The opinion
NOT FOR PUBLICATION
UNITED STATES DISTRICT COURT
DISTRICT OF NEW JERSEY
YELLOWSTONE CAPITAL LLC and
YITZHAK STERN,
Plaintiffs, Civil Action No. 25-18001
v. OPINION
ARGONAUT INSURANCE COMPANY, August 11, 2026
Defendant.
SEMPER, District Judge.
THIS MATTER comes before the Court on Defendant Argonaut Insurance Company’s
(“Argo” or “Defendant”) Motion to Dismiss Plaintiffs Yellowstone Capital LLC (“Yellowstone”
or “Plaintiff”) and Yitzhak Stern’s (“Stern”) Complaint with respect to Yellowstone. (ECF 10,
“Motion” or “Mot.”) Yellowstone opposed the Motion. (ECF 17, “Opposition” or “Opp.”)
Defendant filed a reply. (ECF 18, “Reply.”) The Court has decided this Motion upon the
submissions of the parties, without oral argument, pursuant to Federal Rule of Civil Procedure 78
and Local Civil Rule 78.1. For the reasons stated below, Defendant’s Motion to Dismiss is
GRANTED.
I. FACTUAL BACKGROUND AND PROCEDURAL HISTORY1
A. Factual Background
This insurance coverage dispute arises out of the New York Attorney General’s (“NYAG”)
1 Facts and procedural history are drawn from the Complaint, (ECF 1; “Complaint” or “Compl.”),
and documents integral to or relied upon by the Complaint. See In re Burlington Coat Factory
investigation into and lawsuit against Yellowstone and Stern relating to their sale of merchant cash
advances to consumers in New York (“the NYAG Action”), and Defendant’s subsequent denial of
insurance coverage of both Yellowstone and Stern for their costs arising out of the NYAG Action.
(See Compl. ¶¶ 2-5.) Plaintiff Yellowstone is a limited liability company that is incorporated in
New York and maintains its principal place of business in New Jersey. (Id. ¶ 11.) Stern served as
the Chief Executive Officer of Yellowstone at all times relevant to this action, and is a citizen of
New Jersey. (Id. ¶ 12.) Defendant Argo is an insurance company incorporated in Nebraska. (Id.
¶ 13.) This Court summarizes only the facts relevant to Defendant’s Motion to Dismiss the
Complaint as it pertains to Yellowstone.
1. The Insurance Policy
In June 2018, Argo issued a Directors and Officers insurance policy (the “Policy”) to
Yellowstone. (Id. ¶¶ 16-17.) The Policy contained two Insuring Agreements relevant to this
Motion: Company Reimbursement Coverage (“Insuring Agreement B”) and Company Liability
Coverage (“Insuring Agreement C”). (Id. ¶ 18.)
Insuring Agreement C provides that “[t]he Insurer shall pay Loss of the Company arising
from a Claim first made during the Policy Period (or Extended Reporting Period, if exercised)
against the Company for a Wrongful Act.” (Id.; ECF 1-1, “Ex. A” at 17.) The Policy contains an
Exclusion (“Exclusion Q”) with respect to Insurance Agreement C, stating that:
Solely with respect to INSURING AGREEMENT C, the Insurer shall not be liable
for any Loss in connection with any Claim made against the Company . . . based
upon, arising out of or attributable to any actual or alleged (i) intentionally false or
intentionally misleading advertising or (ii) price fixing, predatory pricing, restraint
of trade, monopolization, anti-competitive conduct, unfair competition or unfair
business or trade practice or any interference in another’s contractual or business
Sec. Litig., 114 F.3d 1410, 1426 (3d Cir. 1997). For the purposes of a motion to dismiss, the facts
drawn from the Complaint are accepted as true. See Fowler v. UMPC Shadyside, 578 F.3d 203,
210-11 (3d Cir. 2009).
relationship.
(Ex. A. at 24.) Exclusion Q applies to “any statutory or common law definition of unfair
competition, or unfair business or trade practice; or any provision of any federal, state, local or
foreign statute regulation or common law relating to any of the foregoing or actually or allegedly
relating to any activity set forth in this exclusion[.]” (Id.)
Insuring Agreement B provides that “[t]he Insurer shall pay Loss of the Company arising
from a Claim first made during the Policy Period (or Extended Reported Period, if exercised)
against any Insured Person(s) for a Wrongful Act, but only to the extent the Company has
indemnified the Insured Person(s) for such Loss.” (Id. at 17)
2. The NYAG Action
On December 3, 2018, the NYAG served Yellowstone with a subpoena in furtherance of
an investigation into its sale of merchant cash advances in New York. (Compl. ¶¶ 2, 25; see ECF
1-3, “Ex. C.”) Yellowstone claims it promptly informed Argo of the subpoena. (Compl. ¶ 28.)
On June 28, 2019, Argo issued a letter in which it stated that, while the subpoena was not a “Claim”
under the Policy, it would accept the subpoena as a “notice of circumstances that may give rise to
a Claim.” (Id. ¶¶ 28-29; see ECF 1-4, “Ex. D.”) Argo’s letter also stated that coverage would be
afforded under the Policy “for any Loss incurred in connection with such circumstances” once
“such circumstances result in a Claim.” (Compl. ¶ 29; Ex. D at 4.)
The NYAG formally commenced an enforcement action against Yellowstone on or about
January 8, 2024, serving all plaintiffs with a Notice of Intent to Sue. (Compl. ¶¶ 3, 38; see ECF
1-8, “Ex. H.”) On March 5, 2024, the NYAG initiated an action against Yellowstone, Stern, and
several other parties in the Supreme Court of the State of New York by way of a Verified Petition.
(Compl. ¶ 41; see ECF 1-9, “Ex. I.”) As relevant here, the NYAG specifically alleged that
Yellowstone violated New York’s Executive, General Business, General Obligations, Banking,
Penal, and Debtor & Creditor Laws by engaging in the “(i) repeated and persistent civil usury by
lending money at interest rates exceeding 16 percent; (ii) repeated and persistent criminal usury
by lending money at interest rates exceeding 25 percent; (iii) repeated and persistent lending at
excessive interest rates without a license; (iv) repeated and persistent deception and fraud in the
marketing, issuance, and servicing of ‘merchant cash advance’ agreements.” (Compl. ¶ 43; Ex. I
at 274-284); see N.Y. Exec. Law § 63(12), N.Y. Gen. Bus. Law § 349, N.Y. Gen. Ob. Law § 5-
501, N.Y. Bank. Law § 340, N.Y. Pen. Law § 190.40, & N.Y. Debt. & Cred. Law §§ 273-4.
Yellowstone and Stern reached a settlement agreement with the NYAG on December 2,
2024. (Compl. ¶ 50; see ECF 1-12, “Ex. L.”) On September 9, 2024, Yellowstone and Stern
submitted a Notice of Covered Litigation to Defendant in which they formally sought coverage for
the NYAG Action and provided it with the Verified Petition. (Compl. ¶ 54; see ECF 1-14, “Ex.
N.”) Having allegedly received no coverage determination, Yellowstone and Stern sent Defendant
an update notifying it of their settlement with the NYAG on February 6, 2025. (Compl. ¶ 55; see
ECF 1-15, “Ex. O.”) In their update, they reiterated their position that the Verified Petition
qualified as a covered “Claim” under the Policy. (Compl. ¶ 56; Ex. O at 1.) Yellowstone and
Stern sent an additional update on April 24, 2025, in which they informed Defendant of their intent
to initiate the Policy’s Alternate Dispute Resolution process. (Compl. ¶ 57; ECF 1-16, “Ex. P.”)
Then, on May 1, 2025, Defendant denied both parties coverage for the NYAG’s action on
the basis that “(i) claims alleging intentionally false or misleading advertising or deceptive and
unfair business practices are excluded under Insuring Agreement C; (ii) notice was untimely as to
the Verified Petition; (iii) amounts constituting civil fines, penalties, disgorgement, restitution, and
all sums paid in connection with injunctive relief fall outside the D&O Policy’s definition of
‘Loss’; and (iv) the Yellowstone Parties lacked prior written consent to incur ‘Defense Costs,’
negotiate, or agree to a settlement, or stipulate to judgment.” (Compl. ¶ 59; see ECF 1-17, Ex. Q.)
In the present action against Argo, Yellowstone and Stern seek coverage for defense costs
and other losses arising out of the NYAG Action. They specifically allege that Argo breached the
Policy by failing and refusing to provide coverage (Count I), acted in bad faith by denying
coverage (Count II), and that they are entitled to a declaratory judgment stating that the NYAG
Action is a covered Claim under the Policy, that they are entitled to payment for all Defense Costs
incurred and Losses suffered up to the aggregate policy limit, and awarding them attorneys’ fees
and costs (Count III). (Compl. ¶¶ 75-95.)
B. Procedural History
After an unsuccessful mediation session, Yellowstone and Stern initiated this action against
Defendant on November 26, 2025. (See id.) Defendant filed the present Motion to Dismiss all
claims brought with respect to Plaintiff Yellowstone on January 26, 2026. (Mot.) Plaintiff
Yellowstone opposed the Motion on March 2, 2026. (Opp.) Defendant filed a reply on March 9,
2026. (Reply.)
II. LEGAL STANDARDS
A. Rule 12(b)(6)
Federal Rule of Civil Procedure Rule 12(b)(6) permits a defendant to move to dismiss a
count for “failure to state a claim upon which relief can be granted[.]” Fed. R. Civ. P. 12(b)(6).
To withstand a motion to dismiss under Rule 12(b)(6), a plaintiff must allege “enough facts to state
a claim to relief that is plausible on its face.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007).
A complaint is plausible on its face when there is enough factual content “that allows the court to
draw the reasonable inference that the defendant is liable for the misconduct alleged.” Ashcroft v.
Iqbal, 556 U.S. 662, 678 (2009). Although the plausibility standard “does not impose a probability
requirement, it does require a pleading to show more than a sheer possibility that a defendant has
acted unlawfully.” Connelly v. Lane Constr. Corp., 809 F.3d 780, 786 (3d Cir. 2016) (internal
quotation marks and citations omitted). As a result, a plaintiff must “allege sufficient facts to raise
a reasonable expectation that discovery will uncover proof of her claims.” Id. at 789.
In evaluating the sufficiency of a complaint, a district court must accept all factual
allegations in the complaint as true and draw all reasonable inferences in favor of the plaintiff.
Phillips v. Cnty. of Allegheny, 515 F.3d 224, 231 (3d Cir. 2008). A court, however, is “not
compelled to accept unwarranted inferences, unsupported conclusions or legal conclusions
disguised as factual allegations.” Baraka v. McGreevey, 481 F.3d 187, 211 (3d Cir. 2007). If,
after viewing the allegations in the complaint most favorably to the plaintiff, it appears that no
relief could be granted under any set of facts consistent with the allegations, a court may dismiss
the complaint for failure to state a claim. See Trump Hotels & Casino Resorts, Inc. v. Mirage
Resorts Inc., 140 F.3d 478, 483 (3d Cir. 1998).
B. New Jersey Law on Insurance Policy Interpretation
When exercising diversity jurisdiction over insurance disputes, courts must apply state
substantive law. See N&S Rest. LLC v. Cumberland Mut. Fire Ins. Co., 499 F. Supp. 3d 74, 78
(D.N.J. 2020) (citing Erie R. Co. v. Tompkins, 304 U.S. 64, 64 (1938)). New Jersey law dictates
that an insurance policy “should ‘be interpreted according to its plain and ordinary meaning.’” See
id. (quoting Voorhees v. Preferred Mut. Ins. Co., 607 A.2d 1255, 1260 (N.J. 1992)). “[T]he court
is bound to enforce the policy as it is written” when its language is “clear and unambiguous.”
See Royal Ins. Co. v. Rutgers Cas. Ins. Co., 638 A.2d 924, 927 (N.J. Super. Ct. App. Div. 1994);
N&S Rest. LLC, 499 F. Supp. 3d at 78. Courts “should not write for the insured a better policy of
insurance than the one purchased.” Buczek v. Cont’l Cas. Ins. Co., 378 F.3d 284, 288 (3d Cir.
2004) (citing Vassiliu v. Daimler Chrysler Corp., 839 A.2d 863, 867 (N.J. 2004)). “Where the
terms of the policy are ambiguous, however, the ambiguity is ordinarily resolved in favor of the
insured.” N&S Rest. LLC, 499 F. Supp. 3d at 78 (citing Benjamin Moore & Co. v. Aetna Cas. &
Sur. Co., 843 A.2d 1094, 1103 (N.J. 2004)).
III. ANALYSIS
A. Exclusion Q Precludes Coverage for Yellowstone Under Insuring Agreement
C
Defendant argues that Yellowstone is not entitled to coverage under Insuring Agreement
C because Exclusion Q precludes coverage for any claim “based upon, arising out of or attributable
to any actual or alleged (i) intentionally false or intentionally misleading advertising or (ii) . . .
unfair competition or unfair business or trade practice.” (Mot. at 11-12; Ex. A at 24.) In response,
Yellowstone argues that Exclusion Q does not apply because the NYAG Action is “primarily based
upon alleged violations of New York’s banking and lending laws for which there is no exclusion.”
(Opp. at 21-22.)
“Exclusions within an insurance policy are narrowly interpreted and construed in accord
with the objectively reasonable expectations of the insured.” N&S Rest. LLC, 499 F. Supp. 3d at
78 (citing Princeton Ins. Co. v. Chunmuang, 698 A.2d 9, 11 (N.J. 1997)). But while courts should
construe exclusionary clauses narrowly, they should be applied when they are “specific, plain,
clear, prominent, and not contrary to public policy.” See id (quoting Ashrit Realty LLC v. Tower
Nat’l Ins. Co., A-1647-13T4, 2015 WL 248490, at *4 (N.J. Super. Ct. App. Div. Jan. 20, 2015)).
This Circuit and courts within it “regularly grant[] motions to dismiss in insurance cases when the
plaintiff’s allegations fall squarely within the policy’s exclusion to coverage.” See id. (granting
motion to dismiss where an insurance policy’s exclusion clause barred the plaintiff’s asserted
coverage claims); Benamax Ice, LLC v. Merchant Mut. Ins. Co., 529 F. Supp. 3d 350, 359 (D.N.J.
2021) (dismissing a plaintiff’s claims since they fell within an insurance policy’s exclusion clause);
Brewer v. U.S. Fire Ins. Co., 446 F. App’x 506, 510 (3d Cir. 2011) (affirming dismissal of a
complaint where an insurance policy’s exclusion clause excluded the asserted coverage claims).
Exclusion Q clearly provides that Insuring Agreement C does not apply to claims “based
upon, arising out of, or attributable to any actual or alleged” intentionally false or intentionally
misleading advertising, or price fixing, predatory pricing, restraint of trade, monopolization, anti-
competitive conduct, unfair competition, unfair business or trade practice, or any interference in
another’s contractual or business relationship. (See Ex. A. at 24); see also N&S Rest. LLC, 499 F.
Supp. 3d at 78; Hanover Ins. Co. v. Retrofitness, LLC, No. 16-1751, 2017 WL 4330366, at *5
(D.N.J. Sept. 29, 2017) (concluding that a similar exclusion “unambiguously and unequivocally
provides” the insurance policy did not apply to the exclusion’s stated exceptions). Yellowstone
itself concedes that Exclusion Q bars coverage for claims “related to price fixing, false advertising,
anti-trust violations, unfair competition, and other deceptive business practices.” (See Opp. at 21.)
Further, the claims for which Yellowstone seeks coverage fit squarely within Exclusion Q.
The NYAG Action was premised on Yellowstone’s alleged engagement in intentionally false or
misleading advertising. (See Ex. A at 24.) In its Verified Petition, the NYAG alleged that
Yellowstone and other parties engaged in a “fraudulent, illegal scheme … to fleece money from
small businesses by issuing them illegal, short-term loans at sky-high interest rates through so-
called ‘merchant cash advances,’ or ‘MCAs.’” (Ex. I at 10.) According to the NYAG, this
fraudulent scheme arose out of Yellowstone’s engagement in false or misleading advertising, such
as “[f]alsely advertising that Yellowstone’s MCAs require[d] no collateral and no personal
guarantee,” “falsely stat[ing] in their agreements that they [we]re buying a portion … of the
merchants’ future receipts of revenue,” “misrepresent[ing] that if merchants’ revenue decline[d]
in the future, the merchants c[ould] ‘reconcile’ their past payment amounts accordingly,” and
“falsely stat[ing] in the agreements that the transactions [we]re open-ended.” (Id. at 2-3, 277.)
Yellowstone itself concedes the NYAG’s claims against it pursuant to N.Y. Exec. Law § 63(12)
and N.Y. Gen. Bus. Law § 349 may be subject to Exclusion Q. (See Op. at 22.)
1. Exclusion Q Applies to NYAG’s Banking and Lending Claims Against
Yellowstone
The fact that the NYAG Action is also based on Yellowstone’s alleged violations of New
York’s banking and lending laws (“the banking and lending claims”) does not preclude Exclusion
Q’s applicability. (See Opp. at 21-22.) The banking and lending claims share a substantial nexus
with, and thus arise out of, the conduct described in Exclusion Q—specifically, Yellowstone’s
alleged engagement in intentionally false and misleading advertising. (See Ex. A at 24.)
As an initial matter, the NYAG brought its banking and lending claims pursuant to N.Y.
Exec. Law § 63(12), which permits the NYAG to apply for an order enjoining the “repeated
fraudulent or illegal acts … in the carrying on, conducting or transaction of business,” and defines
“fraud” as including “any device, scheme, or artifice to defraud, and any deception,
misrepresentation, concealment, suppression, false pretense, false promise ….” See N.Y. Exec.
Law § 63(12); (Ex. I at 274-77.) By definition, N.Y. Exec. Law § 63(12) regulates intentionally
false and misleading advertising and unfair business practices. See N.Y. Exec. Law § 63(12); State
v. Ginzburg, 438 N.Y.S. 2d 132, 135 (N.Y. Sup. Ct. 1980) (“The legislature clearly intended
Executive Law s 63(12) to cover false advertising as well as other deceptive business practices.”).
Further, the banking and lending claims have a substantial nexus to Yellowstone’s alleged
engagement in intentionally false or misleading advertising. In evaluating insurance policy
exclusions, this Court has noted that “the phrase ‘arising out of’ … has been defined broadly in
other insurance coverage decisions to mean conduct ‘originating from,’ ‘growing out of’ or having
a ‘substantial nexus’ with the activity for which coverage is provided.” See Hanover Ins. Co.,
2017 WL 4330366, at *5 (quoting Am. Motorists Ins. Co. v. L-C-A Sales Co., 713 A.2d 1007, 1010
(N.J. 1998)); see also Allstate Ins. Co. v. Moraca, 581 A.2d 510, 514 n.1 (N.J. Super. Ct. App.
Div. 1990) (noting that an exclusion in a homeowner’s policy barring coverage for injuries “arising
out of” ownership or use of motor vehicle was enforceable if “accident or injury ‘was connected
with,’ ‘had its origins in,’ ‘grew out of,’ ‘flowed from,’ or ‘was incident to’ the use of an
automobile”) (citation omitted)).
As discussed, Exclusion Q precludes coverage for any claim “based upon, arising out of
or attributable to any actual or alleged (i) intentionally false or intentionally misleading advertising
or (ii) . . . unfair competition or unfair business or trade practice.” (Ex. A at 24 (emphasis added).)
And here, the banking and lending claims have a substantial nexus with Yellowstone’s engagement
in intentionally false and misleading advertising. As discussed, the NYAG Action alleged that
Yellowstone violated N.Y. Exec. Law § 63(12) and N.Y. Gen. Bus. Law § 349, two claims that
Plaintiff concedes are likely covered by Exclusion Q, by, among other acts, “[m]isrepresenting to
merchants the nature of their loans as purchases of merchants revenue,” “misrepresenting that their
merchant agreements [we]re enforceable when in fact they [we]re usurious loans,” and “[f]alsely
advertising that Yellowstone’s MCAs require[d] no collateral and no personal guarantee.” (Id. at
277-78, 280-81.) The banking and lending claims allege that Yellowstone engaged in usury and
made high interest loans without a license in violation of N.Y. Gen. Ob. Law § 5-501(1), N.Y.
Pen. Law § 190.40, and N.Y. Bank. Law §§ 340 and 356. (Id. at 274-77.) Given that the banking
and lending claims pertain to the very loans, or MCAs, with which Yellowstone allegedly engaged
in false advertising, they maintain a substantial nexus with, and thus arise out of, Yellowstone’s
fraudulent and misleading conduct with respect to the MCAs. (See id. at 274-81); see Hanover
Ins. Co., 2017 WL 4330366, at *5. Therefore, Exclusion Q excludes coverage for claims alleging
direct violations of N.Y. Exec. Law § 63(12) and N.Y. Gen. Bus. Law § 349, and violations of
N.Y. Gen. Ob. Law § 5-501(1), N.Y. Pen. Law § 190.40, and N.Y. Bank. Law §§ 340 and 356
“arising out of” violations of N.Y. Exec. Law § 63(12) and N.Y. Gen. Bus. Law § 349. See
Hanover Ins. Co., 2017 WL 4330366, at *5 (noting that an exclusion “excludes coverage for claims
alleging direct violations of consumer protection laws and claims of negligence ‘arising out of’
violations of consumer protection laws).
Since Exclusion Q bars coverage under Insuring Agreement C, Yellowstone’s causes of
action for breach of contract, bad faith, and declaratory judgment fail. Yellowstone fails to state a
claim for breach of contract or bad faith because Defendant did not withhold benefits under
Insuring Agreement C without justification since coverage was excluded. (See Compl. ¶¶ 75-88);
N&S Rest. LLC, 499 F. Supp. 3d at 81 (concluding that a plaintiff failed to state a claim for breach
of contract where an exclusion barred coverage). Yellowstone’s cause of action for declaratory
judgment fails because it has not provided a “cognizable legal theory or set of facts about the
Policy that would allow the Court to provide declaratory relief.” (See Compl. ¶¶ 89-95); N&S
Rest. LLC, 499 F. Supp. 3d at 81. Accordingly, Defendant’s Motion to Dismiss Yellowstone’s
claims with respect to Insuring Agreement C is GRANTED. Yellowstone’s breach of contract,
bad faith, and declaratory judgment claims related to coverage under Insuring Agreement C are
DISMISSED with prejudice.2
B. Yellowstone Is Not Entitled to Coverage Under Insuring Agreement B
Defendant argues that Yellowstone is not entitled to Defense Costs for its defense of
Insured Persons under Insuring Agreement B because the Policy bars coverage for “Defense Costs
incurred or settlements made without the Insurer’s prior written consent,” and because “all such
costs were incurred prior to the time Yellowstone tendered the claim to Argo.” (Mot. at 16.) In
response, Yellowstone argues that it properly provided Defendant with notice of the NYAG’s
subpoena, investigation, and potential claims in 2018, and that the NYAG Action is interrelated
with the NYAG subpoena and thus relates back to 2018, when initial notice of the subpoena was
communicated. (Opp. at 18-21.)
As an initial matter, Yellowstone does not respond to Defendant’s argument that it is barred
from receiving coverage under Insuring Agreement B because it did not receive prior written
consent for its Defense Costs. (See Mot. at 16; Opp.) As such, this Court treats Yellowstone’s
claims with respect to Insuring Agreement B as waived, and GRANTS Defendant’s Motion to
Dismiss without prejudice. See Doe on behalf of Doe v. Small, 654 F. Supp. 3d 376, 387 (3d Cir.
2023) (waiving claims and granting defendants’ motion to dismiss where plaintiff failed to respond
to defendants’ arguments for dismissing the claims in its opposition brief); Griglak v. CTX Mortg.
Co., LLC, No. 9-5247, 2010 WL 1424023, at *3 (D.N.J. Apr. 8, 2010) (“The failure to respond to
a substantive argument to dismiss a count, when a party otherwise files opposition, results in
2 This Court frequently dismisses insurance coverage claims with prejudice when policy
exclusions apply. See, e.g., Body Physics v. Nationwide Ins., 524 F. Supp. 3d 372, 381 (D.N.J.
2021); Delaware Valley Plumbing Supply, Inc. v. Merchants Mutual Ins. Co., 519 F. Supp. 3d 178,
186 (D.N.J. 2021); Ziff v. Allianz Global Risks US Ins. Co., No. 24-10529, 2025 WL 2709431, at
*5 (D.N.J. Sept. 3, 2025).
waiver of that count.”).
Regardless, the Court notes that Yellowstone has not pled facts establishing that it received
prior written consent from Defendant before incurring Defense Costs. (See generally Compl.)
Insuring Agreement B provides potential coverage for Yellowstone’s Defense Costs spent on
indemnifying Insured Persons, such as Stern. It states that “[t]he Insurer shall pay Loss of the
Company arising from a Claim first made during the Policy Period (or Extended Reported Period,
if exercised) against any Insured Person(s) for a Wrongful Act, but only to the extent the Company
has indemnified the Insured Person(s) for such Loss.” (Ex. A. at 7.) As defined by the Policy,
“Loss” includes “Defense Costs.” (Id. at 18, 29.) However, the Policy also unambiguously bars
coverage for “[a]ny Defense Costs incurred or settlements made without the Insurer’s prior written
consent[.]” (Id. at 26, 34.) This consent requirement serves as a condition precedent to coverage.
See Allied World Assurance Co. (US) Inc. v. Benecard Servs., Inc., No. 17-12252, 2020 WL
2840058, at *14 (D.N.J. May 31, 2020).
This Circuit, Court, and courts within this State have frequently denied coverage for
defense and settlement costs where insured parties fail to satisfy this condition precedent. See Am.
Legacy Found., RP v. Nat’l Union Fire Ins. Co. of Pittsburgh, PA, 623 F.3d 135, 141 (3d Cir.
2010) (declining coverage where a policy provided that the insurer “shall not … incur any Defense
costs without the prior written consent” of the insurer where there was no “written request for [the
insurer’s] consent sought by the [insured] at any time before it brought [] suit”); Allied World
Assurance Co. (US) Inc., 2020 WL 2840058, at *14, aff’d, No. 20-2359, 2021 WL 4077047 (3d
Cir. Sept. 8, 2021) (concluding that the insured was “foreclosed from obtaining indemnity
coverage” for a settlement where they “never obtained written consent from” the insurer and where
the policy provided that “no settlement or offer of settlement of any Claim may be made …
without the Underwriter’s prior written consent …”); Lawless v. Ta Assocs., L.P., A-143-14T1,
2015 WL 9263869, at *5-6 (N.J. Super. Ct. Dec. 21, 2015) (affirming the trial court’s grant of
insurance companies’ motion to dismiss plaintiffs’ coverage claims where the policy provided that
insurers would not be “liable for any settlement effected without its prior written consent,” and the
insurers did not give consent). Yellowstone makes no allegations that it sought or received
Defendant’s prior written consent before incurring Defense Costs in relation to the NYAG Action.
(See generally Compl.) Yellowstone merely contends that Defendant’s “invocation of the
‘consent’ provision is desperate and hollow.” (Id. ¶ 8.) Accordingly, Defendant’s Motion to
Dismiss Yellowstone’s claims with respect to Insuring Agreement B is GRANTED.3
IV. CONCLUSION
For the reasons stated above, this Court GRANTS Defendant’s Motion to Dismiss.
Yellowstone’s breach of contract, bad faith, and declaratory judgment claims are DISMISSED
with prejudice with respect to coverage under Insuring Agreement C, and DISMISSED without
prejudice with respect to coverage under Insuring Agreement B. All claims brought by and with
respect to Plaintiff Stern shall PROCEED. An appropriate order follows.
/s/ Jamel K. Semper .
HON. JAMEL K. SEMPER
United States District Judge
Orig: Clerk
cc: Andre M. Espinosa, U.S.M.J.
Parties
3 The Court’s dismissal of Yellowstone’s coverage claims under Insuring Agreement B “preclude[]
the necessity to address [Defendants’] alternative grounds for dismissal,” so this Court does not
address Defendant’s arguments about notice and pre-tender defense costs. See Arezzo v. City of
Hoboken, No. 16-4318, 2017 WL 354040, *4 (D.N.J. Jan. 24, 2017); DeCaro v. Newark Public
Schools, No. 18-13472, 2020 WL 3546716, at *4 n.5 (D.N.J. June 30, 2020) (declining to address
a defendant’s alternative arguments for dismissal where the court dismissed the claim on
alternative grounds).