National Union Fire v. John M O'Quinn P.C., et al, No. 4:2000cv02616 - Document 397 (S.D. Tex. 2014)

Court Description: MEMORANDUM OPINION and ORDER granting 341 and 342 Lexington's MOTIONS for Summary Judgment, and DENYING 353 O'Quinn Firm's Cross-Motion for Summary Judgment.(Signed by Judge Kenneth M. Hoyt) Parties notified.(chorace)

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UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF TEXAS HOUSTON DIVISION JOHN M O QUINN P.C. d/b/a O QUINN & LAMINACK, et al., Plaintiffs, vs. NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA, et al., Defendants. § § § § § § § § § § CIVIL ACTION NO. 4:00-cv-2616 MEMORANDUM OPINION AND ORDER I. INTRODUCTION Pending before the Court are the defendant s, Lexington Insurance Company ( Lexington ), motions for summary judgment (Dkt. Nos. 341 & 342) and the plaintiffs , John M. O Quinn, P.C. d/b/a O Quinn & Laminack, John M. O Quinn & Associates, L.L.P. d/b/a O Quinn & Laminack, John M. O Quinn Law Firm, P.L.L.C. and O Quinn & Laminack (the plaintiffs or the O Quinn Firm ), cross-motion for summary judgment (Dkt. No. 353). After having carefully considered the motions, responses, all other matters of record in this case and the applicable authorities, the Court determines that Lexington s motions for summary judgment should be GRANTED; and the plaintiffs cross-motion for summary judgment should be DENIED. 1 / 28 II. RELEVANT BACKGROUND AND PROCEDURAL HISTORY This is an insurance coverage dispute emanating from two lawsuits previously filed against the O Quinn Firm the Wood1 class action filed in 1999 ( Wood ) and the Snipes2 suit filed in 2002 ( Snipes ) by former breast implant clients for, inter alia, breach of contract and breach of fiduciary duty, asserting that certain BI General Expenses taken as a deduction from their settlement disbursement were improper. (Dkt. No. 345, Ex. 5 & Dkt. No. 349, Ex. 30). On or about September 26, 1998, National Union Fire Insurance Company of Pittsburgh, Pa. ( National Union ) issued to the O Quinn Firm a claims-made and reported Lawyer s Professional Liability Policy, Policy Number 861-88-44, covering the policy period from September 26, 1998 to September 26, 1999 ( 1998 Primary Policy ). The 1998 Primary Policy contains a $150,000 self-insured retention with a $5,000,000 limit of liability. (See Dkt. No. 345, Ex. 1 at APP00002.) National Union also issued a second claims-made Lawyers Professional Liability Policy, Policy Number 874-18-89, to the O Quinn Firm covering the policy period from September 26, 2001 to September 26, 2002 ( 2001 Primary Policy ) (collectively, the Primary Policies ). The 2001 Primary Policy contains a $500,000 self-insured retention with a $5,000,000 limit of liability. Both policies provide that this policy will pay only excess of the retention amounts. (See Dkt. No. 349, Ex. 42 at APP00958.) On or about September 26, 1998, Lexington issued to the O Quinn Firm an Excess Professional Liability Insurance Policy, Policy Number 599/UP981639, covering the policy period of September 26, 1998 to September 26, 1999 (the 1998 Excess Policy ). The 1998 1 Martha Wood, et al. v. John M. O Quinn, P.C. et al, was filed in the 4th Judicial District Court, Rusk County, Texas on June 4, 1999 and ordered to arbitration in 2004. A final arbitration Award was entered against the O Quinn Firm in 2007. The O Quinn Firm settled the Award in 2009. 2 Leslie Snipes, et. al. v. John M. O Quinn, et al., was filed in the 133rd Judicial District Court, Harris County, Texas on June 21, 2002. It was non-suited in 2004. 2 / 28 Excess Policy has a $10,000,000 limit of liability. (Dkt. No. 349, Ex. 48 at APP01025). A second Excess Professional Liability Insurance Policy, issued by Lexington, Gulf Insurance Company U.K. Limited ( Gulf ), Hiscox Dedicated Corporate Member, Ltd. for Underwriters at Lloyd s ( Hiscox ), and Zurich Specialties London Limited ( Zurich ), Policy Number 599/UP011639, covering the policy period from September 26, 2001 to September 26, 2002 was also issued to the O Quinn Firm (the 2001 Excess Policy ). (Dkt. No. 349, Ex. 49). The Excess Policies follow form to the underlying Primary Policies and thus, incorporate the same terms, exclusions, conditions and definitions as the Primary Policies. The events germane to the underlying dispute began several years prior to the issuance of the policies.3 During the early 1990s, the O Quinn Firm began representing women in lawsuits against breast-implant manufacturers. In 1992, given the abundance of such cases, the Harris County district courts ordered that the cases be consolidated for all pretrial matters due to the common and related liability issues. Pursuant to the terms of the Harris County consolidation order, the depositions of witnesses to multiple cases in consolidation could only be taken once for use in all cases. Consequently, around mid-1993, the O Quinn Firm attempted to formulate an equitable methodology designed to allocate those general expenses allegedly common to all breast implant clients and incurred during the course of the litigation. Eventually, it resolved to deduct 1.5% out of the gross recovery of each client s settlement for their pro rata share of what it referred to as BI General Expenses. The O Quinn Firm s contingent fee contracts, however, did not provide for the deduction of BI General Expenses nor did they indicate that clients 3 The background facts are taken, at least in part, from the various orders issued by the Arbitration Panel during the span of the underlying arbitration all filed as part of the summary judgment record. (See Dkt. No. 347, Exs. Q - T & Dkt. No. 345, Exs. 10 17). See CVN Group, Inc. v. Delgado, 95 S.W.3d 234, 238 (Tex. 2002) (internal citation omitted) (reasoning that a valid and final arbitration award upon matters submitted to arbitration is given the same effect as the judgment of a court of last resort. All reasonable presumptions are indulged in favor of the award, and none against it. ) 3 / 28 would be charged a pro-rata portion of the general or common expenses or be subject to a 1.5% deduction from their gross settlement recovery. In 1995, the O Quinn Firm s BI General Expense account first noted a surplus the amount reserved from each client s recovery to cover expenses exceeded the amount of expenses incurred and maintained a continuous surplus from May 2000 thereon. (Dkt. No. 345, Ex. 12 at APP00239). Despite this surplus, no attempt was made by the O Quinn Firm to segregate the withheld funds, inform its clients or dispense a refund until January 2007 almost seven years later. (Id.) In fact, it was not until the filing of the Wood lawsuit that the O Quinn Firm s former breast implant clients were even informed that it intended to refund any surplus. (Id.). On June 4, 1999, a group of former breast implant clients of the O Quinn Firm filed an action, known as Wood, alleging that the O Quinn Firm s deduction of a pro-rata portion of BI General Expenses from their settlement disbursement was improper.4 (Dkt. No. 345, Ex. 5 & Dkt. No. 349, Ex. 30). The Wood plaintiffs sought class certification, injunctive relief, disgorgement of improper deductions, forfeiture of the O Quinn firm s fees, attorneys fees, prejudgment interest, post-judgment interest, and other related relief. (Id.). By letter dated July 26, 1999, National Union agreed to provide the O Quinn Firm with a defense to the claims alleged in Wood subject to a full and complete reservation of rights. (Dkt. No. 345, Ex. 2). Shortly thereafter, on July 31, 2000, National Union filed the instant action seeking a declaration of its rights under the 1998 Primary Policy. (Dkt. No. 1). On August 31, 2000, the O Quinn Firm filed a counterclaim against National Union due to its alleged refusal to pay defense costs, seeking to recover all costs incurred in defending the Wood lawsuit. (Dkt. No. 9). On or about September 14, 2001, this Court entered a Memorandum Opinion and Order 4 The plaintiffs also alleged a claim relating to an improper MDL Fund deduction, but later abandoned that claim after such sums were refunded to them. 4 / 28 granting, in part, the O Quinn Firm s motion for partial summary judgment on National Union s duty to defend. More specifically, the Court ruled that National Union owed a duty to defend the O Quinn Firm in the Wood lawsuit, but stayed the indemnity issue pending resolution of the underlying litigation. Afterward, the case was administratively closed. (See Dkt. No. 43.) On June 21, 2002, Leslie Snipes and Sandra Templeton filed a subsequent suit against the O Quinn Firm ( Snipes ) in the 133rd Judicial District Court, Harris County, Texas, asserting allegations nearly identical to those alleged in Wood. (Dkt. No. 349, Ex. 30). On August 2, 2002, National Union formally acknowledged receipt of information concerning the Snipes lawsuit and further stated that since the allegations asserted in Snipes were the same as those alleged in Wood, Snipes would be deemed one Claim with Wood, first made during the 1998 policy period when Wood was filed and subject to the 1998 Primary Policy limits.5 (Dkt. No. 349, Ex. 44). Subsequently, in the Snipes lawsuit, plaintiff Leslie Snipes, filed a motion for continuance and plea in abatement, seeking to have the Snipes lawsuit abated in favor of the Wood lawsuit. Specifically, she alleged the following: The above Rusk County suit involving the same identical legal and factual issues and parties[sic] defendant. Abatement of a lawsuit due to the pendency of a prior lawsuit with an inherent interrelation of the subject matter exists in two pending lawsuits, a plea in abatement in the second action must be granted . . . . Here the interrelationship is identical except for this plaintiff. The parties have discussed [c]onsolidation of the two cases into the earlier Rusk County suit, and/or for discovery and/or arbitration since Plaintiff here would be a member of the class sought to be certified and other relief. 5 Lexington likewise acknowledged receipt of the Snipes lawsuit and reserved its rights thereto. (See Dkt. No. 349, Ex. 60, at 147 161.) 5 / 28 (Dkt. No. 346, Ex. J.) (emphasis added). On April 10, 2002, the Court entered an Order granting the motion for continuance and plea in abatement. Snipes was non-suited on May 14, 2004.6 Thereafter, Leslie Snipes and Sandra Templeton joined the Wood class action as members. In 1999, the O Quinn Firm sought an order compelling arbitration. (Dkt. No. 345, Ex. 6). The Texas Supreme Court eventually decided that the class arbitration issue was for the arbitrators to decide, not the trial court. In re Wood, 140 S.W.3d 367, 368 (Tex. 2004). On November 15, 2004, the 4th Judicial District Court, Rusk County, ordered Wood to arbitration pursuant to the Federal Arbitration Act and the Commercial Arbitration Rules of the American Arbitration Association ( AAA ). (Dkt. No. 345, Ex. 9).7 The arbitration persisted for nearly three years and its proceedings consisted of a sequence of phased hearings, comprising transcripts exceeding more than 1,000 pages. (Id., Exs. 18A 18E). Pursuant to a Class Determination Award entered by the Panel, the arbitrators, after a hearing, certified a class consisting of all of the O Quinn Firm s former breast implant clients who signed a contingent fee contract with an arbitration provision and a settlement sheet containing a deduction for BI General Expenses.8 (Id., Ex. 11.). Subsequent to the issuance of its Class Determination Award, the Panel entered a series of orders establishing the following: (1) the O Quinn Firm s contingent fee contracts were unambiguous , do not allow for the deduction of BI General Expenses , and a reasonable 6 Sandra Templeton actually non-suited her claims on February 25, 2004 and Leslie Snipes non-suited her claims on May 14, 2004. 7 In its Order, the trial court specifically ORDERED, in part, as follows: that the arbitrators hearing the case are specifically authorized to have the full limit of authority to determine the issues related to class action and to address and resolve all issues related to due process rights of putative class members and to determine all class action issues, including, without limitation, the issue of class certification, the issue of the definition of the class, and the issue of whether proceeding on class or individual claims is proper. (Dkt. No. 345, Ex. 9 at APP00182 183). 8 The former clients whose contingent fee contracts included an express provision waiving the right to participate in a class action were excluded from the class. 6 / 28 person in the circumstances of [the Wood] Plaintiffs would [not] have construed the Fee Agreements at the time of their execution as providing for such a deduction (Dkt. No. 345, Ex. 12 at APP00234); (2) there could not have been an expectation by [the O Quinn Firm] much less the pre-1993 [Wood] Plaintiffs that the Fee Agreements would cover BI General Expenses when they were drafted because that category of expense did not exist (Dkt. No. 345, Ex. 12 at APP00235); (3) despite the creation of the BI General [Expense] category in mid-1993, the Fee Agreements were not altered in any manner explaining such a significant change (Id.); (4) Mr. Laminack, one of the O Quinn Firm s lawyers primarily responsible for handling the breast implant litigation, candidly agreed that some of the charges on the list [of expenditures posted as BI General Expenses were] not appropriate (Dkt. No. 345, Ex. 12 at APP00237; Dkt. No. 345, Ex. 18A at APP00306 - 307); (5) the Majority of the Panel remained unpersuaded by the O Quinn Firm s position that BI General Expenses were never actually charged to the [Wood] Plaintiffs and that the firm had always planned to go back and audit BI General Expenses and remove any inappropriate charges (Dkt. No. 345, Ex. 12 at APP00238); (6) the BI General Expense account first had a surplus in 1995 and maintained a continuous one from May 2000 thereon (Id. at APP00239); (7) [d]espite this surplus, no attempt was made to refund [the Wood] Plaintiffs money until January 2007 (Id.); (8) until very recently, the withheld money was not segregated in any manner, rather it was used to pay down the [O Quinn Firm s] breast implant litigation credit line (Id. at APP00238); (9) the total amount of BI General Expenses deducted from [the Wood] Plaintiffs settlements was approximately $18.9 million (Id. at APP00239); and (10) [the O Quinn Firm s] conduct is a clear and serious violation of the duties owed by a lawyer (Dkt. No. 345, Ex. 14 at APP00268). 7 / 28 Further, the Panel held that: (1) for the O Quinn Firm s improper deduction of BI General Expenses an appropriate remedy is the return by [the O Quinn Firm] of all BI General Expenses improperly deducted from the Class Members settlement distributions (Dkt. No. 345, Ex. 14 at APP00261); and (2) for its breach of fiduciary duty [the O Quinn Firm] should forfeit $25 million of the fees out of about $263.4 million in fees received by it. (Id. at APP00268 271). On September 26, 2007, the Panel issued a final arbitration award (the Final Award ). (Dkt. No. 345, Ex. 16).9 The Final Award held the O Quinn Firm liable for damages totaling Forty-One Million Four Hundred Sixty-Five Thousand Nine Hundred Fifty and No/100 Dollars ($41,465,950.00), in the following specific amounts: (1) Nine Million Nine Hundred SeventyNine Thousand Three Hundred Sixty-Four and No/100 Dollars ($9,979,364.00), for breach of contract; (2) Two Million Four Hundred Ninety-Four Thousand Eight Hundred Forty-One and No/100 Dollars ($2,494,841.00), for attorneys fees on the breach of contract claim; (3) Three Million Nine Hundred Ninety-One Thousand Seven Hundred Forty-Five and No/100 Dollars ($3,991,745.00), in interest on the breach of contract damages; and (4) Twenty-Five Million and No/100 Dollars for fee forfeiture ($25,000,000.00), and other related relief. (See Dkt. No. 345, Ex. 16). On October 12, 2007, the Rusk County court entered a final judgment confirming the Final Award in all respects. (Dkt. No. 345, Ex. 20). On December 4, 2009, the O Quinn Firm, on its own, settled the Final Award for $46.5 million. (Id., Ex. 21). Thereafter, this action was reopened for further proceedings. Discovery has been conducted and is now closed. The O Quinn Firm and all of the other defendant insurers, save 9 The Final Award was erroneously dated October 26, 2007, but was amended the next day to reflect a September 27, 2007 date of entry. 8 / 28 Lexington, have settled.10 Thus, the O Quinn Firm s only remaining claims are those against Lexington, the excess carrier on the 1998 and 2001 Excess Policies. Specifically, the O Quinn Firm seeks a declaration that: (1) the complaints in the Wood and Snipes lawsuits against the O Quinn Firm and/or the demands made upon it allege one or more Wrongful Act(s) as the term is defined under the applicable policies; (2) the complaints in the Wood and Snipes lawsuits seek the recovery of sums which constitute a Loss as that term is defined under the applicable policies; (3) such Loss is not excluded under the applicable policies; (4) such Loss exceeds the limits of the applicable policies; (5) Lexington is required to indemnify the O Quinn Firm up to the limits of liability under the 1998 Excess Policy for any amount of Loss in excess of the 1998 Primary Policy s limits of liability; and (6) Lexington is required to indemnify the O Quinn Firm up to the limits of liability under the 2001 Excess Policy for any amount of Loss in excess of the 2001 Primary Policy s limits of liability. (Dkt. No. 86, ¶ 74.) III. SUMMARY JUDGMENT STANDARD Federal Rule of Civil Procedure 56 authorizes summary judgment against a party who fails to make a sufficient showing of the existence of an element essential to that party s case and on which that party bears the burden at trial. See Celotex Corp. v. Catrett, 477 U.S. 317, 322 (1986); Little v. Liquid Air Corp., 37 F.3d 1069, 1075 (5th Cir. 1994) (en banc). The movant bears the initial burden of informing the Court of the basis of its motion and identifying those portions of the record which it believes demonstrate the absence of a genuine issue of material fact. Celotex, 477 U.S. at 323; see also, Martinez v. Schlumber, Ltd., 338 F.3d 407, 411 (5th Cir. 2003). Summary judgment is appropriate if the pleadings, the discovery and disclosure 10 Specifically, while the summary judgment motions, discussed infra, were under submission to this Court, the O Quinn Firm entered into a settlement with National Union. Separately, the O Quinn Firm also settled with Hiscox, Zurich and Gulf. Upon the filing of the parties agreed motions for dismissal, the O Quinn Firm s claims against National Union, Hiscox, Zurich and Gulf were dismissed from this litigation. (See Dkt. Nos. 384 & 396). 9 / 28 materials on file, and any affidavits show that there is no genuine issue as to any material fact and that the movant is entitled to judgment as a matter of law. Fed. R. Civ. P. 56(c). If the movant meets its burden, the burden then shifts to the nonmovant to go beyond the pleadings and designate specific facts showing that there is a genuine issue for trial. Stults v. Conoco, Inc., 76 F.3d 651, 656 (5th Cir. 1996) (citing Tubacex, Inc. v. M/V Risan, 45 F.3d 951, 954 (5th Cir. 1995); Little, 37 F.3d at 1075). To meet this burden, the nonmovant must identify specific evidence in the record and articulate the precise manner in which that evidence support[s] [its] claim[s]. Stults, 76 F.3d at 656 (quoting Forsyth v. Barr, 19 F.3d 1527, 1537 (5th Cir. 1994), cert. denied, 513 U.S. 871 (1994)). The nonmovant may not satisfy its burden with some metaphysical doubt as to the material facts, by conclusory allegations, by unsubstantiated assertions, or by only a scintilla of evidence. Little, 37 F.3d at 1075 (internal quotation marks and citations omitted). Instead, it must set forth specific facts showing the existence of a genuine issue concerning every essential component of its case. American Eagle Airlines, Inc. v. Air Line Pilots Ass'n, Int l, 343 F.3d 401, 405 (5th Cir. 2003) (quoting Morris v. Covan World Wide Moving, Inc., 144 F.3d 377, 380 (5th Cir. 1998)). A fact is material only if its resolution would affect the outcome of the action . . . and an issue is genuine only if the evidence is sufficient for a reasonable jury to return a verdict for the [nonmovant]. Wiley v. State Farm Fire and Cas. Co., 585 F.3d 206, 210 (5th Cir. 2009) (internal citations omitted). When determining whether the nonmovant has established a genuine issue of material fact, a reviewing court must construe all facts and inferences . . . in the light most favorable to the [nonmovant]. Boudreaux v. Swift Transp. Co., Inc., 402 F.3d 536, 540 (5th Cir. 2005) (citing Armstrong v. Am. Home Shield Corp., 333 F.3d 566, 568 (5th Cir. 2003)). Likewise, all factual controversies [are to be resolved] in favor of the [nonmovant], but 10 / 28 only where there is an actual controversy, that is, when both parties have submitted evidence of contradictory facts. Boudreaux, 402 F.3d at 540 (citing Little, 37 F.3d at 1075 (emphasis omitted)). Nonetheless, a reviewing court may not weigh the evidence or evaluate the credibility of witnesses. Boudreaux, 402 F.3d at 540 (citing Morris, 144 F.3d at 380). Thus, [t]he appropriate inquiry [on summary judgment] is whether 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. Septimus v. Univ. of Hous., 399 F.3d 601, 609 (5th Cir. 2005) (quoting Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 251-52 (1986)). IV. ANALYSIS AND DISCUSSION A. Construction of Insurance Policies Under Texas Law Under Texas law, which governs this diversity suit, the same general rules that govern the interpretation of contracts govern the interpretation of insurance policies, and a policy must be interpreted to effectuate the intent of the parties at the time the policy was formed.11 See, Performance Autoplex II Ltd. v. Mid-Continent Cas. Co., 322 F.3d 847, 853 (5th Cir. 2003); Progressive County Mut. Ins. Co. v. Sink, 107 S.W.3d 547, 551 (Tex. 2003). Terms within an insurance contract are given their plain, ordinary, and generally accepted meaning unless the contract itself shows that particular definitions are used to replace that meaning. Bituminous Cas. Corp. v. Maxey, 110 S.W.3d 203, 208-09 (Tex. App. Houston [1st Dist.] 2003, pet. denied) (internal citation omitted). If an insurance contract is worded such that it can be given a definite or certain legal meaning, then it is unambiguous and enforceable as written. Nat'l Union Fire Ins. Co. of Pittsburgh, Pa. v. CBI Indus., 907 S.W.2d 517, 520 (Tex. 1995). Only if an insurance contract is susceptible to multiple reasonable interpretations must a court adopt the interpretation most 11 The parties agree that Texas substantive law applies in this diversity lawsuit. 11 / 28 favorable to the insured. Nat l Union Fire Ins. Co., 907 S.W.2d at 520. Nevertheless, a court will not find a contract ambiguous merely because the parties offer contradictory interpretations. See, Cent. States, Se. & Sw. Areas Pension Fund v. Creative Dev. Co., 232 F.3d 406, 414 n. 28 (5th Cir. 2000) (quoting Wards Co. v. Stamford Ridgeway Assocs., 761 F.2d 117, 120 (2d Cir. 1985) (internal quotation marks and citation omitted)) ( A Court will not torture words to import ambiguity where the ordinary meaning leaves no room for ambiguity, and words do not become ambiguous simply because lawyers or laymen contend for different meanings. ); see also, Kelley-Coppedge, Inc. v. Highlands Ins. Co., 980 S.W.2d 462, 465 (Tex. 1998). The insured bears the initial burden of showing that there is coverage, while the insurer bears the burden of proving the applicability of any exclusions in the policy that permit the insurer to deny coverage. Guar. Nat'l Ins. Co. v. Vic Mfg. Co., 143 F.3d 192, 193 (5th Cir. 1998) (citing Telepak v. United Servs. Auto. Ass'n, 887 S.W.2d 506, 507 (Tex. Civ. App. San Antonio 1994, writ denied); Venture Encoding Serv., Inc. v. Atl. Mut. Ins. Co., 107 S.W.3d 729, 733 (Tex. App. Fort Worth 2003, pet. denied) (stating that the Texas Insurance Code places the burden on the insurer to prove any exception to coverage). Once the insurer has established that an exclusion applies, the burden shifts back to the insured to prove that an exception to the exclusion applies. Guar. Nat'l Ins. Co., 143 F.3d at 193 (internal citation omitted). B. Pertinent Policy Provisions With these principles in mind, the Court now turns to the relevant policy language. Since the Excess Policies follow form to the provisions contained in the Primary Policies, a review of the relevant language contained therein is necessary. The Primary Policies provide, in pertinent part, as follows: NOTICE: THIS IS A CLAIMS MADE FORM. EXCEPT AS STATED HEREIN, THE COVERAGE OF THIS POLICY IS LIMITED 12 / 28 GENERALLY TO LIABILITY FOR ONLY THOSE CLAIMS THAT ARE FIRST MADE AGAINST THE INSURED AND REPORTED TO THE COMPANY DURING THE POLICY PERIOD . . . . (Dkt. No. 345, Ex. 1 at APP00001; Dkt. No. 349, Ex. 42 at APP00957.) Section A of each of the Primary Policies Insuring Agreements states, in pertinent part, the following: I. INSURING AGREEMENT A. Coverage This policy will pay on the behalf of the Insured Loss arising from a Claim first made against the Insured during the Policy Period . . . and reported in writing to [National Union] pursuant to the terms of this policy for any actual or alleged Wrongful Act whenever or wherever such Wrongful Act has been committed by: 1. the Insured in the rendering or failing to render Professional Legal Services for others; and 2. any other person or entity in the rendering or failing to render Professional Legal Services for others on the behalf of the Firm for whose Wrongful Act an Insured is legally responsible. (Dkt. No. 345, Ex. 1 at APP00003; Dkt. No. 349, Ex. 42 at APP00959.). The following pertinent definitions are contained in the Primary Policies: II. DEFINITIONS B. Claim means: 1. A written demand for money or services; ... 3. a judicial civil proceeding; ... 5. any other regulatory, administrative, or arbitrative proceeding. ... D. Defense Costs means: 1. reasonable and necessary fees, costs, and expenses incurred by the Company, or incurred by the Insured with the written consent of the Company, . . . resulting from the investigation, adjustment, defense, or appeal of a Claim against any Insured . . . . 13 / 28 2. all costs taxed against an Insured in a Claim defended by the Company and interest which accrues after the entry of a judgment and before the Company has tendered or deposited in court, or otherwise, such judgment amount covered by the terms of this policy and for which the Insured is legally liable. ... K. Interrelated Wrongful Act(s) means Wrongful Acts which are the same, related, or continuous; or Wrongful Acts which arise from the same, related, or common nexus of facts. Claims can allege Interrelated Wrongful Acts regardless of whether such claims involve the same or different claimants, Insureds, or legal causes of action. L. Loss means damages, judgments, settlements and Defense Costs; provided, however, that Loss does not include fines, penalties, sanctions, taxes, punitive or exemplary damages, the multiplied portion of multiplied damages, reimbursement of legal fees, costs, or expenses, any amount for which the Insured is not financially liable or for which is without legal recourse to the Insured, or matters which may be deemed uninsurable under the law pursuant to which this policy is construed. ... P. Professional Legal Services means legal services and activities (1) performed as a lawyer . . . ; (2) provided by a lawyer in connection with any bar association, its governing board, or any of its committees; or (3) provided by an Employee of the Firm in connection with assisting a lawyer to perform the activities described in (1) or (2) above for others on the behalf of the Firm. Q. Wrongful Act means an act, error, or omission, including but not limited to breach of contract or duty (including but not limited to Fiduciary duty) and Personal Injury. Personal Injury means allegations of libel, slander, or other defamatory or disparaging material or publication; utterance in violation of an individual s right of privacy; false arrest, detention, or imprisonment; wrongful entry, eviction, or other invasion of the right of private occupancy; or malicious prosecution. (Dkt. No. 345, Ex. 1 at APP00004 6; Dkt. No. 349, Ex. 42 at APP00960 - 62.). 14 / 28 The Primary Policies also contain the following relevant exclusion: III. EXCLUSIONS This policy excludes coverage for any Loss in connection with a Claim: ... B. arising out of, based upon, or attributable to a criminal, fraudulent, malicious (other than malicious prosecution), or dishonest Wrongful Act on the part of any Insured, or the gaining of any profit or advantage to which an Insured was not legally entitled. . . . This exclusion will not apply to Defense Costs incurred in defending any such Claims. (Dkt. No. 345, Ex. 1 at APP00007; Dkt. No. 349, Ex. 42 at APP00963.) Relevant endorsements included in the Primary Policies provide: ENDORSEMENTS Endorsement No. 4 of the 1998 Primary Policy, and Endorsement No. 5 of the 2001 Primary Policy, deletes National Union s duty to defend in its entirety, replacing it with an obligation, subject to all other terms of the Primary Policies, for National Union to pay Defense Costs which are in compliance with the Company s Litigation Management Program Guidelines. (Dkt. No. 345, Ex. 1 at APP00017; Dkt. No. 349, Ex. 42 at APP00974.) THE EXCESS POLICIES The Excess Policies state, in relevant part, as follows: To pay on behalf of the Assured for claim or claims first made against the Assured during the period of insurance hereon up to this Policy s amount of liability (as hereinafter specified) in the aggregate, the excess of the Underlying Policy/ies limits (as hereinafter specified) in the aggregate, the latter amount being the subject of Indemnity Policy/ies (as hereinafter specified) or any Policy/ies issued in substitution or renewal thereof for the same amount effected by the Assured and hereinafter referred to as the Underlying Policy/ies. ... 1. Liability is [sic] to pay under this Policy shall not attach unless and until the Underwriters of the Underlying Policy/ies shall have paid or 15 / 28 have admitted liability or have been held liable to pay, the full amount of their indemnity inclusive of costs and expenses. (Dkt. No. 349 at APP01027 at ¶ 1; APP01049 at ¶ 1; APP01193 at ¶ 1.). Additionally, the Excess Policies expressly state that the O Quinn Firm is required to obtain the excess insurer s consent prior to any settlement of a claim. More specifically, the Excess Policies provide the following: 4. In the event of a claim arising to which the Underwriters hereon may be liable to contribute, no costs shall be incurred on their behalf without their consent being first obtained (such consent not to be unreasonably withheld). No settlement of a claim shall be effected by the Assured for such a sum as will involve this Policy without the consent of Underwriters hereon. (APP01027 at ¶ 4; APP01049 at ¶ 4; APP01193 at ¶ 4.). The Excess Policies further state that [e]xcept as otherwise provided herein this Policy is subject to the same terms, exclusions, conditions and definitions as the Policy of the Primary Insurers . . . . (Dkt. No. 349 at APP01028 at ¶ 7; APP01050 at ¶ 7; APP01194 at ¶ 7.) C. The Wood/Snipes Lawsuits Constitute One Claim First Made in 1999 As a threshold matter, the parties do not dispute that the plaintiffs and/or the O Quinn Firm qualify as Insureds under the Primary Policies.12 It is also undisputed that both the Wood 12 The term Insured is defined within the meaning of the Primary Policies to mean: 1. The Firm; 2. Any person or entity which was, is, or . . . hereafter becomes: a. a Partner of the Firm: b. an Employee of the Firm who is a lawyer or law firm ( Employed Lawyer ); c. an Employee of the Firm who is neither a lawyer nor law firm; d. any other person or entity who is a lawyer or law firm and who is: (i) designated as counsel or of counsel to or (ii) engaged as an Independent contractor or on a per diem basis by the Firm, but in either case only while rendering or failing to render Professional Legal Services for others on behalf of the Firm; and e. the estate, heirs, executors, administrators, assigns, and legal representatives of any person or entity who previously qualified as an Insured in the event of such Insured s death, incapacity, insolvency, or bankruptcy but only to the extent that such Insured would otherwise be provided coverage under this policy. (Dkt. No. 345, Ex. 1 at APP00005 6; Dkt. No. 349, Ex. 42 at APP00961 62, APP00973.) 16 / 28 and Snipes lawsuits constitute, at a minimum, a Claim within the meaning of the Policies. The Primary Policies define a Claim in pertinent part, as a written demand for money or services , a judicial civil proceeding or any other regulatory, administrative, or arbitrative proceeding. Accordingly, this Court has determined that the Wood suit constituted a Claim within the meaning of the Policies. (See Dkt. No. 43 at p. 6.). Similarly, the Snipes suit represents a Claim within the meaning of the Policies. Pursuant to Condition D of the Primary Policies, however, [a]ll Claims alleging a Wrongful Act or Interrelated Wrongful Acts regardless of the number of Claims, Insureds, or claimants are considered to be one Claim. Further, all such Claims are considered first made at the time the first Claim alleging such Wrongful Act or Interrelated Wrongful Act was first made. (Dkt. No. 345, Ex. 1 at APP00008; Dkt. No. 349, Ex. 42 at APP00964.) (emphasis added). Interrelated Wrongful Acts are defined within the meaning of the Primary Policies to include [w]rongful [a]cts which are the same, related, or continuous; or [w]rongful [a]cts which arise from the same, related, or common nexus of facts. (Dkt. No. 345, Ex. 1 at APP00004; Dkt. No. 349, Ex. 42 at APP00960.). Claims can allege Interrelated Wrongful Acts regardless of whether such claims involve the same or different claimants, Insureds, or legal causes of action. (Id.) The Wood and Snipes lawsuits both alleged that the O Quinn Firm had improperly billed its clients by means of a BI General Expense deduction taken from each client s settlement disbursement.13 A review of the petitions filed in both cases indicates that the cases contain the same legal and factual allegations and arise from a common nexus of facts. In fact, Leslie Snipes, in her motion for continuance and verified plea in abatement filed in the Snipes lawsuit 13 The plaintiffs also alleged a claim relating to an improper MDL Fund deduction, but later abandoned that claim. 17 / 28 in the 133rd Harris County Judicial District Court, specifically alleged that the Snipes and Wood lawsuits involv[ed] the same identical legal and factual issues and part[y] defendant[s]. (Dkt. No. 341, Ex. J at 3 4.) She further alleged that the interrelationship [between the cases] is identical except for th[e] plaintiff[s]. (Id.) Even more telling is the fact that both Snipes and Templeton, the only two plaintiffs in the Snipes lawsuit, non-suited their claims in Snipes in 2004, subsequently joined the Wood class action as unnamed plaintiffs, and received settlement proceeds as part of the Wood settlement payout in December 2009. (Dkt. No. 347, Ex. V). When determining whether two lawsuits allege interrelated wrongful acts under Texas law, a court must read the underlying petitions in light of the insurance policy s provisions, and focus the analysis on the origin of the damages. Reeves Cty. v. Hous. Cas. Co., 356 S.W.3d 664, 670 (Tex. App. El Paso 2011). Here, under the plain language of the Primary Policies, all claims alleging the same or interrelated wrongful acts are considered one claim first made when the first claim is filed. When employing the reasoning set forth in Reeves coupled with the plain language of the Primary Policies, the Court determines that while Snipes was filed in 2002, for purposes of determining which policy period applies, it constitutes a single claim first made when Wood---the suit encompassing the first claim alleging the same and/or Interrelated Wrongful Acts--was first filed during the 1998 policy period. Therefore, Snipes is subject to the 1998 Primary Policy and not the 2001 Primary Policy. The O Quinn Firm s argument that the Wood and Snipes lawsuits are not related is specious at best, especially in light of the overwhelming evidence to the contrary. Hence, the Court determines that no genuine issue of material fact exists regarding whether the Wood and Snipes lawsuits allege the same and/or Interrelated Wrongful Acts or constitute a single Claim first made during the 1998 policy period. Further, since the Snipes suit was non-suited in 2004, no evidence has been adduced establishing 18 / 28 that the O Quinn Firm incurred expenses in excess of its deductible on Snipes during its pendency.14 Accordingly, Lexington is entitled to a summary judgment that there is no coverage available for the Snipes lawsuit under the 2001 Policies. 1. Loss Incurred Within the Meaning of the Policies As set forth above, the Insuring Agreement of the Primary Policies, to which the Excess Policies follow form, provide, in relevant part, that [t]his policy will pay on the behalf of the Insured Loss arising from a Claim first made against the Insured during the Policy Period. (Dkt. No. 345, Ex. 1 at APP00003; Dkt. No. 349, Ex. 42 at APP00959.) (emphasis added). The term Loss is defined within the Primary Policies as: damages, judgments, settlements and Defense Costs; provided, however, that Loss does not include fines, penalties, sanctions, taxes, punitive or exemplary damages, the multiplied portion of multiplied damages, reimbursement of legal fees, costs, or expenses, any amount for which the Insured is not financially liable or for which is without legal recourse to the Insured, or matters which may be deemed uninsurable under the law pursuant to which this policy is construed. (Dkt. No. 345, Ex. 1 at APP00006; Dkt. No. 349, Ex. 42 at APP00962.) (emphasis added). In this case, the O Quinn Firm maintains that based on the definition of the term Loss as defined in the Primary Policies, it incurred an actual covered Loss in the amount of $46 million. (Dkt. No. 53 at 11 14.). The O Quinn Firm allocates its Loss as follows: (1) $30,724,462.50 for breach of contract and breach of fiduciary duty damages; (2) $10,241,487.50 for an award of attorneys fees; and (3) $5,000,000.00 for accrued post-judgment interest. Specifically, it contends that $30,724,462.50 was distributed to the Wood and Snipes plaintiffs for actual damages awarded for breach of contract, breach of fiduciary duty and pre-judgment 14 Even assuming that the O Quinn Firm were entitled to coverage under the 2001 Primary Policy, it is highly doubtful that coverage under the 2001 Excess Policy would ever be triggered because under the terms of the O Quinn Firm s settlement with National Union, National Union did not pay, did not admit liability, and was not held liable to pay the full amount of its indemnity under the 2001 Primary Policy. (Dkt. Nos. 380, 381 & 385). The plain language of the 2001 Excess Policy requires otherwise. See Citigroup Inc. v. St. Paul Mercury Ins. Co., 649 F.3d 367 (5th Cir. 2011) (holding that excess coverage in four policies was not triggered until primary insurer satisfied the requirements necessary to trigger the excess insurers coverage and paid the full amount of its limits) 19 / 28 interest accrued on the breach of contract damages. It contends that [t]his $30,724,462.50 payment falls within the plain meaning of damages, which is included in the [Primary Policies ] definition of Loss. (Dkt. No. 353 at 13). Additionally, it avers that the $10,241,487.50 payment, which was awarded to the Wood and Snipes plaintiffs for attorneys fees, falls within the plan meaning of damages as well because it is merely a percentage of the breach of contract and breach of fiduciary duty damages Award. It further insists that since the award of attorneys fees was part of the Judgment and paid in the Settlement, this amount falls within the meaning of judgment and settlement. (Id.) Lastly, the O Quinn Firm argues that the $5,000,000.00 payment made by it to the Wood and Snipes plaintiffs for accrued postjudgment interest is a Defense Cost, falls within the meaning of damages, and thus, constitutes a Loss. Lexington, in contrast, maintains that the Primary Policies definition of the term Loss distinctly does not include within its coverage any matter deemed uninsurable under the law.15 (Dkt. No. 343 at 22). Lexington contends that because the Wood and Snipes Claim was plainly restitutionary in nature, the O Quinn Firm is incapable of satisfying its burden to prove a covered Loss under the Policies. As support for its position, Lexington relies on two cases, both of which are instructive here. See In re TransTexas Gas Corp., 597 F.3d 298 (5th Cir. 2010); Nortex Oil & Gas Corp. v. Harbor Ins. Co., 456 S.W.2d 489 (Tex. Civ. App. Dallas 1970, no writ). In Nortex, Humble Oil & Refining Co., sued Nortex for using slant drilling techniques that crossed the boundary lines of its leases and extended into adjacent leases jointly owned by it and Texaco, claiming that Nortex converted its property by wrongfully appropriating and selling oil belonging to it. Nortex, 456 S.W.2d at 490. Texaco intervened in the actions to protect its 15 Lexington also argues that any matter falling within the fortuity doctrine is deemed uninsurable under Texas law. (Dkt. No. 342 at 22). The Court, however, finds it unnecessary to address its argument in this regard at this juncture. 20 / 28 interest. Id. The parties eventually settled and Nortex, thereafter, made demand for payment upon its insurer seeking indemnity on the basis that the settlement amounted to a Loss under its excess liability insurance policy. Id. at 490 91. Its insurer denied the claim and refused payment. Afterward, Nortex initiated a lawsuit in a Texas state court, which rendered judgment for Nortex s insurer. Nortex appealed. The Texas appellate court rejected its argument, reasoning: When Nortex settled the claims of Humble and Texaco it did not sustain a loss within the meaning of the insurance contract; it was merely paying for oil it had removed and sold from the land of Humble and Texaco. An insured (under such a policy as we have here) does not sustain a covered loss by restoring to its rightful owners that which the insured, having no right thereto, has inadvertently acquired . . . . The insurer did not contract to indemnify the insured for disgorging that to which it was not entitled in the first place, or for being deprived of profits to which it was not entitled. Id. at 493 94. In In re TransTexas Gas Corp., the Fifth Circuit, in examining the Nortex and Level 3 Commc ns Inc. v. Fed. Ins. Co., 272 F.3d 908 (7th Cir. 2001)16 cases, both relied upon by Judge Atlas in construing the term Loss under an insurance policy,17 which, like the Primary Policies at issue, did not include matters which may be deemed uninsurable under the law , acknowledged agreement with the following reasoning: a loss within the meaning of an insurance contract does not include the restoration of an ill-gotten gain. In re TransTexas Gas Corp., 597 F.3d 298, 310 (5th Cir. 2010) (quoting Level 3, 272 F.3d at 910). The Fifth Circuit 16 The directors and officers insurance policy maintained by Level 3 defined Loss as the total amount which any Insured Person becomes legally obligated to pay . . . including, but not limited to . . . settlements. Level 3, 272 F.3d at 909. 17 In the case before Judge Atlas, National Union filed suit against Stanley, CEO of TransTexas, and U.S. Bank, the liquidating bankruptcy trustee, seeking a declaratory judgment that it was not liable under an executive and organization liability insurance policy for a judgment entered by the bankruptcy court against Stanley because the bankruptcy court s judgment did not constitute a Loss under the policy. See National Union Fire Ins. Co. of Pittsburgh, PA v. U.S. Bank, Nat. Ass'n , 4:07-CV-1958, 2008 WL 2405975, 1 (S.D. Tex. June 11, 2008) 21 / 28 remarked that an insured incurs no loss within the meaning of the insurance contract by being compelled to return property that it had stolen, even if a more polite word than stolen is used to characterize the claim for the property s return. TransTexas Gas, 597 F.3d at 310 (quoting Level 3, 272 F.3d at 911). It further reasoned that the fact that the defendant CEO might have been legally entitled to payment in a lesser amount was of no moment because the fact remained that the bankruptcy court s judgment against him was restitutionary in nature. Id. at 310 11. The O Quinn Firm attempts to distinguish the cases relied upon by Lexington by contending that the cases are inapposite because there was never any question that the contingent fee contracts authorized them to recoup all court costs and expenses of litigation, but rather that the contingent fee contracts did not specifically authorize recoupment through BI General Expenses. (Dkt. No. 353 at 32) (emphasis added). It contends that the aforementioned fact is critical because it negates any argument that the O Quinn Firm s breach was for stealing any property or for wrongfully-receiving any sort of benefit. Id. It also argues that: (1) the Wood and Snipes plaintiffs never sued them for restitution and never sought restitution; (2) the Panel did not enter an award for restitution, but damages for breach of contract and breach of fiduciary duty; and (3) the Award and Settlement do not reference the words restitution or restitutionary. While the Court agrees that the O Quinn Firm suffered a Loss in the colloquial sense that the Panel awarded damages against it, the Court, nevertheless, remains unpersuaded by the O Quinn Firm s attempts to differentiate the cases proffered as support by Lexington.18 Moreover, under the Primary Policies, Loss expressly does not include reimbursement of legal fees, costs or expenses or fines, penalties, [or] sanctions. Undoubtedly, even a cursory review of the petitions filed in the Wood and Snipes lawsuits indicates that the plaintiffs, 18 Even the Panel noted in its findings that [e]ven if [the O Quinn Firm s] suggested interpretation of the Fee Agreements was accepted . . . the money still did not belong to [it]. (Dkt. No. 345, Ex. 12 at APP00239). 22 / 28 by way of their suits, sought the reimbursement of expenses the O Quinn Firm had improperly deducted from their settlement disbursements along with legal fees that it had collected. (Dkt No. 345, Ex. 14 at APP00271). The Final Award entered against the O Quinn Firm expressly required the return by O Quinn of all BI General Expenses improperly deducted from the Class members settlement distributions, together with prejudgment interest and attorneys fees, as well as the forfeiture of $25 million of the fees [received from] the Class. (Id.). Thus, the Court concludes that the O Quinn Firm has failed to establish that it sustained a Loss within the meaning of the Policies. Accordingly, because the Panel s Final Award against it does not qualify as a Loss under the Primary Policies and because the O Quinn Firm has failed to satisfy its burden to prove a covered Loss under the Policies, Lexington is entitled to a summary judgment. 2. Professional Legal Services Within the Meaning of the Policies The plaintiffs in both the Wood and Snipes lawsuits alleged the same and/or similar claims. In Wood, the plaintiffs alleged that the O Quinn Firm failed to perform its obligations under the contingent fee contract with them by improperly charging the plaintiffs BI General Expenses and MDL [Fund] deductions that were not specifically provided for in the [contingent fee contract] and by calculating fees and reimbursements in a manner other than as provided by the [contingent fee contract]. (Dkt. No. 204, Ex. 5 at APP0095, ¶ 40). The plaintiffs also alleged that the O Quinn Firm breached its fiduciary duty to [them] by improperly deducting BI General and MDL amounts from [their] settlement proceeds. (Id., Ex. 5 at APP0096, ¶ 41). As a consequence, the plaintiffs sought class certification, injunctive relief, disgorgement of the improper billings, forfeiture of fees and other related relief. (Id.) Snipes involved the same factual and legal issues as Wood. (Id., Ex. 5 at APP00930; APP00898 916). 23 / 28 The Insuring Agreement of the Primary Policies, to which the Excess Policies follow form, provides, in pertinent part, as follows: This policy will pay on the behalf of the Insured Loss arising from a Claim . . . for any actual or alleged Wrongful Act whenever or wherever such Wrongful Act has been committed by: 1. the Insured in the rendering or failing to render Professional Legal Services for others; and 2. any other person or entity in the rendering or failing to render Professional Legal Services for others on the behalf of the Firm for whose Wrongful Act an Insured is legally responsible. (Dkt. No. 345, Ex. 1 at APP00003; Dkt. No. 349, Ex. 42 at APP00959.). Professional Legal Services is defined within the meaning of the Primary Polices as legal services and activities [] performed as a lawyer. (Dkt. No. 345, Ex. 1 at APP00006; Dkt. No. 349, Ex. 42 at APP00962). Lexington argues that the Wrongful Acts alleged in Wood and Snipes arose solely out of the O Quinn Firm s improper billing practices, which it contends are not professional legal services. Rather, it maintains that professional legal services consist of only those acts which use the inherent skills typified by that professional, not all acts associated with the profession. Gregg & Valby, LLP v. Great Am. Ins. Co., 316 F. Supp.2d 505, 513 (S.D. Tex. 2004) (citing Atlantic Lloyd s Ins. Co. of Tex. v. Susman & Godfrey, L.L.P., 982 S.W.2d 472, 477 (Tex. App. Dallas 1998, pet. denied)). In contrast, the O Quinn Firm, in its motion for summary judgment, maintains that the breaches alleged in Wood and Snipes were committed while rendering Professional Legal Services because the O Quinn Firm was representing the Wood and Snipes plaintiffs in breast-implant litigation when the breaches occurred. (See Dkt. No. 353 at 24). Thus, they surmise that [b]ecause representing clients in litigation is a legal service and activity that is performed exclusively by lawyers, the O Quinn Firm was necessarily performing Professional Legal Services. 24 / 28 (Id.) Further, the O Quinn Firm avers that it performed legal services and activities as [both a lawyer and] a Fiduciary because the Panel found that it breached a fiduciary duty to its clients that arose from the attorney-client relationship. (Id.) This Court, however, is more inclined to agree with Lexington s depiction of the claims alleged in Wood and Snipes and is not persuaded by the O Quinn Firm s valiant effort to characterize its billing and/or fee-setting practices as an integral part of the legal representation that it provided to the Wood and Snipes plaintiffs. See Gregg, 316 F. Supp.2d at 512 (citing Tacon Mech. Contractors, Inc. v. Aetna Cas. & Sur. Co., 65 F.3d 486, 488 (5th Cir. 1995)( A party s particular characterization of a claim cannot conceal its true nature. ). This determination is in harmony with multiple other courts that have contemplated this very issue. Such courts have repeatedly held that billing and/or fee-setting practices do not constitute professional services. See Gregg, 316 F. Supp.2d at 513 (citing Atlantic Lloyd s, 982 S.W.2d at 476 77) (reasoning that even tasks performed by lawyers are not considered professional services if they are ordinary activities that can be completed by those lacking legal knowledge and skill. ); see Med. Records Assocs., Inc. v. Am. Empire Surplus Lines Ins. Co., 142 F.3d 512 (1st Cir. 1998) ( Indeed, setting a price for services and sending bills are functions of every business. ); Visiting Nurse Ass n of Greater Phil. v. St. Paul Fire & Marine Ins. Co., 65 F.3d 1097, 1101 (3rd Cir. 1995) (recognizing the division between the professional and commercial aspects of the practice of law, the Third Circuit reasoned: The professional aspect involves the rendering of legal advice to and advocacy on behalf of clients for which the attorney is held to a certain minimum professional and ethical standard[]. On the other hand, the commercial aspect involves the setting up and running of a business, including such tasks as securing office space, hiring staff, paying bills, and collecting on accounts receivable. ). In Reliance Nat. Ins. Co. v. 25 / 28 Sears, Roebuck & Co., Inc., for example, a Massachusetts appellate court, when deciding whether an attorney s billing practice comprised professional legal services sufficient to trigger coverage under a professional liability insurance policy for a fraudulent billing claim asserted against an attorney insured, held the following: [W]e decide that the billing function of a lawyer is not a professional service. Billing for legal services does not draw on special learning acquired through rigorous intellectual training. We are not aware that courses in billing clients appear in law school curricula. The billing function is largely ministerial. There are elements of experience and judgment in billing for legal services, but the same goes for pricing shoes. As billing is not a professional service, it does not come within the coverage of a professional liability insurance policy. Reliance Nat. Ins. Co. v. Sears, Roebuck & Co., Inc., 58 Mass. App. Ct. 645, 648, 792 N. E.2d 145, 148 (Mass. App. Ct. 2003). Similarly, this Court concludes that the claims alleged in Wood and Snipes, at their core, do not equate to Professional Legal Services, but rather to billing practices which do not require specialized knowledge and legal skill inherent to lawyers. Because the O Quinn Firm s improper billing practices do not constitute professional legal services , the O Quinn Firm cannot meet its burden of proving that the Wood and/or Snipes Claim falls within the Policies Insuring Agreements. Accordingly, a summary judgment in Lexington s favor is appropriate. 3. Exclusion B of the Policies Also Precludes Coverage Alternatively, this Court determines that Exclusion B also excludes the O Quinn Firm s claim from coverage under the Policies. Particularly, the Primary Policies exclude coverage for any Loss relating to a Claim: B. arising out of, based upon, or attributable to a criminal, fraudulent, malicious (other than malicious prosecution), or dishonest Wrongful Act on the part of any Insured, or the gaining of any profit or advantage to which an Insured was not legally entitled. . . . This exclusion will not apply to Defense Costs incurred in defending any such Claims. 26 / 28 (Dkt. No. 345, Ex. 1 at APP00007; Dkt. No. 349, Ex. 42 at APP00963.). The parties do not insinuate that the language set forth above is ambiguous. Therefore, because the provision is not ambiguous, the Court will employ the plain meaning of its terms. See Am. States Ins. Co. v. Bailey, 133 F.3d 363, 369 (5th Cir. 1998) (when exclusion is susceptible to one interpretation, courts employ the exclusion as written); see also National Union Fire Ins. Co. of Pittsburgh, PA v. U.S. Bank, Nat. Ass'n , 4:07-CV-1958, 2008 WL 2405975, 1 (S.D. Tex. June 11, 2008) (reasoning that exclusionary language is unambiguous and both phrases-- profit or advantage and legally entitled -- have been applied by courts without explanation or difficulty). Indeed, the series of orders and awards entered by the Panel with respect to the Wood arbitration established that the O Quinn Firm received a profit or advantage to which [it] was not legally entitled by, inter alia: (1) failing to disclose the BI General Expense deduction or even mentioning charging clients for a pro-rata portion of general and/or common expenses; (2) allocating such undisclosed expenses among clients; (3) not segregating the withheld money in any manner and using it to pay down the O Quinn Firm s breast implant litigation credit line; (4) improperly designating items such as professional association dues, public relations fees, other lawyer s fees, flowers, fundraising and office overhead as BI General Expenses; and (5) making no attempt to refund any client s money until January 2007, despite maintaining a continuous surplus since May 2000. (Dkt. No. 345, Ex. 12 at Ex. APP00237 238.) The O Quinn Firm contends that Exclusion B is inapplicable in this case because: (1) the evidence shows that it did not gain any profit or advantage, but merely recouped its expenses through the general-expense methodology; (2) Lexington s interpretation of Exclusion B is unreasonable based on the Primary Policies language and renders coverage illusory; and (3) 27 / 28 Lexington s interpretation is unreasonable and thus, the rules of contract construction prohibit the Court from adopting it. (See Dkt No. 353 at 37). Lexington, in opposition, argues that the undisputed facts establish that the Wood/Snipes Claim arose out of the O Quinn Firm s gaining profit or advantage to which it was not legally entitled. This Court is inclined to agree. Accordingly, the Court is of the opinion that the Panel s Final Award finding that the O Quinn Firm s contingent fee contracts did not allow for the deduction of BI General Expenses and requiring them to return all BI General Expenses improperly deducted from the Class members settlement distributions, together with prejudgment interest, attorneys fees, and the forfeiture of $25 million in fees received is sufficient to satisfy the profit or advantage to which [it] was not legally entitled exclusion.19 V. CONCLUSION Based on the foregoing, the Court determines that Lexington has met its burden to show that the O Quinn Firm is not entitled to coverage under the Excess Policies for the various reasons set forth above. The O Quinn Firm has not demonstrated a genuine issue of material fact supporting its arguments in support of coverage. Therefore, a summary judgment in Lexington s favor is appropriate. Accordingly, Lexington s motions for summary judgment are GRANTED; and the O Quinn Firm s cross-motion for summary judgment is DENIED. It is so ORDERED. SIGNED on this 17th day of July, 2014. ___________________________________ Kenneth M. Hoyt United States District Judge 19 The O Quinn Firm also argues that the Innocent Insured provision applies to save coverage under Exclusion B. However, in light of its holding, this Court need not address this argument or the alternative theories alleged by Lexington because it determines coverage to be unavailable on various other grounds. 28 / 28

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