ATAIN SPECIALTY INSURANCE COMPANY v. NORTHEAST MOUNTAIN GUIDING, LLC
D.N.J.1/30/2020
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
NOT FOR PUBLICATION UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW JERSEY ____________________________________ : ATAIN SPECIALTY INSURANCE CO. : : Plaintiff, : : Case No. 3:16-cv-05129-BRM-LHG v. : : OPINION NORTHEAST MOUNTAIN : GUIDING, LLC, et al., : : Defendants. : : MARTINOTTI, DISTRICT JUDGE Before this Court are Motions for Summary Judgment (ECF Nos. 70 & 73) filed by Plaintiff Atain Specialty Insurance Co. (âAtainâ) and Third-Party Defendants Donald Pachner, Pachner & Associates, LLC, and Pachner Risk Management (collectively, âPachnerâ). Defendant Michael Manchester (âManchesterâ) opposes both motions. (ECF No. 80.) Defendants Northeast Mountain Guiding, LLC (âNMGâ), Joseph Vulpis (âVulpisâ), and Bryan Enberg (âEnbergâ) also oppose both motions. (ECF No. 86.) Pachner supports part and opposes part of Atainâs motion. (ECF No. 81.) Atain opposes part of Pachnerâs motion and takes no position as to the remainder. (ECF No. 85.) Having reviewed the partiesâ submissions filed in connection with the motions and having declined to hear oral argument pursuant to Federal Rule of Civil Procedure 78(b), for the reasons set forth below and for good cause having been shown, Atainâs motion is DENIED and Pachnerâs motion is GRANTED IN PART and DENIED IN PART. I. FACTUAL AND PROCEDURAL BACKGROUND A. Northeast Mountain Guiding and Its Guides Vulpis is the founder and sole member of NMG, a limited liability company in the outdoor adventure and education industry. (ECF No. 86-14 ¶ 4.) Vulpis has significant training and experience, as well as multiple certifications, in the field in which NMG operates. (ECF No. 86-14 ¶¶ 5-7.) Enberg provided administrative assistance to NMG, developed a search and rescue training for NMG to provide to clients, and served as a mountaineering guide for NMG. (ECF No. 86-15 ¶ 3.) Manchester performed work for NMG as a Lead Backpacking Guide and Assistant Rock Guide. (ECF No. 70-8, at 16:6-20.) B. Pachner Procures Insurance from Atain for Northeast Mountain Guiding Donald Pachner is the sole member of Pachner & Associates, LLC and Pachner Risk Management, LLC. (ECF No. 73-3 ¶ 1.) Donald Pachner and Pachner & Associates, LLC possess insurance broker licenses under New Jersey law. (ECF No. 73-31, at 1-2.) Vulpis retained Pachner to obtain general commercial liability insurance for NMG. (ECF No. 73-3 ¶ 7.) As part of this process, Pachner and Vulpis worked together to fill out an application (the âApplicationâ) for insurance. (ECF No. 73-3 ¶¶ 8-10; ECF No. 73-33, at ATN000331-41.) The Application required Vulpis to estimate NMGâs gross revenues for the coming year. (ECF No. 73-33, at ATN000332.) On Pachnerâs advice, Vulpis checked the âNoâ box when answering the Applicationâs question concerning whether NMG âhire[s] Concessionaires, Independent Contractors, or Subcontractors.â (ECF No. 73-33, at ATN 000334; ECF No. 73-12, at 221:11-222:11.) As part of the Application, Vulpis initialed next to a requirement NMG (1) obtain from all participants an Atain-approved waiver of liability form, and (2) maintain those forms for three years. (ECF No. 70-17, at ATN000339.) In response to NMGâs Application, Atain issued an insurance quote (the âQuoteâ), which Vulpis reviewed with Pachner. (ECF No. 72-1, at 233:24-234:23.) Among other things, the Quote contains a summary of several of the terms the Policy would contain. (ECF No. 73-37, at 2.) Pachner procured insurance (the âPolicyâ) from Atain for NMG. (ECF No. 73-3 ¶ 12.) The Policy limits coverage to âGUIDED MOUNTAINEERING INCLUDING TOP ROPE CLIMBING & RAPPELLING; GUIDED KAYAK TRIPS; GUIDED SNOWSHOEING; GUIDED HIKING/BACKPACKING INCLUDING CAMPING.â (ECF No. 86-6, at Atain 47.) The Policy excludes coverage for injuries suffered âin the course of employment by or service toâ NMG. (ECF No. 70-5, at ATN000402.) C. Manchesterâs Injury On November 21, 2015, Manchester suffered an injury (the âInjuryâ) while using certain equipment (the âEquipmentâ) to engage in a certain activity (the âActivityâ). Much of the dispute in this case centers on the proper characterization of the Activity and the Equipment. The essence of the Activity is that the participant uses the Equipment to move between two points. (ECF No. 73-12, at 16:2-7.) The evidence conflicts concerning whether the Equipment is a âTyrolean Traverseâ or a âClifftop Zipline.â (ECF No. 86-14 ¶¶ 33-36; ECF No. 73-12, at 75:1- 10, 186:6-191:4.) Ziplines were derived from Tyrolean Traverses, but the differences are too fine for untrained individuals to differentiate between the two. (ECF No. 73-12, at 58:5-7.) On November 21, 2015, three NMG guidesâChristy DeMarco, Enberg, and Vulpisâ went to Allamuchy State Park to test the Equipment NMG expected to offer in the future for its customers. Vulpis and the other three guides set up the Equipment. (ECF No. 86-14 ¶ 46.) Manchester was present at the time, and engaged in the Activity by traveling on the Equipment. (ECF No. 86-14 ¶¶ 46-47.) While engaged in the Activity, Manchester suffered the Injury. (ECF No. 86-14 ¶ 47.) D. Litigation Following his Injury, Manchester filed a state court negligence action against Vulpis, Enberg, and NMG. (ECF No. 1 ¶ 12.) NMG made a claim for coverage with Pachner and Atain. (ECF No. 86-14 ¶ 51-52.) When reporting the claim to Atain, Pachner described Manchester as an independent contractor for NMG. (ECF No. 70-21, at 161:11-13.) Atain filed this coverage action against its Vulpis, Enberg, and NMG, and also joined Manchester as a defendant. (ECF No. 1 ¶ 1-5.) Atain seeks declaratory judgments against Vulpis, Enberg, NMG, and Manchester, authorizing Atain to disclaim coverage Manchesterâs Injury. (ECF No. 1 ¶¶ 31-51.) Additionally, Atain seeks a declaratory judgment voiding the Policy under common law rescission principles and the New Jersey Insurance Fraud Prevention Act, N.J. Stat. Ann. § 17:33A-1 et seq. (ECF No. 1 ¶¶ 52-65.) Vulpis, Enberg, and NMG brought a third-party action against NMGâs insurance broker Pachner, alleging Pachnerâs negligence caused any failure of coverage by Atain. (ECF No. 29 ¶¶ 28-34.) Manchester brought a similar action against Pachner. (ECF No. 28, at 3-7.) II. LEGAL STANDARD Summary judgment is appropriate âif the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.â Farrell v. Planters Lifesavers Co., 206 F.3d 271, 278 (3d Cir. 2000). A factual dispute is genuine only if there is âa sufficient evidentiary basis on which a reasonable jury could find for the non-moving party,â and it is material only if it has the ability to âaffect the outcome of the suit under governing law.â Kaucher v. Cnty. of Bucks, 455 F.3d 418, 423 (3d Cir. 2006); see also Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). Disputes over irrelevant or unnecessary facts will not preclude a grant of summary judgment. See id. at 248. âIn considering a motion for summary judgment, a district court may not make credibility determinations or engage in any weighing of the evidence; instead, the non-moving partyâs evidence âis to be believed and all justifiable inferences are to be drawn in his favor.ââ Marino v. Indus. Crating Co., 358 F.3d 241, 247 (3d Cir. 2004) (quoting Anderson, 477 U.S. at 255)); see also Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587, (1986); Curley v. Klem, 298 F.3d 271, 276-77 (3d Cir. 2002). âSummary judgment may not be granted . . . if there is a disagreement over what inferences can be reasonably drawn from the facts even if the facts are undisputed.â Nathanson v. Med. Coll. of Pa., 926 F.2d 1368, 1380 (3rd Cir. 1991) (citing Gans v. Mundy, 762 F.2d 338, 340 (3d Cir.)); Ideal Dairy Farms, Inc. v. John Labatt, Ltd., 90 F.3d 737, 744 (3d Cir. 1996). The party moving for summary judgment has the initial burden of showing the basis for its motion. Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986). If the moving party bears the burden of persuasion at trial, summary judgment is appropriate only if the evidence is not susceptible to different interpretations or inferences by the trier of fact. Hunt v. Cromartie, 526 U.S. 541, 553 (1999). On the other hand, if the burden of persuasion at trial would be on the non-moving party, the party moving for summary judgment may satisfy Rule 56âs burden of production by either (1) âsubmit[ting] affirmative evidence that negates an essential element of the non[-]moving partyâs claimâ or (2) demonstrating âthat the nonmoving partyâs evidence is insufficient to establish an essential element of the nonmoving partyâs claim.â Celotex, 477 U.S. at 330 (Brennan, J., dissenting). Once the movant adequately supports its motion pursuant to Rule 56(c), the burden shifts to the non-moving party to âgo beyond the pleadings and by her own affidavits, or by the depositions, answers to interrogatories, and admissions on file, designate specific facts showing that there is a genuine issue for trial.â Id. at 324; see also Matsushita, 475 U.S. at 586; Ridgewood Bd. of Ed. v. Stokley, 172 F.3d 238, 252 (3d Cir. 1999). In deciding the merits of a partyâs motion for summary judgment, the courtâs role is not to evaluate the evidence and decide the truth of the matter, but to determine whether there is a genuine issue for trial. Anderson, 477 U.S. at 249. Credibility determinations are the province of the factfinder. Big Apple BMW, Inc. v. BMW of N. Am., Inc., 974 F.2d 1358, 1363 (3d Cir. 1992). There can be âno genuine issue as to any material fact,â however, if a party fails âto make a showing sufficient to establish the existence of an element essential to that partyâs case, and on which that party will bear the burden of proof at trial.â Celotex, 477 U.S. at 322-23. â[A] complete failure of proof concerning an essential element of the non[-]moving partyâs case necessarily renders all other facts immaterial.â Id. at 323; Katz v. Aetna Cas. & Sur. Co., 972 F.2d 53, 55 (3d Cir. 1992). III. DECISION1 A. Coverage for âGuided Mountaineeringâ Atain and Pachner both argue Manchesterâs Injury is not covered under the Policy because the Policy covers only âguided mountaineering,â and Vulpis and Enberg both testified Manchesterâs Injury did not occur during a âguidedâ activity. (ECF No. 72-1, at 221:4-10; ECF No. 70-7, at 115:19-116:6.) Conflicting evidence prevents the Court from granting summary judgment. First, Vulpisâs testimony was more nuanced than Atain and Pachner suggest. While Vulpis testified he would not consider the Activity to be âguided,â Vulpis did consider the 1 The Court has jurisdiction pursuant to 28 U.S.C. § 1332. Activity to be âpart of guided mountaineering.â (ECF No. 72, at 115:22-116:2.) Second, Vulpis testified Manchester received training and instruction from both Vulpis and Enberg for the Activity immediately prior to Manchesterâs Injury. (ECF No. 72, at 85:20-86:12.) A reasonable jury could conclude Vulpisâs and Enbergâs training and instruction âguidedâ Manchester, who had little previous experience with the Equipment. (ECF No. 72, at 28:7-10.) The Court is unpersuaded by Atainâs and Pachnerâs argument alleging Vulpisâs and Enbergâs testimonies demonstrate the partiesâ âintentâ the Policy not cover the Activity. â[W]hen interpreting an insurance contract, the basic rule is to determine the intention of the parties . . . .â Simonetti v. Selective Ins. Co., 859 A.2d 694, 698 (N.J. Super. Ct. App. Div. 2004). While the contractual language is the Courtâs primary tool, the Court may consider evidence of the partiesâ intention beyond the four corners of the contract when, as here, the language of the insurance contract is ambiguous. See, e.g., Welcome v. Just Apts., No. L-9821-01, 2008 WL 2696252, at *3-4 (N.J. App. Div. July 11, 2008). Vulpisâs and Enbergâs testimonies are two such pieces of evidence, but not the only evidence, of NMGâs intent when agreeing to the Policy. Other evidence suggests NMG did intend the Policy to cover the Activity. For instance, Vulpis testified he considered the Activity to be âpart of guided mountaineering.â (ECF No. 72, at 115:22-116:2.) Enberg testified he understood a âguidedâ activity to be an activity in which there is âa guide who is leading the activity.â2 (ECF No. 70-7, at 115:17-18.) According to Vulpisâs testimony, this is exactly what 2 Pachner also argues the Activity could not be âguidedâ as the Policy uses the term unless Vulpis or Enberg met the definition of âguideâ in NMGâs Guide Handbookââspecially trained and experienced mountaineers, climbers, instructors, and outdoor professionals for hire.â (ECF No. 73-35, at 7.) The Court rejects this argumentâwhich Pachner raises for the first time in a reply briefâbecause âarguments raised for first time in [a] reply brief will not be considered.â Washington v. Doran, 717 F. Appâx 151, 155 (3d Cir. 2017). Were the Court to consider Pachnerâs argument on its merits, the argument would fail. First, Pachner offers no evidence the parties intended the Guide Handbookâs definition of âguideâ happened. Vulpis and Enberg lead the Activity, instructing Manchester before Manchester participated. (ECF No. 72, at 85:20-86:12.) Manchester did not have the requisite training to serve as a guide on the Activity. (ECF No. 86-14 ¶ 11.) In light of this conflicting evidence, a genuine issue of material fact exists concerning whether or not the parties intended for the Policy to cover the Activity. Accordingly, the Court cannot grant summary judgment on this ground. B. Injury âIn the Course of Employment . . . or Serviceâ Atain next argues the Court should grant it summary judgment because the Employerâs Liability Exclusion precludes coverage for Manchesterâs Injury because Manchester was acting âin the course of employment by or service toâ NMG. (ECF No. 70-5, at ATN000402.) Pachner3 seeks summary judgment against Atain on this claim, arguing the Employerâs Liability Exclusion does not apply. Neither party is entitled to summary judgment concerning the effect of the Employerâs Liability Exclusion because the evidence conflicts concerning whether Manchester was, in fact, acting in the course of his NMG employment. Several facts weigh in favor of finding Manchester was a participant acting outside the scope of his NMG employment at the time of his Injury. Manchester testified he had come to participate in the Activity because he âthought it would be fun.â (ECF No. 70-8, at 61:25-62:1.) Vulpis testified similarly: Manchester âcame just to travel along the Tyrolean traverse. He wanted to try it out.â (ECF No. 72, at 85:13-14.) Manchester testified he never informed NMG to govern the Policyâs coverage for âguidedâ activities, nor any evidence the parties even considered the Guide Handbookâs definition at the time Atain issued the Policy. Second, even if the Guide Handbookâs definition did govern the Policyâs coverage for âguidedâ activities, Vulpis and Enberg meet the definition. Both Vulpis and Enberg possess special training, and were available for hire. (ECF No. 86-14 ¶¶ 4-7; ECF No. 86-15 ¶¶ 2-3.) The Guide Handbookâs definition does not require Manchester in fact have hired Vulpis or Enberg to guide Manchester on the day of the incident. 3 Manchester joins Pachnerâs arguments. (ECF No. 80, at 19.) NMG, Vulpis, and Enberg also join Pachnerâs arguments. (ECF No. 86, at 30.) he would be attending the Activity and further testified NMG did not know he would be attending. (ECF No. 70-8, at 62:18-20, 68:5-7.) Manchester did not consider himself an employee or representative of Vulpis or Enberg at the time of the Injury. (ECF No. 70-8, at 20:10-19.) However, other factors weigh in favor of finding Manchester was acting within the scope of his employment or service to NMG. Most importantly, Manchester acknowledged he performed work for NMG as a Lead Backpacking Guide and Assistant Rock Guide. (ECF No. 70-8, at 16:6-20.) Vulpis and Manchester both testified Manchester came to be at Allamuchy State Park on the date of his Injury because Vulpis posted an invitation to a Facebook group whose members consisted only of NMG guides and staff. (ECF No. 72, at 56:11-57:14; ECF No. 70-8, at 162:8-21.) Enberg testified although Manchester was not involved in setting up the Equipment and mostly observed others do so, Manchester did help Enberg âpull tension once, so just pull on a rope for me.â (ECF No. 70-7, at 95:23-96:8.) Enberg also testified, â[A]s far as I know, we just there all volunteering and testing the system.â (ECF No. 70-7, at 96:19-20.) In short, the conflicting evidence creates a genuine issue of material fact. Accordingly, no party is entitled to summary judgment either for or against Atainâs claim concerning whether the Employerâs Liability Exclusion precludes coverage. C. Rescission of the Policy Atain also argues it is entitled to rescind the Policy in light of NMGâs material misrepresentations in the Application. Pachner argues the Court should grant summary judgment against Atain because Atain ratified the Policy despite knowing of the misrepresentations. The Court cannot grant summary judgment either for or against rescission because genuine issues of material fact remain (1) concerning whether NMG knowingly misrepresented any material facts, and (2) about the factual bases for rescission. âIn the field of insurance, rescission has long been recognized as an available and necessary remedy to combat fraudulent behavior by an insured.â Rutgers Cas. Ins. Co. v. LaCroix, 946 A.2d 1027, 1035 (N.J. 2008). âIt is settled that a material factual misrepresentation made in an application for insurance may justify rescission [of the resulting insurance policy] if the insurer relied upon it to determine whether or not to issue the policy.â Citizens United Reciprocal Exch. v. Perez, 121 A.2d 374, 378 (N.J. 2015). âRescission voids the [insurance policy] ab initio, meaning that it is considered ânull from the beginningâ and treated as if it does not exist for any purpose.â First Am. Title Ins. Co. v. Lawson, 827 A.2d 230, 237 (N.J. 2003). Rescission of an insurance policy for fraudulent misrepresentation is appropriate if four conditions are satisfied: (1) the applicant must make an âuntruthfulâ representation to the insurer, (2) the representation must be âmaterial to the particular risk assumed by the insurer,â (3) the insurer must âactually and reasonably rel[y] upon [the representation] in the issuance of the policy,â and (4) if the âinsurance application . . . calls for subjective information,â then âthe insured [must] kn[o]w that the information was false when completing the application.â Id. Examples of subjective information include when an insurer asks an insured to indicate a belief about the status of his or her health, or when . . . an insurer asks whether an applicant is aware of any circumstances which may result in a claim being made against the firm[.] [A] subjective question will not constitute equitable fraud if the question is directed toward probing the knowledge of the applicant and determining the state of his mind and . . . the answer is a correct statement of the applicantâs knowledge and belief[.] Id. (citations omitted). A âmere oversight or honest mistakeâ will not support rescission. Rutgers, 945 A.2d at 1035 (quoting Longobardi v. Chubb Ins. Co. of N.J., 582 A.2d 1257, 1261 (N.J. 1990)). âThe lie must be willful.â Longobardi, 582 A.2d at 1261. The insurer bears the burden of demonstrating the applicant âknew and believedâ the information provided on the application was false and âknowingly misrepresentedâ the information provided to be true, but need not demonstrate the applicant âharbored an intent to defraud.â Mass. Mut. Life Ins. Co. v. Manzo, 584 A.2d 190, 195 (N.J. 1991). 1. Projected Revenues First, Atain argues this Court should void the Policy because NMG materially misrepresented its projected revenues on its Application. The Court disagrees because the evidence, viewed in the light most favorable to non-movant NMG, precludes the Court from finding NMG knowingly4 misrepresented its projected revenues.5 4 Because a genuine issue of material fact exists concerning whether NMG knowingly misrepresented its projected revenue, the Court need not decide (1) whether NMGâs projected revenue was material to the particular risk assumed by the Atain, nor (2) whether Atainâs remedy is limited to a retroactive increase in the Policy premium. 5 The Court declines to consider two of Atainâs arguments concerning whether NMG knowingly misrepresented its projected revenues. First, Atain arguesâfor the first time in its reply brief (ECF No. 93, at 25)âVulpis improperly projected zero revenue from NMGâs Professional Services Division, which NMG had created shortly before applying for Atainâs insurance. Second, Atain arguesâagain, for the first time in its reply brief (ECF No. 93, at 25-26)âeven if NMGâs revenue figures were reasonable at the time of the Application, NMGâs failure to update the figures as circumstances changed constitutes a knowing misrepresentation. The Court will not consider either argument because an argument raised for the first time in a reply brief is waived. See Haberle v. Borough of Nazareth, 936 F.3d 138, 141 n.3 (3d Cir. 2019). Were the Court to consider Atainâs arguments on their merits, neither argument would prevail. With regard to revenue from NMGâs newly created Professional Services Division, the Court notes, â[m]ost new businesses fail. Pretty much all studies agree on that.â Thomas J. McIntyre, Note, Discriminatory Opportunism: Why Undertaking Self-Employment to Mitigate Damages Creates Unique Challenges, 45 Suffolk U. L. Rev. 549, 550 n.11 (2012) (quoting Scott A. Shane, The Illusions of Entrepreneurship 98 (2008)). That Vulpis projected no revenue from NMGâs new venture is unsurprising. In conjunction with the other evidence and viewed in the light most favorable to non-movant NMG, a reasonable fact-finder could still determine Vulpis did not knowingly misrepresent NMGâs projected revenue. With regard to NMGâs failure to update its revenue figures as its circumstances changed, the evidence viewed in a light most favorable to NMG does not rule out the possibility NMGâs Atain argues the projected amount listed on the Application was substantially lower than NMGâs actual revenue for the year preceding the Application and disproportionately less than the revenue NMG actually received in the Policy year. The Court declines to find these numerical discrepancies demonstrate a knowing misrepresentation. Vulpis testified several considerations left him doubtful NMG would succeed financially in the coming year when he filled out the Application for NMG. (ECF No. 86-14 ¶ 23.) First, Vulpis was divorcing his spouse, which he believed would impact NMGâs ability to remain in business. (ECF No. 86-14 ¶ 23.) Second, Vulpis had hired new guides, and expected revenues would be lower while his new guides gained experience.6 (ECF No. 86-14 ¶ 23.) Third, âa chronic, life-threatening auto-immune diseaseâ hospitalized Vulpis shortly before he filed the Application, and he was ânot sure [he] would live throughâ the year, âmuch less have any revenues in NMG.â (ECF No. 86-14 ¶ 23.) Even taking those factors into account, the revenue Vulpis projected on the Application was approximately equal to NMGâs annual revenue two years prior to the Application, and was slightly lower than the average of the revenue for the preceding three years. (ECF No. 86-14 ¶ 23.) Taking these facts in the light most favorable to NMG, a reasonable fact-finder could determine NMG did not knowingly misrepresent its projected income. Atain also points to Vulpisâs testimony about how he projected NMGâs revenue by merely âguess[ing] what I thought we might do for the seasonâ and answered ânoâ when asked if he did any math to figure out the projected revenue. (ECF No. 72-1, at 217:3-12.) Atain argues these answers demonstrate Vulpis did not make a good faith revenue projection. The Court failure to update its Application was a âmere oversight or honest mistake.â Rutgers, 945 A.2d at 1035 (quoting Longobardi, 582 A.2d at 1261). 6 Atain argues the existence of new hires indicates NMGâs business was growing, and is reason to expect a good faith estimate of NMGâs revenues would have been higher. While Atainâs argument is one permissible inference concerning this piece of evidence, the Court must draw all inferences concerning the new hires in favor of non-movant NMG. disagrees. When read in context, a reasonable fact-finder could determine Vulpis attempted to accurately project NMGâs revenues. Immediately before testifying he âguessed,â Vulpis testified he âguestimatedâ the revenue figures, and further testified his projection considered revenues âfrom previous years of business.â (ECF No. 72-1, at 216:23, 217:13-14.) Combined with his more detailed testimony about how Vulpis considered his divorce, new hires, and his medical condition when projecting revenue on the Application, and viewed in the light most favorable to NMG, genuine issues of material fact exists concerning whether Vulpis failed to make a good faith attempt to project NMGâs revenue. 2. Independent Contractors Atain argues it is entitled to summary judgment because a second, unrelated misrepresentation on the ApplicationâVulpisâs statement claiming NMG did not use subcontractors or independent contractorsâwarrants rescission of the Policy. Pachner7 argues the Court should grant summary judgment against Atain on this ground because NMG accurately represented it did not use independent contractors. Pachner also argues summary judgment is appropriate against any claim Pachner negligently (1) advised Vulpis to answer ânoâ to the question on the Application asking about NMGâs use of subcontractors or independent contractors or (2) misidentified Manchester as an independent contractor when communicating with Atain. The Court rejects all these arguments because the evidence creates genuine issues of material fact concerning whether NMG (1) knowingly misrepresented its use of independent contractors, and (2) used independent contractors at all.8 7 Manchester joins Pachnerâs arguments. (ECF No. 80, at 19.) NMG, Vulpis, and Enberg also join Pachnerâs arguments. (ECF No. 86, at 30.) 8 Because these two genuine issues of material fact preclude summary judgment on these issues for both Atain and Pachner, the Court need not decide (1) whether principles of preclusion or estoppel require the Court to treat the guides as independent contractors for purposes of this litigation, nor (2) whether NMGâs representation concerning subcontractors i. Knowing Misrepresentation Distinguishing independent contractors from employees is among the most contentiously litigated issues in courts today, arising in a host of different contexts, each with a different standard.9 The variety of tests creates a âparadoxical truth that even when the same person performs the same acts at the same time in the same place under the same conditions,â the person âmay be considered an employee for one purpose and an independent contractor for another.â EEOC v. Zippo Mfg. Co., 713 F.2d 32, 35-36 (3d Cir. 1983) (âparadoxical truthâ); Hoag v. Brown, 935 A.2d 1218, 1228 (N.J. Super. Ct. App. Div. 2007) (âmay be consideredâ). Given the issueâs complexity, the Court is not surprised Vulpisâs testimony suggests he had genuine difficulty distinguishing between employees and independent contractors. Vulpisâs testimony concerning his thinking at the time demonstrates his confusion. For instance, Vulpis and independent contractors was material to the particular risk assumed by Atain. 9 In the copyright context, a work is âmade for hireâ if the workâs author or creator is an âemployeeâ under a non-exhaustive thirteen-factor test derived from the common law of agency. See Cmty. for Creative Non-Violence v. Reid (âCCNVâ), 490 U.S. 730, 751 (1989). The Fair Labor Standards Act regulates the wages of individuals who meet a six-factor, totality-of-the-circumstances test focusing on the âeconomic realityâ of the employer- employee relationship. See Verma v. 3001 Castor, Inc., 937 F.3d 221, 229-30 (3d Cir. 2019). The Americans with Disabilities Act covers businesses with a minimum number of âemployeesâ as determined by a different six-factor, totality-of-the-circumstances test, focusing on the employerâs right to control the employee. See Clackamas Gastroenterology Assocs. v. Wells, 538 U.S. 440, 449-50 (2003). New Jerseyâs Conscientious Employee Protection Act protects a person from retaliation against whistle-blowing if the person is an âemployeeâ under the totality of the circumstances after analyzing a three-consideration, twelve-factor test analyzing both the employerâs right to control the employee and the economic realities of the employer-employee relationship. See DâAnnunzio v. Prudential Ins. Co. of Am., 927 A.2d 113, 120-22 (N.J. 2007). When distinguishing employees from independent contractors in the context of federal employment taxes, the U.S. Tax Court, the Internal Revenue Service, and the Court of Federal Claims each use a different test. The Tax Court considers seven factors while the IRS considers twenty, and the Court of Federal Claims adopts the Reid test from copyright law. See Ewens & Miller, Inc. v. Commâr, 117 T.C. 263, 270 (2001); Consol. Flooring Servs. v. United States, 38 Fed. Cl. 450, 455 (1997) (quoting CCNV, 490 U.S. at 751-52); Rev. Rul. 87-41, 1987-1 C.B. 296, 298-299). This is not an exhaustive list. described his guides as â1099 employees,â something of a misnomer.10 (ECF No. 86-14 ¶ 17.) When completing the Application, Vulpis discussed how to answer the âindependent contractorâ question with Donald Pachner, whose less-than-illuminating explanation was to describe the meaning of independent contractor as a âgray area.â (ECF No. 72-1, at 221:19-222:17.) Even when answering interrogatories in this caseâpresumably with the assistance of counselâVulpis initially described his guides as independent contractors, then amended his answer to strike that characterization. (ECF No. 72, at 19:7-23:20.) The Application does not instruct the applicant on the meaning of âindependent contractor,â nor does it suggest which (if any) of the legal tests an applicant should applyâmissing an opportunity to dispel Vulpisâs confusion. (ECF No. 70- 17, at ATN00034.) Viewed in the light most favorable to non-movant NMG, a reasonable fact-finder could determine Vulpis merely failed to appreciate every nuance of the difference between employees and independent contractors when he wrote on the Application NMG did not use independent contractors or subcontractors. Such a misunderstanding would constitute an âhonest mistake,â not a âlieâ or a âwillfulâ falsification. Rutgers, 945 A.2d at 1035; Longobardi, 582 A.2d at 1261. Drawing all inferences in non-movant NMGâs favor, a genuine issue of material fact remains concerning whether Vulpis knowingly misrepresented NMGâs use of independent contractors. ii. Independent Contractors vs. Employees While Atain is not entitled to summary judgment on its claim concerning Vulpisâs knowing misrepresentation of his use of independent contractors, neither is Pachner entitled to summary judgment against Atain on the same issue. Pachner argues Vulpisâs representation was 10 A business uses IRS Form W-2 to report payments to an employee, but uses IRS Form 1099 to report payments to a non-employee independent contractor. See Hopkins v. Duckett, Civ. No. 02-5589, 2006 WL 3373784, at *4 & n.2 (D.N.J. Nov. 21, 2006). accurate because NMGâs guides were not independent contractors. A host of evidence suggests the opposite. For instance, Vulpis deducted over $10,000 for âcost of contract laborâ and âsubcontractorsâ on the 2015 federal income tax form (and corresponding worksheet) covering NMGâs profit and loss. (ECF No. 70-19, at sch. C, line 11.11) Manchester testified NMG classified its guides as âsubcontractorsâ in its accounting software. (ECF No. 70-7, at 54:12-20.) Manchester further testified Vulpis repeatedly used the term âindependent contractorâ to describe guides. (ECF No. 70-7, at 54:23-55:8.) Viewed in the light most favorable to non-movant Atain, this evidence creates a genuine issue of material fact concerning whether NMGâs guides were in fact independent contractors. iii. Pachnerâs Advice to Vulpis Pachner also argues summary judgment is appropriate against any claim concerning Pachnerâs negligent advice to Vulpis to answer ânoâ to the question on the Application asking about NMGâs use of subcontractors or independent contractors. However, as Pachner points out, Pachnerâs negligence in this instance âis only relevant insofar [as] Atain is seeking to rescind the Policy based on [NMGâs] answerâ concerning independent contractors or subcontractors. (ECF No. 73-2, at 19.) Because genuine issues of material fact exist concerning whether Atain may rescind the Policy on the basis of NMGâs use of independent contractors, see part III.C.2.i., supra, the same genuine issues of material fact necessarily exist concerning Pachnerâs alleged negligent advice to Vulpis concerning this question. Accordingly, the Court cannot grant summary judgment on this ground. 11 The Court reminds the parties of their obligation to redact social security numbers and tax identification numbers from filings, including copies of tax returns attached as exhibits. See Fed. R. Civ. P. 5.2(a). The parties shall coordinate with the assigned magistrate judge to bring all non-compliant filings into compliance with this rule. iv. Pachnerâs Misdentification of Manchester as a Contractor Pachner asks the Court to grant summary judgment on any claim concerning Pachnerâs negligent mislabeling of Manchester as an independent contractor when Pachner first reported Manchesterâs Injury to Atain. The Court cannot grant summary judgment. As with Pachnerâs advice to Vulpis, Pachnerâs statement to Atain identifying Manchester as an independent contractor relates only to Atainâs claim for rescission of the Policy for NMGâs misrepresentation of its use of independent contractors. Because genuine issues of material fact exist concerning whether Atain may rescind the Policy on this basis, see part III.C.2.i., supra, the same genuine issues of material fact exist concerning Pachnerâs characterization to Atain of Manchester as an independent contractor. Accordingly, the Court cannot grant summary judgment on this ground. 3. Training and Education Relating to âSearch and Rescueâ Operations Atain also argues NMG committed a knowing misrepresentation when it failed to disclose its training and education programs concerning search and rescue operations. The Court declines to grant summary judgment on this claim, because Atain did not plead this claim in its complaint. âEach and every claim for relief that a plaintiff seeks to press must be set forth in the Complaint.â Bravo v. Union Cty., Civ. No. 12-2848, 2013 WL 2285780, at *8 (D.N.J. May 23, 2013). Failure to do so has consequences. One consequence is that this Court may not âgrant[] summary judgment on a claim that was never pleaded.â Day v. White, 764 F. Appâx 164, 166 (3d Cir. 2019) (quoting Michelson v. Exxon Rsrch. & Engâg Co., 808 F.2d 1005, 1009 (3d Cir. 1987)). âTo the extent the plaintiff discovers new information giving rise to additional claims, the plaintiff must amend the Complaint to assert those claims and properly put the defendant on notice of them.â Bravo, 2013 WL 2285780, at *8; see also Tavarez v. Twp. of Egg Harbor, Civ. No. 09-6119, 2012 WL 13186197, at *4 (D.N.J. Aug. 3, 2012); Durham v. Vekios, Civ. No. 09- 5376, 2011 WL 3667560, at *4 (D.N.J. Aug. 22, 2011). Atain contends it âasserted a cause of action for rescission based upon material misrepresentationâ in its complaint, which Atain argues is broad enough to cover any misrepresentation relating to NMGâs training and education programs concerning search and rescue. (ECF No. 93, at 29.) The Court disagrees because Atainâs âMaterial Misrepresentationâ claimâCount Six12âalleges only a material misrepresented concerning NMGâs engagement in âRopes/Challenge Course Facilitation.â (ECF No. 1 ¶¶ 52-59.) Count Six does not mention search and rescue, much less allege a material misrepresentation relating to NMGâs education and training concerning search and rescue operations. Atain further argues it did not learn of the misrepresentation concerning search and rescue operations until well into the discovery period of this litigation. This fact does not excuse Atain from seeking to amend its complaint. If Atain learned late in the litigation it had an additional claim of which it was previously unaware, its appropriate course was to seek leave to amend its complaint to add the new claim. See Bravo, 2013 WL 2285780, at *8. Atain did not do so. Because Atainâs complaint does not plead any claim related to search and rescue operations, Atain may not obtain summary judgment on this unpleaded claim. See Day, 764 F. Appâx at 166. However, even if Atain did plead this claim, a genuine issue of material fact precludes summary judgment concerning whether NMG knowingly failed to disclose its education and training programs concerning search and rescue operations. The record contains evidence Vulpis 12 Atain does not contend Count Seven, a claim under the New Jersey Insurance Fraud Prevention Act, N.J. Stat. Ann. § 17:33A-1 et seq., covers the claim for misrepresentation concerning the training and education programs for search and rescue operations. (ECF No. 93, at 28-33.) and Enberg both believed these activities were no different than NMGâs other activities NMG had already disclosed on NMGâs initial Application. (ECF No. 86-14 ¶¶ 37-42; ECF No. 86-15 ¶¶ 3-6.) Viewed in the light most favorable to non-movant NMG, this evidence13 is sufficient to create a genuine issue of material fact. 4. Ratification of the Policy Pachner14 argues the Court should grant summary judgment against Atain on its claim for rescission because Atain has ratified the Policy. The Court disagrees because (1) the Federal Rules of Civil Procedure prohibit this Court from construing the allegations in one claim as an admission against an alternative or inconsistent second claim, and (2) the evidence conflicts concerning whether Atainâs actions constitute ratification of the Policy. i. Ratification by Lawsuit First, Pachner argues Atain cannot file a lawsuit demanding both to disclaim coverage or, in the alternative, to rescind the Policy. Doing so, Pachner argues, constitutes ratification of the Policy and bars rescission. See Merchants Indem. Corp. v. Eggleston, 179 A.2d 505, 514 (N.J. 13 The Court rejects Atainâs argument asking the Court to disregard Vulpisâs and Enbergâs declarations as âconclusory, self-serving affidavits . . . insufficient to withstand a motion for summary judgment.â Gonzalez v. Secây of Depât of Homeland Sec., 678 F.3d 254, 263 (3d Cir. 2012) (quoting Kirleis v. Dickie, McCamey & Chilcote, P.C., 560 F.3d 156, 161 (3d Cir. 2009)). Vulpisâs and Enbergâs declarations âdetail[] the specific circumstancesâ surrounding NMGâs education and training programs concerning search and rescue operations, rendering the declarations far from conclusory. Kirleis, 560 F.3d at 161. Notwithstanding any arguable inconsistencies with his deposition testimony, Enbergâs declaration is not so unbelievable that âthe [C]ourt, based on all of the evidence, can say with confidence that a rational trier of fact could not creditâ Enbergâs declaration. United States v. 717 S. Woodward Street, 2 F.3d 529, 534 (3d Cir. 1993). Both Vulpisâs and Enbergâs declarations (like all declarations) are self- serving, but this is no reason to disregard them entirely. See Paladino v. Newsome, 885 F.3d 203, 209 (3d Cir. 2018). Accordingly, the Court must consider Vulpisâs and Enbergâs testimony, and their testimony creates a genuine issue of material fact precluding summary judgment. 14 Manchester joins Pachnerâs arguments. (ECF No. 80, at 19.) NMG, Vulpis, and Enberg also join Pachnerâs arguments. (ECF No. 86, at 30.) 1962). Assuming without deciding New Jersey law treats an action to disclaim coverage as a ratification of the Policy and thus prohibits a claim for rescission, Pachner is still not entitled to summary judgment because â[t]he Federal Rules of Civil Procedure permit parties to file pleadings containing inconsistent factual and legal allegations.â W.V. Realty, Inc. v. N. Ins. Co., 334 F.3d 306, 316 (3d Cir. 2003). âA party may state as many separate claims or defenses as it has, regardless of consistency.â Fed. R. Civ. P. 8(d)(3). For instance, a plaintiff may simultaneously plead claims for both breach of contract (which requires the existence of a contract) and unjust enrichment (which requires the non-existence of a contract). See Hughes v. TD Bank, N.A., 856 F. Supp. 2d 673, 680 n.4 (D.N.J. 2012); Dewey v. Volkswagen AG, 558 F. Supp. 2d 505, 528-29 (D.N.J. 2008); cf. Showalter v. Brubaker, 283 F. Appâx 33, 36 (3d Cir. 2008) (permitting defendants in a civil rights action under 42 U.S.C. § 1983 to simultaneously plead both (1) they are entitled to governmental immunity and (2) their actions were wholly private and therefore not under color of state law). Importantly, this allowance for inconsistent claims âhas been interpreted to mean that a court âmay not construe [a plaintiffâs] first claim as an admission against another alternative or inconsistent claim.ââ Indep. Enters. v. Pitt. Water & Sewer Auth., 103 F.3d 1165, 1175 (3d Cir. 1997) (quoting Henry v. Daytop Village, 42 F.3d 89, 95 (2d Cir. 1994)). For instance, a claim for abuse of process does not implicitly concede the legitimacy of a prosecution so as to invalidate a simultaneous claim for malicious prosecution. See Evans v. City of Newark, Civ. No. 14-120, 2016 WL 2742862, at *5 n.7 (D.N.J. May 10, 2016). Atainâs claims are subject to this rule. Assuming without deciding a claim to disclaim coverage and a claim to rescind the Policy are inconsistent under New Jersey law, the Federal Rules of Civil Procedure permit Atain to make both claims simultaneously. Accordingly, Atainâs claim for disclaimer of coverage does not constitute a ratification of the Policy. ii. Ratification by Action Second, Pachner argues Atainâs actions constitute ratification of the contract. Genuine issues of material fact preclude the issuance of summary judgment on this ground. â[T]he remedy [of rescission] is discretionary and will not be granted where the claimant has not acted within a reasonable time or where there has been substantial performance.â Farris v. Cty. of Camden, 61 F. Supp. 2d 307, 336 (D.N.J. 1999) (quoting Notch View Assocs. v. Smith, 615 A.2d 676, 680 (N.J. Super. Ct. Law Div. 1992)); see also Rowen Petrol. Props., LLC v. Hollywood Tanning Sys., Inc., Civ. No. 08-4764, 2011 WL 6755838, at *10 (D.N.J. Dec. 23, 2011) (same). â[W]here a party âis cognizant of fraud or misrepresentation and fails to promptly rescind the . . . agreement or transaction, and instead engages in conduct which assumes the validity of the [agreement], then the agreement or transaction may be deemed ratified.ââ Everest Natâl Ins. Co. v. Sutton, Civ. No. 07-722, 2008 WL 3833586, at *8 (D.N.J. Aug. 13, 2008) (quoting Notch View, 615 A.2d at 685). Pachner argues Atain received notice of its potential grounds for rescission on or before November 30, 2015, when Atain received an e-mail with a description of the events leading to Manchesterâs Injury and a discussion of how Manchester was an âindependent contractorâ for NMG. (ECF No. 73-43, at Atain 73-75.) Assuming without deciding this e-mail put Atain on notice of its potential grounds for rescission,15 the evidence of ratification following this date is mixed, precluding summary judgment. 15 Atain argues the relevant date is January 5, 2016, when NMG received a letter from Manchesterâs attorneys providing a notice of claim. (ECF No. 85-5, at 2.) For instance, Atain issued a âNotice of Conditional Renewalâ to NMG on January 6, 2016, âto advise that [Atain is] agreeable to renewing this policy subject toâ new terms and conditions and a rate increase. (ECF No. 73-45, at 1.) This explicit statement suggests Atain treated the Policy as valid. However, this evidence of ratification is tempered by testimony from Atainâs former director of director of underwriting for recreational programs, Grace Cunningham, who noted Atain issued the conditional renewal âuntil [Atain] received more information about the claim.â (ECF No. 73-16, at 270:10-11.) Cunningham also testified, âWe rescinded this,â after Atain learned more. (ECF No. 73-16, at 270:16-19.) Other evidence is also ambiguous. Although, Atain appears to have kept the Policy premium16 rather than refund it to NMG, the normal course of rescission litigation appears to allow an insurer to maintain the premium while litigation is pending, and to refund the policy- holder after the litigation is successful. See, e.g., Liebling v. Garden State Indem., 767 A.2d 515, 465 n.1 (N.J. Super. Ct. App. Div. 2001). Additionally, Atain negotiated an explicit agreement with Vulpis, Enberg, and NMG to allow Atain to follow this procedure. (ECF No. 70-13, at ATN000051, ATN000068.) Under these circumstances, the Court cannot say Atainâs retention of the Policy premium necessarily demonstrates Atain ratified the Policy. The record also contains contrary evidence suggesting Atain did not act to ratify the Policy, but instead acted with diligence concerning the possibility of rescinding the Policy. For example, Atain wrote a letter to NMG on February 23, 2016, in which it sought to reserve its right to rescind the Policy. (ECF No. 73-44, at 2.) Likewise, Atain negotiated and, on August 8, 16 The record is ambiguous on this point. When asked whether, after Manchesterâs Injury, Atain retained NMGâs Policy premiums or returned them to NMG, Atainâs representative testified, âI donât believe so. I donât know for sure. I canât verify.â (ECF No. 73-18, at 149:14-15.) For the purpose of Pachnerâs motion, the Court assumes Atain did not refund the Policy premium to NMG in light of Atainâs argument claiming Atain may retain the premium without forfeiting Atainâs right to rescission. (ECF No. 85, at 13-14.) 2016, executed non-waiver agreements with Vulpis, Enberg, and NMG to protect Atainâs right to seek rescission of the Policy. (ECF No. 70-13, at ATN000049-53, ATN000066-70.) And, of course, Atain filed this action on August 23, 2016. (ECF No. 1, at 21.) Pachner points to deficiencies in Atainâs reservation-of-rights letter, but no matter the deficiencies, the letter, non- wavier agreement, and declaratory judgment action are not the acts of a company taking action to ratify the Policy. Cf. Annito v. Trump Marina Hotel Casino, No. L-5622-02, 2005 WL 4344137, at *8 (N.J. Super. Ct. App. Div. July 25, 2006) (âBy paying his casino debts when he was sober, plaintiff ratified his prior promises to repay the loans, even if they were made while he was intoxicated and not competent to contract.â). However, the most important evidence is missing. Pachnerâs critical argument is Atain ratified the Policy by failing to act promptly after learning of the potential grounds for rescission as a result of the November 30, 2015 e-mail. (ECF No. 73-43, at Atain 73-75.) Pachner does not point to any evidenceâother than the mere passage of timeâshowing Atain failed to follow-up on the e-mail or to investigate the potential grounds for rescission the e-mail raised. Coupled with the ambiguous or contrary evidence above, a genuine issue of material fact exists concerning whether Atain ratified the Policy. Accordingly, the Court cannot grant summary judgment against Atain on its claim for rescission. D. Failure to Maintain Signed Liability Waivers Atainâs final argument is NMGâs failure to comply with a coverage conditionânamely, obtaining a signed waiver and release of liability from all participants in NMGâs activities, and maintaining the signed document for three yearsârelieves Atain from its obligation to cover NMGâs exposure to Manchesterâs underlying litigation. The Court rejects this argument because a genuine issue of material fact exists concerning whether the loss of Manchesterâs waiver form appreciably prejudices Atainâs defense of Manchesterâs underlying state court litigation. New Jersey law permits an insurer to escape liability for its obligations under an insurance policy if the insured breaches a condition of coverage, but only if the insurance carrier suffers appreciable prejudice from the breach. See, e.g., Gazis v. Miller, 847 A.2d 591, 595 (N.J. Super. Ct. App. Div. 2005). When determining the existence of appreciable prejudice, a court must consider two factors. â[F]irst, âwhether substantial rights have been irretrievably lostâ as a result of the insuredâs breach, and second, âthe likelihood of success of the insurer in defending against the accident victimâs claimâ had there been no breach.â Hager v. Gonsalves, 942 A.2d 160, 164 (N.J. Super. Ct. App. Div. 2008) (quoting Sagendorf v. Selective Ins. Co. of Am., 679 A.2d 709, 715 (N.J. Super. Ct. App. Div. 1996)); see also Ohaus v. Continental Cas. Ins. Co., 679 A.2d 179, 185 (N.J. Super. Ct. App. Div. 1996). The insurer bears the burden of demonstrating appreciable prejudice. See, e.g., Kenny v. N.J. Mfrs. Ins. Co., 746 A.2d 57, 59 (N.J. Super. Ct. App. Div. 2000). The existence of appreciable prejudice is generally a question for the finder-of-fact, and generally not appropriate for summary judgment. See, e.g., State Natâl Ins. Co. v. Cty. of Camden, 10 F. Supp. 3d 568, 582-83 (D.N.J. 2014). A genuine issue of material fact exists concerning whether the loss of Manchesterâs misplaced waiver form will appreciably prejudice Atain. First, the record is not clear whether Manchesterâs waiver formâand therefore, Atainâs ability to defend the underlying state court litigation using Manchesterâs waiverâhas been âirretrievably lost.â Hager, 942 A.2d at 164. Although NMG cannot locate the waiver at present, Atain points to no evidence NMG will be unable to locate the waiver in the future. In fact, NMG indicates it will willing to allow opposing counsel access to its physical files to conduct its own search for Manchesterâs missing waiver. (ECF No. 86-2 ¶ 5.) Atain does not indicate it has accepted NMGâs offer. Second, even if Atain cannot obtain Manchesterâs waiver in time to rely on the waiver against Manchester in the underlying state court litigation, the absence of Manchesterâs waiver will not necessarily reduce âthe likelihood of success of the insurer in defending against the accident victimâs claim.â Hager, 942 A.2d at 164. NMG has provided Atain with Manchesterâs signed acknowledgment of receipt (ECF No. 86-4, at 1) of NMGâs employee handbook, which contains a waiver form (ECF No. 86-3, at 22-24). Moreover, while Vulpis acknowledged he could not locate the forms, Vulpis testified Manchester had previously signed a waiver (1) when Manchester initially became was a customer of NMG prior to serving as a guide, and (2) for the year 2015, when Manchester served as a guide. (ECF No. 72, at 55:13-56:3, 87:1-6.) The only contrary evidence is Manchester did not sign a waiver on the day of the Injury. (ECF No. 72, at 99:18-100:4; ECF No. 70-8, at 161:23-162:1.) Atain points to no evidence contradicting Vulpisâs testimony concerning Manchester previously signing a waiver before the day of the Injury. Viewing the facts in the light most favorable to NMG, a genuine issue of material fact exists concerning whether NMGâs loss of Manchesterâs waiver will appreciably prejudice Atainâs defense of Manchesterâs underlying state court litigation. E. Pachnerâs Insurance Producer Licenses Pachner argues it is entitled to summary judgment on any negligence claim relating to Pachnerâs failure to maintain insurance producer licenses. No party opposes Pachnerâs argument. Assuming without deciding Pachner owes a duty to its clients or third parties to maintain appropriate licenses as an insurance producer, the uncontested evidence demonstrates Pachner in fact possessed the requisite licenses at the time he assisted NMG with its search for insurance coverage. (ECF No. 73-31, at 1-2.) Therefore, there is no genuine dispute of material fact concerning Pachnerâs licensure, and Pachner is entitled to summary judgment on this claim. F. Pachnerâs Explanation of the Policy to NMG Pachner argues the Court should grant summary judgment against NMGâs claims relating to Pachnerâs failure to explain mountaineering-related terms in the Policy or the Application. The Court declines to grant summary judgment because a genuine issue of material fact remains concerning whether Pachner fulfilled his obligations to NMG as a broker.17 An insurance brokerâs obligations are â(1) to procure the insurance; (2) to secure a policy that is neither void nor materially deficient; and (3) to provide the coverage he or she undertook to supply.â President v. Jenkins, 853 A.2d 247, 569 (N.J. 2004). â[A]n insurance broker owes a duty to his principal to exercise diligence in obtaining coverage in the area his principal seeks to 17 As part of its argument, Pachner contends the testimony of Grace Cunningham is irrelevant because Cunningham was not designated as Atainâs organizational representative under Federal Rule of Civil Procedure 30(b)(6) and because she did not work at Atain at the time of her deposition. Accordingly, Pachner argues, the Court should disregard not only Cunninghamâs testimony but other evidence relying on Cunninghamâs testimony. The Court disagrees. Cunninghamâs testimony is relevant to this case and the Court will consider it. A person need not be an organizational representative under Rule 30(b)(6) nor still employed with a defendant to provide relevant testimony. Cf. Lacey v. Cessna Aircraft Co., 932 F.3d 170, 183 (3d Cir. 1991) (observing âmany potentially relevant witnesses may no longer be employed byâ a defendant company). Testimony is relevant to the extent â(a) it has any tendency to make a fact more or less probable than it would be without [her testimony]; and (b) the fact is of consequence in determining [this] action.â Fed. R. Evid. 401. Pachner does not argue any particular item of Cunninghamâs testimony fails to meet this definition. Instead, Pachner argues only the Court should wholesale disregard Cunninghamâs entire testimony because none of it can be relevant if Atain no longer employs Cunningham. The Court cannot agree. As the director of underwriting for recreational programs at Atain when NMG contracted with Atain under the Policy, Cunningham was personally involved with Atainâs issuance of the Policy to NMG. (ECF No. 70-20, at 12:22-13:6, 32:19-23.) Given her position and personal involvement, the Court cannot say her testimony is entirely irrelevant. Accordingly, the Court considers both Cunninghamâs testimony and other evidence relying on her testimony. be protected.â Satec, Inc. v. Hanover Ins. Grp., 162 A.3d 311, 317 (N.J. Super. Ct. App. Div. 2017) (quoting Werrmann v. Aratusa, Ltd., 630 A.2d 302, 304 (N.J. Super. Ct. App. Div. 1993)). A brokerâs failure to inform a client about critical facts related to the clientâs pursuit of insurance can constitute a breach of the brokerâs duty. See Brill v. Guardian Life Ins. Co. of Am., 666 A.2d 146, 157 (N.J. 1995). 1. Subjective vs. Objective Understanding of Policy Terms Pachner is not entitled to summary judgment concerning whether Pachner failed to explain certain mountaineering-related terms. The report of NMGâs expert Frank Seigel explains Pachner breached an insurance brokerâs duty because Pachner âshould have been familiar with how Atain handled and considered âmountaineeringâ and âguided mountaineeringâ and whether or not those terms, in Atainâs eyes, included the assembly and use of a Tyrolean Traverse.â (ECF No. 80-4, at 13.) Pachner argues Atainâs subjective understanding of these contested terms is irrelevant because of âthe general rule that the terms in an insurance policy should be interpreted in accordance with their plain and commonly-understood meaning,â not the subjective meaning of the insurer. Cypress Point Condo. Assân v. Adria Towers, LLC, 143 A.3d 273, 286 (N.J. 2016). This argument does not entitle Pachner to summary judgment. Pachner is correct that courts must âfirst consider the plain meaning of the language at issue.â N.J. Transit Corp. v. Underwriters at Lloydâs, London, ___ A.3d ___, 2019 WL 6109144, at *4 (N.J. Super. Ct. App. Div. Nov. 18, 2019). But the plain language analysis is only one part of the approach to the interpretation of insurance contracts. Courtsâ âgoal in interpreting [insurance] policies is to âdiscover the intention of the parties[,]â by considering âthe contractual terms, the surrounding circumstances, and the purpose of the contract.ââ Id. at *5 (quoting Marchak v. Claridge Commons, Inc., 633 A.2d 531 (1993). Atainâs subjective understanding of these terms is relevant to âdiscover[ing] the intention of the parties.â Id. 2. Vulpisâs Reliance on Pachnerâs Information Pachner also argues none of the Pachner entities breached any duty to inform NMG about relevant Policy terms because Vulpis testified he did not rely on Pachner for information about these terms. Vulpisâs testimony does not entitle Pachner to summary judgment because Vulpis could not have relied on Pachner for information Pachner did not provide, but should have. Cf. Brill, 666 A.2d at 157. 3. Vulpisâs Greater Level of Expertise Compared to Pachner Pachner further argues Vulpis, as an expert in the mountaineering field, had greater familiarity than Pachner with terms like âmountaineeringâ and equipment like a âTyrolean Traverse.â Therefore, Pachner argues, NMG had no need for any explanation from an individual like Pachner with a lesser level of expertise than Vulpis. The Court cannot grant summary judgment on this ground. The fact an insured possesses greater knowledge and expertise in a field than the insuredâs broker does not relieve the broker from âexercis[ing] diligence in obtaining coverage in the area his principal seeks to be protected.â Satec, 162 A.3d at 317. 4. Pachnerâs and Vulpisâs Awareness of NMGâs Activities Pachner next points out Vulpis informed Pachner NMG engaged in âmountaineeringâ activities and requested insurance for those activities (ECF No. 70-17, at ATN000336), but Vulpis never alerted Pachner that NMG engaged in the Activity. Pachner asks this Court for summary judgment because, the argument goes, Pachner could not reasonably have been expected to procure coverage for an Activity of which it had no knowledge. Pachner also argues summary judgment is appropriate because Vulpis was aware the Policy did not cover the Activity because the Activity was not a âmountaineeringâ activity. The same genuine issue of material factânamely, the conflicting evidence concerning whether the Activity qualified as a âmountaineeringâ activity (ECF No. 72-1, at 253:19-24; ECF No. 70-20, at 18:8-13; ECF No. 70-8, at 20:20-21:4)âprecludes the entry of summary judgment on both grounds. G. Pachnerâs Failure to Recommend Workersâ Compensation Insurance Pachner asks the Court to grant summary judgment on NMGâs claim related to Pachnerâs failure to procure workersâ compensation insurance, as required by law. The Court cannot grant summary on this basis because genuine issues of material fact exist concerning whether (1) Pachner attempted to procure workersâ compensation insurance for NMG and (2) workersâ compensation insurance would have protected either NMG or Manchester. An insurance brokerâs obligations are â(1) to procure the insurance; (2) to secure a policy that is neither void nor materially deficient; and (3) to provide the coverage he or she undertook to supply.â President v. Jenkins, 853 A.2d 247, 569 (N.J. 2004). â[A]n insurance broker owes a duty to his principal to exercise diligence in obtaining coverage in the area his principal seeks to be protected.â Satec, Inc. v. Hanover Ins. Grp., 162 A.3d 311, 317 (N.J. Super. Ct. App. Div. 2017) (quoting Werrmann v. Aratusa, Ltd., 630 A.2d 302, 304 (N.J. Super. Ct. App. Div. 1993)). When a client retains a broker to procure insurance, the broker must procure legally mandated workersâ compensation insurance. See Schustrin v. Globe Indem. Co. of N.Y., 130 A.2d 897, 898 (N.J. Super. Ct. App. Div. 1957) (noting the juryâs finding that broker was obligated to procure workersâ compensation insurance for client). Pachner argues a broker owes no duty to recommend additional coverage for a client. This argument does not affect the Courtâs analysis. Pachner correctly points out New Jersey law imposes âno duty [on an insurance broker] to advise an insured to consider higher amounts of homeownerâs insurance.â Carter Lincoln-Mercury, Inc., Leasing Div. v. EMAR Grp., 638 A.2d 1288, 1292 (N.J. 1994) (citing Wang v. Allstate Ins. Co., 592 A.2d 527, 532-33 (N.J. 1991)). Assuming without deciding this principle extends to workersâ compensation, the principle still does not apply here. NMG does not claim Pachner failed to advise NMG to consider the option of purchasing higher policy limits. Instead, the case concerns an alleged failure by a broker to obtain workersâ compensation insurance for a client who was legally mandated to obtain such insurance. (ECF No. 80-4, at 13-14.) Were the Court to adopt Pachnerâs argument, then NMG would possess a legal obligation to obtain workersâ compensation insurance, see N.J. Stat. Ann. § 34:15-71 (requiring employers to obtain workersâ compensation insurance), but NMGâs insurance broker Pachner would have no legal obligation to procure the insurance for NMG. This is not the law in New Jersey. See Schustrin, 130 A.2d at 898. The delineation of a brokerâs duties does not end the Courtâs inquiry, because a plaintiff must show more than the failure to procure workersâ compensation insurance before liability will attach. âTo succeed in an action against an insurance broker, the plaintiff must prove that in addition to being negligent, the brokerâs negligence was a proximate cause of the loss.â Harbor Commuter Serv., Inc. v. Frenkel & Co., 951 A.2d 198, 207 (N.J. Super. Ct. App. Div. 2008). Put another way, the plaintiff must âestablish[] that its loss would not have occurred but for defendantsâ negligence, or that defendantsâ negligence constituted a substantial contributing factor to the loss.â Id. Two genuine issues of material fact preclude summary judgment. First, the record contains conflicting evidence concerning whether Pachner in fact attempted to obtain workersâ compensation insurance for NMG. (ECF No. 73-3 ¶¶ 4-5; ECF No. 73-10, at 6; ECF No. 86-14 ¶ 18.) Taking the evidence in the light most favorable to non-movants NMG and Manchester while making all reasonable inferences in their favor, a reasonable jury could find Pachner did not attempt to obtain workersâ compensation insurance for NMG. The second genuine issue of material fact concerns whether (1) Pachnerâs failure to procure workersâ compensation insurance for NMG either contributed to NMGâs and Manchesterâs loss or (2) their loss would not have occurred had NMG purchased workersâ compensation insurance. As discussed earlier, genuine issues of material fact remain concerning whether Manchester qualified as an employee or an independent contractor. See part III.B., supra. Given this uncertainty, the record does not conclusively demonstrate whether or not workersâ compensation insurance would have covered Manchesterâs Injury. Viewing this uncertainty in the light most favorable to non-movants NMG and Manchester while making all reasonable inferences in their favor, a reasonable jury could find Pachnerâs failure to procure workersâ compensation insurance for NMG either contributed to NMGâs and Manchesterâs loss, or their loss would not have occurred but for Pachnerâs failure. In light of the two genuine issues of material fact, the Court cannot grant summary judgment against NMGâs and Manchesterâs claims related to Pachnerâs failure to procure workersâ compensation insurance for NMG. H. Pachnerâs Failure to Provide a Copy of the Policy Pachner requests summary judgment on any claim it negligently failed to provide NMG with a copy of the Policy. The Court cannot grant summary judgment in light of the conflicting evidence. An insurance broker has a duty to provide its client with any policy it receives from the insurer within 10 days of receipt by the broker. See N.J. Admin Code § 11:17A-4.6. According to Pachner, when âPachner & Associates received a copy of the Policy, we made it available to NMG through our web portal.â (ECF No. 73-3 ¶ 13.) Vulpis testified that he never received the Policy until after Manchesterâs Injury. (ECF No. 72, at 112:16-25.) In light of the conflicting evidence, a genuine issue of material fact precludes summary judgment. Pachner argues even if Pachner did not provide Vulpis with a copy of the Policy, Pachnerâs failure did not proximately cause any of NMGâs damages because Vulpis received a copy of the Quote. (ECF No. 72-1, at 233:21-236:8.) A genuine issue of material fact also precludes summary judgment on this basis. âTo succeed in an action against an insurance broker, the plaintiff must prove that in addition to being negligent, the brokerâs negligence was a proximate cause of the loss.â Harbor Commuter Serv., Inc. v. Frenkel & Co., 951 A.2d 198, 207 (N.J. Super. Ct. App. Div. 2008). Put another way, the plaintiff must âestablish[] that its loss would not have occurred but for defendantsâ negligence, or that defendantsâ negligence constituted a substantial contributing factor to the loss.â Id. A genuine issue of material fact exists concerning whether Pachnerâs failure to provide the Policy to NMG substantially contributed to NMGâs loss by depriving Vulpis of important Policy details that would have prompted Vulpis to make inquiries about, and adjustments to, NMGâs insurance. The Policy contains substantially more details about coverage than the Quote. For instance, while the Quote merely mentions the insurance âExcludes Injury to Employees, Leased Workers, Volunteers, and Independent Contractors,â the Policy actually defines several of these terms. (ECF No. 73-37, at 2; ECF No. 70-5, at ATN000373-76.) Unlike the Quote, the Policy spells out the exact terms of the exclusion for injury to employees or independent contractors. (ECF No. 70-5, at ATN000383.) Making all reasonable inferences in favor of non- movant NMG, a reasonable jury could find Vulpis would use the more detailed information in the Policy to inquire about his insurance and adjust it so as to explicitly cover incidents like the one in which Manchester suffered an Injury. Accordingly, the Court cannot grant summary judgment. I. Pachnerâs Duty to Manchester Pachner asks this Court to grant summary judgment against Manchester because New Jersey law precludes Manchester from bringing an action against Pachner until Manchester obtains a judgment against NMG and the judgment is returned unsatisfied.18 The Court disagrees because Manchester is a foreseeable injured third-party to whom Pachner, a broker, owes a duty. See Carter Lincoln-Mercury, Inc., Leasing Div. v. EMAR Grp., 638 A.2d 1288, 1297-98 (N.J. 1994). â[A]n insurance broker may owe a duty of care not only to the insured who pays the premium and with whom the broker contracts but to other parties found within the zone of harm emanating from the brokerâs actions as well.â Id. at 1297. When a broker negligently fails to procure insurance that would cover the injuries of a third-party, the broker owes a duty to the third-party, making the third-party an appropriate plaintiff in a negligence action against the broker. See Impex Ag. Commodities Div. Impex Overseas Corp. v. Parness Trucking Corp., 576 F. Supp. 587, 591 (D.N.J. 1983) (applying New Jersey law). Pachner, as a broker, owes a duty to procure appropriate insurance not just to NMG, but also to Manchesterâa foreseeable, injured third-party whose Injury NMG expected the Policy to cover. Because Pachner owes Manchester a duty, Manchester is therefore an appropriate plaintiff in a negligence action. Accordingly, summary judgment against Manchester on this basis is inappropriate. 18 Pachner characterizes this argument by saying Manchester lacks âstandingâ to sue Pachner. (ECF No. 73-2, at 25-26; ECF No. 92, at 4-5.) The Court declines to adopt this phrasing, to avoid confusion with the doctrine of justiciability under Article III of the Constitution. See, e.g., Gill v. Whitford, 138 S. Ct. 1916, 1929 (2018). Pachnerâs underlying argument concerns whether Manchester is an appropriate plaintiffâwhich, in a negligence action like this, is best analyzed in terms of whether Pachner owes a duty to Manchester. Pachner argues New Jersey is not a direct action state, meaning an injured third party may not bring an action directly against a tortfeasorâs insurance company in lieu of the tortfeasor. See Manukas v. Am. Ins. Co., 237 A.2d 898, 524 (N.J. Super. Ct. App. Div. 1968). But Pachner is not an insurance company against whom Manchester brings an action in lieu of the tortfeasor. Rather, Pachner is the tortfeasor. Manchester brings a negligence action against Pachner for Pachnerâs negligent failure to obtain appropriate insurance for NMG that would cover Manchesterâs Injury. Manchester does not bring an action against Pachner in the capacity of an insurer. Therefore, Pachnerâs âdirect actionâ argument is inapposite. Pachner further argues New Jersey law imposes a bar against direct actions such as this one until the plaintiff obtains a judgment against the tortfeasor and is unable to execute on the judgment. See N.J. Stat. Ann. § 17:28-2. This argument does not entitle Pachner to summary judgment against Manchester for two reasons. First, as previously explained, Manchester has not brought a direct action against an insurer, because Pachner is the tortfeasor, not the tortfeasorâs insurer. Second, the statuteâs language merely imposes a requirement on insurance contracts; it does not limit the circumstances under which a plaintiff may bring a tort action. See id. (âNo policy of insurance . . . shall be issued or delivered in this state by any insurer authorized to do business in this state, unless [the policy allows the plaintiff to recover directly against the insurer if the tortfeasor is insolvent.]â). Because Manchester is not bringing an action for breach of an insurance contract, the statute has no application here. Finally, Pachner argues Manchester cannot bring an action against Pachner until it has obtained a judgment against NMG. See Estate of Atanasoski v. Arcuri Agency, Inc., No. A-2291- 17T4, 2019 WL 1986539, at *3-6 (N.J. Super. Ct. App. Div. May 6, 2019). Because an action by Manchester against NMG concerning Manchesterâs Injury is pending in state court, the appropriate course for this Court would not be to grant summary judgment against Manchester (which would permanently extinguish Manchesterâs right to recover against Pachner), but to await the outcome of the state court case before issuing any final judgment against Pachner in favor of Manchester. J. Action Against Pachner Risk Management Pachner argues, and the Court agrees, summary judgment is appropriate against Pachner Risk Management (âPRMâ) because PRM had no relationship with Manchester, Enberg, Vulpis, or NMG, nor was PRM involved in procuring insurance for NMG. No party contests this argument, and the evidence supports it. Donald Pachner testified PRM has always been an inactive company and further testified PRM has never had anything to do with NMG. (ECF No. 73-11, at 126:14-127:5.) When asked whether âthere was anything you came across that suggested [PRM] owed or breached any duty to [NMG],â NMGâs expert Frank Seigel testified he did not recall any reference to PRM in the file he reviewed. (ECF No. 73-15, at 180:8-23.) Because the undisputed evidence shows PRM had no connection to NMG, Vulpis, or the other parties in this case, the Court will grant summary judgment in favor of PRM. K. Donald Pachner as Agent of His Disclosed Principal, Pachner & Associates Pachner argues the Court should grant summary judgment in favor of Donald Pachner because he cannot be liable for the torts of his disclosed principal Pachner & Associates if Donald Pachner was merely serving as the agent of Pachner & Associates. See City of Millville v. Rock, 683 F. Supp. 2d 319, 326-28 (D.N.J. 2010). In light of New Jerseyâs âparticipation theoryâ of principal-agent tort liability, the court disagrees. Under New Jersey law, the âlong-standing rule [is] that â[a]n agent who does an act otherwise a tort is not relieved from liability by the fact that he acted at the command of a principal or on account of the principal.ââ Ballinger v. Del. River Port Auth., 800 A.2d 97, 110 (N.J. 2002) (quoting Restatement (Second) of Agency § 343 (1958)). New Jersey law refers to this as the âparticipation theoryâ of principal-agent tort liability. [T]he essence of the participation theory is that a corporate officer can be held personally liable for a tort committed by the corporation when he or she is sufficiently involved in the commission of the tort. A predicate to liability is a finding that the corporation owed a duty of care to the victim, the duty was delegated to the officer and the officer breached the duty of care by his own conduct. Saltiel v. GSI Consults., Inc., 788 A.2d 268, 272 (N.J. 2002); see also Reliance Ins. Co. v. The Lott Grp., 776-77 (N.J. Super. Ct. App. Div. 2004). As the sole member of Pachner & Associates who served as the primary individual responsible for dealing with NMG during NMGâs effort to insure its activities, Donald Pachner meets these requirements. (ECF No. 73-3 ¶ 1; ECF No. 86-14 ¶ 16.) Accordingly, the Court may not grant summary judgment on this ground. IV. CONCLUSION For the reasons set forth above, Atainâs motion is DENIED and Pachnerâs motion is GRANTED IN PART in favor of PRM on all claims and in favor of all Pachner parties on any claims relating to Pachnerâs negligent failure to maintain appropriate licensure and DENIED IN PART in all other respects. An appropriate order will follow. /s/ Brian R. Martinotti HON. BRIAN R. MARTINOTTI UNITED STATES DISTRICT JUDGE Dated: January 30, 2020
Case Information
- Court
- D.N.J.
- Decision Date
- January 30, 2020
- Status
- Precedential