Plaintiff Clemtex, Inc., brought this action for a judgment declaring its rights under the deductible provisions of insurance policies issued by defendants Southeastern Fidelity Insurance Company (“Southeastern”), Foremost Insurance Company (“Foremost”), and Great Atlantic Insurance Company (“Great Atlantic”). The district court concluded that the insurance contracts were not ambiguous and adopted defendants’ interpretation of the contracts. In our judgment there is ambiguity; we therefore reverse and remand for further proceedings.
1. FACTS AND PROCEDURAL HISTORY
Plaintiff Clemtex, Inc., distributes sandblasting equipment and related products. Since 1975, nearly 150 lawsuits have been brought against Clemtex seeking damages for silicosis allegedly developed through exposure to Clemtex’s products. Apparently,
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Clemtex has had general liability insurance coverage approximately since its formation in 1956 until 1985, when it was unable to find an insurer willing to provide liability insurance with products liability coverage. Throughout these years, Clem-tex has had many different general liability insurance policies furnished by different insurers. Under these circumstances, Clemtex and its insurers have found it necessary to reach some accomodation concerning which insurers must indemnify Clemtex for the liability arising from the silicosis claims and for how much indemnification each insurer is responsible. In making these determinations, Clemtex and its insurers have apparently been applying the exposure theory of insurance coverage triggerage and the rule of liability apportionment enunciated in
Insurance Company of North America v. Forty-Eight Insu-lations, Inc.,
The district court granted defendants’ motion for summary judgment and entered a judgment declaring “that the deductible provisions of the insurance policies between Plaintiff and Defendants require that Plaintiff pay the full amount of the deductible that it is obligated to pay under each policy for each silicosis claim, regardless of any pro rata apportionment of the damages or defense costs incurred in connection with that claim.” The court ordered Clemtex to “pay Defendants the full amount of all deductibles due and owing to Defendants in light of [its] opinion and the pertinent insurance policy provisions” and then dismissed the action. Clemtex appeals.
II. DISCUSSION
We begin by recapitulating the exposure theory and the rule of apportionment enunciated by the Sixth Circuit in the
Forty-Eight
case. In that case, numerous actions had been brought against a manufacturer of asbestos products generally asserting that workers had developed asbestosis and other diseases as a result of exposure over many years to asbestos particles from the manufacturer’s products. Like Clemtex in the present case, the manufacturer had had different general liability insurance policies from different insurers. The
Forty-Eight
court addressed, among others, this question: “[Assuming the manufacturer is found liable, which of the insurance companies must cover the judgment” against the manufacturer in an underlying asbestos action.
Forty-Eight Insulations, Inc.,
The Forty-Eight court had before it insurance policies providing:
[The insurer] will pay on behalf of the insured all sums which the insured shall be legally obligated to pay as damages because of ... bodily injury or ... property damage to which this policy applies caused by an occurrence.
“Bodily injury” means bodily injury, sickness or disease sustained by any person which occurs during the policy period, including death at any time resulting therefrom.
“Occurrence” means an accident, including injurious exposure to conditions which results, during the policy period, in bodily injury____
Id.
at 1216 (alteration and ellipses in original; footnote omitted; emphasis supplied). Under these provisions, coverage was triggered by “bodily injury ... which occurs during the policy period.” Thus, the interpretation of the term
bodily injury
was central to the case.
Id.
at 1216 n. 7. Invoking Illinois and New Jersey law, the court adopted the so-called exposure theory of triggerage. It concluded that the term
bodily injury
“should be construed to include the tissue damage which takes place upon initial inhalation of asbestos,”
id.
at 1223, and all tissue damage incurred through subsequent exposure to asbestos,
id.
at 1226 & n. 28. It was possible for the bodily injury, so construed, in an underlying asbestos action to span the policy periods of multiple insurance contracts. Thus, there was the further question to what extent each triggered policy would have to indemnify the manufacturer for its liability under the judgment in the underlying asbestos action. The district court in
Forty-Eight
had “prorated liability among all the
Each insurer is liable for its pro rata share. The insurer’s liability is not “joint and several”, it is individual and proportionate. Accordingly, where an insurer can show that no exposure to asbestos manufactured by its insured took place during certain years, then that insurer cannot be liable for those years.
Id. at 1225.
In
Porter v. American Optical Corp.,
In the present case, the district court determined that Texas law controls the interpretation of the insurance policies at issue. The parties do not contest this determination and in fact themselves rely upon Texas law. Consequently, we do not reach the choice of law issue and assume that Texas law should apply.
See N.K. Parrish, Inc. v. Southwest Beef Industries Corp.,
Each of the three insurance policies at issue provides for a deductible on a per claim basis. Although the amount of the deductible varies from policy to policy, each policy defines the per claim basis identically:
The deductible amounts stated in the schedule apply as follows:
(a) PER CLAIM BASIS — If the deductible is on a “per claim” basis, the deductible amount applies under the Bodily Injury Liability or Property Damage Liability Coverage, respectively, to all damages because of bodily injury sustained by one person ... as the result of any one occurrence.
(Emphasis omitted). Clemtex argues on appeal, as it did before the district court, that the deductible provision is ambiguous as applied to the context in which Glem-tex’s liability under a single silicosis claim has been apportioned to multiple insurers according to the Forty-Eight rule of apportionment. The defendant insurers argue that the deductible provision is unambiguous and entitles each insurer to a full deductible regardless of apportioned liability. The district court concluded that the provision is not ambiguous and ruled, as noted, in favor of defendants’ interpretation.
We note that, under Texas law, the court determines as a matter of law whether a contract, including an insurance contract, is ambiguous.
See Continental Savings Ass’n v. United States Fidelity and Guaranty Co.,
The deductible in the insurance policies at issue here applies to each “claim,” defined to mean “all damages because of bodily injury sustained by one person ... as the result of any one occurrence.” As applied to the present context, the claim intended must be the claim asserted by a silicosis victim
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against Clemtex for dam
The
Forty-Eight
court stated repeatedly that “ ‘bodily injury’ takes place at or shortly after inhalation.”
Forty-Eight In-sulations, Inc.,
The term
occurrence,
as applied to the present context, must likewise be interpreted to mean one continuous occurrence. The policies expressly define the term to encompass “continuous or repeated exposure to conditions.” Again, the
Forty-Eight
opinion is instructive: “[Ujnder the terms of the policies, additional exposure to asbestos fibers is treated as arising out of the same occurrence.”
Forty-Eight Insu-lations, Inc.,
Having established these interpretations of the various terms, we interpret the insurance contracts at issue to provide for a deductible for each damages claim by a silicosis victim against Clemtex for all the tissue damage and ultimate disease (continuous bodily injury) resulting from the victim’s exposure to Clemtex’s products (continuous occurrence).
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Each defendant, however, indemnifies Clemtex, under the
Forty-Eight
rule of apportionment, for only part of Clemtex’s liability under a silicosis victim’s claim. It follows that each
The parties’ summary judgment motions before the district court relied upon deposition testimony concerning, among other things, Clemtex’s understanding of the deductible provisions at the time Clemtex entered the insurance contracts. According to this testimony, Clemtex understood that an insurer would be entitled to a deductible if it indemnified Clemtex for the total amount of a claim against Clemtex. The district court made a similar finding. This evidence of intent may have implications for resolving the ambiguity we have found.
See Commercial Standard Insurance Co. v. Quality Meat and Provision Co.,
Defendants point, however, to footnote six of the
Forty-Eight
opinion, where the
Forty-Eight
court observed that, “starting in 1976,” the manufacturer’s current insurance “policy contained a $100,000 per person deductible for asbestosis cases. Since most asbestosis cases have been settling for less than $100,000, this means that, as a practical matter, [the manufacturer] is uninsured for asbestosis occurring after 1976.”
Forty-Eight Insulations, Inc.,
Finally, defendants also tend to argue, without citation to authority, that the exposure theory and rule of apportionment — or some version of it — preceded the Forty-Eight and Porter decisions. According to defendants, these decisions merely simplified the rule of apportionment by dividing indemnification liability according to relative lengths of exposure as opposed to some more complex inquiry into causation.
In making this argument, defendants would apparently suggest that no ambiguity arises from the application of promises of indemnification in successive insurance policies to the progressive disease context. 13 According to defendants, Clemtex should have known that the exposure theory and rule of apportionment would apply. It should also have known, defendants argue, that the insurance contracts would entitle each insurer to a full deductible, though the insurer bears responsibility for only an apportioned share of indemnification liability. 14
The continuing judicial debate about the appropriate trigger of insurance coverage refutes defendants’ contention that the exposure theory was the established rule at the time the instant insurance contracts were formed.
Compare Forty-Eight Insulations, Inc. and Porter with, e.g., Keene Corp. v. Insurance Co. of North America,
Courts have likewise differed over the rule of apportionment.
Compare Forty-Eight Insulations, Inc.,
The judgment of the district court is REVERSED, and the case REMANDED.
REVERSED and REMANDED.
Notes
. The record merely adumbrates many of the facts forming the background of this case. Although these background circumstances are not altogether necessary to our decision herein, they are set forth in an effort to make the opinion more readily understandable.
.
Reh'g granted in part on other grounds,
. The
Forty-Eight
court had relied upon general principles of contract interpretation and construction not peculiar to Illinois and New Jersey law.
See Forty-Eight Insulations, Inc.,
. The suggestion has been made that the
Forty-Eight
court did not address "the issue of allocating indemnification expenses," but rather only the issue of apportioning defense costs.
Keene Corp. v. Insurance Co. of North America,
. The applicability of the exposure theory of insurance triggerage greatly depends upon the medical, factual nature of the disease involved and what it shows about when bodily injury takes place.
See Ducre,
In
Ducre,
a silicosis case, an insurer argued that the so-called manifestation theory, not the exposure theory, should be applied to determine when insurance coverage was triggered.
Ducre,
. We note that the promise of indemnification and definitions of the terms bodily injury and occurrence in each of the three insurance policies in the present case do not differ in significant particulars from the comparable provisions (set forth supra at p. 1273) interpreted by the Sixth Circuit in Forty-Eight. For instance, defendant Foremost’s insurance policy provides:
The [insurer] will pay on behalf of the insured all sums which the insured shall become legally obligated to pay as damages because of ... bodily injury or ... property damage to which this insurance applies, caused by an occurrence____
When used in this policy (including endorsements forming a part hereof):
“bodily injury” means bodily injury, sickness or disease sustained by any person which occurs during the policy period, including death at any time resulting therefrom;
"occurrence” means an accident, including continuous or repeated exposure to conditions, which results in bodily injury____
(Emphasis omitted). The policies supplied to Clemtex by defendants Southeastern and Great Atlantic contain virtually identical provisions.
. Sometimes the term
claim
has been interpreted to mean, depending on the context, a claim for indemnification by the insured against the insurer instead of a claim for damages by an
.
See Forty-Eight Insulations, Inc.,
.
See Commercial Union Ins. Co. v. Sepco Corp.,
We believe that the exposure theory is more accurately analyzed as positing not that each inhalation of asbestos fibers results in bodily injury, but rather that every asbestos-related injury results from inhalation of asbestos fibers. Because such inhalation can occur only upon exposure to asbestos, and because it is impossible practically to determine the point at which the fibers actually imbed themselves in the victim’s lungs, to equate exposure to asbestos with “bodily injury” caused by the inhalation of the asbestos is the “superior interpretation of the contract provisions.”
. Note that even if each victim is deemed to suffer a series of individual bodily injuries, these injuries would arise out of "continuous or repeated exposure to conditions" and thus out of a single continuous occurrence. So understood, there would still be but one deductible for each victim’s claim against Clemtex.
. The
Forty-Eight
opinion also specified a means by which such exposure could take place after 1976, even though the manufacturer’s products contained no asbestos after 1970.
. Although the parties have not cited it, we take note of a previous Fifth Circuit opinion raising the deductibles issue. In
National Serv. Indus., Inc. v. Hartford Accident & Indent. Co.,
If the National Service Court may be understood as envisioning possible payment of "all ... of both deductibles,” its mention of this possibility cuts against Clemtex’s interpretation of the insurance contracts in the present case. On the other hand, the Court’s mention of payment of “part of both deductibles” admits of the possibility of a reduction in the deductible amounts. This brief discussion of the deductibles issue in National'Service tends to point in both directions, is inconclusive, and thus not binding on the district court when construing the instant deductible provisions on remand.
. This suggestion contradicts part of the reasoning of the
Forty-Eight
opinion: "We think that a better view is that the contractual terms in issue here, “bodily injury’ and ‘occurrence’ are inherently ambiguous as applied to the progressive disease context before us.”
. Elsewhere in their briefs, defendants state that the deductibles issue in this case is a question of first impression.
. See
Acands Inc. v. Aetna Casualty and Sur. Co.,
. For similar and somewhat similar cases, see generally
Employers' Casualty Co. v. United States Fidelity & Guar. Co.,
. Some courts have established a different rule. In
Fireman's Fund Indem. Co. v. State Indus. Accident Comm'n,
. Defendants also argue, citing the
Keene Corp.
opinion, that each policy, once triggered, is fully liable to the limits of the policy.
Keene,
of course, was referring to each insurer’s liability to indemnify fully the insured.
