Illinois Union Insurance v. NRI Construction Inc.
846 F. Supp. 2d 1366
N.D. Ga.2012Background
- Plaintiff Illinois Union filed a declaratory judgment action seeking a declaration of no duty to defend/indemnify under a CGL policy issued to NRI Construction, Inc. (later assets acquired by NRI of Delaware)
- Policy year May 6, 2007–May 6, 2008 included a notice provision requiring prompt notice of occurrences that may give rise to a claim; occurrence defined as an accident
- In April 2008, Alonzo, a worker for a subcontractor, allegedly fell eight feet from a ladder on a project in Hattfield, PA; NRI did not notify Illinois Union at the time and later learned of the incident
- Alonzo filed an underlying action in PA in January 2010; Illinois Union began investigating after notice from NRI of Georgia in February 2010
- Illinois Union sent a reservation of rights (ROR) letter on the same day to the most senior NRI contacts, noting rights to withdraw from defense and seek recoupment
- The court later granted Illinois Union’s summary judgment on coverage and denied as moot Illinois Union’s default-judgment motion as to Alonzo; ordered expenses to be sought within 20 days
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether NRI of Georgia failed to provide timely notice, breaching the policy condition | NRI of Georgia delayed nearly two years despite knowledge of incident | Delay was reasonable because Alonzo may have been covered by workers’ compensation | Yes, delay unreasonable as a matter of law |
| Validity and effect of the reservation of rights letter | ROR was timely, explicit, and properly directed; consent implied by defense | ROR sent to former employees; no effective notice to NRI of Georgia | ROR valid; implied consent by accepting defense; permits cost recoupment |
| Right to recoup defense costs when insurer had no duty to defend | Insurer entitled to recoupment under quasi-contract/implied in fact contract theory | No such right unless policy expressly permits; would alter contract terms | Majority Georgia approach adopted; Illinois Union entitled to recoupment of defense costs |
| Effect of default as to Alonzo on the merits of coverage | Res judicata not at issue; default would not affect merits | Default judgment denied as moot; merits resolved on summary judgment |
Key Cases Cited
- United Nat’l Ins. Co. v. SST Fitness Corp., 309 F.3d 914 (6th Cir. 2002) (reservation of rights and implied in fact contract theory for cost recoupment)
- Colony Insurance Co. v. G & E Tires & Service, Inc., 77 So.2d 1039 (Fla. 2000) (reimbursement under reservation of rights when insured accepts defense)
- Cincinnati Ins. Co. v. Grand Pointe, LLC, 501 F. Supp. 2d 1145 (E.D. Tenn. 2007) (quasi-contract/implied assurance when insurer defends under reservation of rights)
- Terra Nova Ins. Co. v. 900 Bar, Inc., 887 F.2d 1213 (3d Cir. 1989) (insurer defense under reservation of rights; unjust enrichment concerns)
- Gen. Agents Ins. Co. of Am., Inc. v. Midwest Sporting Goods Co., 215 Ill. 2d 146, 828 N.E.2d 1092 (Ill. 2005) ( Illinois Supreme Court on reimbursement under reservation of rights)
- Jacore Systems, Inc. v. Central Mut. Ins. Co., 194 Ga. App. 512, 390 S.E.2d 876 (Ga. App. 1990) (consent implied when insured accepts defense under reservation of rights)
- State Farm, etc., Ins. Co. v. Anderson, 104 Ga. App. 815, 123 S.E.2d 191 (Ga. App. 1961) (consent implied for reservation of rights)
- State Farm Fire and Casualty Co. v. Walnut Avenue Partners, 296 Ga. App. 648, 675 S.E.2d 534 (Ga. App. 2009) (unilateral reservation of rights allowed; implied consent)
- Sierra Contracting Corp. v. Illinois Union Ins. Co., 744 F. Supp. 2d 1349 (N.D. Ga. 2010) (precedent on notice under Georgia law)
