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UNITED STATES DISTRICT COURT EASTERN DISTRICT OF MISSOURI EASTERN DIVISION THE OHIO CASUALTY INSURANCE ) COMPANY and OHIO SECURITY ) INSURANCE COMPANY, ) ) Plaintiff, ) ) vs. ) Case No. 4:19-cv-2974-MTS ) EAGLE MIST CORPORATION ) d/b/a OSAGI INTERNATIONAL, ) and KEVIN LAUGHLIN ) ) Defendants. ) MEMORANDUM AND ORDER Before the Court is Plaintiffsâ Motion for Summary Judgment, Doc. [58], pursuant to Federal Rule of Civil Procedure 56. For the reasons set forth below, the Court denies in part and grants in part Plaintiffsâ Motion. I. BACKGROUND This case arises from Plaintiffs the Ohio Casualty Insurance Company (âCasualtyâ) and Ohio Security Insurance Company (âSecurityâ) (collectively, âPlaintiffsâ) assumption of defense for Defendants Eagle Mist Corporation d/b/a Osagai International (âEagle Mistâ) and Kevin Laughlin (âLaughlinâ) (collectively, âDefendantsâ) in a state court lawsuit pending in California (âUnderlying Lawsuitâ). The undisputed facts are as follows. In October 2015, Eagle Mist entered into a written agreement with Sapphire Bakery Company, LLC (âSapphireâ). Doc. [60] ¶ 25. This arrangement called for Sapphire to produce nutrition bars, for Eagle Mist to supply the Sapphire bars to Defense Nutrition, LLC (âDefense Nutritionâ), which was to supply them to Julian Bakery, Inc. (âJulianâ). Id. ¶¶ 40-41. From April to July 2016, Sapphire manufactured protein bars utilizing Defense Nutritionâs formulas and ingredients provided by Eagle Mist. Doc [60-11] at 1. On January 9, 2016, Ohio Security issued a commercial general liability policy of insurance to Sapphire (âSecurity Policyâ), and Ohio Casualty issued a commercial umbrella policy of insurance to Sapphire (âCasualty Policyâ) (collectively, âPoliciesâ). Doc. [60] ¶¶ 5-8. The Policies only cover âthose sums that the insured becomes legally obligated to pay as damages because of bodily injury, property damage, or personal and advertising injury to which insurance applies.â Doc. [60-2] at 94 (Security policy); see also Doc. [60-3] at 42 (Casualty policy: âWe will payâŠthose sumsâŠthat the âInsuredâ becomes legally obligated to pay by reason of liability imposed by law or assumed by the âInsuredâ under an âinsured contractâ because of âbodily injury,â âproperty damage,â âpersonal injury,â or âadvertising injuryâ). To add an âadditional insured,â the Security Policy requires the name insured â Sapphire â âto name as an additional insured on this policy under a written contract or written agreementâŠthe written contract or agreement must be: (a) currently in effect or becoming effective during the term of this policy; and (b) executed prior to the âbodily injuryâ, âproperty damageâ, âpersonal and advertising injury.â Doc. [60-2] at 166. The Casualty Policy provides an âinsuredâ may be â[a]ny person or organization, other than the Named Insured, included as an additional âInsuredâ by virtue of an âinsured contract.ââ Doc. [60-3] at 48. The Casualty Policy defines an âInsured contractâ in pertinent part as âany oral or written contract or agreement entered into by you and pertaining to your business under which you assume the âtort liabilityâ of another party.â Id. In April 2016, Defendants requested that Sapphire add them as additional insureds. Doc. [60] ¶ 30. Sapphire agreed in writing to add Defendants as additional insureds and per Sapphireâs request, an agent of Defendants issued certificates of insurance. Id. ¶¶ 31-35. In August 2016, Defense Nutrition sued Julian in the Superior Court of the State of California, for the County of Los Angeles (âUnderlying Lawsuitâ). Doc. [60-5]. In November 2016, Julian filed a first amended cross-complaint in the Underlying Lawsuit, suing1 Defendants for: (1) breach of contract, as a third party beneficiary, (2) damages after buyerâs rightful rejection of defective goods, (3) negligence, (4) breach of warranty, (5) unfair business practices, (6) fraud, (7) negligent misrepresentation, and (8) promissory estoppel. Doc. [60-6]. Julian also sought rescission of contract and specific performance. Id. Julian alleged, among other things, that it received âdefective products,â because Defense Nutrition, Eagle Mist, and Sapphire modified âthe formula and ingredientsâ of the bars. Id. ¶¶ 25, 29. In January 2017, Defense Nutrition filed a cross-complaint in the Underlying Lawsuit against Defendants for: (1) equitable indemnity, (2) breach of contract, (3) fraud, (4) declaratory relief, and (5) express indemnity. Doc. [60-7]. Defendants tendered the Underlying Lawsuit to Plaintiffs, and Security has been defending Defendants in the Underlying Lawsuit. Doc. [60] ¶ 47. Defendants selected their own counsel and Security has been paying2 attorneyâs fees and costs for the defense of, and on behalf of, Defendants for the Underlying Lawsuit. Id. ¶¶ 48-50. On March 2, 2017, Plaintiffs sent a letter (âMarch 2017 letterâ) to Defendants stating, among other things, they would âagree at this timeâ to provide a defense to Defendants for the Underlying Lawsuit âsubject to a reservation of all rights.â See Doc. [60-8] at 3-25. The March 2017 letter listed âthe grounds under which some or all aspects of the Lawsuit may not be covered under the [insurance] PoliciesâŠ. with respect to the Lawsuit include, but are not limited to: 1 Sapphire was also named as a party. 2 As of March 30, 2021, Plaintiff has paid a total of $839,186.97 in attorneyâs fees and costs on behalf of Defendants for the Underlying Lawsuit. Coverage exists under the Policy(ies) for damages because of âbodily injuryâ or âproperty damageâ as defined by the Policy(ies). To the extent the Lawsuit seeks damages that do not constitute âbodily injuryâ or âproperty damage,â including claims for economic damages for breach of contract, unfair business practices, trade secret misappropriation, fraud, misrepresentation, and interference with prospective economic advantage, there is no insurance coverage for such claimed damages. Coverage exists under the Policy(ies) for âbodily injuryâ or âproperty damageâ caused by an âoccurrenceâ as defined by the Policy(ies). To the extent the Lawsuit does not involve âbodily injuryâ or âproperty damageâ caused by an âoccurrenceâ (defined as an accident), there is no insurance coverage for the claimed injury or damage under Coverage A Bodily Injury and Property Damage Liability.â Id. at 19 (emphasis added). Despite these coverage issues, the March 2017 letter states Plaintiffs agreed âto provide a defense to [Defendants] in the Lawsuit, subject to a complete reservation of their rights.â Id. at 21. Some of the reservations included: (1) âreserve[ing] the right to have a court determine whether or not [Plaintiffs] are, or ever were, obligated to defend or indemnify the Insured with respect to the Lawsuit,â (2) â[Plaintiffs] fully and completely reserve our rights under the Policies and applicable law to decline insurance coverage ⊠at a later date as warranted,â and (3) âTo the extent that Ohio Security pays for the defense of claims that do not fall within the scope of coverage, it reserves all rights under applicable law to seek reimbursement of those amounts.â Id. at 24, 18, 23. The March 2017 letter further stated, âby accepting the defense of the Lawsuit pursuant to this reservation-of-rights letter, [Plaintiffs] are not admitting any legal duty to defend or indemnify exists or ever existedâ and âdoes not waiveâŠthe subject policiesâ terms, nor does it waive [Plaintiffsâ] right to dispute issues of coverage.â Id. at 24. Based on the March 2017 letter, Defendants were âadvised and informed of its right to select independent counselâ and accepted Plaintiffsâ defense after âconsider[ing] this matter fully and freely waiv[ing] its right to select independent counsel.â Id. at 26. On November 29, 2018 and November 8, 2019, Plaintiffs sent updated reservation of rights letters to Defendants, similar to the March 2017 letter. On April 23, 2019, the California state court (âCalifornia Courtâ) dismissed Julianâs claims for negligence and negligent misrepresentation against Eagle Mist. Doc. [60] ¶ 52. On November 5, 2019, Plaintiffs filed their Complaint for Declaratory Judgment, alleging they had no obligation to defend or indemnify Defendants because âas of April 23, 2019, no claims against [Defendants] in the Lawsuit were even potentially covered claims.â Doc. [55] ¶ 45. On January 27, 2020, the California Court granted, in part, Eagle Mistâs motion for judgment on the pleadings against Julian, dismissing Julianâs claims against Eagle Mist for: (1) specific performance, (2) damages after buyerâs rightful rejection of defective goods, (3) rescission of contract, (4) breach of warranty, and (5) unfair business practices. Doc. [60-11]. As a result of the January 2020 judgment, Julianâs claims remaining in the Underlying Lawsuit against Eagle Mist were: (1) breach of contract, (2) fraud, and (3) promissory estoppel. Id. Julianâs claim for breach of contract (third party beneficiary) seeks relief for its out-of-pocket costs, lost profits, and damage to reputation and good will, arising from Eagle Mistâs alleged âfailing to timely manufacture and procure conforming products.â Doc. [60-6]. Julianâs claim for fraud seeks damages for Eagle Mistâs alleged fraudulent representations relating to the bars. Id. Julianâs claim for promissory estoppel seeks relief against Eagle Mist for lost profits and damaged good will arising from orders it could not fill, and receipt and sale of an inferior product (ie: the bars). Id. On January 27, 2020, the California Court also granted, in part, Defendantsâ motion for judgment on the pleadings against Defense Nutrition, dismissing Defense Nutritionâs claims against Defendants for: (1) equitable indemnity, (2) declaratory relief, and (5) express contractual indemnity. Doc. [60-11]. In support of their motion, Defendants argued that the âcause of action for express contractual indemnity is mootâ because âthe only claims asserted against [Defense Nutrition] regarding the personal injury and hardness of the bars were dismissed on November 21, 2017, after the Court granted [Defense Nutrition] and Julian Bakeryâs Motion for Good Faith Settlement.â Id. at 9. Defendants argued that âthere are no claims remaining made based on personal injury made against or in favor of [Defense Nutrition].â Id. As a result of the January 2020 judgment, Defense Nutritionâs claims remaining in the Underlying Lawsuit against Defendants are: (1) damages for breach of contract; and (2) damages for fraud. Id. Defense Nutritionâs claim for fraud seeks damages for Eagle Mistâs alleged fraudulent representations relating to the bars. Doc. [60- 7]. Based on those facts, Plaintiffs filed a Complaint, Doc. [55], against Defendants for (1) declaratory judgment, and (2) unjust enrichment. Plaintiffs seek a declaratory judgment relating to whether Plaintiffs have a duty to defend Defendants on the remaining claims in the Underlying Lawsuit. Plaintiffs also seek to recoup defense fees and costs Plaintiffs expended in defending Defendants in the Underlying Lawsuit. In the instant Motion, Plaintiffs moved for summary judgment pursuant to Fed. R. Civ. P. 56. Doc. [58]. II. LEGAL STANDARD âA court must grant a motion for summary judgment if the moving party shows that there are no genuine disputes of material fact and that it is entitled to judgment as a matter of law.â Bedford v. Doe, 880 F.3d 993, 996 (8th Cir. 2018) (citing Fed. R. Civ. P. 56(a)). âThe movant bears the initial responsibility of informing the district court of the basis for its motion and must identify the portions of the record that it believes demonstrate the absence of a genuine dispute of material fact.â Id. at 996; accord Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986). âThe mere existence of a scintilla of evidence in support of the plaintiffâs position will be insufficient; there must be evidence on which the jury could reasonably find for the plaintiff.â Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 252 (1986). âOnly after the moving party fulfills its duty is the nonmoving party obliged to proffer evidence that contradicts the moving partyâs showing and that proves the existence of a genuine issue of material fact.â Handeen v. Lemaire, 112 F.3d 1339, 1346 (8th Cir. 1997) (internal quotations omitted); accord Leffall v. City of Elsberry, Mo., No. 4:15-cv-398 SPM, 2016 WL 2866422, at *2 (E.D. Mo. May 17, 2016) (âIf the moving party meets this initial burden, the nonmoving party must then set forth affirmative evidence from which a jury might return a verdict in his or her favor.â). âMere allegations, unsupported by specific facts or evidence beyond the nonmoving partyâs own conclusions, are insufficient to withstand a motion for summary judgment.â Thomas v. Corwin, 483 F.3d 516, 526â27 (8th Cir. 2007). III. DISCUSSION Plaintiffs seek a declaratory judgment relating to whether Plaintiffs have a duty to defend Defendants on the remaining claims in the Underlying Lawsuit. In support of their Motion, Plaintiffs allege they have no obligation to defend because Defendants were not âadditional insuredsâ under the Policies issued to Sapphire, or in the alternative, even if Defendants were additional insureds, the Policies do not cover the claims against them that remain in the Underlying Lawsuit. Plaintiffsâ unjust enrichment claim seeks recoupment of fees and costs expended from defending Defendants in the Underlying Lawsuit. Plaintiffsâ claim is premised on a finding that Defendants are not insureds under Sapphireâs insurance policy, thus, Plaintiffsâ expenditures constituted an unjust benefit. For reasons set forth below, the Court finds that a genuine dispute of material fact remains as to whether Defendants were âadditional insuredsâ under Sapphireâs policy. However, even if Defendants were additional insureds, the Policies do not cover the remaining claims in the Underlying Lawsuit as a matter of law.3 McCormack Baron Mgmt. Servs., Inc. v. Am. Guar. & Liab. Ins. Co., 989 S.W.2d 168, 170 (Mo. banc 1999) (interpreting an insurance policy is a question of law). 3 Defendants claim there are genuine disputes over whether the remaining claims in the underlying lawsuit involve âbodily injuryâ that could potentially be covered by the insurance policies; however, the interpretation of an insurance policy is a question of law. Interstate Bakeries Corp. v. OneBeacon Ins. Co., 686 F.3d 539, 543 (8th Cir. 2012). A. Declaratory Judgment An insurer has no duty to defend if there is no âpossibilityâ the claims in the underlying litigation are covered by the insurerâs policy. McCormack, 989 S.W.2d at 170. If there is a âpossibilityâ claims are covered, an insurer can defend the insured and reserve its right to later disclaim coverage, provided it gives the insured proper notice. Safeco Ins. Co. of Am. v. Rogers, 968 S.W.2d 256, 258 (Mo. Ct. App. 1998). Subject to the reservation of rights, if during the course of the underlying litigation all âpossiblyâ covered claims are extinguished, the insurer is entitled to bring an action for declaratory judgment to determine its continued obligations. Id. If it is shown there is no âpossibilityâ for coverage in the suit, a court can declare that the insurers duty to defend is terminated. See e.g., Liberty Mut. Ins. Co. v. FAG Bearings Corp., 153 F.3d 919, 924 (8th Cir. 1998) (finding that although the insurer had an initial duty to defend, that duty expired upon the determination that the claims against it were excluded from coverage). The Court begins its analysis by determining whether Plaintiffs have a duty to defend Defendants on the remaining claims in the Underlying Lawsuit. A district court sitting in diversity applies the law of the state in which it sits. Erie R.R. Co. v. Tompkins, 304 U.S. 64, 78 (1938); Am. Family Mut. Ins. Co. v. Co Fat Le, 439 F.3d 436, 439 (8th Cir. 2006). Under Missouri law, the duty to defend is triggered by the âpossibilityâ of coverage, âeven though claims beyond coverage may also be present.â Truck Ins. Exch. v. Prairie Framing, LLC, 162 S.W.3d 64, 79 (Mo. Ct. App. 2005); McCormack, 989 S.W.2d at 170 (âAn insurerâs duty to defend a suit arises if there is potential or even possible liability to pay based upon the facts at the outset of the caseâ). To extricate itself from a duty to defend, the insurance company must prove that there is no possibility of coverage. Id. To determine whether there is a duty to defend, the language of the insurance policy is compared with the allegations against the insured in the underlying lawsuit. Am. Family Mut. Ins. Co. v. Southside Ventures, LLC, Case No. 2:29- CV-04230-BCW, 2020 WL 9218531, at *4 (W.D. Mo. Dec. 4, 2020). The interpretation of an insurance policy is a question of law. Interstate Bakeries Corp. v. OneBeacon Ins. Co., 686 F.3d 539, 543 (8th Cir. 2012); McCormack, 989 S.W.2d at 171. âIn Missouri, the language of an insurance policy should be enforced as written, giving the policy language its ordinary meaning.â Southside, Case No. 2:29-CV-04230-BCW at *4. Missouri law accords the terms of an insurance policy âthe meaning which would be attached by an ordinary person of average understanding.â Seeck v. Geico Gen. Ins. Co., 212 S.W.3d 129, 132 (Mo. banc 2007); see also, Piatt v. Ind. Lumbermenâs Mut. Ins. Co., 461 S.W.3d 788, 792 (Mo. banc 2015) (finding that absent ambiguity, Missouri courts will interpret the language of a policy according to its plain meaning as understood by an ordinary insured of average understanding). Here, the plain language of the Policies are clear: âWe will pay those sums that the insured becomes legally obligated to pay as damages because of âbodily injuryâ, âproperty damageâ4 or âpersonal and advertising injuryâ to which this insurance applies.â The Policies define âbodily injuryâ as âbodily injury, sickness or disease sustained by a personâ and âphysical injury.â Doc. [60-2]; Doc. [60-3]. The Parties do not dispute that the Policies only cover damages from âbodily injury,â but rather, the dispute hinges on whether the remaining claims âpossiblyâ constitute damages from âbodily injury.â Although nearly fifteen claims were originally filed against Defendants in the Underlying Lawsuit, currently, just five remain. Julian asserts against Eagle Mist alone, claims for breach of contract by third party beneficiary, fraud, and promissory estoppel. Defense Nutrition asserts 4 Pursuant to the Policies, âProperty damageâ means âphysical injury to tangible propertyâ or âloss of use of tangible property that is not physically injured.â Similar to bodily injury, there are no potential claims of property damage remaining in the Underlying Lawsuit so the Court will not undergo a separate analysis. against Eagle Mist and Laughlin, claims for breach of contract and fraud. With respect to the remaining claims in the Underlying Lawsuit, Julian alleges it seeks relief for out-of-pocket costs, lost profits, damages from alleged fraudulent conduct, punitive damages, and damage to reputation and good will. Doc. [60-6] ¶¶ 57, 127, 134. Similarly, Defense Nutrition alleges damages for Defendantsâ alleged breach of contract and damages for Defendantsâ alleged fraudulent representations relating to the bars. Doc. [60-7]. The undisputed facts show that since the January 2020 judgment, at least, which left just five claims remaining, Defendants are liable only for damages sounding in contract and fraud â not bodily injury â thus, the remaining claims in the Underlying Lawsuit show âno possibility of coverage.â McCormack, 989 S.W.2d at 170. The Court takes notice that some of the original claims in the Underlying Lawsuit may have been âpossiblyâ5 related to âbodily injury,â however, those claims do not remain in the current litigation, and the remaining claims are not causally related to damages from bodily injury. Wood v. Safeco Ins. Co. of America, 980 S.W.2d 43, 46 (Mo. Ct. App. 1998) (finding a âpossibleâ duty to defend because âproperty damageâ may be casually related to the insureds acts subject to suit). Rather, the remaining claims in the Underlying Lawsuit seek damages that are contractual and economic in nature, and âan ordinary insured of average understandingâ would not find that claims for economic damages are synonymous with claims to pay damages for âbodily injuries.â Seeck, 212 S.W.3d at 132. And such a reading has been rejected by other courts. See, e.g., Southside, Case No. 2:29-CV-04230-BCW at *5 (finding no duty to defend because claims for economic loss do not constitute damages for âproperty damageâ or âbodily injuryâ). Further, an ordinary person 5 The Court finds that if Defendants were insureds under the Policies, the Policies may have possibly covered some of the claims for damages for âbodily injury.â See e.g., Doc. [60-6] ¶ 86 (âAlleging that because of the foregoing breaches, all Defendants have directly and proximately harmed Julian Bakery, or may be subject to liability, âas a result of at least one claim made by a customer reporting that the hardness of the manufactured product caused the customer's tooth to chip and dental filling to fall out.â). However, because those claims were all dismissed, they are not at issue in the instant Motion. placed in the position of the insured would understand the term âbodily injuryâ excludes damages6 resulting from breach of contract and fraud relating to the bars. Piatt, 461 S.W.3d at 792 (interpreting the language of a policy according to its plain meaning as understood by an ordinary insured of average understanding). Because the plain language of the Policies cover damages for âbodily injuryâ and the damages sought in the remaining claims are economic and contractual damages, Plaintiffs owe no duty to defend Defendants in the Underlying Lawsuit. Now that it has been determined that the remaining claims are not within coverage, the Court will discuss whether Plaintiffs assumed defense of the Defendants was pursuant to a proper reservation of rights. Upon proper notice to the insured, Missouri law permits an insurer to defend its insured, but reserve its right to later disclaim coverage. Rogers, 968 S.W.2d at 258 (âan insurer may choose to undertake the defense of its insured and reserve its right to later disclaim coverage, provided it gives the insured notice of a reservation of rights.â). âA liability insurer that assumes the defense of its insured should promptly advise the insured of any grounds on which it appears that all or any part of that asserted liability might not be covered.â Advantage Bldgs. & Exteriors, Inc. v. Mid-Continent Cas. Co., 449 S.W.3d 16, 23 (Mo. Ct. App. 2014). âA âproperâ reservation of rights must be both clear and timely, and the insured must fully understand the insurerâs position.â Id. If an insurer fails to properly reserve its rights to disclaim coverage, the insurer may be estopped from later denying coverage under the policy. Id. at 24. Here, the undisputed facts show Plaintiffs assumed the defense of Defendants subject to a reservation of rights since at least March 2, 2017. After being sued by Julian and Defense Nutrition 6 The Court takes notice of the Security Policy that excludes damages for âcontractual liabilityâ and the March 2017 letter, wherein Plaintiffs reiterated that point and told Defendants there is no insurance coverage for economic damages for breach of contract and fraud. in California, Defendants tendered the lawsuit to its alleged insurer, Plaintiffs. Shortly thereafter, Plaintiffs timely7 advised Defendants in a letter8 dated March 2, 2017, the âgrounds under which some or all aspects of the Lawsuit may not be covered under the Policies,â Doc. [60-8] at 18, as Missouri law requires. Advantage, 449 S.W.3d at 23 (âA liability insurer that assumes the defense of its insured should promptly advise the insured of any grounds on which it appears that all or any part of that asserted liability might not be covered.â). Several pages of the March 2017 letter clearly and unambiguously explain the relevance of Plaintiffsâ policy provisions to Defendantsâ position and how coverage issues are potentially created. Most notable, the March 2017 letter specifically notified Defendants that there would be no insurance coverage for economic damages for claims from breach of contract and fraud â the exact claims at issue here. Id. at 19. Thus, Plaintiffs â the insurer â effectively informed Defendants â the insured â the grounds of which Plaintiffs believed it was not required to extend coverage provided under the Policies. Despite Plaintiffsâ laundry list of âgroundsâ that may exclude the Underlying Lawsuit from coverage, Plaintiffs agreed to provide a defense to Defendants âsubject to a reservation of all rights.â Doc. [60-8] at 3-25. Such reservations included but were not limited to: (1) âdeclin[ing] insurance coverage ⊠at a later date,â (2) to later âhave a court determine whether or not [Defendants] are, or ever were, obligated to defend,â and (3) to âseek reimbursementâ if Plaintiffs paid for the defense of claims that do not fall within the scope of coverage. Doc. [60-8] at 18, 23. Upon proper notice of Plaintiffsâ reservation of rights, Defendants âconsidered the matter fully and freely waive[d] its rightsâ and accepted Plaintiffsâ defense pursuant to the reservation of rights 7 Plaintiffsâ reservation of rights was timely because Defendants were brought into the Underlying Lawsuit on November 14, 2016, and Plaintiffs sent the reservation of rights letter on March 2, 2017. In Advantage Bldgs. & Exteriors, Inc. v. Mid-Continent Cas. Co., 449 S.W.3d 16, 23 (Mo. Ct. App. 2014), the Court did not find an effective reservation of rights because the insured assumed complete representation for two years without reserving rights, therefore, it was untimely. 8 The Court also takes notice of two other letters on November 2018 and November 2019 that are similar to the March 2017 letter explaining coverage issues. letter. Doc. [60-8] at 26. Because Plaintiffsâ reservation of rights was timely, clear, and unambiguously informed Defendants of Plaintiffsâ position as to coverage, Plaintiffs properly reserved their rights to disclaim coverage at a later date. Advantage, 449 S.W.3d at 23 (finding the insurer did not properly reserve its right to disclaim coverage when it agreed to defend the insured because the ââreservation of rightâ notification was not timely or clear, nor did it fully and unambiguously inform the insured of the insurance companyâs position as to coverage.â). Defendants argue that Plaintiffs waived their rights or should be estopped from asserting their right to deny coverage because they have provided a defense thus far. However, as explained above, Plaintiffsâ reservation of rights was timely, proper, and effective, thus Plaintiffs are not estopped9 from denying coverage. Advantage, 449 S.W.3d at 23 (âdefending an action with knowledge of non-coverage under a policy of liability insurance without a proper and effective reservation of rights in place will preclude the insurer from later denying liability due to non- coverageâ). Additionally, because Defendants freely accepted Plaintiffsâ defense subject to a reservation of rights which asserted non-liability in the future, Defendantsâ waiver argument fails as a matter of law. Rogers, 968 S.W.2d at 258 (âwhere an insurer provides notice to the insured that its defense of the action is subject to a reservation of its right to assert non-liability, and the insured accepts the defense without protest and with full knowledge and passive acquiescence in 9 For similar reasons, Defendants equitable estoppel argument fails. âTo support estoppel, there must be a representation made by the party estopped and relied upon by another party who changes his position to his detriment.â Investors Title Co. v. Chicago Title Ins. Co., 983 S.W.2d 533, 537 (Mo. Ct. App. 1998). Defendants cannot now argue estoppel by claiming detrimental reliance on Plaintiffsâ coverage letters (March 2017 letter, November 2018 letter, and November 2019 letter), Doc. [62] at 4 (claiming Plaintiffs reiterated their coverage position in those letters), because the letters clearly and unambiguously informed Defendants of Plaintiffsâ position as to coverage, as explained in this Motion. Further, Plaintiffs did not âbelatedlyâ assert their rights in the current action. Investors, 983 S.W.2d 537 (âEquitable estoppel arises from the unfairness of allowing a party to belatedly assert rights if he knew of those rights but took no steps to enforce them until the other party has, in good faith, been disadvantaged by changed conditions.â). Rather, the undisputed facts show Plaintiffs moved for a judicial declaration once it became apparent that there was no âpossibilityâ for coverage, and Missouri law required Plaintiffs to continue representation in the interim. Liberty Mut. Ins. Co. v. FAG Bearings Corp., 153 F.3d 919, 924 (8th Cir. 1998) (holding that an insurer has a duty to defend its insured until a judicial determination on the insurerâs duty is made). the insurerâs position of non-liability, the insurer does not waive any of its policy provisions.â). Moreover, from a practical standpoint, âa waiver is the intentional relinquishment of a known right,â Investors Title Co. v. Chicago Title Ins. Co., 983 S.W.2d 533, 537 (Mo. Ct. App. 1998), and the March 2017 letter makes clear that Plaintiffs defense of Defendants under a reservation of rights âdoes not waiveâŠthe subject policiesâ terms, nor does it waive [Plaintiffsâ] right to dispute issues of coverage.â Doc. [60-8] at 24. Therefore, the Court does not find estoppel or waiver precludes Plaintiffs from exercising their reservation of rights in the current Motion. Now that it has been determined that Plaintiffs properly reserved their rights to disclaim coverage at a later date, the Court will discuss whether Plaintiffs can withdraw from a defense since all âpossiblyâ covered claims have been dismissed. âIf the insured agrees to the insurerâs assumption of the defense under a reservation of rights, the insurer is entitled to bring an action for declaratory judgment as to its obligation in the underlying litigation.â Rogers, 968 S.W.2d at 258; see also, Advantage, 449 S.W.3d at 24 (failing to affect a proper reservation of rights precluded the insurer from later asserting only limited coverage for the claim vis-Ă -vis a declaratory judgment). Pursuant to a declaratory judgment, if a court determines the insurer no longer has a duty to defend, the insurerâs duty is extinguished. See e.g., FAG Bearings, 153 F.3d at 924 (finding that although the insurer had an initial duty to defend, that duty expired upon the determination that the claims against them were excluded from coverage); see also Zurich Am. Ins. Co. v. U.S. Engâg. Co., No. 18-cv-00933, 2012 WL 13028219, at *4 (W.D. Mo. May 30, 2012) (âonce it is determined that an insurance policy does not provide coverage for a claim, an insurer's duty to defend expires.â). In this case, as we have noted, Defendants accepted Plaintiffsâ defense under a reservation of rights. At the outset of litigation, some of the original claims in the Underlying Lawsuit may have shown a âpossibilityâ of coverage, although others did not, thus triggering Plaintiffsâ duty to defend.10 McCormack, 989 S.W.2d 170. In proffering a reservation of rights defense, Plaintiffs considered a portion of the tendered claims as being âpossiblyâ covered under their Policies and reserved the right to seek to extinguish their defense obligation by obtaining a judicial declaration if it becomes apparent that there was no potential for coverage. Doc. [60-8] at 24. After the California state-court dismissed several claims in the Underlying Lawsuit, Plaintiffs exercised their reserved rights by filing a declaratory judgement,11 alleging they had no obligation to continue to defend because âno claims against [Defendants] in the Lawsuit were even potentially covered claims.â Doc. [55] ¶ 45; see also Advantage, 449 S.W.3d at 24 (proving âno possibility of coverageâ extricates an insurer from its duty to defend). Because Plaintiffs properly reserved its rights to later disclaim coverage and the Court determined that all remaining claims are not âpossiblyâ covered, pursuant to the instant Motion, this Court finds that Plaintiffs do not have a duty to defend Defendants in the Underlying Lawsuit. Accordingly, the Court grants Plaintiffsâ Motion as to Count I. B. Unjust Enrichment Plaintiffs action for unjust enrichment seeks to recoup the amount spent on Defendantâs defense fees and costs in the Underlying Lawsuit. Plaintiffsâ stated basis for relief is that âEagle Mist and Laughlin are not insureds under the Sapphire Policies and, as a result, they have absolutely no entitlement to a defense (or coverage).â However, the record shows a genuine 10 This assumes both Defendants were insureds under the Policies. However, the Court finds that a genuine dispute of material fact remains as to whether Defendants were âadditional insuredsâ under Sapphireâs policy. 11 Defendants argue âthere is no justificationâ for Plaintiffsâ âdelayâ in seeking judicial intervention to relieve Plaintiffs of their duty to defend. However, Plaintiffs waited until November 2019 to file the declaratory judgment because that is when the records show it became apparent to Plaintiffs that there were no âpossibleâ claims for coverage. As an example, on April 23, 2019, the California Court dismissed Julianâs claims for negligence against Defendant. Further, Plaintiffsâ course of action was procedurally proper as Missouri law requires an insurer to continue to defend the insured while the courts determine any questions as to whether the underlying claims are covered by the policies. FAG Bearings, 153 F.3d at 924. dispute over whether several communications between Defendants, Defendantsâ agents, Plaintiff, and Sapphire were sufficient to add Defendants as âadditional insuredsâ under Sapphireâs policies. Whether or not the Defendants were insureds under the Policies is material to determining how much reimbursement of defense expenditures Plaintiff is entitled too, especially because the Court already found Plaintiffsâ duty to defend ended and Plaintiffs properly reserved the right to later disclaim coverage. Because a question of material fact remains on whether Defendants were insureds under the Policies, summary judgment 1s precluded. Accordingly, the Court denies Plaintiffsâ Motion as to Count II without prejudice because a question of material fact remains. CONCLUSION On the undisputed facts, Defendants failed to show the remaining claims in the Underlying Lawsuit are covered by the Policies. Accordingly, the Court grants Plaintiffsâ Motion for declaratory judgment (Count I) and finds that Plaintiffs do not have a duty to defend Defendants in the Underlying Lawsuit. However, a genuine dispute of material fact remains as to whether Defendants were âadditional insuredsâ under Sapphireâs policy, thereby precluding summary judgment on the unjust enrichment claim (Count I). Count IT is all that remains for trial. Accordingly, IT IS HEREBY ORDERED that Plaintiffs The Ohio Casualty Insurance Company and Ohio Security Insurance Company Motion for Summary Judgment, Doc. [58], is DENIED in part and GRANTED in part. ) Dated this 4th day of October, 2021. (Li / | Ko _ MATTHEW T. SCHELP UNITED STATES DISTRICT JUDGE 16
Case Information
- Court
- E.D. Mo.
- Decision Date
- October 4, 2021
- Status
- Precedential