Western World Insurance Company v. Nonprofits Insurance Alliance of California

Filing 46

Order by Judge Edward J. Davila Granting in Part and Denying in Part 35 Motion for Summary Judgment; Granting in Part and Denying in Part 27 Motion for Summary Judgment. (mdllc, COURT STAFF) (Filed on 1/9/2018)

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1 2 3 4 5 6 7 UNITED STATES DISTRICT COURT 8 NORTHERN DISTRICT OF CALIFORNIA 9 SAN JOSE DIVISION 10 United States District Court Northern District of California 11 WESTERN WORLD INSURANCE COMPANY, Plaintiff, 12 13 Case No. 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT v. Re: Dkt. Nos. 27, 35 14 15 NONPROFITS INSURANCE ALLIANCE OF CALIFORNIA, Defendant. 16 17 Plaintiff Western World Insurance Company (“Western World”) and Defendant Nonprofits 18 Insurance Alliance of California (“NIAC”) both issued insurance policies to Narconon 19 International (“Narconon”). In this action, Western World seeks a judicial declaration that NIAC 20 owes a duty to defend Narconon in two underlying lawsuits. Western World also requests 21 reimbursement of an equitable share of the costs that it has incurred in defending Narconon. For 22 its part, NIAC seeks a judicial declaration that it has no duty to defend or indemnify. 23 Both parties have moved for summary judgment on NIAC’s duty to defend. Western 24 World’s motion will be granted in part and denied in part, and NIAC’s motion will be granted in 25 part and denied in part. 26 27 28 Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 1 1 2 3 4 I. BACKGROUND This is an insurance declaratory judgment and equitable contribution action involving insurance policies issued to Narconon. The following facts are not in dispute. Narconon is an organization that promotes treatment for substance abuse and addiction. 5 Stargardter Decl. ¶ 8, Dkt. No. 35-2. Specifically, Narconon formulates and oversees a 6 Scientology-based treatment program, which is implemented throughout the United States by local 7 state affiliates. Id. This case concerns two of those affiliates—Narconon of Georgia and 8 Narconon of Oklahoma—that run individual drug treatment centers in Georgia and Oklahoma, 9 respectively. Pursuant to a set of License Agreements, Narconon provides materials for implementing the program and monitors operation of the centers; in return, Narconon receives ten 11 United States District Court Northern District of California 10 percent of each center’s revenue. Id. ¶¶ 9, 11. 12 Relevant here, Narconon is insured under three insurance policies, two issued by Western 13 World and one issued by NIAC. Western World’s two policies were issued to Narconon of 14 Georgia and Narconon of Oklahoma in 2007, and both list Narconon as an additional insured. 15 Evans Decl., Ex. A at 84, Dkt. No. 30-1; Evans Decl., Ex. B at 25, Dkt. No. 30-2. The third 16 policy—issued by NIAC to Narconon for an overlapping time period—is the one at issue in the 17 instant case. Evans Decl., Ex. C (“NIAC Policy”) at 8, Dkt. No. 30-3. NIAC’s policy has three 18 separate coverage forms: (1) Commercial General Liability Coverage Form, (2) Liquor Liability 19 Coverage Form, and (3) Improper Sexual Conduct Coverage Form. Id. at 9, 12–13. The policy 20 also includes an exclusion to the Commercial General Liability Coverage Form for bodily injury 21 that was “due to the rendering of or failure to render any professional service.” Id. at 56. The 22 question presented in this case is whether Narconon has the duty to defend two lawsuits under its 23 coverage forms. 24 The first lawsuit (“the Desmond action”) was brought on behalf of Patrick Desmond, who 25 was a patient at Narconon of Georgia. Evans Decl., Ex. H ¶ 27, Dkt. No. 31-4. On the evening of 26 June 10, 2008, after consuming alcohol provided by Narconon staff at a staff member’s apartment, 27 28 Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 2 1 Mr. Desmond left the premises with two former patients to purchase heroin and died early the next 2 morning from a heroin overdose. Id. ¶¶ 30–34. Mr. Desmond’s family sued Narconon of Georgia 3 and Narconon in May 2010, asserting claims for negligence, negligence per se, fraud, civil 4 conspiracy, and punitive damages. Id. ¶¶ 35–58. Narconon tendered the Desmond action to 5 NIAC, but NIAC twice denied coverage, asserting that there was no “occurrence” triggering 6 policy coverage and that the “professional service” exclusion applied. Evans Decl., Ex. O, Dkt. 7 No. 32-7; Evans Decl., Ex. Q, Dkt. No. 33-1. In March 2012, Mr. Desmond’s family amended the 8 complaint and added civil RICO claims against Narconon of Georgia and Narconon. Evans Decl., 9 Ex. I ¶¶ 167–76, Dkt. No. 32-1. Both Narconon and Western World tendered the Desmond action to NIAC, but NIAC declined to defend for the same reasons it had stated with regard to the 11 United States District Court Northern District of California 10 original complaint. Evans Decl., Ex. R, Dkt. No. 33-2; Evans Decl., Ex. S, Dkt. No. 33-3; Evans 12 Decl., Ex. T, Dkt. No. 33-4. The Desmond action proceeded past summary judgment, and the 13 parties settled in February 2013. Evans Decl. ¶¶ 62–67. 14 The second lawsuit (“the Landmeier action”) was brought on behalf of Heather Landmeier, 15 who was a patient at Narconon of Oklahoma. Evans Decl., Ex. M ¶ 15, Dkt. No. 32-5. The action 16 alleges that, from late August 2007 through early March 2008, employees provided drugs and 17 alcohol to Ms. Landmeier and allowed her to enter into sexual relationships with staff members. 18 Id. ¶ 16. On March 4, 2008, Narconon of Oklahoma forced Ms. Landmeier to leave the facility, 19 despite knowledge that she had relapsed and had become addicted to heroin and oxycontin. Id. 20 ¶ 17. The day after her expulsion, Ms. Landmeier overdosed on heroin and oxycontin, leaving her 21 in a vegetative state paralyzed from the neck down. Id. ¶ 18. Her family initiated suit in March 22 2010 and asserted claims for negligence, breach of contract, violation of the Oklahoma Consumer 23 Protection Act, infliction of emotional distress, and punitive damages against Narconon of 24 Oklahoma and Narconon. Id. ¶¶ 19–37. Narconon tendered the Landmeier lawsuit to NIAC, and 25 NIAC accepted the defense under the Improper Sexual Conduct Coverage Form but not under the 26 Commercial General Liability Coverage Form. Evans Decl. ¶ 68. However, NIAC later withdrew 27 28 Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 3 1 its defense, stating that its insurance was “excess” to Western World’s policy. Evans Decl., Ex. X, 2 Dkt. No. 34-1; Evans Decl., Ex. Y, Dkt. No. 34-2. Litigation in the Landmeier action is ongoing, 3 and trial has not yet been scheduled. 4 Western World filed the instant lawsuit in October 2014. Dkt. No. 1. Because Western 5 World agreed to defend Narconon in both the Desmond and Landmeier actions, Western World 6 seeks a declaration that NIAC also has a duty to defend the Desmond and Landmeier actions and 7 requests an equitable share of the costs that Western World has incurred to date. Id. In November 8 2014, NIAC answered and filed counterclaims asserting that it has no duty to defend or indemnify 9 either the Desmond action or the Landmeier action. Dkt. No. 13. On December 11, 2015, Western World moved for summary judgment on NIAC’s duty to 10 United States District Court Northern District of California 11 defend. Dkt. No. 27 (“Mot.”). On December 28, 2015, NIAC responded and cross-moved for 12 summary judgment on its duty to defend and indemnify. Dkt. No. 35 (“Cross Mot.”). Western 13 World filed its opposition and reply on January 11, 2016, Dkt. No. 37 (“Opp.”), and NIAC filed its 14 reply on January 19, 2016, Dkt. No. 39 (“Reply”). 15 II. REQUESTS FOR JUDICIAL NOTICE 16 Western World filed two requests for judicial notice. The first Request for Judicial Notice 17 (“Pl.’s RJN”), Dkt. No. 29, is GRANTED as to both Exhibit A (Plaintiffs’ Response to Defendant 18 Narconon Internationals’s Motion for Judgment on the Pleadings or, In the Alternative, Motion for 19 Summary Judgment or Partial Summary Judgment, Desmond v. Narconon of Georgia, Inc., 20 Dekalb Cty. State Court Case No. 10-A-28641-2 (Jan. 9, 2013)) and Exhibit B (Summary 21 Judgment Order, Desmond v. Narconon of Georgia, Inc., Dekalb Cty. State Court Case No. 10-A- 22 28641-2 (Jan. 31, 2013)). The second Request for Judicial Notice, Dkt. No. 37-1, is GRANTED 23 as to Exhibit A (Complaint for Declaratory Relief, NIAC v. Narconon Int’l, L.A. Super. Ct. Case 24 No. BC569622 (Jan. 16, 2015)), Exhibit B (Complaint for Declaratory Relief, NIAC v. Narconon 25 Int’l, L.A. Super. Ct. Case No. BC569623 (Jan. 16, 2015)), Exhibit C (Complaint for Declaratory 26 Relief, NIAC v. Narconon Int’l, L.A. Super. Ct. Case No. BC569624 (Jan. 16, 2015)), Exhibit D 27 28 Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 4 1 (Cross-Complaint, NIAC v. Narconon Int’l, L.A. Super. Ct. Case No. BC569622 (Feb. 6, 2015)), 2 and Exhibit E (Consolidation Order, NIAC v. Narconon Int’l, L.A. Super. Ct. Case No. BC569622 3 (Apr. 6, 2015)). These types of documents are properly subject to judicial notice. See Reyn’s 4 Pasta Bella, LLC v. Visa USA, Inc., 442 F.3d 741, 746 n.6 (9th Cir. 2006) (holding that a court 5 “may take judicial notice of court filings and other matters of public record.”). 6 III. LEGAL STANDARD 7 A. 8 “Summary judgment is proper where no genuine issue of material fact exists and the 9 Summary Judgment in Insurance Policy Disputes moving party is entitled to judgment as a matter of law.” Samuels v. Holland Am. Line–USA Inc., 656 F.3d 948, 952 (9th Cir. 2011) (citing Fed. R. Civ. P. 56(a)). The Court “must draw all 11 United States District Court Northern District of California 10 reasonable inferences in favor of the nonmoving party.” Id. “The central issue is ‘whether the 12 evidence presents a sufficient disagreement to require submission to a jury or whether it is so one- 13 sided that one party must prevail as a matter of law.’” Id. (quoting Anderson v. Liberty Lobby, 14 Inc., 477 U.S. 242, 251–52 (1986)). 15 Summary judgment is an appropriate vehicle to decide insurance coverage when the parties 16 agree on the relevant facts and the sole issue before the court is the legal determination of the 17 interpretation of the insurance policy. State Farm Fire & Cas. Co. v. Eddy, 267 Cal. Rptr. 379, 18 381–82 (Ct. App. 1990). Here, summary judgment is appropriate because the Court is asked to 19 construe the provisions of an insurance policy and apply those provisions to undisputed facts. 20 B. Duty to Defend 21 Under California law, an insurer has a broad duty to defend insured entities against claims 22 that create a potential for indemnity. See Montrose Chem. Corp. v. Superior Court, 861 P.2d 23 1153, 1157 (Cal. 1993). The duty to defend is broader than the duty to indemnify, see Horace 24 Mann Ins. Co. v. Barbara B., 846 P.2d 792, 795 (Cal. 1993), but it is not unlimited, see Waller v. 25 Truck Ins. Exch., Inc., 900 P.2d 619, 628 (Cal. 1995). An insurer has a duty to defend when the 26 facts alleged in the underlying complaint together with the extrinsic facts known to the insurer 27 28 Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 5 1 “create any potential for indemnity under the policy.” Barnett v. Fireman’s Fund Ins. Co., 108 2 Cal. Rptr. 2d 657, 662 (Ct. App. 2001) (emphasis added). Stated conversely, the insurer has no 3 duty to defend “only when ‘the third party complaint can by no conceivable theory raise a single 4 issue which could bring it within the policy coverage.’” Mirpad, LLC v. Cal. Ins. Guar. Ass’n, 34 5 Cal. Rptr. 3d 136, 142 (Ct. App. 2005) (emphasis in original) (quoting Montrose, 861 P.2d at 6 1160). Uncertainty over whether the facts give rise to a duty to defend is resolved in favor of the 7 coverage. Horace Mann, 846 P.2d at 798. 8 IV. DISCUSSION The parties move for summary judgment on NIAC’s duty to defend the Desmond and 10 Landmeier actions under its insurance policy.1 The NIAC policy has three separate coverage 11 United States District Court Northern District of California 9 forms: (1) Commercial General Liability Coverage Form, (2) Liquor Liability Coverage Form, 12 and (3) Improper Sexual Conduct Coverage Form. Western World seeks a declaration that NIAC 13 owes a duty to defend both the Desmond and Landmeier actions under the Commercial General 14 Liability and Liquor Liability Coverage Forms and that NIAC owes a duty to defend the 15 Landmeier action under the Improper Sexual Conduct Coverage Form. NIAC seeks a declaration 16 that it does not have a duty to defend either the Desmond action or the Landmeier action under any 17 of the coverage forms. The Court analyzes each of the separate coverage forms in turn. 18 A. Commercial General Liability Coverage Form 19 Under the Commercial General Liability Coverage Form, NIAC has the duty to defend 20 Narconon against a lawsuit seeking damages for “bodily injury,” which is defined as “bodily 21 injury, sickness or disease sustained by a person, including death resulting from any of these at 22 any time.” NIAC Policy at 17, 26. Nevertheless, “bodily injury” is covered under NIAC’s policy 23 only when it is caused by an “occurrence.” Id. at 17. The Commercial Liability Coverage Form 24 25 26 27 28 1 Although NIAC also moves for summary judgment on the ground that it has no duty to indemnify, it presents no arguments separate from those about the duty to defend. With no basis to distinguish the claims, the Court analyzes the duty to defend. Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 6 1 also excludes from coverage “bodily injury” that is “due to the rendering of or failure to render 2 any professional service.” Id. at 56. 3 NIAC makes two arguments against coverage under the Commercial Liability Coverage 4 Form. First, as to the Desmond action alone, NIAC contends that Mr. Desmond’s claimed “bodily 5 injury” was not caused by an “occurrence.” Second, as to both the Desmond and Landmeier 6 actions, NIAC asserts that the “bodily injur[ies]” allegedly suffered by Mr. Desmond and Ms. 7 Landmeier come within the “professional service” exclusion because their injuries were “due to 8 the rendering of or failure to render [a] professional service.” The Court addresses each of these 9 arguments in turn. 10 1. Whether the Desmond action states claims for “bodily injury” caused by an “occurrence” United States District Court Northern District of California 11 12 As noted above, NIAC’s policy covers lawsuits for “‘bodily injury’ . . . caused by an 13 ‘occurrence.’” NIAC Policy at 17. While no party disputes that Mr. Desmond’s overdose- 14 induced death qualifies as “bodily injury,” the parties disagree about whether his death was caused 15 by an “occurrence.” “Occurrence” is defined in the policy as “an accident, including continuous 16 or repeated exposure to substantially the same general harmful conditions.” Id. at 26. Although 17 the policy does not further define accident, it is settled under California law that an “accident” for 18 insurance coverage purposes must be “an unexpected, unforeseen, or undesigned happening or 19 consequence from either a known or unknown cause.” Delgado v. Interinsurance Exch. of Auto. 20 Club of S. Cal., 211 P.3d 1083, 1086 (Cal. 2009) (quoting Geddes & Smith, Inc. v. St. Paul- 21 Mercury Indem. Co., 334 P.2d 881, 884 (Cal. 1959)). 22 Here, Western World contends that the complaint in the Desmond action alleges an 23 “occurrence”—namely, the staff’s negligent providing of alcohol to Mr. Desmond that led to his 24 overdose and death. Mot. at 13–14. Concentrating on the causes of action in the complaint, NIAC 25 responds that all of Mr. Desmond’s claims against Narconon involve intentional, not accidental, 26 conduct. Cross Mot. at 15–16. The Court agrees with Western World. 27 28 Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 7 1 The original complaint in the Desmond action alleges that “[Mr. Desmond] was drinking beer and vodka with [Narconon of Georgia] employees and staff members in a staff member’s 3 apartment,” that he “bec[ame] highly intoxicated with [those] employees and staff members,” and 4 that he “left the illegal housing program’s premises with two former patients of [Narconon of 5 Georgia] who had announced their intention to attempt to buy heroin.” Evans Decl., Ex. H ¶¶ 30– 6 31. Mr. Desmond died of a heroin overdose the next morning. Id. ¶¶ 33–34. Based on those 7 facts, the complaint avers that Narconon of Georgia acted negligently in “allowing and facilitating 8 [Mr.] Desmond’s on-going use of alcohol and drugs while in treatment” and in “failing to provide 9 reasonable and adequate security and supervision to prevent its patients . . . from leaving its 10 housing program.” Id. ¶ 37c–d. Neither the actions nor the result were intended or foreseen. 11 United States District Court Northern District of California 2 Instead, the neglectful provision of alcohol to and deficient supervision of a patient in rehab 12 leading to the patient’s unexpected death constitute an “occurrence” or “accident.” Although the 13 negligence claims are asserted against Narconon of Georgia alone, the complaint supplies a 14 sufficient basis for attributing those actions to Narconon. Specifically, it alleges that Narconon of 15 Georgia is a “subsidiary, licensee and/or alter ego” of Narconon and that Narconon exercises some 16 control over the drug rehabilitation facilities. Id. ¶¶ 4, 16. At a minimum, the allegations raise the 17 potential for coverage, as the Desmond action sought damages from Narconon for “bodily injury” 18 caused by an “occurrence.” 19 The same holds true for the amended complaint. The factual allegations regarding the 20 events underlying Mr. Desmond’s death are virtually identical to the allegations in the original 21 complaint. See Evans Decl., Ex. I ¶¶ 61–62, 64–65. Although the amended complaint adds civil 22 RICO claims against Narconon and Narconon of Georgia, it retains the negligence causes of 23 action against Narconon of Georgia. Id. ¶¶ 146, 167–76. Finally, the amended complaint includes 24 the same allegations about the relationship between Narconon and Narconon of Georgia, while 25 also providing further detail about Narconon’s intricate involvement and control over Narconon of 26 Georgia’s operations. Id. ¶¶ 4, 10, 13, 16, 32. As the trial court later observed in its summary 27 28 Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 8 1 judgment ruling, “there is evidence presented from which a jury could conclude that [Narconon], 2 through [Narconon of Georgia], undertook the duty of providing services to [Mr.] Desmond and 3 failed to exercise reasonable care in carrying out that assumed duty.” Pl.’s RJN, Ex. B at 7; id. at 4 9 (explaining that Narconon might be liable for Narconon of Georgia’s actions because “a jury 5 could conclude that [Narconon of Georgia] was an agent or instrumentality of [Narconon]”). Like 6 the original complaint, the amended complaint contains enough allegations to trigger the duty to 7 defend because there is potential for coverage based on an “occurrence” that caused Mr. 8 Desmond’s “bodily injury.” NIAC’s primary response is that the legal causes of action asserted against Narconon all 10 involve intentional acts. But, as noted above, the complaint raises the potential that Narconon is 11 United States District Court Northern District of California 9 liable for the negligent acts of Narconon of Georgia. Moreover, the California courts have 12 repeatedly instructed that the duty to defend does not depend on “technical legal cause[s] of action 13 pleaded by the third party.” Gonzalez v. Fire Ins. Exch., 184 Cal. Rptr. 3d 394, 407 (Ct. App. 14 2015) (quoting Barnett, 108 Cal. Rptr. 2d at 664); see also Pension Tr. Fund for Operating Eng’rs 15 v. Fed. Ins. Co., 307 F.3d 944, 952 (9th Cir. 2002) (reciting the same standard). Rather, the duty 16 to defend hinges on the facts alleged in the complaint, and even “remote facts buried within causes 17 of action” have been held sufficient to trigger the defense duty. Pension Tr. Fund, 307 F.3d at 18 951. Here, the complaint in the Desmond action pleads facts that raise the possibility of coverage 19 for “bodily injury” caused by an “occurrence.” That point makes this case distinguishable from 20 the cases cited by NIAC where a review of the pleadings revealed a failure to allege any covered 21 conduct. See, e.g., Low v. Golden Eagle Ins. Co., 120 Cal. Rptr. 2d 827, 830 (Ct. App. 2002) 22 (holding that plaintiff’s express disclaimer of personal injury precluded any possibility of “bodily 23 injury”); Chatton v. Nat’l Union Fire Ins. Co., 13 Cal. Rptr. 2d 318, 327–28 (Ct. App. 1992) 24 (holding that allegations of only intentional acts precluded any possibility of an “occurrence”); see 25 also Yates v. Jumbo Seafood Rest., Inc., No. 10-CV-02652-JW, 2012 WL 293683, at *4 (N.D. 26 Cal. Feb. 1, 2012) (holding that complaint was devoid of allegations about whether conduct was 27 28 Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 9 1 intentional or negligent); cf. Upper Deck Co., LLC v. Fed. Ins. Co., 358 F.3d 608, 615 (9th Cir. 2 2004) (holding that complaint did not establish “bodily injury”). Thus, NIAC improperly refused 3 to defend on the ground that there was no “occurrence” triggering policy coverage. 4 Because the Court concludes that the allegations in the Desmond action create the potential 5 for coverage for “bodily injury” caused by an “occurrence,” the Court next turns to NIAC’s 6 argument that the “professional service” exclusion applies. 7 2. Whether the “professional service” exclusion applies to the Desmond action or the Landmeier action 8 9 NIAC contends that there is no duty to defend under the Commercial Liability Coverage Form based on the exclusion of “‘bodily injury’ . . . due to the rendering of or failure to render any 11 United States District Court Northern District of California 10 professional service.” NIAC Policy at 56. Although the policy does not define “professional 12 service,” that term has an accepted meaning in California courts. Specifically, “professional 13 services” are those “arising out of a vocation, calling, occupation, or employment involving 14 specialized knowledge, labor, or skill, and the labor or skill involved is predominantly mental or 15 intellectual, rather than physical or manual.” Energy Ins. Mut. Ltd. v. Ace Am. Ins. Co., 221 Cal. 16 Rptr. 3d 711, 719 (Ct. App. 2017) (quoting Tradewinds Escrow, Inc. v. Truck Ins. Exch., 118 Cal. 17 Rptr. 2d 561, 568 (Ct. App. 2002)). Whether the “professional service” exclusion applies turns on 18 whether the type of activity at issue meets that definition. Id. (citing Amex Assur. Co. v. Allstate 19 Ins. Co., 5 Cal. Rptr. 3d 744, 749 (Ct. App. 2003)). Like all exclusions, the “professional service” 20 exclusion is construed narrowly against the insurer. N. Ctys. Eng’g, Inc. v. State Farm Gen. Ins. 21 Co., 169 Cal. Rptr. 3d 726, 746 (Ct. App. 2014). 22 Here, Western World argues that the “professional service” is not applicable because Mr. 23 Desmond and Ms. Landmeier were not injured by the rendering or failure to render professional 24 drug rehabilitation services. Mot. at 20. Rather, they were injured by “non-professional conduct 25 (sexual relations and furnishing alcohol) that was not part of Narconon’s drug rehabilitation 26 treatment” and did not “occur[] during treatment.” Id. NIAC counters that Desmond and 27 28 Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 10 1 Landmeier actions “seek damages as a result of [Narconon’s] failure to render drug and alcohol 2 rehabilitation services—the very services [Ms.] Landmeier and [Mr.] Desmond were seeking.” 3 Cross Mot. at 19. In NIAC’s view, the fact that Ms. Landmeier and Mr. Desmond were supplied 4 with drugs and alcohol and that Ms. Landmeier was allowed to enter into sexual relationships with 5 the staff mark a departure from treatment protocols. Id. at 20. NIAC’s arguments are 6 unpersuasive. 7 The provision of alcohol to Mr. Desmond cannot fairly be characterized as an activity that 8 arises out of drug and alcohol rehabilitation services. To the contrary, that conduct is not 9 connected to drug and alcohol rehabilitation at all—indeed, it is antithetical to alcohol rehabilitation—and Mr. Desmond’s overdose and death did not “occur[] during the performance 11 United States District Court Northern District of California 10 of professional services.” Food Pro Int’l, Inc. v. Farmers Ins. Exch., 89 Cal. Rptr. 3d 1, 12 (Ct. 12 App. 2008) (quoting Tradewinds, 118 Cal. Rptr. 2d at 568). Ms. Landmeier’s case is even more 13 egregious. In her complaint, she alleges that during her stay as a patient, the Narconon of 14 Oklahoma staff provided drugs and alcohol to her and allowed her to enter into sexual 15 relationships with the staff. Evans Decl., Ex. M ¶ 16. When Narconon of Oklahoma forced her to 16 leave the facility knowing of her relapse and addition, she overdosed on heroin and oxycontin the 17 next day and was left paralyzed from the neck down. Id. ¶¶ 17–18. As with the Desmond action, 18 the provision of drugs and alcohol at issue in the Landmeier action are outside the scope of drug 19 and alcohol rehabilitation services. Additionally, the Landmeier action also includes allegations 20 related to sexual relations with a patient, which the California Court of Appeal has readily 21 concluded do not fall within the “professional service” exclusion. See Marie Y. v. Gen. Star 22 Indem. Co., 2 Cal. Rptr. 3d 135, 152–53 (Ct. App. 2003) (holding that sexual abuse of a sedated 23 patient could not properly be characterized as rendering services in the dentistry profession); see 24 also Okla. Admin. Code § 86:11-3-5 (providing that counselors “shall not have any type of sexual 25 contact with clients and shall not counsel persons with whom they have had a sexual 26 relationship”). In both the Desmond and Landmeier actions, the “bodily injury” suffered cannot 27 28 Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 11 1 conclusively be said to be “due to the rendering of or failure to render any professional service.” 2 The Court finds unavailing NIAC’s rejoinder that the Narconon staff’s actions were 3 performed pursuant to drug rehabilitation services because Narconon of Georgia and Narconon of 4 Oklahoma run in-patient, residential facilities that provide 24/7 treatment. Cross Mot. at 20. First, 5 the California courts have already rejected a species of this same argument. For example, in Food 6 Pro, the California Court of Appeal held that an engineering consultant’s failure to prevent bodily 7 injury on-site was a breach of a common law duty, not the performance of a professional service. 8 89 Cal. Rptr. 3d at 11. In so ruling, the Court of Appeal rejected as too broad the argument that 9 “[the consultant] was only at the site to perform his professional duties; thus, any act of his at the site that resulted in injury ‘arises from’ a professional service and is covered by the exclusion.” 11 United States District Court Northern District of California 10 Id. Second, and relatedly, the consequences of accepting NIAC’s argument are too far-reaching to 12 be tolerated. NIAC effectively seeks to exclude from coverage every act by an employee at a 13 round-the-clock treatment facility by relabeling those acts as “departure[s] from treatment 14 protocols.” Cross Mot. at 20. That sweeping interpretation of “professional service” cannot be 15 correct, as it bars coverage for even heinous acts that have nothing to do with the underlying 16 profession, like the acts alleged in the Desmond and Landmeier actions. 17 For many of the same reasons, NIAC’s attempts to recast Mr. Desmond’s and Ms. 18 Landmeier’s claims as pertaining only to Narconon’s failure to treat patients in the program also 19 fail. NIAC cannot usurp the duty to defend by broadly reframing the complaints to advance one 20 particular theory of liability; instead, the Court must examine the factual allegations in the 21 complaints. Barnett, 108 Cal. Rptr. 2d at 662. Even if the complaints in the Desmond and 22 Landmeier actions can properly be construed as bringing claims for Narconon’s failure to provide 23 the drug and alcohol rehabilitation services it was hired to perform, they also seek to hold 24 Narconon liable for negligently providing alcohol and drugs and allowing sexual relationships 25 between patients and staff. Therefore, the “professional service” exclusion does not definitively 26 apply, and NIAC has a duty to defend both the Desmond and Landmeier actions under the 27 28 Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 12 1 2 Commercial General Liability Coverage Form. Accordingly, the Court GRANTS Western World’s motion for summary judgment with 3 respect to the Commercial General Liability Coverage Form and DENIES NIAC’s motion for 4 summary judgment with respect to the Commercial General Liability Coverage Form. 5 B. Liquor Liability Coverage Form 6 Under the Liquor Liability Coverage Form, NIAC has the duty to defend Narconon against a lawsuit seeking damages for bodily injury or property damage if Narconon is liable “by reason 8 of the selling, serving or furnishing of any alcoholic beverage.” NIAC Policy at 45. Western 9 World argues that NIAC owes a duty to defend the Desmond and Landmeier actions because both 10 actions allege that “[Narconon] is liable for bodily injury . . . caused partly by furnishing alcohol.” 11 United States District Court Northern District of California 7 Mot. at 13; Opp. at 7. NIAC responds that the Liquor Liability Coverage Form is inapplicable 12 because it pertains to entities engaged in the business of furnishing alcohol. See Cross Mot. at 21. 13 Under that reading, there is no coverage for the informal providing of alcohol at issue in the 14 underlying Desmond and Landmeier actions. Id. For the reasons stated below, the Court agrees 15 with NIAC that the Liquor Liability Coverage Form creates no potential for indemnity in either 16 the Desmond action or the Landmeier action. 17 The issue presented by the parties requires interpreting the word “furnishing” in the Liquor 18 Liability Coverage Form. Construction of an insurance policy focuses closely on the language 19 used in the provisions at issue. Golden Sec. Thrift & Loan Ass’n v. First Am. Title Ins. Co., 61 20 Cal. Rptr. 2d 442, 444 (Ct. App. 1997) (citing Cal. Civ. Code § 1639). Without a clear indication 21 to the contrary, “[t]he ‘clear and explicit’ meaning of these provisions, interpreted in their 22 ‘ordinary and popular sense,’ . . . controls judicial interpretation.” AIU Ins. Co. v. Superior Court, 23 799 P.2d 1253, 1264 (Cal. 1990) (quoting Cal. Civ. Code §§ 1639, 1644). However, like in other 24 forms of contract interpretation, context plays an important role. Rather than construing language 25 in the abstract, courts must analyze an insurance policy “in its entirety, with each clause lending 26 meaning to the other.” Producers Dairy Delivery Co. v. Sentry Ins. Co., 718 P.2d 920, 928 (Cal. 27 28 Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 13 1 1986); see also Cal. Civ. Code § 1641. 2 Within the context of the Liquor Liability Coverage Form, the word “furnishing” 3 contemplates business relations. The policy itself does not explicitly define “furnishing,” but the 4 meaning is clear from the way the word is used. The coverage section provides indemnity for 5 damages liability “by reason of the selling, serving or furnishing of any alcoholic beverage.” The 6 words immediately surrounding “furnishing”—“selling [or] serving”—involve commercial 7 interactions. Those neighboring words provide a frame of reference for the intended scope of the 8 entire clause and give “furnishing” more precise meaning. The word “furnishing” also appears in 9 Exclusion 2.d, which exempts from coverage injury “arising out of any alcoholic beverage sold, served or furnished while any required license is suspended or after such license is expires, is 11 United States District Court Northern District of California 10 cancelled or revoked.” NIAC Policy at 45. Not only does that exclusion presume that the insured 12 normally operates pursuant to a license, but it also expressly identifies the act of furnishing 13 alcohol as one that would require a license to perform. More broadly, the rest of the Liquor 14 Liability Coverage Form is plainly focused on an entity that is in the business of selling, serving, 15 or furnishing alcohol. For example, Exclusions 2.b and 2.c relate to separate obligations that an 16 insured employer may owe to its employees. Id. Similarly, Exclusion 2.e applies when the injury 17 underlying the suit arises out of “goods or products” that are “manufactured, sold, handled, 18 distributed or disposed of by” the insured or its affiliates. Id. at 45, 49. These textual clues 19 provide powerful evidence that the word “furnishing” in the Liquor Liability Coverage Form is 20 limited to business interactions. 21 This reading of “furnishing” also harmonizes with the overall policy scheme because it 22 produces symmetry between the Liquor Liability Coverage Form and the Commercial General 23 Liability Coverage Form. Specifically, the Commercial General Liability Coverage Form includes 24 Exclusion 2.c that parallels the Liquor Liability Coverage Form. That exclusion is titled “Liquor 25 Liability”—the mirror image of “Liquor Liability Coverage”—and applies to an insured that is “in 26 the business of manufacturing, distributing, selling, serving or furnishing alcoholic beverages.” 27 28 Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 14 Id. at 18. Although Exclusion 2.c’s addition of “manufacturing” and “distributing” makes the 2 language an inexact match, the remaining language (“selling, serving or furnishing alcoholic 3 beverages”) tracks the Liquor Liability Coverage Form’s coverage. Moreover, the exact three 4 categories removed from Exclusion 2.c (causing or contributing to intoxication, provision of 5 alcohol to a minor or drunkard, and violation of an alcohol related statute) are expressly excepted 6 from Liquor Liability Coverage. Compare id. at 18, with id. at 45–46. In other words, liability for 7 those three categories falls under Commercial General Liability Coverage but not Liquor Liability 8 Coverage. These structural choices strongly suggest that the drafters intended exclusivity in the 9 two coverage forms, as another district court has concluded for a nearly identically worded policy. 10 N. E. Ins. Co. v. Masonmar, Inc., No. 13-CV-00364, 2014 WL 1247604, at *8–9 (E.D. Cal. Mar. 11 United States District Court Northern District of California 1 25, 2014). This structure lends further support to NIAC’s argument that the Liquor Liability 12 Coverage Form does not apply when the insured is not in the business of “furnishing” alcohol. 13 The contextual understanding of “furnishing” accords with common usage. In the 14 dictionary, “furnish” is defined as “provide with what is needed” or “supply; give.” Furnish, 15 Merriam–Webster Collegiate Dictionary (10th ed. 2001), cited in Ruiz v. Safeway, Inc., 147 Cal. 16 Rptr. 3d 809, 813 (Ct. App. 2012). Those definitions naturally describe a commercial setting—for 17 example, a business might be said to “furnish alcoholic beverages” when it provides the supply of 18 alcohol to a retailer or sells alcohol to a patron. Cf. Ruiz, 147 Cal. Rptr. 3d at 813 (explaining that 19 a sale of beer qualifies as furnishing alcohol). Although the definitions are not necessarily limited 20 to business interactions, their fit in a more informal situation is at best awkward. Indeed, it would 21 be a strange choice of words for a host organizing a potluck to ask one friend to furnish the 22 appetizer, another friend to furnish the dessert, and a third friend to furnish the alcohol. And, in 23 any event, that broad understanding of “furnishing” is foreclosed by the many circumstantial 24 considerations discussed above. In sum, as used in the Liquor Liability Coverage Form, “the . . . 25 furnishing of [an] alcoholic beverage” is best understood as referring to a business interaction. 26 27 28 In light of that construction, NIAC owes no duty to defend either the Desmond action or Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 15 1 the Landmeier action under the Liquor Liability Coverage Form. In particular, that form provides 2 no possibility for coverage because neither lawsuit involves the providing of alcohol in a business 3 or formal setting. The Desmond action alleges that Mr. Desmond was drinking alcohol with 4 Narconon of Georgia staff members at a staff member’s apartment, Evans Decl., Ex. H ¶ 30; the 5 Landmeier action alleges that Narconon of Oklahoma employees gave alcohol to Ms. Landmeier, 6 Evans Decl., Ex. M ¶ 16. Western World itself disclaims any professional interaction by 7 (correctly) arguing against application of the “professional service” exclusion for the Commercial 8 General Liability Coverage Form. Moreover, the exclusivity of the Commercial General Liability 9 and Liquor Liability Coverage Forms further weakens Western World’s contention that both coverage forms are simultaneously triggered by the informal furnishing of alcohol at issue in the 11 United States District Court Northern District of California 10 two lawsuits. The Court concludes that NIAC does not have a duty to defend either the Desmond 12 action or the Landmeier action under the Liquor Liability Coverage Form. 13 Accordingly, the Court DENIES Western World’s motion for summary judgment with 14 respect to the Liquor Liability Coverage Form and GRANTS NIAC’s motion for summary 15 judgment with respect to the Liquor Liability Coverage Form. 16 C. Improper Sexual Conduct Coverage Form 17 The Improper Sexual Conduct Coverage Form states that NIAC will indemnify Narconon 18 for “‘bodily injury’ arising from ‘improper sexual conduct.’” NIAC Policy at 69. The policy 19 defines “bodily injury” as “bodily injury, sickness or disease including emotional distress or 20 anguish sustained by a person, including death” and defines “improper sexual conduct” as “actual, 21 attempted, or alleged unlawful sexual conduct by one person . . . as prohibited by federal or state 22 law.” Id. at 74. The connector “arising from” is not defined in the policy, but California law 23 defines “arising from” broadly as “originating from, having its origin in, growing out of or flowing 24 from or in short, incident to, or having connection with.” Davis v. Farmers Ins. Grp., 35 Cal. Rptr. 25 3d 738, 744 (Ct. App. 2005) (internal quotation marks, alterations, and citations omitted). The 26 term “arising from” in an insurance policy “links a factual situation with the event creating 27 28 Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 16 1 liability,” but “does not import any particular standard of causation or theory of liability into an 2 insurance policy.” Id. 3 Initially, NIAC stated that it withdrew its defense because its policy makes Improper 4 Sexual Conduct coverage “excess over any other applicable insurance . . . that is written on a 5 claims-made basis,” NIAC Policy at 72. Evans Decl., Ex. X. NIAC no longer pursues that 6 course, likely because Western World’s policy clearly provides “occurrence”-based coverage, not 7 “claims”-based coverage. Evans Decl., Ex. B at 44. Instead, NIAC raises two new arguments 8 against coverage of the Landmeier action under the Improper Sexual Conduct Coverage Form. 9 First, NIAC contends that the Landmeier action does not assert claims against Narconon as a result of improper sexual conduct. Cross Mot. at 24. Second, NIAC asserts that, as a matter of 11 United States District Court Northern District of California 10 equity, the specialized coverage available under the Improper Sexual Conduct Coverage Form 12 should be deemed in excess to the primary coverage afforded by Western World’s policy. Id. at 13 24–25. The Court analyzes each of these arguments in turn. 14 First, the Court disagrees with NIAC’s argument that the Landmeier action asserts no 15 claims against Narconon arising from improper sexual conduct. NIAC does not contest that 16 Narconon employees engaged in “improper sexual conduct” when they entered into sexual 17 relationships with their patient, Ms. Landmeier. See Okla. Admin. Code § 86:11-3-5 (providing 18 that counselors “shall not have any type of sexual contact with clients and shall not counsel 19 persons with whom they have had a sexual relationship”). Rather, Narconon contends that “[t]he 20 basis for liability against [Narconon] is its failure to provide the drug rehabilitation services as 21 promised.” Id. at 24. That is an incomplete description of the complaint. As Narconon 22 acknowledges, the complaint pleads claims that Narconon was negligent in the hiring, training, or 23 supervision of its employees, that Narconon failed to comply with federal and state law, and that 24 Narconon’s negligence caused Ms. Landmeier’s injuries. Evans Decl., Ex. M ¶¶ 21–23. The 25 complaint further asserts claims for infliction of emotional distress based on Narconon’s 26 outrageous conduct. Id. ¶¶ 32–34. Such claims appear to reference or encompass Ms. 27 28 Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 17 1 Landmeier’s allegations about Narconon’s improperly allowing its employees to enter into sexual 2 relationships with her. Id. ¶ 16. And Ms. Landmeier’s injuries are sufficiently tied to the sexual 3 conduct under the permissive standard associated with use of the phrase “arising from.” Indeed, 4 when Narconon tendered the Landmeier action to NIAC, NIAC initially accepted the defense 5 under the Improper Sexual Conduct Coverage Form. Evans Decl. ¶ 68. Therefore, the complaint 6 in the Landmeier action raises the potential for coverage of claims for “‘bodily injury’ arising 7 from ‘improper sexual conduct.’” 8 Second, NIAC does not supply a sound legal basis for concluding that its Improper Sexual 9 Conduct coverage is in excess to Western World’s policy. NIAC’s policy provides that Improper Sexual Conduct coverage is “excess” only when there is other applicable insurance written on a 11 United States District Court Northern District of California 10 claims-made basis, NIAC Policy at 72, a condition which NIAC does not argue is satisfied. To 12 get around this fact, NIAC argues that Western World’s coverage has the greater primacy, but 13 NIAC’s sole cited authority, Interstate Fire & Casualty Insurance Co. v. Cleveland Wrecking Co., 14 105 Cal. Rptr. 3d 606, 623 (Ct. App. 2010), is off-point. That case involved an insurer who had 15 already paid for its insured’s loss and, standing in the insured’s place, sought subrogation to the 16 insured’s express contractual indemnification claims against a party who had caused the loss. 17 Here, in contrast, one insurer (Western World) has brought an equitable contribution action 18 against another insurer (NIAC) where no indemnity determination has been made.2 Such disputes 19 are controlled “by general principles governing the interpretation and enforcement of ‘other 20 insurance’ clauses between insurers.” Travelers Cas. & Sur. Co. v. Am. Equity Ins. Co., 113 Cal. 21 Rptr. 2d 613, 624 (Ct App. 2001). Both NIAC’s Policy and California law generally call for 22 contributions on a pro rata basis when two policies provide overlapping coverage. See NIAC 23 24 25 26 27 28 2 It is not even clear that the licensing agreement between Narconon and Narconon of Oklahoma would provide for indemnity in these circumstances, as improper sexual conduct does not “relate to or arise from any of the services . . . associated with [Narconon’s trademarks],” Evans Decl., Ex. N at 361, Dkt. No. 32-6, since improper sexual conduct is not even arguably a part of the drug rehabilitation program. Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 18 1 Policy at 72; Dart Indus., Inc. v. Commercial Union Ins. Co., 52 P.3d 79, 93 (Cal. 2002). Nor does NIAC offer any legal support for the proposition that it may refuse to defend 2 3 Narconon and apply the limits in the Improper Sexual Conduct Coverage Form toward a 4 settlement or judgment in the Landmeier action because it is “in [Narconon’s] best interest.” 5 Cross Mot. at 25. Putting aside that Narconon’s interests might be best served by a successful 6 defense that completely shields it from any liability, NIAC’s argument again rests on the mistaken 7 premise that Western World’s coverage is primary. Specifically, NIAC asserts that its Improper 8 Sexual Conduct coverage is specialized, whereas Western World’s coverage arises from its 9 general duty to defend under its Commercial General Liability Coverage Form. Id. However, this Court has already concluded that NIAC also owes a duty to defend under the NIAC Commercial 11 United States District Court Northern District of California 10 General Liability Coverage Form. NIAC itself admits in its Reply that its argument assumes that 12 the NIAC Commercial General Liability Coverage Form does not apply. Reply at 15. With no 13 other offered legal authority supporting the proposition that NIAC’s Improper Sexual Conduct 14 coverage is in excess to Western World’s coverage, NIAC’s arguments fail. Accordingly, the Court GRANTS Western World’s motion for summary judgment with 15 16 respect to the Improper Sexual Conduct Coverage Form and DENIES NIAC’s motion for 17 summary judgment with respect to the Improper Sexual Conduct Coverage Form. 18 V. 19 CONCLUSION For the foregoing reasons, the Court concludes that NIAC owes a duty to defend the 20 Desmond action and the Landmeier action under the Commercial Liability Coverage Form and 21 that NIAC also owes a duty to defend the Landmeier action under the Improper Sexual Conduct 22 Coverage Form. However, the Court concludes that NIAC does not owe a duty to defend either 23 the Desmond action or the Landmeier action under the Liquor Liability Coverage Form. 24 Therefore, Western World’s motion for summary judgment is GRANTED in part and DENIED in 25 part, and NIAC’s motion for summary judgment is GRANTED in part and DENIED in part. 26 27 28 In its summary judgment motion, Western World also asks the Court to determine the sum Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 19 1 that NIAC owes for its failure to defend. Mot. at 22–24. Because of the dearth of briefing, the 2 Court cannot make a determination on this issue at this stage. Within two weeks of the filing of 3 this order, the parties shall file a joint supplemental statement that lays out each party’s position on 4 how the Court should proceed. 5 6 7 8 9 IT IS SO ORDERED. Dated: January 9, 2018 ______________________________________ EDWARD J. DAVILA United States District Judge 10 United States District Court Northern District of California 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 Case No.: 14-CV-04466-EJD ORDER RE: CROSS MOTIONS FOR SUMMARY JUDGMENT 20

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