HomeWell Franchising Inc v. Evanston Insurance Company
7:24-cv-00101
| N.D. Tex. | Aug 5, 2025Background
- HomeWell Franchising, Inc. ("HomeWell") purchased a professional liability insurance policy from Evanston Insurance Company ("Evanston").
- Ms. Egeland, an 82-year-old in the care of a HomeWell franchisee, allegedly suffered serious injuries and death due to alleged negligence and misrepresentations by HomeWell and others.
- Her estate sued, asserting claims including misrepresentation, fiduciary fraud, and consumer law violations in California state court (the "Underlying Lawsuit").
- HomeWell sought defense from Evanston under its policy, but Evanston denied coverage based on "Bodily Injury" and "Vulnerable Adult Abuse" exclusions.
- HomeWell filed this federal action seeking a declaration that Evanston must defend it; Evanston sought summary judgment, arguing all claims are excluded by the policy.
- The court found no material fact disputes and ruled on cross-motions for summary judgment.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the Underlying Lawsuit alleges claims potentially within coverage | Misrepresentation and personal injury claims are covered | Claims arise from bodily injury/personal injury to a vulnerable adult | Yes; allegations trigger policy coverage |
| Whether exclusions (Bodily Injury/Vulnerable Adult Abuse) apply | Misrepresentation/fraud/CLRA claims are independent, not caused by bodily injury | All claims bear at least incidental relationship to bodily or personal injury | Exclusions apply, precluding coverage |
| Whether Evanston has a duty to defend HomeWell in the Underlying Lawsuit | Yes, given the factual allegations and claim definitions | No duty, as all liability falls within an exclusion | No duty to defend; judgment for Evanston |
| Whether HomeWell’s claims should be dismissed | Should proceed due to improper denial of defense | Should be dismissed with prejudice, as coverage is excluded | Dismissed with prejudice |
Key Cases Cited
- Celotex Corp. v. Catrett, 477 U.S. 317 (summary judgment standard)
- Erie R. Co. v. Tompkins, 304 U.S. 64 (application of state law in diversity)
- GuideOne Elite Ins. v. Fielder Rd. Baptist Church, 197 S.W.3d 305 (eight-corners rule for duty to defend)
- Nat’l Union Fire Ins. v. Hudson Energy, 811 S.W.2d 552 (policy ambiguities construed in favor of insured)
- Gulf States Ins. v. Alamo Carriage Serv., 22 F.3d 88 (exclusion applies, no duty to defend)
- Utica Nat. Ins. of Tex. v. Am. Indem. Co., 141 S.W.3d 198 (causation required but-for for exclusions)
- Sport Supply Grp., Inc. v. Columbia Cas. Co., 335 F.3d 453 ("arising out of" interpreted broadly in exclusions)
