Post v. St. Paul Travelers Ins. Co.
Justia.com Opinion Summary: Attorneys Post and Reid were retained to defend a medical malpractice action. At trial, plaintiffs introduced evidence suggesting that Post and Reid had engaged in discovery misconduct. Fearing that the jury believed that there had been a “cover-up” involving its lawyers, and concerned with the “substantial potential of uninsured punitive exposure,” the hospital, represented by new counsel, settled the case for $11 million, which represented the full extent of its medical malpractice policy limits. The settlement did not release Post, Reid, the law firm where they began representation of the hospital, or their new firm from liability. The hospital threatened Post with a malpractice suit and sought sanctions. Post eventually brought claims of bad faith and breach of contract against his legal malpractice insurer. The district court awarded $921,862.38 for breach of contract. The Third Circuit affirmed summary judgment in favor of the insurer on the bad faith claim and remanded for recalculation of the award, holding that, under the policy, the insurer is responsible for all costs incurred by Post in connection with the hospital’s malpractice claim from October 12, 2005 forward and for all costs incurred by Post to defend the sanctions proceedings from February 8, 2006 forward.
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PRECEDENTIAL
UNITED STATES COURT OF APPEALS
FOR THE THIRD CIRCUIT
_______________
Nos. 10-3088 & 10-3300
_______________
BENJAMIN A. POST, ESQUIRE
Appellant (No. 10-3088)
v.
ST. PAUL TRAVELERS INSURANCE CO.
Appellant (No. 10-3300)
_______________
On Appeal from the United States District Court
for the Eastern District of Pennsylvania
(D.C. Civil Action No. 2-06-cv-04587)
District Judge: Honorable Anita B. Brody
_______________
Argued January 25, 2012
_______________
Before: AMBRO, CHAGARES
and HARDIMAN, Circuit Judges
(Opinion filed: July 31, 2012)
George A. Bochetto, Esquire (Argued)
Bochetto & Lentz
1524 Locust Street
Philadelphia, PA 19102
Charles S. Fax, Esquire
Rifkin, Livingston, Levitan & Silver
7979 Old Georgetown Road
Bethesda, MD 20814
Marc J. Zucker, Esquire
Weir & Partners
1339 Chestnut Street
The Widener Building, Suite 500
Philadelphia, PA 19107-0000
Counsel for Appellant/Cross-Appellee
Robert L. Byer, Esquire (Argued)
Duane Morris
600 Grant Street, Suite 5010
Pittsburgh, PA 15219-0000
Francis J. Deasey, Esquire
Henri Marcel, Esquire
Stephen J. Parisi, Esquire
Deasey, Mahoney, Valentini & North
1601 Market Street, Suite 3400
Philadelphia, PA 19103-0000
Robert M. Palumbos, Esquire
2
Duane Morris
30 South 17th Street, United Plaza
Philadelphia, PA 19103-4196
Counsel for Appellee/Cross-Appellant
_______________
OPINION OF THE COURT
_______________
AMBRO, Circuit Judge
Before us are an appeal and a cross-appeal arising
from an action brought by attorney Benjamin Post (âPostâ)
against his legal malpractice insurer, St. Paul Travelers
Insurance Company (âTravelersâ), for, among other things,
insurance bad faith and breach of contract. The District Court
granted summary judgment in favor of Travelers on the bad
faith claim, the order from which Post now appeals.
Travelers appeals the District Courtâs damage award of
$921,862.38 to Post for breach of contract.
Post argues that his bad faith claim was erroneously
dismissed at summary judgment, and asserts, among other
things, that there was sufficient evidence to create a genuine
issue of material fact that Travelers lacked a reasonable basis
to deny coverage. Travelers contends that the District Court
erred by awarding damages on Postâs breach of contract claim
because the malpractice insurance policy contained an
explicit coverage exclusion for sanctions proceedings.
For the reasons stated below, we affirm the District
Courtâs grant of summary judgment in Travelersâ favor on
Postâs bad faith claim, but we vacate and remand with respect
to the District Courtâs damage award for breach of contract.
3
I.
Factual and Procedural Background
A.
The Bobbett Case
In 2003, Post and Tara Reid, both employed at the
time by the law firm of Post & Schell, P.C., were retained to
defend Mercy Hospital-Wilkes Barre, Mercy Healthcare
Partners, and Catholic Healthcare Partners (collectively,
âMercyâ) in a medical malpractice action filed in the Court of
Common Pleas of Luzerne County, Pennsylvania, captioned
Bobbett, et al. v. Grabowski, et al., Case No. 4310-C-2003.
In May 2005, Post left Post & Schell to start a new law
firm with his wifeâPost & Post, L.L.C. Thereafter, he
continued to represent Mercy in the Bobbett matter, and Reid
joined Post & Post as an associate.
Trial of the Bobbett case began in September 2005.
During its first week, the plaintiffs introduced evidence
suggesting that Post and Reid had engaged in misconduct
during discovery. Specifically, on Friday, September 23,
2005, plaintiffsâ counsel examined a risk manager, Anne
Marie Zimmerman, regarding allegedly undisclosed
redactions from medical policies produced by Mercy in
discovery. Zimmerman testified that Post and Reid were
responsible for the redactions.
Plaintiffsâ counsel
characterized Zimmermanâs testimony as âestablish[ing] that
[Post and Reid] covertly redacted and withheld information
from documents . . . , and/or simply failed to produce
requested documents without permission from this Court
and/or notice to Plaintiffsâ counsel.â Plaintiffsâ counsel then
suggested to the presiding Judge, Hon. Peter Paul Olszewski,
Jr., that the trial be adjourned for the day. On learning of this
possible discovery misconduct, Mercy replaced Post as its
counsel.
4
Fearing that the jury now believed that there had been
a âcover-upâ involving its lawyers, and concerned with the
âsubstantial potential of uninsured punitive exposure,â
Mercy, represented by new counsel, began settlement
negotiations with the plaintiffs over the weekend. The
negotiations resulted in a settlement of $11 million, which
represented the full extent of Mercyâs medical malpractice
policy limits. The settlement was presented to Judge
Olszewski in court on Tuesday, September 27, 2005. It
included a release among the parties, but with one significant
caveat: the settlement agreement did not release Post, Reid,
Post & Schell, and/or Post & Post from any liability they, or
any of them, might have to Mercy for malpractice. Mercy did
in fact threaten Post with a malpractice suit.
B.
The Policy
Post & Schell was insured against claims of legal
malpractice by Travelers under Policy #GL09000524 (the
âPolicyâ). The Policy had an annual premium of $226,500,
and had an occurrence and aggregate limit of $10,000,000.
The Policy insured the firm and âprotected personsâ (i.e., the
firmâs attorneys) against âclaimsâ and âsuitsâ asserting
malpractice. It thus insured Post for any alleged acts within
the scope of coverage occurring (1) during the Policyâs term
and (2) while Post was employed by Post & Schell.
The Policy defines a âclaimâ as a âdemand that seeks
damages.â It states that a claim is considered âto be first
made or broughtâ (1) on the date that Travelers or any
protected person âfirst receives written notice of such claim,â
or (2) when Travelers receives written notice from a protected
person âof a specific wrongful act that caused the loss which
resulted in such claim or suit.â A âsuitâ is âa civil proceeding
that seeks damages.â
5
The Policy imposes on Travelers the âduty to defend
any protected person against a claim or suit . . . even if any of
the allegations of such claim or suit are groundless, false, or
fraudulent.â Travelersâ duty to defend expressly includes the
duty to pay âdefense expenses incurred by, or for, the
protected person for the claim or suit.â âDefense expensesâ
are âfees, costs, and expenses that result directly from the
investigation, defense, or appeal of a specific claim or suit,â
including â[f]ees, costs, and expenses of hired or appointed
attorneysâ and â[t]he cost of the proceedings involved in the
suit, including court reporterâs, arbitratorâs and mediatorâs
fees.â The Policy excludes from its definition of âdamagesâ
any âcivil or criminal fines, forfeitures, penalties, or sanctions
. . . .â It does not define âsanctions.â
The Policy provides in pertinent part as follows:
What This Agreement Covers
Lawyers professional liability.
Weâll pay amounts any protected
person is legally required to pay
as damages for covered loss that:
⢠results from the performance
of, or failure to perform, legal
services by or on behalf of
any protected person; and
⢠is caused by a wrongful act
committed on or after any
retroactive date that applies
and before the ending date of
this agreement.
*****
6
Damages means:
⢠compensatory
damages
imposed by law; and
⢠punitive
or
exemplary
damages imposed by law if
such damages are insurable
under the law that applies.
But we wonât consider damages
to include any:
⢠civil or criminal fines,
forfeitures, penalties, or
sanctions; or
⢠legal fees charged or incurred
by any protected person.
*****
Defense expenses means the
following fees, costs, and
expenses that result directly from
the investigation, defense, or
appeal of a specific claim or suit:
⢠Fees, costs, and expenses of
hired or appointed attorneys.
⢠The cost of the proceedings
involved in the suit, including
7
court reporterâs, arbitratorâs,
and mediatorâs fees.
⢠Fees for witnesses.
⢠Independent expertâs and
special investigatorâs fees,
costs, and expenses.
*****
Exclusions â What This Agreement Wonât
Cover
Criminal,
dishonest,
or
fraudulent wrongful acts or
knowing violation of rights or
laws. We wonât cover loss that
results from any criminal,
dishonest, or fraudulent wrongful
act or any knowing violation of
rights or laws committed by:
⢠any protected person; or
⢠anyone with the consent or
knowledge of any protected
person.
C.
Mercyâs Legal Malpractice Claim Against Post
On Sunday, September 25, 2005, James Saxton, an
attorney with the law firm of Stevens & Lee, Mercyâs newly
retained counsel, advised Postâs father, Barton Post, that
Mercy intended to bring a lawsuit for legal malpractice
against Post, and that the claim should be reported to Postâs
8
insurance carrier. Saxton asked for the name of the insurance
carrier so that he could make a report.
Michael Williams, Vice President for Risk and
Insurance for Catholic Healthcare Partners, sent two letters on
October 6 to Post advising him that he was terminated as
Mercyâs counsel and instructing him not to destroy any
documents from the Bobbett case.
On October 12, Williams sent Post a third letter, this
time asserting that the Bobbett settlement was forced on
Mercy because the alleged âcover-upâ by Post and Reid
during discovery had caused Mercy âsubstantial . . .
uninsured punitive exposure.â
Williams stated the following:
[W]hat
clearly
drove
the
settlement was the damage done
during the testimony of Anne
Marie Zimmerman regarding the
document production issues raised
during her testimony.
More
specifically is the fact that there
was a claim in front of the jury
that there was a âcover-upâ that
appeared to involve our lawyers.
Further,
under
those
circumstances and knowing that
Ms. Zimmerman would likely
invoke her Fifth Amendment right
or testify under immunity, we
absolutely disagree regarding
your ability to rehabilitate. There
were other aggravating factors
that occurred involving you, your
9
father and other members of your
firm; however, this is not the time
to review them.
An unprecedented and certainly
unanticipated situation arose in
which Mercy employees needed
to retain criminal counsel as
directly related to the issue of
redacted policies and procedures;
policies and procedures that you
admitted had been redacted,
notwithstanding your position that
such was not relevant. In fact,
those redactions were most
relevant and[,] as a result, an
irreconcilable conflict developed
with your firm, all of which put us
at tremendous risk. In light of
these dramatic developments, the
physiciansâ insurers all tendered
their policy limits and were
prepared to take a joint
tortfeasorâs
release.
We
determined the case had to be
settled to protect not only the
assets of the Trust but to eliminate
the substantial potential of
uninsured
punitive
exposure
resulting from the actions of your
firm.
On October 20, 2005, Williams again wrote to Post,
stating:
10
Pursuant to our internal protocols,
your former clients, Catholic
Healthcare
Partners,
Mercy
Health Partners, and Mercy
Hospital
Wilkes-Barre
are
providing you with a copy of the
executed Release in the above
captioned matter. We ask that
you note the carve-out for thirdparty claims.
Please notify your professional
liability insurer of this, and ask a
representative of that Company to
contact me upon receipt.
On October 27, Post & Schell notified Travelers that
Mercy had retained Stevens & Lee as its counsel âto review
the matter for possible professional malpractice implications.â
Post & Schell enclosed the aforementioned letters sent by
Williams.
George Bochetto, counsel for Post, sent a letter to
Travelers on November 3 to put it âon notice of a claim or
potential claimâ against Post. He enclosed the October 20
letter from Williams. On receipt of the letter (which was
contemporaneous with its receipt of the October 27 letter
from Post & Schell), Travelers opened a claims file for Post.
Michael Spinelli, a senior claims specialist in
Travelersâ New York office, assumed responsibility for the
claim. During the month of November, Spinelli had
numerous conversations and at least one email exchange with
Post & Schell partner William Sutton regarding Travelersâ
retention of counsel to represent the firm in connection with
Mercyâs malpractice claim. There is no evidence that Spinelli
11
communicated with Bochetto or Post during this time, not
even to acknowledge receipt of the claim. This was despite a
Travelersâ policy providing that
[t]he claims
professional
is
instructed to attempt to contact
the insured within 24 hours of
receiving the claim to introduce
yourself
to
the
insured,
acknowledge that you have
received the claim and to speak
with them to find out more
information so you could assist
the insured in the handling of the
matter.
On November 18, 2005, Saxton wrote to Bochetto to
place Post on notice again of Mercyâs malpractice claim. In
relevant part, Saxtonâs letter stated:
As a follow-up to the various
letters and discussions regarding
this matter, please be advised that
[Mercy] is in the process of
assigning counsel to pursue its
claims against its former counsel
in the Bobbett case. However,
before getting too far into the
litigation process, I wanted to
further discuss a meeting of the
stakeholders that you first
proposed verbally to my partner,
Jim
Schwartzman,
Esquire.
While [Mercy] is moving forward
with preparation for litigation, it
remains open to a good-faith
12
meeting to discuss possible
resolution prior to suit being filed.
To that end, they will need certain
information from you, namely
confirmation that you notified
your clientâs insurers regarding
the potential claim, the name of
the insurance carriers, and the
name of the claims representative,
if assigned.
D.
The Sanctions Petition
On November 21, 2005, the plaintiffs in the Bobbett
case filed a 108-page petition for sanctions against Post, Reid,
Barton Post, and Post & Post. Post & Schell was not named
as a respondent. In the petition, the plaintiffs claimed that
Post and Reid violated the Pennsylvania Rules of Civil
Procedure and the Rules of Professional Conduct in their
handling of discovery by (1) failing to produce and/or
producing altered versions of responsive documents, and (2)
misrepresenting to the plaintiffs and the Court what
documents Mercy had in its possession. They asserted also
that Post and Reid had engaged in âdilatory, obdurate,
vexatious, and/or bad faith conduct.â
The discovery
misconduct allegedly occurred while Post and Reid were with
Post & Schell and also while with Post & Post. The plaintiffs
sought sanctions against each defendant, as well as âany other
relief this court deems just and equitable . . . .â
By letter dated November 28, 2005, Bochetto advised
Travelers of the sanctions petition and, pursuant to the Policy,
requested that Travelers pay for Postâs defense costs and
indemnify Post with respect to the petition. After receiving
Bochettoâs letter seeking a defense to the petition for
13
sanctions, Spinelli had a âlengthy discussionâ with Bochettoâs
partner, Jeffrey Ogren, on December 1, 2005 about the
Bobbett case, the sanctions petition, and Mercyâs malpractice
claim. Post contended that Mercy made a malpractice claim
that was covered by the Policy. Spinelliâs view was that the
sanctions petition only sought relief in the form of sanctions,
which are expressly excluded under the Policy. As such,
Spinelliâs inclination was to deny coverage.
On December 1, Travelers retained attorney Mark
Anesh, a partner with the insurance defense firm of Wilson
Elser Moskowitz Edelman & Dicker, as outside counsel to
advise it on its defense and coverage obligations with regard
to Post. Anesh is a New York attorney not licensed to
practice law in Pennsylvania. Despite the fact that Spinelliâs
general practice was to provide coverage counsel with
âanything and everythingâ he had, he did not provide Anesh
with any information regarding the allegations that Mercy
made in October and November. Spinelli did not even advise
Anesh of Mercyâs letters. Rather, Spinelli sent Anesh only
the petition for sanctions and other documents relating to the
Bobbett case, and Spinelli asked Anesh only for his opinion
on whether there was coverage in connection with the
sanctions petition alone. Thus, in forming his opinion, Anesh
was not aware that a claim for legal malpractice had been
lodged beforehand by Mercy, nor was he aware that the
factual allegations in the sanctions petition were identical to
the factual allegations underlying Mercyâs malpractice claim.
Likewise, Anesh was not aware that Mercy had retained
counsel to pursue its legal malpractice claim.
After Anesh reviewed the materials given to him and
determined Travelers was not obligated to defend or
indemnify Post with respect to the allegations against him in
the petition for sanctions, he informed Bochetto by a
December 8 letter that this was Travelersâ conclusion. Anesh
14
also told Bochetto that Travelers had received a draft of the
sanctions petition on October 31, 2005, three weeks before it
had been filed. Anesh explained the declining of coverage as
follows:
The sole and complete relief
sought by the petition at issue is
not for Damages as they are
defined in the Policy, but for
sanctions. Since sanctions are not
included in the definition of
Damages under the Policy, no
coverage, either for defense or
indemnity, will be afforded for the
above mentioned petition or any
hearing subsequently scheduled to
address the contents of the
petition. Furthermore, a Claim is
defined in the Policy as a
âdemand that seeks damagesâ.
Therefore, your request for
defense and indemnity of the
sanctions petition is not a Claim
as defined in the Policy.
Travelers reserved its rights to deny coverage on
several other bases, including the exclusion for âloss that
results from any criminal, dishonest, or fraudulent wrongful
act or any knowing violation of rights or laws.â Nonetheless,
Anesh stated that Travelers was willing to reconsider its
decision if other information warranted it.
In a letter dated December 19, 2005, Bochetto, on
Postâs behalf, requested that Travelers reconsider its denial of
coverage for the sanctions petition, arguing that Travelers
erred on each basis it denied coverage. Travelers determined
15
that a change in coverage position was not warranted, and
again denied that it owed any defense or coverage obligation
to Post.
Post & Schell took the same coverage position as Post,
notwithstanding that the sanctions petition did not even name
the firm as a respondent. Post & Schell contended that
Mercyâs claim for malpractice against it and Post was âso
intertwinedâ with the sanctions petition that Post & Schellâs
fees and costs incurred in the latter (responding to a document
subpoena and a potential claim by Post for contribution in the
event sanctions were imposed on him) should be paid by
Travelers. Travelers responded that the Policy did not cover
legal fees and costs that the firm incurred in connection with
the sanctions proceedings.
E.
Mercy Joins In The Sanctions Proceedings
From the onset of the sanctions proceedings, Mercy
participated in conferences with Judge Olszewski, insisted on
receiving copies of all discovery produced by Post, and
attended depositions relating to the sanctions petition.
On January 20, 2006, Mercy sought to question Post
during his deposition. Postâs counsel objected to the
questioning on the basis that Mercy was not a party to the
petition for sanctions. The parties could not resolve this
discovery dispute on their own and turned to Judge Olszewski
to resolve it. He decided to permit Mercy to participate in the
sanctions proceedings on the condition that Mercy file an
answer to the sanctions petition. On January 30, 2006,
Bochetto wrote to Travelers to inform it of Mercyâs
intervention in the sanctions proceedings. Travelers did not
respond.
16
Mercy filed an answer to the petition on February 8,
2006. It joined in the sanctions proceedings because it âwas
required to participate in the search, review and production of
documents, and to produce witnesses for depositions.â In
addition, Mercy had an âimportant interestâ in the plaintiffsâ
request for sanctions because it was âthe misconduct of
[Mercyâs] former counsel that [was] at issue.â Mercyâs
answer admitted that Post and Reid had engaged in discovery
violationsâwithout Mercyâs participationâand that those
violations had prejudiced the plaintiffs. Mercy alleged that
Post had withheld information that he âknew[ ] or should
have knownâ was discoverable, and had âproduced
incomplete copies of policies and/or covered up discoverable
information on policies . . . .â It was in this context that
Mercy claimed it joined the plaintiffsâ request for sanctions.
Mercyâs prayer for relief ârequest[ed] that th[e] Court hold an
evidentiary hearing and sanction [Post and Reid] for their
conduct, and to enter any other relief [that] this Court
deem[ed] just and equitable under the unique and serious
circumstances presented before it, and award costs, attorneysâ
fees and expenses.â
During his deposition in February 2006, Mercy Chief
Executive Officer James May confirmed that Mercy was
seeking money damages in the sanctions proceedingsâfor,
among other things, the amount of the settlement and the
negative publicityâon account of Postâs alleged misconduct.
On February 20, 2006, Bochetto again wrote to
Travelers, this time to notify it of Mercyâs answer to and
joinder in the sanctions petition, as well as Mayâs deposition
testimony, all of which made clear that Mercy was seeking
money damages in the sanctions proceedings. Post and Reid
sought a defense to Mercyâs answer to the sanctions petition.
17
Spinelli and Anesh reviewed Mercyâs answer and
determined that, like the petition for sanctions itself, it did not
trigger coverage because it did not allege a claim for
âdamagesâ as defined by the Policy. Anesh informed
Bochetto of Travelersâ coverage decision.
F.
The Travelers-Post Letter Agreement
Despite concluding that it owed no defense or
indemnity obligation to Post, Travelers attempted to reach an
accommodation with Post that would reimburse him for some
portion of the defense costs related to the sanctions
proceedings. Travelers did so because, while expressly
reserving its rights on the issue of coverage, it recognized that
(1) there was significant overlap between the sanctions
proceedings and Mercyâs threatened malpractice suit, and (2)
what transpired during the sanctions proceedings could have
an effect on the future malpractice suit with regard to which
Travelers arguably would owe defense and indemnity
obligations.
To that end, in the spring of 2006 Anesh had two
meetings with counsel for Post, Reid, and Post & Schell to
discuss Travelersâ payment of some of their attorneysâ fees
despite its denial of coverage. Bochetto testified that, at the
second meeting, Anesh agreed that Travelers would pay a
âvery substantialâ amount of the legal fees incurred to date,
an amount that Bochetto understood to be âin the range of
hundreds of thousands of dollars.â However, Bochetto
admitted that Anesh â[n]ever promised . . . an exact dollar
amount . . . [and that a] specific dollar amount was not
mentioned.â
On May 3, 2006, Anesh wrote to Bochetto and Gary
Figore (Reidâs counsel) offering to pay Postâs and Reidâs
18
attorneysâ fees in connection with the sanctions proceedings
as follows:
⢠Travelers would pay an hourly
rate of $225 for partners, $175
for senior associates, and $150
for junior associates;
⢠Travelers would only pay for
legal services provided on or
after December 15, 2005;
⢠Travelers
would
only
reimburse for attorney time
âexpended to defend potential
legal malpractice claimsâ; and
⢠The
$100,000 deductible
would have to be exhausted
prior to reimbursement.
In consideration for this payment, Post would have to
waive any claim for payment of attorneysâ fees and expenses
in the context of the sanctions proceedings except as payable
under the letter agreement.
Post agreed to the terms of the offer letter and
submitted invoices to Travelers for over $400,000 in fees
related to the sanctions proceedings, which amount included
over $250,000 in fees incurred in the sanctions proceedings
prior to Mercy filing its answer to the petition.
After reviewing the invoices, Anesh wrote to Bochetto
on July 26, 2006 stating that Travelers would pay the amount
of $36,220.26. Anesh explained that the reduction in feesâ
from the more than $400,000 in invoices submittedâresulted
19
from Travelersâ implementation of the terms of the offer letter
as it had interpreted them.
The next day Bochetto wrote to Anesh rejecting
Travelersâ offer of payment and stating that he was
âgenuinely offended by the contents of [the] letterâ and that
the suggestion that âonly $35,000 (out of over $400,000 in
fees and expenses) are reimbursable . . . is beyond ludicrous.â
In August and September 2006, the parties to the
sanctions proceedings began discussing the possibility of a
mediation that would âencompass the sanctions matter and
the potential legal malpractice action.â In light of this
development, Anesh wrote to Bochetto and Figore stating that
Travelers âagree[d] to pay for fifty per cent (50%) of
reasonable preparation time and attendance at the mediation.â
The mediation was scheduled for late November 2006.
G.
The Bobbetts Withdraw The Sanctions Petition
In the fall of 2006, Post filed a lawsuit against the
Bobbettsâ lawyer, Joseph Quinn, for defamation and tortious
interference in order to create leverage to persuade Quinn to
withdraw the sanctions petition. Post believed that, if this
tactic succeeded and the Bobbetts discontinued the sanctions
proceedings, Mercy would no longer be able to use the
sanctions proceedings to obtain discovery against Post in aid
of its malpractice claim without the burdens and costs of
filing a direct action for malpractice. Postâs lawsuit achieved
its purposeâon March 23, 2007, the Bobbetts withdrew their
sanctions petition with prejudice.
20
H.
Mercy Files A Praecipe For Writ Of Summons
Against Post
In late summer 2007, Mercy offered to mediate its
malpractice claim against Post without resorting to litigation.
Post agreed and demanded that Travelers assume all legal
fees incurred by him in connection therewith. Travelers
responded that it had no duty to represent Post in the
mediation nor to reimburse him for the legal fees incurred in
connection with it. Instead, Travelers made a âcourtesyâ
offer of $3,000 as a âgood faith gesture.â Bochetto rejected
this offer, describing it as an âabsurdity.â It almost goes
without saying that the mediation between Mercy and Post
was unsuccessful.
On November 19, 2007, Mercy filed a praecipe for
writ of summons against Post in the Court of Common Pleas
of Luzerne County, Pennsylvania. The following February,
Post filed a praecipe for writ of summons against Mercy in
Philadelphia County. In November 2008, final agreement
was reached among all involved partiesâMercy, Post &
Schell, Post, Reid, and Travelersâfor discontinuance, with
prejudice, of these two actions. No money was paid to any
person or entity by or on behalf of Post or Post & Schell in
consideration for the mutual discontinuances.
I.
This Lawsuit
On October 13, 2006, Post filed a complaint in the
United States District Court for the Eastern District of
Pennsylvania against Travelers, Liberty Surplus Insurance
Company, and Lexington Insurance Company. Liberty
Surplus and Lexington (Post & Schellâs excess insurers) were
dismissed from the case in January 2007.
21
On February 7, 2008, Post filed an amended complaint
against Travelers wherein he asserted five claims. Count I
was for breach of contract based on Travelersâ alleged breach
of the Policy. Count II also was for breach of contract, but
was based on Travelersâ putative breach of an oral agreement
between Bochetto and Anesh that Travelers would pay the
costs incurred by Post in connection with the sanctions
proceedings. Count III asserted a claim for insurance bad
faith pursuant to 42 Pa. Cons. Stat. § 8371. In Count IV,
Post asserted promissory estoppel, contending that Travelers
promised to cover his defense costs in connection with the
sanctions proceedings and that Post reasonably relied on
Travelersâ promise to his detriment. Finally, Count V sought
a declaratory judgment that Post was entitled to coverage for
defense costs he incurred in connection with the sanctions
proceedings.
On June 30, 2008, Travelers moved for partial
summary judgment as to Postâs claims for breach of contract,
insurance bad faith and declaratory judgment (Counts I, II,
III, and V), asserting that its duty to defend Post was not
triggered by the Bobbettsâ sanctions petition or by Mercyâs
answer to it because these pleadings related only to sanctions,
and sanctions are expressly excluded from coverage under the
Policy.
On July 31, 2008, Post filed a cross-motion for partial
summary judgment as to his breach of contract and
declaratory judgment claims (Counts I, II, and V). He
argued, among other things, that Travelers was legally
required to defend and indemnify him in connection with the
sanctions proceedings because (1) Mercyâs malpractice claim,
which predated the sanctions petition, triggered coverage, (2)
the malpractice claim and the sanctions proceedings involved
the same facts and were interrelated, and (3) Mercy was using
22
the sanctions proceedings to further its claim of legal
malpractice.
On January 7, 2009, the District Court entered an
Explanation And Order denying Travelersâ motion for
partial summary judgment and granting in part Postâs crossmotion. Specifically, the Court denied Travelersâ motion for
summary judgment as to Counts I and V with prejudice, and
denied that motion as to Counts II and III without prejudice.
It granted Postâs cross-motion as to Counts I and V, and
denied it as to Count II without prejudice. The Court held
that the Policy covered the sanctions petition, and explained
in pertinent part as follows:
First, . . . Mercyâs malpractice
claim triggered a duty to defend
that included the sanctions
petition after Mercy joined
because that petition was involved
in the covered claim. As long as
Mercyâs malpractice claim could
have resulted in covered loss,
[Travelers] had a duty to defend
all proceedings involved in that
claim.
...
Second, even if the sanctions
petition were not part of Mercyâs
claim, the petition was not
excluded by the Liability Policy
after Mercy joined the petition.
The sanctions exclusion in the
Liability Policy does not exclude
sanctions petitions brought or
23
joined by an attorneyâs former
client. . . . The term âsanctionsâ
was
undefined
in
the
Liability Policy. . . .
Sanctions,
particularly those for violations of
discovery rules, are understood to
be sought by the opposing party
on motion, while a clientâs
remedy for his or her attorneyâs
errors is a malpractice suit.
...
The sanctions exclusion in the
Liability Policy . . . under the
commonly understood definition
of sanctions . . . refers to sanctions
motions brought by opposing
counsel. This exclusion does not
preclude from coverage a
sanctions petition joined by a
lawyerâs
former
client,
particularly one brought in
anticipation of a malpractice suit
based on identical allegations of
wrongdoing. The attorney-client
relationship between Post and
Mercy indicates that the damages
Mercy requested in the sanctions
petition were actually malpractice
damages, though Mercy termed
them âsanctions.â
As Postâs
former client, the facts alleged by
Mercy in the sanctions petition
sound in malpractice, even though
brought under a cause of action
24
for sanctions. It is the facts in the
complaint that dictate whether the
exclusion in the liability policy
applies, not the cause of action
selected by Mercy.
If the
sanctions petition were excluded
from coverage, Mercy could
choose whether to proceed with
an action where Post was covered
by his insurance carrier, or an
action where Post was not, and
potentially be awarded similar
relief in either action.
A professional liability insurance
carrier should not be able to avoid
coverage for what is essentially a
malpractice claim simply because
of how an attorneyâs former client
chooses to term the requested
relief.
Because the sanctions
exclusion in the liability policy
was unclear, it must be construed
in favor of the insured. Therefore,
the sanctions petition was not
excluded from coverage under the
liability policy after Mercy joined
the sanctions petition and
[Travelers] had a duty to defend
Post at that time. [Travelers]
breached [its] duty to defend Post
under the Liability Policy and [is]
therefore liable for breach of
contract.
25
On January 23, 2009, the District Court entered an
order expressly granting Travelers permission to file a
renewed summary judgment motion as to bad faith. Travelers
did so on February 9. It asserted that an insurer cannot be
held liable for bad faith when, as here, its denial of coverage
rests on a reasonable foundation and is fairly debatable;
rather, an insurer can only be found to have acted in bad faith
if its refusal to provide coverage was frivolous, unfounded, or
based on a motive of self-interest or ill will.
On March 31, the District Court entered an
Explanation And Order granting Travelersâ motion for
summary judgment as to Postâs bad faith claim. It reasoned:
Post, though he makes many
allegations of misconduct on the
part of [Travelers], cannot prove
that [Travelers] did not have a
reasonable basis to deny coverage
. . . . [T]hough I previously held
that
coverage
of
the
Sanctions Petition was required,
[Travelers] had a reasonable basis
to deny coverage. [It] denied
coverage to Post because the
Sanctions Petition requested relief
in the form of sanctions, which
. . . were excluded from the
Liability Policy. . . . I find that
[Travelersâ] denial of coverage
was not legally frivolous or
unfounded. Post cannot maintain
a claim for bad faith even if his
allegations of improper conduct
are true because the sanctions
exclusion in the Liability Policy
26
was a reasonable
denying coverage.
basis
for
Post filed a motion for reconsideration of this grant of
summary judgment on his bad faith claim, which the Court
denied.
In May 2009, Post withdrew Counts II and IV of the
amended complaint. Thereafter, the District Court presided
over a bench trial to determine the amount of damages to
award Post on Count I. It concluded that he was entitled to
reimbursement in the amount of $921,862.38, which
represented the work relating directly to Mercyâs potential
malpractice claim beginning on October 12, 2005, and the
work done relating to the sanctions petition after
November 21, 2005.
Post now appeals the entry of summary judgment on
his bad faith claim. Travelers cross-appeals from the damage
award on the breach of contract claim. 1
II.
Discussion
A.
Standard of Review
We review a grant of summary judgment de novo.
Azur v. Chase Bank, USA, Natâl Assân, 601 F.3d 212, 216 (3d
Cir. 2010). âTo that end, we are required to apply the same
test the [D]istrict [C]ourt should have utilized initially.â
1
The District Court exercised jurisdiction pursuant to 28
U.S.C. § 1332 based on the diversity of citizenship between
the parties and the fact that the amount in controversy
exceeds $75,000. We have appellate jurisdiction under 28
U.S.C. § 1291.
27
Chambers ex rel. Chambers v. Sch. Dist. of Phila. Bd. of
Educ., 587 F.3d 176, 181 (3d Cir. 2009) (citation and internal
quotation marks omitted). This test requires a court to âgrant
summary judgment if the movant shows that there is no
genuine dispute as to any material fact and the movant is
entitled
to
judgment
as
a
matter
of
law.â
Fed. R. Civ. P. 56(a). âIn determining whether such relief is
warranted, â[t]he evidence of the nonmovant is to be believed,
and all justifiable inferences are to be drawn in his favor.ââ
Chambers, 587 F.3d at 181 (quoting Anderson v. Liberty
Lobby, Inc., 477 U.S. 242, 255 (1986)). The inquiry is
âwhether the evidence presents a sufficient disagreement to
require submission to a jury or whether it is so one-sided that
one party must prevail as a matter of law.â Anderson, 477
U.S. at 251-52.
âWe may affirm the District Courtâs order granting
summary judgment on any grounds supported by the record.â
Nicini v. Morra, 212 F.3d 798, 805 (3d Cir. 2000) (en banc).
âTo the extent that the District Court made conclusions of
law, our review is de novo.â In re Merck & Co., Inc. Sec.,
Derivative & ERISA Litig., 493 F.3d 393, 399 (3d Cir. 2007).
We thus review de novo the District Courtâs interpretation of
the Policy. Alexander v. Natâl Fire Ins. of Hartford, 454 F.3d
214, 219 n.4 (3d Cir. 2006).
We review a district courtâs findings of fact following
a bench trial for clear error. Am. Socây for Testing &
Materials v. Corrpro Cos., 478 F.3d 557, 566 (3d Cir. 2007).
In so doing, we âmust give due regard to the trial courtâs
opportunity to judge the witnessesâ credibility.â
Fed. R. Civ. P. 52(a)(6). In contrast, we exercise plenary
review over a trial courtâs conclusions of law. Kosiba v.
Merck & Co., 384 F.3d 58, 64 (3d Cir. 2004). We similarly
exercise plenary review over its âchoice and interpretation of
28
legal precepts.â Blasband v. Rales, 971 F.2d 1034, 1040 (3d
Cir. 1992).
B.
Overview of Issues
The central issue for both Postâs appeal from the
dismissal of his bad faith claim, and Travelersâ cross-appeal
of the damage award on Postâs breach of contract claim, is
whether Travelers had a duty to defend Post in the sanctions
proceedings. In short, Post asserts that Travelers owed such a
duty and denying its defense obligations constituted bad faith;
as such, he contends that the District Court erred by granting
summary judgment in Travelersâ favor on the bad faith claim.
Conversely, Travelers argues that the Policy expressly
excludes sanctions, and, thus, not only was the denial of
coverage entirely reasonable and done in good faith, but the
District Court erred by awarding damages to Post based on
Travelersâ supposed breach of the Policy.
C.
The Partiesâ Arguments
1.
Postâs Appeal As To Bad Faith
On appeal, Post asserts that the District Court erred by
granting Travelersâ motion for summary judgment on bad
faith âbecause Post had demonstrated that there were
numerous genuine disputes of material fact which mandated
the case being submitted to a jury.â Post contends that he
produced evidence establishing, among other things, that
Travelers:
⢠ignored
Postâs
multiple
notifications of Mercyâs legal
malpractice claim;
⢠âloaded the diceâ in seeking a
29
formal coverage opinion from
its outside counsel, who was
not a member of the
Pennsylvania bar and who was
unfamiliar with Pennsylvania
insurance law, and worse,
Travelers concealed from its
outside counsel the existence
of Mercyâs claim;
⢠failed to investigate the Mercy
malpractice claim;
⢠communicated freely with, and
favored, Post & Schell at the
expense of Post;
⢠provided legal representation
to Post & Schell, but not to
Post, under the very same
insurance policy;
⢠never responded to Postâs
demand for coverage of the
legal malpractice claim as a
whole; instead, it denied
coverage based on the more
narrow issue of the sanctions
proceeding without regard to
the pending Mercy claim;
⢠ignored that the sanctions
proceeding and the Mercy
malpractice
claim
were
inextricably intertwined, thus
triggering coverage;
30
⢠made a bad faith offer to
compromise Postâs coverage
claim in exchange for his
waiving his rights under the
Policy;
⢠violated its own policies and
procedures, as well as
Pennsylvania law, in its
mishandling of Postâs claim;
and
⢠concealed
documents
(particularly,
purported
claims-handling
manuals)
during discovery in this case.
Post argues that âmistreatment by an insurer, quite
apart from an unreasonable denial of coverage, can itself give
rise to a claim of bad faith.â As support for this proposition,
he cites an unpublished decision of this Court, Gallatin Fuels,
Inc. v. Westchester Fire Insurance Co., wherein we stated that
âa finding that the insure[r] d[oes] not ultimately have a duty
to cover the plaintiffâs claim does not per se make the
insure[r]âs actions reasonable.â 244 F. Appâx 424, 435 (3d
Cir. 2007) (citing Frog, Switch & Mfg. Co. v. Travelers Ins.
Co., 193 F.3d 742, 751 n.9 (3d Cir. 1999) (âBad faith is a
frivolous or unfounded refusal to pay, lack of investigation
into the facts, or a failure to communicate with the insured.â)
(emphasis in Gallatin Fuels)).
Travelers disagrees with Postâs interpretation of
Pennsylvania law. According to Travelers, a bad faith claim
must consist of the unreasonable and intentional (or reckless)
denial of benefits. See UPMC Health Sys. v. Metro Life Ins.
31
Co., 391 F.3d 497, 506 (3d Cir. 2004). Because it had a
reasonable basis to deny coverage for the sanctions
proceedings, Travelers asserts that it did not act in bad faith
as a matter of law. Further, it disputes the âevidenceâ
purportedly supporting the putative bad faith mishandling of
Postâs coverage claim, arguing, among other things, that: (1)
Spinelli first communicated with Postâs counselâand had a
âlengthy discussionâ with himâwithin 10 days of receiving
Bochettoâs November 3, 2005 letter; (2) there is no evidence
that Post & Schell received more favorable treatment than did
Post, nor that Travelers favored the firm at Postâs expense; (3)
Travelers conducted a thorough investigation of Postâs
coverage claimâ Spinelli reviewed the Policy, the sanctions
petition, Mercyâs answer thereto (once it had been filed), and
two large binders containing documents from the Bobbett
case, and he then took the additional step of retaining counsel
to provide a coverage opinionâand this investigation
continued well after Travelers declined to provide a defense
in December 2005; and (4) three Travelers employees
submitted affidavits attesting that no claims-handling manuals
existed for the lawyerâs professional group within Travelers
(the supposedly concealed documents about which Post
complains).
2.
Travelersâ Cross-Appeal As To The
Contractual Damages Award
In support of its cross-appeal, Travelers asserts that it
did not owe a duty to defend Post in the sanctions
proceedings, explaining that its duty to defend Post is
determined solely by the allegations in the sanctions petition
and Mercyâs answer to it, neither of which triggered the duty
to defend because there was no statement of a claim for
covered âdamages,â but rather a request for âsanctions,â
which are expressly excluded by the Policy.
32
In response, Post contends that a âdemand for
damagesâ was made by Mercy in October 2005, and the
subsequently filed sanctions petition did not eliminate
Travelersâ duty to investigate and defend Mercyâs malpractice
claim. Instead,
[t]he duty to cover [Mercyâs
malpractice claim] that arose in
October 2005 was a single,
unitary
obligation,
which
encompassed
the
sanctions
proceeding initiated on November
21, 2005, but was not defined by
it. This is so because[ ] . . . the
sanctions proceeding was [ ]
merely a vehicle by which Mercy
advanced its claim.
Post also observes that the duty to defend is broader in scope
than the duty to indemnify, and that coverage provisions are
to be interpreted broadly while exclusions are to be construed
narrowly and against the insurer.
D.
Analysis
Because our resolution on the merits of the breach of
contract issue (i.e., whether Travelers owed a duty to defend
Post under the Policy) affects our determination as to the
issue of bad faith (i.e., whether Travelers unreasonably and
intentionally or recklessly denied coverage), we shall analyze
Postâs breach of contract claim first.
1.
Breach of Insurance Contract
a.
Legal Standard
33
âInsurance policies are contracts, and the rules of
contract interpretation provide that the mutual intention of the
parties at the time they formed the contract governs its
interpretation.â Am. & Foreign Ins. Co. v. Jerryâs Sport Ctr.,
Inc., 2 A.3d 526, 540 (Pa. 2010). âSuch intent is to be
inferred from the written provisions of the contract. . . . If
doubt or ambiguity exists it should be resolved in [the]
insuredâs favor.â Id. (internal citation omitted). â[A]ll
provisions of an insurance contract must be read together and
construed according to the plain meaning of the words
involved, so as to avoid ambiguity while at the same time
giving effect to all of its provisions.â Masters v. Celina Mut.
Ins. Co., 224 A.2d 774, 776 (Pa. Super. Ct. 1966).
As already noted, an insurerâs duty to defend is
broader than its duty to indemnify. Am. & Foreign Ins. Co., 2
A.3d at 540. It is a distinct obligation, separate and apart
from the insurerâs duty to provide coverage. Id. at 541. âAn
insurer is obligated to defend its insured if the factual
allegations of the complaint on its face encompass an injury
that is actually or potentially within the scope of the policy.â
Id. See Erie Ins. Exch. v. Transamerica Ins. Co., 533 A.2d
1363, 1368 (Pa. 1987) (describing the duty to defend as
arising âwhenever the complaint filed by the injured party
may potentially come within the coverage of the policyâ
(emphasis in original)). âAs long as the complaint âmight or
might notâ fall within the policyâs coverage, the insurance
company is obliged to defend.â Am. & Foreign Ins. Co., 2
A.3d at 541 (citation omitted).
Whether a pleading raises a claim against an insured
that is potentially covered is a question to be answered by the
insurer in the first instance upon receiving notice of the claim
by the insured. Id. Although that question may be difficult, it
is the insurerâs duty to make a decision. Id. at 541-42. âThe
insurerâs duty to defend exists until the claim is confined to a
34
recovery that the policy does not cover.â Id. at 542. âWhere
a claim potentially may become one which is within the scope
of the policy, the insurance companyâs refusal to defend at the
outset of the controversy is a decision it makes at its own
peril.â Id.
The question whether a claim against an insured is
potentially covered is answered âby comparing the four
corners of the insurance contract to the four corners of the
complaint.â Id. at 541. âAn insurer may not justifiably
refuse to defend a claim against its insured unless it is clear
from an examination of the allegations in the complaint and
the language of the policy that the claim does not potentially
come within the coverage of the policy.â Id. In making this
determination, the âfactual allegations of the underlying
complaint against the insured are to be taken as true and
liberally construed in favor of the insured.â Frog, Switch &
Mfg. Co., 193 F.3d at 746. â[T]o determine if there is
coverage, we must look to the facts alleged in the underlying
complaint, not the cause of action pled.â QBE Ins. Corp. v. M
& S Landis Corp., 915 A.2d 1222, 1225 (Pa. Super. Ct. 2007)
(emphasis in original). The manner in which the complainant
frames its request for relief does not control. Mut. Benefit
Ins. Co. v. Haver, 725 A.2d 743, 745 (Pa. 1999) (â[T]he
particular cause of action that a complainant pleads is not
determinative of whether coverage has been triggered.
Instead it is necessary to look at the factual allegations
contained in the complaint.â).
âUnder Pennsylvania law, when an insured tenders
multiple claims to an insurer for defense, the insurer is
obligated to undertake defense of the entire suit as long as at
least one claim is potentially covered by the policy.â Caplan
v. Fellheimer Eichen Braverman & Kaskey, 68 F.3d 828, 831
n.1 (3d Cir. 1995); see also Am. Contract Bridge League v.
35
Nationwide Mut. Fire Ins. Co., 752 F.2d 71, 75 (3d Cir.
1985).
b.
Merits
i.
Travelersâ Duty To Defend
Post Against Mercyâs
Claim Was Triggered At
Least As Of October 12,
2005
Under the Policy, Travelers had a duty to defend Post
against any âclaimâ or âsuitâ for covered loss. Because the
Policy differentiates a âclaimâ from a âsuit,â and because it
defines a âclaimâ as simply âa demand that seeks damages,â
Travelersâ duty to defend could be triggered by something
short of, and prior to, the filing of a complaint. See Heffernan
& Co. v. Hartford Ins. Co. of Am., 614 A.2d 295, 298 (Pa.
Super. Ct. 1992) (holding that insurerâs duty to defend was
triggered by answers to interrogatories because they put
insurer âon notice that a claim for damage . . . will probably
be madeâ).
The Policy provides that a claim is considered âto be
first made or broughtâ on the date that Travelers or any
protected person âfirst receives written notice of such claim.â
We thus find no error in the District Courtâs conclusion that
Mercyâs malpractice claim was first made or brought on
October 12, 2005, the date on which Mercy faxed to Post a
letter blaming him for exposing it to the threat of uninsured
punitive damages and forcing it to settle the Bobbett case for
full policy limits in order to avoid such exposure. As such,
Travelersâ duty to defend Post in connection with Mercyâs
malpractice claim was triggered at least as of October 12,
2005.
36
While damages were not explicitly demanded in the
October 12, 2005 letter, Mercy asserted its malpractice claim
in no uncertain terms. After learning of Postâs alleged
misconduct, Mercy quickly terminated him as its counsel.
Mercy told Post that it would sue him for malpractice.
Indeed, in the September 25, 2005 conversation between Jim
Saxton (of Stevens & Lee) and Barton Post (Postâs father),
wherein Saxton threatened âthat he, on behalf of Mercy, was
going to bring a lawsuit for malpractice against [Post],â
Saxton also advised that Post should âmake arrangements to
report the claim to [Travelers], the insurance carrier.â Mercy
quickly followed up on this conversation by letter, dated
October 6, 2005, wherein Mercy (1) advised Post that it had
retained Stevens & Lee as outside counsel to investigate and
potentially prosecute a legal malpractice claim against him,
(2) directed Post to preserve relevant documents and
electronic data in connection with the threatened malpractice
suit, and (3) requested that Post produce all such relevant
documents and electronic data to Stevens & Lee. All this laid
the groundwork for the October 12 letter, wherein Mercy
blamed Post for placing it âin a position that demanded
settlement so as to limit [its] exposure and protect [its]
charitable assetsâ from âthe substantial potential of uninsured
punitive exposure resulting from the actions of your firm.â
Considering the cumulative effect of all that
transpiredâi.e., Postâs immediate termination as Mercyâs
counsel, the September 25, 2005 conversation between
Saxton and Barton Post, and the October 6 and October 12
lettersâit would be fantasy to believe as of October 12 that
Mercy would not be seeking damages from Post in the
threatened malpractice suit to compensate it for the excessive
settlement it believed Postâs misconduct forced on it. As
the threatened malpractice suit certainly would have the
potential to result in a covered loss under the Policy,
Travelersâ duty to defend Post in connection with Mercyâs
37
malpractice claim was triggered at the latest âon the date that
[Travelers] or [Post] first receive[d] a written noticeâ of
Mercyâs claimâOctober 12, 2005.
Travelersâ contention that Mercyâs letters did not
trigger a duty to defend because they indicated only a
âpotentialâ claim underwhelms.
There was nothing
âpotentialâ about Mercyâs threat to sue Post for malpractice
or its assertion that Postâs misconduct caused it monetary
loss. The definition of âclaimâ under the Policy does not
require anything more than a âdemand that seeks damages,â
which Mercy made via its threats and letters. Indeed,
Travelers itself viewed its duty to defend as having been
triggered by Mercyâs letters because it opened a claims file
for Post and assigned responsibility of the claim to Spinelli,
who then spent considerable time reviewing numerous
documents and analyzing the claim.
ii.
The Scope Of Travelersâ
Duty To Defend Against
The Sanctions Petition Is
Limited To The Defense
Costs Incurred By Post
Subsequent To Mercyâs
Filing Of Its Answer On
February 8, 2006
We part ways with the District Court with regard to the
scope of Travelersâ defense obligation, as we disagree with its
holding that Travelersâ duty to defend Post encompassed the
entirety of the sanctions proceedings (that is, from when they
were begun by the Bobbetts).
Relying on the Policyâs definition of âdefense
expensesââwhich includes â[t]he cost of the proceedings
involved in the suit, including court reporterâs, arbitratorâs,
38
and mediatorâs feesââthe District Court explained as
follows:
When Mercy joined the sanctions
petition,
the
proceedings
surrounding the petition became
âinvolvedâ in Mercyâs previously
asserted
malpractice
claim
through the potential for collateral
estoppel effect.
Mercy likely
joined the sanctions petition, in
part, to participate in developing
the facts and/or law that would
directly impact their malpractice
suit (assuming the sanctions
petition did not result in sufficient
monetary
compensation
to
eliminate Mercyâs need to sue for
malpractice).
We disagree for at least two reasons. First, the Courtâs
holding is at odds with the very distinction it (and we)
recognized between a âclaimâ and a âsuit.â This distinction
was critical to its (and our) conclusion that Mercy had
asserted a covered malpractice âclaimâ at least as of October
12, 2005. But the Court then puts aside this distinction by
relying on â[t]he cost of the proceedings involved in the suitâ
Policy language to support its view that the sanctions
proceedings âbecame âinvolvedâ inâ Mercyâs malpractice
claim once Mercy began participating in those proceedings.
Under the Policy, however, âdefense expensesâ only include
costs âinvolved in the suit,â and neither Mercyâs answer to
the sanctions petition (February 8, 2006) nor its malpractice
action against Post (November 19, 2007) had been filed when
the Bobbetts filed their petition for sanctions against Post on
November 21, 2005. Thus, while the sanctions proceedings
39
related to Mercyâs claim, there was as yet no suit that those
sanctions proceedings could be âinvolved in.â The District
Court therefore erred by concluding, based on Mercyâs
participation in conference calls with Judge Olszewski and its
insisting on receiving copies of all discovery produced in the
sanctions proceedings, âthat Mercy became sufficiently
involved in the [sanctions] [p]etition to have âjoinedâ the
proceedings from the day the [p]etition was filed, on
November 21, 2005.â No amount of participation by Mercy
in the sanctions proceedings would be sufficient prior to the
filing of a âsuitââwhich means under the Policy âa civil
proceeding that seeks damagesââa prerequisite to Travelersâ
liability. As noted below, that prerequisite was satisfied on
February 8, 2006, the date on which Mercy filed its answer to
the sanctions petition and sought damages against Post.
Second, the District Courtâs conclusion goes against
two canons of contract interpretation. Under the principle of
ejusdem generis, â[i]t is widely accepted that general
expressions such as âincluding, but not limited toâ that
precede a specific list of included items should not be
construed in their widest context, but apply only to persons or
things of the same general kind or class as those specifically
mentioned in the list of examples.â McClellan v. Health
Maint. Org. of Pa., 686 A.2d 801, 805 (Pa. 1996). Similarly,
â[t]he ancient maxim ânoscitur a sociisâ summarizes the rule
that the meaning of words may be indicated or controlled by
those words with which they are associated. Words are
known by the company they keep.â Northway Vill. No. 3,
Inc. v. Northway Props., Inc., 244 A.2d 47, 50 (Pa. 1968).
The âcost of the proceedings involved in the suitâ includes
âcourt reporterâs, arbitratorâs, and mediatorâs fees,â
not attorneysâ fees.
Attorneysâ fees traditionally are
distinguished from costs. See, e.g., Fed. R. Civ. P. 54(d)
(differentiating between âcostsâ and âattorneyâs feesâ). The
Policy recognizes this distinction, addressing attorneysâ fees
40
in a separate bullet-point in the definition of âdefense
expenses.â
In this contextâi.e., in the absence of a âsuitâ (âa civil
proceeding that [sought] damagesâ)âthe Policyâs âinvolved
inâ language cannot apply. Hence, Travelers did not owe a
duty to defend Post in connection with the sanctions petition
at the time the petition was filed by the Bobbetts on
November 21, 2005.
However, Mercyâs answer to the sanctions petition,
filed on February 8, 2006 and which included a prayer for
relief requesting âany other relief [that] this Court deems just
and equitable under the unique and serious circumstances
presented before it, and award costs, attorneysâ fees and
expenses,â triggered coverage under the Policy. While Mercy
did not explicitly request âdamagesâ as an item of relief, the
prayer in its answer did generally request âany other [just and
equitable] reliefâ as well as âcosts, attorneysâ fees and
expenses.â It is debatable whether the general prayer for
âother reliefâ rendered Mercyâs answer a âcivil proceeding
that seeks damages.â Compare Meth v. Meth, 62 A.2d 848,
849 (Pa. 1949) (âUnder the prayer for general relief, a decree
which accords with the equities of the cause may be shaped
and rendered; the court may grant any appropriate relief that
conforms to the case made by the pleadings although it is not
exactly the relief which [h]as been asked for[.]â), with Baird
v. First Pa. Bank, N.A., 1 Pa. D. & C. 3d 665, 666, 1976 WL
491, at *1 (Pa. Ct. Com. Pl. 1976) (holding that a request for
âsuch other equitable relief as the Court deems appropriateâ
is, by itself, no claim for relief at all, and requiring the
plaintiff to amend the complaint). Mercyâs specific request
for âcosts, attorneysâ fees and expensesâ nonetheless was
sufficient to do so because attorneysâ feesâboth amounts
paid by the client to the negligent attorney as well as expenses
incurred by the client to prosecute its malpractice claim
41
against the attorneyâare an item of damages in a legal
malpractice claim. See Bailey v. Tucker, 621 A.2d 108, 115
(Pa. 1993) (holding that plaintiff in legal malpractice action
could recover amounts paid to his attorney as damages); Feld
and Sons, Inc. v. Pechner, Dorfman, Wolfee, Rounick, and
Cabot, 458 A.2d 545, 554 (Pa. Super. Ct. 1983) (stating that
clients could recover fees paid to their lawyer who violated
professional
