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NOT FOR PUBLICATION UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY RAYMOND VENTRICE, et al., Civil Action No.: 16-660 Plaintiffs, v. OPINION LEXINGTON INSURANCE COMPANY, et al., Defendants. CECCHI, District Judge. I. INTRODUCTION This matter comes before the Court on motions for summary judgment filed by Plaintiffs Raymond Ventrice and Kevin Ventrice (âPlaintiffsâ or the âVentricesâ) and Defendant Lexington Insurance Company (âDefendantâ or âLexingtonâ). ECF Nos. 117, 118. The parties opposed each otherâs motions (ECF Nos. 120, 122), and filed replies (ECF Nos. 123, 124). The Court has considered the submissions made in support of and in opposition to the motions and decides the motions without oral argument pursuant to Fed. R. Civ. P. 78(b). For the reasons set forth below, the motions are denied. II. BACKGROUND1 This action arises out of an insurance coverage dispute between Defendant, an insurance carrier, and Plaintiffs, assignees of Defendantâs insured. In 2008, Plaintiffs filed a professional 1 Unless otherwise noted, all facts are drawn from Plaintiffsâ Statement of Undisputed Material Facts (âPls. SMFâ), ECF No. 117-3, Defendantâs Response to Plaintiffsâ Statement of Undisputed Material Facts (âDef. Resp. SMFâ), ECF No. 121, Defendantâs Rule 56.1 Statement of Undisputed Material Facts in Support of Its Motion for Summary Judgment (âDef. SMFâ), ECF No. 118-28, Plaintiffsâ Response and Counter-Statement of Undisputed Material Facts (âPls. Resp. SMFâ), ECF No. 122-1, and the relevant record. In accordance with Local Civil Rule 56.1, any fact not properly disputed will âbe deemed undisputed for purposes of the summary judgment motion[s].â L. Civ. R. 56.1(a). negligence suit against Moore Stephens, P.C. (âMoore Stephensâ), a certified public accounting firm, and one of Moore Stephensâs attorneys. Def. SMF ¶¶ 1-2; Pls. Resp. SMF ¶¶ 1-2. Moore Stephens sought insurance coverage for the action from Defendant, its professional liability insurer. See Def. SMF ¶¶ 1, 3; Pls. Resp. SMF ¶¶ 1, 3. Defendant agreed to provide a defense but disclaimed coverage for any claim arising out of legal services. Def. SMF ¶¶ 4-5; Pls. Resp. SMF ¶¶ 4-5. Plaintiffs and Moore Stephens settled certain of the underlying claims, and Moore Stephens assigned its rights under the insurance policy to Plaintiffs. Def. SMF ¶ 35; Pls. Resp. SMF ¶ 35. In the instant action, Plaintiffs assert that Defendant breached the implied warranty of good faith and fair dealing by wrongfully denying coverage for one of the claims and acted in bad faith in handling the claim. See First Amended Complaint and Jury Demand (âCompl.â) ¶¶ 27-32, ECF No. 25. Defendant counterclaimed, inter alia, that it is entitled to a declaratory judgment relieving it from any further obligations under the insurance policy because Moore Stephens settled the claim in violation of certain Policy provisions. See generally Counterclaim, ECF No. 26 at 10-16; see also ECF No. 118-1 at 6-7, 9. A. Factual Background 1. The Insurance Policy In or about 2007, Defendant issued LexAssure Accountants Professional Liability Policy No. 1225115 to Moore Stephens for the policy period of June 1, 2007, to June 1, 2008 (the âPolicyâ). See Def. SMF ¶ 1; Pls. Resp. SMF ¶ 1; Declaration of Carl Salisbury (âSalisbury Decl.â), Ex. C, ECF No. 117-2 at 20-47. The Policy provides for $2,000,000 in professional liability coverage upon satisfaction of a $250,000 self-insured retention. See id.; Pls. SMF ¶ 4; Def. Resp. SMF ¶ 4. Section 1.A of the Policy states, in relevant part: The Company [Lexington] will pay on behalf of the Insured [Moore Stephens] those sums, in excess of the Self-Insured Retention, that the Insured shall become legally obligated to pay as Loss Amounts resulting from a Claim that is first made against the Insured and reported to the Company during the Policy Period or the Extended Reporting Period, if applicable, as a result of a Wrongful Act by the Insured. Salisbury Decl., Ex. C, ECF No. 117-2 at 26. Under § II.I, the Policy excludes from coverage âLoss Amounts in connection with any Claim made against an Insured . . . based upon or arising out of any legal advice or services, or actuarial advice or services.â Id. at 27-28. Under § I.C, the Policy contains the following cooperation clause: . . . [T]he Company [Lexington] at its option shall have the right and shall be given the opportunity to associate, at its own expense, with the Insured [Moore Stephens] in the investigation, defense or control of any Claim which would likely result in a settlement or judgment in excess of the Self-Insured Retention, in which event the Insured and the Company shall cooperate in the defense or settlement of such Claim.â Id. at 27. Section I.C further provides, in relevant part, that âthe Insured [Moore Stephens] shall take no action or agree to any settlement which alone or together with Defense Costs will exceed the Self-Insured Retention, without the prior written consent of the Company [Lexington].â Id. 2. The Underlying Action In March 2008, Plaintiffs filed a professional negligence action in the Superior Court of New Jersey, Law Division (the âUnderlying Actionâ) against Moore Stephens and its attorney, Charles Falk, Esq. (âFalkâ). Def. SMF ¶ 2; Pls. Resp. SMF ¶ 2; Salisbury Decl., Ex. A, ECF No. 117-2 at 5-9. In August 2008, Plaintiffs amended the complaint in the Underlying Action, alleging with specificity that Moore Stephens failed to: (1) file a timely gift tax return; and (2) complete the tasks necessary to establish a Qualified Personal Residence Trust (âQPRTâ). Pls. SMF ¶ 2; Def. Resp. SMF ¶ 2; Salisbury Decl., Ex. B, ECF No. 117-2 at 10-19. 3. Defendantâs Coverage Position Moore Stephens tendered the Underlying Action to Defendant for defense under the Policy. See Def. SMF ¶ 3; Pls. Resp. SMF ¶ 3; Salisbury Decl., Ex. D, ECF No. 117-2 at 48-52. By letter dated May 27, 2008, Defendant acknowledged receipt of the Underlying Action. Salisbury Decl., Ex. D, ECF No. 117-2 at 48-52. The May 27, 2008, letter described the Underlying Action, identified relevant Policy provisions, reserved Defendantâs rights, and âdisclaim[ed] coverage for any allegations relating to deficient legal servicesâ in accordance with the Section II.I of the Policy. Id. By about September 2012, Moore Stephens had exhausted the Policyâs self-insured retention. Pls. SMF ¶ 13; Def. Resp. SMF ¶ 13. On November 12, 2012, Kathryn Ridenour (âRidenourâ), an attorney employed by Defendant who had taken over handling Moore Stephensâs coverage claim, sent a letter to Moore Stephens concerning Defendantâs coverage position. See Pls. SMF ¶¶ 12, 15; Def. SMF ¶¶ 12, 15; Salisbury Decl., Ex. I, ECF No. 117-2 at 80-82. The letter incorporated Defendantâs prior letter by reference and stated that Defendant âis providing a defense . . . subject to its reserving the right to deny coverage in the future on grounds set forth in the letter of Ronald W. Gorski of Lexington to you dated May 27, 2008.â Salisbury Decl., Ex I, ECF No. 117-2 at 81. The letter further noted that Plaintiffs were seeking damages in part for âtaxes incurred because the real property that was to fund the Qualified Personal Residence Trust set up by Attorney Falk allegedly was not transferredâ in a timely manner. Id. With respect to that amount, Defendant stated the following: It appears that, if awarded to the plaintiffs, the $1,291.815.63, or any other amount in federal and state estate tax alleged by the plaintiffs to have been incurred because the subject property was not transferred to the Trust on or before November 18, 1999, would constitute a âLoss Amountâ that was based upon or arising out of legal services performed by Attorney Falk. Accordingly, as set forth in Mr. Gorskiâs letter, there would be no coverage for any such âLoss Amountâ under Policy No. 1225115. Id. at 82. Defendant indicated that it would continue to provide a defense and indemnify Moore Stephens for any âcoveredâ loss that may be awarded against it in the Underlying Action, but urged Moore Stephens âto take all steps necessary to protect its own interest with respect to any amount that may be awarded to the plaintiffs that is excluded from coverage by operation of Exclusion I or any other provision of the policy.â Id. On December 16, 2013, Ridenour held a conference call with: (1) Ruth Simon (âSimonâ), defense counsel for Moore Stephens in the Underlying Action; (2) Joseph Corcoran (âCorcoranâ), a Moore Stephens representative; (3) James Flannery (âFlanneryâ), another Moore Stephens representative; and (4) Russell Hewit (âHewitâ), Moore Stephensâs personal counsel. See Pls. SMF ¶ 19; Def. Resp. SMF ¶ 19; Def. SMF ¶ 13; Pls. Resp. SMF ¶ 13; Salisbury Decl., Ex. J, ECF No. 117-2 at 83-84. Ridenour memorialized the call in a claim file, noting that she had âreiterated Lexingtonâs coverage position that the majority of the damages (approximately $1.25M of the $1.5M) arise from legal services for which there is no coverage under the policy.â Salisbury Decl., Ex. J, ECF No. 117-2 at 84. On December 17, 2013, Hewit sent Defendant a letter advising of Moore Stephensâs coverage position and acknowledging Moore Stephensâs duty to cooperate. ECF No. 118-12. By letter dated January 31, 2014, Ridenour responded to Hewitâs December 17, 2013 letter. Salisbury Decl., Ex. L, ECF No. 117-2 at 87-92. The letter stated that Defendant âmaintains that it is not obligated to indemnify Moore Stephens in connection with any claim that is âbased upon or aris[es] out of any legal advice or servicesâŠ,â which includes any damages that may be awarded that arise from the Qualified Personal Residence Trust (âQPRTâ) prepared by Attorney Falk for Mrs. Ann Ventrice.â Id. at 88. In support of Defendantâs position, the letter pointed to New Jersey case law, allegations in the Underlying Action complaint, and âadditional factual support establishing that Attorney Falkâs services related to the QPRT constitute âlegal servicesâ and that the Ventricesâ allegations related to the QPRT are âbased upon or arise[] out of⊠legal advice or services.â Id. at 89-90. It further stated that â[w]ithout question, the Ventricesâ alleged damages related to the QPRT âarise fromâ . . . Attorney Falkâs âlegal servicesâ in preparing the QPRT and arranging for the conveyance of the Florida property. Such damages are, therefore, excluded from coverage under Exclusion I of the Policy.â Id. at 90. The letter noted that Defendant would âattend mediation with settlement authority corresponding to the covered exposure, subject to its reservation of rights,â âreiterate[d] that Lexington will not have settlement authority to cover any damages arising from legal services,â and âurge[d] Moore Stephens to take all steps necessary to protect its own interest with respect to any amount that may be awarded to the plaintiffs that is excluded from coverage by operation of Exclusion I or any other provision of the Policy.â Id. at 90, 92. On April 17, 2014, four days before the April 21, 2014 trial in the Underlying Action was set to begin, Dianna Manning (âManningâ), coverage counsel for Defendant, sent a letter to Hewit. See Salisbury Decl., Ex. R, ECF No. 117-2 at 115-20. In the letter, Manning noted that â[a]s specifically indicated previously in Ms. Ridenourâs January 31, 2014 letter, the factual allegations of the parties in this case clearly evidence that Mr. Falk was providing legal services.â Id. at 117. The letter further explained that âLexington has been providing a defense because, arguably, there are limited covered claims under the Policy,â and âreserve[d] the right to deny coverage on alternative bases presently unknown to Lexington should the underlying facts or theories so warrant.â Id. at 119. Notwithstanding its reservation of rights, âLexington acknowledge[d] that there may be limited exposure for the gift tax return element of the Claim that could be considered as arising from covered accounting services.â Id. Accordingly, âLexington would consider offering up to $248,000 towards settlement, which represents the total alleged damages associated with the gift tax return issue and, therefore, the maximum exposure for this covered element of the Claim.â Id. That same day, Hewit responded to Manningâs letter and confirmed Moore Stephensâs understanding of Defendantâs position as follows: This will confirm that Lexington will defend all claims filed by the Ventrices, including full defense at trial provided by Ruth Simon, subject to various reservations of rights asserted by Lexington. To be clear, we believe the reservations are without merit, and the disclaimer of indemnity coverage for the claims related to transferring the Florida property into the QPRT is a breach of the insurance contract. Salisbury Decl., Ex. S, ECF No. 117-2 at 122. 4. Alleged Breach of the Duty to Cooperate Defendant alleges that shortly before trial, âHewit, engaged in settlement negotiations with the Ventricesâ counsel, Carl Perrone [(âPerroneâ)], to release Moore Stephens from any personal liability and assign to the Ventrices Moore Stephensâs coverage claim against Lexington.â Def. SMF ¶ 30. Defendant cites an April 14, 2014, email from Hewit, in which Hewit allegedly ââcoachedâ the Ventrices on how to try their claims against Moore Stephens, in such a manner that the Ventricesâ claims might be covered by the Policy, and not subject to the Policyâs exclusions.â Id. On April 20, 2014, Hewit sent an email to Perrone, stating that he was ânot sharing our settlement efforts with Lexington or Ruth Simon. I would not comment further to her.â ECF No. 118-24 at 2. 5. Settlement of the Underlying Action The Underlying Action proceeded to trial on April 21, 2014. Pls. SMF ¶ 42; Def. Resp. SMF ¶ 42. On the first day of trial, Plaintiffs along with Moore Stephens, through its personal counsel Hewit, settled the QPRT claim and agreed to arbitrate the gift tax claim at a later date. Def. SMF ¶ 35; Pls. Resp. SMF ¶ 35. Under the settlement, âthe Ventrices released the QPRT Claims for $805,000, which included (i) an assignment of Moore Stephensâ rights under the Policy against Lexington, and (ii) a payment of $25,000 from Moore Stephens to the Ventrices.â Id. Plaintiffs also âagreed ânot to seek recovery of any further monies or compensation from Moore Stephens, but to seek recovery for such additional monies and compensation from Lexington . . . .ââ Id. Hewit placed the terms of the settlement on the record and informed the court in the Underlying Action that Defendant had denied coverage for the QPRT claim. See Salisbury Decl., Ex. T, ECF No. 117-2 at 125-31. Although Simon and Defendantâs coverage counsel were present at the hearing, there is no indication that either informed the court or Plaintiffsâ counsel that Hewitâs representations were incorrect. On or about May 1, 2014, Simon prepared the Order of Dismissal in the Underlying Action, which confirmed the terms of the settlement of the QPRT claim. Salisbury Decl., Ex. U, ECF No. 117-2 at 132-34. B. Procedural History On or about July 8, 2014, Defendant commenced a JAMS Arbitration against Moore Stephens, seeking declaratory relief that: (1) âLexington is not obligated to indemnify Moore Stephens in connection with any claim that is based upon or arises out of any legal advice or servicesâ; (2) âMoore Stephens has breached the terms and conditions of the Policy by settling the legal malpractice claim in the Ventrice action without Lexingtonâs consent or participationâ; and (3) Moore Stephens improperly assigned its interests under the Policy to Plaintiffs. ECF No. 118-26. On or about January 22, 2016, Plaintiffs filed the instant action in the Superior Court of New Jersey, which Defendant then removed to this Court. ECF No. 1. In the operative First Amended Complaint filed herein in federal court, Plaintiffs assert two claims: (1) breach of the implied warranty of good faith and fair dealing (Count I); and (2) bad faith (Count II). ECF No. 25. Defendant counterclaimed for, among other things, a declaratory judgment relieving it of any further obligations under the Policy as a result of Moore Stephensâs alleged breach of the Policyâs consent provision. Counterclaim Count I ¶¶ 19-22, ECF No. 26.2 On January 31, 2017, the JAMS panel issued an award concluding that the âlegal servicesâ exclusion of the Policy does not apply to the settlement for which Moore Stephens seeks indemnity, and therefore does not bar indemnity for that settlement. See ECF No 118-27; Def. SMF ¶ 39; Pls. Resp. SMF ¶ 39. The panel declined to rule on the coverage defenses raised by Defendant relating to Moore Stephensâs failure to obtain Defendantâs consent to settle and Moore Stephensâs bad faith and fiduciary claims. Def. SMF ¶ 40; Pls. Resp. SMF ¶ 40. On October 2, 2018, this Court denied Defendantâs motion for judgment on the pleadings seeking a declaration that it had no further obligations under the Policy because there was a âgenuine issue of material fact . . . as to whether Defendants timely and validly reserved its rights under the Policy.â ECF No. 101 at 13. C. Instant Motions After discovery was complete, the parties moved for summary judgment, opposed each otherâs motions, and filed replies. ECF Nos. 117, 118. In Defendantâs reply brief, it raised for the 2 Defendant also counterclaimed for a declaratory judgment relieving it of its obligations under the Policy as a result of Moore Stephensâs alleged improper assignment of its interest under the Policy to Plaintiffs (âCounterclaim Count IIâ), because the amount of the settlement was unreasonable (âCounterclaim Count IIIâ), and because the arbitration awards should be vacated (âCounterclaim Count IVâ). Defendant previously withdrew Counterclaim Count II, see ECF No. 101 at 4 n.1, and does not substantively address Counterclaim Count III in its summary judgment submissions. The Court previously administratively terminated a motion to confirm the arbitration awards pending resolution of the question of whether Plaintiffs are entitled to coverage under the Policy. See ECF No. 101 at 8. first time the argument that Plaintiffsâ claims are barred by the statute of limitations. ECF No. 123 at 13-15. With leave of Court, Plaintiffs filed a sur-reply on November 21, 2021, addressing Defendantâs statute of limitations argument. ECF No. 142. On December 15, 2021, Defendant filed a sur-sur-reply on the same issue. ECF No. 145. The Court has duly considered all submissions. III. LEGAL STANDARD Summary judgment is appropriate if the âdepositions, documents, electronically stored information, affidavits or declarations, stipulations . . . , admissions, interrogatory answers, or other materials,â demonstrate that there is no genuine issue as to any material fact, and, construing all facts and inferences in a light most favorable to the non-moving party, âthe moving party is entitled to a judgment as a matter of law.â Celotex Corp. v. Catrett, 477 U.S. 317, 322 (1986); see also Pollock v. Am. Tel. & Tel. Long Lines, 794 F.2d 860, 864 (3d Cir. 1986). The moving party has the initial burden of proving the absence of any genuine issue of material fact. See Celotex, 477 U.S. at 323. Once the moving party meets this burden, the non- moving party has the burden of identifying specific facts to show that, to the contrary, a genuine issue of material fact exists for trial. See Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 585â87 (1986). In order to meet its burden, the non-moving party must âgo beyond the pleadings and by [its] own affidavits, or by the âdepositions, answers to interrogatories, and admissions on file,â designate âspecific facts showing that there is a genuine issue for trial.ââ Celotex, 477 U.S. at 324 (citation omitted); see also Big Apple BMW, Inc. v. BMW of N. Am., Inc., 974 F.2d 1358, 1363 (3d Cir. 1992) (âTo raise a genuine issue of material fact,â the opponent must âexceed[] the âmere scintillaâ threshold . . . .â). An issue is âgenuineâ if it is supported by evidence such that a reasonable jury could return a verdict in the non-moving partyâs favor. See Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). A fact is âmaterialâ if, under the governing substantive law, a dispute about the fact might affect the outcome of the suit. See id. 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). The legal standard for summary judgment does not change when both parties file motions for summary judgment. Bacon v. Avis Budget Group, Inc. 357 F. Supp. 3d 401, 413 (D.N.J. 2018) (internal quotations and citations omitted). According to the principles outlined above, in reviewing each motion, âthe court construes facts and draws conclusions in favor of the [non- moving party].â Id. (internal quotations and citations omitted). IV. DISCUSSION Plaintiffs advance several arguments in their briefing, including that: (1) there is no genuine dispute that Defendant denied indemnity coverage for the QPRT claim prior to the settlement; (2) by denying coverage for the QPRT claim, Defendant waived its right to enforce, or is equitably estopped from enforcing, the Policyâs consent and cooperation provisions; and (3) Defendantâs conduct amounts to both a breach of the implied warranty of good faith and faith dealing and bad faith. See ECF No. 117-1 at 32-44; Compl. ¶¶ 27-32. Defendant contends that: (1) contrary to Plaintiffsâ assertion, it never in fact denied indemnity coverage for the QPRT claim but merely reserved its right to deny coverage in the future; (2) Moore Stephens breached the Policyâs consent provision by failing to obtain Defendantâs consent before settling with Plaintiffs and the Policyâs cooperation provision by allegedly âcoachingâ Plaintiffs on how to maximize their coverage; (3) if Defendant is found to have denied indemnity coverage before settlement, its denial would not waive its right to participate in the settlement and Plaintiffs claims in any event would be time-barred; and (4) Plaintiffs have failed to demonstrate bad faith. See, e.g., ECF No. 118-1 at 24-33; ECF No. 120 at 19-29, 31; ECF No. 123 at 17-19. A. Declaratory Judgment The Court will first address whether Defendant is entitled to a declaratory judgment relieving it of further obligations under the Policy. Defendant claims that Moore Stephens breached the Policy by failing to seek or obtain Defendantâs consent before settling the Underlying Action and colluding with Plaintiffs. See ECF No. 118-1 at 6-7. As a result of these alleged breaches, Defendant argues, it is relieved of any further obligations to Plaintiffs under the Policy. Plaintiffs contend that Defendant itself first breached the Policy by improperly denying indemnity coverage on the QPRT claim before settlement. See, e.g., ECF No. 122 at 10-11. Plaintiffs argue that by breaching the Policy, Defendant waived its right to enforce, or is equitably estopped from enforcing, the consent and cooperation provisions. Id. Defendant counters that if Plaintiffsâ argument that Defendant first denied coverage in 2008 is accepted, Plaintiffsâ claims are barred by the six-year statute of limitations. See ECF No. 123 at 17-19. As a threshold matter, the Court finds that there is a triable issue of fact as to when, or whether, Defendant denied indemnity coverage on the QPRT claim. The parties agree that under New Jersey law, a âsix-year statute of limitations ordinarily applies to insurance actions.â Liguori v. Certain Underwriters at Lloyds London Subscribing to Polây |AJD8955, No. 14-5898, 2015 WL 4402851, at *2 (D.N.J. July 17, 2015). To âdetermin[e] when a cause of action accrues so that the applicable period of limitation commences to run, the relevant question is when did the party seeking to bring the action have an enforceable right. . . . [I]n regard to an action for breach of contract, the date of accrual of an enforceable right is tied to the date that the defendant breached the contract.â 21st Mortg. Corp. v. Chicago Title Ins. Co., No. 17-03456, 2018 WL 6716081, at *4 (D.N.J. Dec. 21, 2018) (internal citations and quotation marks omitted). Here, if Defendant is found to have first denied indemnity coverage on May 27, 2008âthe date of its first coverage position letterâPlaintiffsâ claims, which were first asserted on January 22, 2016, would be untimely under the six-year statute of limitations. The Court finds that there is a genuine dispute of material fact as to whether Defendantâs 2008 letter constituted a denial of coverage or a mere reservation of rights to deny coverage in the future. While Defendantâs 2008 letter did generally reserve its rights and disclaim coverage for allegations related to deficient legal services, it did not contain the details concerning the QPRT claim as Defendantâs later communications did. Compare Salisbury Decl., Ex. D, ECF No. 117-2 at 51 (May 27, 2008 letter noting that âLexington hereby disclaims coverage for any allegations in the Lawsuit relating to deficient legal servicesâ), with Salisbury Decl., Ex. L, ECF No. 117-2 at 90 (January 31, 2014 letter stating that â[w]ithout question, the Ventricesâ alleged damages related to the QPRT âarise fromâ Attorney Falkâs âlegal servicesâ in preparing the QPRT and arranging for the conveyance of the Florida property. Such damages are, therefore, excluded from coverage under Exclusion I of the Policy.â). On this record, the Court cannot say, as a matter of law, whether Defendant denied indemnity coverage in 2008, rendering Plaintiffsâ claims untimely. Because this threshold issue must be resolved before the Court can determine whether Defendant is entitled to enforce the consent and cooperation provisions, the Court must deny summary judgment at this time.3 While the Court need not reach beyond this threshold issue, it notes that if Plaintiffsâ claims are timely, the record may present additional issues of material fact that must be resolved by a factfinder. For example, Defendant contends that even if it is found to have denied indemnity coverage before the settlement, its denial would not waive its right to participate in the settlement because it continued to provide Plaintiffs with a defense. See ECF No. 120 at 31 n.4. Even if the Court were to accept, arguendo, Defendantâs position, there may remain a triable issue of fact as to whether Defendant is equitably estopped from enforcing the consent and cooperation provisions. Estoppel is an âequitable doctrine, founded in the fundamental duty of fair dealing imposed by lawâ that ârequires the reliance of one party on another.â Knorr v. Smeal, 178 N.J. 169, 178 (2003) (internal citations and quotation marks omitted). â[T]o establish equitable estoppel, plaintiffs must show that defendant engaged in conduct, either intentionally or under circumstances that induced reliance, and that plaintiffs acted or changed their position to their detriment.â Id. at 178. 3 Plaintiffs also contend that their claims are timely because the limitations period began on the date the settlement was reached, the statute of limitations reset itself with each coverage letter, and Defendantâs initiation of arbitration preserved Plaintiffsâ claims. See ECF No. 142 at 5, 8-9. Plaintiffsâ contentions are unpersuasive. First, as noted above, the limitations period begins on the date the alleged breach occurred, and there is a genuine dispute as to if or when a breach occurred. See 21st Mortg. Corp., 2018 WL 6716081, at *4. Second, while Plaintiffs assert that the limitations period reset because each coverage communication until 2013 invited Plaintiffs to provide additional information, see ECF No. 142 at 8-9, courts in this District have found that a mere invitation to provide additional information, without more, does not necessarily toll the limitations period. See G. Matts Hosp., LLC v. Scottsdale Ins. Co., No. 17-6826, 2019 WL 4745604, at *4 (D.N.J. Sept. 30, 2019) (noting that without more, âreservation of rights language . . . allowing the insured to provide âadditional information that you believe will have a material effect on [the] determination of coverageâ does not serve to vitiate the letterâs status as a denial of coverageâ) (internal citation omitted). Finally, Plaintiffs cite no authority suggesting that Defendantâs initiation of an arbitration proceeding operated to preserve Plaintiffsâ affirmative claims. Here, the record indicates that Defendant, inter alia: (1) sent a pre-settlement letter to Plaintiffs stating that Plaintiffsâ damages related to the QPRT claim arose from legal services and were excluded from coverage under the Policy, see Salisbury Decl., Ex. L, ECF No. 117-2 at 90; (2) was informed by Moore Stephensâs personal counsel shortly before the settlement was reached that Moore Stephens intended to settle with Plaintiffs unless Defendant admitted to coverage for the QPRT claim, see Deposition of Russell Hewit (âHewit Dep.â) Tr. at 117:5-15, Salisbury Decl., Ex. H, ECF No. 117-2; and (3) after Moore Stephensâs personal counsel informed the court in the Underlying Action that Defendant had denied coverage for the QPRT claim, Defendantâs coverage counsel and Simon never informed the court that such representations were incorrect, see Salisbury Decl., Ex. T, ECF No. 117-2 at 125-31.4 Such circumstances may raise a triable issue as to whether Defendantâs conduct induced detrimental reliance. Given the record in this case, the Court will deny summary judgment in either partyâs favor on Defendantâs declaratory judgment counterclaim. 4 Hewit informed the court in the Underlying Action that he represented Moore Stephens âwith respect to claims made by the plaintiffs on which their professional liability carrier disclaimed coverage. Those are claims that Iâll use as an umbrella term relate to the qualified personal residence of trust and the failure or the alleged failure to transfer a Florida property into that trust on a timely basis. Coverage was disclaimed on those claims.â Salisbury Decl., Ex. T, ECF No. 117-2 at 128. After the court asked for further clarification, Hewit reiterated that Defendant is â[d]isclaiming on the claim we settled [the QPRT claim]. They are not disclaiming on the gift tax claim . . . So the claim which they are providing coverage is proceeding to trial unless itâs otherwise resolved. What Iâm going to call the QPERT [sic] claim, they [Defendant] have disclaimed coverage on.â Id. at 129. B. Claims for Breach of the Implied Warranty of Good Faith and Fair Dealing and Bad Faith The parties also seek summary judgment in their respective favors on the two claims Plaintiffs assert in the Amended Complaint: (1) breach of the implied warranty of good faith and fair dealing (Count I); and (2) bad faith (Count II). See ECF Nos. 117-4, 118-29. The Court finds that there is a triable issue of fact as to the viability of these claims. As an initial matter, the Court notes that while Count I asserts a claim for breach of the implied duty of good faith and Count II asserts a claim for bad faith, these claims appear to be duplicative. Courts in this District have found that â[w]here, as here, an insurance contract is at issue, a claim for breach of the implied covenant of good faith and fair dealing is tantamount to a claim for bad faith.â Veyhl v. State Farm Fire & Cas. Co., No. 21-10112, 2021 WL 6062304, at *2 (D.N.J. Dec. 22, 2021) (internal citation and quotation marks omitted); see also Laing v. Am. Strategic Ins. Corp., No. 14-1103, 2014 WL 4953250, at *2 (D.N.J. Oct. 1, 2014) (âCounts Two and Three of the Complaint assert claims of breach of the implied duty of good faith and fair dealing and the tort of bad faith, respectively. . . . [U]nder New Jersey law, these two claims are tantamount to the same cause of action. . . . Accordingly, the two claims will be decided as one.â) The Court will therefore analyze both claims together. To establish a claim for bad faith, a plaintiff must demonstrate that â(1) the insurer lacked a fairly debatable reason for denying coverage, and (2) insurer knew of or recklessly disregarded the lack of a reasonable basis for denying coverage.â Stiso v. State Farm Fire & Cas. Co., No. 13- 5741, 2015 WL 7296081, at *9 (D.N.J. Nov. 18, 2015). âA claim is fairly debatable if a plaintiff cannot establish as a matter of law a right to summary judgment on the substantive claim, i.e ., the underlying contract claim.â Laing, 2014 WL 4953250, at *3 (internal citation and quotation marks omitted). Here, factual issues preclude summary judgment on these claims. It is undisputed that the arbitration panel concluded, as a matter of law, that the legal services exclusion in the Policy did not apply to the QPRT claim. See Pls. SMF ¶ 56; Def. Resp. SMF ¶ 56. However, the panelâs conclusion has yet to be judicially confirmed, see ECF No. 101 at 8, and, as noted above, there is a dispute of fact as to the timeliness of Plaintiffsâ coverage claims. In addition, Defendant has cited to evidence from the Underlying Action that Falk considered his services legal in nature. See Def. SMF ¶¶ 25-27; Pls. Resp. SMF ¶¶ 25-27. Because a factfinder is better suited to resolving such conflicts in the evidence, the Court will deny summary judgment on Counts I and II. V. CONCLUSION For the reasons set forth above, Plaintiffsâ and Defendantâs motions for summary judgment (ECF Nos. 117, 118) are denied. An appropriate Order accompanies this Opinion. DATED: July 28, 2022 s/ Claire C. Cecchi CLAIRE C. CECCHI, U.S.D.J.
Case Information
- Court
- D.N.J.
- Decision Date
- July 28, 2022
- Status
- Precedential