Holt v. Gladfelter Insurance Group
Filing
25
MEMORANDUM OPINION. Signed by Judge James H Hancock on 4/1/2014. (JLC)
FILED
2014 Apr-01 AM 11:11
U.S. DISTRICT COURT
N.D. OF ALABAMA
IN THE UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF ALABAMA
SOUTHERN DIVISION
DONNA HOLT, an individual
PLAINTIFF,
)
)
VS.
)
GLADFELTER INSURANCE
GROUP, a foreign corporation,
2:12-cv-3904-JHH
)
)
DEFENDANT.
MEMORANDUM OPINION
The court has before it the Renewed Motion (Doc. #13) for Summary Judgment
filed by Defendant American Alternative Insurance Corporation (“AAIC”) on
December 2, 2013.1 Pursuant to the court’s orders of December 3, 2013 (Doc. #14)
and December 30, 2013 (Doc. #16), the motion for summary judgment is now under
submission and is considered herein without oral argument.
Having considered the briefs and evidentiary submissions, the court finds that
AAIC’s motion for summary judgment is due to be granted for the reasons outlined
below.
1
AAIC filed a motion for summary judgment in this case on January 4, 2013, less than a
month after the case was filed. (See Doc. #8). The court administratively terminated that motion
to allow Plaintiff time to develop her case. (See Doc. #10).
I.
Procedural History
Plaintiff Donna Holt commenced this action on November 19, 2012 by filing
a complaint for declaratory judgment in this court alleging that defendant Gladfelter
Insurance Group2 issued a policy of general liability insurance coverage to cover
judgments against Randy Gist, yet has refused to pay such judgment that Plaintiff had
obtained over Gist. (See generally Compl.).
Defendant’s December 2, 2013 Renewed Motion (Doc. #13) for Summary
Judgment asserts that no genuine issue of material fact exists and that AAIC is
entitled to judgment as a matter of law as to all claims asserted against it.
The parties have each filed briefs and submitted evidence in support of their
respective positions concerning the pending motion for summary judgment. On
January 4, 2013, with the original motion for summary judgment that has been
renewed, AAIC submitted a brief (Doc. #9) and evidence3 (Doc. #8) in support
thereof. Plaintiff Holt filed a Response (Doc. #17) in Opposition to the motion for
summary judgment on January 10, 2014, and on the same date filed evidence4 in
2
Plaintiff’s complaint incorrectly named American Alternative Insurance Corporation
(“AAIC”) as Gladfelter Insurance Group. The company will be referred to herein as AAIC.
3
AAIC filed the following evidence: the Insuring Agreement (Exhibit A) and the
Judgment by Default entered into in the case styled Holt v. Gist et al., 2:10cv10-AKK (Exhibit
B).
4
Plaintiff Holt filed the following evidence: the declaration of Donna Holt (Exhibit 1);
Secretary of State documents (Exhibit 2); the Judgment by Default (Exhibit 3); the Gladfelter
Policy (Exhibit 4); the deposition of Lori Ann Tayman (Exhibit 5); claims management letters
(Exhibit 6); Gladfelter emails (Exhibit 7); the complaint in case number 2:10cv10-AKK
(Exhibits 8, 8a, and 8b); and the First Amended Complaint in case number 2:10cv10-AKK
2
support of the opposition. On January 17, 2014, AAIC filed a reply (Doc. #19) to
Plaintiff’s response in opposition to Defendant’s motion for summary judgment along
with a Motion (Doc. #18) to Strike Portions of the Declaration of Donna Holt. The
Motion (Doc. #18) to Strike has now been fully briefed (see Docs. #23, 24) and is
also before the court for review.
II.
Legal Standards for Evaluating a Summary Judgment Motion5
Under Federal Rule of Civil Procedure 56(c), summary judgment is proper "if
the pleadings, depositions, answers to interrogatories, and admissions on file, together
with the affidavits, if any, show that there is no genuine issue as to any material fact
and that the moving party is entitled to judgment as a matter of law." Celotex Corp.
v. Catrett, 477 U.S. 317, 322 (1986). The party asking for summary judgment always
bears the initial responsibility of informing the court of the basis for its motion and
identifying those portions of the pleadings or filings which it believes demonstrate
the absence of a genuine issue of material fact. See id. at 323. Once the moving party
has met her burden, Rule 56(e) requires the non-moving party to go beyond the
pleadings and by her own affidavits, or by the depositions, answers to interrogatories,
and admissions on file, designate specific facts showing that there is a genuine issue
for trial. See id. at 324.
(Exhibit 9).
5
Federal Rule of Civil Procedure 56 was amended on December 1, 2010. However,
even with the 2010 amendments, “the standard for granting summary judgment remains
unchanged.” FED. R. CIV. P. 56 Advisory Committee’s Note (2010 Amendments).
3
The substantive law will identify which facts are material and which are
irrelevant. See Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). All
reasonable doubts about the facts and all justifiable inferences are resolved in favor
of the non-movant. See Fitzpatrick v. City of Atlanta, 2 F.3d 1112, 1115 (11th Cir.
1993). A dispute is genuine "if the evidence is such that a reasonable jury could
return a verdict for the nonmoving party." Anderson, 477 U.S. at 248. If the evidence
is merely colorable, or is not significantly probative, summary judgment may be
granted. See id. at 249.
The method used by the party moving for summary judgment to discharge her
initial burden depends on whether that party bears the burden of proof on the issue
at trial. See Fitzpatrick, 2 F.3d at 1115-17 (citing United States v. Four Parcels of
Real Property, 941 F.2d 1428 (11th Cir. 1991)(en banc)). If the moving party bears
the burden of proof at trial, then it can only meet its initial burden on summary
judgment by coming forward with positive evidence demonstrating the absence of a
genuine issue of material fact; i.e. facts that would entitle it to a directed verdict if not
controverted at trial. See Fitzpatrick, 2 F.3d at 1115. Once the moving party makes
such a showing, the burden shifts to the non-moving party to produce significant,
probative evidence demonstrating a genuine issue for trial.
If the moving party does not bear the burden of proof at trial, she can satisfy
her initial burden on summary judgment in either of two ways. First, the moving
4
party may produce affirmative evidence negating a material fact, thus demonstrating
that the non-moving party will be unable to prove its case at trial. Once the moving
party satisfies its burden using this method, the non-moving party must respond with
positive evidence sufficient to resist a motion for directed verdict at trial. The second
method by which the moving party who does not bear the burden of proof at trial can
satisfy its initial burden on summary judgment is to affirmatively show the absence
of evidence in the record to support a judgment for the non-moving party on the issue
in question. This method requires more than a simple statement that the non-moving
party cannot meet its burden at trial but does not require evidence negating the nonmovant’s claim; it simply requires that the movant point out to the district court that
there is an absence of evidence to support the non-moving party’s case. See
Fitzpatrick, 2 F.3d at 1115-16. If the movant meets her initial burden by using this
second method, the non-moving party may either point out to the court record
evidence, overlooked or ignored by the movant, sufficient to withstand a directed
verdict, or the non-moving party may come forward with additional evidence
sufficient to withstand a directed verdict motion at trial based on the alleged
evidentiary deficiency. However, when responding, the non-movant can no longer
rest on mere allegations, but must set forth evidence of specific facts. See Lewis v.
Casey, 518 U.S. 343, 358 (1996) (citing Lujan v. Defenders of Wildlife, 504 U.S. 555,
561 (1992)). The court is aware that the summary judgment rule applies in job
5
discrimination cases just as in other cases. Chapman v. AI Transport, 229 F.3d 1012,
1025 (11th Cir. 2000) (rejecting an earlier, contrary general rule and emphasizing that
no thumb is to be placed on either side of the scale).
III.
Relevant Undisputed Facts6
A.
The Pertinent Policy
AAIC issued a Hospice and Home Health Care Liability Policy, Policy Number
VH-HG-3051783-01/000 (“the Policy”), to Good Samaritan Hospice USA, Inc.
(“GSH”) in Florence, Alabama for the time period of September 23, 2007 to
September 23, 2008. (See Doc. #9, Exh. A, the Policy). GSH is described in the
Policy as a “hospice or home health care provider.” (Policy Declarations at 1).
The Policy’s “Insuring Agreement” provides: “We will pay those sums that the
insured becomes legally obligated to pay as damages because of ‘bodily injury’ or
‘property damage’ to which this insurance applies.” (Policy Liability Form at 1). The
Policy defines “insured” as:
1.
2.
If you are designated in the Declarations as:
*************
d.
An organization other than a partnership, joint venture, or limited
liability company, you are an insured. Your “executive officers”
and directors are insureds, but only with respect to their duties as
your officers or directors.
*****************
Each of the following is also an insured:
6
If the facts are in dispute, they are stated in the manner most favorable to the Plaintiff.
Fitzpatrick, 2 F.3d at 1115.
6
a.
Your “volunteer workers” only while performing duties related to
the conduct of your business, or your “employees,” other than
either your “executive officers” (if you are an organization other
than a partnership, joint venture, or limited liability company) or
your managers (if you are a limited liability company), but only
for acts within the course and scope of their employment by you
or while performing authorized duties related to the conduct of
your business.
(Policy Liability Form at 14).
The Policy contains the following exclusions:
This insurance does not apply to:
**********************
x.
Employment Practices
“Bodily injury” or “property damage” arising out of your “employment
practices.”
y.
Sexual Abuse
“Bodily injury” arising out of “sexual abuse” of any person.
(Policy Liability Form at 2, 7). “Employment practices” is defined to include:
“Employment practice”means an actual or alleged improper employment-based
practice, policy, act, or omission involving an actual, prospective, or former
volunteer or “employee” including:
************************
h.
Harassment, including “sexual harassment.”
(Policy Liability Form at 22). The term “sexual harassment” is defined as follows:
“Sexual harassment” means any actual, attempted, or alleged unwelcome
advances, requests for sexual favors, or other conduct of a sexual nature by a
person, or by persons acting in concert, which causes injury. “Sexual
harassment” includes:
7
a.
The above conduct when submission to or rejection of such conduct is
made explicitly or implicitly a condition of a person’s employment, or
a basis for employment decisions affecting a person; or
b.
The above conduct when such conduct has the purpose or effect of
unreasonably interfering with a person’s work performance or creating
an intimidating, hostile or offensive work environment.
(Policy Liability Form at 25). The term “sexual abuse” is defined in the Policy as:
“Sexual abuse” means any actual, attempted, or alleged sexual conduct by a
person, or by persons acting in concert, which causes injury. “Sexual abuse”
includes sexual molestation, sexual assault, sexual exploitation, or sexual
injury, but does not include “sexual harassment.”
(Policy Liability Form at 25).
B.
The Default Judgment
In 2010, Plaintiff Holt, an employee of GSH, sued Randy Gist (“Gist”) for a
variety of state law tort claims arising from sexual harassment and sexual misconduct
in the case styled Holt v. Gist et al., 2:10cv10-AKK. (Doc. #17, Exhs. 8, 9). In that
case, Judge Kallon entered a Judgment by Default (see generally Doc. #8, Exh. B) on
March 31, 2011 against defendant Gist. Judge Kallon made Findings of Fact and
Conclusions of Law on Gist’s liability. (See Doc. #8, Exh. B). Plaintiff now makes,
in this court, a demand for indemnity based on Judge Kallon’s Judgment.
Specifically, Plaintiff Holt seeks a declaratory judgment that AAIC is obligated to
indemnify Gist for that Judgment. (See generally Compl.).
The facts of the underlying lawsuit are well set out in Judge Kallon’s
Judgment. Holt was an employee of GSH and financial director who reported to Gist,
8
a director and President. (Exh. B at 3; see also Holt Decl., ¶¶ 4, 6). During Holt’s
employment, Gist “coerced her to have sex with him by threatening her termination,
and requested sexual favors in exchange for promotions and pay increases.” (Exh.
B at 3-4).
Gist regularly made unwanted sexual advances,7 touched Holt
inappropriately, and made inappropriate inquiries in the workplace. (Exh. B at 5).
Holt quit her job on January 27, 2008 due to Gist’s inappropriate conduct. (Exh. B
at 5). After Holt quit, Gist “made numerous unwanted calls to Holt’s home,
repeatedly drove by her home, banged on the door of her home, and left notes on her
7
Plaintiff states in her Declaration that in addition to the unwanted sexual inquiries, Gist
also made other improper, though not sexual, inquiries into her personal life. (Holt Decl., ¶¶ 811). AAIC has filed a Motion (Doc. #18) to Strike the Declaration on the ground that “because
this case involves a demand that AAIC pay indemnity to satisfy a judgment entered against a
tortfeasor in March 2011, evidence that was not before the District Court, or which did not
otherwise form a basis for liability, is immaterial and irrelevant.” (Doc. #18 at 2). Plaintiff
counters that, although a “record of [Judge Kallon’s] proceedings exist,” the “default judgment
order is not a full rendition of the record” and “[w]hile the declaration may not have been before
the court, the facts and evidence were before the court or could have been presented to the court.”
(Doc. #23 at 1, 3).
The court finds that the Motion (Doc. #18) to Strike the Declaration is due to be, and
hereby is, GRANTED. Under Alabama law, the duty to indemnify is determined by the
evidence adduced at trial. See Hartford Cas. Ins. Co. v. Merchants & Farmers Bank, 928 So. 2d
1006, 1013 (Ala. 2005) (“Whether there is a duty to indemnify under the policy will depend on
the facts adduced at the trial of the action . . .”); Northland Cas. Co. v. HBE Corp., 160 F.
Supp.2d 1348, 1360 (M.D. Fla. 2001) (“[T]he duty to indemnify is dependent upon the entry of a
final judgment, settlement, or final resolution of the underlying claims by some other means . . .
Unless the insured can demonstrate that it suffered a covered loss under the policy, the insurer
has no duty to indemnify whatsoever.”); AllState Indem. Co. v. Lewis, 985 F. Supp. 1341, 1349
(M.D. Ala. 1997) (“[T]he insurer’s liability to the insured is ultimately established by what is
developed at trial.”). Here, since Gist did not show up for trial and Holt did in fact testify, Judge
Kallon’s Judgment by Default contains all of the findings of fact that were necessary upon which
to base the conclusions of law within the Judgment. It bears noting that even if all of the
additional facts contained in the Declaration were before Judge Kallon at the time he entered his
Judgment, he did not rely on them and/or did not find them credible upon which to base his
Judgment. Therefore, the Declaration filed by Holt is completely irrelevant to this action.
9
car.” (Exh. B at 5). At times, Gist would drive by Holt’s home for hours, causing
Holt to go into hiding. (Charge of Discrimination, Exh. 8-a).
These actions caused emotional distress and financial hardship to Holt. (Exh.
B at 5). Judge Kallon found Gist liable to Holt for invasion of privacy, outrage,
battery, and negligence/wantonness. (Exh. B at 6-9). Judge Kallon ordered that
Plaintiff have and recover from Gist the principal sum of $350,000, which included
$165,000 for lost wages and $185,000 for emotional distress and pain and suffering.
(Exh. B. at 9).
IV.
Analysis
This declaratory judgment action involves the construction of an insuring
agreement delivered to an insured in Alabama, and therefore the substantive law of
Alabama applies. See Pan Am. Fire & Cas. Co. v. Edwards Aircraft, Inc., 377 F.
Supp. 205, 208 (N.D. Ala. 1974) (applying substantive law of Alabama to insurance
coverage dispute).
Under Alabama law, Holt, as a judgment creditor, is entitled to bring an action
against AAIC, Gist’s insurer. See ALA. CODE § 27-23-2 (1975). The question
presented to this court is whether AAIC has a duty to indemnify; that is, whether
Gist’s conduct is covered by the Policy and whether AAIC has an obligation to satisfy
the judgment entered against Gist. As set forth above, the duty to indemnify is
ultimately established by what is developed at trial. See footnote 7, supra. That is,
10
AAIC’s liability hinges on Gist’s conduct as opposed to Holt’s allegations. See
Tanner v. State Farm Fire & Cas. Co., 874 So. 2d 1058, 1066 (Ala. 2003) (“The
insured’s conduct rather than the allegedly injured person’s allegations determine
whether the insurer has a duty to indemnify.”).
Under Alabama law, the insured bears the burden of establishing coverage by
demonstrating that a claim falls within the policy’s insuring agreement. See State
Farm Fire & Cas. Co. v. Shady Grove Baptist Church, 838 So. 2d 1039, 1043 (Ala.
2002) (insured required to submit evidence that a claim fits within coverage). As the
judgment creditor against the insured, Holt now bears that burden. See Maness v.
Alabama Farm Bureau Mut. Cas. Ins. Co., 416 So. 2d 979, 981-82 (Ala. 1982)
(injured party can recover against the insurer only if the insured was covered against
loss or damage). AAIC bears the burden of proving any applicable policy exclusion.
See United States Fid. & Guaranty Co. v. Armstrong, 479 So. 2d 1164, 1168 (Ala.
1985).
A.
Gist is not an Insured under the Policy
The Policy at issue defines an insured to include “executive officers” and
directors. “Executive officers” are defined as “a person holding any of the officer
positions created by your charter, constitution, by-laws or any similar governing
document.” (Policy at Section VI, ¶ 8). Here, AAIC does not seem to argue that as
a President or Director of the Hospice, Gist could be considered an insured. (See
11
Doc. #9 at 10; see also Doc. #17 at 8) (“As President, Director, and employee, Gist
is unequivocally an insured as defined within the policy as long as his acts are not
wholly personal and he is acting within the scope of his employment.”). What is
argued is that portion of the Policy which states that employees of the Hospice are
insureds “but only for acts within the course and scope of their employment by you
or while performing authorized duties related to the conduct of your business.”
(Policy at 14). “Executive officers” are only insureds by the term of the Policy “with
respect to duties as officers or directors.” (Policy at 14).
Under Alabama law, for actions to be within the scope of employment, “[t]he
conduct of the employee . . . must not be impelled by motives that are wholly
personal, or to gratify his own feelings or resentment, but should be in promotion of
the business of his employment.” Doe v. Swift, 570 So. 2d 1209, 1213 (Ala. 1990)
(internal quotations omitted) (emphasis in original). That is, the acts for which Gist
has been found liable must have been “carrying out the objectives of [his]
employment.” Shrader v. Employers Mutual Cas. Co., 907 So. 2d 1026 (Ala. 2005).
Plaintiff attempts to meet this burden by arguing that “Holt expressed business
concerns to Gist. Gist used the improper treatment so that Holt would continue to
perform the Medicare billing practices in the same manner as previously noted. . . .
The actions of Gist were not wholly personal. They furthered the purpose of the
business and GSH’s Medicare billing practices.” (Doc. #17 at 9). But Plaintiff
12
presents no citation for this contention. (See generally Doc. #17 at 8-10; see also
footnote 7, supra). In fact, no where in the Judgment by Default does Judge Kallon
find that Gist was motivated by anything other than his own personal desires. (See
Exh. B at 7-10) (noting that Gist coerced Plaintiff into sexual relations, that he was
liable for egregious sexual harassment, and that he sexually forced himself upon her).
There is no mention of billing practices or anything that could be construed to further
the business objectives of GSH.
Based on the foregoing, the court finds that Gist is not an insured under the
Policy and on this ground, the motion for summary judgment is due to be granted.
B.
Gist’s Actions are Excluded from Coverage under the Policy
Assuming arguendo that Gist was an insured under the AAIC Policy, the
Policy expressly excludes from coverage any claims arising out of GSH’s
“employment practices” and AAIC’s duty to indemnify would be foreclosed by those
exclusions as well. (Policy Form at 7). “Employment practices” is defined to include
“sexual harassment” meaning “any actual, attempted, or alleged unwelcome sexual
advances, requests for sexual favors, or other conduct of a sexual nature by a person,
or by persons acting in concert, which causes injury.” (Policy Form at 25). Gist’s
liability clearly involved “employment practices” not covered by the Policy.
13
1.
Invasion of Privacy
Judge Kallon’s Judgment holds Gist liable for the tort of invasion of privacy
based on the conduct of “repeatedly making uninvited visits to [Holt’s] home,
coercing [Holt] to engage in sexual relations by threatening her termination, and
making unwanted sexual advances.” (Exh. B. at 6). In doing so, Judge Kallon cited
to two Alabama cases, each of which predicated liability for invasion of privacy on
sexual harassment. (Exh. B at 6) (citing Edwards v. Hyundai, 603 F. Supp.2d 1336,
1357 (M.D. Ala. 2009) and Phillips v. Smalley Maint. Serv., 435 So. 2d 705, 711
(Ala. 1983)). Thus, contrary to Plaintiff’s assertion otherwise (see Doc. #17 at 1016), it is clear that Judge Kallon considered the findings of fact to support this claim
based on sexual harassment and not on some other “distinct act” that might (or might
not) support a claim for invasion of privacy. For this separate and additional reason,
the Policy does not extend to cover Gist’s conduct in this case and the motion for
summary judgment, as it relates to the invasion of privacy claim, is due to be granted.
2.
Tort of Outrage
Plaintiff concedes that “Holt’s outrage claim would likely be excluded by the
employment practices exclusion because Holt was an employee at the time of the
sexual harassment.” (Doc. #17 at 17). Therefore, the motion for summary judgment,
as it relates to AAIC’s liability for the outrage claim, is due to be granted.
14
3.
Tort of Battery
Judge Kallon’s Judgment holds Gist liable for the tort of battery based on the
conduct of “inappropriately touching [Holt] in the workplace and sexually forcing
himself upon her.” (Exh. B at 8). Contrary to Plaintiff’s assertion otherwise
(see Doc. #17 at 17-18) (“[S]he did not perceive that to be sexual harassment”), Judge
Kallon made no findings that the inappropriate touchings were non-sexual in nature
and AAIC can not be called upon to indemnify Gist for conduct for which he was not
found liable. Therefore, the motion for summary judgment, as it relates to AAIC’s
liability for the battery claim, is due to be granted.
4.
Tort of Negligence/Wantonness
Judge Kallon’s Judgment holds Gist liable for negligence/wantonness on the
ground that “as her supervisor, Gist had a duty to refrain from sexually harasing Holt,
making unwanted sexual advances towards her, and touching her inappropriately.
Gist breached that duty when he threatened Holt with termination if she did not
engage in sexual relations with him. Gist further breached that duty also when he
repeatedly made unwanted sexual advances to Holt. Finally, Gist acted recklessly by
failing to respect Holt’s requests to discontinue the unwanted sexual advances and
threats of termination.” (Exh. B at 8-9). These actions cited by Judge Kallon fit
squarely within the “sexual harassment” exclusion of the Policy, and have nothing to
do with the failure to provide a safe work environment for injuries unrelated to sexual
15
harassment. Once again AAIC cannot be called upon to indemnify Gist for conduct
for which he was not found liable. Therefore, the motion for summary judgment, as
it relates to AAIC’s liability for the negligence/wantonness claim, is due to be
granted.
V.
Conclusion
For all of the foregoing reasons, the Renewed Motion (Doc. #13) for Summary
Judgment is due to be granted in its entirety. A separate order will be entered
dismissing all claims by Plaintiff against Defendant.
DONE this the
1st
day of April, 2014.
SENIOR UNITED STATES DISTRICT JUDGE
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