Evanston Ins. Co. v. Law Office of Michael P. Medved, P.C.
890 F.3d 1195
10th Cir.2018Background
- Michael P. Medved’s law firm (Medved) handled foreclosures and billed fees/costs to lender clients, which ultimately were passed to property owners.
- A Colorado Attorney General (AG) investigation into possible overbilling led to subpoenas and a later AG suit; a separate class action by property owners alleged overbilling.
- Medved notified Evanston Insurance Company, which agreed to defend subject to a reservation of rights and later sent a detailed reservation letter months afterward.
- Evanston defended under reservation for the class action, but later sued Medved for declaratory relief and reimbursement of defense costs, arguing the policy covered only "professional services," not billing practices.
- The district court granted summary judgment to Evanston; Medved appealed on four issues (coverage for class action and AG investigation, timing of duty to defend, estoppel, and bad‑faith counterclaims).
Issues
| Issue | Medved’s Argument | Evanston’s Argument | Held |
|---|---|---|---|
| 1. Whether allegations arose from "professional services" so as to trigger duty to defend | Overbilling claims were integral to the firm’s professional services to lenders and thus covered | Allegations concerned billing practices (business conduct), not legal/professional services, so no coverage | Held for Evanston: overbilling is not a covered "professional service"; no duty to defend |
| 2. Whether Evanston incurred duty to defend AG investigation before a complaint/draft complaint | Duty arose upon subpoenas/ongoing investigation and thus defense obligation pre‑complaint | No "claim" triggering duty until written demand/complaint; investigation alone insufficient | Held for Evanston: no duty pre‑complaint; in any event, allegations were billing-related and not covered |
| 3. Whether Evanston is estopped from denying coverage for failing to reserve rights promptly | Failure/delay in reservation of rights estops insurer from denying coverage | Estoppel requires insured prejudice from insurer’s conduct; no prejudice shown here | Held for Evanston: no estoppel—insured showed no detrimental reliance or prejudice |
| 4. Whether bad‑faith counterclaims survive even if no coverage | Bad‑faith claim should survive independent of coverage issues | Bad‑faith claims unsupported and were forfeited by failing to litigate below | Held for Evanston: Medved forfeited bad‑faith arguments; summary judgment affirmed |
Key Cases Cited
- Hecla Mining Co. v. N.H. Ins. Co., 811 P.2d 1083 (Colo. 1991) (insurer’s duty to defend arises if complaint alleges facts that might fall within policy coverage)
- Zurich Am. Ins. Co. v. O’Hara Regional Ctr. for Rehab., 529 F.3d 916 (10th Cir. 2008) (billing practices do not fall within coverage for professional services)
- Cohen v. Empire Cas. Co., 771 P.2d 29 (Colo. App. 1989) (attorney’s business expenses/billing issues are not "professional services")
- Management Specialists, Inc. v. Northfield Ins. Co., 117 P.3d 32 (Colo. App. 2004) (estoppel requires insurer’s nonreservation and insured’s detrimental reliance/prejudice)
- U.S. Fidelity & Guar. Co. v. Budget Rent‑A‑Car Sys., Inc., 842 P.2d 208 (Colo. 1992) (insurer must raise or reserve defenses within a reasonable time or risk waiver/estoppel)
- Hartford Live Stock Ins. Co. v. Phillips, 372 P.2d 740 (Colo. 1962) (estoppel generally cannot create coverage for risks outside the policy)
- St. Paul Mercury Ins. Co. v. Am Bank Holdings, Inc., 819 F.3d 728 (4th Cir. 2016) (speculative allegations of lost settlement opportunities do not establish prejudice)
- Cornhusker Cas. Co. v. Skaj, 786 F.3d 842 (10th Cir. 2015) (discussing estoppel where insurer’s conduct led to default judgment)
- Braun v. Annesley, 936 F.2d 1105 (10th Cir. 1991) (analyzing estoppel and insurer conduct post‑verdict)
- Pendleton v. Pan Am. Fire & Cas. Co., 317 F.2d 96 (10th Cir. 1963) (estoppel analysis where insurer later sought to disclaim coverage)
