In
its recent decision in BioChemics, Inc.
v. AXIS Reinsurance Co., 2013 U.S. Dist. LEXIS 111218 (D. Mass. Aug. 7,
2013), the United States District Court for the District of Massachusetts had
occasion to consider when an insurer is entitled to rely on extrinsic evidence
for determining its duty to defend.
AXIS
insured BioChemics under a claims made and reported directors and officers
policy for the period November 13, 2011 to November 13, 2012. BioChemics sought a defense in connection
with an SEC enforcement action filed during the period the policy was in effect. BioChemics also sought a defense for two SEC
subpoenas issued by the SEC during the policy period. AXIS, however, took the position that
BioChemics was not entitled to coverage for these matters because they related
back to a series of subpoenas served by the SEC prior to the policy’s date of
inception, at a time when BioChemics was insured by a different carrier. In
support of its position, AXIS relied on a provision in its policy’s Limits of
Liability section stating that:
All Claims, including all D&O Claims . . . arising from
the same Wrongful Act . . . and all Interrelated Wrongful Acts shall be deemed
one Claim and such Claim shall be deemed to be first made on the earlier date
that: (1) any of the Claims is first made against an Insured under this Policy
or any prior policy . . . .
Notably,
the subpoenas served by the SEC both prior to and subsequent to the AXIS
policy’s date of inception all had the same SEC matter identification and
number.
BioChemics
filed a declaratory judgment action and subsequently moved for summary judgment
on the duty to defend before the commencement of discovery, asserting that the
duty to defend is based solely on the complaint and the policy, and that as
such, discovery was not necessary. AXIS
opposed the motion, asserting that at the very least, it was entitled to
discovery into communications between BioChemics and the SEC so that it could confirm
whether, in fact, the subpoenas served prior to its policy’s inception were
interrelated with the subsequent subpoenas and the enforcement action, thus comprising
a “single, ongoing claim” first made prior to the policy period.
The
court acknowledged a line of cases cited by BioChemics standing for the
proposition that insurers cannot rely on extrinsic evidence for the purpose of
determining a duty to defend. The court
went on to note, however, that this line of cases does not apply to extrinsic
facts that will not be litigated in the underlying matter. The court further observed that in the
context of claims made and reported policies, the rule against consideration of
extrinsic facts cannot be rigidly applied since coverage issues such as the
timing of the claim are unlikely to be alleged in the underlying complaint. While the court acknowledged it a close
question, it ultimately held that:
… an insurer may use extrinsic evidence to deny a duty to
defend based on facts irrelevant to the merits of the underlying litigation,
such as whether the claim was first made during the policy period, whether the
insured party reported the claim to the insurer as required by the policy, or
whether the underlying wrongful acts were related to prior wrongful acts.
As
such, the court allowed AXIS to proceed with discovery into the
interrelatedness issue, and denied BioChemics’ motion for summary judgment
without prejudice. The court further
held that under Massachusetts law, AXIS was not required to provide BioChemics
with a defense pending determination of the duty to defend issue.
I work in the Massachusetts insurance industry myself, so this was very interesting to read. Thanks for sharing! Also wanted to mention that if you're in need of home insurance in Roxbury MA or any of the surrounding communities in the Greater Boston make sure you request a quote from KW Insurance. Definitely one of the top providers in the area and they work with only the best nationwide insurance carriers. Just my two cents!
ReplyDelete