Peerless Insurance Company v. Technology Insurance Company, Inc.
2:18-cv-01553
E.D.N.YOct 21, 2019Background
- Insurers Peerless and Technology both provided identical Coverages A (bodily injury/property damage) and B (personal/advertising injury) and identical Coverage C (medical payments) to insured Amelia Associates; court previously held they are co-primary for overlapping coverage.
- Peerless paid $15,000 in medical expenses to claimant Kathleen Mich on September 22, 2014, more than two years before Mich sued Amelia (suit filed Feb. 17, 2017).
- Coverage A/B require the insured be "legally obligated to pay as damages" (indemnity typically attaches upon judgment or binding settlement); Coverage C pays medical expenses regardless of fault subject to policy preconditions.
- Technology argued the $15,000 payment did not trigger Coverage A/B because no judgment or settlement existed when Peerless paid; Peerless argued the payment should be shared under the co-primary obligation.
- The court found the payment was not covered by Coverages A/B but did satisfy Coverage C’s preconditions; because both insurers are co-primary for Coverage C, Technology must share the medical expense.
- Technology’s Coverage C has a $5,000 medical expense limit; the court ordered Technology to reimburse Peerless $5,000 plus pre-judgment interest and to pay 50% of the remaining $7,821 defense/indemnity costs plus interest.
Issues
| Issue | Plaintiff's Argument (Peerless) | Defendant's Argument (Technology) | Held |
|---|---|---|---|
| Whether the $15,000 medical payment is covered under Coverages A/B ("legally obligated to pay as damages"). | Peerless contends the payment relates to the underlying claim and falls within co-primary obligations. | Technology argues no legal obligation existed when payment was made (no judgment/settlement/litigation threat), so A/B do not apply. | Not covered under A/B — insurer liability attaches on judgment/settlement; Peerless paid before any legal obligation. |
| Whether Coverage C (medical payments) applies and amount Technology must reimburse. | Peerless argues Coverage C applies (medical expense policy regardless of fault) and Technology must share the $15,000. | Technology disputes applicability/limits but does not show Coverage C preconditions unmet; contends its policy limit applies. | Coverage C applies; Technology must reimburse Peerless $5,000 (policy Medical Expense Limit) plus pre-judgment interest and 50% of the remaining $7,821 defense/indemnity costs plus interest. |
Key Cases Cited
- M & M Elec., Inc. v. Commercial Union Ins. Co., 241 A.D.2d 58 (discussing that insurer duty to indemnify attaches upon establishment of legal liability)
- State Farm Mut. Auto. Ins. Co. v. Westlake, 35 N.Y.2d 587 (liability of insurer attaches when there is a final judgment against the insured)
- Caruso v. Northeast Emergency Med. Assocs., 54 A.D.3d 524 (settlement can establish legal obligation for indemnity)
- Westchester Fire Ins. Co. v. Utica First Ins. Co., 40 A.D.3d 978 (insurer duty to indemnify requires establishment of legal liability)
- Nat’l Cas. Co. v. Vigilant Ins. Co., 466 F. Supp. 2d 533 (where two policies provide primary coverage for same risk, each shares in expenses)
