Pfizer Inc. v. U.S. Specialty Insurance Co. ( 2020 )

IN THE SUPERIOR COURT OF THE STATE OF DELAWARE
PFIZER INC., )
Plaintiff, )
)
v. ) C.A. No. N18C-01-310 PRW CCLD
)
U.S. SPECIALTY INSURANCE )
COMPANY, )
Defendant. )
Submitted: June 9, 2020
Decided: August 28, 2020
MEMORANDUM OPINION AND ORDER
Upon Plaintiff Pfizer Inc.’s Motion for Summary Judgment,
GRANTED.
Upon Defendant U.S. Specialty Insurance Co.’s Motion for Summary Judgment,
DENIED.
Kenneth J. Nachbar, Esquire, John P. DiTomo, Esquire, Barnaby Grzaslewicz,
Esquire, MORRIS, NICHOLS, ARSHT & TUNNELL LLP, Wilmington, Delaware,
Robin L. Cohen, Esquire, Adam S. Ziffer, Esquire, Marc T. Ladd, Esquire,
MCKOOL SMITH, P.C., New York, New York, Attorneys for Plaintiff Pfizer Inc.
Carmella P. Keener, Esquire, COOCH & TAYLOR, P.A., Wilmington, Delaware,
Jeffrey J. Ward, Esquire, DYKEMA GOSSETT PLLC, Washington, D.C., Attorneys
for Defendant U.S. Specialty Insurance Company.
WALLACE, J.
In this insurance coverage dispute Pfizer Inc. seeks to recover against U.S.
Specialty Insurance Company under an excess directors’ and officers’ insurance
policy (“D&O Policy”). 1 According to Pfizer, the D&O Policy obligates U.S.
Specialty to pay for costs Pfizer incurred defending and settling a securities litigation
suit (“Morabito Action”).2 The parties previously litigated cross-motions for partial
summary judgment on another issue on which Pfizer prevailed. 3 In this second
round of motions, U.S. Specialty4 and Pfizer5 each seek complete rather than partial
disposition of the case.
I. FACTUAL AND PROCEDURAL BACKGROUND
The facts salient now are mostly the same as those for the previous cross-
motions. So the Court recounts the relevant portions of that undisputed factual
record here, supplemented by any new and undisputed factual bases pertinent to
these cross-motions.
1
Compl. ¶ 1 (Jan. 26, 2018) (D.I. 1).
2
Id. That action became In Re Pfizer Inc. Securities Litigation, No. 1:04-civ-9866 (HBP)
(S.D.N.Y) after consolidation with other suits.
3
Pfizer Inc. v. Arch Ins. Co., 2019 WL 3306043, at *10 (Del. Super. Ct. Jul. 23, 2019) (Pfizer
I).
4
D.I. 121.
5
D.I. 117.
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Pfizer is a New York-based Delaware corporation, while U.S. Specialty is
headquartered and formed in Texas.6 U.S. Specialty issued the D&O policy insuring
against allegations of wrongful acts of Pfizer’s directors and officers on a claims-
made basis for the period April 16, 2004, to April 16, 2005.7 U.S. Specialty’s policy
is an excess policy, one part of a thirteen-insurer tower, each excess insurer
following the form of the primary insurer.8
The D&O Policy contained specific exclusions for claims “arising out of,
based upon or attributable to,” or sharing “as a common nexus any fact,
circumstance, situation, event, transaction [or] cause” with Robert L. Garber v.
Pharmacia Corp., et. al., No.03-1519 (AET) (D.N.J.) (“Garber Action”), or for
which the claim grew out of a Related Wrongful Act to a number of other suits
(“Personal Injury Actions”).9
The Garber Action alleged that Pfizer, as successor to Pharmacia
Corporation, made misrepresentations and concealed from investors the adverse
gastrointestinal health effects of one of its highly profitable anti-inflammatory drugs
6
Pfizer I at *2.
7
Id.
8
Id.
9
Id. at *1.
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Celebrex in violation of securities law.10 The Personal Injury Actions were class
actions alleging personal injuries from Celebrex and another of Pfizer’s drugs.11 The
Morabito Action, like Garber, alleged misrepresentations and concealment from
investors, but related to the cardiovascular health risks associated with Celebrex and
yet a third of Pfizer’s anti-inflammatory drugs.12
In the earlier cross-motions, the Court determined that Delaware law applied
to the D&O Policy, and required a showing that Morabito was “fundamentally
identical” to the earlier suits for the exclusion to apply.13 The Court reasoned that,
because Morabito alleged Pfizer’s concealment of cardiovascular risks associated
with its drugs while Garber concerned Pfizer’s concealment of gastrointestinal risks,
they were “in all relevant respects, different” and therefore not excluded.14 U.S.
Specialty’s codefendant, Arch Insurance Company, subsequently settled with
Pfizer.15
10
Id. at *3.
11
Id.
12
Id.
13
Id. at *9 n.82.
14
Id. at *10.
15
D.I. 116.
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The D&O Policy, as an excess policy, incorporates the terms from the tower’s
underlying policies, including two prior notice exclusions (“Prior Notice Clauses”).
The wording of these exclusions is not disputed, and in relevant part they bar
indemnification for losses:
“directly or indirectly[] based on, attributable to, arising
out of, resulting from, or in any matter relating to wrongful
acts or any facts, circumstances or situations of which
notice of claim or occurrence which could give rise to a
claim has been given prior to the effective date of this
policy under any other policy or policies”
or
“alleging, arising out of, based upon, or attributable to the
facts alleged or to the same or related Wrongful Acts
alleged or contained in any Claim which has been
reported, or in any circumstances of which notice has been
given, under any policy of which this policy is a renewal
or replacement. . . .”16
Likewise, the parties agree that the D&O Policy specifies that it “shall attach
only after all Underlying Insurance has been exhausted by actual payment of claims
or losses thereunder” (“Exhaustion Clause”).17
On April 15, 2003, Pfizer gave notice of the Garber Action, and another case,
George Jewell, et al. v. Pharmacia Corp., et al., No. 03-cv-1691-AET (D.N.J.)
16
U.S. Specialty Op. Br. at 9–10 (D.I. 122); Pfizer Op. Br. at 6–7 (D.I. 118).
17
Transmittal Decl. of Jeffrey J. Ward ex. 7 at 13 (D.I. 122).
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(“Jewell Action”) to its then-current insurers by letter.18 Though Pfizer was not a
defendant in the Garber and Jewell Actions, the letter gave notice of “facts and
circumstances that may subsequently give rise to a claim in connection with” those
suits.19 The Morabito Action commenced in December 2004.20
II. LEGAL STANDARD
The Court may grant a motion for summary judgment when: “(1) the record
establishes that, viewing the facts in the light most favorable to the nonmoving party,
there is no genuine issue of material fact, and (2) in light of the relevant law and
those facts, the moving party is legally entitled to judgment.”21 The Court may not
grant a motion for summary judgment “[i]f . . . the record reveals that material facts
are in dispute”22 but if the sole disagreements remaining in the case are issues of law
and a trial to weigh disputed facts is unnecessary, a matter should be disposed of by
18
Transmittal Decl. of Jeffrey J. Ward ex 3 at 1 (D.I. 122).
19
Id.
20
Compl. ¶ 25 (D.I. 1).
21
Haft v. Haft, 671 A.2d 413, 414–15 (Del. Ch. 1995) (citing Burkhart v. Davies, 602 A.2d 56,
58–59 (Del. 1991)). See also Brooke v. Elihu-Evans, 1996 WL 659491, at *2 (Del. 1996) (“If the
Court finds that no genuine issues of material fact exist, and the moving party has demonstrated
his entitlement to judgment as a matter of law, then summary judgment is appropriate.”).
22
CNH Indus. Am. LLC v. Am. Cas. Co. of Reading, 2015 WL 3863225, at *1 (Del. Super. Ct.
June 8, 2015).
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summary judgment. 23 Where, as here, neither party argues the existence of a
genuine issue of material fact in a set of cross-motions for summary judgment, “the
Court shall deem the motions to be the equivalent of a stipulation for decision on the
merits based on the record submitted with the motions.”24
Pfizer and U.S. Specialty agree that their motions present two legal questions
for the Court to decide: (1) does the D&O Policy attach when another insurer lower
than U.S. Specialty in a tower settled with Pfizer for less than its policy limit and
(2) do the D&O Policies’ exclusions preclude coverage for the Morabito Action?
III. DISCUSSION
The insured bears the initial burden of showing that the alleged loss is within
the coverage provisions of the insurance policy.25 The burden “falls on the insurer
to prove the elements of a policy exclusion.” 26 And “an exclusion clause in
an insurance contract is construed strictly to give the interpretation most beneficial
23
Jeffries v. Kent Cty. Vocational Tech. Sch. Dist. Bd. of Educ., 743 A.2d 675, 677 (Del. Super.
Ct. 1999). See also Davis v. University of Del., 240 A.2d 583, 584 (Del. 1968) (“The disposition
of litigation by motion for summary judgment should, when possible, be encouraged for it should
result in a prompt, expeditious and economical ending of lawsuits.”).
24
Del. Super. Ct. Civ. R. 56(h).
25
Deakyne v. Selective Ins. Co. of Am., 728 A.2d 569, 571 (Del. Super. Ct. 1997).
26
E.I. DuPont de Nemours & Co. v. Admiral Ins. Co., 711 A.2d 45, 53 (Del. Super. Ct. 1995);
National Grange Mut. Ins. Co. v. Elegant Slumming, Inc., 59 A.3d 928, 932 n.18 (Del. 2013)
(collecting cases).
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to the insured.”27 In support of its own motion and in opposition to Pfizer’s, U.S.
Specialty relies solely on the Exhaustion Clause and Prior Notice Clauses.
A. THE D&O POLICY ATTACHES DESPITE THE EXHAUSTION CLAUSE
As to the Exhaustion Clause, the issue is whether a settlement between an
insured and an insurer in satisfaction of a policy but for less than the policy limit
affects attachment of excess insurers higher in a tower.
As the Court noted earlier in this litigation: Under circumstances such as
these, “[e]xcess coverage is triggered when the underlying policy limit is reached by
the total costs incurred by the insured, regardless of whether the total payments to
the insured by the underlying insurers reach those limits.”28 U.S. Specialty invokes
certain other jurisdictions’ authorities embracing a contrary rule that would deny
attachment.29
Delaware courts have held fast to a principle (the “Stargatt Rule”) that excess
policies attach irrespective of “whether the insured collected the full amount of the
primary policies, so long as [the excess insurer] was only called upon to pay such
27
Sun-Times Media Grp., Inc. v. Royal and Sunalliance Ins. Co. of Canada, 2007 WL 1811265,
at *11 (Del. Super. Ct. June 20, 2007).
28
Hrg. Tr. Dec. 16, 2019 at 7 (D.I. 114) (citing HLTH Corp. v. Agric. Excess & Surplus Ins. Co.,
2008 WL 3413327 (Del. Super. Ct. Jul. 31, 2008)).
29
U.S. Specialty points particularly to Forest Laboratories, Inc. v. Arch Ins. Co., 953 N.Y.S.2d
460 (N.Y. Sup. Ct. 2010), aff’d, 984 N.Y.S.2d 361 (N.Y. App. Div. 2014).
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portion of the loss as was in excess of the limits of those policies.”30 California
embraces the contrary proposition (the “Qualcomm Rule”), where underlying policy
settlements below limits bar attachment above when the excess policy requires
“exhaust[ion] by actual payment of a covered loss.”31
Delaware consistently follows the Stargatt rule, construing a settlement in
satisfaction of a policy as an exhaustion of that policy,32 at least in the absence of an
explicit provision to the contrary.33 And when doing so, this Court has had occasion
to explicitly identify and reject the approach taken in the California case establishing
the Qualcomm Rule as “contrary to the established case law” of Delaware.34
Stargatt—constrained by judicial modesty as a federal court applying state
law against making broad pronouncements not necessary to decide the case before
it—allowed for the possibility a policy might create a no-settlement-below
30
Stargatt v. Fidelity and Cas. Co. of New York, 67 F.R.D. 689, 691 (D. Del. 1975) (quoting Zeig
v. Massachusetts Bonding & Ins. Co., 23 F.2d 665 (2d Cir. 1928)) (italics in original).
31
Qualcomm, Inc. v. Certain Underwriters At Lloyd's, London, 161 Cal. App. 4th 184, 73
Cal. Rptr. 3d 770 (2008).
32
Mills Ltd. Partnership v. Liberty Mut. Ins. Co., 2010 WL 8250837, at *6-9 (Del. Super. Ct.
Nov. 5, 2010), rearg. denied, 2010 WL 8250848 (Del. Super. Ct. Nov. 23, 2010), appeal refused,
2011 WL 66015 (Del. Jan. 10, 2011); HLTH Corp., 2008 WL 3413327, at *14–15.
33
Tenneco Auto. Inc. v. El Paso Corp., 2001 WL 1641744, at *9 (Del. Ch. Nov. 29, 2001).
34
HLTH Corp., 2008 WL 3413327, at *14–15.
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requirement via an express clause.35 But the D&O Policy here contains no such
clause. The Exhaustion Clause requires only that the underlying policies be
“exhausted by actual payment of claims.” A settlement in which an insurer makes
a payment and the insured agrees that the payment fully satisfies the policy
accomplishes just such an exhaustion through actual payment.36
That said, no matter the strained read of the Exhaustion Clause U.S. Specialty
suggests37 there is strong suggestion in our law that Delaware embraces the Stargatt
Rule absolutely even in the face of an explicitly contrary clause. For instance this
Court has previously held that even when a policy required exhaustion “by reason
of the insurers of the Underlying Policies paying or being held liable to pay in legal
currency the full amount of the Underlying Limit of Liability as loss,”38 the Stargatt
Rule applied and commanded attachment.39
Simply put, Delaware recognizes no business reason for an excess insurer to
35
See Stargatt, 67 F.R.D. at 691.
36
See Massachusetts Mut. Life Ins. Co. v. Certain Underwriters at Lloyds of London, 2014 WL
3707989, at *6 (Del. Super. Ct. June 6, 2014) (finding “exhausted by the actual payment of
loss(es)” ambiguous and so requiring attachment) (citing Ali v. Federal Ins. Co., 719 F.3d 83, 91
(2d Cir. 2013)).
37
And remaining mindful that no insurer-favored, strained read of any exclusion clause should
ever be entertained. Sun-Times Media Grp., 2007 WL 1811265, at *11.
38
Mills Ltd. P’ship., 2010 WL 8250837, at *2.
39
Id. at *9 (Del. Super. Ct. Nov. 5, 2010).
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care whether the payment in satisfaction of a policy below was for the policy’s full
dollar value, so long as the protections afforded by all underlying insurance policies
are extinguished and the excess insurer’s liability begins only at its own attachment
point.40 An excess carrier cannot avoid coverage under an exhaustion clause due to
a settlement below unless that settlement works some additional exposure or
prejudice on the excess carrier above the attachment point.41
B. THE PRIOR NOTICE CLAUSES DO NOT EXCLUDE THE MORABITO SUIT.
U.S. Specialty’s invocation of the Prior Notice Clauses flows from Pfizer’s
April 15, 2003 letter to its then-current insurers of the Garber Action and Jewell
Action. To prevail, U.S. Specialty must show that one or the other of the Prior
Notice Clauses is satisfied. This requires showing either that the Morabito Action
is “based on, attributable to, arising out of, resulting from, or in any matter relating
to wrongful acts or any facts, circumstances or situations” or “alleging, arising out
40
Id. (citing Dunlap v. State Farm Fire & Cas. Co., 878 A.2d 434, 445 (Del. 2005)).
41
Dunlap, 878 A.2d at 444. In Dunlap, an innocent car passenger suffered catastrophic injuries
in a crash with a bus. Id. at 437. The driver’s policy paid its coverage limit, and the bus’s insurer
offered a settlement below its limit. Id. The driver’s insurer took the position that such a settlement
would fail to exhaust the bus’s policy, and thus prevent attachment of the underinsured motorist
coverage in the driver’s policy. Id. at 437–38. As a result, the passenger was forced to refuse
settlement, went to trial against the bus and lost, after which the driver’s underinsured coverage
attached to its own full limit anyway. Id. at 438. The Court found that those facts stated a claim
for breach of the implied covenant of good faith for which the injury was loss of the settlement
offer and all trial expenses. Id. at 444–45. “[A] insurer may not rely on an exhaustion provision
absent a realistic risk of prejudice.” Id. at 445. This rule applies with equal force to exhaustion
clauses in excess insurance policies. Mills Ltd. P’ship, 2010 WL 8250837 at *9.
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of, based upon, or attributable to the facts alleged or to the same or related Wrongful
Acts alleged” in Garber or Jewell.
This inquiry is almost identical to that of the prior cross-motions, where, as
the Court explained, “[t]he exclusions at issue in this case are triggered by a claim
‘arising out of, based upon or attributable to’ either the Garber Action itself or any
Wrongful Act or Interrelated Wrongful Acts alleged in the Garber Action.”42 The
Court has already found that “the Garber Action and Morabito Action do not cover
the same subject.”43
That finding is controlling. Whether the Morabito Action was “resulting
from, or in any matter relating” to the Garber Action is in all respects the same
inquiry as “arising out of” or “based upon” and still requires a showing that the
actions are “fundamentally identical.”44 The distinction the Court identified in the
previous round of cross-motions between concealment of cardiovascular health risks
42
Pfizer I at *9.
43
Id. at *10.
44
See Med. Depot, Inc. v. RSUI Indemnity Co., 2016 WL 5539879, at *13 (Del. Super. Ct. Sept.
29, 2016) (requiring fundamental identity where policy exclusion language connecting events was
“based on, arising out of, directly or indirectly resulting from, in consequence of, or in any way
involving the same or related facts, circumstances, situations, transactions or events, or the same
or related series of facts, circumstances, situations, transactions or events”).
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and concealment of gastrointestinal health risks dooms U.S. Specialty’s current
effort to avoid coverage.45
The only other minor departure this motion takes from the prior cross-motions
is reliance on the April 2003 letter’s mention of the Jewell Action specifically. The
Jewell Action was one of a number of suits consolidated into the Garber Action.46
The Court’s prior ruling did not separately examine Jewell. But the Jewell Action
followed the same litigation trajectory as the Garber Action, and so the Court’s
earlier finding that Garber Action litigation is distinct from the Morabito Action
controls.
A more exacting review of the Jewell Complaint47 yields no different result.
Just as in Garber, the Jewell plaintiff relates Pharmacia and Pfizer promoting
Celebrex as a non-steroidal anti-inflammatory drug with fewer gastrointestinal risks
than ordinary aspirin.48 Jewell identified the same actionable misrepresentation and
concealment—manipulating the CLASS study to create the illusion of reduced
45
See Pfizer I at *3 (“The Morabito Action alleged that Pfizer and the individual defendants
made false representations and omissions regarding the cardiovascular risks associated with
Celebrex and Bextra, whereas the Garber Action alleged that Pharmacia and its co-marketer Pfizer
made false and misleading statements regarding the gastrointestinal health risks of Celebrex.”)
(emphasis in the original).
46
Transmittal Aff. of Barnaby Grzaslewicz ex. 5 (D.I. 119).
47
Transmittal Decl. of Jeffrey J. Ward ex. 2 (D.I. 122).
48
Id. at ¶ 25.
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gastrointestinal risks by only looking at the first six months of data—as the Garber
Action to support a claim that “Celebrex was safer for the stomach and digestive
49
tract than conventional drugs” Jewell relates recent news of possible
cardiovascular risks as a speculative danger researchers discovered two years after
the drugs came on the market.50 The same allegations are discussed in the Garber
Complaint in the same manner.51 And just like Garber, Jewell makes no allegation
of fraudulent misrepresentations or concealment of the cardiovascular risks of
Pfizer’s anti-inflammatory drugs.
V. CONCLUSION
Pfizer’s April 2003 letter to its then-insurers warning of possible future
litigation related to its products’ gastrointestinal risks does not exclude from
coverage claims relating to its products’ cardiovascular risks. And, in Delaware, an
excess insurance policy attaches when a covered loss exceeds its attachment point
after accounting for all underlying policies. Thus, any settlement between Pfizer
49
Id. at ¶¶ 26, 29 46.
50
See id. at ¶ 48 (citing to a newspaper article in which researchers at the Cleveland Clinic
concluded that data on Celebrex and Vioxx was concerning enough to require “a trial specifically
assessing cardiovascular risk and benefit” of the drugs).
51
See Transmittal Decl. of Jeffrey J. Ward ex. 1 ¶ 16 (citing and quoting the same newspaper
article) (D.I. 122).
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and its other insurers is immaterial to the Exhaustion Clause, and neither Prior Notice
Clause works an exclusion.
Pfizer’s Motion for Summary Judgment is GRANTED; U.S. Specialty’s
Cross-Motion for Summary Judgment is DENIED.
IT IS SO ORDERED.
/s/ Paul R. Wallace
_________________________
Paul R. Wallace, Judge
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