ROBERT J. SHELBY, District Judge.
This case stems from a legal malpractice suit and the ensuing dispute to determine whether either of two insurance companies, or both, has a duty to defend against the suit. The law firm Callister, Nebeker & McCullough and its employee W. Waldan Lloyd (collectively, Callister); its insurer at the time the legal malpractice suit was filed, Old Republic Insurance Company; and its former insurer, Ironshore Specialty Insurance Company, have all filed Motions for Summary Judgment. For the reasons stated below, the court grants Ironshore's Motion for Summary Judgment,
This case is about whether either of two insurance carriers has a duty to defend Callister against a malpractice suit. Callister had coverage through Ironshore from 2009 to 2013, and coverage through Old Republic starting in 2013. The alleged malpractice occurred while Callister was insured by Ironshore, but Ironshore denies it has a duty to defend on the ground that it did not receive proper notice of the claim. When the underlying malpractice suit was later filed, Callister was insured by Old Republic, which also denied coverage.
In 2003, Defendant Hoyt Stephenson hired Callister to form a plan to restructure his business and gain tax benefits. As part of this plan, Callister created National Financial Systems Management (NFSM) and an employee stock-ownership plan. In 2010, NFSM asked Lloyd, an attorney at Callister, to analyze potential risks presented by Stephenson's actions regarding NFSM. In a letter to NFSM, Lloyd stated that Stephenson had engaged in prohibited ERISA transactions.
The employee stock-ownership plan later sued Stephenson based on allegations Lloyd outlined in his letter to NFSM. During the litigation against Stephenson, an attorney for NFSM and the employee stock-ownership plan sent a letter to Callister stating that Stephenson "remembers receiving advice from your firm" that Stephenson should take actions that were prohibited under ERISA. The attorney noted that if Stephenson's claims about erroneous legal advice were true, Callister probably needed to notify its malpractice carrier.
During the time of the alleged malpractice, Callister had professional liability insurance through Ironshore. The front page of Ironshore's policy states that it is a claims-made policy,
Section VIII of the policy sets forth the notice requirements for claims and for "any circumstances that may reasonably be expected to give rise to a Claim."
Ironshore's policy also contains an "innocent insured" waiver,
A month after receiving the letter about Stephenson's potential malpractice claims, Callister prepared an annual renewal application for insurance from Ironshore.
In the next year's application to Ironshore, Callister again listed "National Financial Systems/Hoyt Stephensen" as the "Issue/Claimant" for an "Active" matter.
In October 2013, Callister switched its professional liability insurer to Old Republic. The first page of the Old Republic application states that it is a claims-made policy.
Old Republic's professional liability insurance application contains a list of questions for the applicant. Question 30(a) asks whether the applicant knows "of any acts, errors, omissions or circumstances that could reasonably give rise to a professional liability claim against the applicant."
Stephenson filed in Utah state court the underlying malpractice suit at issue in February 2014, alleging errors in Callister's work on NFSM. In March 2014, Callister sent written notice of the suit to Old Republic, which responded that it would not cover the suit. Callister then notified Ironshore of the suit in April 2015, approximately 14 months after it was filed.
Ironshore responded to Callister's notice with this action. In its Complaint, Ironshore seeks a declaratory judgment that it did not owe a duty to defend or indemnify Callister in the Stephenson malpractice suit. Callister then filed a third-party Complaint for declaratory judgment against Old Republic, which counterclaimed against Callister. All three parties filed Motions for Summary Judgment based on the requests for declaratory judgment.
Summary judgment is appropriate when "there is no genuine dispute as to any material fact" and the moving party is "entitled to judgment as a matter of law."
Callister has filed Motions for Summary Judgment against both Ironshore and Old Republic, arguing that each has a duty to defend against the malpractice suit. Ironshore argues that it does not have a duty to defend because Callister did not provide proper notice of the claim, and Old Republic contends it does not have a duty because its application excluded claims arising from facts that Callister already knew might give rise to a claim at the time Callister applied for coverage with Old Republic.
Utah applies the "eight-corners rule," in which an insurer's duty to defend is determined "by comparing the allegations within the four corners of the complaint to the language contained in the four corners of the insurance policy."
The court will first address Ironshore's policy before turning to Old Republic's policy.
The dispute between Callister and Ironshore centers around two policy provisions: Section VIII, which covers notice of claims and potential claims, and Section IV, which provides coverage for an innocent insured. Ironshore argues that neither Callister nor Lloyd provided proper notice of circumstances that could give rise to the malpractice suit. Callister argues that there is no genuine dispute of material fact that its notification of the NFSM/Stephenson matter in its renewal applications was sufficient and, in the alternative, that Lloyd should still be covered as an innocent insured.
The primary dispute between Callister and Ironshore concerns whether Callister gave proper notice of the potential claim. Ironshore argues that Callister was required to strictly comply with the notice provision in the policy, which Callister does not dispute that it failed to do. Callister counters that the requirement to strictly comply applies only if Ironshore met Utah's statutory requirements for a claims-made policy. Callister contends that Ironshore's policy did not comply with the statutory requirements and that therefore substantial compliance through Callister's disclosures in its renewal applications was sufficient to give notice of a potential claim.
A claims-made policy covers only claims that are made and reported to an insurer during the policy period.
Ironshore argues it need not comply with the coverage restriction statute, and, alternatively, it satisfied the statute's requirements for claims-made policies. First, Ironshore argues that its status as a surplus-lines insurer means the coverage restriction statute does not apply. Under Utah law, such insurers need not comply with certain regulations, including the coverage restriction statute.
But even if Ironshore were required to comply with the statute, the court concludes that it did. Ironshore's claims-made policy notice is conspicuous because Ironshore states in bold text on the policy cover page that it is "a Claims Made and Reported Policy." Additionally, the policy states in Section I.A. that it covers claims "first made against the Insured during the Policy Period and reported to the Insurer during the Policy Period."
As the insured of a claims-made policy, Callister needed to strictly comply with the notice provision in the policy. Because it notified Ironshore of a potential claim only in renewal applications, and not in a formal notice of a potential claim, Callister has not strictly complied. In a similar case, the Tenth Circuit, in a persuasive application of Kansas law, held that a renewal application did not satisfy the notice requirements in part "because of the context in which the information was provided."
Additionally, even if only substantial compliance were required, Callister's disclosures in its renewal applications failed to substantially comply with the notice requirements. Ironshore's policy requires notice that includes the circumstances, the anticipated allegations, and the reasons for anticipating a claim "with full particulars as to dates, persons and entities involved."
Callister also argues that even if the firm is denied coverage under the notice of claim provision, Lloyd remains covered under the "innocent insured" provision of Ironshore's policy because he was not responsible for the default in providing notice.
The innocent insured provision functions as a waiver of the exclusion stemming from a default in notice. After an insurer meets its burden of proof that an exclusion applies, the burden then shifts to the insured to prove an exception to the exclusion applies.
The innocent insured provision in the Ironshore policy states that coverage may still apply to an insured who is in default "solely because of the default or concealment of such default by one or more Insured responsible for the loss or damages otherwise insured." Lloyd argues he is in default only because of the default of the firm's president, who was responsible for giving notice to Ironshore of any claims. However, the provision applies not to default by members of the firm responsible for giving notice, but to fellow insureds who are "responsible for the loss or damage otherwise insured." In this case, the loss or damage refers to the potential malpractice claim. Lloyd submits no facts showing the president of the firm is responsible for that claim. Lloyd has not met his burden of proving the innocent insured provision applies to him.
The court concludes that Ironshore did not have a duty to defend and is entitled to judgment as a matter of law. Ironshore's Motion for Summary Judgment is granted.
Old Republic argues in its Motion for Summary Judgment that its duty to defend does not include malpractice claims arising from facts that Callister listed in its insurance application that could reasonably give rise to a claim.
Callister argues the provision in Old Republic's application
"If a policy is ambiguous, doubt is resolved against the insurer."
Callister contends Paragraph 30 of the Old Republic application creates ambiguity in two ways. First, Callister argues the scope of coverage is ambiguous because the policy's coverage provisions conflict with Paragraph 30's exclusion. Second, Callister argues ambiguity arises from the disclaimer's language about excluding any claim listed in response to Paragraph 30.
The court finds that Old Republic's policy is not ambiguous. First, the mere existence of an exclusion does not mean it "conflicts" with the coverage provisions, as "this logic would prevent application of any exclusion since exclusions are necessarily inconsistent with coverage."
Callister also argues that even if the disclaimer is unambiguous, there is a genuine dispute of material fact about whether it excludes the Stephenson malpractice suit. During briefing and at oral argument, the parties disputed the meaning of several terms within the disclaimer that would alter the scope of the exclusion.
Callister argues that the malpractice suit is not properly deemed "arising out of" the matters listed in response to Question 30(a) because those claims are "wholly different" from NFSM's claims.
Under Utah law, "[a]s used in a liability insurance policy, the words `arising out of' are very broad, general and comprehensive."
Under this standard, Stephenson's suit against Callister arises out of the matter required to be listed in response to Question 30(a). Callister listed the "[a]lleged error in documenting ERISA-related transaction" in response to Question 30(a)'s prompt about "any acts, errors, omissions or circumstances that could reasonably give rise to a professional liability claim against the applicant." Even construing the facts in the light most favorable to Callister, there is no genuine dispute as to whether the allegations in the malpractice suit originate, grow out of, or flow from the ERISA-related error that Callister referenced in its answer. The complaint in the malpractice suit makes this clear, as Stephenson alleges that Callister erred in providing legal services regarding the business plan for NFSM and the employee stock-ownership plan. Old Republic's policy thus excludes the malpractice suit, and Old Republic does not have a duty to defend. Old Republic's Motion for Summary Judgment is granted.
For the reasons stated above, Ironshore's Motion for Summary Judgment is GRANTED,