Marks v. Houston Casualty Co.
Marks v. Houston Casualty Co.
Opinion of the Court
¶ 1. David Marks appeals a judgment in favor of Houston Casualty Company and Bedford Underwriters, Ltd., Houston Casualty's "surplus lines agent," declaring that Houston Casualty did
BACKGROUND
¶ 2. Marks is the trustee of two trusts, known as the Irrevocable Children's Trust (ICT) and the Irrevocable Children's Trust No. 2 (ICT2). As trustee, Marks is responsible for investing, managing and growing the corpus of the trusts. In the course of such duties, Marks allegedly invested and took a majority stock position in a company called Titan Global Holdings, Inc. and its subsidiaries. Marks sat on the board of Titan, acted as the board's chair, and served, as necessary, as an officer and/or director of Titan's subsidiaries, all of which Marks alleged was in furtherance of his duties as trustee.
¶ 3. Houston Casualty issued a "Professional Liability Errors & Omissions Insurance Policy" to Marks for the policy period October 28, 2008 to October 28, 2009. The policy provides coverage up to $1,000,000 for any loss and/or expenses relating to any claims, demands, or suits based upon or arising out of Marks's profession. In an endorsement, the policy states that
IV. EXCLUSIONS
This Policy does not apply either directly or indirectly to any Claim and Claim Expenses:
(b) For liability arising out of the Insured's services and/or capacity as:
(1) an officer, director, partner, trustee, or employee of a business enterprise not named in the Declarations or a charitable organization or pension, welfare, profit sharing, mutual or investment fund or trust.
¶ 4. Marks was sued six times in five states for his actions related to Titan, and Marks submitted claims to Houston Casualty for each lawsuit. Houston Casualty either refused or failed to provide a defense for Marks for any of the lawsuits. On November 17, 2009, Marks brought suit against Houston Casualty and Bedford, seeking various forms of relief based upon Houston Casualty's failure or refusal to provide him a defense in those other lawsuits. Houston Casualty cross-claimed against Bedford, alleging that Houston Casualty was entitled to be indemnified by Bedford to the extent that Houston Casualty was found liable to Marks.
¶ 5. All parties moved for summary judgment. The circuit court granted summary judgment in favor of Houston Casualty and Bedford on Marks's claims, and dismissed Houston Casualty's cross-claim against
DISCUSSION
¶ 6. We review summary judgments de novo, and will uphold a grant of summary judgment if there is no genuine issue of material fact and the moving party is entitled to judgment as a matter of law. Wis. Stat. § 802.08(2) (2013-14); Hardy v. Hoefferle, 2007 WI App 264, ¶ 6, 306 Wis. 2d 513, 743 N.W.2d 843. For purposes of summary judgment here, there are no material disputed facts because the duty-to-defend law that we apply requires that we look to the allegations in the complaints against Marks and there is no dispute regarding what those allegations are. What remains is the correct interpretation of duty to defend law and the
¶ 7. Marks argues that the circuit court erroneously concluded that Houston Casualty did not breach its duty to defend Marks in the other lawsuits. Specifically, Marks argues that: (1) because Houston Casualty made a unilateral decision to deny a defense to Marks in the other lawsuits, policy exclusions may not be considered when determining whether Houston Casualty breached its duty to defend; and (2) if exclusions are considered in deciding whether Houston Casualty breached its duty to defend, the exclusions here do not bar coverage for two alternative reasons, first because their plain language does not bar coverage and, second, because the exclusions are void because they create illusory coverage. We conclude that: (1) policy exclusions are properly considered in determining whether Houston Casualty breached its duty to defend Marks; and (2) Houston Casualty did not breach its duty to defend because policy exclusion IV(b)(l) precludes coverage when assessed in light of the allegations in complaints against Marks, and because the policy exclusions do not create illusory coverage. Therefore, the circuit court correctly concluded that Houston Casualty did not breach its duty to defend in the other lawsuits.
¶ 8. The overarching issue in this case is whether Houston Casualty breached its duty to defend Marks in the other lawsuits. To resolve this issue, we look only to the allegations contained within the four corners of the complaints in those suits and the terms of
¶ 9. Normally, when determining whether an insurer has a duty to defend, courts look to allegations in a complaint and first compare them with a policy's initial grant of coverage and, if we find coverage, turn next to see if any exclusions preclude coverage. If we find any such exclusions, we look to see if any exceptions to the exclusions reinstate coverage. See Preisler v. General Cas. Ins. Co., 2014 WI 135, ¶ 22, 360 Wis. 2d 129, 857 N.W.2d 136. In this case, we assume without deciding that the policy makes an initial grant of coverage and no exception to an exclusion has been raised. Therefore, our inquiry into whether Houston Casualty breached its duty to defend would presumably focus on whether there is an exclusion that applies to preclude coverage. However, Marks argues that where there is a unilateral failure or refusal by the insurer to defend the insured so that the question is whether the insurer has breached its duty to defend, the insurer is not permitted to argue that an exclusion justified its refusal to defend. In effect, Marks argues that a different duty to defend analysis applies when, as here, an insurer decides on its own not to provide a defense, and the issue later arises in a breach of duty to defend context. As we explain below, we disagree.
In Grube v. Daun, 173 Wis. 2d 30, 496 N.W.2d 106 (Ct. App. 1992), the Court of Appeals, for the first time, clearly and explicitly stated that an insurer cannot look to exclusions or limiting language when unilaterally determining its duty to defend. Id. at 74-75 ("Rather than raising the issue in court, an insurer cannot deliberately reach its own conclusion on coverage and then maintain that a clause in the policy would have excused it from indemnifying had the coverage issue correctly been decided by a court originally.") Two years later, in Kenefick v. Hitchcock, 187 Wis. 2d 218, 522 N.W.2d 261 (Ct. App. 1994), the court once again clearly, and unequivocally, reiterated the rule set forth in Grube:
The nature of that claim is such that — ignoring, as we must at this stage of the inquiry, both the merits of the claim and any exclusionary or limiting terms and conditions of the policies and, further, resolving all doubts in favor of the insured — we cannot say that there was no duty on Federated's part to defend the action, at least up to the point that its policy defenses to coverage were resolved.
[Kenefick,] 187 Wis. 2d at 232. Four years after Kenefick, the appellate court again reiterated the rule that when reviewing an insurer's duty to defend, the court's "inquiry at this stage is limited; we are required to ignore 'both the merits of the claim and any exclusionary or limiting terms and conditions of the policies.'" Radke v. Fireman's Fund Ins. Co., 217 Wis. 2d 39, 44, 577 N.W.2d 366 [] (Ct. App 1998) (quoting Kenefick, 187 Wis. 2d at 232).
Marks accurately portrays the pertinent parts of Grube, Kenefick, and Radke. However, we agree with
¶ 11. As Marks points out elsewhere in his briefing, Grube cites as authority our Professional Office Bldgs, decision. In Professional Office Bldgs., we held that an insurer that had unilaterally denied a defense and breached its duty to defend under the policy was estopped from contesting coverage. Id. at 586. However, not only did we not provide support for the additional restriction stated in Grube, but in Professional Office Bldgs, we expressly relied upon both a policy endorsement and a policy exclusion when analyzing the underlying issue at hand: whether the insurer had breached its duty to defend. See id. at 583 (referring to the following endorsement: "The air taxi endorsement to the Airshield policy insured against damages resulting from the 'negligent operation, maintenance or use' of the aircraft."), and id. at 578 (referring to the exclusion: "While the policy excludes liability resulting from use of aircraft, there is an exception to the exclusion for 'liability arising out of operations performed by independent contractors.'").
¶ 12. The estoppel rule that we stated in Professional Office Bldgs, comes into play when an insurer, having received notice of a lawsuit, unilaterally declines to provide a defense, and the insured subsequently sues or joins the insurer as a party seeking to hold the insurer liable for defense costs already incurred, to compel the insurer to provide a defense going forward, or to compel the insurer to provide coverage under the policy. In those circumstances, the insurer forfeits its right to contest coverage under the
¶ 13. In Grube, we seemingly failed to recognize the nature of the estoppel rule in Professional Office Bldgs. Contrary to the approach that we applied in Professional Office Bldgs., in Grube and more explicitly in Kenefick and Radke, we imposed a different and illogical hurdle for insurers. We drew a distinction between initial coverage provisions and other parts of policies, in particular exclusions. See Grube, 173 Wis. 2d at 74-75; Kenefick, 187 Wis. 2d at 232; and Radke, 217 Wis. 2d at 44. We effectively said in these cases, contrary to Professional Office Bldgs., that if the duty to defend arises as an issue after an insurer unilaterally declines to provide a defense and the insured claims the insurer breached its duty to defend, the duty to defend test is different. In that situation, according to these decisions, it matters not how plainly an exclusion might apply; rather the question whether the insurer has breached its duty to defend is determined by comparing the facts alleged in the complaint with only the initial coverage portion of the policy. Not only do these cases fail to follow Professional Office Bldgs, in this respect, but they deviate as well from the supreme court precedent upon which Professional Office Bldgs, rests.
¶ 14. Professional Office Bldgs, relies on three prior cases to support its method of determining whether an insurer had breached its duty to defend.
¶ 15. To the extent, then, that in Grube, Kenefick and Radke we modified Professional Office Bldgs, as we have described, we agree with the circuit court that we lacked the authority to do so under Cook v. Cook, 208 Wis. 2d 166, 189, 560 N.W.2d 246 (1997) (the court of appeals "must speak with a unified voice" and may not overrule, modify or withdraw language from its
¶ 16. We note that Grube, Kenefick and Radke do not merely conflict with Professional Office Bldgs., they unnecessarily create a modified duty to defend test that is counterintuitive and confusing. Why should it matter whether a policy plainly denies coverage in one section or another? By using the normal duty to defend test to assess whether the insurer has breached its duty to defend, Professional Office Bldgs. provides a strong incentive to insurers to provide a defense to insureds, even when the insurer contests its obligation to provide coverage. The substantial benefit to insurers of providing an initial defense and promptly litigating the duty to defend is that, if the insurer is wrong in its assessment that it has no duty to defend, the insurer does not forfeit its right to contest coverage based on the facts, as further developed in discovery or as found by a fact finder. Under
¶ 17. In any event, regardless of the desirability of the Grube approach, we are bound by our earlier decision in Professional Office Bldgs. Thus, we conclude that the circuit court correctly assessed whether Houston Casualty breached its duty to defend by comparing the allegations in the complaints against Marks in the other lawsuits with the full Houston Casualty policy, including exclusions. Consequently, we turn our attention to whether the circuit court correctly determined that an exclusion in Marks's policy precludes coverage in light of the allegations made in the complaints against Marks.
¶ 18. In this case, we first look to the six complaints relating to the six lawsuits for which Marks seeks representation and coverage under his Houston Casualty policy. We briefly summarize the relevant allegations against Marks in each of those complaints:
• Oblio Telecom v. Hawaii Global Exchange, Inc., No. 3:08-CV-0120-K (N.D. Tex.), is a civil lawsuit. Marks and Titan are named as defendants in Hawaii Global's counterclaim, which describes a single count of conspiracy to commit fraud. The counterclaim describes Marks as "a principal shareholder and equitable owner of Titan." There is no mention in the counterclaim of ITC or ITC2, nor of Marks being involved in Titan by virtue of his*520 status as trustee. In an amended counterclaim, allegations are added describing ITC and ITC2 as alter egos of a co-defendant, Frank Crivello, and describing Marks as the nominal trustee of both trusts. However, there is no allegation that Marks is being sued in his capacity as trustee.
• Near v. Crivello, No. 09-CV-2233 JWL/JPO (D. Kan.), is a civil lawsuit. Marks is a named defendant and is described as "the Chairman of Titan and, through one or more of his business entities, a shareholder of Titan." The complaint describes Marks as taking, in concert with others, personal actions that constitute the basis of the complaint, and does not mention ITC or ITC2. Marks is named in multiple counts in the complaint: fraud, fraudulent inducement, negligent misrepresentation, fraud by silence, conversion, and civil conspiracy.
• Miller v. Greystone Bus. Credit II, LLC, No. 09-50100 (BLS) (Bankr. D. Del.), is an adversary proceeding within the bankruptcy of USA Detergents, Inc. The complaint alleges that: "Marks became the Chairman of the Board of Directors of USAD at some point after August 1, 2007. At all material times hereto, Marks was also the Chairman of Titan and a Member of Crivello Group." The complaint does not mention ITC or ITC2. Marks is named in two of the complaint's nine counts: breach of fiduciary duty, and civil conspiracy.
• ILDN West, LLC v. Titan Global Holdings, Inc., No. BC404478 (Cal.), is a civil lawsuit. The Complaint alleges: "At all times relevant hereto, Marks was a Chairman of Titan and represented Oblio, Titan Communications and Planet Direct." The complaint does not mention ITC or ITC2. Marks is named in one of the seven causes of action: fraud.
*521 • Houillion v. Chance, No. CC-09-02482-C (Tex.), is a civil action. The complaint describes Marks as "Chairman of the Board for Defendant Titan Global Holdings, Inc.," and does not mention ITC or ITC2. Marks is named in three counts: breach of contract, negligence and fraud.
• Appalachian Oil Company, Inc. v. Titan Global Holdings, Inc., No. 2:09-bk-50259 (Bankr. E.D. Tenn.), is an adversary proceeding within the bankruptcy of Appalachian Oil Company, Inc. (Appco). The complaint describes Marks as "a member of Appco's Board of Directors at all times relevant to this Complaint. Defendant Marks is an 'insider' of Appco as defined in § 101(31) of the Bankruptcy Code." The complaint does not mention ITC or ITC2. A personal claim is made against Marks only as to one of the six counts in the complaint, to recover wrongful distributions to shareholders.
¶ 19. We next turn to the exclusion at issue in this case, which provides:
IV. EXCLUSIONS
This Policy does not apply either directly or indirectly to any Claim and Claim Expenses:
(b) For liability arising out of the Insured's services and/or capacity as:
(1) an officer, director, partner, trustee, or employee of a business enterprise not named in the Declarations or a charitable organization or pension, welfare, profit sharing, mutual or investment fund or trust.
¶ 20. In interpreting an insurance policy, we give words their plain and ordinary meaning. See Goldstein v. Lindner, 2002 WI App 122, ¶ 12, 254 Wis. 2d 673,
¶ 21. The clear and unambiguous meaning of the exclusion is that the policy provides no coverage for service as an officer, director, partner, trustee or employee of a business enterprise not named in the policy's Declarations. The only profession named in the Declarations is "[s]olely in the performance of services as the Trustee of the [ICT], and/or [ICT2], for a fee." Applying the unambiguous meaning of the policy language to the allegations in the six complaints, it is clear that the exclusion applies. First, none of the complaints indicate that Marks is being sued in his capacity as trustee of either trust. Second, each of the complaints names Marks as being sued in his capacity as an officer, director, partner, trustee, or employee of some entity other than ICT or ICT2. As summarized above: in Oblio Telecom, Marks is being sued for his role in Titan; in Near, as chair of Titan; in Miller, as chair of USAD and of Titan, as well as a member of something called Crivello Group; in ILDN West, LLC, as chair of Titan and as a representative of entities known as Oblio, Titan Communications and Planet Direct; in Houillion, as chair of Titan Global Holdings, Inc., and in Appalachian Oil Company, as a member of Appco's board of directors. None of these entities is named in the Declarations of the policy.
¶ 22. Marks argues that the policy exclusions in the Houston Casualty policy do not bar coverage. However, Marks's argument focuses on a policy exclusion — the intentional acts exclusion — which is not at issue in this appeal. Marks fails to develop an argument as to whether exclusion IV(b)(l) bars coverage. As we have shown above, the plain language of
¶ 23. Marks argues that regardless of whether the plain language of the exclusion precludes coverage, the policy should be construed as providing coverage because other language within the exclusion renders the policy illusory.
¶ 25. If Marks's interpretation of the language is reasonable, then the policy might indeed be illusory, as there would be no circumstance under which it could apply. However, Marks's interpretation of the language is not reasonable. As can be seen in the last sentence of the preceding paragraph, in order to construct his reading of the exclusion, Marks takes language from one part of the exclusion and appends it to
¶ 26. Rather, the only reasonable reading of the language apparent to us is that the second part of the exclusion "or a charitable organization or pension, welfare, profit sharing, mutual or investment fund or trust" is explanatory language that gives broader meaning to the term "business enterprise" earlier in the exclusion. We note that the term "trustee" appears in the first part of the exclusion, prior to the phrase "not named in the Declarations," leading to the inference that the word "trustee" refers to a "trust" in the second part, after the term "not named in the Declarations" and that the language in between is relevant to understanding the relationship between the two words: "trustee" and "trust." Otherwise, one of the two would be mere surplusage. A trustee has no purpose without a trust and a trust generally needs to have a trustee. Proposing that a trustee could be named in the Declarations, while the trust for which the trustee serves could not, renders the presence of one of these two words in the exclusion meaningless. The trustee of a trust cannot be both covered because the trustee is named in the declarations, and also not covered because the trustee is the trustee of a trust. We
¶ 27. The fact that Marks is named in the Declarations as a trustee of two trusts provides further support for our conclusion that the "trust [s]" named in the exclusion are likewise limited to trusts not specified in the Declarations. Houston has not claimed that the exclusion applies to Marks's service as trustee of ICT and ICT2. In sum, Marks does not persuade us that the policy is illusory.
| 28. In sum, we conclude that the circuit court correctly determined that the Houston Casualty policy does not provide coverage to Marks when measured against the allegations in the six complaints, and that the circuit court correctly determined that Houston Casualty did not breach its duty to defend Marks.
CONCLUSION
¶ 29. For all of the reasons explained above, we affirm the decision of the circuit court.
By the Court. — Judgment affirmed.
Although the notice of cross-appeal contains the following language: "PLEASE TAKE FURTHER NOTICE that Defendant Houston Casualty Company cross-appeals from each and every part of said Order that is adverse to Houston Casualty Company," the only issue specifically mentioned in the notice of cross-appeal is the circuit court's determination that the insuring clause of the policy covers the claims. Consistent with that, the cross-appellant's brief filed by Houston Casualty Company raises no issue regarding the granting of summary judgment dismissing its contribution claim against Bedford. Any issue that Houston Casualty Company might have raised with regard to the summary judgment in favor of Bedford is therefore abandoned. See Cosio v. Medical College of Wis., Inc., 139 Wis. 2d 241, 242-43, 407 N.W.2d 302 (Ct. App. 1987) (issues not briefed on appeal are deemed abandoned.)
The third case, Nichols v. American Emp'rs Ins. Co., 140 Wis. 2d 743, 750, 412 N.W.2d 547 (Ct. App. 1987), involved interpretation of the insuring clause, with no reference to exclusions.
The exclusion provided: "The policy excluded from coverage dishonest, fraudulent, criminal or malicious acts or omissions and those of a knowingly wrongful nature intentionally committed." Grieb v. Citizens Cas. Co. of N.Y., 33 Wis. 2d 552, 556, 148 N.W.2d 103 (1967).
The exclusion provided:
"Exclusions: This insurance does not apply:
0 to property damage to the Named Insured's products arising out of such products or any part of such products; 0 to property damage to work performed by or on behalf of the Named Insured arising out of the work or any portion thereof, or out of materials, parts or equipment furnished in connection therewith . .. ."
Sola Basic Indus., Inc. v. U. S. Fidelity & Guar. Co., 90 Wis. 2d 641, 646, 280 N.W.2d 211 (1979).
Marks also argues that the language of the exclusion is ambiguous. Language is ambiguous if it is " 'fairly susceptible to more than one reasonable interpretation.'" Preisler v. General Cas. Ins. Co., 2014 WI 135, ¶ 19, 360 Wis. 2d 129, 857 N.W.2d 136 (quoted source omitted). If language in an insurance policy is ambiguous, the ambiguity is resolved in favor of coverage. Id., ¶ 20. We have already concluded that the language of the exclusion is clear and unambiguous. Moreover, Marks's ambiguity argument merely tracks his illusory argument, and as we proceed to explain, he provides no support for his conclusory statement that his strained interpretation in his attempt to show illusory coverage is a reasonable one so as to create an ambiguity. Marks therefore fails to develop an argument that the language is ambiguous, and we do not consider the topic separately from his argument that the policy is illusory.
Reference
- Full Case Name
- David M. Marks, Plaintiff-Appellant-Cross-Respondent v. Houston Casualty Company, Defendant-Respondent-Cross-Appellant, Bedford Underwriters, Ltd., Defendant-Respondent
- Cited By
- 5 cases
- Status
- Published