RSUI Indemnity Company v. New Horizon Kids Quest, Inc. et al
Filing
107
ORDER granting 47 Motion for Partial Summary Judgment; denying 80 Motion for Summary Judgment. (Written Opinion) Signed by Senior Judge Paul A. Magnuson on 8/4/17. (KAT)
UNITED STATES DISTRICT COURT
DISTRICT OF MINNESOTA
RSUI Indemnity Company,
Civ. No. 16-28 (RHK/TNL)
MEMORANDUM OPINION
AND ORDER
Plaintiff,
v.
New Horizon Kids Quest, Inc.,
Defendant.
James Richard Harmon, Jo Allison Stasney, Thompson, Coe, Cousins & Irons LLP,
Dallas, Texas, James S. Reece, Reece Law LLC, Minneapolis, Minnesota, for Plaintiff.
Vernle C. Durocher, Jr., Katie C. Pfeifer, Brian B. Bell, Dorsey & Whitney, LLP,
Minneapolis, Minnesota, for Defendant.
INTRODUCTION
In this insurance-coverage action, Plaintiff RSUI Indemnity Company (“RSUI”)
seeks a judgment declaring it need not indemnify its insured, Defendant New Horizon
Kids Quest, Inc. (“New Horizon”), for damages resulting from an incident at a child-care
facility New Horizon operated. Presently before the Court are the parties’ cross-Motions
for Summary Judgment. For the reasons that follow, the Court will grant New Horizon’s
Motion and deny RSUI’s Motion.
BACKGROUND
The relevant facts are undisputed. New Horizon operates a child-care facility,
Kids Quest, located in the Grand Casino Mille Lacs in Onamia, Minnesota. (Doc. No. 46
(hereafter “Stip.”) ¶ 3.) 1 At the relevant time, it held primary liability insurance through
Travelers Property Casualty Company of America (“Travelers”) and a Commercial
Excess Liability Policy (the “Policy”) issued by RSUI. (Id. ¶ 1.) Under the Policy, RSUI
agreed to pay “those sums[] in excess of” the limits of New Horizon’s primary coverage
through Travelers that New Horizon became “legally obligated to pay as damages
because of injury to which [the Policy] applies.” (Id. Ex. E at 10.) The Policy excluded
from coverage any liability arising out of (i) “the actual or threatened ‘sexual abuse or
molestation’ by anyone” as well as (ii) the negligent supervision “of a person for whom
any insured is or ever was legally responsible and whose conduct would be excluded by”
the sexual-abuse exclusion (the “Exclusion”). (Id. at 11.) The Policy further defined
“sexual abuse or molestation” as the “physical, mental or moral harassment or assault of
a sexual nature against any person.” (Id.) RSUI enjoyed the right to “participate in the
defense of claims or suits against [New Horizon] seeking damages because of injury to
which [the Policy] may apply.” (Id. at 19.)
On January 23, 2008, an incident occurred between two minor children, J.K. and
N.B., while under New Horizon’s supervision at Kids Quest. (Id. ¶¶ 2–3.) J.K. (age 3)
claimed that N.B. (age 9) had assaulted him physically and sexually. (Id.) After the
incident, J.K.’s parent sued New Horizon in the Hennepin County District Court (the
“Underlying Lawsuit”), alleging that New Horizon negligently supervised J.K. and N.B,
resulting in a physical and sexual assault. New Horizon tendered the claim to Travelers
and RSUI, and “RSUI does not dispute that it received timely notice of the claim.” (Id.
1
The parties have stipulated to many of the relevant facts.
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¶¶ 4–5.) Travelers, as New Horizon’s primary insurer, defended it in the Underlying
Lawsuit under a reservation of rights, while RSUI did not communicate its position
regarding coverage under the Policy. (Id. ¶¶ 4, 6.)
The Underlying Lawsuit proceeded to trial in January 2015, where New Horizon
stipulated as follows:
On January 23, 2008, [J.K.], then age 3, was left in the care, custody, and
control of the [New Horizon] drop-in daycare facility . . . located on the
premises of the Grand Casino Mille Lacs. While he was there, [J.K.] was
assaulted by another male child at the daycare center who was 9 years old.
[New Horizon] admits that it owed a duty to [J.K.] and that it was solely
responsible for his supervision, safety and security while he was in [its]
daycare facility. And that it was negligent and failed to fulfill those
obligations to [J.K.] on January 23, 2008.
[New Horizon] has accepted responsibility to pay for all the damages that
the jury in this case finds to be sustained by [J.K.] as a result of the incident
or incidents that occurred while he was at the [New Horizon] facility.
However, [New Horizon] disputes the nature, type, and extent of [J.K.]’s
injuries and the damages arising from the incidents.
(Id. ¶ 8.) Prior to entering this stipulation, a Travelers representative discussed it with
RSUI’s claims representative, John Graham, who “wrote that the strategy made sense to
him.” (Id. ¶ 9.) No RSUI representative participated in the trial, but Travelers provided
RSUI updates. (Id. ¶ 10.) After hearing evidence on J.K.’s damages, on January 30,
2015, a jury awarded over $13 million, an amount that exceeded the limits of New
Horizon’s coverage through Travelers. (Id. ¶ 11.) However, the jury did not—and was
not asked to—specify what portion of the award resulted from a sexual assault, if any.
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Five days after the jury’s verdict, RSUI issued a reservation of rights letter,
providing that the verdict “rendered in [the Underlying Lawsuit] . . . raises serious
coverage issues under the [Policy].” (Id. ¶ 12 & Ex. B.) Specifically, RSUI took the
position that the Underlying Lawsuit “may be barred from coverage by the application of
the . . . Exclusion.” (Id. Ex. B.)
Meanwhile, New Horizon filed a motion for a new trial in the Underlying Lawsuit.
(Id. ¶ 16.) The court granted the motion and, in November 2015, a second trial occurred.
(Id.) Travelers again supplied primary defense counsel, but this time, RSUI played a
more active role; it hired a jury consultant to work with the defense team, and Graham
observed portions of the trial. (Id. ¶¶ 17, 20.) As in the first trial, New Horizon
stipulated to liability and tried only the issue of damages. (Id. ¶ 18.) After hearing the
evidence, the second jury awarded $6,032,585, composed of damages for J.K.’s past and
future healthcare expenses and “pain, disability, embarrassment and emotional distress.”
(Id. ¶ 21.) Once again, the jury did not (and was not asked to) specify what portion of the
award, if any, arose from a sexual assault.
Travelers paid $4,192,350.75 toward the judgment (the limits of New Horizon’s
policy plus interest) (id. ¶ 23), and New Horizon turned to RSUI for the remainder.
RSUI denied coverage, claiming that, “[b]ased upon the evidence presented at trial . . .
and the damages awarded by the jury, the . . . Exclusion likely bars coverage for the
amount of a judgment . . . exceeding the limits of the Travelers policies.” (Id. Ex. C.) It
then commenced this action, seeking a declaration that the Exclusion defeats coverage.
New Horizon has counterclaimed, alleging RSUI breached the Policy and the implied
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covenant of good faith and fair dealing. Both parties now move for summary judgment.
The Motions have been fully briefed and are ripe for disposition.
STANDARD OF DECISION
Summary judgment is proper if, drawing all reasonable inferences in favor of the
nonmoving party, there is no genuine issue of material fact and the moving party is
entitled to judgment as a matter of law. Fed. R. Civ. P. 56(a); Celotex Corp. v. Catrett,
477 U.S. 317, 322–23 (1986). The moving party bears the burden of showing the
material facts in the case are undisputed. Id. at 322; Johnson v. Wheeling Mach. Prod.,
779 F.3d 514, 517 (8th Cir. 2015). The Court must view the evidence, and the inferences
that may be reasonably drawn from it, in the light most favorable to the nonmoving party.
Ryan v. Armstrong, 850 F.3d 419, 424 (8th Cir. 2017); Letterman v. Does, 789 F.3d 856,
858, 861 (8th Cir. 2015). The nonmovant may not rest on allegations or denials, but must
show through the presentation of admissible evidence that specific facts exist creating a
genuine issue for trial. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 256 (1986);
Nationwide Prop. & Cas. Ins. Co. v. Faircloth, 845 F.3d 378, 382 (8th Cir. 2016).
Where the Court confronts cross-motions for summary judgment, this approach is
only slightly modified. When considering RSUI’s Motion, the Court views the record in
the light most favorable to New Horizon, and when considering New Horizon’s Motion,
the Court views the record in the light most favorable to RSUI. “Either way, summary
judgment is proper if the record demonstrates that there is no genuine issue as to any
material fact.” Seaworth v. Messerli, Civ. No. 09-3437, 2010 WL 3613821, at *3 (D.
Minn. Sept. 7, 2010) (Kyle, J.), aff’d, 414 F. App’x 882 (8th Cir. 2011).
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ANALYSIS
The Court begins with the terms of the Policy. Travelers Indem. Co. v.
Bloomington Steel & Supply Co., 718 N.W.2d 888, 894 (Minn. 2006). 2 In Minnesota,
courts apply the plain and ordinary meaning of unambiguous policy terms. Id. The
insured bears the initial burden of proving that a policy covers a certain claim. Id. If it
does so, the burden then shifts to the insurer to demonstrate that the claim falls within a
policy exclusion, thereby defeating coverage. Id. Here, the parties have stipulated that
the Underlying Lawsuit falls within the Policy’s insuring clause and is therefore covered.
(Stip. ¶ 27.) However, RSUI argues—and bears the burden of proving—that the
Exclusion defeats coverage. To succeed, it must put forth evidence that the jury awarded
damages for an actual or threatened sexual abuse, as required by the Exclusion’s express
terms. (Id. Ex. E at 11.)
RSUI simply cannot do so. It has submitted no evidence that the jury determined
sexual abuse had occurred or that one cent of the award was based on such a
determination. As noted, RSUI consented to New Horizon’s stipulation in the
Underlying Lawsuit that an “assault” had occurred. Hence, the jury made no factual
findings regarding the incident between J.K. and N.B., including whether a sexual assault
had taken place. In fact, there is no evidence RSUI or New Horizon even attempted to
put this question before the jury, and neither party has articulated an explanation for this
failure. See NewMech Cos., Inc. v. Transp. Ins. Co., Civ. No. 04-4484, 2006 WL
2
The parties cite Minnesota law in their memoranda and neither has asked the Court to apply a
different state’s law. See BBSerCo, Inc. v. Metrix Co., 324 F.3d 955, 960 n.3 (8th Cir. 2003).
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2632096, at *14 (D. Minn. Sept. 12, 2006) (Frank, J.) (“The Court is troubled by this case
because it was entirely avoidable. The parties are all responsible for the failure to request
that the arbitrators make findings of fact” sufficient to allocate an award.). Instead, they
now turn to this Court to unscramble the egg. In the absence of an allocated award or
jury interrogatory, however, there is no evidence any portion of the award arose from
sexual abuse.
In an attempt to rectify this failure, RSUI cites the trial record from the Underlying
Lawsuit and, in particular, evidence from which the jury may have concluded sexual
abuse had occurred. (Pl.’s Mem. in Supp. 1, 4–6.) But evidence does not equate to a
finding, or an award of damages based upon it. Jurors are free to believe or disbelieve
evidence and make credibility determinations based on their first-hand evaluation of
witness testimony. With no insights into the jury’s method of awarding damages, and no
effort by anyone—including RSUI—to ask the jury to parcel out its award, any
conclusion at this stage that same or all of the damages arose from sexual abuse—
whether by the undersigned or a new jury—would constitute pure and unfettered
speculation. Indeed, RSUI acknowledged as much at oral argument: “[T]rying to go
back now . . . and determine how those damages should be allocated, we just question
whether that’s feasible.” (Hrg. Tr. 9.) 3
3
That acknowledgement was consistent with RSUI’s pre-litigation position, as on two occasions
prior to this lawsuit, it acknowledged it could not determine whether the Exclusion applied: on
February 5, 2015, it wrote New Horizon that the Exclusion “may” bar coverage, and on
December 3, 2015, it wrote that the Exclusion “likely” barred coverage. (Stip. Exs. B-C.)
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The court in TIG Insurance Co. v. Premier Parks, Inc., No. CIV.A.02C04126JRS,
2004 WL 728858 (Del. Super. Ct. Mar. 10, 2004), confronted precisely the same
problem. There, TIG Insurance Company (“TIG”) sought a judgment declaring that its
insured’s failure to obtain an allocated jury award in third-party litigation defeated
coverage. TIG argued, as RSUI does here, that “[b]ecause the jury did not allocate . . .
between covered and non-covered claims, . . . the Court must either conclude that no
coverage is available . . . or, alternatively, must allocate the damages in a manner
consistent with the evidence presented” to that jury. Id. at *1.
The court squarely rejected TIG’s argument: “[T]he Court cannot reasonably be
expected to perform a post-verdict allocation of damages as between covered and noncovered claims when the record provides little, if any, evidence of the jury’s
methodology in reaching its damages awards.” Id. Despite having received records from
the underlying trial, TIG Insurance refused to revisit the jury’s determination of damages
and allocate its award:
The Court has no basis upon which to make a logical assessment of the
jury’s purpose when it awarded lump sum damages. And the Court will not
engage in unguided speculation with respect to this issue, particularly when
the dilemma now confronting TIG is of its own making.
Id. at *8. Because it was undisputed that a portion of the award was covered, and TIG
had no evidence “that the . . . verdict included damages for non-covered acts,” the court
held that the “entire . . . award relates to a covered claim” and “coverage should be
afforded.” Id. This Court finds TIG Insurance persuasive and perceives no reason why a
different result should obtain here.
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RSUI relies upon Remodeling Dimensions, Inc. v. Integrity Mutual Insurance Co.,
819 N.W.2d 602 (Minn. 2012), to support the notion that the Court can now revisit the
jury’s determination in the Underlying Lawsuit. That case involved an insurancecoverage dispute over an unallocated arbitration award. The Minnesota Supreme Court
first reviewed the claims presented to the arbitrator and concluded that “the arbitration
award may be attributable, in whole or in part, to a covered claim.” Id. at 610–613. The
Court then held, under certain conditions, that “both parties may present evidence and the
district court must, as best it can, establish the allocation the arbitrator would have made
if allocation had been requested.” Id. at 618. However, in the undersigned’s view,
Remodeling Dimensions is inapposite because it dealt with an arbitration award rather
than a jury award. District courts commonly review arbitration awards; in fact, such a
review is contemplated by statute. See 9 U.S.C. § 9. Here, however, the parties have not
cited, and the Court has not located, any Minnesota authority for the proposition that a
general jury award is subject to the same type of post hoc allocation. Nor, in the Court’s
view, should one be—jury deliberation and decision-making are sacrosanct, and the
Court possesses no divining rod capable of determining the proportion of damages
awarded on covered versus non-covered claims.
Furthermore, the Court deems it significant that RSUI had abundant opportunity in
the Underlying Lawsuit to flesh out the issue it now relies upon to defeat coverage.
Indeed, the absence of evidence on this question is striking given RSUI’s involvement in
the case. It is undisputed RSUI enjoyed a right under the Policy to participate in the
defense of any claims brought against New Horizon. (Stip. Ex. E at 19.) New Horizon
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timely tendered the Underlying Lawsuit to RSUI (Stip. ¶¶ 5–6), and despite receiving no
coverage determination from RSUI, it provided RSUI a copy of trial counsel’s claim
analysis and information on settlement discussions. (Graham Dep. 69–71, 73, 78–79.)
RSUI consented to stipulate to an “assault.” 4 (Stip. ¶ 9.) Then, after the first jury
awarded over $13 million, far exceeding New Horizon’s coverage through Travelers,
RSUI issued a reservation-of-rights letter expressly raising the issue of the Exclusion.
(See id. Ex. B.) It then took an even larger role in the second trial—it attended a
mediation between J.K. and New Horizon (on its own volition) (Pfeifer Decl. Ex. L),
approved Travelers’s choice of trial counsel (Graham Dep. 129), and hired its own jury
consultant, Adam Boesen (id. 147–159). Boesen aided in preparing jury questionnaires
and voir dire as well as in the selection of jurors. (Boesen Dep. 39–40.) He also attended
the first and second weeks of the second trial, along with Graham. (Id. 46; Graham Dep.
157–158.)
Despite RSUI’s (i) right to participate, (ii) involvement in trial preparation,
(iii) consent to stipulate to an “assault,” (iv) knowledge that a verdict might exceed the
limits of New Horizon’s coverage with Travelers, and (v) awareness that the Exclusion
could apply, it took no steps to discover—and, hence, it has no evidence—whether the
jury concluded that sexual abuse had occurred. This record “darkened by ambiguity,”
TIG Ins. Co., 2004 WL 728858, at *8, compels the conclusion that RSUI cannot now
show the Exclusion bars coverage. See Pharmacists Mut. Ins. Co. v. Myer, 993 A.2d
4
RSUI complains that it “was not provided with the actual language of the stipulation before the
first trial” (Pl.’s Mem. in Opp’n 7), but it cites no evidence that it requested a copy. Instead,
RSUI’s representative, Graham, simply “wrote that the strategy made sense to him.” (Stip. ¶ 9.)
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413, 419 (Vt. 2010) (absent contemporaneous allocation, insurer “cannot meet its burden
to demonstrate that the award was for [claims] entirely excluded from coverage under the
policy”); Liquor Liab. Joint Underwriting Ass’n of Mass. v. Hermitage Ins. Co., 644
N.E.2d 964, 969 (Mass. 1995) (“Hermitage cannot satisfy [its] burden, and any attempt
on its part to do so would be speculative and arbitrary, essentially amounting to an
attempt to determine the particular amount that happened to be in the jur[ors’] mind[s] as
[they] returned the verdict.”) (internal quotations and citations omitted); Butterfield v.
Giuntoli, 670 A.2d 646, 658 (Pa. Super. Ct. 1995) (where insurer “fully participated in
litigation short of entering [its] appearance” but did not “pursue any means available to
[it]” to obtain an allocated verdict, it cannot, as a matter of law, prove that an exclusion
applies).
CONCLUSION
Based on the foregoing, and all the files, records, and proceedings herein, IT IS
ORDERED that New Horizon’s Motion for Partial Summary Judgment (Doc. No. 47) is
GRANTED and RSUI’s Motion for Partial Summary Judgment (Doc. No. 80) is
DENIED.
This should end the matter. However, the parties’ Motion papers do not address
the precise impact of the Court’s determination that the Exclusion is inapplicable. For
example, what becomes of New Horizon’s claim for breach of the implied covenant of
good faith and fair dealing? Accordingly, the parties shall meet and confer regarding
what remains of this matter in light of the Court’s decision, whether judgment should be
entered, and if so, its precise form. The parties shall file written positions with the Court
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regarding these issues, either jointly or separately, by August 17, 2017. This is not an
invitation to reargue the propriety of summary judgment, and no further submissions
(whether by memorandum, letter, affidavit, or otherwise) will be permitted on the matters
addressed herein absent further Order of the Court.
Date: August 4, 2017
s/ Paul A. Magnuson
PAUL A. MAGNUSON
United States District Judge
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