MATTHEW F. LEITMAN, District Judge.
This is an insurance coverage dispute. In 2012, Plaintiff The Salvati Insurance Group, Inc. ("SIG") purchased an "errors and omissions" insurance policy from Defendant Utica Mutual Insurance Company ("Utica"). This policy requires Utica to defend SIG and its covered employees against certain claims.
On November 21, 2013, Michelle Brown ("Brown") sued SIG, its President Thomas Salvati ("Salvati"), SIG employee Carey Stevens ("Stevens"), and a company Stevens owns. Brown alleges that SIG, Salvati, and Stevens caused her to lose nearly $300,000 in high-risk investments. Salvati and SIG tendered Brown's lawsuit to Utica for coverage and defense, but Utica denied coverage and refused to defend Salvati and SIG. Salvati and SIG now claim in this action that Utica has a duty to defend Brown's suit. Utica, however, has no such duty because Brown's claims do not fall within the terms the applicable insurance policy — in fact, they are specifically excluded from coverage. The Court therefore
SIG sells insurance to individuals and businesses. In 2012, SIG purchased a Life Insurance Agents and Brokers Errors and Omissions Liability Policy (the "Policy") from Utica. (See the Policy, ECF # 12-2.) The Policy provides that Utica "will pay on behalf of [SIG] all `loss,' to which this insurance applies." (Id. at Pg. ID 209.) The Policy defines a "loss" as "any amount which [SIG] becomes legally obligated to pay as damages for any claim to which this insurance applies and shall include judgments and settlements." (Id. at Pg. ID 208.) The Policy further requires Utica "to defend [SIG and its insured employees] against any suit seeking those damages even if the allegations of the suit are groundless, false, or fraudulent." (Id. at Pg. ID 209; internal quotation marks omitted.) "However, [Utica has] no duty to defend ... against any suit seeking damages for a wrongful act to which [the Policy] does not apply." (Id.; internal quotation marks omitted.)
The Policy thereafter defines when a "loss" is covered, thus triggering Utica's duty to defend:
(Id. at Pg. ID 210) (emphasis added).
The Policy further specifies that Utica would provide coverage for losses arising out of certain other activities that are "part of the insured's professional services" only if "a premium has been charged for such coverage." (Id.) Specifically, the Policy requires an insured to purchase an additional endorsement to receive coverage for:
(Id.; emphasis added.) It is undisputed that SIG did not purchase either the Financial Products Coverage Endorsement or the Mutual Fund and Variable Annuity Coverage Endorsement from Utica. (See Compl. ECF # 10-7 at ¶ 20; See also Salvati's and SIG's Response Brief, ECF # 12 at 13, Pg. ID 192.)
The Policy also contains express exclusions. Specifically, the Policy states that it does not apply to:
(Id. at Pg. ID 211.) (Emphasis added.)
On November 21, 2013, Brown filed suit against SIG, Salvati, Stevens, and a company Stevens owns in Wayne County Circuit Court. (See "Brown's Complaint," ECF # 10-5.) All of Brown's claims relate to financial planning, financial advice, and investments made on her behalf; none relate SIG's primary insurance business.
Brown alleges that Stevens, while working for SIG, fraudulently and improperly induced her to make high-risk investments and that these investments ultimately caused her to lose a substantial amount of money. In particular, Brown alleges that "Stevens solicited [her] in an attempt to induce her to transfer her entire investment portfolio into his control based on... his claim that he could provide her with a higher rate of return than she was already receiving on her investments ..." (Id. at ¶ 18.) Brown claims that "Stevens met with [her] and prepared the necessary documents for her to sign and open an investment account" and that these documents "list[ed] Salvati as [her] financial
Salvati and SIG are named in five counts of Brown's Complaint:
Salvati and SIG have denied participating in or having any knowledge of Stevens' actions. (See Salvati Affidavit, ECF # 12-5 at ¶ 5b.) They have also filed a cross-claim in Brown's action against Stevens alleging that Stevens illegally accessed SIG's computer in order to make certain unauthorized trades on Brown's account. (See Frist Amended Cross-Claim at ECF # 12-6.)
After Brown served Salvati and SIG with her lawsuit, they tendered the claim to Utica for coverage and defense of her claims. Salvati spoke with a Utica insurance adjuster about the claim and told the adjuster that he and his company "did not participate in, have knowledge of, acquiesce to or have any active involvement with the trades that form the basis for the allegations in [Brown's] Complaint." (Salvati Aff. at ¶ 5b.)
On December 9, 2013, Utica formally denied Salvati and SIG coverage for
Salvati and SIG filed this action in the Macomb County Circuit Court on January 24, 2014. (See Compl., ECF # 10-7.) Salvati and SIG requested a declaratory judgment that Utica had a duty to defend Brown's lawsuit. (See id.) Utica removed the action to this Court on February 13, 2014 (see Notice of Removal, ECF # 1), and it moved for summary judgment (see ECF # 12). The Court heard oral argument on August 13, 2014, and it now
A movant is entitled to summary judgment when it "shows that there is no genuine dispute as to any material fact...." U.S. SEC v. Sierra Brokerage Services, Inc., 712 F.3d 321, 326-27 (6th Cir.2013) (citing Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 251-52, 106 S.Ct. 2505, 91 L.Ed.2d 202 (1986)) (quotations omitted). "The mere existence of a scintilla of evidence in support of the [non-moving party's] position will be insufficient; there must be evidence on which the jury could reasonably find for [that party]." Anderson, 477 U.S. at 252, 106 S.Ct. 2505. However, summary judgment is not appropriate when "the evidence presents a sufficient disagreement to require submission to a jury." Id. at 251-252, 106 S.Ct. 2505.
When reviewing the record, "the court must view the evidence in the light most favorable to the non-moving party and draw all reasonable inferences in its favor." Id. Indeed, "[c]redibility determinations, the weighing of the evidence, and the drafting of legitimate inferences from the facts are jury functions, not those of a judge ..." Id. at 255, 106 S.Ct. 2505.
"An insurance company has a duty to defend its insured if the allegations of the underlying suit arguably fall within the coverage of the policy." Citizens Ins. Co. v. Secura Ins., 279 Mich.App. 69, 755 N.W.2d 563, 566 (2008) (internal quotation marks omitted). "The duty to defend arises from the language of the insurance contract. In determining whether there is a duty to defend, courts are guided by established principles of contract construction." Id. (internal citations omitted). As Michigan courts have long held:
Id. at 566-567 (emphasis in original) (quoting Detroit Edison Co. v. Michigan Mut. Ins. Co., 102 Mich.App. 136, 301 N.W.2d 832, 835 (1981)).
Courts, however, should "not hold an insurance company liable for a risk it did not assume." Frankenmuth Mut. Ins. Co. v. Masters, 460 Mich. 105, 595 N.W.2d 832, 837 (1999). In addition, "[i]t is well-established that an insured has the initial burden of proving that its losses fall within the scope of the policy's insuring agreement." Detroit Water Joint Venture v. Agricultural Ins. Co., 371 F.3d 336, 339 (6th Cir.2004); See also Heniser v. Frankenmuth Mut. Ins. Co., 449 Mich. 155, 534 N.W.2d 502, 505 n. 6 (1995) (internal quotation mark omitted) ("It is without dispute that the insured bears the burden of proving coverage ..."). To the extent an insurer relies upon an exclusion to deny coverage, however, it has the burden to establish that the exclusion applies. See Heniser, 534 N.W.2d at 505 n. 6 ("[T]he insurer must prove that an exclusion to coverage is applicable").
Salvati and SIG have argued, both in their briefing and at oral argument, that the Policy contains a "broad insuring agreement" that provides coverage for the financial-planning and advising activities that form the basis of Brown's claims. (See, e.g., Salvati and SIG Resp. Br. at 12, Pg. ID 191.) Salvati and SIG contend that this "broad insuring agreement" is embodied within the Policy language that requires Utica to cover any "loss" that "arise[s] out of wrongful acts
Salvati's and SIG's reliance on the Policy language concerning "acts committed in the conduct of [SIG's] business" is misplaced. Salvati and SIG fail to read that language in its proper context. As set forth above at p. 3, that language is immediately followed by a specific listing of the six business activities that the Policy covers — e.g., SIG's services as a "Life and Accident and Health Insurance Agent" and as a "General Insurance Agent" (id.) — and the misconduct alleged in Brown's Complaint does not even arguably fall within
Furthermore, the Court must reject Salvati's and SIG's broad reading of the Policy because accepting their interpretation would lead to absurd results and would result in Utica having a limitless duty to defend claims against SIG. See, e.g., Hastings Mut. Ins. Co. v. Safety King, Inc., 286 Mich.App. 287, 778 N.W.2d 275, 281 (2009) ("[C]ontract terms should not be considered in isolation and contracts are to be interpreted to avoid absurd or unreasonable conditions and results"). For example, as Salvati's and SIG's counsel conceded at oral argument, under Salvati's and SIG's interpretation of the Policy, if one of SIG's employees opened a lemonade stand on SIG's property to generate additional revenue for SIG, Utica would be obligated to defend any lawsuit filed by a lemonade purchaser arising out of his purchase or consumption of lemonade. Likewise, under Salvati's and SIG's reading of the Policy, if a SIG employee used SIG's telephone line to commit a crime wholly unrelated to the sale of insurance (e.g., calling in a bomb threat), and the company was later sued as a result, Utica would have an obligation to defend that suit as well. The Policy cannot reasonably be read to impose upon Utica support such an all-encompassing duty to defend.
Finally, Salvati and SIG insist that Utica has a duty to defend them because they had no knowledge of, and did not authorize, Stevens' conduct. However, while their lack of knowledge may very well be a strong defense to Brown's claims in the underlying action, Utica's duty to defend arises not from Salvati's or SIG's state of mind, but, instead, from the scope of coverage provided by the Policy's express language. For all the reasons explained above, that Policy language does not cover the alleged misconduct by Stevens underlying Brown's claims.
Because the plain language of the Policy makes clear that Salvati and SIG are not entitled to coverage for, and/or to a defense against, the claims in Brown's Complaint, Utica is entitled to summary judgment.
Utica is entitled to summary judgment on a second, alternative ground: the Policy contains several exclusions that specifically apply to bar the coverage Salvati and SIG seek. The Policy, for example,
In this case, Brown's claims relate to investment advice she received and/or activities performed in a financial planning capacity. And while SIG could have paid an additional premium and obtained additional endorsements to the Policy — or acquired additional insurance from another insurer — to cover these activities, SIG indisputably did not do so. Thus, the exclusions further bar Salvati's and SIG's claim here. Utica is entitled to summary judgment on this alternative ground as well.
For all of the reasons stated in this Opinion and Order, Utica's Motion for Summary Judgment (ECF # 12) is hereby