — a "claim" as that term is defined in the 2004 Policy. See Doc. 100-2 (2004 Policy), p. 34.
The Court has duly considered Plaintiff's argument that the November 3, 2003 Letter is not a "claim," as defined by the 2004 Policy because no "demand" for monetary or equitable relief was made. However, the Court is unpersuaded by that argument. In the common parlance of a layman, a "demand" is "a forceful statement in which [one] say[s] that something must be done [for] or given to" that person. See
Construing the language of the 2004 Policy "in accordance with the parties' intent, as derived from the plain and ordinary meaning of the policy's terms," Allstate Ins. Co. v. Quito, No. 3:06cv1671 (PCD), 2007 WL 2221163, at *3 (D.Conn. Aug. 2, 2007), the Court concludes that the November 3, 2003 Letter constituted a "claim" under the Policy.
In interpreting whether a letter constitutes a demand, and thus a "claim," in the insurance context, courts have repeatedly recognized that a letter need not expressly demand payment to constitute a "demand letter." See, e.g., Westrec Marina Mgmt., Inc. v. Arrowood Indem. Co., 163 Cal.App.4th 1387, 1393, 78 Cal.Rptr.3d 264 (2008) (letter to employer constituted a claim under liability insurance policy because although that letter "did not expressly demand payment or refer to any specific amount, its meaning was clear that, absent some form of negotiated compensation, [employee] would commence a lawsuit"); Richardson Electronics, Ltd. v. Federal Ins. Co., 120 F.Supp.2d 698, 701 (N.D. Ill. 2000) ("A claim is a demand for something due. A demand for money is not required for a claim").
Furthermore, Plaintiff's supplemental authority of SNL Financial, LC v. Philadelphia Indemnity Insurance Company, 455 F. App'x 363, 368 (4th Cir. 2011), is factually distinguishable from the present case. SNL Financial, LC ("SNL") contracted with Philadelphia Indemnity Insurance Company ("Philadelphia") to cover losses SNL sustained for "claims" involving employment actions during the stated policy period of August 1, 2007 to August 1, 2008. The policy was a claims made policy and defined "claim" as: "1. a written demand for monetary or non-monetary relief; [ or] 2. a judicial or civil proceeding commenced by the service of a complaint or similar pleading." SNL Fin., LC, 455 F. App'x at 365. The policy was renewed by SNL and Philadelphia for August 1, 2008 to August 1, 2009.
In January 2008, SNL received two letters from an attorney, Schwartz, representing a former employee, Greenberg, whom SNL had discharged. In those letters, Schwartz "request[ed] to meet with SNL representatives" to "pursue a possible amicable resolution of the issues" that "occurred during the course of [Greenberg's] employment with [SNL], including its [sic] termination." Id. "In neither of his two letters did Schwartz threaten litigation or make a demand, monetary or otherwise, that SNL resolve any potential lawsuit." Id. at 365-66.
On October 3, 2008, Greenberg filed a complaint against SNL in a New York state court, asserting causes of action for age and employment discrimination. SNL received a copy of the complaint by mail on October 20, 2008, and notified Philadelphia of the complaint on October 27, 2008. After receiving said notice, Philadelphia sent a letter to SNL disclaiming any duty to defend SNL against Greenberg's lawsuit, and declining to pay for either SNL's defense or for any damages assessed against it. Philadelphia based its decision on SNL's alleged failure to provide Philadelphia with timely notice of Greenberg's "claim" under the 2007 policy and SNL's alleged failure to disclose the existence of pending litigation when the 2007 policy was renewed in August 2008. Id. at 366.
SNL then filed a declaratory judgment action against Philadelphia in Virginia state court; and the action was removed to the United States District Court for the Western District of Virginia. The parties filed cross motions for summary judgment. The court granted SNL's motion and denied Philadelphia's motion. Id. at 367.
On appeal to the Fourth Circuit, Philadelphia argued, inter alia, that the district court erred by concluding that SNL did not receive notice of a "claim" when it received Schwartz's two letters requesting a meeting to discuss Greenberg's grievances in January 2008. Id. Philadelphia asserted that Greenberg's claim was first made when SNL received those letters and thus Philadelphia was entitled to notice of the claim within the terms of the 2007 policy — "as soon as practicable," but "no later than 60 days after the expiration date of the policy." Id. at 365.
The Fourth Circuit affirmed the district court's ruling in favor of SNL, as follows:
Id. at 366.
In the case at bar, as discussed supra, the November 3, 2003 Letter was more direct and accusatory in tone than the SNL letters. Attorney Horner stated outright that he had "met with [his] client regarding the circumstances leading up to her recent discharge" and concluded that her discharge "was in violation of the law." Doc. 154-9, p. 2. He thus listed the "claims" she could pursue. Id. Specifically, Journal Register had "financial exposure" for a list of "violations" from its treatment of Tucker, including its "outrageous and pretextual act of discharging [her] because her testimony would not help the Company's defense" in an unrelated sexual harassment matter. Id., p. 4. Horner stated that if he did not hear from Journal Register "within two weeks of the date of this letter," he was authorized to "file administrative complaints with the CHRO and EEOC." Id. Horner concluded by specifying that "a severance package" would suffice for Tucker to "provide a full release of liability" and "to maintain the terms of the agreement as fully confidential." Id. at 4-5. All in all, the message was clear — agree within two weeks to a severance package or face administrative action. Unlike in SNL, this letter was not a mere overture or attempt to discuss issues during Tucker's employment. It was a thinly veiled ultimatum, a prelude to litigation.
Furthermore, because the letter was delivered to the New Haven Register, a subdivision of the insured Journal Register, on November 3, 2003, it constituted a claim "first made" on that date — i.e., a written notice of a claim "received by any Insured, by the Company, on behalf of any Insured or be the Insurer, whichever comes first."
Because that claim was first made in November 2003 — before the effective "Policy Period" — on the face of the 2004 Policy, Defendants are not obligated to indemnify Tucker with respect to the judgment she obtained in Tucker I. There is no provision for coverage of claims outside of the Policy Period.
With respect to Plaintiff's argument that her claim against the insurers should be allowed because "Journal Register continued to renew the [EPL]Policy with National Union every year from 2000 through 2008," Doc. 143, p. 20, each individual policy, although a renewal, had its own Policy Period within which claims could be filed. Had Plaintiff provided notice of her November 2003 claim to the Defendants within the specified notice period of the 2003 Policy, that claim might have been covered by that policy.
Similarly, Plaintiff's equitable argument regarding late notice misses the mark. In that argument, Plaintiff focuses on the fact that Journal Register renewed its Employment Practices Liability Policy with Defendants over a period of successive years. She thus asserts that "[c]ourts have recognized that successive renewals of an insurance policy make an insurer's claims of late notice much less persuasive on claims which span, or are claimed to span, the renewal dates of two given policy years." Doc. 143, p. 20. In support, Plaintiff cites Cast Steel Products, Inc. v. Admiral Insurance Company, 348 F.3d 1298, 1304 (11th Cir. 2003). However, the court's holding in Cast Steel Products pertained to extension of a notice period for a claim, which the Court found existed through ambiguous policy terms. In that case, the insured brought a declaratory judgment action against the insurer, seeking a declaration that the insured's claims-made professional liability policies covered a defective product claim that accrued at the conclusion of one policy period but was not reported until the start of the renewal policy period. The insurer received summary judgment from the district court because the claim was not made and reported during the same policy year; but the Court of Appeals for the Eleventh Circuit reversed, holding that there was ambiguity in the particular policies as to whether a 30-day extension of the reporting period — in effect if the policy was not renewed or canceled — also existed if the policy was renewed. Consistent with established common law in the applicable state of Florida, the court construed the ambiguity in the insurance policy "in favor of the insured so as to not deny coverage." 348 F.3d at 1300. The insured would thus receive coverage under the expired policy.
In the case at bar, Plaintiff seeks recovery under the 2004 Policy, not the expired 2003 Policy.
Even assuming arguendo that the 2003 Policy contained the same notice provisions as the 2004 Policy, the latest an insured could provide notice to the insurer under such a policy was 30 days after the claim had first been made.
As Plaintiff concedes, Journal Register first gave Defendants notice of Tucker's claim in May of 2004, when "Tucker filed her CHRO/EEOC charge in May 2004 and the Journal Register gave notice of it." Doc. 155, p. 2.
Unlike in Cast Steel Products, where the insured sought extension of an expired policy during which claims had been made, Plaintiff seeks recovery under a policy that did not yet exist at the time her claim was made. The ruling of Cast Steel Products, which is in any event not binding upon this Court, is inapposite. Tucker has consistently asserted that the 2004 Policy is the relevant policy for coverage of her claim. That claim, however, was first made before the 2004 Policy became effective on January 12, 2004. Under such circumstances, her claim fails. The parties contracted for the claims first made coverage provided in the 2004 Policy; and the insured is entitled to no more and no less coverage.
Lastly, with respect to Plaintiff's argument that Defendants should be estopped from now claiming "late notice," the Court finds that the equitable arguments of estoppel and waiver do not bear on such a claims first made policy. "The requirement that claims be reported within a specified time period is `the trigger for coverage' under a claims-made policy, not a defense to existing coverage, and cannot be waived." Checkrite Ltd., Inc. v. Illinois Nat. Ins. Co., 95 F.Supp.2d 180, 190 (S.D.N.Y. 2000) (citing Calocerinos & Spina Consulting Eng'rs, P.C. v. Prudential Reinsurance Co., 856 F.Supp. 775, 780 (W.D.N.Y.1994)). "[W]here the issue is the existence or nonexistence of coverage (e.g., the insuring clause and exclusions), the doctrine of waiver is simply inapplicable." Checkrite Ltd., 95 F.Supp. 2d at 190 (quoting Calocerinos, 856 F.Supp. at 780).
Furthermore, even if, assuming arguendo, estoppel were applicable in this context, "estoppel always requires proof of two essential elements: the party against whom estoppel is claimed must do or say something calculated or intended to induce another party to believe that certain facts exist and to act on that belief; and the other party must change its position in reliance on those facts, thereby incurring some injury." Union Carbide Corp. v. Danbury, 257 Conn. 865, 873 (2001) (internal quotation marks omitted.). Here, Defendants argue that "[b]efore this lawsuit was filed neither Tucker [n]or Journal Register ever disclosed that her claim was first made in 2003." Doc. 153, p. 2; see also id., p. 7; Doc. 154-10, Ex. I (Affidavit of Elizabeth M. Mahoney, attesting to fact that "[i]n response to a subpoena issued by EAPD [law firm Edwards Angell Palmer & Dodge, LLP] on behalf of the defendants, Journal Register East Inc. produced business records"). Consequently, Defendants argue that prior to Tucker II, they did not know Tucker's claim was first made in 2003 and thus fell outside the coverage of the 2004 Policy.
Plaintiff, on the other hand, argues that Defendants are incorrect as to when they learned of the November 3, 2003 Letter. She asserts that "it is indisputable that AIG had notice of the letter no later than September 3, 2008;" and that it is likely, based on facsimile transmission stamps, that AIG actually received the November 3, 2003 Letter as an enclosure with the May 13, 2004 letter from Marsh to AIG, notifying AIG of Tucker's claim. Doc. 143, p. 24-25.
Despite this factual dispute between the parties as to when Defendants obtained the November 3, 2003 Letter, there is no indication in the record that Defendants intentionally misled Tucker to believe her claim was covered under the 2004 Policy. Moreover, there is no indication that Defendants' erroneous affirmation that the 2004 Policy was the applicable policy caused Tucker to change her position. Rather, her position has always been, as it is today, that her claim is covered by the 2004 Policy.
Moreover, "[i]t is the burden of the person claiming the estoppel to show that he exercised due diligence to ascertain the truth and that he not only lacked knowledge of the true state of things but had no convenient means of acquiring that knowledge." Prudential Prop. & Cas. Ins. Co. v. Anderson, 101 Conn.App. 438, 447 (2007) (citation and internal quotation marks omitted), cert. denied, 283 Conn. 911 (2007). In the case at bar, the plain language of the 2004 Policy was accessible to Journal Register and thereafter to Tucker's counsel. With due diligence, Tucker and/or her counsel could have ascertained that it was a "claims made" policy with a set policy period.
With respect to waiver, that term is defined as "the intentional relinquishment or abandonment of a known right or privilege." Rosado v. Bridgeport Roman Catholic Diocesan Corp., 292 Conn. 1, 57-58 (2009). As set forth supra, insurers cannot waive their "claims made" provisions because the necessity to file one's claim in a claims made policy is the "triggering event" to coverage, not merely a term of the policy. Checkrite Ltd., Inc., 95 F.Supp. 2d at 190.
Finally, in general, it is well established that waiver and estoppel "are not available to broaden the coverage of a policy so as to protect the insured against risks not included therein or expressly excluded therefrom." 1 A.L.R.3d 1139, at § 2[a] (Orig. pub. 1965). "The theory underlying this rule seems to be that the company should not be required by waiver and estoppel to pay a loss for which it charged no premium, and the principle has been announced in scores of cases involving almost every conceivable type of policy or coverage provision thereof." Id. Coverage for claims made outside the policy period is not included in a claims made policy and hence no premium has been charged for such claims. See, e.g., Cambridge Mut. Fire Ins. Co. v. Sakon, 132 Conn.App. 370, 383-84 (2011) ("In the insurance context . . . it has been recognized that a contract, under the guise of waiver, [may not] be reformed to create a liability for a condition specifically excluded by the specific terms of the policy. . . . This limitation on the applicability of waiver to an insurance contract recognizes that because waiver requires the relinquishment of a known, and therefore existing, right within the insurance contract, a party cannot create through waiver coverage for a claim that the parties expressly had excluded from that contract.") (citing Heyman Assocs. No. 1 v. Ins. Co. of Pennsylvania, 231 Conn. 756, 777 (1995)).
Plaintiff asserts that Defendants were dilatory in failing to detect and/or state that the 2004 Policy was not the correct policy under which to adjust Tucker's claims. Nonetheless, there is no evidence that the Defendants intentionally sought to mislead Tucker with respect to her claims. As set forth, supra, Tucker's counsel, who obtained possession of the 2004 Policy could have read its terms and taken notice of its "claims made" character and applicable policy period. Tucker cannot therefore claim that she relied on the Defendants' reading of the 2004 Policy to her detriment. Rather, she relied on her counsel to interpret the contract and the evidence and to take the appropriate legal action, if any.
Tucker's judgment in Tucker I falls outside the coverage of the 2004 Policy, under which she seeks recovery.
Under Connecticut law, "[i]t is axiomatic that the duty of good faith and fair dealing is a covenant implied into a contract or a contractual relationship." Renaissance Mgmt. Co. v. Conn. Hous. Fin. Auth., 281 Conn. 227, 240 (2007). As the Connecticut Supreme Court articulated:
Renaissance Mgmt. Co., 281 Conn. at 240 (citation and internal quotation marks omitted).
To establish a valid "bad faith" claim, a party must prove: "(1) two parties entered into a contract from which the plaintiff reasonably expected a benefit, (2) the defendant's actions denied or obstructed the plaintiff's expected benefit of the bargain, and (3) the injurious actions were the product of the defendant's bad faith." Royal Indem. Co. v. King, 532 F.Supp.2d 404, 414 (D. Conn. 2008) (quoting Owen v. Georgia-Pacific Corp., 389 F.Supp.2d 382, 393 (D.Conn.2005), aff'd sub nom., Arrowood Indem. Co. v. King, 699 F.3d 735 (2d Cir. 2012). "Bad faith in general implies both actual or constructive fraud, or a design to mislead or deceive another, or a neglect or refusal to fulfill some duty or some contractual obligation, not prompted by an honest mistake as to one's rights or duties, but by some interested or sinister motive. Bad faith means more than mere negligence; it involves a dishonest purpose." De La Concha of Hartford, Inc., 269 Conn. 424, 433 (2004) (citation, internal quotation marks, and ellipsis omitted).
Recently the Connecticut Supreme Court further clarified that "because the covenant of good faith and fair dealing only requires that neither party to a contract do anything that will injure the right of the other to receive the benefits of the agreement, it is not implicated by conduct that does not impair contractual rights." Capstone Bldg. Corp. v. Am. Motorists Ins. Co., 308 Conn. 760, 795 (2013) (citation, internal quotation marks, and brackets omitted). In so holding, the Connecticut Supreme Court reasoned that "[t]he covenant of good faith and fair dealing presupposes the terms and purpose of the contract are agreed upon by the parties and that what is in dispute is a party's discretionary application or interpretation of a contract term." Id. (citation omitted) (emphasis in original). "Because bad faith actions require the denial of benefits under the policy, [the court] must analyze the plaintiffs' proposed cause of action based on the actual terms of the insuring agreement." Id. at 796. Unless there is an alleged failure to provide a contractually mandated benefit, there is no viable bad faith claim. Id. Put simply, "[t]he implied duty of good faith and fair dealing is `a purely instrumental duty intended to protect insureds' rights to receive their policy benefits." Id. at 796-97 (quoting D. Richmond, "Bad Insurance Bad Faith Law," 39 Tort Trial & Ins. Prac. L.J. 1, 18 (2003)).
In sum, "[a] bad faith cause of action not tied to duties under the insurance policy must therefore fail as a matter of law." Capstone, 308 Conn. at 797; see also Heyse v. Case, 114 Conn.App. 640, 652 (2009) (no bad faith liability when defendant did not "[impair the plaintiff's] right to enforce any benefits to which she was entitled under [the] policy"), cert. denied, 293 Conn. 905 (2009).
In the case at bar, with respect to Count Two, Plaintiff has alleged the following: the "Journal Register Company and the defendants entered into a contract which conferred a benefit on the Journal Register Company;" the "defendants acted in such a way as to injure the Journal Register's benefits under the Policy;" the "defendants['] acts and omissions in its [sic] handling of Tucker's claim, i.e., its [sic] failure to investigate, failure to make a timely coverage determination for more than four years, and failure to pay, were intentional, willful, and reckless, were without any reasonable justification, and were undertaken in bad faith to avoid responsibility for paying any amount on her claim, after just having accepted a $220,000 premium and an additional premium for punitive damages coverage." Doc. 126, ¶¶ 89-91. Tucker further alleges that she "has a contractual right to sue the defendants under the terms of the Policy;" and that she "is a subrogee and an intended third party beneficiary of the Policy." Id., ¶¶ 92-93.
As set forth in Part III.B.3., supra, Tucker's contract claim falls outside the 2004 Policy. Therefore, the portion of her claim regarding Defendants' "failure to pay" must necessarily fail. As Tucker herself notes, her contractual right to sue Defendants arises under the terms of the 2004 Policy and as a subrogee of Journal Register. Accordingly, she has no greater rights than Journal Register to recover for Defendants' failure to pay. See Connecticut Sav. Bank of New Haven v. First Nat. Bank & Trust Co. of New Haven, 138 Conn. 298, 305 (1951) ("A subrogee can obtain no greater rights against a third person than its subrogor had."); see also Southland Corp. v. Self, 36 Conn.Sup. 317, 319 ( Conn. Super. Ct. 1980) ("An insurer, as subrogee or assignee of claims of its insured, stands in the insured's shoes and is subject to any and all defenses which are available against the insured had he brought suit in his own name."); accord Allstate Ins. Co. v. Appell, 39 Conn.Sup. 85, 86-87 (Conn. Super. Ct. 1983).
Tucker's claim was first made via the November 3, 2003 Letter that her then-counsel Horner sent to Journal Register. Doc. 154-9, Ex. H, p. 2. Consequently, her claim is not encompassed by the 2004 Policy. There is no genuine issue of material fact as to whether Defendants have acted in bad faith in failing to pay her claim. They cannot be liable for lack of payment on a claim not covered by the policy so there has been no substantive bad faith.
As to Tucker's allegations regarding failure to investigate and failure to make a timely coverage determination, neither investigation nor the timing of payment are express terms in the 2004 Policy. These alleged duties do not arise under any specific provisions under the Policy.
In particular, with respect to investigation, the Connecticut Supreme Court directly held that, as in "the majority of jurisdictions to consider the matter," Connecticut law "would also disallow independent actions for bad faith investigation."
The Courts of this District have recognized the impact of the Connecticut Supreme Court's holding in Capstone. In Country Club of Fairfield, Inc. v. New Hampshire Ins. Co., No. 3:13-CV-00509 (VLB), 2014 WL 3895923, at *7 (D. Conn. Aug. 8, 2014), Judge Bryant, considering the question of "whether claims handling misconduct not involving wrongful withholding of payment due under an insurance policy may constitute bad faith," observed that "it is unclear to this Court whether such a claim may be maintained in light of the Connecticut Supreme Court's decision in Capstone." See also Ridley v. Nat'l Union Fire Ins. Co. of Pittsburgh, PA, No. 3:11 CV 1713 (WWE), 2014 WL 3687739, at *2-3 (D. Conn. July 22, 2014) (recognizing that "[a] bad faith cause of action not tied to duties under the insurance policy must . . . fail as a matter of law") (quoting Capstone, 308 Conn. at 797); Chorches v. Stewart Title Guar. Co., No. 3:13-CV-01182 (JAM), 2014 WL 4494240, at *5 (D. Conn. Sept. 10, 2014) ("the underlying covenant of good faith and fair dealing in a contractual relationship `is not implicated by conduct that does not impair contractual rights;'" therefore, "because plaintiff has failed to show that [the insured] did not receive any benefits to which he was entitled under the title policy, his bad faith claim fails by equal measure") (citing and quoting Capstone, 308 Conn. at 795) (emphasis added).
In the case at bar, there is no genuine dispute regarding the material facts with respect to Plaintiff's claim for breach of the implied covenant of good faith and fair dealing. There are no contractual terms set forth in the 2004 Policy regarding method and/or timing of investigation of claims, communication by the insurer to the insured, or how/when the insurer must close the file on an insurance claim. Accordingly, absent breach of a duty under the contract (e.g., wrongful denial of a covered claim), there can be no viable bad faith claim based on deficient conduct in any of these areas. The underlying covenant of good faith and fair dealing in a contractual relationship simply "is not implicated by conduct that does not impair contractual rights," Capstone, 308 Conn. at 795. Plaintiff's claim in Count Two must be dismissed.
In Count Three, Plaintiff seeks to recover under Connecticut's direct action statute, Conn. Gen. Stat. § 38a-321, stepping into the shoes of Journal Register as subrogee and judgment creditor in the underlying action against Journal Register. Doc. 126, ¶¶ 97-100. Plaintiff further alleges that "[t]he defendants' failure to pay the judgment has been the proximate cause of substantial compensatory and actual damages to [her]." Id., ¶ 101.
Even if Tucker is a judgment creditor subrogated to Journal Register's rights against Defendants, the direct action statute does not confer upon Tucker any greater or lesser rights than the insured Journal Register would have to recover under the 2004 Policy. As this Court has previously stated, under the direct action statute, the injured party "steps into the shoes" of the insured and thus has the same rights as that party. See Brown v. Employer's Reinsurance Corp., 206 Conn. 668, 673 (1988) (under Connecticut's direct action statute, the injured party "obtains no different or greater rights against the insurer than the insured possesses and is equally subject to any defense the insurer may have against the assured under the policy.") (collecting cases).
Here, damages arising from Tucker's alleged wrongful termination are not covered by the 2004 Policy, as a consequence of the timing of when her claim was first made. That lack of coverage precludes Tucker's subrogation claim. Confronted by a subrogee, the Defendant insurers are entitled to assert all defenses that would be available to them in defending a direct action brought against them by an insured. "[T]he mere fact that a statute authorizes the injured person to bring a direct action does not permit recovery where the accident or injury is not within the coverage of the policy." Steinhoff v. Travelers Indem. Co. of Illinois, No. 558937, 2002 WL 1573353, at *4 (Conn. Super. Ct. June 18, 2002) (quoting Couch on Insurance 3d, Vol. 7, § 106.10, p. 106-21). "This is a universally accepted proposition." Steinhoff, 2002 WL 1573353, at *4. "Although the insured can make such settlements as his (sic) interests require, such a settlement is not conclusive upon the insurer which still has a right to be heard on the question of policy coverage . . . ." Id. (quoting John A. Appleman, Insurance Law and Practice, Rev. Vol. 7C, § 4690, p. 235).
As the court in Steinhoff explained, "the coverage question is a separate question both analytically and as a policy issue from the separate consideration of whether abstractly speaking § 38a-321 actions should be allowed where there has been a stipulation by an insured assigning the claim against it to the plaintiff claimants who can then proceed under the statute against the insurer." 2002 WL 1573353, at *4. "In other words, it is a truism guaranteed by the insurer's right to due process that: The claimant, in a direct action (against the insurer) has no superior right to compensation such that recovery should be allowed for a loss which is not caused by a risk which the insurer and insured agreed to have covered by the policy." Id. (quoting Couch on Insurance 3d, Vol. 7, § 106.10, p. 106-21).
In the absence of coverage under the 2004 Policy, the insured, Journal Register, would not be able to recover from its insurers for any payment the insued incurred as the result of Tucker's claim. Tucker, as subrogee, has no greater rights than Journal Register to recover from the Defendant insurers. Accordingly, Tucker's claim pursuant to Connecticut's direct action statute must fail.
In Count Four of the Amended Complaint, Plaintiff alleges violations of numerous subsections of the Connecticut Unfair Insurance Practices Act ("CUIPA"), Conn. Gen. Stat. § 38a-816(6), by way of the Connecticut Unfair Trade Practices Act ("CUTPA"), Conn. Gen. Stat. §42-110a, et seq. Specifically, Plaintiff alleges that the Defendants' "acts and omissions" in handling her claim violated CUIPA in that Defendants "failed to properly investigate the facts surrounding Tucker's claim, failed to conduct a timely or thorough investigation of the facts, failed to make any coverage determination for more than four years, and only after an adverse jury verdict against its insured . . . [and] outright refused to even participate in the alternative dispute resolution procedures specified in the Policy itself." Doc. 126, ¶¶ 103-04. Tucker further asserts that she "may bring a private right of action against the defendants for the identified CUIPA violations pursuant to the Connecticut Unfair Trade Practices Act." Id., ¶105. Lastly, she alleges that Defendants' CUIPA violations "have been the proximate cause of substantial compensatory and actual damages to [her], entitling her to recover treble and other punitive damages, in addition to satisfaction of her judgment." Id., ¶ 106.
In the world of private litigation, the CUTPA and CUIPA statutes have a significant but not entirely understood interaction. CUTPA prohibits the use of "unfair methods of competition and unfair or deceptive acts or practices in the conduct of any trade or commerce." Conn. Gen. Stat. § 42-110b. CUIPA defines "unfair methods of competition" as applied to the insurance trade. Conn. Gen.Stat. § 38a-815. "Connecticut courts generally do not recognize a private cause of action under CUIPA;" however, "violations of CUIPA may be alleged as a basis for a CUTPA claim." Royal Indem. Co. v. King, 532 F.Supp.2d 404, 410 (D. Conn. 2008)(quoting Bepko v. St. Paul Fire & Marine Ins. Co., No. 3:04 CV 01996 (PCD), 2005 WL 3619253, at *3 (D. Conn. Nov. 10, 2005)), aff'd sub nom., Arrowood Indem. Co. v. King, 699 F.3d 735 (2d Cir. 2012).
In other words, a plaintiff may assert a private cause of action based on a substantive violation of CUIPA through CUTPA's enforcement provision. See, e.g., Belz v. Peerless Ins. Co., No. 3:13-CV-01315 (JCH), ___ F.Supp.2d ___, 2014 WL4364914, at *5 (D.Conn. Sept. 2, 2014); Karas v. Liberty Ins. Corp., No. 3:13CV01836 (SRU), 2014 WL 3579524, at *4 (D. Conn. July 21, 2014) (citing McCulloch v. Hartford Life and Acc. Ins. Co., 363 F.Supp.2d 169, 181 (D.Conn. 2005) and Mead v. Burns, 199 Conn. 651, 663 (1986)).
CUTPA provides that "[n]o person shall engage in unfair methods of competition and unfair or deceptive acts or practices in the conduct of any trade or commerce." Conn. Gen. Stat.§ 42-110b(a). The statute creates a private cause of action for "any person who suffers any ascertainable loss of money or property, real or personal, as a result of the use or employment of a [prohibited] method, act or practice. . ." Conn. Gen. Stat. § 42-110g(a). "[T]o prevail in a CUTPA action, a plaintiff must establish both that the defendant has engaged in a prohibited act and that, `as a result of' this act, the plaintiff suffered an injury." Royal Indem. Co., 532 F. Supp. 2d at 411 (quoting Abrahams v. Young & Rubicam, 240 Conn. 300, 306 (1997)). "The language `as a result of' requires a showing that the prohibited act was the proximate cause of a harm to the plaintiff." Abrahams, 240 Conn. at 306.
The CUIPA statute defines "unfair methods of competition and unfair and deceptive acts or practices in the business of insurance." Conn. Gen. Stat. § 38a-816. In addition to proving a particular violation under the defined "unfair" practices in CUIPA, a plaintiff must show, with respect to "[u]nfair claim settlement practices," that Defendants were "committing or performing" said unfair practices "with such frequency as to indicate a general business practice. . . ." Conn. Gen. Stat. § 38a-816(6).
In the case at bar, Tucker alleges that "[t]he defendants, by their actions, have violated subsections (a), (b), (c), (d), (e), (f), (g),(m) and (n) of Section 38a-816 of CUIPA."
With respect to an alleged "business practice," i.e., similar unlawful conduct with respect to other insurance claimants, Plaintiff asserts the following:
Doc. 126 (Amended Complaint), p. 2.
In support of these allegations, Plaintiff lists ten legal actions against AIG and/or its subsidiaries in which she alleges there were "allegations or findings of untimely coverage determinations, abandonment of the insured, pretextual reasons for denying coverage, fraud, and failure to investigate." Id., ¶ 54. She also asserts that "[f]ormer AIG claims supervisors have alleged in other litigation that AIG and its wholly-owned subsidiaries have used a variety of stratagems to deny or delay claims, including locking checks in a safe until claimants complained, delaying payment of attorney fees until they were a year old, disposing of important correspondence during routine `pizza parties,' routinely fighting claimants for years in court over mundane claims, defending claims solely to delay payment, and obstructing the discovery process." Id., ¶ 54.
As I will demonstrate infra, these statutory claims on behalf of Plaintiff Tucker are not adequately addressed by the briefs of counsel on this motion for summary judgment. Much of the discussion in this sub-Part III.E. is based upon the Court's independent research.
I begin the present analysis with the observation that although the insurance claim Tucker asserts against the Defendant insurers, while she stands in the shoes of the insured Journal Register, fails because the claim falls outside the coverage of the 2004 Policy, that is not determinative on the viability of Tucker's claims under CUIPA by way of CUTPA. In Lees v. Middlesex Ins. Co., 219 Conn. 644, 653 (1991), the Connecticut Supreme Court stated that in a CUIPA/CUTPA action, the insurer's duty arises not from the terms of the private insurance agreement, but from the statutory duty not to engage in unfair business practices. The Lees court reasoned:
219 Conn. at 653 (emphasis added).
To state a valid claim under CUIPA/CUTPA, a plaintiff must allege: (1) that the insurer engaged in an unfair insurance practice as defined under CUIPA, and (2) that he or she was proximately harmed by the insurer's procedural bad faith. Royal Indem. Co., 532 F. Supp. 2d at 413 (D. Conn. 2008). Tucker has pled both such factors. For example, she alleges that Defendants failed to investigate her claim. In particular, she asserts that AIG failed to contact Journal Register to gather information and placed the claim on "inactive" status within 90 days after Douglas Worth of Marsh, USA, wrote to Keith Zinsley of AIG, on May 13, 2004, informing AIG that Tucker had filed a CHRO complaint. Doc. 143, p. 5; Doc., 143-2, Ex. 2, p. 5 (Response 5.) Plaintiff further asserts that "[t]here are no notes in the claim file showing that Meghan McConville, or any other AIG employee, ever placed any phone calls, requested any documents, attempted to schedule any interviews, sent any follow up letters, made any coverage determination, or made any other attempts to contact the insured before the file was closed in March 2005." Doc. 143, p. 5-6; Doc. 143-7, -8, & -12, Exs. 7, 8, & 12. In sum, she asserts that there remain genuine issues as to whether Defendants' conduct in handling Tucker's claim constituted unfair insurance practices under CUIPA/CUTPA.
Plaintiff further asserts that Defendants' "violations of CUIPA have been the proximate cause of substantial and actual damages to Tucker." Doc. 126, p. 23 (¶ 106). For example, throughout her complaint, she alleges that she incurred "attorneys' fees and costs" in pursuing payment and/or settlement under the 2004 Policy.
The Court has held supra that there is no contractual coverage for Tucker's claim under the 2004 Policy. However, the Connecticut Supreme Court has repeatedly held that adherence with contract terms is not the general focus of CUIPA/CUTPA. See, e.g., Heyman Associates No. 1 v. Ins. Co. of State of Pa., 231 Conn. 756, 790 (1995) ("We have previously recognized that CUTPA and CUIPA claims both `ordinarily involve different factual inquiries' and that `the duties ordinarily associated with them derive from different sources' than claims that rely instead on an underlying insurance contract.") (quoting Lees v. Middlesex Ins. Co., 219 Conn. 644, 653 (1991)).
On the subject of Tucker's CUIPA/CUTPA claim against these Defendant insurance companies, the briefs of counsel are strangely silent. The briefs for Defendants in support of summary judgment make no specific argument addressed to Plaintiff's Count Four with respect to CUIPA/CUTPA. Defendants' briefs say instead that all of Plaintiff's claims should be dismissed because "Tucker's claim predates the 2004 Policy" and thus falls outside the policy coverage. See Doc. 155, p. 5-19.
Plaintiff, for her part, does not include in either of her briefs opposing summary judgment any discussion of her CUIPA/CUTPA claim.
Faced with this unanimity of silence in the briefs of counsel, the Court could reasonably infer that Plaintiff, having asserted statutory claims under CUIPA and CUPTA in her Amended Complaint but saying nothing about them in her briefs opposing summary judgment, has abandoned those claims. However, the Court refrains from drawing that inference on this rather puzzling record, and has instead submitted these claims to its own preliminary analysis, including a review of the language contained in the specific subsections of Plaintiff's CUIPA/CUTPA claim.
That analysis suggests that Plaintiff may well have abandoned, or that there is no basis for, the following claims, under Conn. Gen. Stat. § 38a-816(6), for the reasons stated:
See Doc. 126, p. 22 (¶ 103) (quoting Conn. Gen. Stat. § 38a-816 (6) (A), (F), (G), & (M)) (emphasis added).
Plaintiff's claims regarding the other subsections of § 38a-816(6)-(B), (C), (D), (E), and (N) — may stand upon a different footing. These unfair settlement practices claims refer to "failing to acknowledge and act with reasonable promptness upon communications," "failing to adopt or implement reasonable standards for the prompt investigation of claims," "refusing to pay claims without conducting a reasonable investigation based upon all available information," "failing to affirm or deny coverage of claims within a reasonable time after proof of loss statements have been completed," and "failing to promptly provide a reasonable explanation of the basis in the insurance policy in relation to the facts or applicable law for denial of a claim." In their briefs supporting summary judgment, Defendants have cited no authority for dismissal of these claims under CUIPA/CUTPA.
Given the failure of the briefs of all parties to discuss Plaintiff's statutory claims in any meaningful way, the Court will deny without prejudice Defendants' motion for summary judgment on Count Four. To allow the parties to clarify their positions on the alleged CUIPA/CUTPA claims, the Court will require them to make further submissions. Specifically, Plaintiff will be directed to file and serve a letter addressing which, if all or any, claims in Count Four she intends to pursue. Then Defendant will be allowed, if so advised, to move for summary judgment on any such remaining claim(s). The parties are advised that the discussion in this sub-Part of the Ruling expresses the Court's preliminary views with respect to certain elements of the statutory claims. The Court, however, expresses no view or position with respect to the final outcome should Defendants renew their motion for summary judgment on Count Four.
In Count Five of the Amended Complaint, Plaintiff alleges that Defendants, "[b]y their willful, negligent, malicious, and reckless actions, . . . have engaged in procedural bad faith in the handling of Tucker's claim in violation of the common law of Connecticut." Doc. 126, ¶ 108. Specifically, she alleges, that Defendants "took over four years before disclaiming coverage," "did so only after a substantial adverse verdict," "failed to properly investigate [her] claim, and closed her file without making any coverage determination and without ever communicating with the insured, within months of accepting a $220,000 premium." Id. Tucker also asserts that for a period of more than four years — "between June 2004 and August 2008" — the Defendants acted "to mislead and deceive Journal Register into believing that any loss arising from Tucker's claim would be covered."
Because Tucker became "subrogated to the rights of the insured [Journal Register] under the Policy" as a result of the Tucker I settlement, Plaintiff argues that she may "assert all causes of action which the defendants' insured could have asserted against the defendants relating to the Policy, including the tort of bad faith." Id., at ¶ 110. Plaintiff seeks to recover her "substantial compensatory and actual damages resulting from the defendants' procedural bad faith conduct in its handling of her claim." Id., ¶ 111.
In an earlier Ruling in this case, I noted that the Connecticut Supreme Court had "not yet spoken on the issue of an independent tort of `procedural bad faith," but this Court had predicted in at least one case that the Connecticut Supreme Court would not limit the tort of bad faith in the insurance context to claims of unreasonable or wrongful denial of claims. See discussion in Tucker v. Am. Int'l Group, 2012 WL 314866, at *8 (D.Conn. Jan. 31, 2012).
All of Plaintiff's allegations under this heading address perceived failures in Defendants' handling of her claim against the Journal Register. None of these alleged deficiencies involve denial of an express benefit under the 2004 Policy. Therefore, for the reasons discussed in full in Part III.C., supra, Plaintiff's claim for procedural bad faith is not viable and must be dismissed.
In Count Six of the Amended Complaint, Plaintiff asserts that the Defendants should be "equitably estopped from denying coverage of Tucker's claim after waiting 4.3 years after Tucker's claim was first submitted to deny coverage, and only after a substantial adverse verdict." Doc. 126, ¶ 113. She also alleges that "[e]stoppel is further appropriate given that the [D]efendants never communicated their decision to close the file to their insured, Journal Register" and "[t]his omission was severely prejudicial because it created a reasonable belief on the part of Journal Register that any loss it incurred as a result of the Tucker claim above its deductible would in fact be covered by the Policy." Id., ¶ 114. According to Plaintiff, "[t]his belief was evidenced by Journal Register's Fed. R. Civ. P. 26(a) disclosure of the Policy in the underlying litigation as providing coverage for Tucker's claim." Id.
Defendants have argued for a summary dismissal of Plaintiff's estoppel claim, pointing to the "fundamental precept of insurance law that estoppel generally cannot be relied on to create coverage under an insurance policy where none exists." Doc. 153, p. 24 (citing, inter alia, 10 Elliott Square Court Corp. v. Mountain Valley Indem. Co., 634 F.3d 112, 122 (2d Cir. 2010) and collecting cases). Defendants recognize that there are rare exceptions to this principle (e.g., if refusal to create coverage would sanction fraud), but maintain that no such conditions apply in this action. Doc. 153, p. 24 (citing Essex Ins. Co. v. Zota, 466 F.3d 981, 985 (11th Cir. 2006)). Because there is no coverage for Plaintiff's claim under the 2004 Policy, Defendants conclude that "Tucker cannot now rely on the doctrine of estoppel to create or extend the coverage available under the claims-made-and-reported Policy." Id., p. 24-25.
Furthermore, Defendants dispute the factual bases upon which Tucker seeks recovery by equitable estoppel. Id., p. 25. In particular, with respect to her statement that National Union "failed to disclaim coverage for 4.3 years," Doc. 143, p. 27, Defendants assert that "the uncontroverted evidence establishes that National Union denied coverage to Journal Register within one month of being asked by Journal Register to provide indemnity for the Tucker verdict." Doc. 153, p. 25. Defendants point out that, "[a]s Tucker has admitted, the 2004 Policy expressly did not create a duty to defend;" and thus, "no duty to indemnify could arise until there was a settlement or a judgment to be satisfied." Id. See also Doc. 154-26, Ex. Y (August 18, 2008 letter from Japhet Boutin, AIG Domestic Claims, Inc., to Ed Yocum, Esq., General Counsel for Journal Register Company) ("The purpose of this letter is to: . . . advise you that based on the information provided to National Union, coverage is not available for the Insured in the above-referenced matter under the Policy . . . .").
In support of their argument for dismissal, Defendants offer the following facts. National Union, via its parent company AIG, acknowledged receipt of Tucker's claim against Journal Register on June 1, 2004 and made a full and express reservation of rights to Journal Register's broker. Doc. 154, ¶ 41; Doc. 154-24, Ex. W (letter from Meghan McConville, AIG, to Douglas Worth, Marsh USA, acknowledging submission of claim and reserving all "rights, privileges, and defenses under the policy and available at law or in equity"). At that time, Meghan McConville, in AIG's Corporate D&O Claims Department, notified Journal Register's insurance broker, Douglas Worth of Marsh USA, Inc. to notify her of "any significant events including, litigation." Id. Four years later, Journal Register, through Marsh, contacted AIG on July 22, 2008, to advise that the "matter [was] now in suit" and "had already proceeded to a jury trial." Doc. 154, ¶ 42; Doc. 154-25, Ex. X, p. 9 ("General Note" on Claim Number 371-031428 (Claimant Teri Tucker) by Brian Conlin, AIG, dated July 25, 2008). AIG "issued its denial of coverage within one month of being asked to provide coverage for the verdict obtained by Tucker." Doc. 154, ¶ 43; Doc. 154-26, Ex. Y (August 18, 2008 letter from Japhet Boutin, AIG Domestic Claims, Inc., to Ed Yocum, Esq., General Counsel for Journal Register Company).
Defendants point to this one-month period to argue that they have caused no four-year delay. In applying the standard set forth in Allcity Insurance Company v. 601 Crown Street Realty Corporation, 264 A.D.2d 315, 317, 693 N.Y.S.2d 141, 142 (App. Div. 1999), the case cited by Tucker regarding timeliness of an insurance disclaimer, whether a claimer is untimely is "measured from the point in time when the insurer first learns of the grounds for disclaimer of liability or denial of coverage." Doc. 153, p. 25 (discussing Allcity Ins. Co., 264 A.D.2d at 317 (citation and internal quotation marks omitted)). It is Defendants' position that National Union first learned of the grounds for disclaimer on July 22, 2008, upon learning of the adverse jury verdict in Tucker I, and disclaimed coverage on August 18, 2008 — within one month.
In response, Tucker asserts that "the defendants conflate the Court's inherent power to estop the defendants from denying coverage (judicial estoppel) with the insurance law doctrine which holds that coverage cannot be created `by estoppel.'" Doc. 155, p. 9. Tucker claims that the latter doctrine "is not at issue in [her] case." Id. She then specifies that she "is claiming the Court should judicially estop the defendants from denying coverage after waiting 4.3 years to disclaim coverage." Id. She distinguishes situations "where an insurance policy never provided coverage for the type of claims being asserted" or "the claimant is not even a policyholder," from judicial estoppel, under which the court may estop Defendants from disclaiming coverage "for a claim covered by the policy at issue more than four years after receiving notice of it." Id., p. 10. Tucker asserts that, under those circumstances, an untimely disclaimer "can constitute a waiver or estoppel of policy defenses." Id. (citations omitted).
Plaintiff may characterize her claim as she chooses. I accept her recently expressed intention to assert a claim of judicial estoppel, as opposed to estoppel to create unintended coverage under the policy. But the characterization avails Plaintiff nothing. This case is not one in which judicial estoppel would be appropriate.
The Second Circuit explained in Simon v. Safelite Glass Corporation, 128 F.3d 68, 71 (2d Cir. 1997), that "[j]udicial estoppel prevents a party in a legal proceeding from taking a position contrary to a position the party has taken in an earlier proceeding." See also Bates v. Long Island R.R. Co., 997 F.2d 1028, 1037-38 (2d Cir.1993), cert. denied, 510 U.S. 992 (1993). "It is a rarely used doctrine designed to protect the court, not a party, from a party's chicanery." In re Venture Mortg. Fund, L.P., 245 B.R. 460, 472 (S.D.N.Y. Bankr. 2000) (quoting Loral Fairchild Corp. v. Matsushita Elec. Indus. Co., Ltd., 840 F.Supp. 211 (E.D.N.Y.1994)), aff'd, 282 F.3d 185 (2d Cir. 2002).
"[J]udicial estoppel serves interests different from those served by equitable estoppel, which is designed `to ensure fairness in the relationship between parties.'" Simon, 128 F.3d at 71 (citing Bates, 997 F.2d at 1037). Judicial estoppel is invoked "as a means to `preserve the sanctity of the oath' or to `protect judicial integrity by avoiding the risk of inconsistent results in two proceedings.'" Simon, 128 F.3d at 71 (quoting Bates, 997 F.2d at 1038). Therefore, for a court to employ judicial estoppel, "there must be a true inconsistency between the statements in the two proceedings" so that "[i]f the statements can be reconciled there is no occasion to apply an estoppel." Simon, 128 F.3d at 72-73 (citing AXA Marine & Aviation Ins. (UK) Ltd. v. Seajet Indus. Inc., 84 F.3d 622, 628 (2d Cir.1996). See also In re Brody, 3 F.3d 35, 39 (2d Cir.1993)("doctrine [of judicial estoppel] applies only when the party has taken an inconsistent position in a prior proceeding"). Moreover, the doctrine does not apply if the initial statement of the party against whom estoppel is asserted "was the result of a good faith mistake or unintentional error." Simon, 128 F.3d at 73.
Recently, in Adelphia Recovery Trust v. Goldman, Sachs & Co., 748 F.3d 110 (2d Cir. 2014), the Second Circuit confirmed that although "the exact criteria for invoking judicial estoppel will vary based on `specific factual contexts,' . . . courts have uniformly recognized that its purpose is to protect the integrity of the judicial process by prohibiting parties from deliberately changing positions according to the exigencies of the moment." 748 F.3d at 116 (citing New Hampshire v. Maine, 532 U.S. 742, 749-51 (2001)). The Second Circuit then articulated the "several factors [which] typically inform the decision whether to apply the doctrine in a particular case":
748 F.3d at 116.
In Adelphia Recovery Trust, the Second Circuit then clarified that "[i]n enumerating these factors," it did "not establish inflexible prerequisites or an exhaustive formula for determining the applicability of judicial estoppel." Id.
In the case at bar, Plaintiff does not request the Court to invoke judicial estoppel to uphold the sanctity of an oath in court or to avoid inconsistent results in legal proceedings. Rather, she asks the Court to estop the Defendants from denying coverage under the 2004 Policy after she allegedly waited 4.3 years before Defendants disclaimed coverage. She argues that "in the Journal Register's bankruptcy proceeding, counsel for National Union affirmatively represented on April 10, 2009 that the 2004 policy (No. 729-15-02) was the policy [under] which National Union might be liable to pay on Tucker's claim."
Examining the relevant factors set forth in Adelphia Recovery Trust, there is no indication that Defendants made a "clearly inconsistent statement" — i.e., that National Union ever stated in words or substance that Tucker's claim was actually covered or that Defendants in fact had liability for said claim under the 2004 Policy.
Therefore, accepting Plaintiff's factual allegations as true for purposes of the motion, there is no indication that: (1) Defendants took an inconsistent position in prior legal proceedings as to liability (as opposed to potential coverage) under the 2004 Policy; (2) any prior court or tribunal was affirmatively misled; or (3) Defendants gained any particular unfair advantage by making said statements about potential coverage. In sum, Plaintiff has failed to demonstrate the several factors necessary to support a holding of judicial estoppel. There is no evidence that the judicial process must be protected — that is, that the "impact" of any inconsistent results "on judicial integrity is certain," Adelphia Recovery Trust, 748 F.3d at 116.
Alternatively, the theory of equitable estoppel is inapplicable on these facts. In the context of Connecticut insurance law, it is well established that insurance contracts cannot be created by estoppel. "That doctrine cannot be invoked . . . to create a primary liability of the insurer for which all elements of a binding contract are necessary." Masonicare Corp. v. Marsh USA, Inc., No. CV030821900S, 2005 WL 941412, at *2 (Conn. Super. Ct. Mar. 16, 2005) (citing Linemaster Switch Corp. v. Aetna Life & Cas. Corp., No. CV91-0396432S, 1995 WL 462270 (Conn. Super. Ct. July 25, 1995)). It follows that one cannot employ the principle of estoppel to convert a claims made policy into an occurrence policy — that being Plaintiff's objective in the case at bar.
To succeed on the theory of equitable estoppel, a plaintiff must prove two requisite elements: "the party against whom estoppel is claimed must do or say something calculated or intended to induce another party to believe that certain facts exist and to act on that belief; and the other party must change its position in reliance on those facts, thereby incurring some injury." Union Carbide Corp. v. Danbury, 257 Conn. 865, 873 (2001) (internal quotation marks omitted.); see also Stovall v. First Unum Life Ins. Co., 20 F. App'x 47, 50 (2d Cir. 2001) ( "The elements of equitable estoppel are (1) material representation, (2) reliance and (3) damage.") (citation and internal quotation marks omitted). The proof in this case negates those elements. As set forth in Part III.B.3, supra, there is no evidence that Defendants purposely made a false indication in the bankruptcy proceedings when they stated that the 2004 Policy was the policy under which National Union might be liable to pay on Tucker's claim. Rather, Defendants have always maintained that the 2004 Policy is the relevant policy with respect to Tucker's claim. From the time the claim was reported in May 2004, the 2004 Policy was the only potential policy applicable to the claim, given the Policy's "claims made first" and 30-day notice provisions.
With respect to coverage, Defendants have alleged that they only learned that Tucker's claim clearly fell outside the policy period when they obtained the November 3, 2003 Letter during discovery in this action (i.e., after this action commenced). Defendants maintain that prior to said discovery, they believed that the claim was first made on May 13, 2004, when Journal Register's broker, Marsh, "provided National Union notice of the Tucker claim [by] citing Tucker's March 2004 CHRO Complaint," Doc. 100, ¶ 18; Doc. 100-2 & -17, Ex. B & Q. If, as Defendants assert, they had no knowledge of when the claim was first made until discovery in this action, it was unintentional error or a good faith mistake if they ever suggested or implied there was coverage under the 2004 Policy.
Moreover, adopting Plaintiff's version of the facts for summary judgment, assuming that Defendants knew of the November 3, 2003 Letter in May 2004, there is no evidence that Tucker was ever induced by any statements by Defendants to change her position with respect to seeking recovery from Defendants. Rather, she has consistently pressed her claim for coverage under the 2004 Policy, regardless of Defendants' position with respect to coverage, or when or in what form that position was expressed.
Furthermore, and in any event, prior to discovery in this action, whether the date the claim was first made was unknown to Defendants, Journal Register and Tucker both had access to and/or knowledge of the contents of the 2004 Policy. Neither needed to rely on the other to have knowledge of the Policy's claims first made terms. Both believed, perhaps in light of the May 2004 report of Tucker's claim, that if any policy covered that claim it was the 2004 Policy. An insured, such as Journal Register, bears the responsibility of knowing the contents of its own insurance policy and/or whether or not it has received notice of a claim upon it. By standing in the shoes of Journal Register, as assignee or subrogee on the policy, Tucker also bore the responsibility of reading the Policy's terms, including its "claims first made" restriction. Lack of knowledge regarding a policy's terms is not grounds for expanding coverage through equitable estoppel. See, e.g., Paese v. Hartford Life and Acc. Ins. Co., 449 F.3d 435, 447 (2d Cir. 2006) ("A party claiming equitable estoppel must have relied on its adversary's conduct in such a manner as to change his position for the worse, and that reliance must have been reasonable in that the party claiming the estoppel did not know nor should it have known that its adversary's conduct was misleading.") (emphasis added) (citation and internal quotation marks omitted).
Finally, with respect to delay, which is grounds for equitable estoppel under New York state law, as opposed to Connecticut law, the evidence presented to the Court establishes that National Union reserved its rights within a few weeks after receipt of Journal Register's May 13, 2004 notice of Tucker's claim and denied coverage to Journal Register within one month of being asked by Journal Register to provide indemnity for the Tucker verdict.
Traditionally, "estoppel results from something which the law treats as an admission of so high and conclusive a nature that the party making it is not allowed to aver against it or offer evidence to controvert it." Columbia Ins. Co. of New Jersey v. Mart Waterman, 11 F.2d 216, 218-19 (2d Cir. 1926). Here, there has been no such crucial admission by Defendants. The only admission presented by Plaintiff is Defendants' statement that the 2004 Policy was the one under which National Union may have liability on Tucker's claim.
Resolving all ambiguities and drawing all permissible factual inferences in favor of Tucker, as the party against whom summary judgment is sought, there is no genuine dispute as to any material fact that Defendants are entitled to judgment on Count Six as a matter of law. There is no evidence that Defendants made inconsistent statements in a prior legal proceeding which led to a favorable outcome in that proceeding and impacted the court's integrity — no grounds for judicial estoppel. Furthermore, there is no evidence that Defendants misrepresented that Tucker's claim was actually covered by the 2004 Policy and/or that any statements by Defendants regarding coverage or lack thereof changed Plaintiff's position with respect to seeking recovery under the 2004 Policy. The facts presented demonstrate that Tucker consistently asserted that the 2004 Policy covers her claim, both before and after Defendants (1) disclaimed coverage in August of 2008 (for failure to provide an opportunity to effectively associate regarding claim's defense) and (2) disclaimed coverage again on the basis of the "claims first made" policy restrictions in their pending summary judgment motion. There is no genuine dispute with respect to material facts regarding equitable estoppel. Summary judgment will enter for Defendants on Count Six.
Finally, in support of their motion for summary judgment, Defendants renew two previously asserted arguments. In particular, Defendants maintain that (1) Tucker's settlement with Journal Register, including a "general release of the Judgment in the Underlying Federal Lawsuit" in Tucker I, precludes her claim, Doc. 153, p. 20-21; and (2) AIG is merely National Union's "corporate parent," "had no involvement with Journal Register's coverage or Tucker's claim," and is thus not a proper defendant in this action, Doc. 153, p. 3.
The Court has addressed these issues in full in prior opinions and continues to find that these arguments lack merit. See Tucker v. Am. Int'l Grp., Inc., 936 F.Supp.2d 1, 13 (D. Conn. 2013) ("An injured party, such as Tucker, may settle her claims against the insured (as in Tucker I) and thereafter seek recovery for the settled judgment (in Tucker II) via Connecticut's direct action statute."); id., No. 3:09-CV-1499 CSH, 2011 WL 602851, at *8 (D.Conn. Dec. 2, 2011) (finding that in addition to the final judgment she has obtained in Tucker I, Tucker "also received an express assignment from [the Journal Register] of all claims and rights under the [2004] policy, including any and all claims against National Union, AIG and/or an[y] o[f] their or [the insured's] brokers or agents"); id., 745 F.Supp.2d 53, 66-71 (D.Conn. 2010) (discussion regarding whether AIG is a proper party); id., No. 3:09-CV-1499 CSH, 2011 WL 6020851, at *8 n.21 (D. Conn. Dec. 2, 2011) (confirming prior holding that AIG is a proper party). Following the well-established rule of the case, the Court finds no grounds to disturb those prior rulings.
The Court assumes the parties' familiarity with its prior rulings and the well-established principle that "when a court decides upon a rule of law, that decision should continue to govern the same issues in subsequent stages in the same case." Arizona v. California, 460 U.S. 605, 618 (1983); see also U.S. v. Carr, 557 F.3d 93, 102 (2d Cir.2009) (the first facet of the law-of-the-case doctrine is that "when a court has ruled on an issue," that decision should generally be adhered to by that court in subsequent stages in the same case.") (citing United States v. Quintieri, 306 F.3d 1217, 1225 (2d Cir.2002), cert. denied, 539 U.S. 902 (2003)).
For the foregoing reasons, the motion of Defendants for summary judgment [Doc. 97] dismissing the Plaintiff's Amended Complaint is GRANTED IN PART and DENIED WITHOUT PREJUDICE IN PART.
To implement its RULING, the Court makes the following ORDER:
1. Defendants' Motion for Summary Judgment [Doc. 97] is GRANTED as to Counts One, Two, Three, Five and Six of Plaintiff's Amended Complaint [Doc. 126]; and DENIED WITHOUT PREJUDICE as to Count Four, which asserts violations by Defendants of the Connecticut Unfair Insurance Practices Act, Conn. Gen. Stat. § 38a-816(6) ("CUIPA") via the Connecticut Unfair Trade Practices Act, Conn. Gen. Stat. §42-110a, et seq. ("CUTPA").
2. With respect to the claims alleged in Count Four, the Court orders the following further submissions:
3. The Clerk is directed to enter judgment for Defendants with respect to Counts One, Two, Three, Five, and Six of Plaintiff's Amended Complaint.
It is SO ORDERED.
On November 13, 2003, Robert Lee faxed records that were gathered in connection with Tucker's termination to Journal Register's General Counsel, Marc Goldfarb. Doc. 154-13, Ex. L (JRC-00521-534). When deposed, Journal Register's outside counsel, Peter Lefeber of Wiggin and Dana, did not specifically recall seeing the November 3, 2003 Letter but remembered working with Goldfarb. Lefeber also recalled that the letter had been received before Tucker filed a charge with the CHRO. Doc. 100-13, Ex. M (excerpt of Lefeber Deposition), p. 14, l. 8-17 ("I don't deny that I saw it. I do recall Mr. Horner [Tucker's counsel] asserting claims on behalf of Ms. Tucker before he actually filed a discrimination charge with the CHRO.").
Doc. 100-2, p. 34 ("Definitions," ¶ 2 (b)(2)).
1995 WL 684792, at *3. The Court thus concluded "the defendant was not obligated to provide any coverage." Id., at *1.
Furthermore, a legal demand, by its very nature, is made for something to which one claims entitlement by right. Severance is, by definition, "[m]oney (apart from back wages or salary) paid by an employer to a dismissed employee . . . in exchange for a release of any claims that the employee might have against the employer." Black's Law Dictionary (9th ed. 2009). In mentioning "severance" as the requested resolution, Plaintiff's counsel, Horner, is suggesting that there must be money paid to release Tucker's alleged claims.
Nonetheless, Tucker herself has made no suggestions that her claim is covered by any extended reporting period provided by a 2003 policy. Rather, she repeatedly states that she is seeking relief under the 2004 Policy.
Plaintiff refutes Defendants' interpretation of that email, arguing that "[a]t the time [Tucker's bankruptcy counsel] authored this email in March 2009, he had just been retained and was brand new to the case. He had virtually no information about the status or validity of Tucker's claim, including whether there was an policy, whether it covered punitive damages, whether notice had been given, or whether the premiums had been maintained." Doc. 143, p. 32-33. See also Doc. 143-14 (Affidavit of Jed Horwitt), p. 3 (¶ 6) ("[O]n March 11, 2009, neither my firm nor I held any opinion regarding the enforceability of insurance coverage under the EPLI Policy — or even knowledge of what coverage issues in the case were, let alone a conclusion that coverage had been `blown.' I was concerned, based on Mr. Peikes' in-court statements that there was an issue with the coverage and AIG's denial of coverage, that the Journal Register itself might have concerns that it had `blown' coverage.").
Id. (citations and internal quotation marks omitted).
Katz v. Hartford Fin. Servs. Grp., Inc., No. CV116020408S, 2012 WL 2149405, at *3 (Conn. Super. Ct. May 11, 2012).
In the case at bar, Defendants do not address the specificity of the CUIPA allegations in their summary judgment motion so the Court will not address this issue.
Doc. 154-26, Ex. Y, p. 4.
Citing Clause 8 of the 2004 Policy for its provision that the Insurer "shall be entitled to effectively associate in the defense and the negotiation of any settlement of any claim," Boutin concluded that "this matter is not afforded coverage under the Policy as the Insured has breached its obligations under [Clause 8 of] the contract." Id., p. 3-4.
Plaintiff argues that Defendants have waived any coverage defense based on Clause 8 of the Policy, the "cooperation clause," by failing to investigate Tucker's claim and failing to make any diligent effort to associate in defense against that claim. In support, she cites, inter alia, Metropolitan Life Ins. Co. v. Aetna Casualty and Surety Co., 249 Conn. 36, 58 (1999) for the proposition that "disclosure pursuant to the cooperation clauses possibly could be required only if and when the insurance company participates `in the defense' of the underlying cases."
Defendants counter with the assertion that they did not have the opportunity to participate in the Tucker I litigation because they only learned of its existence after the jury verdict. Clearly this issue is in dispute. However, even assuming arguendo that Plaintiff is correct that Defendants' initial basis for breach of the Policy is invalid or even waived, Clause 8 is not the sole or ultimate basis for Defendants' disclaimer of coverage in this action, which is the claims made first terms of the Policy.
See also Doc. 154, ¶ 8; Doc. 154-9, Ex. H (November 3, 2003 letter); Doc. 154-10, Ex. I (Affidavit of Elizabeth M. Mahoney, attesting to fact that "[i]n response to a subpoena issued by [attorneys] EAPD on behalf of the defendants, Journal Register East Inc. produced business records").