Defendants Distinguished Properties Umbrella Managers, Inc. (“Distinguished Umbrella”), Distinguished Programs Insurance Brokerage LLC (“Distinguished Brokerage”), and the Distinguished Programs Group, LLC (“Distinguished Group”) (collectively the “Defendants”) have moved, pursuant to Rule 12(b)(6) of the Federal Rules of Civil Procedure, to dismiss the Complaint of Plaintiff Federal Insurance Company (“Chubb”). Upon the facts and conclusions set forth below, the motion is granted, and the Complaint dismissed with prejudice and costs.
Prior Proceedings
Chubb filed its Complaint on October 14, 2009, alleging negligence (Count I), negligent misrepresentation (Count II), and breach of an implied-in-fact contract (Count III).
The instant motion was heard and marked fully submitted on March 17, 2010.
The Facts
On October 27, 2003, Chubb issued a Chubb Commercial Umbrella insurance policy, number 7949-86-82, (the “Insurance Policy”) to Distinguished Umbrella, a federal risk purchasing group. The Insurance Policy identified Distinguished Brokerage as the producer and Distinguished Umbrella and members of the federal risk purchasing group as the insureds. (Def. Ex. D.) The Insurance Policy was in effect from August 30, 2003 until August 30, 2005. (Def. Ex. A.)
An endorsement to the Insurance Policy, “Named Insured,” stated that the named insured included “Distinguished Properties Umbrella Managers, Inc. and its members.” (Def. Ex. D.) Another endorsement to the Insurance Policy, “Inception Named Insured & Covered Locations,” provided that
[i]t is hereby agreed that those entities or group of related entities designated as members of this risk purchasing group on the individual member’s Certificate of Coverage and identified on the initial bordereau dated August 30, 2003 submitted to the company by the broker Distinguished Programs Insurance Brokerage LLC are included as insureds under this policy.
(Def. Ex. D.) The individual member’s certificate of coverage reflected the specific term of the individual member’s coverage period. (Def. Ex. D.)
The Insurance Policy required that Distinguished Umbrella “must see to it” that Chubb and Distinguished Umbrella’s underlying insurers “are notified as soon as reasonably possible of any occurrence which may result in a claim if the claim may involve this policy or any underlying insurance” and “receive notice of the claim or suit as soon as reasonably possible.” (Def. Ex. D.)
The Insurance Policy provided that Chubb had “the right and the duty to assume control of the investigation, settlement or defense of any claim or suit against the insured for damages covered by this policy, even if the allegations of the claim or suit are groundless, false or fraudulent.” (Def. Ex. D.)
One entity insured under the Insurance Policy was 65 Ocean Avenue Associates, LLC (now known as The Grove, LLC), which was located at 65 Ocean Avenue, Brooklyn, New York (the “65 Ocean Property”) and another location. (Compl. ¶ 16; Def. Ex. A.) On December 17, 2004, Distinguished Group notified Chubb in writing that the 65 Ocean Property was deleted from coverage under the Insurance Policy. (Compl. ¶¶ 16,18; Def. Ex. A.)
Distinguished Group notified Chubb of the Todorovic lawsuit by facsimile, including: (1) a First Notice of Umbrella Claim (the “Notice”); (2) a copy of the Todorovic lawsuit summons and complaint; (3) a certificate of insurance issued on February 18, 2004; and (4) a copy of the bordereau. (Compl. ¶¶ 18-19; Def. Ex. B.) The Notice identified the insured and the plaintiff, provided the location and a brief description of the incident, and contained a note asking Chubb to provide a claim number and identify the adjuster. (Compl. ¶ 18; Def. Ex. B.)
There were no further communications between Chubb and Defendants regarding the Todorovic lawsuit. (Compl. ¶¶ 18-21.) In September 2007, Chubb paid $1,125,000 to settle the Todorovic lawsuit. (Compl. ¶ 21.)
The 12(b)(6) Standard
On a motion to dismiss pursuant to Rule 12, all factual allegations in the complaint are accepted as true, and all inferences are drawn in favor of the pleader.
Mills v. Polar Molecular Corp.,
To survive a motion to dismiss pursuant to Rule 12(b)(6), “a complaint must contain sufficient factual matter, accepted as true, to ‘state a claim to relief that is plausible on its face.’ ”
Ashcroft v. Iqbal,
— U.S. —,
When deciding a 12(b)(6) motion, a court may consider the complaint’s factual allegations and documents attached to, incorporated by reference in, or otherwise integral to the complaint.
Roth v. Jennings,
The Negligence Counts Are Barred by the Statute of Limitations
Pursuant to the
Erie
doctrine in this diversity case, the Court must look to state law to determine the substantive rights and obligations of the parties and the applicable statute of limitations.
Stuart v. Am. Cyanamid Co.,
New York applies a three-year statute of limitations to claims sounding in tort, as is the case for Counts I (negligence) and II (negligent misrepresentation).
See
N.Y. C.P.L.R. § 214(4);
Mauro v. Niemann Agency, Inc.,
As a general rule, “[a] tort claim accrues as soon as the claim becomes enforceable, i.e., when all elements of the tort can be truthfully alleged in a complaint.”
IDT Corp. v. Morgan Stanley Dean Witter & Co.,
The Complaint alleges that “Defendants affirmatively and expressly represented to Plaintiff that the personal injury claim at the 65 Ocean Avenue property which was the subject of the Todorovic lawsuit was covered under Plaintiffs policy of insurance.” (Compl. ¶ 18.) The Complaint further alleges that “Defendants breached the duty they owed to [Chubb] by failing to properly investigate and determine coverage ... and in wrongfully reporting this personal injury claim to [Chubb] and advising [Chubb] that [there] was coverage for same.” (Compl. ¶ 28.) Finally, the Complaint alleges that Defendants made a negligent misrepresentation “by making a false representation about coverage for this personal injury claim when [they] inaccurately and incorrectly reported this personal injury claim to [Chubb].” (Compl. ¶ 33.) The Complaint alleges that this purported wrongful act occurred on April 20, 2005. (Compl. ¶¶ 18-19.) The Notice appended to the Complaint establishes that this allegedly wrongful communication occurred on April 20, 2005. (Compl. ¶¶ 18, 19; PI. Ex. B.)
Chubb also alleged that “the incident and resulting damage which forms the basis of this lawsuit occurred in September 2007,” when, in exercise of its contractual responsibility to investigate and settle claims, Chubb “wrongfully paid $1,125,000.00 in settlement of this personal injury claim.” (Compl. ¶¶ 5, 21.)
In the
IDT Corp.
case, IDT sued Morgan Stanley, its former investment banker, for breach of fiduciary duty because Morgan Stanley allegedly (1) disclosed IDT’s confidential business information to a third party, Telefonica, causing Telefonica to renege on a Memorandum of Understanding (“MOU”) and (2) provided incorrect information during an arbitration that IDT commenced in May 2001.
IDT Corp.,
Relying on its reading of the IDT Corp. case, Chubb has contended that its negligence claims did not accrue until Chubb settled the Todorovic lawsuit in September 2007. However, as Chubb concedes, the Court of Appeals “stated the injury ‘must have accrued before May 25, 2001, when IDT commenced the arbitration against Telefonica.’ ” (PI. Br. 10.) Thus, the injury occurs not when damages are fixed by a settlement, but rather when a party changes position to its detriment, and thereby sustains an injury that causes it to suffer loss. In this case, Chubb assumed the duty to investigate, defend, and resolve the Todorovic lawsuit on April 20, 2005. 2 (Compl. ¶¶ 5,18,19, 21.)
Lavandier v. Landmark Ins. Co.,
Chubb’s assertion of the continuing tort doctrine (PI. Br. 10) is similarly unavailing, because the case does not involve “continuous or repeated injuries.”
Mix v. Delaware & Hudson Ry. Co.,
In the Complaint, however, Chubb has alleged only one negligent act, the delivery of the Notice of the Todorovic lawsuit on April 20, 2005, and one injury, namely, Chubb’s accepting responsibility for the investigation, defense, and resolution of the Todorovic lawsuit. (Compl. ¶¶ 5, 18, 21.) The negligent act and injury both occurred on April 20, 2005.
Under the authorities discussed above, Counts I and II accrued on April 20, 2005. As the Complaint was not filed within three years, Counts I and II are time-barred.
The Complaint Failed to Establish a Breach of Duty under Count I
The Complaint alleges that Distinguished Umbrella timely notified Chubb that the 65 Ocean Property was no longer covered under the Insurance Policy and that Distinguished Group notified Chubb about the Todorovic lawsuit when it re
Under New York law, a negligence claim requires “(1) the existence of a duty on defendant’s part as to plaintiff; (2) a breach of this duty; and (3) injury to the plaintiff as a result thereof.”
Alfaro v. Wal-Mart Stores, Inc.,
It is well established under New York law that “insurance brokers act as agents on behalf of an insured and not the insurer.”
Ewtex Co. v. Hartley Cooper
Assocs.
Ltd.,
Chubb has contended that Defendants had a duty to make coverage determinations that arose from the parties’ “past relationship and course of dealing” and Defendants’ role as a federal risk purchasing group. (PI. Br. 12-14.) In addition, Chubb argues that Defendants owed it a common law duty of disclosure. (PI. Br. 13-15.)
Although a “voluntary assumption of an action imposes a duty of reasonable care in the performance of that action,”
Morgan Stanley & Co. v. JP Morgan Chase Bank, N.A.,
The terms of the Insurance Policy establish that Defendants did not have a duty to make coverage determinations. (See Def. Br. 11-12.) The Insurance Policy required Distinguished Umbrella to notify Chubb “as soon as reasonably possible of any occurrence which may result in a claim if the claim may involve this policy or any underlying insurance.” (Def. Ex. D.) This language required notification if there were any possibility of coverage under the Insurance Policy, regardless of merit. As a practical matter, there is a limited time to respond once a lawsuit has been initiated, and a coverage determination may not be resolved by the time a response is due. The failure to report a claim against an insured to the insurer may result in denial of coverage and thereby, a breach of the duty to the insured. Indeed, the very act that Chubb claims constituted a breach of the duty of care, reporting the Todorovic lawsuit to Chubb, also fulfilled an express contractual obligation. Accordingly, that act does not constitute a breach of a duty of care.
Chubb also argues that a federal risk purchasing group is required to make coverage decisions for an insurance carrier, but cites no support for this argument. Contrary to Chubb’s contention, a risk purchasing group is the insured and exists
Chubb’s contention that Defendants had a common law “duty of disclosure” also fails because it relies upon inapposite cases.
See Cutler v. Hartford, Life Ins. Co.,
Although
Ins. Co. of N. Am. v. Whitlock,
In addition, the Complaint alleges that Chubb was injured when it “wrongfully paid $1,125,000.00” to settle the Todorovic lawsuit. The Insurance Policy allocates to Chubb “the right and the duty to assume control of the investigation, settlement or defense of any claim or suit against the insured for damages covered by this policy.” (Def. Ex. D.) In
Panepinto v. Allstate Insurance Co.,
The Defendants had no duty to make coverage determinations. To the contrary, Chubb bore this responsibility and is responsible for any injury caused by an improper coverage determination. Chubb has not established that Defendants owed any duty of care to Chubb or that Defendants caused any injury to Chubb.
Count I therefore fails to state a claim upon which relief can be granted.
The Complaint has Failed to Establish the Negligent Misrepresentations Alleged in Count II
Under New York law, a negligent misrepresentation claim contains the
Chubb has not Established a Special Relationship
It is well settled under New York law that a fiduciary duty is generally not imposed upon an insurance broker.
See Murphy v. Kuhn,
Chubb has contended that “Defendants owed a duty to Plaintiff as a result of their special relationship” (Compl. ¶ 32) and argues that “under certain circumstances” a broker can become an agent of the insurer. (PI. Br. 19.) However, Chubb does not point to any facts or circumstances to support its contention that Defendants acted as fiduciaries with respect to Chubb or its argument that an agency relationship existed. Moreover, as discussed above, Defendants’ status as a federal risk purchasing group means that they are the insured, and there is no special relationship between an insured and an insurer.
See Batas,
Chubb has not supported its contention that a special relationship existed between the parties. The mere assertion of such a relationship is not sufficient to “state a claim to relief that is plausible on its face.”
Iqbal,
Chubb has not Established Reasonable Reliance
Chubb argues that it reasonably relied upon the “certificate of insurance” included with Defendants’ April 20, 2005 notification of the Todorovie lawsuit. However, given that Chubb was contractually obligated to investigate and resolve all claims, its purported reliance upon Defendants’ April 20, 2005 notification of the Todorovie lawsuit is not reasonable.
See Panepinto,
Chubb has not Alleged a Misrepresentation Extraneous to the Contract
Count II of Chubb’s Complaint alleges that Defendants “inaccurately and incorrectly reported [the Todorovic lawsuit] to [Chubb].” (Compl. ¶ 33.) Count III alleges that Defendants “wrongfully reported] coverage for the [Todorovic lawsuit] to [Chubb].” (Compl. ¶ 40.) The allegation in Count II is a restatement of the same facts in Count III, in slightly different language, and “merely parallels] the breach of contract claim” asserted in Count III.
RKB Enterprises,
Count II therefore fails to state a claim upon which relief can be granted.
The Complaint has Failed to Establish the Implied-in-Fact Contract Alleged in Count III
Count III alleges that the “course of dealings between [Chubb] and the Defendants ... constituted a contract.” (Compl. ¶ 38.) An implied-in-fact agreement is “founded upon a meeting of minds, which, although not embodied in an express contract, is inferred, as a fact, from conduct of the parties showing, in the light of the surrounding circumstances, their tacit understanding.”
Hercules Inc. v. United States,
Chubb argues that it “is not required to provide detailed factual allegations concerning the existence of an implied-in-fact contract,” but acknowledges that it must allege “conduct” that illustrates the parties’ “tacit understanding.” (PL Br. 21.) However, the Complaint fails to assert any facts that illustrate the course of dealings or the nature of the consideration or suggest that a “meeting of the minds was indicated by some intelligible conduct, act or sign.”
Baltimore & Ohio R.R. Co. v. United States,
In addition, Chubb’s claim for breach is precluded by the Insurance Policy, which is an express contract that covers the same subject as the alleged implied-in-fact contract.
Leibowitz,
Chubb has contended that the implied contract “imposes duties independent of
The contradiction between the terms of the Insurance Policy and the terms of the alleged implied-in-fact contract also demonstrates that the parties did not intend to form the implied contract.
R.G. Group, Inc. v. Horn & Hardart Co.,
For the foregoing reasons, Count III fails to state a claim upon which relief can be granted.
Conclusion
Based upon the facts and conclusions set forth above, Defendants’ motion is granted and the Complaint is dismissed with prejudice and costs.
It is so ordered.
Notes
. Defendants argue that a three-year statute of limitations applies to Plaintiff’s negligent misrepresentation claim because it "involves injury to property.”
Lee v. Kim,
No. 93 CIV. 8280,
. Plaintiff concedes that it could have alleged damages arising from injuries that accrued before settlement. (See PI. Br. 11 (citing "further injuries from which damage ensued until September 2007”).)
