Personal injury means injury, other than bodily injury, arising
out of one or more of the following offenses committed in the
course of your business, other than your advertising: The issue in this case concerns the definition of Personal Injury as
Discrimination. Specifically the question is whether the allegations in the AWP complaints
allege discrimination as covered by the Federal policy. In finding that Federal had no duty to
defend under the facts of this case, the circuit court reasoned as follows:
As used in the Personal Injury section of the Federal
policy, discrimination refers to the standard types of
discrimination (e.g. race, handicap) and not, as asserted by Mylan,
any form of discrimination within the field of commerce, which
is the definition of economic discrimination. USX Corp. v.
Adriatic Ins. Co., 99 F.Supp.2d 593, 624-25 (W.D. Pa. 2000)
(finding that, when viewed in context with the other enumerated
offenses in the definition of personal injury, the meaning of
discrimination is limited to differential treatment of a person
based upon immutable characteristics such as race, sex, age,
religion, or national origin). Thus, the dictionary definitions
relied upon by Mylan do not, in fact, support Mylan's
interpretation of the term, which must be read in concert with the
rest of the policy language and not in a vacuum.
Personal Injury Means
Because the term discrimination is not defined in the policy and
because price discrimination suits such as [the instant one] are
common in the beer industry, it is not objectively unreasonable for
Heileman to have believed that it was purchasing coverage for just
such a suit [as the instant one]. This may be the case even though
in the present day discrimination might bring first to mind
differences in personal treatment.
127 F.3d at 569 (citations omitted).
The context in which the term discrimination is used
once again sufficiently undercuts the plaintiffs' attempt to rewrite
the policy under the reasonable expectations doctrine and
principles of insurance law regarding ambiguities. It may be as
the majority stated in Stroh Brewing that [t]ime was,
'discrimination' might have brought immediately to mind
charging one person more than another for the same product. Stroh Brewing, 127 F.3d at 564. To suggest, however, that the use
of that term in defining personal injuries was intended to
identify a distinct form of statutory liability created 85 years ago
by the Sherman Act and commonly known as antitrust liability
stretches the term beyond any natural and ordinary meaning to be
gleaned from its use in context. The term is preceded by false
arrest, false imprisonment, wrongful eviction, detection [and]
malicious prosecution and is followed by humiliation [and]
libel, slander or defamation of character or invasion of rights of
privacy, except that which arises out of any advertising activities.
The terms preceding the phrase identify offenses against the
individual for wrongful deprivation of liberty or interference with
the right to peaceful possession of property and those that follow
it identify common offenses which injure the character or
reputation of an individual. Of course, discrimination and its
companion humiliation are forms of disparate or demeaning
treatment of persons commonly accomplished through unjust
economic treatment, and such terms are indeed related to forms of
mental injury, mental anguish [and] shock as their contextual
placement within the policy demonstrates. And price
discrimination claims may well be analogous to this understanding
in certain settings. But to suggest that hiding among these causes
of harm to the person included in personal injury coverage is a
form of discrimination which encompasses broad-based economic
practices which injure markets through the improper elimination
of competition accomplished by purposeful manipulation of goods
and services reflects a highly implausible definition or meaning of
that term.
99 F.Supp.2d at 624-625.
Say discrimination today and those around you may think
of race or sex discrimination, usually in connection with a school
or work setting. But that has not always been the case. Time was,
discrimination might have brought immediately to mind
charging one person more than another for the same product.
That definition, although perhaps less in public consciousness,
remains just as valid today.
In its brief to this Court, Mylan proffers several reasons why this Court should
not adopt the reasoning in USX, none of which we find valid. For example, Mylan argues that USX is not persuasive because in that case, the policy language at issue was jointly drafted. In
contrast, says Mylan, Federal's policy is a standard form policy issued by Federal to Mylan.
We note, however, that the polies in USX were in all material respects, based upon a standard
insurance form known as 'the 1971 London umbrella wording.' USX Corp., 99 F.Supp.2d at
602.
According to Mylan, the complaints in the L&C litigation expressly allege that
Mylan's actions caused bodily injury. In support of this contention, Mylan quotes the
following language from complaints in the L&C litigation:
As a result of these substantial and unprecedented agreements and
price increases for lorazepam and clorazepate tablets, many
purchasers, including . . . patients, consumers and others have paid
substantially higher prices. Moreover, some patients may have
stopped taking lorazepam and clorazepam tablets altogether, or
been forced to reduce the quantity they take, because they cannot
afford them.
The acts and practices of the Defendants as herein alleged have
had the purpose or effect, or tendency or capacity, to restrain
competition unreasonably and to injure competition within each
State and throughout the United States in the following ways,
among others . . .
Rather, the L&C suits involve economic injury, in that Mylan
increased the price of Lorazepam and Clorazepam by 1,900 -
2000% following its entry into the exclusive licensing agreements
with ingredient suppliers. The only contention that comes close
to one asserting covered bodily injury is Mylan's speculative
assertion that some consumers may not have been able to afford
their medications due to the price hikes by Mylan. However, as
no such specific claims for bodily injury are alleged in any of the
underlying complaints, the Bodily Injury coverage in the
Waussau Policies is not triggered.
We agree with the circuit court. The reference to injured health quoted above is simply too
brief and speculative to trigger coverage for a bodily injury under the Waussau policies. The
plaintiffs in the L&C litigation are not persons alleging bodily injuries as a result of Mylan's
conduct. Rather, these plaintiffs allege economic injury. As such, the complaints filed in the
L&C litigation are not susceptible of an interpretation that the claims may be covered for
bodily injury. Therefore, we affirm the circuit court's order on this issue.
An example of the allegations in the AWP litigation is found in a complaint filed
against Mylan and others by the State of Illinois. Specifically, the complaint alleged, in
pertinent part: The price for a 500-count bottle of 7.5 mg clorazepate went from $11.66 to $377.00.
The price for a 500-count bottle of 1 mg lorazepam increased from $7.30 to $191.00
These two policies were Policy Number 3YM 851 972-01, effective dates July 1,
1991, to July 1, 1992, and Policy Number 3YM 851 972-02, effective dates July 1, 1992, to
September 1, 1993.
These were Policy Number 15CBP06156061-94, effective dates September 1, 1993,
to September 1, 1994, and Policy Number 15CBP06156061-95, effective dates September
1, 1994, to September 1, 1995.
These were Policy Number 0526-00-101388, effective dates September 1, 1995, to
September 1, 1996; Policy Number 0527-11-101388, effective dates September 1, 1996, to
September 1, 1997; Policy Number 0528-00-101388, effective dates September 1, 1997, to
September 1, 1998; Policy Number 0529-00-101388, effective dates September 1, 1998, to
September 1, 1999; Policy Number 0520-00-101388, effective dates September 1, 1999, to
September 1, 2000; Policy Number 0521-00-101388, effective dates September 1, 2000, to
September 1, 2001.
This is Policy Number 7966-70-27 with effective dates of September 1, 1997, to
September 1, 1998; September 1, 1998, to September 1, 1999, to September 1, 2000; and
September 1, 2001. The American Motorists and Continental polices at issue provide, in relevant part,
as follows: Wausau policy numbers 0526-00-101388 through 0520-00-101388 provide in
relevant part: Wausau policy number 0521-00-101388 provides in relevant part: Having determined that the claims of the plaintiffs in the underlying AWP litigation
fall outside of any coverage afforded by the relevant insurance policies, the circuit court
declined to address the issue raised by the appellees of whether the claims fall within any In Advertising Injury cases, the meaning of the term misappropriation generally
arises when courts are addressing the issue of whether the term refers only to the common
law tort of misappropriation which does not protect against injuries resulting from the
wrongful use of a trademark or whether the term applies more broadly to the wrongful
acquisition of any property. See State Auto Prop. and Cas. Ins. Co. v. Travelers Indem. Co.
of Am., 343 F.3d 249, 256 (4th Cir. 2003).
Mylan cites this Court's opinion in Lawyer Disciplinary Bd. v. Battistelli, 206 W.
Va. 197, 523 S.E.2d 257 (1999) to support its argument that a reasonable definition of
misappropriation is to misuse. However, our discussion in Battistelli concerned the
misappropriation of client funds by an attorney and not insurance policy language concerning
coverage for an Advertising Injury. Therefore, we do not find Battistelli instructive in the
instant case.
For the same reason, we find that the provision in the Wassau policy for coverage
of [t]he use of another's advertising idea in your 'advertisement' does not provide coverage
for the acts alleged in the underlying complaints.
This Court also seriously doubts that informing drug providers of the price spread
constitutes an advertising idea. [T]o be covered by the policy, allegations of . . .
misappropriation have to involve an advertising idea, not just a nonadvertising idea that is
made the subject of advertising. CAT Internet Serv. v. Providence Washington Ins., 333
F.3d 138, 142 (3rd Cir. 2003), quoting Green Machine Corporation v. Zurich - American
Insurance Group, 313 F.3d 837, 839 (3d.Cir. 2002). The mere publication to drug providers
of the price spread in the wholesale price of generic drugs does not constitute an advertising
idea. Moreover, there appears to be no allegation in the complaints below of an Advertising
Injury arising out of the wrongful taking or acquisition of an advertising idea. Instead, the
injury alleged arises from the paying of inflated average wholesale prices.
Federal's Coverage A excess liability coverage obligates Federal to defend suits only
if the applicable underlying insurance in the Wausau policies has been exhausted. Having
found that no provision in the Wausau policies cover the allegations in the AWP suits, only
Federal's Coverage B umbrella coverage is potentially implicated in this case. With regard to its dictionary definition, discrimination has come to mean primarily
unfair treatment based upon personal characteristics, generally immutable, such as race, age,
sex, nationality, or religion. For example, the 1990 edition of Black's Law Dictionary, which
appears to have been the current edition for a portion of the coverage period of the Federal
policy at issue herein, defined discrimination as: Federal can have no duty to defend Mylan in the AWP litigation under its Coverage
B Advertising Injury coverage for the same reasons that American Motorists, Continental,
and Waussau have no duty to defend under their Advertising Injury coverage discussed
above.
Apparently, Mylan alleged below that American Motorists and Continental had
coverage solely for the AWP Actions and that coverage existed solely under their
advertising injury coverage and not for personal injury, bodily injury, or any other
coverage.
Wausau policy number 0521-00-101388 defines Advertising Injury to include
injury arising out of use of another's advertising idea in your 'advertisement.' Mylan has
failed to show that there are any allegations in the L&C litigation that Mylan's fair pricing
campaign included the use of another's advertising idea.
In its brief to this Court, Mylan makes two other arguments that we feel compelled
to briefly address. First, Mylan states that the circuit court did not make findings of fact but
simply referenced facts that it deemed pertinent to its conclusions. According to Mylan, in
ignoring the fact allegations in the complaints below upon which Mylan relied, the circuit
court failed to determine if these facts could potentially give rise to coverage. We find this
argument to be invalid. The circuit court's 38-page order contained sufficient facts to
support its legal reasoning and to provide this Court with a meaningful review.
___________________
___________________
AMERICAN MOTORISTS INSURANCE CO., CONTINENTAL INSURANCE CO.,
Charles J. Crooks, Esq.
Jackson Kelly PLLC
Morgantown, West Virginia
and
David A. Gauntlett, Esq.
Pro hac vice
James A. Lowe, Esq.
Pro hac vice
Gauntlett & Associates
Irvine, California
Attorneys for Appellants
Marc E. Williams, Esq.
J. David Bolen, Esq.
Robert Edward Ryan, Esq.
Huddleston Bolen LLP
Huntington, West Virginia
Attorneys for Appellees American
Motorists Insurance Company and
Wausau Insurance Company
Ronald A. Rispo, Esq.
Pro hac vice
Randy L. Taylor, Esq.
Pro hac vice
Weston Hurd LLC
Cleveland, Ohio
Attorneys for Appellee Wausau
Insurance Company Robert B. Allen, Esq.
Pamela C. Deem, Esq.
Allen Guthrie & Thomas, PLLC
Charleston, West Virginia
and
Charles T. Blair, Esq.
Pro hac vice
Troutman & Sanders
Washington, D.C.
Attorneys for Appellee Continental
Insurance Company
Thomas V. Flaherty, Esq.
Flaherty, Sensabaugh & Bonasso
Charleston, West Virginia
and
Todd S. Schenk, Esq.
Pro hac vice
Marcos G. Cancio, Esq.
Pro hac vice
Amber Coisman, Esq.
Pro Hac Vice
Tressler, Soderstrom, Maloney & Priess
LLP
Chicago, Illinois
Attorneys for Federal Insurance
Company
JUSTICE McHUGH, deeming himself disqualified, did not participate in the decision
of this case.
JUDGE BEANE, sitting by temporary designation
The Opinion of the Court was delivered PER CURIAM.
1. Language in an insurance policy should be given its plain, ordinary
meaning. Syllabus Point 1, Soliva v. Shand, Morahan & Co., Inc., 176 W. Va. 430, 345
S.E.2d 33 (1986), overruled, in part, on other grounds by National Mut. Ins. Co. v. McMahon
& Sons, 177 W. Va. 734, 356 S.E.2d 488 (1987).
2. Where the provisions of an insurance policy contract are clear and
unambiguous they are not subject to judicial construction or interpretation, but full effect will
be given to the plain meaning intended. Syllabus, Keffer v. Prudential Ins. Co., 153 W. Va.
813, 172 S.E.2d 714 (1970).
3. Whenever the language of an insurance policy provision is reasonably
susceptible of two different meanings or is of such doubtful meaning that reasonable minds
might be uncertain or disagree as to its meaning, it is ambiguous. Syllabus Point 1, Prete v.
Merchants Property Ins. Co., 159 W. Va. 508, 223 S.E.2d 441 (1976).
4. The mere fact that parties do not agree to the construction of a contract
does not render it ambiguous. The question as to whether a contract is ambiguous is a
question of law to be determined by the court. Syllabus Point 1, Berkeley Co. Pub. Serv. v.
Vitro Corp., 152 W. Va. 252, 162 S.E.2d 189 (1968).
5. It is well settled law in West Virginia that ambiguous terms in insurance
contracts are to be strictly construed against the insurance company and in favor of the
insured. Syllabus Point 4, National Mut. Ins. Co. v. McMahon & Sons, 177 W. Va. 734, 356
S.E.2d 488 (1987), overruled on other grounds by Potesta v. U.S. Fidelity & Guaranty Co., 202 W. Va. 308, 504 S.E.2d 135 (1998).
6. [I]ncluded in the consideration of whether the insurer has a duty to
defend is whether the allegations in the complaint . . . are reasonably susceptible of an
interpretation that the claim may be covered by the terms of the insurance policies. Syllabus
Point 3, in part, Bruceton Bank v. U.S. Fid. and Guar. Ins., 199 W. Va. 548, 486 S.E.2d 19
(1997).
Per Curiam:
The appellants herein, Mylan Laboratories Inc., Mylan Pharmaceuticals Inc.,
and UDL Laboratories Inc. (hereinafter collectively referred to as Mylan), appeal the
February 8, 2007 order of the Circuit Court of Monongalia County that held that the appellee
insurance companies, American Motorists Insurance Co., Continental Insurance Co., Wausau
Insurance Co., and Federal Insurance Co., have no duty to defend Mylan in certain civil
actions brought against it. After careful consideration of the record, the parties' arguments,
and the applicable law, this Court affirms the circuit court's order.
Mylan, a manufacturer of generic drugs, was named a defendant in lawsuits
brought in several states. These lawsuits can be divided into two classes: average wholesale
price litigation (hereinafter referred to as AWP litigation), and Lorazepam and Clorazepate
litigation (hereinafter referred to as L&C litigation).
The AWP litigation relates to the average wholesale price of prescription drugs
manufactured, marketed, and sold by Mylan. Basically, physicians and other providers of
drugs are reimbursed by Medicare and other third-party payors based on the average
wholesale price of the drug. Manufacturers periodically report the average wholesale price
of drugs to publishers who list the prices as reported to them by the manufacturers.
The AWP litigation alleges that Mylan and others engaged in a scheme to
fraudulently manipulate the average wholesale price of its drugs. As part of this scheme,
Mylan reported inflated average wholesale drug prices which materially misrepresented the
actual prices paid to Mylan for prescription drugs by drug providers such as hospitals,
pharmacies, and physicians. As a result, drug providers were reimbursed significantly more
money than they actually paid for Mylan-manufactured drugs. Moreover, Mylan used this
scheme as a marketing ploy. Specifically, Mylan advertised the difference or spread in
prices as a reason why those in the distribution chain should sell its drugs, a practice known
as marketing the spread. In this way, Mylan increased its share of the generic drug market.
The plaintiffs in the AWP cases are patients who were prescribed Mylan-
manufactured drugs, third-party payors, states, and counties responsible for reimbursing drug
providers based on the reported average wholesale price of Mylan-manufactured drugs. (See footnote 1) As
of the date of the oral argument of this case before this Court, the AWP litigation was
pending.
The second class of lawsuits in which Mylan was involved was the L&C
litigation. These lawsuits originally were brought by the Federal Trade Commission in
December based on alleged antitrust violations of Section 5(a) of the Federal Trade
Commission Act. This litigation alleges that Mylan acquired an exclusive licensing
agreement with the company which supplied the active pharmaceutical ingredients for two
generic drugs manufactured by Mylan: Lorazepam and Clorazepate. The exclusive
agreements prohibited the suppliers from selling these active pharmaceutical ingredients to
any other generic drug manufacturer for a period of 10 years. Despite no significant increase
in costs, the price charged by Mylan for Lorazepam and Clorazepate increased dramatically.
Depending upon the size of the bottle, the price for Clorazepate increased by amounts ranging
from 1,900 percent to 3,200 percent. (See footnote 2) The price for Lorazepam tablets increased 1,900
percent to 2,600 percent. (See footnote 3)
The Federal Trade Commission litigation alleged eight causes of action against
Mylan: (1) agreement in restraint of trade on Lorazepam; (2) agreement in restraint of trade
on Clorazepate; (3) conspiracy to monopolize generic Lorazepam tablets market; (4)
conspiracy to monopolize generic Clorazepate tablets market; (5) monopolization of generic
Lorazepam tablets market; (6) attempted monopolization of generic Lorazepam tablets
market; (7) monopolization of generic Clorazepate tablets market; and (8) attempted
monopolization of generic Clorazepate tablets market. The original Federal Trade
Commission complaint alleged in part that,
As a result of these substantial and unprecedented price
increases for lorazepam and clorazepate tablets, many purchasers,
including pharmacies, hospitals, insurers, managed care
organizations, wholesalers, government agencies, and others,
have paid substantially higher prices. Moreover, some patients
have stopped taking lorazepam and clorazepate tablets altogether,
or been forced to reduce the quantity they take, because they can
not afford them.
Subsequently, thirty-two states jointly filed suit against Mylan and other
defendants in a suite alleging violations of each state's anti-trust laws. Several third-party
payors filed similar actions against Mylan. A global settlement was reached in most of these
cases wherein Mylan agreed to pay over $135 million. Two groups of plaintiffs opted out of
the settlement and a verdict was rendered against Mylan in the amount of $12 million.
The appellees herein are four insurance companies from whom Mylan
purchased insurance polices. Specifically, American Motorists Insurance Company issued
two policies to Mylan which were characterized by the circuit court as general liability
policies with limits of $1 million. (See footnote 4) Continental Insurance Company issued two insurance
policies to Mylan which were characterized by the circuit court as general liability policies
with limits of $1 million. (See footnote 5) Wausau Insurance Company issued six policies to Mylan which
were characterized by the circuit court as general liability policies of $1 million. (See footnote 6) Finally,
Federal Insurance Company issued an insurance policy to Mylan which the circuit court
characterized as an umbrella policy with limits of liability of $10 million in excess of $1
million during the policy term of September 1, 1997 to September 1, 1998, with the policy
limits on the later issued policy of $20 million in excess of $1 million. (See footnote 7)
The appellee insurance companies filed a declaratory judgment action in the
Circuit Court of Monongalia County seeking a determination whether they have a duty to
defend Mylan in the above-described litigation. Both Mylan and the appellees filed motions
for summary judgment. By order dated February 8, 2007, the circuit court granted the
appellees' motions for summary judgment and denied Mylan's motions for summary
judgment. Mylan now appeals this order.
The circuit court's order on appeal is a grant of summary judgment in a
declaratory judgment. Also, the circuit court's order is based on its construction of the
language in certain insurance policies. Therefore, this Court's standard of review in this case
is de novo. See Syllabus Point 3, Cox v. Amick, 195 W. Va. 608, 466 S.E.2d 459 (1995)
(holding that [a] circuit court's entry of a declaratory judgment is reviewed de novo.);
Syllabus Point 1, Painter v. Peavy, 192 W. Va. 189, 451 S.E.2d 755 (1994) (holding that [a]
circuit court's entry of summary judgment is reviewed de novo.); Syllabus Point 2, Riffe v.
Home Finders Associates , Inc., 205 W. Va. 216, 517 S.E.2d 313 (1999) (holding that[t]he
interpretation of an insurance contract, including the question of whether the contract is
ambiguous, is a legal determination that, like a lower court's grant of summary judgment,
shall be reviewed de novo on appeal.).
In its February 8, 2007 order that granted summary judgment to the appellees,
the circuit court first found that the underlying actions in the AWP litigation do not allege an
advertising injury or the use of another's advertising idea as defined in the American
Motorists, Continental, and Wausau policies. Thus, no coverage is triggered by the policies
at issue and the appellees have no duty to defend Mylan in these actions.
The American Motorists, Continental, and Wausau policies all provide that they
will defend suits alleging an Advertising Injury. The American Motorists and Continental
Policies define Advertising Injury to include injury arising out of the misappropriation of
advertising ideas or style of doing business. (See footnote 8) Wausau policy numbers 0526-00-101388
through 0520-00-101388 define Advertising Injury to include injury arising out of the
misappropriation of advertising ideas. (See footnote 9) Wausau policy number 0521-00-101388 defines
Advertising Injury to include injury arising out of use of another's advertising idea in your
advertisement. (See footnote 10)
In its summary judgment order, the circuit court determined, inter alia, that in
order to trigger the duty to defend, the plaintiff's allegations of misappropriation have to
involve the wrongful taking of the advertising idea or style of doing business of another.
Upon examining the complaints in the underlying AWP litigation, the circuit court concluded
that no such allegations were made. (See footnote
11)
Mylan, in its brief to this Court, argues that the term misappropriation is
ambiguous because it is susceptible of more than one meaning. According to Mylan, case law
and dictionary definitions support the construction of the term misappropriation to include
misuse. Therefore, concludes Mylan, the policy language at issue does not require that the
advertising idea misappropriated be owned by another, but only that Mylan misused an
advertising idea.
With regard to the general principles of construing the provisions of an
insurance policy, this Court has indicated that [l]anguage in an insurance policy should be
given its plain, ordinary meaning. Syllabus Point 1, Soliva v. Shand, Morahan & Co., Inc., 176 W. Va. 430, 345 S.E.2d 33 (1986), overruled, in part, on other grounds by National Mut.
Ins. Co. v. McMahon & Sons, 177 W. Va. 734, 356 S.E.2d 488 (1987). Where the provisions
of an insurance policy contract are clear and unambiguous they are not subject to judicial
construction or interpretation, but full effect will be given to the plain meaning intended.
Syllabus, Keffer v. Prudential Ins. Co., 153 W. Va. 813, 172 S.E.2d 714 (1970). Concerning
whether terms in an insurance policy are ambiguous, this Court has explained that
[w]henever the language of an insurance policy provision is reasonably susceptible of two
different meanings or is of such doubtful meaning that reasonable minds might be uncertain
or disagree as to its meaning, it is ambiguous. Syllabus Point 1, Prete v. Merchants Property
Ins. Co., 159 W. Va. 508, 223 S.E.2d 441 (1976). However, [t]he mere fact that parties do
not agree to the construction of a contract does not render it ambiguous. The question as to
whether a contract is ambiguous is a question of law to be determined by the court. Syllabus
Point 1, Berkeley Co. Pub. Serv. v. Vitro Corp., 152 W. Va. 252, 162 S.E.2d 189 (1968). If
a court determines that a policy provision is ambiguous, [i]t is well settled law in West
Virginia that ambiguous terms in insurance contracts are to be strictly construed against the
insurance company and in favor of the insured. Syllabus Point 4, National Mut. Ins. Co. v.
McMahon & Sons, 177 W. Va. 734, 356 S.E.2d 488 (1987), overruled on other grounds by
Potesta v. U.S. Fidelity & Guaranty Co., 202 W. Va. 308, 504 S.E.2d 135 (1998). Finally,
included in the consideration of whether the insurer has a duty to defend is whether the
allegations in the complaint . . . are reasonably susceptible of an interpretation that the claim
may be covered by the terms of the insurance policies. Syllabus Point 3, in part, Bruceton
Bank v. U.S. Fid. and Guar. Ins., 199 W. Va. 548, 486 S.E.2d 19 (1997).
This Court has carefully considered all of the case law cited to us by the parties.
After considering the arguments of the parties and supporting authority, this Court finds that
the term misappropriation as used in the Advertising Injury context ordinarily means to
take or acquire wrongfully. Several courts have reached this conclusion in Advertising
Injury cases. (See footnote 12) See State Auto Property and Cas. v. Trav. Indem. Co., 343 F.3d 249, 257 (4th Cir. 2003) (the term 'misappropriation' . . . refers generally to the wrongful acquisition of
property); American Employ. Ins. Co. v. DeLorme Pub. Co., 39 F.Supp.2d 64, 77 (D.Me.
1999) (The ordinary meaning of 'misappropriate' is not ambiguous or unclear. It means '[t]o
appropriate wrongly;' that is to wrongfully 'take or make use of without authority or right.' Citing Webster's New Collegiate Dictionary, 98, 758 (9th ed. 1987)); American Economy Ins.
Co. v. Reboans, Inc., 852 F.Supp. 875, 881 (N.D.Cal. 1994) (the word 'misappropriation'
in its ordinary and popular sense [is] . . . a synonym for 'to take wrongfully.' American
States Ins. Co. v. Vortherms, 5 S.W.3d 538, 543 (Mo.Ct.App. 1999) (a misappropriation of
an advertising idea involves the wrongful taking of another's manner of advertising (citation
omitted)); Fluoroware, v. Chubb Group of Ins. Companies., 545 N.W.2d 678, 682
(Minn.Ct.App. 1996) ('misappropriation of advertising ideas' has been defined as the
wrongful taking of another's manner of advertising). (See footnote 13)
Having concluded that the ordinary meaning of the term misappropriation is
to take or acquire wrongfully, this Court must next determine whether the allegations in the
AWP complaints are reasonably susceptible of an interpretation that the claim may be covered
by the terms of the insurance policies. The allegations in the AWP litigation are that once
Mylan created the spread in average wholesale prices, it marketed the spread to drug providers
in order to give them an incentive to sell Mylan-manufactured drugs. We conclude that these
allegations are not reasonably susceptible of an interpretation that they may be covered by an
insurance policy providing coverage for misappropriating another party's advertising idea or
style of doing business. (See footnote 14) For this reason, we affirm the circuit court's grant of summary
judgment on this issue. (See footnote 15)
Second, Mylan assigns error in the circuit court's conclusion that the claims in
the AWP litigation do not allege personal injury or discrimination, and, therefore, the duty to
defend is not triggered under Federal's Umbrella Policy.
Coverage B of the Federal policy provides, in relevant part, that Federal will
defend any suit alleging Personal Injury. (See footnote 16) The policy defines Personal Injury as follows:
1.
false arrest, detention or imprisonment;
2.
malicious prosecution;
3.
the wrongful eviction from, wrongful entry into, invasion
of the right of private occupancy of a room, dwelling or
premises that a person or persons occupy, by or on behalf
of its owner, landlord or lessor;
4.
oral or written publication of material that slanders or
libels a person or organization;
5.
oral or written publication of material that violates a
person's right of privacy, or
6.
discrimination (unless insurance thereof is prohibited by
law).
Even if the Court were to adopt the reasoning of Federal
Ins. Co. v. Strohs Brewing Co., 127 F.3d 563 (7th Cir. (Ind.) 1997),
as urged by Mylan, the AWP claims do not allege price
discrimination because claimants in the underlying suits are not
entities that would purchase Mylan products. Rather, the AWP
claims allege fraud regarding the excessive funds Medicare,
Medicaid, and third-party payors reimbursed to medical providers
and pharmacies based on Mylan's alleged artificially inflated
AWP listing.
It is Mylan's position that the term discrimination is ambiguous in that it is
reasonably susceptible to more than one meaning. Consequently, says Mylan, the term should
be construed against Federal. Mylan further asserts that a reasonable construction of the term
discrimination is economic or price discrimination. According to Mylan, the AWP
complaints below expressly allege that Mylan charged some drug providers lower prices than
others. Mylan therefore concludes that the term Discrimination in the Federal policies
should be read as providing coverage for economic discrimination as alleged in the underlying
AWP complaints.
In support of its argument, Mylan relies primarily on the case of Federal Ins. Co.
v. Stroh Brewing Co., 127 F.3d 563 (7th Cir. 1997). In Stroh Brewing, G. Heileman Brewery
Company, Inc. purchased an umbrella business liability insurance policy from Federal
Insurance Company. Subsequently, a wholesale beer distributor sued Heileman for alleged
discrimination based on Heileman's pricing practices. One issue in the case was the
applicability of the term discrimination under the definition of personal injury in the
Federal policy. The definition of personal injury read as follows:
a. false arrest, false imprisonment, wrongful eviction,
wrongful entry, wrongful detention or malicious prosecution;
b. libel, slander, defamation of character, or invasion of
the rights of privacy, unless arising out of advertising activities;
c. humiliation or discrimination. . . .
127 F.3d at 570 n. 11. In finding that the term discrimination in the Federal policy applied
to price discrimination allegations, the court cited several cases in which the term
discrimination was found to refer generally to differential treatment. The court also cited
the 1990 edition of Black's Law Dictionary which defined discrimination to mean price
discrimination. The court then concluded:
In its decision below, the circuit court relied upon the case of USX Corp. v.
Adriatic Insurance Co., supra, affirmed by 345 F.3d 190 (3rd Cir. 2003). In USX, the plaintiffs
advanced the theory that the term discrimination in an insurance policy should be construed
to encompass economic and price discrimination. In rejecting this construction, the USX court
explained:
After careful consideration of the authorities cited above, we find the reasoning
of the court in USX to be persuasive. It is a fundamental rule of construction that in
accordance with the maxim 'noscitur a sociis' the meaning of a word or phrase may be
ascertained by reference to the meaning of other words or phrases with which it is associated. Wolfe v. Forbes, et al., 159 W. Va. 34, 44, 217 S.E.2d 899, 905 (1975) (citing 17 M.J. Statutes
§ 63 (1951) (other internal citations omitted). Similar to the policy language in the USX case,
the term personal injury in the Federal policies is defined by offenses against the liberty,
emotional well-being, reputation, or peaceful possession of property of the plaintiff as opposed
to economic injury. These offenses include false arrest; malicious prosecution; wrongful
eviction from, entry into, or invasion of the right of occupancy of one's property; slander and
libel; and violation of the right of privacy. In this context, the term discrimination ordinarily
would be understood to mean the type of discrimination based on personal characteristics
actionable under federal Title VII or the State Human Rights Act. Even the court in Stroh
Brewing Co. acknowledged that the term discrimination ordinarily is perceived to refer to
discrimination based on an individual's personal characteristic:
127 F.3d at 564. Finally, we believe that it is significant that the term discrimination appears
in the personal injury section of the Federal policy. Given this fact, it is difficult for this
Court to believe that Mylan reasonably believed when it purchased the Federal policies that
it was purchasing coverage for injuries arising from the marketing of a fraudulent pricing
scheme. (See footnote 17)
Mylan also relies for support on the fact that Federal subsequently issued a policy
in which it limited the definition of discrimination to personal characteristics. According
to Mylan, this indicates that Federal could have adopted the language limiting the term
discrimination earlier had it chosen to do so. Mylan asserts that Federal should not now ask
this Court to rewrite the policy language at issue. We do not find this argument to be
persuasive. Federal asserts in its brief that it implemented the policy revision after, and in
direct response to, the court's holding in Stroh Brewing Co. According to Federal, if, as Mylan
suggests, Federal had intended to cover economic discrimination, it would not have revised its
policy language after the Stroh Brewing decision expanded the scope of coverage to encompass
economic discrimination.
In addition, Mylan argues that the court's reasoning in USX Corp. is inapposite
to the instant facts because unlike the policies in USX Corp. the Federal polices in this case do
not join the term discrimination with humiliation under the definition of Personal Injury,
which was integral to the court's rationale in USX Corp. We disagree. Despite the absence
of the term humiliation in the Federal policy, the fact remains that the other definitions of
personal injury in the Federal policy all denote offenses against the liberty, emotional well-
being, reputation, or peaceful possession of property of the individual. Again, this indicates
to this Court that the term Discrimination should be given its ordinary meaning of referring
to the offense of discriminating against an individual based on the individual's personal
characteristics.
Mylan further contends that the fact that courts have disagreed about the meaning
of the word discrimination in insurance policies indicates that the term is ambiguous. In
support of this contention, Mylan cites a footnote from this Court's opinion in Murray v. State
Farm Fire and Cas. Co., 203 W. Va. 477, 509 S.E.2d 1 (1998), in which this Court indicated
that [a] provision in an insurance policy may be deemed to be ambiguous if courts in other
jurisdictions have interpreted the provision in different ways. This rule is based on the
understanding that 'one cannot expect a mere layman to understand the meaning of a clause
respecting the meaning of which fine judicial minds are at variance.' 203 W. Va. at 485 n. 5,
509 S.E.2d at 9 n. 5, (citing C. Marvel, Division of Opinion Among Judges on Same Court or
Among Other Courts or Jurisdictions Considering Same Question, As Evidence That
Particular Clause of Insurance Policy is Ambiguous, 4 A.L.R.4th 1253, § 2[a] (1981)).
Mylan's reliance on a footnote is misplaced. This Court has held that [N]ew points of law
. . . will be articulated through syllabus points as required by our state constitution. Syllabus
Point 2, in part, Walker v. Doe, 210 W. Va. 490, 558 S.E.2d 290 (2001). Also, language in
a footnote generally should be considered obiter dicta which, by definition, is language
'unnecessary to the decision in the case and therefore not precedential.' State ex rel. Medical
Assurance v. Recht, 213 W. Va. 457, 471, 583 S.E.2d 80, 94 (2003) (citing Black's Law
Dictionary 1100 (7th ed. 1999).
Based on the above, we conclude that the term discrimination as used in the
Federal policy is not ambiguous. To the contrary, the term ordinarily means differential
treatment based on a personal characteristic, generally immutable, such as race, age, sex,
nationality, religion, or disability. Having so concluded, this Court must next determine
whether the allegations in the AWP litigation are reasonably susceptible of an interpretation
that the claims may be covered by the term Discrimination in the Federal policies. We find
that they are not. While there are claims that some drug providers may have been sold drugs
at a lower price than others, there are no allegations that this difference in treatment was based
on race, age, sex, nationality, religion, or disability. Therefore, we affirm the circuit court's
grant of summary judgment on this issue. (See footnote 18)
In its third assignment of error, Mylan challenges the circuit court's finding that
coverage for an advertising injury or bodily injury under the Waussau policies is
inapplicable to this case, and thus Wassau had no duty to defend Mylan in the L&C litigation. (See footnote 19) As noted above, Wausau policies 0526-00-101388 through 0520-00-101388 define
Advertising Injury to include injury arising out of the misappropriation of advertising
ideas. (See footnote 20) Mylan notes that in the L&C litigation below, it was alleged that Mylan initiated a
Campaign for Fair Pharmaceutical Competition in order to confront criticism over and
explain the profits it was making from its price increases for Lorazepam and Clorazepate.
According to Mylan, the allegation in the complaints with regard to its fair pricing campaign
triggered potential insurance coverage under the same advertising injury offenses at issue
in the AWP actions. Mylan further avers that its fair pricing campaign is an advertising concept
that falls within the offense of misappropriation of an advertising idea which should be
understood to include the misuse of an idea related to the promotion of a product to the public.
We reject Mylan's argument. This Court found above that the term
misappropriation ordinarily means to take or acquire wrongfully. The allegations in the
L&C litigation that Mylan conducted a Campaign for Fair Pharmaceutical Competition to
confront criticism over the profits it was reaping from its price increases for Lorazepam and
Clorazepate is not susceptible of an interpretation that the claim may be covered for
misappropriating another party's advertising idea. Accordingly, we affirm the circuit court's
grant of summary judgment on this issue.
Next, Mylan opines that the circuit court erred in finding that Waussau has no
duty to defend Mylan in the L&C litigation for damages arising from a bodily injury under
the Waussau policies. The term bodily injury is defined in Waussau policy numbers 0526-
00-101388 through 0521-00-101388 as bodily injury, sickness or disease sustained by a
person, including death resulting from any of these at any time.
Depriving consumers of access to needed pharmaceuticals and
thereby injurying their health. (Footnotes omitted).
In finding that claims against Mylan in the L&C litigation are susceptible of
being covered by an insurance policy providing coverage for bodily injury, the circuit court
found that bodily injury is not alleged in the L&C litigation:
Finally, Mylan asserts error in the circuit court's finding that the underlying
claims in the L&C litigation do not allege personal injury or discrimination, and thus the duty
to defend Mylan is not triggered under Federal's Umbrella policy. Mylan argues that for the
reasons previously asserted in its discussion of the AWP actions, coverage for discrimination
includes forms of disparate treatment like economic discrimination. Specifically, the
allegations in the L&C actions implicate coverage for discrimination in that plaintiffs paid
too much for only two drugs, Lorazepam and Clorazepate. Mylan allegedly selected these
drugs because they are used to treat patients with chronic medical conditions, thus requiring
long-term use, as opposed to drugs used to treat short-term conditions. According to Mylan,
its alleged focus on L&C drugs, out of all other drugs, was discriminatory.
As this Court concluded above, the term discrimination included under the
definition of personal injury in Coverage B of the Federal umbrella policies ordinarily means
differential treatment based on a personal characteristic, generally immutable, such as race,
age, sex, nationality, religion, or disability. Mylan has failed to show that there are allegations
in the complaints in the L&C litigation that are reasonably susceptible of an interpretation that
the claims may be covered as a personal injury under the definition of that term in the
Federal umbrella policy. For this reason, this Court affirms the circuit court's grant of
summary judgment on this issue. (See footnote 21)
For the reasons set forth above, this Court affirms the February 8, 2007 order of
the Circuit Court of Monongalia County which ruled that American Motorists, Continental,
Waussau, and Federal have no duty to defend Mylan, pursuant to certain insurance policies,
in the underlying AWP and L&C litigation.
Affirmed.
First, defendants sell their drugs in a unique manner which hides
the true price of their drugs. This scheme works as follows.
Upon agreeing on a quantity and price of a drug with a provider,
or group of providers, the defendants purport to sell the agreed-
upon drugs to wholesalers with whom they have a contractual
arrangement, at the WAC [wholesale acquisition cost] price.
The WAC may be, and usually is, higher than the price agreed
upon by the provider and the drug manufacturer. The
wholesaler then ships the product to the provider, charging the
provider the (lower) price originally agreed upon by the drug
manufacturers and the provider. When the wholesaler receives
payment from the provider, it charges the manufacturers the
price for handling and any applicable rebates and discounts, and
sends a bill to the manufacturer, called a charge-back, for the
difference between the WAC and the price actually paid by the
provider. These charge-backs (or shelf adjustments, or other
economic inducements) are kept secret, so that it appears that
the wholesaler actually purchased the drug at the higher WAC
price. The effect of this practice is to create the impression that
the wholesale price of the drug is higher than it really is.
Second, defendants further inhibit the ability of Illinois and
other ultimate purchasers to learn the true cost of their drugs by
insisting upon confidentiality provisions in their sales
agreements with providers, terming them trade secrets and
proprietary, to preclude providers from disclosing to others the
prices they paid.
Third, defendants further obscure the true prices for their drugs
with their policy of treating different purchasers differently.
Thus, for the same drug, pharmacies are given one price,
hospitals another, and doctors yet another.
Fourth, at least some defendants have hidden their real drug
prices by providing free drugs and phony grants to providers as
a means of discounting the overall price of their drugs[.]
b b. This insurance applies to:
(1) . . .
(2) Advertising Injury caused by an offense committed
in the course of advertising your goods, products or services;
but only if the offense was committed in the coverage territory
during the policy period.
* * *
Advertising injury means injury arising out of one or more of
the following offenses:
c a. Oral or written publication of material that slanders or
libels a person or organization or disparages a person's
or organization's goods, products, or services;
d b. Oral or written publication of material that violates a
person's right of privacy;
e c. Misappropriation of advertising ideas or style of doing
business; or
f d. Infringement of copyright, title or slogan.
As noted above, the issue in this case concerns whether Mylan is alleged in the AWP
litigation to have misappropriated advertising ideas or style of doing business.
7 1. Advertising injury means injury, other than bodily
injury or property damage or personal injury,
arising out of one or more of the following offenses
committed in the course of your advertising activities:
a. Oral or written publication of material that
slanders or libels a person or organization or
disparages a person's or organization's goods,
products, or services;
b. Oral or written publication of material that
violates a person's right of privacy;
c. Misappropriation of advertising ideas; or
d. Infringement of copyright, title or slogan.
1. Personal and advertising injury means injury, including
consequential bodily injury, arising out of one or more
of the following offenses:
a. False arrest, detention or imprisonment;
b. Malicious prosecution;
c. The wrongful eviction from, wrongful entry into,
or invasion of the right to private occupancy of a
room, dwelling, or premises that a person
occupies by or on behalf of its owner, landlord or
lessor;
d. Oral or written publication of material that
slanders or libels a person or organization or
disparages a person's or organization's goods,
products, or services;
e. Oral or written publication of material that
violates a person's right of privacy;
f. The use of another's advertising idea in your
advertisement; or
g. Infringing upon another's copyright, trade dress
or slogan in you advertisement.
named exclusions provided for in the policies.
In addition, Federal can have no duty to defend Mylan in the underlying AWP
litigation under the Coverage B Advertising Injury coverage for the same reasons that
American Motorists, Continental, and Waussau have no duty to defend under the
Advertising Injury coverage in their respective policies. Therefore, only the Personal
Injury coverage in Federal's Coverage B is potentially implicated with regard to Federal's
duty to defend.
In constitutional law, the effect of a statute or established
practice which confers particular privileges on a class arbitrarily
selected from a large number of persons, all of whom stand in
the same relation to the privileges granted and between whom
and those not favored no reasonable distinction can be found. Unfair treatment or denial of normal privileges to persons
because of their race, age, sex, nationality or religion. A failure
to treat all persons equally where no reasonable distinction can
be found between those favored and those not favored.
Black's Law Dictionary 467 (6th ed. 1990) (emphasis added and citation omitted).
The 1999 edition of the dictionary, which appears to have been the current edition for
a portion of the coverage period of the subject Federal policies, had as its first definition of
discrimination, [t]he effect of or established practice that confers privileges on a certain
class or that denies privileges to a certain class because of race, age, sex, nationality, religion,
or handicap. Black's Law Dictionary 479 (7th ed. 1999). This is also the first definition in
the most recent edition of the dictionary except that the term handicap is replaced with the
term disability. See Black's Law Dictionary 534 (9th ed. 2009).
Second, Mylan posits that any dispute as to whether the factual allegations are within
coverage alone compels a defense. For this proposition, Mylan cites American Cyanamid
Co. v. American Home Assur. Co., 30 Cal.App.4th 969, 975, 35 Cal.Rptr.2d 920, 923 (1994)
(If the parties dispute whether the insured's alleged misconduct is potentially within the
policy coverage . . . 'the duty to defend is then established[.]'). However, this is not the law
of this Court. Rather, before a duty to defend arises, the allegations in the complaint must
be reasonably susceptible of an interpretation that the claim may be covered by the terms of
the insurance policy. Bruceton Bank v. U.S. Fid. and Guar. Inc., supra.