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941 F. Supp. 2d 1029
D. Minnesota
2013
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Background

  • UnitedHealth sued ten insurers to determine which must indemnify or cover defense costs for dozens of claims (Dec 1998–Dec 2000).
  • Only four excess insurers remain: Executive Risk, First Specialty, Starr, National Union; Lexington’s policy exhausted and settlements with five excess insurers occurred.
  • Motions for summary judgment addressing allocation of the AMA/Malchow settlement, ultimate net loss definitions, and whether Antitrust Endorsement is incorporated.
  • Court held United bears allocation burden; Items 1–9 are exclusions (not conditions); First Specialty’s policy may not incorporate Executive Risk’s UNL definition.
  • National Union’s strict timing issue was resolved in favor of National Union; AMA claim denied under its policy; cross-motions on Antitrust Endorsement incorporation denied.
  • Court emphasized Miller-Shugart framework limited to Miller-Shugart contexts; AMA/Malchow settlement allocation remains a fact-intensive issue with following precedents (SCSC Corp., etc.).

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Burden of allocation for AMA/Malchow settlement United bears allocation burden; insurers should prove exclusions Insurers should bear allocation between covered and excluded claims United bears allocation burden
Ultimate Net Loss definition incorporation First Specialty incorporates Executive Risk UNL; ambiguity favors United UNL items 1–9 are exclusions; burden on insurers UNL items 1–9 are exclusions; First Specialty may not fully incorporate UNL
Notice and reporting timing to National Union (AMA claim) Notice given to National Union through Lexington sufficient Strict compliance with claims-made notice timing required National Union motion granted; no obligation to indemnify for AMA claim
Incorporation of Antitrust Endorsement into excess policies Endorsement broadly covers AMA/Malchow; trumps conflicts Endorsement follows form but does not override other provisions Denies incorporation of Antitrust Endorsement as controlling over excess policies

Key Cases Cited

  • Bor-Son Bldg. Corp., 323 N.W.2d 58 (Minn. 1982) (allocation permissible even when contemporaneous allocation not possible)
  • SCSC Corp. v. Allied Mut. Ins. Co., 515 N.W.2d 588 (Minn. Ct. App. 1994) (insurer bears burden to prove damages allocable to insurance period/claims)
  • Miller v. Shugart, 316 N.W.2d 729 (Minn. 1982) (allocation concepts in Miller-Shugart framework)
  • Allstate Ins. Co. v. Continisio, 17 F.3d 62 (3d Cir. 1994) (allocation issues and burdens in insurance allocations)
  • Ebenezer Soc. v. Dryvit Sys., Inc., 453 N.W.2d 545 (Minn. Ct. App. 1990) (allocation across covered vs. uninsured damages under Miller-Shugart lineage)
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Case Details

Case Name: Unitedhealth Group Inc. v. Columbia Casualty Co.
Court Name: District Court, D. Minnesota
Date Published: Apr 25, 2013
Citations: 941 F. Supp. 2d 1029; 2013 WL 1776279; 2013 U.S. Dist. LEXIS 59249; Case No. 05-CV-1289 (PJS/SER)
Docket Number: Case No. 05-CV-1289 (PJS/SER)
Court Abbreviation: D. Minnesota
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    Unitedhealth Group Inc. v. Columbia Casualty Co., 941 F. Supp. 2d 1029