Brooklyn Center for Psychotherapy, Inc. v. Philadelphia Indemnity

19-2266-cv Brooklyn Center for Psychotherapy, Inc. v. Philadelphia Indemnity Insurance Co. [1] 2 United States Court of Appeals 3 for the Second Circuit [4] 5 August Term, 2019 [6] 7 (Argued: February 6, 2020 Decided: April 9, 2020) [8] 9 Docket No. 19-2266-cv 10 _____________________________________ [11] 12 BROOKLYN CENTER FOR PSYCHOTHERAPY, INC., [13] 14 Plaintiff-Appellant, [15] 16 v. [17] 18 PHILADELPHIA INDEMNITY INSURANCE COMPANY, [19] 20 Defendant-Appellee. 21 _____________________________________ [22] 23 ON APPEAL FROM THE UNITED STATES DISTRICT COURT 24 FOR THE EASTERN DISTRICT OF NEW YORK 25 _____________________________________ [26] 27 Before: [28] 29 POOLER, LYNCH, and PARK, Circuit Judges. [30] 31 Plaintiff-Appellant Brooklyn Center for Psychotherapy, Inc. appeals a 32 decision and order of the United States District Court for the Eastern District of 33 New York (Donnelly, J.) dismissing its claim against Philadelphia Indemnity 34 Insurance Company for breach of contract for failing to provide a defense in a 35 lawsuit alleging discrimination under a failure-to-accommodate theory. Because 1 this case turns on an open question of New York insurance law, we reserve 2 decision and certify a question to the New York Court of Appeals. [3] 4 MICHAEL Y. HAWRYLCHAK, O’Connell & 5 Aronowitz, P.C., Albany, New York (Jeffrey 6 J. Sherrin, on the brief), for Plaintiff-Appellant. [7] 8 DAN D. KOHANE, Hurwitz & Fine, P.C., 9 Buffalo, New York, for Defendant-Appellee. [10] 11 Park, Circuit Judge: 12 This case involves a dispute over the scope of a commercial general liability 13 insurance policy. A deaf woman sued the insured, Brooklyn Center for 14 Psychotherapy, Inc. (“Brooklyn Center”), for failing to accommodate her 15 disability. Brooklyn Center sought defense costs for that lawsuit from its insurer, 16 Philadelphia Indemnity Insurance Company (“PIIC”). PIIC refused, so Brooklyn 17 Center sued PIIC. The district court granted PIIC’s motion to dismiss because 18 New York law prohibits insurance coverage for intentional discrimination. The 19 New York Court of Appeals, however, has not yet addressed whether a general 20 liability insurance carrier must defend an insured in an action alleging 21 discrimination under a failure-to-accommodate theory. We thus reserve decision 22 and certify the question to the New York Court of Appeals. [2] 1 I. BACKGROUND 2 A. The Underlying Action 3 Fanni Goldman, who is deaf, sued Brooklyn Center for allegedly 4 discriminating against her in violation of the Americans with Disabilities Act 5 (“ADA”), 42 U.S.C. § 12181 et seq.; the Rehabilitation Act, 29 U.S.C. § 794 ; the New 6 York State Human Rights Law (“NYSHRL”), N.Y. Exec. Law § 290 et seq.; and the 7 New York City Human Rights Law (“NYCHRL”), N.Y.C. Admin Code § 8-101 et 8 seq. See Goldman v. Brooklyn Center for Psychotherapy, Inc., No. 15-cv-2572 (E.D.N.Y) 9 (the “Underlying Action”). 10 In her complaint, Goldman alleged the following: 11 • Brooklyn Center “refused to schedule an appointment” for her 12 seven-year-old son because of her disability. App’x at 23. 13 • A Brooklyn Center employee told her on two occasions that they 14 “would not provide interpreter services and that [she] should look 15 elsewhere” for her son’s psychiatric treatment. Id. at 24. 16 • Brooklyn Center “refuses to hire qualified onsite sign language 17 interpreters as a matter of policy and practice.” Id. 18 • Brooklyn Center’s refusal to provide interpreter services 19 constituted “intentional[] discriminat[ion]” and “deliberate 20 indifference to her communication needs.” Id. at 25. 21 • Brooklyn Center’s conduct “caus[ed] her to endure humiliation, 22 fear, anxiety, and emotional distress.” Id. [3] 1 After trial, a jury found for Brooklyn Center, concluding that Goldman had 2 failed to prove unlawful discrimination. 3 B. The Coverage Dispute 4 During the relevant time period, Brooklyn Center held a commercial general 5 liability insurance policy with PIIC (the “Policy”). The Policy provided coverage 6 for “those sums that [Brooklyn Center] becomes legally obligated to pay as 7 damages because of ‘bodily injury’ or ‘property damage’ . . . caused by an 8 ‘occurrence.’” App’x at 37. Under the Policy, PIIC also had a “duty to defend 9 [Brooklyn Center] against any ‘suit’ seeking those damages.” Id. The Policy 10 defines an “occurrence” to mean “an accident, including continuous or repeated 11 exposure to substantially the same general harmful conditions.” App’x at 39. 12 After Goldman filed the Underlying Action, Brooklyn Center notified PIIC 13 of the litigation and asked PIIC to pay for its defense costs under the Policy. PIIC 14 rejected Brooklyn Center’s request for coverage on the ground that Goldman’s 15 complaint did not allege any “occurrence” under the Policy. 1 1PIIC originally argued that Goldman’s complaint did not allege any “bodily injury” or “property damage” under the Policy. But PIIC abandoned that position because, under New York law, emotional distress can qualify as a bodily injury under the terms of the Policy. See Lavanant v. Gen. Acc. Ins. Co. of Am., 79 N.Y.2d 623, 631 (1992). [4] 1 C. Procedural History 2 Brooklyn Center filed suit against PIIC in state court alleging, inter alia, that 3 PIIC had breached the Policy by refusing to cover Brooklyn Center’s defense costs 4 for the Underlying Action. PIIC removed the case to the U.S. District Court for the 5 Eastern District of New York on diversity jurisdiction grounds and then moved to 6 dismiss Brooklyn Center’s complaint for failure to state a claim. The district court 7 granted PIIC’s motion, holding that the Policy did not require PIIC to cover 8 Brooklyn Center’s defense costs because Goldman’s complaint “alleged only 9 intentional acts resulting in discrimination,” and “[i]ntentional discriminatory acts 10 are not accidental and thus not [occurrences] covered by the [P]olicy.” App’x at 11 481, 477. 12 II. APPLICABLE LAW 13 A. Standard of Review 14 “We review de novo the grant of a motion to dismiss for failure to state a 15 claim upon which relief can be granted under Federal Rule of Civil Procedure 16 12(b)(6).” Harris v. Mills, 572 F.3d 66, 71 (2d Cir. 2009). “We consider the legal 17 sufficiency of the complaint, taking its factual allegations to be true and drawing 18 all reasonable inferences in the plaintiff’s favor.” Id. [5] 1 B. Duty to Defend 2 “In New York, an insurer’s duty to defend is exceedingly broad,” Euchner- 3 USA, Inc. v. Hartford Cas. Ins. Co., 754 F.3d 136, 140 (2d Cir. 2014) (internal 4 quotation marks omitted), and “an insurer will be called upon to provide a defense 5 whenever the allegations of the complaint suggest a reasonable possibility of 6 coverage,” Auto. Ins. Co. of Hartford v. Cook, 7 N.Y.3d 131, 137 (2006) (cleaned up). 7 “Thus, an insurer may be required to defend under the contract even though it 8 may not be required to pay once the litigation has run its course.” Id. “Whether a 9 complaint asserts additional claims falling outside the policy is immaterial,” and 10 “[a]ny doubt as to whether the allegations state a claim within the coverage of the 11 policy must be resolved in favor of the insured and against the carrier.” Euchner- 12 USA, Inc., 754 F.3d at 141 (internal quotation marks omitted). “Put another way, 13 [a] defendant has no obligation to defend only if it can be concluded as a matter of 14 law that there is no possible factual or legal basis on which [the] defendant might 15 eventually be held to be obligated to indemnify plaintiff under any provision of 16 the insurance policies.” Mary & Alice Ford Nursing Home Co. v. Fireman’s Ins. Co. of 17 Newark, N.J., 446 N.Y.S.2d 599, 600 (N.Y. App. Div. 1982), aff’d 57 N.Y.2d 656 (1982). [6] 1 C. An “Occurrence” 2 On appeal, the parties dispute whether any of Brooklyn Center’s actions 3 alleged in Goldman’s complaint is an “occurrence”—defined as “an accident”— 4 under the Policy. App’x at 39. The provision at issue is a standard one that “has 5 commonly appeared in comprehensive general liability policies since 1966.” City 6 of Johnstown, N.Y. v. Bankers Standard Ins. Co., 877 F.2d 1146, 1149 (discussing 7 identical insurance policy language). We have thus had occasion to opine on the 8 meaning of “occurrence” and “accident” under New York law. 9 In City of Johnstown, we explained that, “[i]n attempting to define what 10 events are ‘accidental,’ the New York courts have focused on the nexus between 11 an intentional act and the resulting damage.” 877 F.2d at 1150 . “Recovery will be 12 barred only if the insured intended the damages, or if it can be said that the 13 damages were, in a broader sense, ‘intended’ by the insured because the insured 14 knew that the damages would flow directly and immediately from its intentional 15 act.” Id. (internal citations omitted) (citing McGroarty v. Great Am. Ins. Co., 36 16 N.Y.2d 358 , 363–65 (1975), and Mary & Alice Ford Nursing Home Co., 446 N.Y.S.2d 17 at 601). “In those instances, coverage is precluded because the damages are not 18 ‘accidental.’” City of Johnstown, 877 F.2d at 1151 . [7] 1 In other words, under New York law, damages that are not intended by an 2 insured are considered “accidental,” and an act causing such unintended damages 3 is considered an “occurrence.” 2 That does not mean, however, that coverage is 4 barred any time an insured performs an intentional act that ultimately causes 5 damage. Rather, a “distinction is drawn between damages which flow directly 6 and immediately from an intended act, thereby precluding coverage, and damages 7 which accidentally arise out of a chain of unintended though expected or 8 foreseeable events that occurred after an intentional act.” Id. at 1150 (internal 9 quotation marks omitted). “Thus, though an intentional act may ultimately cause 10 certain damages, those damages may, under New York law, be considered 11 ‘accidental’ if the total situation could be found to constitute an accident.” Id. 12 (emphasis in original, internal quotation marks omitted); see also Graphic Arts Mut. 13 Ins. Co. v. Pine Bush Cent. Sch. Dist., 73 N.Y.S.3d 241 , 245 (N.Y. App. Div. 2018) (“An 14 act that is intentionally committed or performed may still be considered an 15 accident within the meaning of an insurance policy, as long as the insured did not 16 expect or intend the harm caused.”). 2The Policy language thus allows coverage to the extent allowed by New York public policy. See, e.g., J.P. Morgan Sec. Inc. v. Vigilant Ins. Co., 21 N.Y.3d 324, 335 (2013) (“[A]s a matter of public policy, an insured may not seek coverage when it engages in conduct with the intent to cause injury.”) (internal quotation marks omitted). [8] 1 D. Discrimination Claims 2 Brooklyn Center argues that PIIC was obligated to defend it under the 3 Policy because, in the Underlying Action, Goldman alleged—in addition to any 4 intentional discrimination claims—that Brooklyn Center discriminated against her 5 by failing to accommodate her hearing disability. PIIC, on the other hand, 6 contends that Brooklyn Center’s refusal to accommodate Goldman’s disability was 7 intentional, so Goldman’s failure-to-accommodate claims cannot constitute 8 occurrences under the Policy. 9 A plaintiff alleging disability discrimination “can base [her] claim on any of 10 three available theories: (1) intentional discrimination (disparate treatment); (2) 11 disparate impact; and (3) failure to make a reasonable accommodation.” Fulton v. 12 Goord, 591 F.3d 37, 43 (2d Cir. 2009) (internal quotation marks omitted). 13 “Disparate treatment is the most easily understood type of discrimination. 14 The [defendant] simply treats some people less favorably than others because of 15 their race, color, religion or other protected characteristics. Proof of discriminatory 16 motive is critical.” Hazen Paper Co. v. Biggins, 507 U.S. 604, 609 (1993) (cleaned up). 17 “Claims that stress disparate impact by contrast involve . . . practices that 18 are facially neutral in their treatment of different groups but that in fact fall more [9] 1 harshly on one group than another and cannot be justified by business necessity. 2 Proof of discriminatory motive is not required under a disparate-impact theory.” [3] Id. (cleaned up). 4 Finally, failure-to-accommodate claims involve allegations that “a disability 5 makes it difficult for a plaintiff to access benefits” “to which [she is] legally 6 entitled.” Henrietta D. v. Bloomberg, 331 F.3d 261, 277, 273 (2d Cir. 2003). 7 Importantly, the ADA, the Rehabilitation Act, and the NYSHRL all require 8 defendants to afford only “reasonable accommodation” of a plaintiff’s “known 9 disability.” Noll v. Int’l Bus. Machines Corp., 787 F.3d 89, 94 (2d Cir. 2015) (emphasis 10 added); see also Powell v. Nat’l Bd. of Med. Examiners, 364 F.3d 79, 85 (2d Cir. 2004). 11 Thus, a defendant need not make an accommodation “that imposes an undue 12 hardship on its program’s operations,” and its refusal to make an unreasonable 13 accommodation does not constitute unlawful discrimination. Powell, 364 F.3d at 14 88. “The reasonableness of an . . . accommodation is a ‘fact-specific’ question that 15 often must be resolved by a factfinder.” Noll, 787 F.3d at 94 . As with disparate- 16 impact claims, failure-to-accommodate claims do not require proof of 17 discriminatory intent. See Austin v. Town of Farmington, 826 F.3d 622, 629 (2d Cir. 18 2016). [10] 1 III. DISCUSSION 2 This case presents the question whether Brooklyn Center’s alleged failure to 3 accommodate Goldman’s disability can constitute an occurrence under the Policy. 4 As an initial matter, New York courts have clearly held that the 5 “occurrence” language in the Policy does not require insurers to defend suits 6 alleging solely disparate-treatment discrimination. See, e.g., Mary & Alice Ford 7 Nursing Home Co., 446 N.Y.S.2d at 601 (“[T]he damages alleged in the . . . complaint 8 are the intended result which flows directly and immediately from plaintiff’s 9 intentional [discriminatory] act [of firing the plaintiff because of her disability], 10 rather than arising out of a chain of unintended though foreseeable events that 11 occurred after the intentional act.”); see also Rosenberg Diamond Dev. Corp. v. 12 Employers Ins. Co. of Wausau, 144 F. App’x 122, 124 (2d Cir. 2005) (“[T]he . . . 13 complaint alleged only intentional racial discrimination. And, under New York 14 law, it is clear that the type of language included in the [Policy] does not extend to 15 such intentional discriminatory acts.”). Similarly, the New York Superintendent [11] 1 of Insurance (the “Superintendent”) 3 has explained that “discrimination based 2 upon disparate treatment is an intentional wrong whose resultant harm flows 3 directly from the acts committed, and liability coverage for it is impermissible” as 4 a matter of New York public policy. N.Y. Circular Letter No. 1994-6, 1994 WL 5 16306026 (May 31, 1994). 6 On the other hand, at least one New York court has held that the Policy 7 language does require—and New York public policy allows—an insurer to defend 8 an insured against a disparate-impact discrimination suit. See Am. Mgmt. Ass’n, 168 9 Misc. 2d at 979. And the Superintendent has explained that in disparate-impact 10 cases, “the discriminatory result does not directly proceed from specific 11 discriminatory acts against individuals; in fact, such acts are not an element of the 12 wrong and need play no part in the facts alleged.” N.Y. Circular Letter No. 1994- 13 6; see also N.Y. Ins. Op. (Dec. 20, 2005), https://www.dfs.ny.gov/insurance/ 14 ogco2005/rg051216.htm (last visited Mar. 26, 2020) (“[T]he Department has 15 consistently disallowed intentional discrimination (disparate treatment) claims to 3 The opinions of the Superintendent “with respect to the Insurance Law are to be accorded great weight by the courts unless contrary to the clear wording of a particular statute.” Am. Mgmt. Ass’n v. Atl. Mut. Ins. Co., 168 Misc. 2d 971, 978 (Sup. Ct.), aff’d 651 N.Y.S.2d 301 (App. Div. 1996). In 2011, the duties of the Superintendent were transferred to the Superintendent of Financial Services. See N.Y. Fin. Servs. Law §§ 102 , 202. [12] 1 be covered under liability insurance policies. The Department does, however, 2 permit coverage to be provided for claims arising from unintentional 3 discrimination: disparate impact claims and employer’s vicarious liability.”). 4 Neither New York courts nor the Superintendent, however, have provided 5 guidance on failure-to-accommodate claims. Here, Brooklyn Center argues that 6 failure-to-accommodate claims are more like disparate-impact claims than 7 disparate-treatment claims because plaintiffs need not prove discriminatory intent 8 to succeed on failure-to-accommodate claims. Indeed, the decision to refuse a 9 particular accommodation may be justified, and will not provide a basis for 10 liability, if the requested accommodation is unreasonable or “would impose an 11 undue hardship on the operation of the business.” Felix v. New York City Transit 12 Auth., 324 F.3d 102, 104 (2d Cir. 2003) (quoting 42 U.S.C. § 12112 (b)(5)(A)); see also 13 Goord, 591 F.3d at 44 (“‘Reasonable’ is a relational term: it evaluates the desirability 14 of a particular accommodation according to the consequences that the 15 accommodation will produce. This requires a fact-specific, case-by-case inquiry, 16 not only into the benefits of the accommodation but into its costs as well.”) 17 (cleaned up). Thus, as long as Brooklyn Center believed that hiring interpreters to 18 accommodate Goldman’s hearing disability would have been unreasonable or [13] 1 would have imposed an undue hardship on its business, any cognizable harm 2 resulting from its refusal to do so would have been accidental. This position finds 3 support in New York case law. See, e.g., Graphic Arts Mut. Ins. Co., 73 N.Y.S.3d at 4 245 (“An act that is intentionally committed or performed may still be considered 5 an accident within the meaning of an insurance policy, as long as the insured did 6 not expect or intend the harm caused.”). 7 In response, PIIC focuses on Brooklyn Center’s refusal to accommodate 8 Goldman’s disability, irrespective of its reasons for doing so. Brooklyn Center’s 9 refusal to hire interpreters, PIIC argues, was an intentional act that “directly and 10 immediately” caused damage to Goldman. Mary & Alice Ford Nursing Home Co., [11] 446 N.Y.S.2d at 601 . This position also finds support in New York case law. See, 12 e.g., Cont’l Ins. Co. v. Colangione, 484 N.Y.S.2d 929, 930 (N.Y. App. Div. 1985) (“This 13 court . . . has distinguished between damages which flow directly and immediately 14 from an intended act, thereby precluding coverage, and damages which 15 accidentally arise out of a chain of unintended though expected or foreseeable 16 events that occurred after an intentional act.”). Thus, it is not clear under New 17 York law whether a failure to accommodate a disability can be an “occurrence” for 18 purposes of coverage under the Policy. [14] 1 IV. CERTIFICATION 2 “Although the parties did not request certification, we are empowered to 3 seek certification nostra sponte.” Kuhne v. Cohen & Slamowitz, LLP, 579 F.3d 189 , 198 4 (2d Cir. 2009). “We have long recognized the appropriateness of according to state 5 courts the opportunity to decide significant issues of state law through the 6 certification process.” Corsair Special Situations Fund, L.P. v. Pesiri, 863 F.3d 176 , 7 183 (2d Cir. 2017); see also 22 N.Y.C.R.R. § 500.27(a). 8 Our decision to certify questions to the Court of Appeals is 9 discretionary, and when exercising that discretion we consider 10 whether: (1) the New York Court of Appeals has not squarely 11 addressed an issue and other decisions by New York courts are 12 insufficient to predict how the Court of Appeals would resolve it; (2) 13 the statute’s [or, in this case, the standard “occurrence” provision’s] 14 plain language does not indicate the answer; (3) a decision on the 15 merits requires value judgments and important public policy choices 16 that the New York Court of Appeals is better situated than we to 17 make; and (4) the questions certified will control the outcome of the 18 case. 19 CIT Bank N.A. v. Schiffman, 948 F.3d 529 , 537 (2d Cir. 2020) (internal quotation 20 marks omitted). All four factors weigh in favor of certification here. 21 First, as discussed above, the New York Court of Appeals has not decided 22 whether insurers must defend insureds in actions alleging failure-to- 23 accommodate discrimination under the language of the Policy. And “issues [15] 1 similar to those raised here [have not] been litigated in New York courts often 2 enough that sufficient precedents exist for us[] to make a determination 3 concerning their proper outcome.” Commodity Futures Trading Comm’n v. Walsh, [4] 618 F.3d 218, 231 (2d Cir. 2010) (cleaned up). Second, as interpreted by the New 5 York courts, the language of the Policy is ambiguous with respect to coverage for 6 failure-to-accommodate claims. See Section III, supra. Third, a decision on the 7 merits would require us to determine whether New York public policy bars the 8 defense of a failure-to-accommodate claim. This would clearly implicate 9 “important public policy choices that the New York Court of Appeals is better 10 situated than we to make.” CIT Bank N.A., 948 F.3d at 537 (internal quotation 11 marks omitted). And finally, the answer to the question that we now certify is 12 wholly determinative of the outcome of this appeal. 13 V. CONCLUSION 14 For the foregoing reasons, we certify the following question to the New York 15 Court of Appeals: 16 Must a general liability insurance carrier defend an insured in an action 17 alleging discrimination under a failure-to-accommodate theory? 18 “As is our practice, we do not intend to limit the scope of the Court of 19 Appeals’ analysis through the formulation of our question, and we invite the [16] 1 Court of Appeals to expand upon or alter this question as it should deem 2 appropriate.” 10 Ellicott Square Court Corp. v. Mountain Valley Indem. Co., 634 F.3d 3 112, 126 (2d Cir. 2011). 4 It is hereby ORDERED that the Clerk of this Court transmit to the Clerk of 5 the New York Court of Appeals this opinion as our certification, together with a 6 complete set of briefs, appendices, and the record filed in this case by the parties. 7 This panel retains jurisdiction for purposes of resolving this appeal after the 8 disposition of the certification by the New York Court of Appeals.