Metropolitan Property & Casualty Ins Co v. Sisbarro
Filing
49
ORDER. As set forth herein, Plaintiff's 35 48 Motions for Summary Judgment and Default Judgment are GRANTED. The Clerk is directed to enter judgment and close this case. Signed by Judge Michael P. Shea on 3/2/15. (Khan, J)
UNITED STATES DISTRICT COURT
DISTRICT OF CONNECTICUT
METROPOLITAN PROPERTY & CASUALTY
INSURANCE CO.,
Plaintiff,
No. 3:13-cv-537 (MPS)
v.
WILLIAM SISBARRO, JR. et al.,
Defendants.
MEMORANDUM OF DECISION
I.
Introduction
Plaintiff Metropolitan Property and Casualty Insurance Company (―Metropolitan‖) seeks
a declaratory judgment that the defendant, William Sisbarro, Jr. (―Mr. Sisbarro‖),1 is not an
insured on two policies issued to Mr. Sisbarro‘s parents, and as such, Metropolitan has no duty to
defend or indemnify Mr. Sisbarro in connection with any claims and/or lawsuits arising from his
May 2012 car accident. Intervening defendant and counterclaim-plaintiff Christopher Sheppard,
II (―Mr. Sheppard‖) seeks a declaration finding the opposite. Because I find the language of the
underlying policies unambiguously demonstrates that Mr. Sisbarro was not an ―insured‖ for the
purpose of claims arising out of the May 2012 accident and that Metropolitan therefore has no
duty to defend or indemnify him, I GRANT Metropolitan‘s motions for summary judgment and
default judgment.
II. Facts
The parties do not dispute the facts underlying this action. Mr. Sisbarro‘s parents,
William Sisbarro and Marian Sisbarro, were named insureds on a Metropolitan Auto Insurance
1
Mr. Sisbarro has not appeared in this action. This Court entered default against him (ECF No. 47), and
Metropolitan has now moved for default judgment. (ECF No. 48.)
1
Policy (the ―Policy‖) and Personal Excess Liability Policy (―PELP‖).2 (Pl.‘s SOF ¶ 2.) The
policies‘ Declarations list Mr. Sisbarro as a household driver. (Pl.‘s MSJ, Exs. A, B.) On May
13, 2012—a period during which the policies were in place and Mr. Sisbarro resided with his
parents—he was involved in an accident while operating a 1996 Chevrolet pick-up truck owned
by him and insured by Progressive Insurance Company. (Pl.‘s SOF ¶ 4.) Mr. Sheppard was a
passenger in Mr. Sisbarro‘s vehicle, along with Tyler D‘Amaro and Dave Conway. 3 (Id. ¶¶ 5,
6.) Progressive paid $20,000 to Mr. Sheppard and $10,000 each to Messrs. D‘Amaro and
Conway, thereby exhausting the coverage under Mr. Sisbarro‘s policy. (Id. ¶ 7.)
Metropolitan admits that it initially advised Mr. Sheppard‘s counsel that it would provide
coverage and requested Mr. Sheppard‘s medical records and related documents. It also admits
that it erroneously made payments to Messrs. D‘Amaro and Conway and only refused to pay Mr.
Sheppard after realizing that its policies do not actually cover claims arising out of Mr.
Sisbarro‘s May 2012 accident. (See Pl.‘s MSJ, at 10.) After Metropolitan filed this action, Mr.
Sheppard filed suit against Mr. Sisbarro, whom Metropolitan is defending under a reservation of
rights. (Pl.‘s SOF ¶ 9.) Neither party has submitted any evidence that judgment has been
entered in Mr. Sheppard‘s underlying case.
III. Legal Standards
Under the Declaratory Judgment Act, ―[i]n a case of actual controversy within its
jurisdiction . . . any court of the United States . . . may declare the rights and other legal relations
2
To the extent Mr. Sheppard argues I should not exercise jurisdiction over this case because William and Marian
Sisbarro are indispensable parties not named in this proceeding, he is incorrect. There is no evidence that either of
them ―claims an interest relating to the subject of the action,‖ Fed. R. Civ. P. 19(a)(1)(B), was involved in the May
2012 accident, or was sued in the underlying action. Nor does their absence prevent the Court from affording relief
among the existing parties. Fed. R. Civ. P. 19(a)(1)(A). Nor have the existing parties raised any question as to
Metropolitan‘s coverage obligations to them.
3
Messrs. D‘Amaro and Conway are not parties to this case.
2
of any interested party seeking such declaration, whether or not further relief is or could be
sought.‖ 28 U.S.C. § 2201(a). Because Metropolitan is defending a pending underlying action
under a reservation of rights, there is an ―actual controversy‖ within the Court‘s jurisdiction.
Summary judgment is appropriate when the ―movant shows that there is no genuine
dispute as to any material fact and the movant is entitled to judgment as a matter of law.‖ Fed.
R. Civ. P. 56(a). ―A dispute regarding a material fact is genuine if the evidence is such that a
reasonable jury could return a verdict for the nonmoving party.‖ Williams v. Utica Coll. of
Syracuse Univ., 453 F.3d 112, 116 (2d Cir. 2006) (quotation marks omitted). The moving party
bears the burden of demonstrating that no genuine issue exists as to any material fact, Celotex
Corp. v. Catrett, 477 U.S. 317, 323–25 (1986), and the Court must resolve all ambiguities and
draw all inferences in favor of the nonmoving party. Holcomb v. Iona Coll., 521 F.3d 130, 137
(2d Cir. 2008). If the moving party carries its burden, ―the opposing party must come forward
with specific evidence demonstrating the existence of a genuine dispute of material fact.‖ Brown
v. Eli Lilly & Co., 654 F.3d 347, 358 (2d Cir. 2011).
IV. Discussion
A. Metropolitan has no duty to defend or indemnify Mr. Sisbarro for claims
arising out of the May 2012 accident.
―In determining whether a claim falls within the scope of an insurance policy, the
Supreme Court of Connecticut construes broad policy language in favor of imposing a duty to
defend on the insurer, and requires a defense [i]f an allegation of the complaint falls even
possibly within the coverage.‖ Ryan v. Nat’l Union Fire Ins. Co., 692 F.3d 162, 167 (2d Cir.
2012) (internal quotation marks and citation omitted) (emphasis in original).
―It is the function of the court to construe the provisions of the insurance contract and, if
no material facts are at issue, the question of whether coverage exists is a question of law[.]‖
3
Peerless Ins. Co. v. Disla, 999 F. Supp. 261, 263 (D. Conn. 1988). ―An insurance policy is to be
interpreted by the same general principles that govern the construction of any written contract . .
. . [T]he determinative question is the intent of the parties . . . . If the terms of the policy are clear
and unambiguous, then the language, from which the intention of the parties is to be deduced,
must be accorded its natural and ordinary meaning.‖ Lexington Ins. Co. v. Lexington Healthcare
Grp., Inc., 311 Conn. 29, 38 (2014) (quoting Johnson v. Connecticut Ins. Guar. Ass’n, 302 Conn.
639, 643 (2011)).
―In determining whether the terms of an insurance policy are clear and unambiguous, [a]
court will not torture words to import ambiguity where the ordinary meaning leaves no room for
ambiguity . . . . Similarly, any ambiguity in a contract must emanate from the language used in
the contract rather than from one party‘s subjective perception of the terms. . . . As with contracts
generally, a provision in an insurance policy is ambiguous when it is reasonably susceptible to
more than one reading.‖ Id.
Mr. Sheppard cites no language in the policies that he deems ambiguous. Rather, he
argues that the policies are ambiguous because Metropolitan initially believed there was
coverage. Yet a plain reading of the policies demonstrates that the policies unambiguously do
not cover claims arising out of the May 2012 accident. The policies provide coverage for three
types of vehicles: (1) covered automobiles, (2) non-owned automobiles, and (3) substitute
automobiles. (Pl.‘s MSJ, Ex. A, 2-3.) As discussed below, because Mr. Sisbarro‘s 1996 Chevy
does not fall under any of these definitions, Metropolitan does not have to defend or indemnify
him for claims arising out of the May 2012 accident.
The Policy lists Mr. Sisbarro‘s parents as named insureds and Mr. Sisbarro as a
household driver. (Pl.‘s MSJ, Ex. A.) The Policy defines ―you‖ as Mr. Sisbarro‘s parents, and
4
―relative‖ as any person related to his parents by blood, marriage, or adoption and who resides in
their household. (Id. at 1-2.) Mr. Sisbarro, related by blood to his parents and residing in their
house at the time of the accident, was a ―relative‖ within the meaning of the Policy at that time.
(Pl.‘s MSJ, Ex. C, 11:4-6.)
Under the ―Coverage Provided‖ provision, the Policy states:
COVERAGE PROVIDED
We will pay damages for bodily injury and property damage to
others for which the law holds an insured responsible because of
an accident which results from the ownership, maintenance or use
of a covered automobile, a non-owned automobile or a trailer
while being used with a covered automobile or non-owned
automobile. We will defend the insured, at our expense with
attorneys of our choice, against any suit or claim seeking these
damages. We may investigate, negotiate or settle any such suit or
claim.
(Pl.‘s MSJ, Ex. A, at 3) (emphasis in original). The Policy defines a ―covered automobile‖ as
1. any motor vehicle described in the Declarations.
2. an automobile newly acquired by you, if:
a. it replaces a vehicle described in the Declarations; or
b. it is an additional automobile, but only if:
i. we insure all other automobiles owned by you on
the date of acquisition;
ii. you notify us within 30 days of acquisition of
your election to make this and no other policy
issued by us applicable to the automobile; and
iii. you pay any additional premiums required by us.
3. a substitute automobile.
(Id. at 2, Endorsement CT702) (emphasis in original). Mr. Sisbarro‘s 1996 Chevy does not
satisfy the first prong because the car was not listed in the Declarations. It does not satisfy the
second prong because there is no evidence that Mr. Sisbarro‘s 1996 Chevy was newly acquired
by Mr. Sisbarro‘s parents to replace a vehicle listed in the Declarations, or that the car was an
additional automobile as to which Mr. Sisbarro‘s parents notified Metropolitan and paid an
5
additional premium.
In addition, Mr. Sisbarro‘s 1996 Chevy was not a ―substitute automobile,‖ which the
Policy defines as ―a motor vehicle not owned by you or any resident of the same household and
which is used with the owner‘s permission to replace for a short time a covered automobile. The
covered automobile has to be out of use for servicing or repair or because of breakdown, loss or
destruction.‖ (Id. at 3.) Because Mr. Sisbarro owned his 1996 Chevy and resided at his parents‘
household at the time of the accident, his car was not a ―substitute automobile.‖
Nor is Mr. Sisbarro‘s 1996 Chevy a ―non-owned automobile.‖ The Policy defines a nonowned automobile as ―an automobile which is not owned by, furnished to, or made available for
regular use to you or any resident in your household.‖ (Id.) Because at the time of the accident
Mr. Sisbarro was a resident of his parents‘ household and owned the 1996 Chevy he kept at his
parents‘ house, his car would not fall under this definition. (Pl.‘s MSJ, Ex. C, 11:4-6, 22:3-18.)
And although ―[a]n automobile owned by, furnished to, or made available for regular use to any
resident in your household, is considered a non-owned automobile when used by you,‖ this
exception does not apply because it is undisputed that Mr. Sisbarro—not his parents, defined as
―you‖—was driving his 1996 Chevy at the time of the accident. (Pl.‘s MSJ, Ex. A, at 3.)
Finally, while a non-owned automobile also includes ―a commercially rented automobile, or
truck which has a Gross Vehicle Weight Rating of under 26,000 lbs., used by you or a relative on
a temporary basis,‖ (see id., Endorsement CT702), this provision does not apply to Mr.
Sisbarro‘s vehicle because the undisputed evidence demonstrates he owned, and did not
commercially rent, his 1996 Chevy, and there is no evidence he used it on a temporary basis.
(Pl.‘s MSJ, Ex. C, 6:17-24.) His car is therefore not a ―non-owned automobile.‖
In sum, Mr. Sisbarro‘s 1996 Chevy does not fall into any of the categories of vehicles for
6
which Metropolitan provides coverage.
Because the accident did not ―result[] from the
ownership, maintenance or use of a covered automobile, a non-owned automobile, or a trailer
while being used with a covered automobile or non-owned automobile,‖ Metropolitan has no
obligation to ―pay damages‖ under the Policy. In addition, because the duty to defend applies
only to ―any suit or claim seeking these damages,‖ i.e., damages for which an insured becomes
legally responsible ―because of an accident which results from the ownership, maintenance or
use of a covered automobile‖ or a ―non-owned automobile,‖ Metropolitan has no duty to defend
Mr. Sisbarro.
Further, because the Policy contemplates that one can be an ―insured‖ only with respect
to a covered vehicle or a non-owned vehicle,4 and because no such vehicle is involved here, Mr.
Sisbarro is not an ―insured.‖
Finally, the PELP states that it does not provide coverage for injury arising out of the
ownership, maintenance, or use of any vehicle unless used by an insured and covered by the
underlying Policy. (Pl.‘s MSJ, Ex. B, at 2.) The underlying Policy does not provide coverage,
and so neither does the PELP.
Mr. Sisbarro is therefore not an ―insured‖ under the policies and
Metropolitan has no duty to defend or indemnify Mr. Sisbarro for the claims arising out of his
4
Specifically, the definition of an ―insured‖ states:
―INSURED‖ means:
1. with respect to a covered automobile:
a. you;
b. any relative; or
c. any other person using it within the scope of your permission.
2. with respect to a non-owned automobile, you or any relative. The operation or use of such vehicle must
have been with the permission of, or reasonably believed to have been with the permission of, the owner.
The operation or use must also have been within the scope of the permission given.
3. any other person or organization if liable due to the acts or omissions of any person described in 1. or 2.
above. This provision does not apply:
a. if the vehicle is a non-owned automobile owned or hired by the person or organization.
b. to the United States of America or any of its agents.
(Pl.‘s MSJ, Ex. A, at 2, Endorsement CT702) (emphasis in original).
7
May 2012 accident.5
B. Mr. Sheppard’s Remaining Arguments Lack Merit
Mr. Sheppard raises a number of arguments by which he seeks to create coverage for Mr.
Sisbarro, regardless of the policies‘ language. These arguments fail, however, because they are
unavailable to one who, like Mr. Sheppard, is neither an insured nor someone standing in the
shoes of an insured. First, Mr. Sheppard cannot properly bring these claims because there is no
evidence that a final judgment has been entered against Mr. Sisbarro.
Under Connecticut
General Statutes § 38a-321,6 a judgment creditor may step into the shoes of the insured to bring a
direct action against an insurer. Because Mr. Sheppard is not a judgment creditor subrogated to
enforce Mr. Sisbarro‘s rights against Metropolitan, he may not invoke this statute. See Carford
5
As discussed, Mr. Sheppard does not argue that any specific sections in the policies provide coverage or are
ambiguous. He also does not argue that he is a third party beneficiary entitled to payment from Metropolitan under
the ―Automobile Medical Expense‖ section or the ―Uninsured and Underinsured Motorists‖ sections. I therefore do
not address the language in those sections.
6
This section states:
Each insurance company which issues a policy to any person, firm or
corporation, insuring against loss or damage on account of the bodily injury or
death by accident of any person, or damage to the property of any person, for
which loss or damage such person, firm or corporation is legally responsible,
shall, whenever a loss occurs under such policy, become absolutely liable, and
the payment of such loss shall not depend upon the satisfaction by the assured of
a final judgment against him for loss, damage or death occasioned by such
casualty. No such contract of insurance shall be cancelled or annulled by any
agreement between the insurance company and the assured after the assured has
become responsible for such loss or damage, and any such cancellation or
annulment shall be void. Upon the recovery of a final judgment against any
person, firm or corporation by any person, including administrators or executors,
for loss or damage on account of bodily injury or death or damage to property, if
the defendant in such action was insured against such loss or damage at the time
when the right of action arose and if such judgment is not satisfied within thirty
days after the date when it was rendered, such judgment creditor shall be
subrogated to all the rights of the defendant and shall have a right of action
against the insurer to the same extent that the defendant in such action could
have enforced his claim against such insurer had such defendant paid such
judgment.
Conn. Gen. Stat. § 38a-321.
8
v. Empire Fire & Marine Ins. Co., 94 Conn. App. 41, 46 (2006) (―A third party claimant is
subrogated to the rights of the insured, and is entitled to bring an action against an insurance
company, only after judgment.‖) (emphasis in original).7 Thus, even if Mr. Sisbarro were an
insured—and I have already determined that he is not—Mr. Sheppard could not step into his
shoes and assert defenses that might be available to an insured.
Although Mr. Sheppard argues that ―exceptions to the general rule that a third party may
not bring a direct action against the insured until a judgment has been obtained should be carved
out when the insurance company engages in affirmative advice or engages in direct and
offending conduct,‖ he cites no authority for this notion. (Opp. to MSJ, at 13.) Requiring an
insurer to defend or indemnify a non-insured party, solely because a third party who is not a third
party beneficiary, subrogee, or judgment creditor, seeks such a result, would grossly expand
insurers‘ liability. For this and the other reasons explained below, Mr. Sheppard‘s remaining
arguments fail.
1. CUTPA/CUIPA
Mr. Sheppard argues that Metropolitan violated CUIPA‘s unfair claim settlement
practices section, Conn. Gen. Stat. § 38a-816(6), by misrepresenting whether coverage was
available and failing to implement adequate investigation standards. ―[A] plaintiff may assert a
private cause of action based on a substantive violation of CUIPA through CUTPA‘s
enforcement provision.‖ Tucker v. Am. Int’l Grp., Inc., 3:09-cv-1499, 2015 WL 403195, at *22
(D. Conn. Jan. 28, 2015). However, a third party to the insurance contract, like Mr. Sheppard,
may not bring such a claim absent subrogation or a judicial determination that the insured faces
7
In his Answer, Mr. Sheppard raises an affirmative defense under Conn. Gen. Stat. § 38a-323b. (ECF No. 11-1.)
Metropolitan briefed the issue in its Motion for Summary Judgment, but Mr. Sheppard did not address it in his
opposition brief. I therefore deem it waived. See Taylor v. City of New York, 269 F. Supp. 2d 68, 75 (E.D.N.Y.
2003) (―Federal courts may deem a claim abandoned when a party moves for summary judgment on one ground and
the party opposing summary judgment fails to address the argument in any way.‖).
9
liability. See Carford, 94 Conn. App. at 53 (―We do conclude that the right to assert a private
cause of action for CUIPA violations through CUTPA does not extend to third parties absent
subrogation or a judicial determination of the insured‘s liability. To hold otherwise would create
confusion, increased and multiple litigation both generally and within specific cases, the
potential coercion of settlements when the insured‘s liability has not been and may never be
established, and an inherent conflict of interest.‖). Mr. Sheppard is not a subrogee and there has
been no determination of an insured‘s liability. Mr. Sheppard‘s CUIPA claim therefore fails.
2. Laches
Mr. Sheppard argues that laches bars Metropolitan from denying coverage, citing the
Connecticut Appellate Court‘s decision in Caminis v. Troy. ―The defense of laches, if proven,
bars a [party] from seeking equitable relief. . . . First, there must have been a delay that was
inexcusable, and, second, that delay must have prejudiced the [opposing party]. . . . The burden
is on the party alleging laches to establish that defense. . . . The mere lapse of time does not
constitute laches . . . unless it results in prejudice to the [opposing party] . . . as where, for
example, the [opposing party] is led to change his position with respect to the matter in
question.‖ Caminis v. Troy, 112 Conn. App. 546, 552 (2009) (citations and internal quotation
marks omitted), aff’d on other grounds, 300 Conn. 297, 12 A.3d 984 (2011).
As an initial matter, the Caminis court permitted a laches defense only after finding that
the underlying action—a declaratory action seeking a littoral boundary—sounded in equity. Id.
at 556 (―[B]ecause the request for a declaratory judgment in this case is based on an underlying
claim that sounds in equity and is subject to laches, the declaratory action is likewise subject to
the same defense.‖). Further, ―[c]ourts have routinely referred to laches as an equitable defense,
that is, a defense to equitable remedies but not a defense available to bar a claim of legal relief.‖
10
Id. at 557 (quoting reference omitted). The underlying claim here—whether Mr. Sisbarro is an
―insured‖ such that Metropolitan is required to defend or indemnify him—is a claim sounding
not in equity but in law. See, e.g., Memorial Hosp. for Cancer & Allied Diseases v. Empire Blue
Cross & Blue Shield, 93-cv-6682, 1994 WL 132151, at *6 (S.D.N.Y. April 12, 1994) (explaining
that declaratory judgment counterclaim seeking a determination of defendant‘s rights and
obligations under ERISA-covered plan ―is basically one of contract interpretation [which] is a
legal claim, not an equitable claim[.]‖). Laches is therefore not a proper defense.
Even if Mr. Sheppard could raise laches in these circumstances, his claim would fail for
lack of prejudice. Mr. Sheppard argues he suffered ―prejudice‖ because he forwarded a victim‘s
statement to the Office of the State Attorney in connection with a criminal prosecution brought
by the State against Mr. Sisbarro when Mr. Sheppard thought Metropolitan would provide
coverage under the Policy. (See Opp. to MSJ, Ex. 23.) Yet Mr. Sheppard‘s opposition brief and
summary judgment record are silent as to what prejudicial effect the letter might have had on
him. Given the sparse language of the letter8 and Mr. Sheppard‘s failure to provide evidence of
any actual prejudice he suffered as a result of the letter, his laches argument fails.
3. Waiver and Estoppel
Next, Mr. Sheppard argues that Metropolitan should be estopped from denying Mr.
Sisbarro coverage, and separately, that Metropolitan has waived its right to deny Mr. Sisbarro
coverage. ―[E]stoppel always requires proof of two essential elements: the party against whom
8
In full, the letter states:
To whom it may concern:
Please be advised that I represent Mr. Christopher Sheppard, a passenger injured
in the car driven by Mr. Sisbarro. We are requesting that you give Mr. Sisbarro
whatever consideration possible with respect to the criminal charges.
(Opp. to MSJ, Ex. 16.)
11
estoppel is claimed must do or say something calculated or intended to induce another party to
believe that certain facts exist and to act on that belief; and the other party must change its
position in reliance on those facts, thereby incurring some injury.‖ Union Carbide Corp. v. City
of Danbury, 257 Conn. 865, 873 (2001) (quoting reference omitted). ―Waiver is ‗the intentional
relinquishment or abandonment of a known right or privilege.‘‖ Rosado v. Bridgeport Roman
Catholic Diocesan Corp., 292 Conn. 1, 58 (2009) (quoting reference omitted).
Both of these doctrines are inapplicable in the insurance coverage context when there is
no coverage under the applicable policy. See Tucker, 2015 WL 403195, at *18 (rejecting
plaintiff‘s waiver and estoppel arguments after finding insurance policy did not provide coverage
because ―it is well established that waiver and estoppel ‗are not available to broaden the
coverage of a policy so as to protect the insured against risks not included therein or expressly
excluded therefrom. The theory underlying this rule seems to be that the company should not be
required by waiver and estoppel to pay a loss for which it charged no premium, and the principle
has been announced in scores of cases involving almost every conceivable type of policy or
coverage provision thereof.‘‖) (quoting 1 A.L.R. 3d 1139, at § 2[a]). Mr. Sheppard cannot use
estoppel or waiver to create coverage when it does not otherwise exist.9
4. Bad Faith
Finally, Mr. Sheppard argues that Metropolitan‘s actions constitute ―bad faith‖ and
preclude it from denying Mr. Sisbarro coverage. ―[I]t is axiomatic that the . . . duty of good faith
and fair dealing is a covenant implied into a contract or a contractual relationship. . . . To
constitute a breach of [the implied covenant of good faith and fair dealing], the acts by which a
defendant allegedly impedes the plaintiff‘s right to receive benefits that he or she reasonably
9
In any event, Mr. Sheppard has failed to provide evidence that Metropolitan‘s initial coverage determination was
intentional and not a mistake, or that he was actually prejudiced by Metropolitan‘s actions.
12
expected to receive under the contract must have been taken in bad faith. . . . Bad faith in general
implies both actual or constructive fraud, or a design to mislead or deceive another, or a neglect
or refusal to fulfill some duty or some contractual obligation, not prompted by an honest mistake
as to one‘s rights or duties, but by some interested or sinister motive. . . . Bad faith means more
than mere negligence; it involves a dishonest purpose.‖ Capstone Bldg. Corp. v. Am. Motorists
Ins. Co., 308 Conn. 760, 795 (2013) (quoting De La Concha of Hartford, Inc. v. Aetna Life Ins.
Co., 269 Conn. 424, 432–33 (2004)).
Given the contractual nature of this right, ―[a] bad faith cause of action not tied to duties
under the insurance policy must therefore fail as a matter of law.‖ Id. at 797. Thus, even if Mr.
Sheppard was the appropriate party to bring a bad faith claim—which he is not, as he is not a
party to the insurance contract—his bad faith claim fails because it is not tied to the underlying
policies, as Metropolitan does not have to provide coverage for Mr. Sisbarro for claims arising
out of the May 2012 accident.
See Tucker, 2015 WL 403195, at *20 (granting summary
judgment against plaintiff‘s bad faith claim after finding insurance contract did not provide
coverage because the insurance company ―cannot be liable for lack of payment on a claim not
covered by the policy so there has been no substantive bad faith.‖); see also Chorches v. Stewart
Title Guar. Co., 13-cv-1182, 2014 WL 4494240, at *5 (D. Conn. Sept. 10, 2014) (―Because
plaintiff‘s contract claim fails, so too does his claim of bad faith denial of coverage.‖).10
To the extent Mr. Sheppard raises a separate procedural bad faith claim arising out of
Metropolitan‘s coverage investigation, even assuming, arguendo, he were the proper party to
bring such a claim, the Connecticut Supreme Court has recently made clear that, as in ―the
10
Mr. Sisbarro‘s bad faith claim would also fail because it may not be ―prompted by an honest mistake as to one‘s
rights or duties, but by some interested or sinister motive,‖ and Mr. Sisbarro has provided no evidence of the latter.
Capstone, 308 Conn. at 795.
13
majority of jurisdictions to consider the matter,‖ Connecticut ―would also disallow independent
actions for bad faith investigation.‖ Capstone, 308 Conn. at 799. There must be a violation of
―express duties‖ under the contract for a party to maintain a bad faith cause of action—i.e., a
substantive bad faith claim—so ―[u]nless the alleged failure to investigate led to the denial of a
contractually mandated benefit,‖ a plaintiff has ―not raised a viable bad faith claim.‖ Id. at 796.
Mr. Sheppard‘s bad faith claims thus fail as a matter of law.11
V. Motion for Default Judgment
Metropolitan has also filed a Motion for Default Judgment against Mr. Sisbarro,
following this Court‘s entry of default against him. Despite Mr. Sisbarro‘s default, I still have an
obligation to construe the policies to determine whether they provide coverage. See Finkel v.
Romanowicz, 577 F.3d 79, 84 (2d Cir. 2009) (explaining that on a motion for default judgment
following a defendant‘s default, ―a court is required to accept all of the [plaintiff‘s] factual
allegations as true and draw all reasonable inferences in its favor, but it is also required to
determine whether the [plaintiff‘s] allegations establish . . . liability as a matter of law.‖)
(internal citing reference omitted). Because I have determined that the policies do not require
Metropolitan to defend or indemnify Mr. Sisbarro for claims arising out of the May 2012
11
Mr. Sheppard cites Tucker v. American International Group, Inc., 9-cv-1499, 2011 WL 6020851 (D. Conn. Dec.
2, 2011) to support his argument that Connecticut law permits a procedural bad faith claim. However, the court in
Tucker issued a later opinion that directly reversed its prior reasoning. Specifically, in its later decision the court
granted defendants summary judgment as to plaintiff‘s procedural bad faith claim, stating:
In an earlier Ruling in this case, I noted that the Connecticut Supreme Court had
―not yet spoken on the issue of an independent tort of ‗procedural bad faith,‖ but
this Court had predicted in at least one case that the Connecticut Supreme Court
would not limit the tort of bad faith in the insurance context to claims of
unreasonable or wrongful denial of claims. However, in light of the Connecticut
Supreme Court‘s subsequent ruling in Capstone Building Corporation v.
American Motorists Insurance Company, 308 Conn. 760, 793–803 (2013), it is
now clear that Connecticut will not recognize an independent tort of ―procedural
bad faith‖ in the insurance context.
Tucker, 2015 WL 403195, at *28 (internal citation omitted).
14
accident, I GRANT Metropolitan‘s Motion for Default Judgment.
VI. Conclusion
For the reasons above, Metropolitan‘s Motions for Summary Judgment and Default
Judgment are GRANTED. The Clerk is directed to enter judgment and close this case.
IT IS SO ORDERED.
/s/
Michael P. Shea, U.S.D.J.
Dated:
Hartford, Connecticut
March 2, 2015
15
Disclaimer: Justia Dockets & Filings provides public litigation records from the federal appellate and district courts. These filings and docket sheets should not be considered findings of fact or liability, nor do they necessarily reflect the view of Justia.
Why Is My Information Online?