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
IN THE UNITED STATES DISTRICT COURT FOR THE DISTRICT OF NEW JERSEY CAMDEN VICINAGE __________________________________ : TD BANK, N.A., : : Plaintiff, : : Civil No. 23-1951 (RBK/AMD) v. : : OPINION CONTINENTAL INSURANCE : COMPANY OF NEW JERSEY et al., : : Defendants. : __________________________________ : KUGLER, United States District Judge: THIS MATTER comes before the Court upon a series of motions brought under Federal Rule of Civil Procedure 12(b)(6) and (c). Eight Defendants filed Motions to Dismiss Plaintiffâs Complaint: Axis Insurance Company (âAxisâ) (ECF No. 61, Axis Mot. Dismiss); Allied World National Assurance Company (âAlliedâ) (ECF No. 62, Allied Mot. Dismiss); Westchester Fire Insurance Company (âWestchesterâ) (ECF No. 65, Westchester Mot. Dismiss); Zurich American Insurance Company (âZurichâ) (ECF No. 66, Zurich Mot. Dismiss); RSUI Indemnity Company (âRSUIâ) (ECF No. 67, RSUI Mot. Dismiss); AIG Property Casualty Company (âAIGâ) and National Union Fire Insurance Company of Pittsburg, PA (âNational Unionâ), filing jointly (ECF No. 68, AIG Mot. Dismiss); and Liberty Mutual Insurance Company (âLiberty Mutualâ) (ECF No. 69, Liberty Mutual Mot. Dismiss) (collectively, âMotions to Dismissâ or âMots. Dismissâ). Defendant Continental Insurance Company of New Jersey (âContinentalâ) filed a Motion for Judgment on the Pleadings (ECF No. 94, Continental Mot. J. Pleadings). For the reasons set forth below, Defendantsâ Motions to Dismiss (ECF Nos. 61â62, 65â 69) are GRANTED IN PART and DENIED IN PART. Defendant Continentalâs Motion for Judgment on the Pleadings (ECF No. 94) is DENIED. I. BACKGROUND A. Introduction Plaintiff TD Bank, N.A. (âPlaintiffâ or âTD Bankâ) brings claims for breach of contract and bad faith surrounding Defendantsâ denial of insurance coverage for losses relating to a series of lawsuits involving the Plaintiff and its predecessor in interest, Commerce Bancorp (âCommerceâ). (ECF No. 1-1, Compl. ¶¶ 1, 57, 59). Defendants are a raft of national insurance companies that each sold director and officer insurance policies to Commerce for the period of December 15, 2007, to December 15, 2008. (Id. ¶¶ 1, 69). The resulting âtowerâ of polices consists of $100 million in total insurance: $10 million in primary coverage and $90 million in âexcess insurance.â The excess insurance is spread across nine additional policies, corresponding roughly with each of the Defendants, that kick in at $10 million intervals.1 (Id. ¶ 85). After Defendant Continentalâs primary $10 million 1 The primary policy, issued by Defendant Continental, contains a single combined limit of $10 million. (Compl. ¶ 73). The first excess insurer is Defendant National Union, whose policy has an aggregate limit of $10 million that is excess of $10 million in underlying coverage. (Id. ¶ 87). Next is Defendant RSUI, whose policy has an aggregate limit of $10 million that is excess of $20 million in underlying coverage. (Id. ¶ 94). Defendant Alliedâs policy has an aggregate limit of $10 that is excess of $30 million in underlying coverage. (Id. ¶ 101). Defendant Zurichâs policy has an aggregate limit of $10 million that is excess of $40 million in underlying coverage. (Id. ¶ 108). Defendant AIG has two policies, the first of which has an aggregate limit of $10 million that is excess of $50 million in underlying coverage. (Id. ¶ 115). Defendant Liberty Mutualâs policy has an aggregate limit of $10 million that is excess of $60 million in underlying coverage. (Id. ¶ 122). Defendant Westchesterâs policy has an aggregate limit of $10 million that is excess of $70 million in underlying coverage. (Id. ¶ 129). Defendant AIGâs second policy has an aggregate limit of $10 that is excess of $80 million in underlying coverage. (Id. ¶ 136). Lastly, Defendant Axisâs policy sits at the top of the âtower,â with an aggregate limit of $10 that is excess of $90 million in underlying coverage. (Id. ¶ 143). policy is exhausted, each excess insurance policy provides an additional $10 million in coverage as needed, but only after the policy limits lower in the towerâincluding from other excess insurersâare exhausted. (Id.). Each of the excess insurer policies adopt a âfollow formâ policy, meaning that they follow the terms and conditions of Defendant Continentalâs primary policy. See, e.g., (id. ¶ 88). In this way, the excess insurersâ policies build upon one another in succession, only becoming triggered when the underlying insurance limits are exhausted. As part of TD Bankâs March 31, 2008, merger with Commerce, (id. ¶ 56), TD Bank purchased a series of ârun-off endorsementsâ from Defendants that extended the reporting period for coverage under each policy from March 31, 2008, to March 31, 2014. (Id. ¶ 70). The run-off endorsements allowed TD Bank to report and pursue claims âto the extent that [TD Bank] indemnifies Insured Persons for a Claim arising out of a Wrongful Act prior to March 31, 2008.â (Id. ¶ 71). Plaintiff argues that, pursuant to these endorsements, Defendants agreed to provide coverage for the costs (including defense costs and settlement payments) of any lawsuit involving directors and officers levied against TD Bank in connection with any âWrongful Actsâ alleged to have occurred prior to the merger. (ECF No. 97, Opp. Br. at 3). Plaintiff argues further that the run-off endorsements expressly cover âmixed claimsââthat is, lawsuits alleging wrongful acts occurring both before and after the merger date. (Id.). Defendants each denied coverage by letter between April 2011 and May 2012. (Compl. ¶ 151â59). Defendants disagree that the denials amount to a breach of the policiesâ terms, and they seek to dismiss Plaintiffâs claims alleging the same. B. Factual Background The Court assumes the partiesâ familiarity with the underlying dispute, but we review the essential facts for purposes of the instant Motions. In November 2007, the orchestrator of a Ponzi schemeâwho is not a party to this caseâbegan moving assets and accounts to Commerce with assistance from Commerce officers Frank A. Spinosa and Rosanne C. Caretsky. (Id. ¶¶ 33, 37, 42, 48). After TD Bank merged with Commerce, Spinosa and Caretsky became employed as officers with TD Bank. (Id. ¶ 56). The scheme continued at TD Bank after the merger and with the officersâ continued involvement. (Id. ¶ 57). After the schemeâs dissolution, the victims filed numerous civil actions against TD Bank. (Id. ¶ 59). Seven of these lawsuits were also filed against Spinosa and Caretsky, with TD Bank indemnifying the officers in each suit. (Id.). Although Spinosa departed TD Bank in 2009, TD Bank agreed to pay for his and Caretskyâs defense costs. (Id. ¶¶ 60â63). TD Bank paid nearly $5 million in defense costs for the suits involving Spinosa and Caretsky. (Id. ¶ 63). The seven lawsuits were settled for payments totaling over $260 million, with TD Bank and the officers obtaining full liability releases. (Id. ¶¶ 64â66). Neither Spinosa nor Caretsky reimbursed TD Bank for any of these settlements or defense payments. (Id. ¶ 65). Plaintiff alleges that at no time prior to its indemnification of Spinosa and Caretsky was it aware that either officer participated in the scheme or acted against TD Bankâs interests. (Id. ¶ 184). Following these lawsuits, TD Bank submitted a claim to each insurer Defendant, seeking payment for the defense costs and settlement payments that TD Bank paid in indemnification with respect to the scheme. (Id. ¶¶ 149â50). Each Defendant denied coverage. (Id. ¶¶ 150â59). Plaintiff refutes these denials, asserting that a plain reading of the terms of each policy confirms that no exclusion applies to prevent coverage for Plaintiffâs loss stemming from its payments. (Id. ¶ 188). As a result, Plaintiff alleges that it is entitled to reimbursement for its losses for the settlement payment and defense costs âup to the full limits of liabilityâ of Defendantsâ policies. (Id. ¶ 189). C. Procedural History Plaintiff filed its initial Complaint in the Superior Court of New Jersey, Camden County, on April 6, 2023. (ECF No. 1-1, Compl.). Defendant Axis timely filed a Notice of Removal on April 6, 2023. (ECF No. 1, Notice of Removal). On June 26, 2023, eight of the Defendants filed Motions to Dismiss the Complaint for failure to state a claim, (ECF Nos. 61â62, 65â69), and Defendant Continental filed an Answer. (ECF No. 64, Continental Answer). On July 27, 2023, Defendant Continental filed a Motion for Judgment on the Pleadings. (ECF No. 94, Continental Mot. J. Pleadings). Plaintiff filed a consolidated brief opposing the Motions to Dismiss on August 22, 2023. (ECF No. 97, Opp. Br. Mots. Dismiss). On August 29, 2023, Plaintiff filed a brief in opposition to Defendant Continentalâs Motion for Judgment on the Pleadings. (ECF No. 99, Opp. Br. Mot. J. Pleadings). On September 18, 2023, eight of the Defendants filed a reply to Plaintiffâs brief opposing the Motions to Dismiss: Defendant Axis (ECF No. 108, Axis Reply); Defendant Liberty Mutual (ECF No. 109, Liberty Mutual Reply); Defendant RSUI (ECF No. 110, RSUI Reply); Defendants AIG and National Union, filing jointly (ECF No. 111, AIG Reply); Defendant Westchester (ECF No. 112, Westchester Reply); Defendant Zurich (ECF No. 113, Zurich Reply); Defendant Allied (ECF No. 114, Allied Reply). On the same date, Defendant Continental filed a reply to Plaintiffâs brief opposing the Motion for Judgment on the Pleadings. (ECF No. 115, Continental Reply). The matter is now fully briefed and ripe for review. II. JURISDICTION This Court has jurisdiction pursuant to the federal diversity and removal statutes, 28 U.S.C. §§ 1332(a) and 1441(a). As discussed above, Defendant Axis timely removed this matter from the Superior Court of New Jersey, Camden County, on May 5, 2023, alleging jurisdiction under § 1332(a) by claiming complete diversity of citizenship and an amount in controversy exceeding $75,000. (Notice of Removal ¶ 4). There is complete diversity of citizenship between the parties because Plaintiff is a citizen of Delaware,2 and no Defendant is a citizen of Delaware.3 (Id. ¶ 15). The parties do not contest citizenship, personal jurisdiction, or the amount in controversy. Because § 1332(a)âs complete diversity and amount-in-controversy requirements are met, the Court has subject-matter jurisdiction to hear this dispute. III. LEGAL STANDARD A. Motion to Dismiss Federal Rule of Civil Procedure 12(b)(6) allows a court to dismiss an action for failure to state a claim upon which relief can be granted. When evaluating a motion to dismiss, âcourts accept all factual allegations as true, construe the complaint in the light most favorable to the 2 Plaintiff TD Bank is a national bank with its main office located in Delaware, as designated by its articles of association.2 (ECF No. 1, Notice of Removal ¶ 5; ECF No. 1-1, Compl. ¶ 7). For diversity purposes, a national bankâs citizenship is âin the State designated in its articles of association as its main office.â Wachovia Bank, N.A. v. Schmidt, 546 U.S. 303, 318 (2006). Accordingly, Plaintiff is a citizen of Delaware. See also Dillard v. TD Bank, NA, Civ. No. 20- 7886, 2021 WL 1085461, at *1 & n.1 (D.N.J. Mar. 22, 2021) (adopting TD Bankâs representation that it is a citizen of Delaware for diversity purposes). 3 Defendant Continental Insurance Company of New Jersey (âContinentalâ) is a New Jersey corporation with its principal place of business in Chicago, Illinois. (Compl. ¶ 8). Defendant National Union Fire Insurance Company of Pittsburgh, PA (âNational Unionâ) is a Pennsylvania corporation with its principal place of business in New York, New York, and it is a subsidiary of the American International Group (âAIGâ). (Id. ¶ 9). Defendant RSUI Indemnity Company (âRSUIâ) is a New Hampshire corporation with its principal place of business in Atlanta, Georgia. (Id. ¶ 10). Defendant Allied World National Assurance Company is a New Hampshire corporation with its principal place of business in New York, New York. (Id. ¶ 11). Defendant Zurich American Insurance Company is a New York Corporation with its principal place of business in Schaumburg, Illinois. (Id. ¶ 12). Defendant AIG Property Casualty Company is an Illinois corporation with its principal place of business in Chicago, Illinois. (Id. ¶ 13). Defendant Liberty Mutual Insurance Company is a Massachusetts corporation with its principal place of business in Boston, Massachusetts. (Id. ¶ 14). Defendant Westchester Fire Insurance Company is a Pennsylvania corporation with its principal place of business in Philadelphia, Pennsylvania. (Id. ¶ 15). Defendant Axis is an Illinois corporation with its principal place of business in Alpharetta, Georgia. (Id. ¶ 16). plaintiff, and determine whether, under any reasonable reading of the complaint, the plaintiff may be entitled to relief.â Fowler v. UPMC Shadyside, 578 F.3d 203, 210 (3d Cir. 2009) (quoting Phillips v. Cty. of Allegheny, 515 F.3d 224, 233 (3d Cir. 2008)). A complaint survives a motion to dismiss if it contains enough factual matter, accepted as true, to âstate a claim to relief that is plausible on its face.â Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007). To make this determination, courts conduct a three-part analysis. Santiago v. Warminster Twp., 629 F.3d 121, 130 (3d Cir. 2010). First, the court must âtak[e] note of the elements a plaintiff must plead to state a claim.â Id. (quoting Ashcroft v. Iqbal, 556 U.S. 662, 675 (2009)). Second, the court should identify allegations that, âbecause they are no more than conclusions, are not entitled to the assumption of truth.â Id. (quoting Iqbal, 556 U.S. at 680). â[T]hreadbare recitals of the elements of a cause of action, supported by mere conclusory statements,â do not suffice. Id. (quoting Iqbal, 556 U.S. at 678). Third, âwhere there are well-pleaded factual allegations, a court should assume their veracity and then determine whether they plausibly give rise to an entitlement for relief.â Id. (quoting Iqbal, 556 U.S. at 679). B. Motion for Judgment on the Pleadings Generally, a motion for judgment on the pleadings under Rule 12(c) âis analyzed under the same standards that apply to a Rule 12(b)(6) motion.â Wolfington v. Reconstructive Orthopaedic Assocs. II PC, 935 F.3d 187, 195 (3d Cir. 2019) (citing Revell v. Port Auth. of N.Y. & N.J., 598 F.3d 128, 134 (3d Cir. 2010)). While it is generally true that a Rule 12(c) motion for judgment on the pleadings is treated similarly to a motion to dismiss under Rule 12(b)(6), there are significant differences. Nafar v. Hollywood Tanning Sys., Inc., Civ. No. 06-3826, 2007 WL 1101440, at *2 (D.N.J. Apr. 10, 2007). First, a Rule 12(c) motion is brought after the close of the pleadings, while a Rule 12(b)(6) motion is brought before the close of the pleadings. Syncsort, Inc. v. Sequential Software, Inc., 50 F. Supp. 2d 318, 324 (D.N.J. 1999). Second, a motion for judgment on the pleadings will be granted âif, on the basis of the pleadings, the movant is entitled to judgment as a matter of law.â DiCarlo v. St. Mary Hosp., 530 F.3d 255, 262 (3d Cir. 2008) (citing Allah v. Brown, 351 F. Supp. 2d 278, 280 (D.N.J. 2004)). Under Rule 12(c), âjudgment will not be granted unless the movant clearly establishes that no material issue of fact remains to be resolved and that [the movant] is entitled to judgment as a matter of law.â Rosenau v. Unifund Corp., 539 F.3d 218, 221 (3d Cir. 2008) (quoting Jablonski v. Pan Am. World Airways, Inc., 863 F.2d 289, 290â91 (3d Cir. 1988)). In this way, a Rule 12(c) motion for judgment on the pleadings is distinct from a Rule 12(b)(6) motion to dismiss, where the latter âis directed solely towards the procedural defects or the statement of the Plaintiffâs claim for relief and does not seek to determine the substantive merits of the controversy.â 5C Charles Alan Wright & Arthur R. Miller, Federal Practice and Procedure (âWright & Millerâ) § 1369 (3d ed. 2004). However, â[a] motion for judgment on the pleadings based on the defense that the plaintiff has failed to state a claimâ is reviewed under the Rule 12(b)(6) standard. Revell, 598 F.3d at 134. IV. DISCUSSION A. Defendant Continentalâs Motion for Judgment on the Pleadings Unlike the other Defendants, Defendant Continental seeks a Motion for Judgment on the Pleadings pursuant to Rule 12(c). See (ECF No. 94). The Third Circuit has not addressed the question of whether, for purposes of a Rule 12(c) motion, the pleadings are considered âclosedâ in a multi-defendant case if only one defendant has answered the complaint. See Cook v. TransUnion, Civ. No. 23-1146, 2024 WL 128204, at *1 (E.D. Pa. Jan. 11, 2024) (citing Nagy v. De Wese, 705 F. Supp. 2d 456, 460 n.4 (E.D. Pa. 2010)).4 However, because a motion for judgment on the pleadings may be analyzed under the same standard as a motion to dismiss under Rule 12(b)(6), see Wolfington, 935 F.3d at 195, the Court construes Defendant Continentalâs Motion as a motion to dismiss. See also Cook, 2024 WL 128204, at *1 (opting for same); Barlett, 2009 WL 1010479, at *1 (recognizing that âRule 12(c) motions can be treated as Rule 12(b)(6) motions when the relief requested derives from that section of the ruleâ) (citing 5C Wright & Miller § 1367). Accordingly, we deny Defendant Continentalâs Motion for Judgment on the Pleadings (ECF No. 94) to the extent that it requests a judgment on the merits. Instead, we review Defendant Continentalâs Motion for dismissal under Rule 12(b)(6) and rule on the same basis as the other Defendantsâ Motions to Dismiss. B. Defendantsâ Motions to Dismiss The instant dispute concerns the nonpayment of insurance to cover Plaintiffâs defense and settlement costs relating to lawsuits arising from the Ponzi scheme totaling over $260 millionâ an amount well over Plaintiffâs total coverage under Defendantsâ plans. Because Plaintiff is seeking recovery of this amount plus damages, fees, and costs, see (Compl. ¶¶ 200, 208, 215, 225), a finding of breach would likely implicate all Defendants, from primary plan owner 4 A number of district courts in the Third Circuit and elsewhere have held that the pleadings are not considered closed in a multi-defendant case until all defendants have answered the complaint. See, e.g., United States ex rel. Barlett v. Tyrone Hosp., Inc., Civ. No. 04-57, 2009 WL 1010479, at *1 (W.D. Pa. Apr. 14, 2009) (â[N]ot all of the other defendants have filed answers to the Second Amended Complaint and therefore, the pleadings are not closed so that a Rule 12(c) motion can be made.â); DJCBP Corp. v. City of Baldwin Park, Civ. No. 2:23-384, 2023 WL 5962607, at *2 (C.D. Cal. Aug. 3, 2023) (â[W]hen a plaintiff sues multiple defendants and one of them answers and then files a Rule 12(c) motion, that motion is premature if the other defendants have not answered.â); Horen v. Bd. of Educ. of Toledo City Sch. Dist., 594 F. Supp. 2d 833, 840 (N.D. Ohio 2009) (âIf a case has multiple defendants, all defendants must file an answer before a Rule 12(c) motion can be filed.â). Defendant Continental all the way up to Defendant Axis at the top of the excess insurer âtower.â5 Accordingly, we address Defendantsâ Motions to Dismiss in aggregate. i. Counts IâII: Breach of Contract Claims Plaintiff brings two claims for breach of contract: one for coverage of defense costs and the other for coverage of the settlement agreements. Because Plaintiffâs breach of contract claims each center on common questionsâincluding whether the run-off endorsements apply to acts occurring prior to March 31, 2008âwe review the claims together. Additionally, because the parties do not contest choice of law, we follow Plaintiffâs presumption that New Jersey law governs the policies at issue. See (Opp. Br. at 3â4). In New Jersey, a valid breach of contract claim requires the existence of âa valid contract, defective performance by the defendant, and resulting damages.â 22nd Century Techs., Inc. v. iLabs, Inc., No. 22-1830, 2023 WL 3409063, at *3 (3d Cir. May 12, 2023) (citing Globe Motor Co. v. Igdalev, 139 A.3d 57, 64 (N.J. 2016)). An insurance policy is a contract that will be enforced as written when its terms are clear so that the expectations of the parties will be fulfilled. Flomerfelt v. Cardiello, 997 A.2d 991, 996 (N.J. 2010) (citing Kampf v. Franklin Life Ins. Co., 161 A.2d 717 (N.J. 1960)). When considering the meaning of an insurance policy, courts interpret the language âaccording to its plain and ordinary meaning.â Id. (citing Voorhees v. Preferred Mut. Ins. Co., 607 A.2d 1255 (N.J. 1992)). If the terms are ambiguous, they are construed against the insurer to give effect to the insuredâs reasonable expectations. Doto v. Russo, 659 A.2d 1371, 1377 (N.J. 1995). 5 Although the excess insurer policies contain certain provisions and wording unique to a particular policy, each policy âfollows formâ to the original coverage concerning both the run-off period and director and officer liability in Defendant Continentalâs policy. See (Compl. ¶¶ 88, 95, 102, 109, 116, 123, 130, 137, 144); (Opp. Br. at 6â7). Exclusionary clauses are presumptively valid and are enforced if they are âspecific, plain, clear, prominent, and not contrary to public policy.â Princeton Ins. Co. v. Chunmuang, 698 A.2d 9, 17 (N.J. 1997). âIn general, insurance policy exclusions must be narrowly construed; the burden is on the insurer to bring the case within the exclusion.â Am. Motorists Ins. Co. v. LâCâA Sales Co., 713 A.2d 1007, 1013 (N.J. 1998) (cleaned up). As a result, exclusions are ordinarily strictly construed against the insurer, and courts apply the meaning that supports coverage rather than the one that limits it if there is more than one possible interpretation of the language. Flomerfelt, 997 A.2d at 997 (cleaned up). At bottom, âcourts must evaluate whether, utilizing a fair interpretation of the language, it is ambiguous.â Id. (quotation marks omitted). The coverage dispute in this matter centers, inter alia, on the language surrounding the run-off endorsements extending Commerceâs insurance coverage to TD Bank following the merger. Although each excess insurer policy has its own run-off âfollow formâ language, the Court focuses on Defendant Continentalâs original run-off endorsement for purposes of this Motion because it anchors the âtowerâ of claims in this case. See Part I.A, supra. The run-off endorsement in Defendant Continentalâs policy states in relevant part: Toronto-Dominion Bank, including any of its subsidiaries, shall be able to seek reimbursement under the corporate reimbursement and entity coverage parts, but only to the extent that it: a. indemnifies ABC Corp. Insureds for a Claim arising out of a Wrongful Act prior to March 31, 2008; or, b. has been found legally liable for any Claims that are brought against any ABC Corp. Insureds for an entity coverage Claim arising out of a Wrongful Act committed by ABC Corp. Insureds prior to March 31, 2008 (Compl. ¶ 83).6 6 Defendant Continentalâs policy defines âABC Corp.â as the insured listed in the declarations for the policy, which, in this instance, is Commerce. (Compl. ¶ 76). Also at issue is whether Spinosa and Caretskyâs actions may be interpreted as âWrongful Actsâ warranting coverage. A âWrongful Actâ is defined in the policy as: a. any actual or alleged error, misstatement, misleading statement, act, omission, neglect or breach of duty committed or attempted by the Insured Persons in their capacity as such or, with respect to Insuring Agreements 4 and 5 (if included), in an Outside Position or, with respect to Insuring Agreement 3 (if included), by ABC Corp. or any Subsidiary, or b. any matter claimed against the Insured Persons solely by reason of their serving in such capacity or, with respect to Insuring Agreements 4 and 5 (if included), in an Outside Position. (Id. ¶ 81). As discussed, the policy provided coverage for, inter alia, the liability of directors and officers. (Id. ¶ 71). Accordingly, âInsured Personsâ are expressly defined in the policy as: a. all past present or future duly elected or appointed directors and/or officers of ABC Corp. or any Subsidiary or, with respect to a Subsidiary incorporated outside the United States, their functional equivalent; and b. solely with respect to any Securities Claim, any other past, present or future full-time or part-time employees of ABC Corp. or any Subsidiary, provided such other employees are not included as Insured Persons for purposes of Exclusions 1.g or 1.h of this Coverage Part. (Id. ¶ 79) (emphasis added). Plaintiff argues that a plain reading of the terms of the policy confirms that âno exclusion applies to prevent coverageâ for TD Bankâs loss. (Compl. ¶ 188). Plaintiff alleges that several insurer Defendants, meanwhile, have taken the position that all âWrongful Actsâ involving TD Bank directors and officersâincluding Spinosa and Caretskyâare excluded from coverage. (Id.). Plaintiff alleges further that â[e]ven a cursory investigation of the facts underpinning the allegations against TD Bank related to the Ponzi Schemeâ would have revealed that âsome or allâ of Plaintiffâs loss was caused by âWrongful Actsâ of Spinosa and Caretsky occurring before the run-off period, thereby warranting coverage under the Defendantsâ policies. (Id. ¶ 186). The Court finds that a âfair interpretationâ of the language in the above provisions points to ambiguity as to whether Plaintiff is entitled to coverage. See Flomerfelt, 997 A.2d at 997. It is unclear, for example, whether Plaintiff may claim coverage for Spinosa and Coretskyâs alleged âWrongful Actsââthat is, their roles in the Ponzi schemeâwhen those actions occurred both before and after the run-off period. See (Compl. ¶¶ 56â57). At any rate, we cannot yet find at this early stage in the litigation that such coverage for a so-called âmixed claim,â see (Opp. Br. at 3), is excluded under the âplain and ordinary meaningâ of the provisions, nor can we find that Defendants met their burden to show that such a claim would preclude coverage as a matter of law. See Flomerfelt, 997 A.2d at 996; Am. Motorists Ins. Co. 713 A.2d at 1013. To be sure, we are not required at this stage to determine whether Plaintiff is entitled to coverage as a matter of law or whether Defendant Continentalâand, subsequently, the other excess insurer Defendantsâdid in fact breach the terms of their policies by refusing to provide Plaintiff with coverage. Rather, for Plaintiffâs breach of contract claim to survive a motion to dismiss, we need only find that Plaintiffâs facts alleging the same were well-pleaded and plausibly give rise to an entitlement for relief. See Iqbal, 556 U.S. at 679. Plaintiff has met that burden here. In pointing to specific ambiguities in the policy language and indicating âreasonable relianceâ on its conflicting interpretation of the same, see Doto v. Russo, 659 A.2d at 1377, Plaintiff has adequately pleaded claims for breach of contract that survive a motion to dismiss. Accordingly, we deny Defendantsâ Motion with respect to Counts I and II. ii. Count IIIâIV: Bad Faith Claims Plaintiff fails to sufficiently plead its two claims of bad faith for Defendantsâ refusal to cover the defense costs and settlement payments. In New Jersey, to allege bad faith in the insurance context, a plaintiff must allege facts to plausibly suggest that the insurer (1) did not have a âfairly debatableâ reason for its failure to pay the claim, and (2) that the insurer knew or recklessly disregarded the lack of a reasonable basis for denying the claim. Ketzner v. John Hancock Mut. Life Ins. Co., 118 Fed. Appâx 594, 599 (3rd Cir. 2004) (citing Pickett v. Lloyds, 621 A.2d 445, 454 (N.J. 1993)). âIf a claim is âfairly debatable,â no liability in tort will arise.â Pickett, 621 A.2d at 453. In order to meet the âfairly debatableâ standard, a plaintiff must establish as a matter of law a right to summary judgment on the substantive claim; a plaintiff who cannot do so is not entitled to assert a claim for bad faithâincluding at the motion to dismiss stage.7 See Fuscellaro v. Combined Ins. Group, Ltd., Civ. No. 11-723, 2011 WL 4549152, at *5 (D.N.J. Sept. 29, 2011) (dismissing plaintiffâs bad faith claim on a motion to dismiss where insurerâs reason for refusing to pay presented disputed issues of material fact) (citing Pickett, 621 A.2d at 454); Ketzner, 118 Fed. Appâx at 599 (stating that âif there are material issues of disputed fact . . . an insured cannot maintain a cause of action for bad faithâ). It is undeniable that genuine issues of material fact remain as to Plaintiffâs underlying breach of contract claims. See Part IV.A, supra. Because Plaintiffâs Complaint fails to show that Defendantsâ reasons for denying coverage are not in dispute, it follows that Defendantsâ reasons for denying coverage must be considered âfairly debatable.â See Ketzner, 118 Fed. Appâx at 599; 7 To adequately plead a claim of bad faith, Plaintiff must first establish that it is entitled to summary judgment on the underlying breach of contract alleged in Counts I and IIâthat is, that Defendantsâ reasons for denying coverage are not debatable as a matter of law. See Pickett, 621 A.2d at 453. In other words, the âfairly debatableâ standard for bad faith claims requires only that the Court identify the existence of material issues of disputed fact in the underlying breach of contract claims. Although the Court recognizes that the Pickett standard presents unique difficulties for bad faith claims at the motion to dismiss stage, see Tarsio v. Provident Ins. Co., 108 F. Supp. 2d 397, 401â02 (D.N.J. 2000) (doubting âthe wisdomâ of the Pickett standard); Snowden v. Standard Ins. Co., Civ. No. 23-2493, 2024 WL 1154471, at *3 n.2 (D.N.J. Mar. 18, 2024) (citing same), we are nevertheless compelled to apply the substantive law of New Jersey as determined by the stateâs highest court. See Erie R.R. Co. v. Tompkins, 304 U.S. 64 (1938). Pickett, 621 A.2d at 454. Accordingly, Plaintiff cannot maintain either of its claims for bad faith. See id.; Fuscellaro, 2011 WL 4549152, at *5. Defendantsâ Motions are granted with respect to Counts III and IV. V. CONCLUSION For these reasons, Defendants Motions to Dismiss (ECF Nos. 61â62, 65â69) are GRANTED IN PART and DENIED IN PART. Defendant Continentalâs Motion for Judgment on the Pleadings (ECF No. 94) is DENIED. An Order follows. Dated: March 28, 2024 /s/ Robert B. Kugler ROBERT B. KUGLER United States District Judge
Case Information
- Court
- D.N.J.
- Decision Date
- March 28, 2024
- Status
- Precedential