at the motion-to- dismiss stage, “the complaint is construed in the light most favorable to the plaintiff, and all facts alleged by the plaintiff are accepted as true”
How later courts described this case
- at the motion-to- dismiss stage, “the complaint is construed in the light most favorable to the plaintiff, and all facts alleged by the plaintiff are accepted as true”
Written by the judges who cited it.
The opinion
UNITED STATES DISTRICT COURT
NORTHERN DISTRICT OF ALABAMA
MIDDLE DIVISION
EVANSTON INSURANCE
COMPANY,
Plaintiff,
v. Case No. 4:23-cv-106-CLM
LISA BRADY, et al.,
Defendants.
MEMORANDUM OPINION
Inmate Trenton Gartman successfully sued healthcare provider QCHC,
Inc. (“QCHC”) and some individual caregivers, including Lisa Brady (“Brady”),
for heart problems he suffered while in the Autauga County jail. This case is
about who pays Gartman’s attorney’s fees: QCHC’s insurer or Brady.
A policy issued to QCHC by Evanston Insurance Company (“Evanston”)
covered Gartman’s lawsuit. Under the policy, Evanston has paid Gartman’s
compensatory and punitive damage awards. Evanston filed this lawsuit under
28 U.S.C. § 2201, seeking a declaration that the Policy does not require it to
also pay Gartman’s attorney’s fees on behalf of Brady. (Doc. 1). In response,
Brady counterclaimed against Evanston, (doc. 7), and a third-party complaint
against QCHC, (doc. 10; doc. 29). Evanston and QCHC move to dismiss those
complaints for failure to state claims under Federal Rule of Civil Procedure
12(b)(6).
As explained below, the court DENIES Evanston’s Motion to Dismiss
Count I and Count III of Brady’s counterclaims and GRANTS Evanston’s
Motion to Dismiss Count II of Brady’s counterclaims. Because Brady cannot
plead facts that would establish bad faith refusal, the court will dismiss Count
II with prejudice. The court GRANTS QCHC’s Motion to Dismiss both counts
of Brady’s Amended Third-Party Complaint, (doc. 40), but because it may be
possible to sufficiently plead both counts, the court will dismiss Count I and
Count II without prejudice. The court will allow Brady to amend her Complaint
on or before March 25, 2024.
BACKGROUND
Because Brady is the non-moving party, the court takes these facts from
Brady’s complaints and assumes all alleged facts are true. Fed. R. Civ. P.
12(b)(6); Hishon v. King & Spalding, 467 U.S. 69, 73 (1984) (at the motion-to-
dismiss stage, “the complaint is construed in the light most favorable to the
plaintiff, and all facts alleged by the plaintiff are accepted as true”).
A. Gartman’s lawsuit
QCHC contracted with the Autauga County Sheriff to provide healthcare
to Autauga County inmates. (Doc. 29, ¶ 4). Brady worked for QCHC as a nurse
in the Autauga County jail. In May 2018, inmate Gartman sued QCHC, Brady,
and others under 42 U.S.C § 1983, alleging deliberate indifference to his
medical needs. See Gartman v. Brady, et al., ALMD Civil Action No. 2:18-cv-
534-MHT (“the Underlying Action”).
B. The Policy
Evanston covered QCHC and employees like Brady against such
lawsuits. The Policy’s Insuring Agreement provides:
INSURING AGREEMENT
A. Professional Liability and Claims Made Clause: The Company shall pay
on behalf of the Insured all sums in excess of the Deductible amount
stated in the Declarations, which the Insured shall become legally
obligated to pay as Damages as a result of a Claim . . . for Professional
Personal Injury:
1. By reason of any act, error or omission in Professional Services arising
out of the conduct of the Insured’s Professional Services rendered or
that should have been rendered by an Insured;
. . . .
(Doc. 1-1 (Form MESM 5010 08 15) at 15)). Relevant Definitions include:
B. Claim means the Insured’s receipt of:
1. A written demand for Damages or Professional Services; or
2. The service of suit or institution of arbitration proceedings
against the Insured seeking Damages.
C. Claim Expenses means reasonable and necessary amounts incurred
by the Company or by the Insured with the prior written consent of the
Company in the defense of that portion of any Claim for which coverage
is afforded under this Coverage Part, including costs of investigation,
court costs, costs of bonds to release attachments and similar bonds, but
without any obligation of the Company to apply for or furnish any such
bonds, and costs of appeals; provided, however, Claim Expenses shall not
include:
1. Salary, wages, overhead, or benefit expenses of or associated
with Employees or officials of the Named Insured or employees or
officials of the Company; or
2. Salary, wages, administration, overhead, benefit expenses, or
charges of any kind attributable to any in-house counsel or captive
out-of-house counsel for the Named Insured or the Company.
D. Damages means the monetary portion of any judgment, award or
settlement; provided, however, Damages shall not include:
1. Punitive or exemplary damages or multiplied portions of
damages in excess of actual damages, including trebling of
damages;
2. Taxes, criminal or civil fines, or attorneys’ fees of a party other
than an Insured or other penalties imposed by law;
3. Sanctions;
4. Matters which are uninsurable under the law pursuant to which
this Coverage Part shall be construed;
5. The return, withdrawal, reduction or restitution or payment of
fees, profits or charges for services or consideration and/or any
expenses paid to the Insured; or
6. The cost of complying with an award or order for declaratory,
equitable or injunctive relief or remedy.
(Doc. 1-1 (Form MESM 5010 08 15) at 16)) (highlighting added). The court
highlights the exclusion of “attorney’s fees of a party other than an Insured” as
covered “Damages” because this case, at its core, asks the court to determine
whether Evanston must pay Gartman’s attorney’s fees.
C. Evanston’s Declaratory Judgment Action
Attorney’s fees are relevant because a jury found Brady guilty of
deliberate indifference and awarded Gartman compensatory and punitive
damages. (Doc. 1, ¶ 10). The district court then awarded Gartman his
attorney’s fee of $143,552 and legal expenses of $19,716.25. (Doc. 1, ¶ 11).
Evanston paid the compensatory and punitive damages (Doc. 1, ¶ 12), and filed
this lawsuit seeking a judicial determination of its obligation to cover Brady’s
liability for Gartman’s attorney’s fees. (Doc. 1).
D. Brady’s Counterclaim against Evanston
Brady responded (in part) by filing a three-count Counterclaim against
Evanston. (Doc. 7). Brady claims Evanston breached the enhanced obligation
of good faith owed to Brady (Count I) because (1) Evanston failed to tell Brady
or her attorney about policy exclusions or that they undertook the defense of
Brady under a reservation of rights; and (2) Evanston failed to consult Brady
before offers on her behalf were extended or before offers of settlement from
the plaintiff were rejected. (Doc. 7, ¶ 17). Brady thus argues that she was not
given an opportunity (1) to demand settlement by Evanston within policy
limits; (2) to offer some amount from her personal resources to settle the case;
or (3) to retain an attorney of her own choosing. (Doc. 7, ¶ 17). Brady also
argues that Evanston, having undertaken the defense of Brady without
properly reserving its purported non-coverage rights, cannot deny coverage for
the attorneys’ fees and costs for which a judgment has been issued against
Brady, so Evanston’s refusal to cover and pay the attorneys’ fees and costs was
a breach of the insurance contract, and Evanston intentionally failed to
determine whether there was a legitimate or arguable reason to deny coverage
(Count II). (Doc. 7, ¶ 19). Brady’s last count (Count III) states:
Evanston had a duty to disclose to Brady the coverage exclusions in the
policy when they undertook her defense under the contract of insurance
Evanston concealed or failed to disclose the existence of these coverage
exclusions, which induced Brady to allow Evanston to take control of her
defense by choosing an attorney for Brady and making and rejecting offers
of settlement on Brady’s behalf without consulting Brady [(Count III)].
(Doc. 7, ¶ 20).
E. Brady’s Third-Party Complaint against QCHC
Brady also sued QCHC in a (now amended) third-party complaint, based
on QCHC’s alleged failure to tell Brady about Evanston’s reservation of rights.
On June 4, 2018, Evanston sent a reservation of rights letter to QCHC’s
Birmingham office. The letter was addressed to QCHC’s Chief Financial
Officer Dr. Johnny Bates, QCHC’s legal counsel Christie Estes, Brady, and one
other individual party to the lawsuit. (Doc. 29, ¶ 7). The letter allegedly set out
certain exclusions to the “damages” covered under the policy, which included
an exclusion for “exemplary damages” and “[t]axes, criminal or civil fines,
attorneys’ fees of a party other than an Insured” and stated that it reserved
the right to deny coverage for the listed policy exclusions. (See Doc. 29).
Brady alleges that she never received a copy of the letter until the jury
found her liable to Gartman. (Doc. 29, ¶ 11). Brady further alleges that
Evanston allowed QCHC to select counsel for all defendants without any input
from Brady. (Doc. 29, ¶ 9). QCHC chose attorney LaBella Alvis (“Alvis”). (Doc.
29).
The parties engaged in pretrial mediation. Alvis represented all
defendants at the mediation. (Doc. 29, ¶ 12). Brady alleges that Alvis told
Brady that she could attend the mediation, but she was not required to attend.
(Doc. 29). The mediation did not succeed, (doc. 29), and as recounted, Gartman
won a verdict against Brady for compensatory damages, punitive damages, and
attorney’s fees.
Based on these facts, Brady claims fraud (Count I) and negligence/
wantonness (Count II) against QCHC related to the reservation of rights letter
Evanston sent QCHC. (See generally Doc. 29). Brady alleges that she was not
allowed to select her own attorney and was not given a copy of the reservation
of rights letter. (Doc. 29, ¶¶ 9, 11). She also claims that she was not told about
the authority Evanston gave Alvis to offer at mediation before the mediation;
that no one told Brady about the offers and counteroffers exchanged during the
mediation; and, that no one consulted her about the settlement offers
submitted on her behalf. (Doc. 29, ¶¶ 12- 13). Brady also alleges that she was
not notified of the Policy’s exclusions until one week before the pretrial
hearing, when Alvis told her that punitive damages were not covered. And
Brady says she was never told that attorney’s fees were uncovered until after
the trial. (Doc. 29, ¶ 11).
STANDARDS OF REVIEW
1. General Rule 8 standard: A complaint must contain a “short and plain
statement of the claim showing that the pleader is entitled to relief.” FED. R.
CIV. P. 8(a)(2). Rule 8 does not require “detailed factual allegations,” but does
demand more than “an unadorned, ‘the-defendant-unlawfully-harmed-me’
accusation.” Ashcroft v. Iqbal, 556 U.S. 662, 678 (2009) (citing Bell Atl. Corp.
v. Twombly, 550 U.S. 544, 555 (2007)). Mere “labels and conclusions” or “a
formulaic recitation of the elements of a cause of action” are insufficient. Id.
Rule 12(b)(6) permits dismissal when a complaint fails to state a claim upon
which relief can be granted. FED. R. CIV. P. 12(b)(6). “To survive a motion to
dismiss, a complaint must contain sufficient factual matter, accepted as true,
to state a claim to relief that is plausible on its face.” Iqbal, 556 U.S. at 678. A
complaint states a facially plausible claim for relief when the plaintiff pleads
facts that permit a reasonable inference that the defendant is liable for the
misconduct alleged. Id.
2. Heightened Rule 9 standard: Fraud-based claims must also satisfy
Rule 9(b)’s heightened pleading standard, by “stat[ing] with particularity the
circumstances constituting fraud or mistake.” FED. R. CIV. P. 9(b). To meet that
standard, the complaint must set forth:
(1) precisely what statements were made in what documents or oral
representations or what omissions were made, and (2) the time and place
of each such statement and the person responsible for making (or, in the
case of omissions, not making) same, and (3) the content of such
statements and the manner in which they misled the plaintiff, and (4)
what the defendants obtained as a consequence of the fraud.
Ziemba v. Cascade Int’l, Inc., 256 F.3d 1194, 1202 (11th Cir. 2001) (internal
citations and quotation marks omitted).
DISCUSSION
A. Evanston’s Motion to Dismiss Brady’s Counterclaim
To begin, Evanston argues that Brady’s counterclaim should be
dismissed as a “shotgun pleading” for two reasons: (1) it’s vague and conclusory
and (2) it lumped two causes of action together. Having reviewed the
Complaint, the court does not find that Brady’s Complaint amounts to a
shotgun pleading. See Thompson v. RelationServe Media, Inc., 610 F.3d 628,
650 n.22 (11th Cir.2010) (Tjoflat, J., concurring in the appeal, No. 07–13225,
and dissenting in the cross-appeal, No. 07–13477) (“a typical ‘shotgun’
pleading” where “each count incorporated by reference all preceding
paragraphs and counts of the complaint notwithstanding that many of the facts
alleged were not material to the claim, or cause of action, appearing in a count’s
heading”). So the court will review Evanston’s count-specific arguments.
Evanston moves to dismiss each count asserted in Brady’s Counterclaim
for failure to state a claim under Rule 12(b)(6) and failure to plead fraud-based
claims with particularity as required by Rule 9(b). See FED. R. CIV. P. 12(b)(6);
FED. R. CIV. P. 9(b). The court addresses each count in turn.
1. Count I: Breach of Enhanced Duty of Good Faith.
1. State law: Under Alabama law, an enhanced obligation of good faith
arises when an insurer defends an insured under a reservation of rights and
requires the insurer to take the following steps to protect the insured:
First, the company must thoroughly investigate the cause of the
insured’s accident and the nature and severity of the plaintiff's
injuries. Second, it must retain competent defense counsel for the
insured. Both retained defense counsel and the insurer must
understand that only the insured is the client. Third, the company
has the responsibility for fully informing the insured not only of
the reservation-of-rights defense itself, but of all developments
relevant to his policy coverage and the progress of this lawsuit.
Information regarding progress of the lawsuit includes disclosure
of all settlement offers made by the company. Finally, an insurance
company must refrain from engaging in any action which would
demonstrate a greater concern for the insurer’s monetary interest
than the insured’s financial risk.
See L & S Roofing Supply Co., Inc. v. St. Paul Fire & Marine Ins. Co., 521 So.2d
1298, 1303 (Ala. 1987) (quoting Tank v. State Farm Fire & Cas. Co., 715 P.2d
1133, 1137 (Wash. 1986)).
The Supreme Court of Alabama has explained that a claim for breach of
the enhanced obligation of good faith is a contract claim. See Twin City Fire
Ins. Co. v. Colonial Life & Accident Ins. Co., 839 So.2d 614 (Ala. 2002). The
Court wrote that “whenever an insurer defends the insured under a
reservation of rights, the enhanced duty of good faith is read into that
reservation of rights.” Id. at 616. “Because the enhanced duty arises from the
contract, it follows that claims alleging a breach of the enhanced duty of good
faith are contract claims.” Id.
2. Brady’s claim: Brady alleges that Evanston breached its enhanced
duty of good faith by (1) failing to inform her or her attorney about policy
exclusions or that they undertook the defense of Brady under a reservation of
rights and (2) failing to consult Brady before offers on her behalf were extended
or before offers of settlement from Gartman were rejected. (Doc. 7, ¶ 17). Brady
contends that “Evanston took control of the defense by retaining Labella Alvis
to represent Brady in addition to the other QCHC . . . defendants.” (Doc. 7, ¶
15). Because Evanston controlled Attorney Alvis, Brady alleges that she was
not given an opportunity to (1) demand settlement within policy limits; (2) offer
some amount from her personal resources to settle the case; or (3) retain an
attorney of her own choosing. (Doc. 7, ¶ 17).
Evanston argues that the enhanced duty of good faith does not apply
“because Evanston permitted QCHC to select its own counsel to defend it and
its employees.” (Doc. 11 at 6). Evanston bases this argument on Aetna Cas. &
Sur. Co. v. Mitchell Bros. Inc., 814 So.2d 191 (Ala. 2001), a case in which the
Alabama Supreme Court determined the enhanced duties did not apply when
“the insured used its own selected counsel.” (Doc. 11 at 6). Evanston argues
that because it allowed QCHC to “select its own counsel to defend it and its
employees,” Aetna should apply. (Doc. 11 at 6).
But Aetna turned on who controlled the litigation, not who chose the
lawyer: “MBI and Mitchell accepted defense of the Lowman suit under
reservation of rights, but never relinquished control of the lawsuit,
including settlement negotiations, to Aetna. Under such circumstances, we
hold that Aetna did not have an ‘enhanced obligation of good faith’ to its
insureds.” Id. at 196 (emphasis added). As the Aetna court noted, earlier cases
also turned on control: “The result in Shelby Steel was equitable. U.S.F. & G.
was in a position of authority when it extended a defense to Shelby Steel under
reservation of rights, gaining ‘exclusive control over Shelby Steel’s
defense.’ Shelby Steel agreed to accept that defense and relied upon U.S.F. &
G. to protect Shelby Steel’s interests. However, because U.S.F. & G. did not
keep Shelby Steel advised as to the status of the lawsuit, U.S.F. & G. was
estopped to deny coverage.” Id. (emphasis added) (discussing Shelby Steel Fab.,
Inc. v. United States Fidelity & Guar. Ins. Co., 569 So.2d 309 (Ala. 1990)).
Control is generally a fact question. In Count I of her counterclaim,
Brady alleges that “Evanston took control of the defense by retaining Labella
Alvis to represents Brady in addition to the other QCHC, Inc. defendants.”
(Doc. 7, ¶ 15). In the next paragraph, Brady alleges that Alvis was “Evanston’s
chosen attorney.” (Doc. 7, ¶ 16). If Brady can prove that Evanston controlled
the defense through Attorney Alvis—and the court must assume she can at the
Rule 12 stage—then Brady can show that Evanston had an enhanced duty of
good faith.1 And Brady pleads sufficient facts that, if proved true, would
establish a breach of that enhanced duty. So the court DENIES Evanston’s
motion to dismiss Count I.
2. Count II: Bad Faith Refusal.
The court will dismiss Count II with prejudice because Brady cannot plead
facts that, if proved true, will establish that Evanston acted in bad faith when
it read the Policy to exclude payment of attorney’s fees.
1. Fairly debatable interpretation: To state a claim for bad faith, an insured
must establish:
1. An insurance contract between the parties and a breach thereof by
the defendant;
2. An intentional refusal to pay the insured’s claim;
3. The absence of any reasonably legitimate or arguable reason for
that refusal (the absence of a debatable reason);
4. The insurer’s actual knowledge of the absence of any legitimate or
arguable reason;
5. If the intentional failure to determine the existence of a lawful
basis is relied upon, the plaintiff must prove the insurer's
intentional failure to determine whether there is a legitimate or
arguable reason to refuse to pay the claim.
Nat’l Sec. Fire & Cas. Co. v. Bowen, 417 So. 2d 179, 183 (Ala. 1982). Brady
cannot establish the third element because Evanston’s reading of the Policy to
exclude Gartman’s attorney’s fees, even if ultimately held to be incorrect, was
a “reasonably legitimate or arguable” reading of the Policy. Id.
1 Earlier paragraphs of the Complaint seem to give control of the attorney hire and defense to QCHC,
not Evanston. See, e.g., (Doc. 7, ¶¶ 8) (“Upon information and belief, Evanston allowed QCHC, Inc. to
choose its own counsel for the defense of the underlying suit.”). Because this is a Rule 12 motion, the
court gives Brady (the non-moving party) the benefit of the doubt. Discovery will clear up which party
actually controlled the defense.
To establish “no lawful basis” for refusing to pay a claim, Brady must
show that Evanston lacked any legitimate or arguable reason for not paying
the claim. See id. at 185. No lawful basis “means that the insurer lacks a
legitimate or arguable reason for failing to pay the claim.” See Gulf Atl. Life
Ins. Co. v. Barnes, 405 So.2d 916, 924 (Ala. 1981). When a claim is “fairly
debatable,” the insurer can debate it, whether the debate concerns a matter of
fact or law. Id.
According to the Policy, “Damages means the monetary portion of any
judgment, award or settlement; provided, however, Damages shall not include:
. . . attorneys’ fees of a party other than an Insured . . . .” (Doc. 1-1 at 16). The
court is mindful that interpreting this provision is the ultimate issue in
Evanston’s declaratory judgment complaint, (doc. 1). So to be clear, the court
does not decide the issue here. But the court can say—and does definitively
say—that Evanston’s reading of the exclusion provision is at least fairly
debatable. A reasonable insurer and a reasonable insured could both interpret
the phrase “Damages shall not include . . . attorneys’ fees of a party other than
an Insured” to preclude Gartman’s attorneys’ fees because Gartman was “a
party other than an Insured.” (See Doc. 1-1 at 16). Brady has not, and cannot,
plead facts that would disprove the “fairly debatable” nature of this reading.
2. Estoppel: Brady argues that Evanston is estopped from relying on its
reading of the Policy’s exclusions as a basis for denying indemnification. But
Brady cannot establish a waiver or estoppel theory: “The doctrine of waiver . .
. is not available to bring within the coverage of a policy risks not covered by
its terms or risks expressly excluded therefrom.” Home Indem. Co. v. Reed
Equip. Co., 381 So. 2d 45, 50-51 (Ala. 1980). Whether there is a duty to disclose
is a question of law. State Farm Fire & Cas. Co. v. Owen, 729 So. 2d 834, 839
(Ala. 1998). Brady did not properly plead any such duty, nor can one be found
at law. “[C]overage under an insurance policy cannot be created or enlarged by
waiver or estoppel.” Zurich Am. Ins. Co. v. Specialty Foundry Prod., No. 7:08–
cv–01412–LSC, 2009 WL 8612395, at *5-6 (N.D. Ala. July 30, 2009).
—
In short, Evanston can rely on the Policy exclusions to defeat a bad-faith
refusal claim if that reading is at least fairly debatable. And Evanston’s
reading of the exclusionary language is at least fairly debatable. So Brady can
plead no facts that would prove a bad-faith refusal; therefore, the court will
dismiss Count II with prejudice.2
3. Count III: Fraud by suppression.
Count III makes a claim for fraud by suppression. (See Doc. 7, ¶ 20).
Fraud by suppression claims are governed by Ala. Code § 6-5-102: “Suppression
of a material fact which the party is under an obligation to communicate
constitutes fraud. The obligation to communicate may arise from the
confidential relations of the parties or from the particular circumstances of the
case.” And fraud by suppression claims are subject to Rule 9(b)’s heightened
pleading requirements. See Ala. Code § 6-5-102 (1975).
Brady pleads that “Evanston had a duty to disclose to Brady the coverage
exclusions in the policy when they undertook her defense under the contract of
insurance[.]” (Doc. 7, ¶20). The court agrees with Evanston that, under
Alabama law, the contractual relationship between Evanston and Brady alone
did not create the requisite confidential relationship that created a duty to
disclose. See Hardy v. BlueCross BlueShield, 585 So.2d 29, 32-33 (Ala. 1991).
But Brady also pleads that Evanston retained Attorney Alvis and that Alvis
told Brady, by letter, that “as long as you are cooperative with your defense,
the carrier will pay for your attorney fees as well as any settlement and/or
judgment which might be later rendered in the case.” (Doc. 7, ¶ 9). Brady might
be able to establish the requisite duty via the “particular circumstances of the
case,” Ala. Code § 6-5-102, if she can prove that Attorney Alvis was speaking
for Evanston when Alvis told Brady that Evanston would cover any judgment
as long as Brady cooperated. So the court finds that Brady’s pleading of a duty
survives Rule 9 and 12 scrutiny.
Evanston also argues that Brady fails to adequately allege reasonable
reliance on Evanston’s silence. (See Doc. 11 at 11). But even if reasonable
reliance matters to a suppression claim, Brady pleads facts that (in a light most
2 Alternatively, the court could dismiss Count II without prejudice for failing to meet Rule 9(b)’s
enhanced pleading requirements. But the court’s finding that Brady cannot plead any set of facts to
prove Count II obviates the need to explain this point further.
favorable to Brady) would show that Attorney Alvis wrongly told her that the
entire judgment—including attorney’s fees—would be covered if she lost. A
jury might find it reasonable for Brady to rely on Alvis’s assurance and thus
not ask Evanston to confirm the extent of its coverage of a negative judgment.
So the court will allow Count III to proceed to discovery.
B. QCHC’s Motion to Dismiss Brady’s Third-Party Complaint
QCHC moves to dismiss each count asserted in Brady’s Amended Third-
Party Complaint for failure to state a claim under Rule 12(b)(6). (Doc. 40). The
court addresses each count in turn.
1. Count I: Fraud by suppression.
Count I pleads a fraud by suppression claim; specifically, that QCHC
failed to tell Brady that Evanston took on Brady’s defense under a reservation
of rights. (Doc. 29, ¶16).
Again, fraud by suppression claims are subject to Rule 9(b)’s heightened
pleading requirements. See Ala. Code § 6-5-102 (1975) (“Suppression of a
material fact which the party is under an obligation to communicate
constitutes fraud.”). Brady fails to plead with specificity the basis of QCHC’s
duty to tell Brady that Evanston would defend Brady but may not pay certain
damage awards. Brady pleads that “QCHC was under an obligation, either by
contract or by nature of its relationship with Brady” to tell Brady about the
reservation of rights letter. (Doc. 29, ¶ 16). But Brady also pleads that QCHC
did not employ Brady at the time of the alleged suppression—thus making
their relationship co-defendants/co-insureds—and Brady fails to identify a
contemporaneous contract between QCHC and Brady that would create the
obligation that QCHC disclose Evanston’s reserved rights to its co-defendant.
(See Doc. 29, ¶ 11). Without more facts, Brady cannot sufficiently prove the
“confidential relations of the parties or . . . the particular circumstances of the
case” that created QCHC’s duty to tell Brady about Evanston’s reservation. See
also Freightliner, L.L.C. v. Whatley Cont. Carriers, L.L.C., 932 So. 2d 883, 891
(Ala. 2005); see also Mason v. Chrysler Corp., 653 So. 2d 951, 954 (Ala. 1995).
But perhaps Brady could allege sufficient facts to meet Rule 9(b) in an
amended complaint. So the court grants QCHC’s motion to dismiss Count I,
without prejudice, so Brady can amend her Complaint.
2. Count II: Negligence/Wantonness.
Brady next alleges that QCHC either negligently or wantonly failed to
forward Evanston’s reservation of rights letter to Brady. (Doc. 10, ¶ 18). The
parties dispute the duty element of negligence and whether wantonness—
“[c]onduct which is carried on with a reckless or conscious disregard of the
rights . . . of others”—applies. See Albert v. Hsu, 602 So. 2d 895, 897 (Ala. 1992)
(negligence); Ala. Code § 6- 11-20(b)(4) (wantonness).
1. Negligence: Brady alleges that the Policy required QCHC to forward
a copy of Evanston’s reservation of rights letter to Brady, but QCHC
negligently failed to do so. (Doc. 29, ¶ 18). But Brady fails to allege facts that
create a duty that can support a negligence claim. Although “[i]t is possible for
a tort to arise in Alabama out of a breach of a duty implied by or arising out of
a contract, . . . an ordinary breach of contract will not give rise to a tort.” Brown-
Marx Assocs., Ltd. v. Emigrant Sav. Bank, 703 F.2d 1361, 1371 (11th Cir.
1983). Indeed, “a negligent failure to perform a contract . . . is but a breach of
the contract.” Vines v. Crescent Transit Co., 85 So. 2d 436, 440 (Ala. 1956). As
pleaded, Brady’s claim hinges on a contract creating the duty and a breach of
contract creating the breach of duty. Because Alabama law does not recognize
simple breach of contract to support a negligence claim, the court must dismiss
Brady’s negligence claim as presently pleaded.
2. Wantoness: For wantonness, Brady fails to allege any facts about
QCHC’s state of mind. Because negligence is the “inadvertent omission of
duty,” and wantonness is about the “state of mind with which the act or
omission is done,” Ex parte Essary, 992 So.2d 5, 9 (Ala. 2007), the Alabama
Supreme Court has explained: “Wantonness is not merely a higher degree of
culpability than negligence. Negligence and wantonness, plainly and simply,
are qualitatively different tort concepts of actionable culpability.” Tolbert v.
Tolbert, 903 So.2d 103, 114 (Ala. 2004) (internal citations omitted); see also
Jinright v. Werner Enterprises, Inc., 607 F. Supp. 2d 1274, 1275-76 (M.D. Ala.
2009).
To sum up, Brady fails to plead facts that would establish negligence or
wantonness under Alabama law. But it is possible that she could plead the
requisite facts for one or both theories in an amended complaint. So the court
will dismiss Count II without prejudice to allow Brady to amend.
CONCLUSION
For these reasons, the court DENIES Evanston’s Motion to Dismiss
Count I and Count III of Brady’s Counterclaims and GRANTS Evanston’s
Motion to Dismiss Count II with prejudice. (Doc. 11). The court GRANTS
QCHC’s Motion to Dismiss Count I and Count II of Brady’s Amended Third-
Party Complaint and dismisses those counts without prejudice.
If Brady chooses to amend her Complaints, she should file one amended
complaint that pleads the factual allegations and counts against both parties.
Brady must file such a consolidated amended complaint on or before March
25, 2024.
DONE and ORDERED on March 4, 2024.
COREY Lu MAZE 7
UNITED STATES DISTRICT JUDGE
15