Selective Insurance Company of the Southeast v. RLI Insurance Company
Filing
91
Memorandum of Opinion and Order For the reasons set forth herein, Plaintiff Selective's Motion for Summary Judgment, ECF No. 48 , is granted; Defendant RLI's Motion for Summary Judgment/Motion for Reconsideration, ECF No. 50 , is d enied; Plaintiff Selective's Motion for Reconsideration, ECF No. 57 , is granted; and Defendant RLI's Motion to Strike, ECF No. 59 , is granted. In sum, the trigger issue remains resolved in favor of Selective. RLI was the sole excess insurance carrier when the injury occurred. Accordingly, Selective is entitled to full recovery of the $3.25 million that it contributed to the settlement plus pre-judgment interest. Judge Benita Y. Pearson on 9/21/2016. (JLG)
PEARSON, J.
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF OHIO
EASTERN DIVISION
SELECTIVE INSURANCE COMPANY OF
THE SOUTHEAST,
Plaintiff,
v.
RLI INSURANCE COMPANY,
Defendant.
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CASE NO. 5:12CV02126
JUDGE BENITA Y. PEARSON
MEMORANDUM OF OPINION AND
ORDER [Resolving ECF Nos. 48, 50, 57
and 59]
The following motions are pending before the Court: (1) Plaintiff Selective Insurance
Company of the Southeast’s (“Selective”) Motion for Summary Judgment, ECF No. 48; (2)
Defendant RLI Insurance Company’s (“RLI”) Second Motion for Summary Judgment/Motion for
Reconsideration, ECF No. 50; (3) Selective’s Motion for Reconsideration1, ECF No. 57; and (4)
RLI’s Motion to Strike Selective’s Use of Confidential Settlement Correspondence as Summary
Judgment Evidence, ECF No. 59.
The motions are fully briefed. The Court has been advised, having reviewed the record,
the parties’ briefs, and the applicable law. For the reasons set forth below, the Court rules as
follows: Selective’s motion for summary judgment is granted; RLI’s motion for summary
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Selective’s Motion for Reconsideration is embedded within its Opposition to
RLI’s Second Motion for Summary Judgment/Motion for Reconsideration.
(5:12CV02126)
judgment/motion for reconsideration is denied; Selective’s motion for reconsideration is granted;
and RLI’s motion to strike is granted.
I. Factual and Procedural Background
Selective and RLI are insurance companies that provided serial excess carrier coverage
for the City of Barberton. After being wrongfully convicted of rape and murder, Clarence Elkins
sued the City of Barberton and its police officers. Mr. Elkins settled with the City of Barberton
for 5.25 million dollars. Selective contributed 3.25 million dollars to the settlement. RLI
contributed nothing. At issue is whether RLI is obligated to cover, or contribute to, the share of
the settlement Selective paid. For purposes of efficiency, the Court adopts and incorporates by
reference the factual background of this case as set forth in the Memorandum of Opinion and
Order at ECF No. 29, PageID #: 731–38.
This case was initially assigned to Judge Lesley Wells. While before Judge Wells,
Selective filed a motion for partial summary judgment (ECF No. 14), and RLI filed a motion for
summary judgment (ECF No. 15). Then, the Court considered the following question: For the
purposes of insurance coverage under an occurrence based policy, when does the tort of
malicious prosecution occur? Selective argued that the tort occurred at the time charges were
brought against Elkins (i.e., during RLI’s coverage period, and before commencement of
Selective’s coverage period). RLI argued that the tort occurred at the time the Barberton
defendants failed to disclose the “Mann Memo” (the Brady material) to Elkins (i.e., during
Selective’s coverage period, and after RLI’s coverage period). See Memorandum of Opinion and
Order, ECF No. 29 at PageID #: 738.
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Judge Wells granted Selective’s motion for partial summary judgment, and denied RLI’s
motion for summary judgment, holding, “[T]he malicious prosecution of Mr. Elkins occurred for
coverage purposes when criminal charges were filed.” Id. at PageID #: 742. Judge Wells further
articulated that “the injury to [Mr. Elkins] began the day of his arrest, although it did not become
undeniably apparent (to anyone besides Mr. Elkins) until charges were dismissed.” ” Id. at
PageID #: 746. Based on the Court’s holding, the tort occurred during RLI’s coverage period,
and before commencement of Selective’s coverage period.
As Ohio courts have not directly addressed the issue of when the tort of malicious
prosecution “occurs” for purposes of insurance coverage, the Court relied on the view of the
majority of courts that have addressed the issue. The Court also predicted how Ohio courts
would rule on this issue by examining sufficiently analogous Ohio state law cases. The Court
concluded that those state law cases “stand for the proposition that when determining the
triggering event for an occurrence based policy, courts should look to the time when injury
began.” ECF No. 29 at PageID #: 746.
RLI filed a motion to certify the summary judgment decision for interlocutory appeal and
a motion for clarification. ECF No. 32. Judge Wells denied the motion to certify, granted the
motion for clarification, and clarified her summary judgment rulings as follows:
Under the RLI policy, “personal injury” is defined as “injury, other than bodily
injury, arising out of false imprisonment, wrongful eviction, wrongful detention,
malicious prosecution, discrimination, humiliation, libel, slander or defamation of
character or invasion of rights of privacy; all of which are committed in the
conduct of the insured’s business.” The Court agrees with RLI that under the
policy language, the loss of consortium claim does not fit the definition of
personal injury. On the other hand, the definition does encompass the underlying
constitutional claim. The constitutional claim at issue here was based on the
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allegation that Mr. Elkins was detained and prosecuted without probable cause.
The Court concludes that the definition of “personal injury,” which includes false
imprisonment, wrongful detention, and malicious prosecution, encompasses this
claim.
ECF No. 35 at PageID #: 785-86.
After Judge Wells issued her ruling and embarked on her well-earned retirement, the case
was transferred to the undersigned for disposition of the remaining issue—whether RLI received
proper notice of the Elkins lawsuit, pursuant to its contract as an excess insurer. Against this
backdrop, the Court addresses the pending motions below.2
II. Motion to Strike
In opposition to RLI’s motion for reconsideration, Selective attached a letter dated March
29, 2016 that was sent from RLI to Selective in response to Selective’s demand and the Court’s
order. See ECF No. 57-1. Selective relies upon the letter to assert that RLI has conceded that its
policy covered derivative loss of consortium claims. Id. at PageID #: 1468. RLI asks the Court
to strike the letter from evidence on the grounds that it is an inadmissible settlement
communication under Fed. R. Evid. 408, inadmissible hearsay, and an offer or demand of
judgment under Fed. R. Civ. P. 68. ECF No. 59 at PageID #: 1477. Selective opposes the
motion, arguing that the letter does not reflect an actual intent to compromise, fits within the Fed.
R. Evid. 801(d)(2) exemption from hearsay, and is not a Rule 68 offer of judgment because RLI
does not offer concessions.
Federal Rule of Evidence 408 provides, in pertinent part, that a statement
2
The motions are addressed in their logical rather than sequential order.
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made during compromise negotiations about the claim “is not admissible—on behalf of any
party—either to prove or disprove the validity or amount of a disputed claim or to impeach by a
prior inconsistent statement or a contradiction.” The rule does not require that such statements
have a tone of compromise. A rule requiring courts to ascertain when such a tone exists would
be untenable. Selective’s inclusion of the demand letter to prove a substantive matter adverse to
RLI runs afoul of Rule 408.
For this reason, RLI’s motion to strike is granted. The Court will not rely on RLI’s letter
dated March 29, 2016, ECF No. 57-1, in rendering its rulings below.
III. RLI’s Motion for Reconsideration
RLI asks the Court to reconsider Judge Wells’s determination of what occurrence
triggered the insurance coverage at issue. It argues, “The Sixth Circuit ruled that: (1) Elkins’ 42
U.S.C. 1983 claim was limited to the non-disclosure of the Mann Memo in 1999; and (2) Elkins’
state law claims accrued in 1999.” ECF No. 50 at PageID #: 1179. RLI also argues that if
Selective maintains its position that its policy was never triggered by the Elkins lawsuit,
Selective was a “volunteer,” and is therefore barred from seeking recovery from RLI. Id. RLI
fails to persuade on each argument.
The Sixth Circuit’s statement that Elkins’s state law claims accrued in 1999 is not in
conflict with Judge Wells’s ruling. RLI reads the statement out of context. The Sixth Circuit
was addressing its lack of jurisdiction to review Elkins’s state law claims on interlocutory appeal
when it posited when that the state law claims accrued in 1999. See Elkins v. Summit Cty., Ohio,
615 F.3d 671, 678 (6th Cir. 2010) (stating that the 2003 amendment to the Ohio Revised Code
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permitting interlocutory appeals of denial of immunity applies only prospectively, and finding
that Elkins’ claims accrued prior to the date of the amendment). It is fairly obvious that the Sixth
Circuit was not addressing the trigger for an occurrence based insurance policy.
As to RLI’s claim that Selective was a volunteer, the Ohio Court of Appeals has
addressed this issue:
The Supreme Court of Ohio has held that “[o]ne who, with knowledge of
the facts and without legal liability, makes a payment of money, thereby becomes
a volunteer” and that “[e]quity will not aid a volunteer.”
....
In each of those cases [where the court held that the insurance company
was a “volunteer”], the evidence appears to be uncontroverted that the
“volunteers” had full knowledge that another insurance company had specific
coverage and liability on the incident for which they had executed a settlement.
....
We conclude that the potential existence of another insurance policy that may or
may not provide additional insurance coverage does not constitute “knowledge”
sufficient to waive an insurance company's right to contribution against another
insurance company whose coverage and liability are not fully demonstrated until
after a settlement has been executed.
Further, we do not want to discourage the prompt settlement of insurance
claims.
Westfield Natl. Ins. Co. v. Farmers Ins. Exchange, No. 5selec–06–12, 169 Ohio App.3d 785,
789-90 ¶¶ 19–25 (Dec. 26, 2006).
As Selective states, “At the time that Selective paid the settlement, the law surrounding
when a malicious prosecution claim occurs for insurance purposes was not settled in Ohio.
Indeed, RLI still argues that the law is something different than what this Court has held.” ECF
No. 57 at PageID #: 1459. Selective did not have the requisite knowledge for the Court to find
that it acted as a volunteer.
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RLI’s motion for reconsideration is denied.
IV. Selective’s Motion for Reconsideration
Upon RLI’s request (ECF No. 32), Judge Wells clarified that the term “personal injury”
in RLI’s policy encompasses malicious prosecution and the § 1983 claim for detainment and
prosecution without probable cause. See Order, ECF No. 35 at PageID #: 785–86.
The Court found that the loss of consortium claim, however, does not fit within the definition of
personal injury. See id. RLI understands this ruling to mean that is “not responsible for
$2,082,701.20 attributable to loss of consortium damages and related attorney fees.” ECF No. 50
at PageID #: 1159. Selective moves the Court for reconsideration on this issue. ECF No. 57 at
PageID #: 1460–63.
RLI’s policy provides, in pertinent part,
[RLI] will pay on behalf of the insured all sums the insured becomes legally
obligated to pay as ultimate net loss because of . . . [p]ersonal injury . . . caused by
an occurrence . . . .
....
Personal Injury means: Injury, other than bodily injury, arising out of false
imprisonment, wrongful eviction, wrongful detention, malicious prosecution,
discrimination, humiliation, libel, slander or defamation of character or invasion
of rights of privacy; all of which are committed in the conduct of an Insured’s
business; except that for which coverage is afforded under advertising injury.
ECF No. 11-5 at PageID #: 131, 134 (emphasis added).
Applying a plain reading of the policy language, the Court finds that the loss of
consortium is an injury arising out of the malicious prosecution of Elkins, and falls within the
types of personal injury RLI agreed to cover.
Selective’s motion for reconsideration is granted.
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V. Parties’ Cross-Motions for Summary Judgment
In light of the Court’s foregoing determinations, the only remaining issue to be resolved
is whether RLI received proper notice of the Elkins lawsuit. The parties have filed cross motions
for summary judgment on the issue. See RLI’s Second Motion for Summary Judgment/Motion
for Reconsideration, ECF No. 50; Selective’s Motion for Summary Judgment, ECF No. 48.
RLI argues that it is not required to provide coverage for the settlement agreement
because Barberton and the police defendants failed to timely provide notice of the litigation to
RLI. Regarding notice, RLI’s policy provides, in pertinent part,
VII. CONDITIONS
....
L. Duties of Insured In the Event of an Occurrence Which Has Not Resulted In a Claim or
Suit
Whenever you have information of an occurrence which involves injuries or
damages reasonably likely to involve this policy written notice shall be given by
or for the insured to us or to any of our authorized agents as soon as practicable.
The notice shall contain:
1. Particular information sufficient to identify the insured;
2. Reasonably obtainable information with respect to time, place and
circumstances of the occurrence; and
3. Names and addresses of the injured and of available witnesses.
M. Duties of the Insured In Event of Claims or Suit
Immediate written notice shall be given by the insured to us whenever:
1. A claim is made or suit is brought against the insured;
2. The insured receives notice that a right to bring a claim or suit against the
insured will be asserted; or
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3. The insured obtains information that the obligations of underlying insurers to
investigate, defend, pay on behalf of or indemnify the insured have ceased.
Every demand, notice, summons, amended complaint or other process received by the
insured or a representative of the insured shall be forwarded with each notice.
ECF No. 11-5 at PageID #: 136.
It is undisputed that the Elkins lawsuit was filed on December 18, 2006. Stipulated Facts
for Trial, ECF No. 82 at PageID#: 1755 ¶ 26. It is also undisputed that National Casualty
Company (“NCC”)—the primary insurance carrier for the City of Barberton and its police
officers at the time Elkins was arrested—was provided notice of the lawsuit upon its filing. Id. at
¶¶ 25–26. RLI and Selective, however, did not receive notice of the lawsuit until August 2010,
after the Sixth Circuit affirmed the district court's denial of summary judgment to the Barberton
Defendants. Id. ¶ 29. RLI contends that this late notice is unreasonable as a matter of law.
A. Notice under Ohio Law
“While the question of whether the insured met the notice condition is usually a question
for the jury, an unexcused significant delay may be unreasonable as a matter of law.” Ormet
Primary Aluminum Corp. v. Employers Ins. of Wausau, 88 Ohio St.3d 292, 300 (2000). “A
provision in an insurance contract requiring ‘immediate’ notice means that the notice must take
place ‘within a reasonable time under the circumstances of the case.’” Id. at 303 (citation
omitted). Ohio courts have not yet decided how to analyze an excess insurer’s claim that it was
prejudiced by an insured’s late notice. The Ohio Supreme Court has, however, analyzed the
issue of notice to an insurer in other contexts:
This court in Ruby, [] stated, 'Unreasonable delay in the giving of notice may be
presumed prejudicial to the insurer absent evidence to the contrary.' Furthermore,
in Ormet, this court determined that the untimely notice of an environmental
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claim by the insured party prejudiced the insurers under the facts of that case. By
inquiring into prejudice to the insurer in that case, instead of finding that the
unreasonably late notice in and of itself caused a forfeiture of the coverage, this
court indicated that Ohio does not follow the traditional rule in late-notice cases
but follows the modern trend of inquiring into prejudice. Although Ormet was not
a UIM [(uninsured motorist)] case and did not involve motor vehicle insurance, its
core reasoning is applicable here.
....
Accordingly, we hold that when an insurer's denial of UIM coverage is premised
on the insured's breach of a prompt-notice provision in a policy of insurance, the
insurer is relieved of the obligation to provide coverage if it is prejudiced by the
insured's unreasonable delay in giving notice. An insured's unreasonable delay in
giving notice is presumed prejudicial to the insurer absent evidence to the contrary
Ferrando v. Auto-Owners Mut. Ins. Co., 98 Ohio St.3d 186, 205-06 ¶¶ 79, 81 (2002) (citations
omitted) (emphasis added). The Court finds that the reasoning in Ferrando is applicable to the
case at bar. See Allstate Ins. Co. v. Thrifty Rent-A-Car Sys., Inc., 249 F.3d 450, 454 (6th Cir.
2001) (“If the state supreme court has not yet addressed the issue presented, we must predict how
the court would rule by looking to all the available data.”).
Assuming arguendo that the insured’s more than three and a half year-delay in notifying
RLI of the lawsuit is unreasonable, Selective must rebut the presumption that RLI was prejudiced
by the delay.
B. Prejudice
RLI argues that it was prejudiced by the delay in notification for the following reasons:
(1) Before RLI was put on notice of the Elkins lawsuit, Adamson, former head of Barberton’s
Detective Bureau, died. Adamson would have handled the “Mann Memo.” His testimony was
not memorialized prior to his death, and as a result RLI was unable to obtain Adamson's
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statement about what happened to the memo, ECF No. 50 at PageID #: 1170. (2) “[I]n the four
years after the Elkins lawsuit was filed but before RLI was put on notice of it, RLI was prevented
from investigating and participating in the Elkins Lawsuit in a meaningful way. In this regard,
before RLI was ever put on notice, both the district court and the Sixth Circuit had issued
substantive rulings addressing the remaining claims against the Police Defendants.” Id. at
PageID#: 1173.
RLI offers no more than mere conjecture regarding the potential affect Adamson’s
testimony may have had on the case and Elkins’ bargaining position. See ECF No. 50 at PageID
#: 1170-73. Put differently, there is no evidence that Adamson’s testimony would have altered
the outcome of the lawsuit. Additionally, RLI admits it did not have a right to control the
defense in the Elkins’ lawsuit, ECF No. 48-3 at PageID #: 1084 ¶ 29, leaving unsaid how this
information may have be used had RLI been able to obtain it. RLI’s emphasis, on what it sees as
a missed opportunity, is misplaced. The mediation at which the claims that remained in the civil
suit after the summary judgment motions were resolved is a better target.
Turning to the mediation and late notice. It is undisputed that RLI: received notice of the
Elkins lawsuit on August 12, 2010; was informed in advance of the November 16, 2010
mediation; and “expressly declined to participate” in the mediation.3 See Stipulated Facts, ECF
No. 82 at PageID #: 1755-54 ¶¶ 29, 34. The case resolved at mediation without RLI’s input or
contribution. Now, having chosen abject supineness over even conditional negotiation, RLI
3
It appears that RLI wrongly regarded the Sixth Circuit’s ruling issued two days
before the Elkins lawsuit was filed, on August 10, 2010.
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claims that it was unfairly prejudiced by the delay in notice and urges the Court to release it from
any obligation. The Court declines.
First, given the limited role of excess insurance carriers, RLI has not shown actual
prejudice. The Court finds that RLI has not been prejudiced by the delay.4 Second, if the Court
(without deciding so, but assumes that) RLI has been prejudiced, the prejudice was born of its
own admitted, deliberate inaction. Lastly, Selective has sufficiently rebutted the premise that
RLI was unfairly prejudiced by the belated notice.5
C. Multiple Triggers
RLI asserts that even if its policy were triggered, “under a time-on-risk analysis, none of
the settlement obligations are allocable to the RLI policy.” ECF No. 50 at PageID #: 1176.
Inherent in this argument is RLI’s rationale that there were somehow multiple triggers in this
case. The Court finds this argument continues to fail. As the Court stated earlier, the malicious
4
In its reply brief, Selective nicely lays out the distinctions between expectations
of primary and excess insurance carriers. See ECF No. 60 at PageID #: 1516-20.
5
In addition to its legal reasoning, the Court also notes the inequitable outcome
that results if it were to adopt RLI’s position. Selective did not receive notice of the
lawsuit any earlier than RLI, see Stipulated Facts, ECF No. 82 at PageID #: 1755 ¶ 29,
and Selective was not responsible for the late notice to RLI. Selective showed up and
participated although, it is undisputed that Selective was not providing excess coverage at
the time the charges were brought against Elkins. Under these circumstances, and in light
of RLI’s obstinance, it would be inequitable to relieve RLI of its contractual commitment.
See, e.g., Pa. Gen. Ins. Co. v. Park-Ohio Indus., 126 Ohio St.3d 98, 104 (2010) (“The
Nationwide and Continental insurance policies were contracts between those insurers and
[the insured]. It would be inequitable to hold that [the insured]'s failure to abide by the
notice provisions in the Nationwide and Continental policies eliminates Penn General's
right to contribution, given the equitable nature of the all-sums approach to allocation and
the fact that Penn General followed the procedure established in Goodyear during the
litigation.”).
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prosecution was “triggered” at the time charges were filed against Elkins. Loss of consortium
arises out of the malicious prosecution. RLI was the sole excess insurance provider for the City
of Barberton and the police defendants at the time charges were filed.6 “[W]hether or not anyone
was aware that Mr. Elkins’ prosecution was improvident at the time it was initiated, the injury to
him began the day of his arrest, although it did not become undeniably apparent (to anyone
besides Mr. Elkins) until charges were dismissed.” Memorandum of Opinion and Order, ECF
No. 29 at PageID #: 746. RLI is obligated to pay into the settlement under the excess insurance
policy.
Selective’s motion for summary judgment is granted. RLI’s motion for summary
judgment is denied. Selective is entitled to full recovery of the $3.25 million that it contributed
to the settlement plus pre-judgment interest.
.
VI. Conclusion
For the foregoing reasons, (1) Selective’s motion for summary judgment, ECF No. 48, is
granted; (2) RLI’s motion for summary judgment/motion for reconsideration, ECF No. 50, is
denied; (3) Selective’s motion for reconsideration, ECF No. 57, is granted; and (4) RLI’s motion
to strike, ECF No. 59, is granted.
6
Remarkably, Elkins was arrested on June 7, 1998 and indicted three days later,
on June 10, 1998. This all occurred during the time when RLI’s coverage was in effect,
from June 29, 1997 to June 29, 1998.
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In sum, the trigger issue remains resolved in favor of Selective. RLI was the sole excess
insurance carrier when the injury occurred. Accordingly, Selective is entitled to full recovery of
the $3.25 million that it contributed to the settlement plus pre-judgment interest.
IT IS SO ORDERED.
September 21, 2016
Date
/s/ Benita Y. Pearson
Benita Y. Pearson
United States District Judge
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