NCMIC Insurance v. Walcott
NCMIC Insurance v. Walcott
Opinion of the Court
MEMORANDUM OPINION
NCMIC Insurance Company issued a professional liability policy to Named Insured, Defendant Dr. Walcott, a chiropractor, for the period of March 19, 2011 to March 19, 2012. A female patient (“the Patient”) sued Dr. Walcott and two related entities in state court alleging sexual assault, based on an incident that occurred on July 80, 2011 (the “Underlying Action”).
I. Standard of Review
A court may only grant a Motion for Judgment on the Pleadings, pursuant to Federal Rule of Civil Procedure 12(c), “if, on the basis of the pleadings, the mov-ant is entitled to judgment as a matter of law.”
II. Discussion
NCMIC argues both that it has no duty to defend Dr. Walcott in the underlying lawsuit and that it has no duty to indemnify him, pointing to several exclusions of coverage in the relevant policy.
The cause of action asserted in an underlying complaint is neither dispositive nor determinative of whether a particular incident falls under a policy’s coverage.
When a dispute arises out of differing interpretations of an insurance policy, “interpretation ... of coverage is generally performed by the court.”
To resolve this Motion, then, the Court must look at the facts asserted in the Underlying Complaint.
The Patient’s Underlying Complaint alleges that Dr. Walcott used Saturday appointments to meet, groom, and sexually abuse select patients, and exploited her trust and dependency. Based on this incident, the Patient sued Dr. Walcott, his corporation Walcott Chiropractic, P.C., and The Advanced Wellness Center of Pennsylvania, D.C. (a corporation materially related to Walcott Chiropractic, P.C.) alleging Negligence, Negligent Hiring/Supervision/Retention, Negligent Undertaking, Premises Liability, Negligence Per Se, and Battery. Among other allegations, she alleges that Dr. Walcott engaged in inappropriate sexual contact, engaged in unlicensed massage therapy, failed to treat her presenting medical problems, failed to maintain appropriate professional boundaries, and violated his professional code of ethics.
In determining whether NCMIC has a duty to defend its insured, Dr. Walcott, the Court must consider the scope of the insurance coverage and the allegations in the Underlying Complaint.
NCMIC’s insurance policy with Dr. Wal-cott includes a Supplemental Legal Defense Endorsement, which provides that NCMIC will pay up to $25,000 in “defense costs incurred by the insured in certain covered proceedings.”
Insurers may contract to provide a defense even in situations in which they have no actual or potential obligation to indemnify. NCMIC has done so here. The Supplemental Legal Defense Endorsement (“Endorsement”) plainly states that it the policy will cover up to $25,000 in defense costs in cases in which the insured is accused of committing acts of sexual misconduct in the course of providing professional services to a patient, which claims would not otherwise be subject to a defense under the terms of the professional liability policy.
As Dr. Walcott was massaging the Patient’s hip and groin area immediately pri- or to his contact with her genitals, and massage therapy is not within the scope of a chiropractor’s licensed practice,
B. Duty to Indemnify
The insurer is required to indemnify “only if it is established that the claimant’s damages are actually within the policy’s coverage.”
The Court agrees that the Patient’s claims against Dr. Walcott arise from an alleged intentional and knowing act, performed without consent (or any reasonable belief that the Patient would consent). The Patient is seeking to recover against Dr. Walcott for sexual assault and battery, however labelled in the Underlying Complaint. Furthermore, the alleged conduct at issue falls within the policy exclusion for conduct involving sexual impropriety, sexual intimacy, sexual assault, sexual harassment, or any other similarly defined act, as Dr. Walcott is alleged to have sexually penetrated the Patient deliberately and without her consent, and without offering a medical rationale. Accordingly, the Court holds that judgment must be entered in favor of NCMIC with regard to its duty to indemnify Dr. Wal-cott.
III. Conclusion
For the reasons set forth above, the Court will grant in part and deny in part NCMIC’s Motion for Judgment on the Pleadings. An appropriate order follows.
ORDER
AND NOW, this 3rd day of'September 2014, upon consideration of Plaintiffs Motion for Judgment on the Pleadings [Doc. No. 11], and the responses and reply thereto, and for the reasons set forth in the accompanying Memorandum Opinion, it is hereby ORDERED that the Motion is GRANTED as to NCMIC’s duty to indemnify Defendant Dr. Walcott for damages or punitive damages owed to the Patient, and DENIED as to NCMIC’s duty to defend Dr. Walcott in the Underlying Action.
It is accordingly ORDERED that NCMIC owes no duty to indemnify Defendant Dr. Walcott for any damages or punitive damages awarded in the civil action captioned Bieberv. Christopher v. Walcott, D.C., et al., Philadelphia County Court of Common Pleas, 2013, No. 3422.
It is so ORDERED.
. See Compl. Ex. A, the "Underlying Complaint” filed in Bieber v. Christopher V. Wal-cott, D.C., et al., Court of Common Pleas of Philadelphia County, 2013-03422. Plaintiff in the Underlying Action is also named as a defendant in this declaratory judgment action.
. The declaratory judgment Complaint before the Court does not ask the Court to rule as to the policy's application to claims against any other parties to the Underlying Action, and the Court will not address Defendants' arguments to the extent that they would require the Court to do so.
. DiCarlo v. St. Mary Hosp., 530 F.3d 255, 262 (3d Cir. 2008).
. Tucker v. Middleburg-Legacy Place, LLC, 539 F.3d 545, 549 (6th Cir. 2008) (quoting JPMorgan Chase Bank, M.A. v. Winget, 510 F.3d 577, 582 (6th Cir. 2007)).
. Atiyeh v. Nat'l Fire Ins. Co. of Hartford, 742 F.Supp.2d 591, 595 (E.D.Pa. 2010) (footnotes omitted).
. Compl. Ex. B, at 18-19.
. Mut. Benefit Ins. Co. v. Haver, 555 Pa. 534, 725 A.2d 743, 745 (1999) (internal citations omitted).
. Id. at 745-46.
. Donegal Mut. Ins. Co. v. Baumhammers, 595 Pa. 147, 938 A.2d 286, 290 (2007) (quoting Minn. Fire & Cas. Co. v. Greenfield, 579 Pa. 333, 855 A.2d 854, 861 (2004)).
. 401 Fourth St., Inc. v. Investors Ins. Group, 583 Pa. 445, 879 A.2d 166, 171 (2005).
. Id.
. Compl. Ex. A.
. Underlying Complaint ¶ 34.
. Allstate Ins. Co. v. Lombardi, 142 Fed. Appx. 549, 550 (3d Cir. 2005).
. Compl. Ex. B.
. Id.
. Id.
. Id.
. For the purpose of this opinion, the Court will assume, without deciding, that massage is not within the scope of professional services offered by licensed chiropractors, as neither party argues otherwise.
. Air Products & Chemicals, Inc. v. Hartford Accident & Indem. Co., 707 F.Supp. 762, 766 (E.D.Pa. 1989) (internal emphasis omitted).
. Compl. Ex. B.
. Compl. Ex. B.
Reference
- Full Case Name
- NCMIC INSURANCE CO. v. Christopher WALCOTT, D.C.
- Cited By
- 1 case
- Status
- Published