Court Opinion

ID: 9408409
Source: CourtListenerOpinion
Date Created: 2023-07-12 18:01:06.744536+00
Date Added: 2024-06-11T17:20:43.718951
License: Public Domain

USCA11 Case: 22-11391    Document: 48-1     Date Filed: 07/12/2023   Page: 1 of 9

                                                  [DO NOT PUBLISH]
                                   In the
                United States Court of Appeals
                        For the Eleventh Circuit

                          ____________________

                                No. 22-11391
                          Non-Argument Calendar
                          ____________________

       PMTD RESTAURANTS, LLC,
                                                     Plaintiff-Appellant,
       versus
       HOUSTON CASUALTY COMPANY,

                                                   Defendant- Appellee.

                          ____________________

                 Appeal from the United States District Court
                    for the Northern District of Georgia
                   D.C. Docket No. 1:20-cv-04191-WMR
                          ____________________
USCA11 Case: 22-11391         Document: 48-1        Date Filed: 07/12/2023         Page: 2 of 9

       2                          Opinion of the Court                      22-11391

       Before LAGOA, BRASHER, and EDMONDSON, Circuit Judges.
       PER CURIAM:
              In this insurance coverage dispute, PMTD Restaurants, LLC
       (“PMTD”) appeals the district court’s grant of summary judgment
       in favor of PMTD’s insurer, Houston Casualty Company (“HCC”).
       No reversible error has been shown; we affirm.
              PMTD (a Georgia-based business) is a multi-unit franchise
       that operates restaurants. PMTD was the named insured in an Em-
       ployment Practices Liability Insurance Policy (“Policy”) issued by
       HCC (a Texas-based business). The Policy’s defined “Policy Pe-
       riod” was between 26 December 2016 and 26 December 2017. 1
       Among other things, the Policy provided coverage for employ-
       ment-based claims of discrimination, harassment, or inappropriate
       employment conduct.
             In July 2016, a PMTD employee (“S.P.”) filed a charge of dis-
       crimination (“Discrimination Charge”) with the U.S. Equal Em-
       ployment Opportunity Commission (“EEOC”). S.P. alleged that
       she had been subjected to unlawful racial discrimination.
             The EEOC notified PMTD of the Discrimination Charge
       and began an investigation of S.P.’s allegations. In September 2016,

       1 HCC issued PMTD a series of insurance policies between December 2015
       and December 2019. The only policy at issue in this case is the Policy in effect
       from 26 December 2016 until 26 December 2017.
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       22-11391              Opinion of the Court                       3

       PMTD participated in a mediation on the Discrimination Charge:
       a process that was unsuccessful.
             The EEOC completed its investigation of S.P.’s allegations
       and concluded that it was unable to determine whether the com-
       plained-of conduct constituted unlawful discrimination. The
       EEOC issued S.P. a Dismissal and Notice of Rights Letter on 9 De-
       cember 2016. Never did PMTD notify HCC about the Discrimina-
       tion Charge, the attempted mediation, or the EEOC’s Notice of
       Rights Letter.
               On 30 December 2016, S.P. filed a second charge of discrim-
       ination with the EEOC (“Retaliation Charge”), alleging that she
       had been retaliated against unlawfully after filing her Discrimina-
       tion Charge. The EEOC investigated S.P.’s allegations but was un-
       able to conclude that unlawful retaliatory conduct had occurred.
       The EEOC issued S.P. a second Dismissal and Notice of Rights let-
       ter in February 2017. PMTD provided no notice to HCC about the
       Retaliation Charge.
              On 16 May 2017, S.P. filed a lawsuit against PMTD (“Under-
       lying Action”). S.P. asserted claims for unlawful race discrimina-
       tion and retaliation.
             Shortly thereafter, PMTD notified HCC of the Underlying
       Action and sought coverage under the Policy. HCC denied cover-
       age on grounds that the “claim” was made during an earlier policy
       period and not reported timely to HCC.
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       4                      Opinion of the Court               22-11391

              In November 2020, PMTD (with no help from HCC) pro-
       ceeded to a jury trial in the Underlying Action and obtained a com-
       plete defense verdict.
              Meanwhile, in October 2020, PMTD filed this civil action
       against HCC. PMTD asserted a claim for breach of contract based
       on HCC’s denial of coverage. PMTD sought indemnification for
       the losses PMTD incurred as a result of the Underlying Action.
               The district court granted summary judgment in favor of
       HCC. The district court determined that the filing of a charge with
       the EEOC constituted a “claim” under the Policy. Because the Dis-
       crimination Charge, the Retaliation Charge, and the Underlying
       Action were all “claims” that arose from “one insured event,” the
       district court determined that the “claims” were all deemed first
       made in July 2016: before the effective date of the Policy. The dis-
       trict court thus determined that no coverage existed under the Pol-
       icy and that HCC was entitled to summary judgment on PMTD’s
       claim for breach of contract.
              We review de novo a district court’s grant of summary judg-
       ment. See Hegel v. First Liberty Ins. Corp., 778 F.3d 1214, 1219
       (11th Cir. 2015). The interpretation of a provision in an insurance
       contract is a question of law subject to de novo review. See id.
              We are bound by the substantive law of Georgia in deciding
       this diversity case. See Erie R.R. Co. v. Tompkins, 304 U.S. 64
       (1938). Under Georgia law, “[a]n insurance policy is governed by
       the ordinary rules of contract construction.” Banks v. Bhd. Mut.
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       22-11391               Opinion of the Court                         5

       Ins. Co., 686 S.E.2d 872, 874 (Ga. Ct. App. 2009). Whether the lan-
       guage in an insurance policy is ambiguous is a matter of law for the
       court to decide. Id.
               If the policy language is “clear and unambiguous,” the con-
       tract is enforced according to its plain terms. Bd. of Comm’rs of
       Crisp Cty. v. City Comm’rs of City of Cordele, 727 S.E.2d 524, 527
       (Ga. Ct. App. 2012). When an insurance policy is deemed to be
       ambiguous, however, it is “construed strictly against the in-
       surer/drafter and in favor of the insured.” Hurst v. Grange Mut.
       Cas. Co., 470 S.E.2d 659, 663 (Ga. 1996) (citing O.C.G.A. § 13-2-
       2(5)).
              A policy provision is ambiguous when it is “subject to more
       than one reasonable interpretation.” State Farm Mut. Auto. Ins.
       Co. v. Staton, 685 S.E.2d 263, 265 (Ga. 2009). “[A] policy provision
       is not ambiguous even though presenting a question of construc-
       tion, unless and until an application of the pertinent rules of con-
       struction leaves it uncertain as to which of two or more possible
       meanings represents the true intention of the parties.” Ace Am.
       Ins. Co. v. Wattles, Co., 930 F.3d 1240, 1252 (11th Cir. 2019) (citing
       Rucker v. Columbia Nat. Ins. Co., 705 S.E.2d 270, 273 (Ga. Ct. App.
       2010). “[A] policy which is susceptible to two reasonable meanings
       is not ambiguous if the trial court can resolve the conflicting inter-
       pretations by applying the rules of contract construction.” Id. at
       1253 (citing Murphy v. Ticor Title Ins. Co., 729 S.E.2d 21, 24 (Ga.
       Ct. App. 2012)).
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       6                      Opinion of the Court                 22-11391

               “The words used in policies of insurance, as in all other con-
       tracts, bear their usual and common significance, and policies of
       insurance are, as in all other contracts, to be construed in their or-
       dinary meaning.” Lawyers Title Ins. Corp. v. Griffin, 691 S.E.2d
       633, 636 (Ga. Ct. App. 2010); see O.C.G.A. § 13-2-2(2). When a
       word is not defined by the policy, courts may refer to dictionary
       definitions to determine a word’s ordinary meaning. See Dixon v.
       Home Indem. Co., 426 S.E.2d 381, 382-83 (Ga. Ct. App. 1992).
              Here, the “Policy applies only to ‘claims’ first made or
       brought against [PMTD] and reported to [HCC], in writing, within
       the Policy Period . . ..” Under the Policy, “[a]ll ‘claims’ because of
       ‘one insured event’ will be considered to have been made or
       brought on the date that the first of those ‘claims’ was made or
       brought.” The Policy defines “one insured event” to mean (among
       other things) alleged acts of discrimination and retaliation “made
       or brought by the same claimant.” In this case, the parties agree
       that S.P.’s allegations of discrimination and retaliation constitute
       “one insured event.”
               Whether the Policy provides coverage for the Underlying
       Action hinges on whether the filing of a discrimination charge with
       the EEOC constitutes a “claim” under the Policy. If so, the Under-
       lying Action is deemed to have been “made or brought” when S.P.
       filed the Discrimination Charge in July 2016: a date outside of the
       pertinent Policy Period and thus not covered by the Policy. If not,
       the Underlying Action might constitute a claim “first made or
       brought” (and reported to HCC) within the Policy Period.
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       22-11391                   Opinion of the Court                               7

              We begin our analysis by looking to the plain language of
       the Policy. The Policy defines “claim” to mean “a written demand
       received by the insured alleging damages or the filing of a ‘suit’, or
       any administrative proceeding including but not limited to the
       Equal Employment Opportunity Commission, or any other state
       or federal agency or authority with jurisdiction over you.” (empha-
       sis added). Because this case involves no written demand for dam-
       ages or the filing of a “suit,” we focus on the Policy’s “any admin-
       istrative proceeding” language.
              The parties dispute whether the phrase “any administrative
       proceeding” includes the filing of a charge of discrimination with
       the EEOC. PMTD contends that the term “administrative pro-
       ceeding” does not include employee-filed EEOC charges or EEOC
       investigations and refers, instead, only to the process following the
       EEOC’s issuance of a Letter of Determination.2 HCC, on the other
       hand, contends that “administrative proceeding” should be read
       more broadly to encompass all proceedings before the EEOC,

       2 If -- after an investigation -- the “EEOC determines there is reasonable cause
       to believe discrimination has occurred,” the EEOC will issue both parties “a
       Letter of Determination stating that there is reason to believe that discrimina-
       tion occurred and inviting the parties to join the agency in seeking to resolve
       the charge through an informal process known as conciliation.” See U.S.
       Equal Employment Opportunity Commission, What You Can Expect After a
       Charge is Filed, https://www.eeoc.gov/employers/what-you-can-expect-af-
       ter-charge-filed (last visited July 11, 2023).
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       8                      Opinion of the Court                22-11391

       including the filing of a charge of discrimination and the EEOC’s
       resulting investigation.
              We accept that the Policy language might be subject to
       more than one reasonable interpretation. But our inquiry does not
       end there. Before we can conclude that the Policy is truly “ambig-
       uous” -- requiring us to construe the Policy in favor of the insured
       -- we must first determine whether we can resolve the conflicting
       interpretations by applying the standard rules of contract construc-
       tion. See Ace Am. Ins., 930 F.3d at 1253-53.
              Because the Policy does not define the phrase “administra-
       tive proceeding,” we construe that phrase according to its ordinary
       meaning. See Lawyers Title Ins. Co., 691 S.E.2d at 636. The phrase
       “administrative proceeding” is defined as “[a] hearing, inquiry, in-
       vestigation, or trial before an administrative agency, usu. adjudica-
       tory in nature but sometimes quasi-legislative.” Black’s Law Dic-
       tionary (11th ed. 2019) (emphasis added). The Georgia courts have
       relied on this definition, stressing that the phrase “administrative
       proceeding” extends to an agency’s investigations. See Ga. Gov’t
       Transparency & Campaign Fin. Comm’n v. New Ga. Project Ac-
       tion Fund, 856 S.E.2d 733, 736-37 (Ga. Ct. App. 2021) (relying on
       the definition of “administrative proceeding” and concluding that,
       while the statutory phrase “‘proceedings before the agency’ can be
       understood to reference a more formal process . . . the phrase can
       also be understood to encompass an agency’s investigations.”).
             Given the ordinary meaning of the phrase “administrative
       proceeding,” we conclude that the Policy’s definition of “claim”
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       22-11391               Opinion of the Court                         9

       unambiguously encompasses investigations conducted by the
       EEOC. Because a charge of discrimination filed with the EEOC
       triggers an EEOC investigation into the alleged acts of discrimina-
       tion,3 the filing of an EEOC charge qualifies as a “claim” under the
       Policy. This interpretation is also consistent with the Policy’s re-
       quirement that -- to provide written notice of a “claim” to HCC --
       PMTD must include “[t]he written charge, complaint or demand
       as applicable.” (emphasis added). See O.C.G.A. § 13-2-2(4) (provid-
       ing that “[t]he whole contract should be looked to in arriving at the
       construction of any part”).
               Applying the plain and unambiguous Policy language, we
       agree with the district court’s conclusion that the Discrimination
       Charge constituted a “claim” under the Policy. As a result, all
       “claims” made or brought by S.P. -- including the Underlying Ac-
       tion -- are deemed to have been made or brought in July 2016. Be-
       cause these claims were made or brought before the pertinent Pol-
       icy Period, the district court concluded properly that losses sus-
       tained as a result of the Underlying Action were not covered under
       the Policy. HCC was thus entitled to summary judgment on
       PMTD’s breach-of-contract claim.
              AFFIRMED.

       3 See U.S. Equal Employment Opportunity Commission, What You Can Ex-
       pect After a Charge is Filed, https://www.eeoc.gov/employers/what-you-
       can-expect-after-charge-filed (last visited July 11, 2023).