873 F.3d 582
7th Cir.2017Background
- BancorpSouth purchased a bankers’ professional liability policy from Federal Insurance (policy covered "Loss" for covered "Claims" including defense costs; it excluded any claim "based upon, arising from, or in consequence of any fees or charges" (Exclusion 3(n)).
- Shane Swift sued BancorpSouth in 2010 alleging that Bancorp’s policies (e.g., reordering debits highest-to-lowest, delayed posting, misleading balance info) were used to maximize excessive overdraft fees and filed a class action on behalf of customers who incurred overdraft fees.
- BancorpSouth settled the class action for $24 million in 2016 and sought coverage from Federal for defense and indemnity; Federal denied coverage based on Exclusion 3(n).
- BancorpSouth sued Federal for breach of the duty to defend, breach of the duty to indemnify, and bad-faith denial of coverage; Federal moved to dismiss under Rule 12(b)(6).
- The district court held Exclusion 3(n) unambiguously excluded the Swift claims because the complaint’s gravamen was the imposition/collection of overdraft fees; it dismissed all counts. BancorpSouth appealed.
- The Seventh Circuit affirmed, holding the Swift Complaint’s allegations—read in context—plainly arise from fees, so Federal had no duty to defend or indemnify; the bad-faith claim failed for lack of underlying coverage.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Exclusion 3(n) bars duty to defend for the Swift Complaint | Swift's claims focus on Bancorp’s policies/practices (not fees per se); those policies caused harm, so defense costs are covered | Exclusion 3(n) excludes any claim based on, arising from, or in consequence of fees or charges—Swift alleges overdraft-fee scheme, so exclusion applies | Exclusion 3(n) unambiguously applies; duty to defend is barred because the complaint’s gravamen is overdraft fees |
| Whether Exclusion 3(n) is ambiguous given policy’s definition of "Defense Costs" (which includes attorneys’ fees) | Broad exclusion renders defense coverage illusory and is therefore ambiguous | Exclusion unambiguously excludes Loss (including Defense Costs) arising from any fees; it does not bar defense for claims not based on fees | Exclusion is plain and not ambiguous; it excludes defense/indemnity only for claims tied to fees |
| Whether Federal owed a duty to indemnify settlement costs | BancorpSouth: reasonable inferences should be drawn in favor of insured; indemnity still possible | Federal: duty to indemnify arises only when claim is covered; no duty if defense excluded | No duty to indemnify because no duty to defend; indemnity issue precluded by exclusion |
| Whether bad-faith claim survives absent coverage | BancorpSouth: insurer acted in bad faith by denying coverage | Federal: bad-faith requires underlying coverage | Dismissed—bad-faith claim fails without a viable coverage claim |
Key Cases Cited
- Alamo v. Bliss, 864 F.3d 541 (7th Cir. 2017) (standard of review for Rule 12(b)(6) dismissal)
- Ashcroft v. Iqbal, 556 U.S. 662 (U.S. 2009) (plausibility standard for pleading)
- Bell Atl. Corp. v. Twombly, 550 U.S. 544 (U.S. 2007) (pleading standard for plausible claim)
- Noxubee County Sch. Dist. v. United Nat’l Ins. Co., 883 So.2d 1159 (Miss. 2004) (insurance-policy interpretation under Mississippi law)
- A.M.I. Diamonds Co. v. Hanover Ins. Co., 397 F.3d 528 (7th Cir. 2005) (discussion of moral hazard as rationale for exclusions)
- S. Healthcare Servs., Inc. v. Lloyd’s of London, 110 So.3d 735 (Miss. 2013) (ambiguity rules: disagreement alone does not create ambiguity)
- United States Fid. & Guar. Co. v. Martin, 998 So.2d 956 (Miss. 2008) (policy ambiguous only if two or more logical interpretations exist)
- Health Care Indus. Liab. Ins. Program v. Momence Meadows Nursing Ctr., Inc., 566 F.3d 689 (7th Cir. 2009) (duty to defend broader than duty to indemnify)
- Stubbs v. Miss. Farm Bureau Cas. Ins. Co., 825 So.2d 8 (Miss. 2002) (bad-faith claim requires underlying coverage)
