Opinion
2013-03-15
Saiber LLC, Florham Park, New Jersey (David J. D'Aloia, of the New Jersey Bar, Admitted Pro Hac Vice, of Counsel), Lippes Mathias Wexler Friedman LLP, Buffalo, for Defendant–Appellant. Gross, Shuman, Brizdle & Gilfillan, P.C., Buffalo (Hugh C. Carlin of Counsel), for Plaintiffs–Respondents.
Saiber LLC, Florham Park, New Jersey (David J. D'Aloia, of the New Jersey Bar, Admitted Pro Hac Vice, of Counsel), Lippes Mathias Wexler Friedman LLP, Buffalo, for Defendant–Appellant. Gross, Shuman, Brizdle & Gilfillan, P.C., Buffalo (Hugh C. Carlin of Counsel), for Plaintiffs–Respondents.
PRESENT: SMITH, J.P., PERADOTTO, LINDLEY, SCONIERS, AND VALENTINO, JJ.
MEMORANDUM:
Plaintiffs commenced this action seeking a declaration that defendant Everest National Insurance Company (ENIC) is obligatedto defend and indemnify them in two underlying federal securities actions pursuant to a securities broker/dealer's professional liability policy (hereafter, policy) that ENIC issued to defendant Royal Alliance Associates, Inc. (hereafter, Royal). Royal is an SEC-registered broker-dealer and investment advisor, and plaintiff Georgetown Capital Group, Inc. (hereafter, Georgetown) is a financial services firm that offers securities and financial advisory services through Royal. Georgetown's investment advisors are all registered representatives of Royal. Plaintiff Joseph Curatolo is the president and sole shareholder of Georgetown and also a registered representative of Royal.
The amended complaints in the underlying actions allege that Timothy Geidel, a former Georgetown employee and registered representative of Royal, offered and sold unregistered and fictitious securities to investors and that Royal and Georgetown failed to supervise Geidel. Geidel ultimately pleaded guilty in federal court to wire fraud and structuring.
Plaintiffs moved for partial summary judgment on the first and second causes of action seeking a declaration that ENIC is obligated to defend plaintiffs and/or Royal in the underlying actions, and ENIC cross-moved for summary judgment, contending that it has no duty to provide a defense in the underlying actions. As relevant to this appeal, we conclude that Supreme Court properly granted that part of plaintiffs' motion with respect to Georgetown, and denied ENIC's cross motion in that respect, but erred in failing to declare the rights of the parties in connection with plaintiffs' motion ( see Alexander v. New York Cent. Mut., 96 A.D.3d 1457, 1457, 949 N.Y.S.2d 305). We therefore modify the judgment accordingly.
An insurer's duty to defend is “ ‘exceedingly broad’ and an insurer will be called upon to provide a defense whenever the allegations of the complaint ‘suggest ... a reasonable possibility of coverage’ ” ( Automobile Ins. Co. of Hartford v. Cook, 7 N.Y.3d 131, 137, 818 N.Y.S.2d 176, 850 N.E.2d 1152, quoting Continental Cas. Co. v. Rapid–American Corp., 80 N.Y.2d 640, 648, 593 N.Y.S.2d 966, 609 N.E.2d 506). “If, liberally construed, the claim is within the embrace of the policy, the insurer must come forward to defend its insured no matter how groundless, false or baseless the suit may be” ( Ruder & Finn v. Seaboard Sur. Co., 52 N.Y.2d 663, 670, 439 N.Y.S.2d 858, 422 N.E.2d 518). Thus, the duty to defend exists “ ‘even though facts outside the four corners of [the] pleadings indicate that the claim may be meritless or not covered’ ” ( Automobile Ins. Co. of Hartford, 7 N.Y.3d at 137, 818 N.Y.S.2d 176, 850 N.E.2d 1152, quoting Fitzpatrick v. American Honda Motor Co., 78 N.Y.2d 61, 63, 571 N.Y.S.2d 672, 575 N.E.2d 90).
The insured has the initial burden of establishing coverage under an insurance policy while the insurer bears the burden of proving that an exclusion in the policy applies to defeat coverage ( see Consolidated Edison Co. of N.Y. v. Allstate Ins. Co., 98 N.Y.2d 208, 220, 746 N.Y.S.2d 622, 774 N.E.2d 687). “[E]xclusions are subject to strict construction and must be read narrowly” ( Automobile Ins. Co. of Hartford, 7 N.Y.3d at 137, 818 N.Y.S.2d 176, 850 N.E.2d 1152). In order to establish that an exclusion defeats coverage, the insurer has the “heavy burden” of establishing that the exclusion is expressed in clear and unmistakable language, is subject to no other reasonable interpretation, and is applicable to the facts ( Continental Cas. Co., 80 N.Y.2d at 654–655, 593 N.Y.S.2d 966, 609 N.E.2d 506, citing Seaboard Sur. Co. v. Gillette Co., 64 N.Y.2d 304, 311, 486 N.Y.S.2d 873, 476 N.E.2d 272). An insurer “will be required to ‘providea defense unless it can “demonstrate that the allegations of the complaint cast that pleading solely and entirely within the policy exclusions, and, further, that the allegations, [in toto], are subject to no other interpretation” ’ ” ( Automobile Ins. Co. of Hartford, 7 N.Y.3d at 137, 818 N.Y.S.2d 176, 850 N.E.2d 1152, quoting Allstate Ins. Co. v. Mugavero, 79 N.Y.2d 153, 159, 581 N.Y.S.2d 142, 589 N.E.2d 365).
Here, we conclude that plaintiffs met their initial burden of establishing that they are entitled to judgment declaring that ENIC must provide Georgetown with a defense under the policy by establishing that Georgetown is a party covered by the policy, that Georgetown has sustained a “Loss” defined by the policy, i.e., “Defense Costs,” and that the underlying actions allege that Georgetown failed to supervise Geidel, which is a “Wrongful Act” defined by the policy. Contrary to ENIC's contention, we also conclude that plaintiffs established that some of the services provided by Geidel and set forth in the amended complaints in the underlying actions “ potentially” fall within the policy definitions of “Professional Services” and an “Approved Activity” ( BP A.C. Corp. v. One Beacon Ins. Group, 8 N.Y.3d 708, 714, 840 N.Y.S.2d 302, 871 N.E.2d 1128), such as advising clients to sell legitimate investments held by Georgetown and/or Royal and to invest the resulting money in the fictitious “securities.” Those allegations are supported by the federal criminal complaint, which alleges that, “[i]n many instances, victims were directed by [Geidel] to liquidate their existing investments with Georgetown and Royal ... so that their funds could be invested in higher yielding investment vehicles.” Moreover, in his plea agreement, Geidel admitted that, “[t]o effectuate [his] fraud, [he] had victims authorize the wire transaction of funds held by their registered broker dealers and financial custodial agents.”
We further conclude that ENIC failed to raise an issue of fact with respect to Georgetown in opposition to plaintiffs' motion. ENIC relies on, inter alia, the policy's exclusion for “Loss in connection with any Claim made against an Insured ... arising out of, based upon, or attributable to the committing in fact of: any criminal or deliberately fraudulent act.” We agree with plaintiffs, however, that ENIC failed to demonstrate that the allegations in the underlying actions fall “ ‘solely and entirely within th[at] policy exclusion[ ], and ... are subject to no other interpretation’ ” ( Allstate Ins. Co., 79 N.Y.2d at 159, 581 N.Y.S.2d 142, 589 N.E.2d 365;see Automobile Ins. Co. of Hartford, 7 N.Y.3d at 137, 818 N.Y.S.2d 176, 850 N.E.2d 1152). As noted above, the underlying actions include allegations that Georgetown and/or Royal failed to supervise Geidel and that Geidel advised investors to sell legitimate securities.
Contrary to ENIC's further contention, the fact that Royal may be insured under a separate fidelity bond has no bearing on whether the allegations in the underlying actions trigger a duty to defend in the instant case. The coverage sought here is not duplicative of that furnished by the fidelity bond, which provides that where a loss “result[s] directly from dishonest or fraudulent acts committed by a Registered Representative ... [, s]uch dishonest or fraudulent acts must be committed by the Registered Representative with the manifest intent ... to cause the Insured to sustain such loss ” (emphasis added). Here, there is no claim that Geidel intended to cause a direct loss to Georgetown or Royal as opposed to his clients ( see generally Ernst & Young v. National Union Fire Ins. Co. of Pittsburgh, Pa., 304 A.D.2d 410, 410, 758 N.Y.S.2d 304).
It is hereby ORDERED that the judgment so appealed from is unanimously modified on the law by granting judgment in favor of plaintiff Georgetown Capital Group, Inc. as follows:
It is ADJUDGED and DECLARED that Everest National Insurance Company is obligated to provide a defense to that plaintiff in the underlying federal actions,