Fritz et al v. Liberty Surplus Insurance Corporation et al (TV1)
Filing
90
MEMORANDUM AND OPINION as set forth in following order. Signed by District Judge Thomas A Varlan on 8/12/19. (ABF)
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF TENNESSEE
TRAVIS AND JESSICA FRITZ,
as Third-Party Beneficiaries of
LAXMIJI, LLC individually and
LAXMIJI, LLC d/b/a
MOUNTAIN VISTA INN & SUITES,
BHARAT PATEL individually and
BHARAT PATEL d/b/a
MOUNTAIN VISTA INN & SUITES, and
JAGRUTI PATEL,
Plaintiffs,
v.
ST. PAUL FIRE AND MARINE
INSURANCE COMPANY,
Defendant.
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No.:
3:17-cv-433-TAV-HBG
MEMORANDUM OPINION AND ORDER
This civil action is before the Court on plaintiffs’ motion for partial summary judgment
[Doc. 72] and defendant’s motion for summary judgment [Doc. 74]. Defendant responded in
opposition to plaintiffs’ motion [Doc. 82], and plaintiffs replied [Doc. 86]. Plaintiffs in turn
responded to defendant’s motion [Doc. 78], to which defendant replied [Docs. 87]. For the
reasons that follow, the Court will deny plaintiffs’ partial motion for summary judgment and
grant defendant’s motion for summary judgment.
I.
Background
This is a breach of contract case between an insurer and the third-party beneficiaries of
its insured. The case arises out of an alleged carbon monoxide poisoning that took place on
February 15, 2014, at Laxmiji LLC, d/b/a/ the Mountain Vista Inn and Suites (“Laxmiji” or
“the hotel”) in Pigeon Forge, Tennessee [Doc. 25]. Plaintiffs Jessica and Travis Fritz (“the
Fritzes”) were staying at the hotel when they sustained serious and permanent injuries
allegedly caused by a malfunctioning pool heating and ventilation system, which emitted
carbon monoxide that poisoned plaintiffs as they slept [Doc. 80].
The Fritzes thereafter filed a lawsuit (“the Underlying Lawsuit”) on December 23,
2014, in the Circuit Court for Sevier County, Tennessee, against Laxmiji and its owners,
Bharat Patel and Jagruti Patel (“the Patels”) [Id.]. A $20 million Consent Judgment was later
entered in that case [Doc. 76-19]. This current case was filed against defendant St. Paul Fire
and Marine Insurance Company (“St. Paul”) by the Fritzes, as third-party beneficiaries of
Laxmiji, for recovery of damages for breach of contract [Doc. 25].
A.
The Insurance Policies
At the time of the carbon monoxide incident, Laxmiji had two insurance policies. The
first, an underlying commercial general-liability policy (“the Underlying Policy”), was issued
by Liberty Surplus Insurance Corp. (“Liberty”) with limits of $1 million [Doc. 80]. The
second, an umbrella, or excess, insurance program (“the Umbrella Policy”) was issued by St.
Paul for members of Community Associations PG, Inc. (“the Program”) [Id.]. This Umbrella
Policy had a $5-million-per-occurrence limit and was meant to provide coverage to Laxmiji
once the Underlying Policy was exhausted [Id.].
Laxmiji worked with Madison Insurance Group (“MIG”) to gain access to the Program
[Doc. 80]. The parties disagree about MIG’s relationship to The Travelers Companies
(“Travelers”) and St. Paul, its wholly-owned subsidiary, during this transaction. St. Paul states
that MIG was not its agent for the Program [Doc. 75], while plaintiffs argue that MIG was an
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actual agent of St. Paul by virtue of a written agreement, operation of statute, and principles of
apparent authority [Doc. 78]. The parties also disagree whether MIG used an intermediary to
solicit an application for Laximiji to become part of the Program and therefore gain access to
the Umbrella Policy. St. Paul maintains that MIG used Appalachian Underwriters, Inc.
(“Appalachian”), a wholesale broker, to obtain a quote from McGowan Program
Administrators (“McGowan”), the sole administrator of the Program. Plaintiffs state, instead,
that although McGowan was an administrator of the Program, its agency agreement with
Travelers was not the only agreement governing all agency relationships relative to the
Program. Rather, plaintiffs maintain that Travelers utilized both McGowan and MIG as agents
in connection to the Program [Doc. 80], and that Laxmiji accessed the Umbrella Policy through
MIG, not McGowan.
The Umbrella Policy was delivered to the Patels in Tennessee [Doc. 80]. It identified
McGowan as the agent, and the Evidence of Insurance identified Appalachian as the producer
[Doc. 76-1]. MIG is not identified as a producer or agent in either the Umbrella Policy or the
Evidence of Insurance.
The Umbrella Policy establishes that St. Paul would cover Laxmiji only after the
Underlying Policy limits were exhausted. The Policy states that St. Paul would pay on behalf
of “the Insured all sums in excess of the Retained Limit that the Insured becomes legally
obligated to pay as damages by reason of liability imposed by law” [Id.]. As applicable here,
the “Retained Limit” is “the total of the applicable limits of all Scheduled Underlying
Insurance . . . for Bodily Injury . . . covered by such Scheduled Underlying Insurance” [Id.].
In this instance, Laxmiji’s $1 million policy with Liberty is the Underlying Insurance, thus, by
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the Umbrella Policy’s terms, St. Paul would cover Laxmiji’s damages payments once its policy
limits under Liberty were reached.
With respect St. Paul’s duty to defend, the Umbrella Policy specifies:
A.
B.
C.
We shall have the right and duty to assume control of the defense of any
Claim or Suit seeking damages covered by this policy, and we shall have
the right to investigate and settle such Claim or Suit, when the Retained
Limit has been exhausted by payment of judgments or settlements that
would be covered by this policy. These rights and duties apply even if
the Claim or Suit is groundless, false or fraudulent.
Prior to the exhaustion of the Retained Limit we shall have the right, but
not the duty, to participate in the investigation, settlement or defense of
any Claim or Suit seeking damages that would be covered by this policy.
This right includes the opportunity to participate in the defense of any
Claim or Suit that may result in damages covered by this policy. If we
exercise this right, we will do so at our own expense.
We have no duty to defend, investigate or settle any Claim or Suit
seeking damages not covered by this policy.
[Id.]. The Umbrella Policy therefore makes clear that St. Paul’s duty to defend arises only
with respect to damages covered by the Policy and only after an Underlying Policy’s limit was
reached, in this case $1 million. Before that limit was reached, however, St. Paul only had a
right, not a duty, to participate in any settlement or defense of a claim.
Apart from St. Paul’s duty to defend, the Umbrella Policy also contains a “Cooperation”
clause, which contains requirements for the insured resulting from an Occurrence1, Claim or
Suit:
F.
Duties in the Event of an Occurrence, Claim or Suit
“Occurrence” is defined in relevant part, “as respects Bodily Injury or Property Damage,
an accident, including continuous or repeated exposure to substantially the same general harmful
conditions, which results in Bodily Injury or Property Damage. All Bodily Injury or Property
Damage caused by such exposure to substantially the same general harmful conditions shall be
considered to be caused by one occurrence” [Doc. 76-1].
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1
1. You must see to it that we are notified as soon as practicable of any
Occurrence which may result in a Claim or Suit seeking damages
covered by this policy . . . .
2. If a Claim is made or Suit is brought against any Insured that is
reasonably likely to involve the coverage provided by this policy, you
must notify us in writing as soon as practicable. You and any other
involved Insured also must:
a. immediately send us copies of any demands, notices,
summonses or legal papers received in connection the Claim
or Suit . . . .
[Id.]. This section also contains a “Voluntary Payments” clause, which states:
3. No Insured will, except at that Insured’s own expense, voluntarily make a
payment, assume any obligation, make any admission, or incur any expense,
other than for first aid for Bodily Injury covered by this policy, without our
consent.
[Id.]. Further, a “Notice Requirement” for the insured states:
What To Do If You Have A Loss – Specialty Commercial Umbrella Liability
Policy
When an Occurrence happens, or is committed that will likely result in damages
that are covered by this policy, you or any Insured covered under this policy are
required to report the claim to:
The Travelers Companies, Inc.
Attn: Excess Claims
One Tower Square, Mail Code 000-MS07A
Hartford, Ct 06183
[Id.].
The Policy specifies that it can only be changed with the knowledge and written
approval of St. Paul:
E.
Changes
Notice to any agent or knowledge possessed by any agent or any other
person will not effect a waiver of, or a change in, any part of this policy.
This policy can only be changed by a written endorsement that becomes a
part of this policy and that is singed by one of our authorized representatives.
[Id.].
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Finally, the Policy contains a “No Action” provision, which states that no person or
organization can bring suit against St. Paul unless the insured has “complied with all the terms
of this policy” and “the amount [owed] has been determined with [St. Paul’s] consent or by
actual trial and final judgment” [Id.].
B.
The Underlying Lawsuit
On February 15, 2014, plaintiffs Jessica and Travis Fritz were staying at the hotel when
they suffered injuries allegedly resulting from carbon monoxide poisoning [Doc. 1-1]. The
Fritzes initially filed a lawsuit on December 23, 2014, in the Circuit Court of Sevier County,
to recover damages from Laxmiji and the Patels [Doc. 76-5]. The defendants never filed an
answer. They did, however, forward information of the lawsuit to MIG, who subsequently
sent a letter to ProPoint Claims Services, LLC (“ProPoint”), Liberty’s claims administrator
[Doc. 76-6]. On May 27, 2014, ProPoint emailed Laxmiji disclaiming Liberty’s coverage
[Doc. 76-7].
The attorney for Laxmiji and the Patels then sent two letters to MIG, dated January 14,
2015, and January 23, 2015, reiterating that Liberty should cover the Fritzes’ claim, and
enclosing the summons, complaint, and the Fritzes’ interrogatories, request for production, and
request for admissions [Doc. 76-8]. ProPoint again sent a letter to Laxmiji stating that Liberty
would not cover the claim [Doc. 76-9].
On October 16, 2015, the state court granted the Fritzes’ motion for Default Judgment
and thereafter scheduled a writ of inquiry hearing on damages [Doc. 25]. Laxmiji and the
Patels were sent the Default Order and notice of the Writ of Inquiry. On the date of the Writ
of Inquiry, the defendants again did not appear, and the Fritzes presented evidence of their
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damages but were not cross-examined [Id.]. The court thereafter granted the Fritzes’ demand
for judgment and entered a judgment for damages for $20 million. This judgment was served
on the Patels and Laxmiji, who later moved to set aside the judgment [Id.].
Following this judgment, Laxmiji once again contacted ProPoint, and Liberty once
again declined coverage [Docs. 76-16, 76-17]. In the meantime, the Fritzes and the Patels
entered into a Release and Settlement, whereby the Patels were dismissed personally from the
litigation [Doc. 76-15]. The parties also agreed to an Assignment of Claim to Benefits,
wherein Laxmiji and the Patels assigned their rights under both insurance policies to the Fritzes
with the agreement that the Fritzes would not execute them against Laxmiji so long as a suit
against Liberty and St. Paul was not procedurally barred [Id.]. Following these agreements,
the Default Judgment and Judgment for damages were set aside, and a $20 million Consent
Judgment was entered in the Underlying Lawsuit [Docs. 76-18, 76-19]. The Fritzes then filed
this present lawsuit, as third-party beneficiaries of Laxmiji and the Patels, against Liberty and
St. Paul to collect the Consent Judgment. Liberty has since been dismissed from the case [Doc.
35]; therefore, the only issue before the Court is the breach of contract claim against St. Paul.
II.
Standard of Review
Summary judgment under Rule 56 of the Federal Rules of Civil Procedure is proper “if
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). The moving party bears the
burden of establishing that no genuine issues of material fact exist. Celotex Corp. v. Catrett,
477 U.S. 317, 330 n.2 (1986); Moore v. Philip Morris Cos., 8 F.3d 335, 339 (6th Cir. 1993).
All facts and inferences to be drawn therefrom must be viewed in the light most favorable to
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the nonmoving party. Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587
(1986); Burchett v. Kiefer, 301 F.3d 937, 942 (6th Cir. 2002).
Yet, “[o]nce the moving party presents evidence sufficient to support a motion under
Rule 56, the nonmoving party is not entitled to a trial merely on the basis of allegations.”
Curtis Through Curtis v. Universal Match Corp., 778 F. Supp. 1421, 1423 (E.D. Tenn. 1991)
(citing Celotex, 477 U.S. at 317). To establish a genuine issue as to the existence of a particular
element, the nonmoving party must point to evidence in the record upon which a reasonable
finder of fact could find in its favor. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986).
The genuine issue must also be material; that is, it must involve facts that might affect the
outcome of the suit under the governing law. Id.
In a case such as this one, where parties have filed competing motions for summary
judgment, each party, as movant, must establish that no genuine issue of material fact exists
and that it is entitled to a judgment as a matter of law. When evaluating cross-motions for
summary judgment the Court should “evaluate each motion on its own merits and view all
facts and inferences in the light more favorable to the nonmoving party.” Wiley v. United
States, 20 F.3d 222, 224 (6th Cir. 1994). If the Court finds that one party has failed meet its
burden, the other party is not considered to have automatically met theirs. Rather, the Court
must evaluate each party’s motions individually to determine if they have complied with Rule
56. “The filing of cross-motions for summary judgment does not necessarily mean that the
parties consent to the resolution of the case on the existing record or that the district court is
free to treat the case as if it was submitted for final resolution on a stipulated record.” Taft
Broad Co. v. United States, 929 F.2d 240, 248 (6th Cir. 1991). If the Court determines that a
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genuine issue of material fact exists, both motions must be denied. In the alternative, if the
Court finds that no genuine issue of material fact exists and a party is entitled to prevail as a
matter of law, the Court will render judgment. Klaus v. Hilb, Rogal & Hamilton Co. of Ohio,
437 F. Supp. 2d 706, 732 (S.D. Ohio 2006).
The Court’s function at the point of summary judgment is limited to determining
whether sufficient evidence has been presented to make the issue of fact a proper question for
the factfinder. Id. at 250. The Court does not weigh the evidence or determine the truth of the
matter. Id. at 249. Nor does the Court search the record “to establish that it is bereft of a
genuine issue of material fact.” Street v. J.C. Bradford & Co., 886 F.2d 1472, 1479–80 (6th
Cir. 1989). Thus, “the inquiry performed is the threshold inquiry of determining whether there
is a need for a trial—whether, in other words, there are any genuine factual issues that properly
can be resolved only by a finder of fact because they may reasonably be resolved in favor of
either party.” Anderson, 477 U.S. at 250.
III.
Analysis
Plaintiffs bring a breach of contract claim against St. Paul, alleging that St. Paul
disclaimed coverage under Liberty’s Underlying Policy, thereby breaching the Underlying
Policy [Doc. 25 ¶ 64]. Plaintiffs also allege that St. Paul failed to satisfy its obligations to
Laxmiji pursuant to the Umbrella Policy [Doc. 25 ¶ 65].
A.
Defendant’s Motion for Summary Judgment
Defendant argues that summary judgment in its favor is appropriate in this case because
it had no duty to defend Laxmiji in the Underlying Lawsuit, Laxmiji was in material breach of
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the Umbrella Policy, and the voluntary Consent Judgment is unenforceable against it [Doc.
75].
The parties agree that Tennessee law applies to these arguments. In diversity actions,
federal courts must apply the forum state’s choice-of-law rules. Erie R.R. Co. v. Tompkins,
304 U.S. 64 (1938). Where, as here, an insurance policy lacks an enforceable choice of law
clause, “Tennessee courts apply the substantive law of the state in which the policy was issued
and delivered.” Standard Fire Ins. Co. v. Chester O’Donley & Associates, Inc., 972 S.W.2d
1, 5 (Tenn. Ct. App. 1998). It is undisputed that the Policy was issued and delivered to Laxmiji
in Tennessee [Docs. 79-1, 80]; therefore, the Court will apply Tennessee substantive law.
Insurance policies are considered contracts and “are subject to the same rules of
construction and enforcement as contracts generally.” Standard Fire, 972 S.W.2d at 7.
Policies should be construed logically and as a whole, and terms should be read for their
ordinary meaning. Id. “Where an insurance contract is plain and unambiguous, the parties are
bound by its terms, and courts cannot under the guise of construction make a new and different
contract for the parties.” United States Stove Corp. v. Aetna Life Ins. Co., 169 Tenn. 264, 84
S.W.2d 582 (Tenn. 1935). “The insuring agreement sets the outer limits of an insurer’s
contractual liability. If coverage cannot be found in the insuring agreement, it will not be
found elsewhere in the policy.” Standard Fire, 972 S.W.2d at 7.
To prevail on a breach of contract claim in Tennessee, a party must show “(1) the
existence of an enforceable contract, (2) nonperformance amounting to a breach of the
contract, and (3) damages caused by the breach of contract.” ARC LifeMed, Inc. v. AMCTennessee, Inc., 183 S.W.3d1, 26 (Tenn. Ct. App. 2005) (internal quotations and citations
10
omitted). Where, as here, an assignment of an insurance claim occurs, the assignee “has no
greater rights than the insured” but rather “steps into the shoes of the assignor and takes his
assignment subject to the defenses asserted against the assignor.” Aetna Cas. and Sur. Co. v.
Tennessee Farmers Mut. Ins. Co., 867 S.W.2d 321, 323 (Tenn. Ct. App. 1993).
“An insurer’s duty to defend an action against its insured is determined by the
allegations of the complaint.” Glens Falls Ins. Co. v. Happy Day Laundry, Inc., 1989 WL
91082 at *5 (W.D. Tenn. Aug. 14, 1989) (citing Graves v. Liberty Mut. Fire Ins. Co., 745
S.W.2d 282, 284 (Ct. App. Tenn. 1987). Plaintiffs’ complaint alleges that St. Paul was in
breach of contract in two ways. First, the complaint alleges that “Laxmiji informed St. Paul
of the Fritzes’ claims and St. Paul disclaimed coverage under the Underlying Policy and, thus,
materially breached the Underlying Policy” [Doc. 25]. Second, plaintiffs allege that “St. Paul
failed to satisfy its obligations pursuant to the Umbrella Policy” [Id.].
To support their first assertion, that St. Paul disclaimed coverage of Laxmiji’s claim,
plaintiffs rely on the depositions of Darlene Giles and Joel Ammons, Customer Service
Representatives for MIG. Plaintiffs aver that MIG was responsible for notifying St. Paul of
Laxmiji’s claim, and, given their agency relationship with St. Paul,2 their failure to do so
effectively amounted to MIG denying coverage of Laxmiji’s claim on St. Paul’s behalf [Doc.
78].
The parties vigorously dispute whether MIG was St. Paul’s agent with respect to the
Policy. However, the Court need not settle this matter to find summary judgment appropriate for
defendant. Even if MIG were an agent of St. Paul with respect to the Policy, the Court nevertheless
finds summary judgment is appropriate for defendant.
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2
Even viewing the evidence in a light most favorable to plaintiffs, the record does not
support this contention. Instead, the depositions of Mr. Ammons and Ms. Giles make clear
that MIG did not disclaim coverage on behalf of St. Paul, but rather their actions reflect a
company practice of not alerting an overlying carrier of a claim or suit if the underlying carrier
disclaims coverage. Mr. Ammons explained that MIG routinely alerts underlying carriers, in
this case Liberty, of claims against them, but that there would be no need to alert an overlying
carrier, here St. Paul, if and when the underlying carrier disclaims coverage. He states,
Our job is to notify [the underlying carrier] of every claim because that’s where
most of the claims are going to be paid out is the general liability property, that
underlying claim. The umbrella goes over these coverages. So if this was
accepted, then we would notify the umbrella coverage because there may be a
possibility that the limits would exceed what this policy pays out, but if this
policy is declined, there’s no reason to notify the overlying coverage.
[Doc. 76-6].
Because payment via an Umbrella Policy only occurs once payment by an Underlying
Policy had been exhausted, Mr. Ammons testified that it was unnecessary to notify St. Paul of
the claim once Liberty disclaimed coverage. Ms. Giles reiterates this, testifying that she did
not notify St. Paul, as the overlying carrier, of the Underlying Lawsuit, given her belief that
Liberty would not cover the claim [Doc. 79-6]. However, Ms. Giles also made clear that she
did not make the substantive determination of whether a policy covered a claim. When asked
if she alerted ProPoint or Liberty of her opinion that Liberty would not cover Laxmiji’s claim,
she answered in the negative and stated that she “[doesn’t] make those decisions” [Id.].
Therefore, nothing in the record indicates that MIG, on behalf of St. Paul, disclaimed coverage
of Laxmiji’s claims; rather the evidence shows that MIG took no action based on Liberty’s
denial of coverage of the Underlying Policy.
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Moreover, St. Paul did not otherwise breach the terms of the Umbrella Policy by not
defending Laxmiji in the Underlying Lawsuit. Plaintiffs, citing Kelly v. Cherokee Ins. Co.,
574 S.W.2d 735, 737 (Tenn. 1978), state that “an insurer who has the duty to defend, has timely
notice and defends or elects not to defend, is bound by the judgment in such a case as to issues
which were or might have been litigated therein” [Doc. 78]. Plaintiffs argue that St. Paul had
a duty to defend Laxmiji in the Underlying Lawsuit because the Umbrella Policy states that
St. Paul will pay “all sums in excess of the Retained Limit” that arise due to “bodily injury . .
. caused by an Occurrence” [Doc. 76-1]. Plaintiffs allege that their injuries fall under this
category, and therefore St. Paul was in breach of contract when it did not defend Laxmiji in
the Underlying Lawsuit.
This argument is unavailing because the clear language of the Umbrella Policy states
that St. Paul’s duty to defend was only triggered once the Retained Limit from the Underlying
Policy was exhausted. And as discussed below, it never was during the course of the
Underlying Lawsuit. Section IIA of the Umbrella Policy outlines the differing circumstances
that gave St. Paul either the right, or the right and the duty, to defend Laxmiji in a claim or suit
seeking damages [Doc. 76-1]. The Policy makes clear that St. Paul “ha[s] the right, but not
the duty, to participate in the investigation, settlement or defense of any Claim or Suit seeking
damages that would be covered by this policy” prior to the exhaustion of the Retained Limit
[Id.] (emphasis added). In contrast, once the Retained Limit has been reached, St. Paul then
has both the right and the duty to defend any claim or suit [Id.]. Therefore, the plain language
of the Umbrella Policy states that St. Paul’s duty to defend was only triggered once Laxmiji’s
Retained Limit was reached, and before that time it merely had the option to exercise that right.
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The undisputed facts make clear that the Retained Limit was not exhausted until after
the Consent Judgement was entered. Plaintiffs’ amended complaint alleges that Liberty
disclaimed its coverage of Laxmiji and materially breached the Underlying Policy [Doc. 25].
It is undisputed that Liberty declined to defend Laxmiji in the Underlying Lawsuit, and that
Laxmiji’s $1 million Retained Limit had not been exhausted at the time the parties entered into
the Consent Judgment [Id.]. Rather, plaintiffs readily admit that the Retained Limit was only
exhausted after Liberty settled with plaintiffs during the current lawsuit [Doc. 78]. Therefore,
per the terms of the Policy, and as determined by the allegations of the complaint and the
undisputed facts, St. Paul never had a duty to defend Laxmiji in the Underlying Lawsuit.
Because St. Paul had no duty to defend in the Underlying Lawsuit, it is not bound by
the Consent Judgment. Under Tennessee law, an insurer is bound by a prior judgment where
the insurer had a duty to defend, received timely notice of the underlying lawsuit, and defended
or elected not to defend. Kelly, 368 S.W.3d at 438 (“The general rule binding an insurer by
the terms of an earlier judgment presumes that the insurer has the duty to defend.”). And as
demonstrated, any duty to defend by St. Paul would only have been triggered in the present
litigation, when Liberty’s Retained Limit was reached.
Furthermore, the Court finds that the Consent Judgment is unenforceable against St.
Paul because it was entered into in violation of the Umbrella Policy. Failure to adhere to the
conditions of an insurance contract can serve as a defense to liability against the insured and
any third-party seeking to recover under its terms. See Goodner v. Occidental Fire & Cas.
Co., 440 S.W.2d 614, 616 (Tenn. Ct. App. 1968) (acknowledging adherence to a no action
clause in an insurance policy as a valid condition precedent and thus a defense to liability);
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State Auto Ins. Co. v. Lashlee-Rich, Inc., 1997 WL 781896 at * 4 (Tenn. Ct. App. Dec. 22,
1997) (upholding the validity of a voluntary payment clause to deny insurance coverage).
Further, third-party rights can be “no greater than those of the insured.” Thurman v. St. Paul
Fire and Marine Ins. Co., 1985 WL 12896, at *3 (6th Cir. Jan. 29, 1985) (citing Franklin v.
St. Paul Fire and Marine Insurance Co., 534 S.W.3d 661, 665 (Tenn. Ct. App. 1975)).
During the course of the Underlying Lawsuit, Laxmiji violated several clauses of the
Umbrella Policy.
First, the Voluntary Payment clause forbid Laxmiji from voluntarily
assuming any obligation covered by the Umbrella Policy without St. Paul’s consent. Laxmiji
did so by unilaterally agreeing to a $20 million Consent Judgment [Doc. 76-19].3 Further, the
No Action Clause required that St. Paul agree to damages owed, or that those amounts be
In defendant’s statement of undisputed facts, defendant asserts that it did not consent to
the Consent Judgment in the Underlying Lawsuit [Doc. 76]. Plaintiffs dispute this on the basis of
Dick Broadcasting Company, Inc. of Tennessee v. Oak Ridge FM, Inc., 395 S.W.3d 653 (Tenn.
2013) [Doc. 80 ¶ 52]. Plaintiffs, however, do not explain their reasoning, either in their response
to defendant’s statement of facts, their motion for summary judgment, or their response to
defendant’s motion for summary judgment. Accordingly, this is an undeveloped argument that
must fail. See McPherson v. Kelsey, 125 F.3d 989, 995–96 (6th Cir. 1997) (“[I]ssues adverted to
in a perfunctory manner, unaccompanied by some effort at developed argumentation, are deemed
waived. It is not sufficient for a party to mention a possible argument in the most skeletal way,
leaving the court to. . . put flesh on its bones.” (internal quotations omitted)); see also E.D. Tenn.
L.R. 7.1(b) (requiring parties to provide the Court with the “legal grounds which justify the ruling
sought from the Court”).
3
Moreover, the Court fails to understand plaintiffs’ citation, as that case primarily deals with
implied covenants of good faith and fair dealing, as well as rights of first refusal in contracts. The
court in Dick Broadcasting does state, however, that “the implied obligation of good faith and fair
dealing does not create new contractual rights or obligations, nor can it be used to circumvent or
alter the specific terms of the parties’ agreement.” Dick Broadcasting, 395 S.W.3d at 666.
Therefore, to the extent that plaintiffs imply that defendant breached its obligation of good faith
and fair dealing by not consenting to the Consent Judgment, the plain language of the Umbrella
Policy clearly states that defendant had no duty to defend until the Retained Limit was exhausted.
Because the Limit was unexhausted at the time of the Consent Judgment, defendant had no duty
to participate in or consent to the Consent Judgment, and, as such, no obligation of good faith or
fair dealing was breached.
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determined at trial [Id.]. However, Laxmiji voluntarily assumed liability for $20 million in
damages through a Consent Judgment and without St. Paul’s blessing [Id.]. Plaintiffs do not
contest St. Paul’s argument that Laxmiji violated these clauses—they merely state that because
St. Paul refused its duty to defend Laxmiji in the Underlying Lawsuit, Laxmiji did not have to
perform its own obligations under the contract [Doc. 78]. However, as discussed above, St.
Paul did not have a duty to defend Laxmiji in the Underlying Lawsuit; therefore, Laxmiji
retained its obligations under the Umbrella Policy, which it then breached. The Court therefore
finds that the Consent Judgment was entered into in violation of the Umbrella Policy, thus
giving St. Paul a defense to liability. Moreover, this defense can be asserted against the Fritzes,
as their rights are no greater that Laxmiji’s.
Even viewing the evidence in a light most favorable to plaintiffs, the Court finds that
summary judgment is appropriate for defendant. Plaintiffs have failed to demonstrate a
genuine dispute of material fact demonstrating defendant was in breach of the Umbrella Policy.
Moreover, the Consent Judgment is unenforceable against defendant, as it was done in
violation of the clear terms of the Umbrella Policy. And because the Fritzes’ rights can be no
greater than Laxmiji’s the Court finds that plaintiffs cannot enforce the Consent Judgment
against St. Paul. Defendant’s motion for summary judgment [Doc. 74] will therefore be
granted.
B.
Plaintiff’s Motion for Summary Judgment
Because summary judgment is appropriate for defendant, the Court will deny plaintiffs’
motion for partial summary judgment [Doc. 72].
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IV.
Conclusion
For the reasons set forth above, the Court will GRANT defendant’s Motion for
Summary Judgment [Doc. 74]. Because summary judgment is appropriate for defendant, the
Court will DENY plaintiffs’ motion for partial summary judgment [Doc. 72].
ORDER ACCORDINGLY.
s/ Thomas A. Varlan
UNITED STATES DISTRICT JUDGE
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