American Center for International Labor Solidarity v. Federal Insurance
D.D.C.10/15/2007
AI Case Brief
Generate an AI-powered case brief with:
đKey Facts
âïžLegal Issues
đCourt Holding
đĄReasoning
đŻSignificance
Estimated cost: $0.10â$0.50 per brief, depending on opinion length and retries
Full Opinion
MEMORANDUM OPINION COLLEEN KOLLAR-KOTELLY, District Judge. This insurance coverage dispute arises out of Defendant Federal Insurance Companyâs (âFederalâ) denial of coverage for losses incurred by Plaintiff American Center for International Labor Solidarity (âACILSâ) in the defense and settlement of an employment discrimination lawsuit. Federal denied coverage based on ACILSâ failure to provide notice of its participation in related United States Equal Employment Opportunity Commission (âEEOCâ) proceedings which Federal asserted was a âclaimâ under the insurance policy. The central question in this case is whether the EEOC proceedings constituted a âclaim,â where âclaimâ is defined in the policy to include âa formal administrative or regulatory proceeding commenced by the filing of a notice of charges.... â The Parties have filed cross-motions for summary judgment on this dispositive question. After a searching review of the Partiesâ submissions, exhibits, statutes and case law, the Court shall GRANT [18] Defendantâs Motion for Summary Judgment and DENY [19] Plaintiffs Motion for Summary Judgment. I: BACKGROUND A. The Federal Insurance Policy The underlying material facts are undisputed. 1 Federal issued a NoL-for-Profit Organization Liability Policy (âFederal Policyâ or âPolicyâ) to ACILS on July 16, 2002. Def.âs Stmt. ¶ 1; Pl.âs Resp. ¶ 1. The Policy provides coverage to ACILS (and *165 its directors, trustees, officers and employees) for claims first made between July 16, 2002 to July 16, 2003. 2 Id. The Policy defines âclaimâ to include a: (i) written demand for monetary damages; (ii) civil proceeding commenced by the service of a complaint or similar pleading; (iii) criminal proceeding commenced by the return of an indictment, or (iv) formal administrative or regulatory proceeding commenced by the filing of a notice of charges, formal investigative order or similar document. Policy § 22; Pl.âs Stmt. ¶ 6; Def.âs Resp. ¶ 6. ' The Policy requires ACILS to give notice to Federal of any claim âas soon as practicableâ as âa condition precedentâ to coverage. Federal Policy § 7; PLâs Stmt. ¶ 5; Def.âs Stmt. ¶ 5. Although Federal is obligated âto defend any Claim covered by this policyâ and to cover all âLosses,â Federal also has the right to âmake any investigation it deems necessaryâ and âmake any settlement of any Claim it deems expedient.â Federal Policy §§ 1, 8. Finally, the Policy provides that all âInterrelated Wrongful Acts ... shall be deemed [one] Loss,â and âInterrelated Wrongful Actsâ are defined as âall causally connected Wrongful Acts.â Federal Policy § 6; Def.âs Stmt. ¶ 7; PLâs Resp. ¶ 7. B. The Nesbitt EEOC Charge And Lawsuit Against ACILS On August 9, 2002, ACILS received a Notice of Charge from the EEOC indicating that a former employee, Mr. Rozell Nesbitt, had filed a Charge of Discrimination (the âChargeâ) against ACILS. Def.âs Stmt. ¶ 12; PLâs Resp. ¶ 12. The Charge alleged that ACILS had discriminated against Mr. Nesbitt on the basis of his race in violation of Title VII of the Civil Rights Act of 1964. Def.âs ¶ 13; PLâs Resp. ¶ 13. The EEOCâs notice also stated that â[n]o action is required on [ACILSâ] part at this time.â PLâs ¶ 9. On November 14, 2002, ACILS received a second Notice of Charge from the EEOC. Def.âs Stmt. ¶ 15; PLâs Resp. ¶ 15. Unlike the first notice, the EEOC enclosed a two-page âperfectedâ Charge that described Mr. Nesbittâs claims in more detail. Id. See also Def.âs Mot. for Summ. J. Ex. F (Nov. 14, 2002 Notice of Charge of Discrimination with attachments). Also unlike the first notice, the EEOC requested that ACILS either participate in mediation (described as a âvoluntary, informal processâ in the fact sheet attached to the EEOC notice) or forego mediation and submit to the EEOC a âstatement of [ACILSâ] position with respect to the allegations contained in this chargeâ (âPosition Statementâ). Def.âs Mot. for Summ. J. Ex. F; PLâs Stmt. ¶ 10; Def.âs Stmt. ¶ 16. ACILS declined mediation and asked its outside counsel to draft a Position Statement in connection with the Charge. Pl.âs Stmt. ¶ 11; Defiâs Stmt. ¶¶ 17-18, 20; PLâs Resp. ¶ 17. On December 19, 2002, ACILSâ counsel submitted a 16-page Position Statement, with attachments, reciting ACILSâ view of the facts and the law associated with Mr. Nesbittâs termination. See Def.âs Mot. for Summ. J. Ex. G (Dec. 19, 2002 Letter from M. Gilson and S. Brown to S. Leon). The Position Statement indicated that if ACILSâ counsel *166 were provided with additional information from the EEOC or Mr. Nesbitt, it would supplement the Position Statement. See, e.g., Id. at 10 (âWe will respond promptly if provided the names of the âcompara-blesâ â and â[i]f Mr. Nesbitt identifies the relevant individuals, [ACILS] will respondâ). The EEOC dismissed Mr. Nesbittâs Charge and issued a Right>-to-Sue letter on September 16, 2003. 3 PLâs Stmt. ¶ 13; Def.âs Stmt. ¶ 21. The letter stated that the EEOC was âunable to conclude that the information obtained established] violations of the statutes.â Def.âs Mot. for Summ. J. Ex. H (Sept. 16, 2003 EEOC Dismissal and Notice of Rights). On December 12, 2003, Mr. Nesbitt filed a lawsuit in United States District Court for the District of Columbia against ACILS and Harry G. Kamberis, ACILSâ Executive Director. PLâs Stmt. ¶¶2, 14; Def.âs Stmt. ¶ 25. Mr. Nesbittâs Charge and his lawsuit filed in district court contain materially similar allegations of discrimination. See Def.âs Mot. for Summ. J. Ex. F (Nov. 14, 2002 Notice of Charge of Discrimination with attachments) (alleging, inter alia, discrimination based on race); Def.âs Mot. for Summ. J. Ex. H (Dec. 12, 2003 Complaint) (alleging, inter alia, discrimination based on race); Def.âs Mot. for Summ. J. Ex. D at 185 (Feb. 8, 2005) (Deposition of Harry G. Kamberis) (acknowledging that âthe allegations made in [Mr. Nesbittâs] lawsuit arise out of the same facts and circumstances that underlie the EEO[C] Charge of Discriminationâ). C. ACILSâ Claim For Coverage On January 20, 2004, ACILS notified Federal via letter that Mr. Nesbitt had filed a lawsuit against the company and Mr. Kamberis. PLâs Stmt. ¶ 15; Def.âs Stmt. ¶ 30. In its letter, ACILS requested Federalâs consent to have ACILSâ outside counsel (the same counsel that drafted its EEOC Position Statement) handle the lawsuit because âtime is of the essence in preparing an Answer to the Complaint.â PLâs Mot. for Summ. J. Ex. F (Jan. 20, 2004 Letter from K. Doherty to Federal). ACILS did not reveal to Federal that its outside counsel had knowledge of the matter due to its handling of the EEOC Charge (although the letter does make reference to its counsel being âfamiliar with the facts that gave rise to [the] lawsuitâ), nor did it reference the EEOC Charge itself. Id. ACILSâ January 20, 2004 letter was the first notification that Federal received concerning Mr. Nesbittâs claims of discrimination against ACILS. Def.âs Stmt. ¶ 30; PLâs Resp. ¶ 30. Federal was not informed of the two EEOC Charges that ACILS had previously received in 2002. Def.âs ¶ 22; PLâs Resp. ¶ 22. Federal also had not been notified that ACILS had decided to forego informal mediation with the EEOC and have its counsel submit a Position Statement on ACILSâ behalf. Def.âs ¶ 24; PLâs Resp. ¶ 24. On March 31, 2001, after learning of the EEOC Charge, Federal denied coverage under the Policy because â[t]he Claim submitted to Federal for coverage on or about January 21, 2004 involves a Claim that [Mr. Nesbitt] initially filed against ACILS in July 2002.â Def.âs Mot. for Summ. J. Ex. J (Mar. 31, 2004 Letter from E. Flanagan to K. Doherty); Def.âs Stmt. ¶ 31; PLâs Resp. ¶ 31. Federal stated that âACILS failed to satisfy the condition *167 precedent of notifying Federal of the claim âas soon as practicableâ as required by the Policy.â Id. After several additional letters were exchanged between the Parties, Federal confirmed its denial of coverage on June 9, 2004 because âACILS failed to notify [Federal] of this Claim âas soon as practicable.â â Def. Mot. Ex. K (June 9, 2004 Letter from E. Flanagan to J. Collins); Def.âs Stmt. ¶ 32; Pl.âs Resp. ¶ 32. This suit followed on September 28, 2004. Def.âs Stmt. ¶ 33; PLâs Resp. ¶ 33. II: LEGAL STANDARD A party is entitled to summary judgment if the pleadings, depositions, and affidavits demonstrate that there is no genuine issue of material fact in dispute and that the moving party is entitled to judgment as a matter of law. See Fed.R.Civ.P. 56(c); Tao v. Freeh, 27 F.3d 635, 638 (D.C.Cir.1994). Under the summary judgment standard, Defendant, as the moving party, âbears the initial responsibility of informing the district court of the basis for its motion, and identifying those portions of âthe pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if anyâ which it believes demonstrate the absence of a gen-ĂŒine issue of material fact.â Celotex Corp. v. Catrett, 477 U.S. 317, 323 , 106 S.Ct. 2548 , 91 L.Ed.2d 265 (1986). Plaintiff, in response to Defendantsâ motion, must âgo beyond the pleadings and by [its] own affidavits, or by the âdepositions, answers to interrogatories, and admissions on file,â designate âspecific facts showing that there is a genuine issue for trial.â â Id. at 324 , 106 S.Ct. 2548 . Although a court should draw all inferences from the supporting records submitted by the nonmoving party, the mere existence of a factual dispute, by itself, is not sufficient to bar summary judgment. See Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 247-48, 106 S.Ct. 2505 , 91 L.Ed.2d 202 (1986). To be material, the factual assertion must be capable of affecting the substantive outcome of the litigation; to be genuine, the issue must be supported by sufficient admissible evidence that a reasonable trier-of-fact could find for the nonmoving party. Laningham v. U.S. Navy, 813 F.2d 1236, 1242-43 (D.C.Cir.1987); Liberty Lobby, 477 U.S. at 251-52, 106 S.Ct. 2505 , (the court must determine âwhether the evidence presents a sufficient disagreement to require submission to a jury, or whether it is so one-sided that one party must prevail as a matter of lawâ). âIf the evidence is merely colorable, or is not sufficiently probative, summary judgment may be granted.â Liberty Lobby, 477 U.S. at 249-50, 106 S.Ct. 2505 (internal citations omitted). âMere allegations or denials of the adverse partyâs pleading are not enough to prevent the issuance of summary judgment.â Williams v. Callaghan, 938 F.Supp. 46, 49 (D.D.C.1996). The adverse party âmust do more than simply show that there is some metaphysical doubt as to the material facts.â Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 586, 106 S.Ct. 1348 , 89 L.Ed.2d 538 (1986). Instead, while the movant bears the initial responsibility of identifying those portions of the record that demonstrate the absence of a genuine issue of material fact, the burden shifts to the non-movant to âcome forward with âspecific facts showing that there is a genuine issue for trial.â â Id. at 587, 106 S.Ct. 1348 (citing Fed.R.Civ.P. 56(e)) (emphasis in original). Ill: DISCUSSION A. EEOC Proceedings The EEOC is an administrative agency empowered to prevent unlawful employment practices. See 42 U.S.C.S. § 2000e-5(a) (2007). Any employee claiming to be *168 aggrieved may file a âchargeâ with the EEOC against an employer. See 42 U.S.C.S. § 2000e-5(b). Within ten days of receiving a charge, the EEOC must deliver a ânotice of chargeâ to the employer and begin an investigation into the same. Id. Various regulations set forth the mechanisms by which the EEOC investigates a charge. See 29 C.F.R. §§ 1601.14 et seq. (2007). In some instances, the EEOC may require an employee claiming to be aggrieved to provide a statement that describes âeach specific harm ... sufferedâ or âthe act, policy or practice [that] is discriminatory.â 29 C.F.R. § 1601.15 (b). In the course of its investigation, the EEOC will also consider any âstatement of position or evidence with respect to the allegations of the chargeâ from any party, including an employer. 29 C.F.R. § 1601.15 (a). As part of its investigatory role, the EEOC may hold a fact-finding conference with the parties intended âto define the issues, to determine which elements are undisputed, to resolve those issues that can be resolved and to ascertain whether there is a basis for negotiated settlement of the charge.â 29 C.F.R. § 1601.15 (c). The EEOC also has the authority to subpoena the attendance and testimony of witnesses or the production of evidence. See 29 C.F.R. §§ 1601.16 (a), 1601.17(a). Where a person fails to comply with such a subpoena, the EEOC may initiate proceedings to compel enforcement. See 29 C.F.R. § 1601.16 (c), (d). 4 If the EEOC completes its investigation and finds âthere is no reasonable cause to believe that an unlawful employment practice has occurred or is occurring,â the EEOC issues a âletter of determination to the parties indicating the finding.â 29 C.F.R. § 1601.19 (a). The letter of determination also informs the employee that he or she may sue in federal court. See Id. Conversely, if the EEOC finds that reasonable cause exists that an unlawful employment practice has occurred or is occurring, it may attempt to eliminate the practice through âinformal methods of conference, conciliation and persuasion.â 29 C.F.R. § 1601.24 (a). If resolution is not reached, the EEOC is empowered to bring a civil action against the employer named in the charge. See 29 C.F.R. § 1601.27 . Although EEOC investigations are not binding in the sense that they do not adjudicate liability or result in appeal-able determinations, the proceedings do have consequences for the parties in subsequent lawsuits. For example, materials such as Position Statements may be admissible as evidence of party admissions or for purposes of witness impeachment. See, e.g., Gage v. Metro. Water Reclamation District of Greater Chicago, 365 F.Supp.2d 919, 936-37 (N.D.Ill.2005) (â â[a]n employerâs position statement in an EEOC proceeding may be admissible to the extent it constitutes an admission, or to show the employer has given inconsistent statements in justifying its challenged decision, which may tend to prove that its stated reasons are pretextsâ â) (quoting Frazier v. Ind. Depât of Labor, 2003 WL 21254424 , at *5, 2003 U.S. Dist. LEXIS 9073 at *5 (S.D.Ind. Mar. 17, 2003)). The EEOCâs reasonable cause determinations are also potentially admissible as evidence. See Wade v. Washington Metro. Area Transit Auth., Civ. A. No. 01-0334, 2006 WL *169 890679, at *4, 2006 U.S. Dist. LEXIS 16447 at *12 (D.D.C. Apr. 5, 2006) (â[t]he Supreme Court has explained that âprior administrative findings made with respect to an employment discrimination claim,â e.g., EEOC determinations, are admissible under [the Federal Rules of Evidence]â) (quoting Chandler v. Roudebush, 425 U.S. 840, 863 n. 39, 96 S.Ct. 1949 , 48 L.Ed.2d 416 (1976)). B. The Federal Policy Language Armed with the familiar rules of insurance policy interpretation, the Parties disagree as to whether the EEOC proceedings in this matter are properly characterized as a âformal administrative ... proceeding commenced by the filing of a notice of charges----â ACILS argues that the word âformalâ is ambiguous, and [i]t is axiomatic that when âconstruing] ... policies of insurance ... any reasonable doubt which may arise as to the meaning or intent of a condition thereof, will be resolved against the insurer.ââ Pl.âs Mot. for Summ. J. at 6 (quoting Cameron v. USAA Prop., Cas. Ins. Co., 733 A.2d 965, 968 (D.C.1999)). Because ACILS asserts that the EEOC proceedings cannot be considered âformal administrative proceedings,â it argues that ACILS was not required âto treat [Mr.] Nesbittâs EEOC charge as a âclaimâ triggering the Policyâs notice requirement.â PLâs Mot. for Summ. J. at 11. In contrast, Federal argues that EEOC proceedings âunquestionablyâ fall within the Policyâs definition of claim, Def.âs Mot. for Summ. J. at 9, and âclear and unambiguousâ insurance provisions must be enforced as written. Id. at 14 (quoting Chase v. State Farm Fire & Cas. Co., 780 A.2d 1123, 1132 (D.C.2001)). Federal also explains that disagreement among the parties as to the meaning of a provision is not enough to create an ambiguity where none otherwise exists.â Id.; See Cameron, 733 A.2d at 968 (âan insurance contract is not ambiguous âmerely because the parties do not agree on the interpretation of the contract provision in questionâ â) (quoting Byrd v. Allstate Ins. Co., 622 A.2d 691, 694 (D.C.1993)). As an initial matter, EEOC proceedings are unambiguously âadministrative proceedings.â See Friends v. Astrue, Civ. A. No. 061762, 2007 WL 1954420 , at *4, n. 6, 2007 U.S. Dist. LEXIS 48161 at *12 n. 6 (D.D.C. Jul. 5, 2007) (referring to an EEOC action as an âadministrative proceedingâ); Gallagher v. Gelb, Civ. A. No. 901145, 1990 WL 116830 , at *1, 1990 U.S, Dist. LEXIS 9510 at *3 (D.D.C. Jul. 30, 1990) (same), aff'd 988 F.2d 1280 (D.C.Cir. 1993). EEOC proceedings are also unambiguously âcommenced by a notice of charges.â See 42 U.S.C.S. § 2000e-5(b) (requiring the EEOC to deliver a ânotice of chargeâ to an employer); Def.âs Mot. for Summ. J. Ex. C (EEOC âNotice of Chargeâ). The central issue in this' case is whether ACILS is correct that the word âformalâ excludes EEOC proceedings from the definition of âformal administrative ... proceeding commenced by the filing of a notice of charges.... â EEOC proceedings certainly appear to possess the trappings of. formality. As detailed above, nearly all aspects of the EEOCâs proceedings are prescribed by statute or regulation. Among other things, the EEOCâs regulations set forth the flow of information to and from the EEOC, the procedures that must be observed during an investigation of a charge of discrimination, and the procedures associated with the EEOCâs determinations concerning whether a discriminatory practice has occurred or is occurring. See 29 C.F.R. §§ 1601.14 et seq. See also Jackson v. Richards Med. Co., 961 F.2d 575, 581-82 (6th Cir.1992) (setting forth the various procedures followed by the EEOC). Among the- more specific regula *170 tions, the EEOC is empowered to receive evidence, listen to witness testimony, subpoena documents and witnesses, and initiate proceedings to compel enforcement. See 29 C.F.R. §§ 1601.14 et seq. In addition, the EEOCâs investigations produce significant consequences for the parties. A finding of âreasonable causeâ may be submitted in a subsequent lawsuit against an employer and a âno reasonable causeâ determination may be used as evidence against an employee claiming to be aggrieved. See Wade, 2006 WL 890679 , at *4, 2006 U.S. Dist. LEXIS 16447 at *12. Party submissions such as Position Statements may also be used as evidence. See Gage, 365 F.Supp.2d at 936-37 . Despite these regulations and the potential consequences arising from the proceedings, ACILS argues that EEOC proceedings cannot be characterized as âformalâ because the EEOC uses âinformal methods of conference, conciliation, and persuasion,â 42 U.S.C. § 2000e-5(b), and cannot â âadjudicate the rights and liabilities [of the employer]â or award monetary damages.â Pl.âs Mot. for Summ. J. at 7 (quoting EEOC v. Sears, Roebuck & Co., Civ. A. No. 791957, 1980 WL 108 , at *7, 1980 U.S. Dist. LEXIS 11097 at *18 (N.D.Ga. Mar. 14, 1980)). This argument fails because it merely identifies several differences between EEOC proceedings and litigation. While an insurance policy may certainly characterize litigation as a type of formal proceeding, there is no reason why litigation is the only type of proceeding that may be characterized as formal. In fact, the Federal Policy contemplates proceedings that are not litigation but are nonetheless âformal.â See Federal Policy § 22 (defining claim to include both a âcivil proceeding commenced by the service of a complaintâ and a âformal administrative ... proceeding commenced by the filing of a notice of chargesâ). ACILS concedes as much by recognizing that administrative proceedings undertaken pursuant to a rule or statutory requirement might âin that limited senseâ be considered formal. PLâs Opp. at 17. To that end, simply because the EEOC cannot impose liability or adjudicate rights does not eviscerate this formality. The cases cited by ACILS do not suggest otherwise. One line of cases identifies decisions where courts have interpreted âclaimâ to exclude EEOC proceedings, where âclaimâ was left undefined in the policy. See, e.g., Bensalem Twp. v. W. World Ins. Co., 609 F.Supp. 1343, 1347-49 (E.D.Pa.1985). These cases have no bearing on the instant motions because the Federal Policy does include a definition of âclaim,â and the disagreement among the Parties is whether an EEOC proceeding constitutes a âformal administrative proceeding,â not whether it constitutes a âclaimâ in the abstract. A second line of cases cited by ACILS are decisions of various courts, including the United States Supreme Court, that refer to certain aspects of EEOC proceedings as informal. See, e.g., Occidental Life Ins. Co. v. EEOC, 432 U.S. 355, 368 , 97 S.Ct. 2447 , 53 L.Ed.2d 402 (1977) (referring to the EEOCâs role as one of âinvestigating claims of employment discrimination and settling disputes, if possible, in an informal, noncoercive fashionâ); Johnson v. Railway Express Agency, Inc. 421 U.S. 454, 473 , 95 S.Ct. 1716 , 44 L.Ed.2d 295 (1975) (Marshall, J., dissenting) (â[l]egislative pains to avoid unnecessary and costly litigation by making the informal investigatory and conciliatory offices of EEOC readily available to victims of unlawful discrimination cannot be squared with the formal, mechanistic requirement of early filing for technical purpose of tolling a limitations statuteâ). Although ACILS is correct that each of the cases discusses *171 aspects of EEOC proceedings as informal, none of these courts evaluate EEOC proceedings in the context of an insurance policy that defined âclaimâ as a âformal administrative proceeding.â Not surprisingly, other courts have made references to the formalities associated with EEOC proceedings. See, e.g., Edelman v. Lynchburg Coll., 535 U.S. 106 , 115 n. 9, 122 S.Ct. 1145 , 152 L.Ed.2d 188 (2002) (âThe general practice of EEOC staff members is to prepare a formal charge of discrimination for the complainant to review and to verify ... â); EEOC v. Liberty Loan Corp., 584 F.2d 853, 854 (8th Cir.1978) (âthe EEOCâs formal investigation beganâ). Because none of these courts construed EEOC proceedings in the context of an insurance policy defining âclaimâ as a âformal administrative proceeding,â these decisions do not advance either Partiesâ arguments. 5 ACILSâ interpretation of the Policy is all the more difficult to accept because excluding âEEOC proceedingsâ from the Policyâs definition of âclaimâ results in an awkward interpretation of the Policy provision. See Federal Policy § 22. Under ACILSâ interpretation, the phrase âformal administrative or regulatory proceeding commenced by the filing of a notice of charges, formal investigatory order, or similar documentâ excludes a subset of informal proceedings commenced by the filing of a notice of charges. Pl.âs Mot. for Summ. J. At 11 n. 6. If this interpretation were correct, it would also mean that the Policy excludes a subset of informal proceedings commenced by the filing of a âformal investigative order.â Although problematic because of the grammatical inconsistency, the same interpretation was also flatly rejected by the only other court to have examined the Federal Policy language at issue in this case. See Natâl Stock Exch. v. Fed. Ins. Co., Civ. A No. 06C1603, 2007 WL 1030293 , at *3-4, 2007 U.S. Dist. LEXIS 23876 at *8-*11 (N.D.Ill. Mar. 30, 2007). In Natâl Stock Exch., the Securities and Exchange Commission (âSECâ) launched an investigation of plaintiffs regulatory programs related to equity trading. Id. at *1 , 2007 U.S. Dist LEXIS 23876 at *3. As part of the investigation, the SEC requested production of documents and witness testimony. Id. Plaintiff sought coverage from Federal for the fees and costs associated with defending the SECâs investigation. Id. at *1 , 2007 U.S. Dist LEXIS 23876, at *4. Defendant Federal argued that the plaintiff did not have a valid claim to submit for coverage until the SEC initiated various administrative and cease-and-desist proceedings. Id. at *3 , 2007 U.S. Dist. LEXIS 23876 at *8. The Policy defined âclaimâ to include, as in this case, a â âformal administrative or regulatory proceeding commenced by the filing of a notice of charges, formal investigative order, or similar document.â â Id. at *4 , 2007 U.S. Dist LEXIS 23876, at *9 (emphasis omitted). Defendant Federal argued that the SEC investigation did not fall within the definition of a âclaimâ because an investigation is not a âformal administrative or regulatory proceeding.â Id. The court rejected Federalâs argument and reasoned that a âformal investigative orderâ must initiate a âformal administrative or regulatory proceeding,â or it would otherwise lack meaning. Id. In the instant case, ACILSâ interpretation of the Policy that posits the existence of informal administrative pro *172 ceedings that are commenced by the filing of a notice of charges is equally implausible. ACILS is unable to identify (beyond the EEOC proceedings in the instant case) the types of informal proceedings commenced by a filing of notice of charges or formal investigative orders that it believes are excluded from the Policy. See Def.âs Reply at 9 n. 7. In contrast, Federal interprets the Policy language to exclude âformal administrative proceedings that are not commenced by a notice of charges aimed at an individual insured, such as a ratemaking or rulemaking proceeding directed at an entire class of persons or entities.â Id. Just as the Court discussed the EEOC regulations above, the Natâl Stock Exch. court also examined the various regulations associated with SEC investigations to further support its conclusion that a SEC investigation is a formal administrative or regulatory proceeding. Id. at *3 , 2007 U.S. Dist LEXIS 23876, at *10-*11. Specifically, the court found that the SEC is empowered to, among other things, take testimony, receive evidence, subpoena witnesses, and compel witness attendance. Id. Because of these regulations, the court had âno difficult concluding that the policy language âformal investigative order or similar documentâ included an SEC order which commences a âformal investigative proceeding.ââ Id. at *3 , 2007 U.S. Dist LEXIS 23876, at *11. Like the SEC proceedings discussed in Natâl Stock Exchange, the EEOC is empowered to take testimony, receive evidence, subpoena witnesses, and compel witness attendance through initiation of enforcement proceedings. See 29 C.F.R. §§ 1601.15 et seq. Based on the above, the most natural reading of the Policy language is that an EEOC administrative proceeding commenced by the filing of a notice of charges is a âformal administrative ... proceeding commenced by the filing of a notice of charges.... â The Court must also construe the Federal Policy âas a wholeâ and give effect to all of its provisions. Dist. of Columbia Ins. Guar. Assân v. Natâl R.R. Passenger Corp., 721 F.Supp. 1378, 1381 (D.D.C. 1989) (â[i]n viewing insurance contracts the Court should look to the entire instruments and all of their provisions to ascertain their meaning and construe such contracts as a wholeâ) (citing 13 J.A. Appleman & J. Appleman, Ins. Law & Prac. § 7383 (rev. ed.1976), aff'd 925 F.2d 488 (D.C.Cir.1991)). In doing so, the Court finds that ACILSâ interpretation of âclaimâ eviscerates Federalâs rights to notice as set forth in the Policy. See MDB Commcâns, Inc. v. Hartford Cas. Inc. Co., 479 F.Supp.2d 136, 145 (D.D.C.2007) (â âIt is in order to promote the efficient and economic liability insurance administration that such [notice] provisions are given effect in the interest of the public as well as the insurer.â â) (quoting Diamond Serv. Co. v. Utica Mut. Ins. Co., 476 A.2d 648, 652 (D.C.1984)). Specifically, the Policy prevents ACILS from doing anything âthat may prejudice [Federalâs] position or its potential or actual rights of recovery.â Federal Policy § 7. ACILS also may not âsettle any Claim, incur any Defense Costs, assume any contractual obligation or admit any liability with respect to any Claim without [Federalâs] written consent.â Id. at § 8. Federal expressly reserves the right to initiate any investigation it deems necessary and âmake any settlement of any Claim it deems expedient.â Id. ACILSâ participation in the EEOC proceedings was inconsistent with Federalâs rights under the Policy. For example, ACILS potentially prejudiced Federalâs position by asking its outside counsel to draft a Position Statement reciting the *173 Companyâs views of the facts and legal authority associated with Mr. Nesbittâs Charge of Discrimination. ACILSâ decision not to participate in informal and voluntary mediation is also inconsistent with these notice provisions because Federal expressly reserved the right to investigate and settle any claim in deemed expedient. ACILSâs decision to reject mediation also delayed Federalâs ability to investigate Mr. Nesbittâs allegations until after a lawsuit had already been filed. The Policyâs definition of âclaimâ must be read to include such EEOC proceedings to preserve Federalâs notice rights under the Policy. 6 Where a party actively engages in such proceedings by unilaterally rejecting informal mediation and having its counsel draft a written legal and factual Position Statement, the Court has no trouble concluding that the party can be said to have engaged in a âformal administrative ... proceeding commenced by the filing of a notice of charges....â 7 C. ACILSâNotice Consistent with the foregoing analysis, the Court finds that ACILS participated in a âformal administrative ... proceeding commenced by the filing of a notice of charges ...â by receiving an EEOC charge, denying involuntary and informal mediation, and asking its counsel to submit a 16-page Position Statement (with attachments) reciting ACILSâ view of the facts and law at issue. 8 Because âclaimâ is defined in the Policy to include a âformal administrative ... proceeding commenced by the filing of a notice of charges ...,â ACILS failed to notify Federal of a claim in 2002. ACILS concedes that âi[f] the charge constituted a âclaim,â ACILS ... did not give timely notice of that âclaim.â Pl.âs Opp. at 1 n. 1. D. Related Claims One final issue remains. In its Motion for Summary Judgment, ACILS argues that Federal is obligated to cover the defense and settlement costs associated with Mr. Nesbittâs lawsuit as it pertains to Mr. Kamerbis, ACILSâ Executive Director, as he was not identified as a party in the original EEOC charge of discrimination. See PLâs Mot. for Summ. J. at 11. *174 ACILSâ authority for this proposition is Ryland Mortgage Co., Inc. v. Travelers Indem. Co. of Illinois, which explained that an insurance company could not apportion defense costs between covered and uncovered parties â âbased simply on the fact that an item of legal service or expense would also be of use to counsel in defending [an uncovered party] ... in addition to its use in defending a [covered party].â â Pl.âs Mot. for Summ. J. at 12 (quoting 177 F.Supp.2d 435, 440-41 (D.Md. 2001), aff'd 70 Fed.Appx. 673 (4th Cir. 2003)). ACILSâ argument lacks merit because it presupposes that Federal is obligated to provide coverage for Mr. Kamberis. The Federal Policy, however, specifies that âall Interrelated Wrongful Acts of any Insured shall be deemed one Loss, and such Loss shall be deemed to have originated in the earliest Policy Year in which a Claim is first made against any Insured.â Federal Policy § 6. The Policy defines âInterrelated Wrongful Actsâ as all âcausally connected Wrongful Acts.â Federal Policy § 22. In the instant matter, Mr. Nesbittâs EEOC Charge and lawsuit arise out of the same causally connected facts. See Def.âs Mot. for Summ. J. Ex. D at 181, 185-88 (Deposition of Harry G. Kamberis) (agreeing that âthe allegations made in [Mr. Nesbittâs] lawsuit arose out of the same facts and circumstances that underlie the EEOC Charge of Discriminationâ). Thus, under the terms of the Federal Policy, there is only a single loss to be claimed under the Policy, and not a separate âclaimâ as to Mr. Kamberis individually. 9 IV: CONCLUSION For the reasons set forth above, the Court shall GRANT [18] Defendantâs Motion for Summary Judgment and DENY [19] Plaintiffs Motion for Summary Judgment. An appropriate Order has been issued. 1 . As a preliminary matter, this Court strictly adheres to the text of Local Civil Rule 56.1 when resolving motions for summary judgment. See DBI Architects v. Am. Express Travel Related Servs. Co., Civ. No. 02-1729 (D.D.C. August 22, 2003) (scheduling and procedures order) at ¶ 6 (discussing that the parties are required to comply with Local Civil Rule 7.1(h), which is identical to Local Civil Rule 56.1); see also Burke v. Gould, 286 F.3d 513, 519 (D.C.Cir.2002) (district courts need to invoke Local Civil Rule 56.1 before applying it to the case). Although discretionary in the text of the Local Civil Rule 56.1, in resolving the instant motions, this Court "assumes that facts identified by the moving party in its statement of material facts are admitted, unless such a fact is controverted in the statement of genuine issues filed in opposition to the motion.â LCvR 56.1. For purposes of the instant motions, the Court shall cite to Plaintiff's Statement Of Material Facts As To Which There Is No Genuine Issue ("Pl.'s Stmt.â), Defendant's Statement Of Material Facts As To Which There Is Not Genuine Dispute (âDef.âs Stmt.â), Plaintiffâs Response to Def.'s Stmt. ("Plâs.Resp.â), and Def.'s Response to Pl.âs Stmt. ("Def.'s Resp."). 2 . The Parties executed a second insurance policy providing coverage from July 16, 2003 to July 16, 2004. See PLâs Stmt. ¶ 6; Def.âs Stmt. ¶ 9. The Policies contain the same relevant coverage provisions. See Def.âs Stmt. ¶¶ 10, 11; PLâs Resp. ¶¶ 10, 11. For ease of reference, the Court shall only cite to the July 2002 Policy unless context requires otherwise. 3 . Because the EEOC's determination letters also inform aggrieved employees of their rights to sue, these letters are often called "Right-to-Sueâ letters. See, e.g., PL's Mot. for Summ. J. at 4 (referring to the " 'Right to Sue' noticeâ); Def.'s Mot for Summ. J. at 6 (referring to the "Right to Sue Letterâ). 4 . The regulations described in these provisions differ somewhat from those pertaining to federal employees. Unlike private sector charges of discrimination, the EEOC may hold evidentiary hearings before an administrative law judge who has the authority to order "appropriate remedies and relief where discrimination is foundâ for claims brought by federal employees. See 29 C.F.R. § 1614.109 (a), (i). 5 . For the same reason, the Court finds unpersuasive the cases cited by Federal holding that EEOC proceedings are "claims,â but where the insurance policies contained a broader definition of "claimâ than the one in file instant proceeding. See, e.g., Specialty Food Sys., Inc. v. Reliance Ins. Co. of Illinois, 45 F.Supp.2d 541, 543 (E.D.La.1999) (defining âclaimâ to include "any administrative proceedingâ). 6 . ACILS even admits its decision potentially had some effect on Federal. See Pl.'s Reply at 8 (the ârisk to the insurer from not becoming involved at [the EEOC] stage is small.â). 7 . Both Parties posit other minor arguments that have been considered by the Court but have been found to lack merit. For example, ACILS submits for consideration the policy of a different insurance company that explicitly defines âformal administrative proceedingâ to expressly include "EEOC proceedings.â See Pl.'s Opp. at 12 & Ex. 2. ACILS argues that the insurance company issuing this policy thought the phrase "formal administrative proceedingâ was ambiguous because it expressly included "EEOC proceedingsâ in the definition. Id. Far from proving an ambiguity, the policy appears to explicitly support Federalâs argument that EEOC proceedings are included within the definition of âformal administrative proceeding.â Another exam-pie is Federalâs submission of an arbitration decision, where an arbitration panel suggested that EEOC proceedings could be considered âformal.â See Def.âs Mot. for Summ. J. Ex. P at 11. In the decision, however, the panel expressly stated that âit was not deciding the questionâ of whether the EEOC proceedings were properly characterized as formal. Id. at 12. 8 .Based on the facts of the instant case and the Courtâs disposition of the same, the Court does not reach the issue of whether an initial EEOC notice which requires no action on the part of an employer would constitute, by itself, a âformal administrative proceeding.â Instead, the receipt of the second EEOC notice which required ACILS' participation, and the subsequent actions and decision of ACILS, are more than sufficient in the instant case to conclude that ACILS participated in a formal administrative proceeding. 9 . There are other problems with ACILSâ argument. It is unclear what costs Federal would be obligated to cover because Mr. Kamberis did not incur any costs, fees, or other losses that would require coverage, nor did he submit an individual claim to Federal. See Def.'s Mot. for Summ. J. at 21 & Ex. D at 44-45 (Deposition of Mr. Kamberis). Another problem is that ACILS failed to address Federalâs counter arguments and corresponding authority, relegating its own argument to one sentence in a footnote in its Opposition brief, and then failing to mention it altogether in its Reply. ACILS' silence with respect to its argument suggests that it has been conceded. See, e.g., Speaks v. D.C., Civ. A. No. 031963, 2006 U.S. Dist. LEXIS 16776 at *12 n. 1 (D.D.C. Apr. 6, 2006) ("Defendantâs summary judgment motion seized upon these deficiencies in the record, yet Plaintiffâs opposition papers are silent on the issue, which arguably provides an independent basis for treating Defendant's argument as concededâ). Case Information
- Court
- D.D.C.
- Decision Date
- October 15, 2007
- Status
- Precedential