JUAN R. SÁNCHEZ, District Judge.
Plaintiff Allied World Specialty Insurance Company f/k/a Darwin National Assurance Company seeks a declaratory judgment that the Managed Care Organization Errors and Omissions Liability Insurance Policy it issued to Defendant Independence Blue Cross, LLC (the Policy) provides no coverage for the claims asserted against Independence in multi-district litigation in which Independence is a defendant in the Northern District of Alabama. See In re: Blue Cross Blue Shield Antitrust Litig., Master File No. 2:13-cv-20000-RDP (M.D. Ala.) (the MDL Action). Allied World asserts there is no coverage for the MDL Action and the cases consolidated therein under the Policy because (1) the claims asserted against Independence fall under the "Related Claim" Exclusion in the Policy; (2) the claims asserted against Independence fall under the "Prior or Pending or Prior Claims" Exclusions in the Policy; and (3) plaintiffs in the MDL Action seek relief that does not constitute "Loss" under the Policy and/or is uninsurable as a matter of law. Independence moves to dismiss or stay this declaratory judgment action, asserting Allied World's coverage obligations depend on the outcome of claims that have yet to be resolved in the MDL Action. In response, Allied World argues its "threshold questions" of whether the Related Claim and/or Prior Litigation Exclusions within the Policy bar coverage do not depend on the development of the underlying action and are ripe for review. The Court agrees with Allied World. Allied World's secondary question of whether the relief sought by the plaintiffs in the MDL Action is covered under the Policy, however, cannot be addressed until resolution of the plaintiffs' claims for relief. Independence's Motion to Dismiss or Stay is therefore denied in part, and granted in part insofar as the discrete issue of whether the relief sought by the plaintiffs in the MDL Action is covered under the Policy is stayed for a period of six months.
In 2012, several class action lawsuits were filed by healthcare providers and subscribers against multiple Blue Cross Blue Shield entities and member plans, including Independence (the Blues), and the Blue Cross Blue Shield Association, alleging the defendants "conspired to leverage their economic power and market dominance to under-compensate healthcare providers for their services and to increase healthcare costs to subscribers by coordinating their operations and limiting their activities through restrictions in their trademark licenses," in violation of federal antitrust laws. Compl. ¶ 7. Several of these actions were transferred to the United States District Court for the Northern District of Alabama for coordinated pretrial proceedings as part of the MDL Action. The parties to the MDL Action are currently in the midst of discovery. See Def.'s Mem. Ex. A (Scheduling Order).
Prior to the filing of the lawsuits consolidated in the MDL Action, Independence was a defendant in another class action, Love v. Blue Cross Blue Shield Assoc., No. 03-21296 (S.D. Fla), which was part of an earlier MDL proceeding styled In re Managed Care Litigation, No. 1:00-MDL-1334. As in the MDL Action, the plaintiffs in Love alleged the Blues entered into cooperation agreements with each other to maximize their profits, in violation of federal antitrust laws. Independence was also a defendant in a subsequent action, Musselman v. Blue Cross Blue Shield of Ala., No. 13-20050 (S.D. Fla.), in which provider plaintiffs in the MDL Action, who were also plaintiffs in the Love class and participated in the Love settlement, sought a declaration that they could assert their antitrust claims in the MDL Action despite being releasing parties in the Love settlement.
Following the commencement of the MDL Action, Independence provided notice of the MDL Action to Allied World and requested coverage under the Policy. In a March 4, 2014, letter, Allied World agreed to reimburse defense costs incurred by Independence in connection with the MDL Action under the Policy, but reserved its rights to deny coverage. See Compl. Ex. 7.
Allied World later reversed course, however, advising Independence in a June 14, 2017, letter that it had determined the Policy does not provide coverage for the claims asserted by the plaintiffs in the MDL Action because (1) the MDL Action is a "Related Claim" to previous litigation—the Love litigation—under the Policy and is therefore excluded under the Policy's Related Claim Exclusion, and (2) coverage for the MDL Action is also precluded by the Policy's Prior or Pending Litigation or Prior Claims Exclusions. See Def.'s Supp. Mem. Ex. C. Allied World also "reserve[d] its rights to the extent that any award might include fines, penalties, non-monetary relief, amounts deemed uninsurable under law, or claim that does not fall within the definition of Loss." Id. at 11. As a result, Allied World informed Independence it would no longer advance Independence's defense expenses in the MDL Action, and requested reimbursement of amounts advanced to date pursuant to the parties' Defense Expenses Repayment Agreement.
Allied World now seeks a declaratory judgment that the Policy does not provide coverage to Independence for the MDL Action, and that it is entitled to recoup the defense costs it has already expended in the MDL Action. Independence moves to dismiss Allied World's Complaint, arguing Allied World's coverage obligations depend on facts that have yet to be developed in the underlying antitrust cases. In the alternative, Independence moves to stay this action pending the resolution of the MDL Action.
The Declaratory Judgment Act (DJA) permits a federal court to "declare the rights and other legal relations of any interested party seeking such declaration, whether or not further relief is or could be sought." 28 U.S.C. § 2201(a). The remedy provided by § 2201 is discretionary. See Wilton v. Seven Falls Co., 515 U.S. 277, 287 (1995) ("We have repeatedly characterized the Declaratory Judgment Act as an enabling Act, which confers a discretion on the courts rather than an absolute right upon the litigant." (internal quotation marks omitted)). A court may, in appropriate circumstances, abstain from entertaining an action seeking only declaratory relief, see Kelly v. Maxum Specialty Ins. Grp., 868 F.3d 274, 281 (3d Cir. 2017), or stay a declaratory judgment action, see Wilton, 515 U.S. at 282-83.
In deciding whether to entertain a declaratory judgment action, a district court considers factors "bearing on the usefulness of the declaratory judgment remedy, and the fitness of the case for [federal] resolution." Kelly, 868 F.3d at 282 (alteration in original). The court must first determine the "significant" factor of whether there is a "parallel state proceeding." Id. The existence of a parallel state proceeding "militates significantly in favor of declining jurisdiction," where as "the absence of pending parallel state proceedings militates significantly in favor of exercising jurisdiction." Id.
The court must then consider other relevant factors, including, but not limited to:
Id. at 282-83 (quoting Reifer v. Westport Ins. Corp., 751 F.3d 129, 146 (3d Cir. 2014). Where a parallel state proceeding does not exist, before declining jurisdiction, a court should ensure "the lack of pending parallel state proceedings is outweighed by opposing factors." Id. at 282.
The parties agree no parallel state proceeding exists here. The MDL Action is in federal court, and, in any event, it is not a parallel proceeding to the instant declaratory judgment action. See Kelly, 868 F.3d at 284 (holding "there must be a substantial similarity in issues and parties between contemporaneous pending proceedings" in order to "make those proceedings parallel"). Thus, this Court may decline jurisdiction only if the lack of a parallel state proceeding is outweighed by the factors enumerated in Kelly. The Court finds these factors warrant the exercise of jurisdiction.
There is no serious dispute that the first, second, and fourth factors weigh in favor of exercising jurisdiction. As to the first factor, a declaration in this case would resolve Allied World's coverage obligations to Independence under the Policy. See Kelly, 868 F.3d at 288 ("[A] declaratory judgment by the District Court would resolve the uncertainty that prompted filing of the Declaratory Action[,]" as it "would unquestionably clarify and settle the dispute regarding [the insurer's] obligations under the insurance policy."); Allied World Surplus Lines Ins. Co. v. Wellmark, Inc., No. 17-117, Order at 3 (S.D. Iowa June 27, 2017) (finding that a declaratory judgment regarding Allied World's obligations to Wellmark, another defendant in the MDL Action, would "terminate and afford relief from uncertainty, insecurity, and controversy" to both parties).
The parties also do not dispute that the third, seventh, and eighth factors are neutral in this case. As to the third factor, this Court is "well-equipped" to address "the usual [public] interest in the fair adjudication of legal disputes." Kelly, 868 F.3d at 288. The seventh factor is neutral, as there are no allegations here of procedural fencing, a race for res judicata, or, more generally, improper motive. The eighth factor is also neutral; Allied World has ceased covering defense costs and, therefore, any conflict no longer exists. Further, there is no indication there exists an inherent conflict of interest between Allied World's duty to advance or reimburse defense costs in the MDL Action and its argument that certain policy exclusions prohibit coverage in the MDL Action, as Allied World is not a party to the MDL Action and need not make conflicting legal and factual assertions in the two proceedings. See Kelly, 868 F.3d at 289; cf. Westfield Ins. Co. v. Icon Legacy Custom Modular Homes, No. 15-0539, 2015 WL 4602262, at *5 (M.D. Pa. July 30, 2015) (finding inherent conflict of interest factor neutral where insurer was pursuing declaratory judgment action against Icon while defending Icon in the underlying action, as the insurer "need not argue against Icon's interest[ ] in this action; it is merely arguing that any liability on Icon's part is not covered under the Policy").
In arguing the Court should dismiss this case, Independence relies primarily on the fifth and sixth Kelly factors—"a general policy of restraint" and "duplicative litigation"—arguing these factors weigh heavily in favor of dismissing this action due to the "entanglement" of this action with the MDL Action. Independence argues any coverage determination by this Court depends on the facts that must be determined in the MDL Action, and any findings of facts made by this Court may conflict with the MDL court's findings. Allied World agrees this to be true as to one coverage issue—the "Loss" issue—but argues that whether coverage is barred by the application of the Related Claim and Prior or Pending Litigation Exclusions is solely a question of law.
Nevertheless, Allied World has conceded the discrete issue of whether the relief sought by the plaintiffs in the MDL Action constitutes a Loss, is uninsurable as a matter of law, or is otherwise not covered under the Policy depends on the development of facts and the determination of relief in the MDL Action, and may be stayed. Indeed, because relief has not yet been assessed in the MDL Action, it would be premature for this Court to decide whether the relief sought in the underlying action is covered by the Policy. See Kelly, 868 F.3d at 287 n.12 ("It is possible that, in certain circumstances, determining the issue of coverage will rely on questions central to the underlying liability proceeding. . . . Even if the proceedings are not parallel . . . such may be the type of situation which nevertheless warrants a court's abstention."). This issue will therefore will be stayed.
Although a stay is appropriate as to the Loss issue, resolution of the Related Claim and Prior Litigation Exclusions issue may resolve this coverage dispute. If the Court determines those Exclusions bar coverage, the question of whether any relief awarded in the MDL Action constitutes a covered Loss would be moot. On the other hand, if the Court determines the Exclusions do not apply, the remaining issue regarding Loss could be decided upon the assessment of damages against Independence or other resolution of the plaintiffs' claim for relief in the underlying MDL Action. There is therefore no reason not to proceed as to the Exclusion issues at this time.
For the reasons discussed above, Independence's Motion to Dismiss or Stay will be granted insofar as the issue of whether the relief sought by the plaintiffs in the underlying MDL Action is covered under the Policy is stayed for a period of six months. The balance of the Motion is denied, and this case shall proceed as to whether coverage is barred by the Related Claim and/or Prior Litigation Exclusions in the Policy. An appropriate Order follows.
Independence further argues Allied World's prior involvement in the MDL Action— attending court proceedings and mediation sessions and retaining experts—necessarily entangles the two proceedings. See Def.'s Reply 3. But Allied World's initial efforts to comply with its duty to advance expense costs do not bear on the entanglement of issues in the two proceedings.