Lead Opinion
Cоmmercial Union Insurance Company (“CU”) brought this declaratory judgment action in the Southern District of New York seeking a determination that it had no duty either to defend or to indemnify its insured, International Flavors and Fragrances, Inc. (“IFF”), in a product liability action brought against IFF by Plough, Inc. (“Plough”). IFF counterclaimed for the amounts it had expended in defending and settling the Plough action and for its attorneys’ fees in the instant case. After a jury verdict in favor of CU, Judge Pollack set aside the verdict to the extent that it denied IFF reimbursement for its costs in defending the Plough suit and ordered a new trial on that issue. Commercial Union Ins. Co. v. International Flavors & Fragrances, Inc.,
Both parties have appealed. Because the first jury properly found that IFF failed to comply with a provision of its insurance policy requiring it to give timely notice to CU of a relevant occurrence, we hold that judgment n.o.v. was improperly granted and order that judgment be entered for CU.
BACKGROUND
CU issued a comprehensive liability policy to IFF in 1976. It was renewed each year through 1979. The policy contained the usual promises to indemnify for losses and to provide a defense in lаwsuits within the policy’s coverage. It also required as a condition of coverage that IFF give written notice to CU “as soon as practicable” of an “occurrence” relevant to the coverage.
In July 1975, Plough asked IFF to provide it with a banana-coconut fragrance that would be compatible with the mineral base of Plough’s newly-developed Tropical Blend suntan lotion. Plough was already buying a banana-coconut fragrance compatible with the base of its Tropical Blend suntan oil from Perry Brothers, Inc. Plough provided IFF with a sample of the Perry Brothers fragrance, and IFF created а similar fragrance for use in the Tropical Blend suntan lotion. IFF supplied Plough with about 62,000 pounds of that fragrance from 1975 to 1977 at a total price of about $772,000. The IFF and Perry Brothers fra
Sometime during 1975 or 1976, Plough began receiving complaints of adverse skin reactions following use of its Tropical Blend products. On July 30, 1976, Plough’s chief toxicologist, Dr. Eden P. Keith, informed IFF’s chief toxicologist, Dr. Otho D. Easterday, that fifteen persons had reported such skin reactions. Dr. Keith explainеd that three of these persons had required hospitalization and that Plough had communicated the problem to the United States Food & Drug Administration (“FDA”). Dr. Easterday was also advised by Plough that there was no evidence that IFF's fragrance was involved. He nevertheless reported the July 1976 complaints to two senior IFF executives, President Eugene P. Grisanti and Vice President Joseph T. Bannan.
Dr. Easterday, who became a vice president of IFF in May 1977, consulted repeatedly over the next year with his counterparts at Plough as they attempted to identify the cause of the adverse skin reactions. On June 23, Plough executives John M. Clayton and Edward Marlowe met to discuss the skin reaction problem with Dr. Easterday and other IFF personnel. Dr. Clayton stated that there had been fifty reports of skin reactions, ten of which had been validated by physicians. Dr. Easter-day knew that there were between nine million and twenty million units of Tropical Blend “in the field” at this time. He did not know how many of these had been purchased by consumers and how many were still held by wholesalers or retailers.
On the basis of new clinical tests, a group of dermatologists concluded in July 1977 that the Tropical Blend skin reactions were photoallergenic in nature and were caused by 6-MC. On Septembеr 9, 1977, Dr. Clayton reported these results to Dr. Easterday, who agreed that 6-MC appeared to be the ingredient that was causing skin reactions in Tropical Blend users. IFF executives Grisanti and Bannan were also made aware of this conclusion by autumn 1977. By this time, Plough had returned the unused fragrance containing 6-MC, for which IFF gave Plough a credit of about $18,000. At Plough’s request, IFF reformulated the fragrance without 6-MC and supplied it to Plough through 1978. Tests by outside laboratories subsequently confirmed that 6-MC was the source of the Tropical Blend skin reaction problem. In December 1977, Dr. Easterday learned that Dr. Albert Kligman of the University of Pennsylvania Departmеnt of Dermatology had concluded that 6-MC was the most potent photoallergen he had ever encountered. One year later, on December 2, 1978, the FDA informed IFF by telegram that 6-MC was being banned from use in suncare products.
On March 14, 1979, Plough filed an action against IFF and Perry Brothers in federal district court in Memphis, Tennessee. Plough alleged that the allergic reactions from the 6-MC ingredient in the fragrances produced by IFF and Plough had caused it to incur $10,000,000 in damages, including the loss of millions of units of Tropical Blend containing 6-MC, the expenses of research and testing, the costs of
Upon receiving the complaint, IFF notified CU of the lawsuit. It is undisputed on appeal that the allegations of the Plough complaint fell within the policy’s products hazard clause. Further, CU was obligated under the policy to defend IFF in any suit that implicated coverage regardless of whether the allegations were groundless.
On April 17, 1979, a Memphis law firm, Holt, Batchelor, Spicer & Ryan, notified IFF that it had been retained by CU “regarding representation of” IFF. IFF’s outside general counsel, the New York firm of Fulton, Duncombe & Rowe, requested that it also be listed as counsel of record. The litigation proceeded uneventfully, with the Fulton firm initiating pretrial motions and providing supporting documents to be filed in Memphis by the Holt firm. In correspondence dated May 3 and May 16, however, the Holt firm informed the Fulton firm that CU had not yet confirmed its coverage.
On November 26, 1980, CU filed the instant action in the Southern District seeking a declaratory judgment that it had no duty either to defend or to indemnify IFF in the Plough action because IFF had not given timely notice of a relevant occurrence. The court stayed CU’s action pending the outcome of the Plough case. The Plough case went to trial on November 14, 1983, and was settled by IFF for $750,000 on November 21, 1983. IFF then counterclaimed against CU in the instant action for the amounts it had expended tо defend and settle the Plough case and for its attorneys’ fees in this case.
At trial, CU claimed that IFF should have known by September 1977 that Plough might sue it for damages caused by the fragrance. IFF contended that it had no reason to anticipate a lawsuit until the actual filing of the complaint in March 1979 and that its failure to notify CU earlier was excused by its good faith belief of nonliability. The district court instructed the jury to “report a general verdict” for either IFF or CU. The jury found that “IFF is not entitled to damages,” and, upon questioning by the courtroom clerk, each juror affirmed that his or her verdict was for CU.
IFF then moved for judgment n.o.v. or for a new trial. Judge Pollack granted IFF’s motion in part and denied it in part. Commercial Union,
With regard to whether CU had a duty to indemnify IFF for the amount paid in settling the Plough case, Judge Pollack opined that the issue was a “more diffiсult one.” Id. at 652. He observed that there was substantial evidence that IFF executives had a good faith belief in nonliability during the relevant period. Id. at 652. However, he concluded that there was evidence
Judge Pollack granted IFF a new trial to determine its reasonable costs incurred in the Plough action and the present case. He also conditionally granted IFF’s alternative motion for a new trial in the event the judgment n.o.v. was vacated or reversed, explaining “that the jury’s verdict denying IFF reimbursement for its defense costs was clearly against the weight of the credible evidence.” Id. at 653-54.
At the second trial, the jury found that IFF was entitled to recover all its costs of defending the Plough action. On July 22, 1986, the district judge entered judgment in favor of IFF for $834,913 for its costs in the Plough action. He also awarded IFF $372,597.20 for costs incurred in the instant case.
Both parties appeal from Judge Pollack’s decisions after the first trial. CU claims that IFF’s breach of the policy’s notice requirements vitiated all of CU’s duties under the contract, including the duty to defend, while IFF argues that it was entitled to reimbursement for its settlement payment in the Plough action as well as its costs of defense. Both parties also appeal from the judgment entered after the second trial. CU claims that various errors were made at trial and that the damage awards to IFF were too high. IFF claims that the awards were too low.
DISCUSSION
Notice-of-occurrence provisions have several purposes. See generally R. Keeton, Insurance Law 445-446 (1971). They enable insurers to make a timely investigation of relevant events and exercise early control over a claim. Early control may lead to a settlement before litigation and enable insurers to take steps to еliminate the risk of similar occurrences in the future. When insurers have timely notice of relevant occurrences, they can establish more accurate renewal premiums and maintain adequate reserves.
Our dissenting colleague notes that the photoallergenic nature of 6-MC was totally unknown and unexpected prior to the events giving rise to the instant action. He also notes that Plough did its best in 1977 and 1978 to avoid any public disclosure that its Tropical Blend products might be harmful. However, we cannot agree with the suggestion that these facts excuse IFF from complying with the notice-of-occurrence prоvision as a matter of law. As noted above, a principal purpose of such a provision is to enable insurers to reduce future risks to the public by preventing the continued use of known harmful substances by their insureds. Had IFF given timely notice, CU could have taken steps to protect the public from further exposure to 6-MC. Indeed, Plough’s attempts to avoid publicity were feasible only because IFF, which also had a financial interest in concealment, did not give notice to CU. We believe that a rule of law that would inhibit insurance companies from eliminating risks known to manufacturers and sellers but concealed for purрoses of commercial advantage is undesirable.
Under New York law, compliance with a notice-of-occurrence provision in an insurance policy is a condition precedent to an insurer’s liability under the policy. Utica Mut. Ins. Co. v. Fireman’s Fund Ins. Cos.,
The test for determining whether the notice provision has been triggered is whether the circumstances known to the insured at that time would have suggested to a reasonable person the possibility of a claim. See, e.g., Utica Mut. Ins.,
IFF contends that the first jury might have been misled by a portion of the court’s charge implying that IFF was required to show that CU had acted in bad faith in denying coverage and defense.
After the first trial, Judge Pollack correctly held that IFF’s breach of the notice-of-occurrence clause would relieve CU of its duty to indemnify IFF for Plough’s recovery. He also concluded that this breach would not justify CU’s refusal to defend the Plough lawsuit, however, because an insurer’s duty to defend is broader than its duty to indemnify. Commer
The sole remaining question, therefore, is whether CU is precluded from enforcing the notice provision by its brief defense of the Plough action. IFF rests its argument in this regard on three theories, one based on an irrevocable election to undertake the defense of an action, the second on waiver, and the third on equitable estoppel.
IFF argues first that once an insurer elects to undertake the defense of an action, New York law precludes it from withdrawing for any reason. The sole support cited is Sachs v. Maryland Casualty Co.,
Our resolution of the waiver and equitable estoppel arguments necessitates a discussion of the procedural context in which they arise. Prior to trial, both parties appear to have assumed that these issues were for the jury to determine. Indeed, both parties submitted requests to charge relevant to those issues. It is clear that waiver is a proper issue for the trier of fact, and New York courts have held that to be thе case as to equitable estoppel also. See Spinosa,
We have embarked on this tangent in order to clarify exactly what it is that we are asked to review. IFF makes no claim of error relating to the instructions to the jury in this regard. Rather, its claim is that on the evidence before the jury, CU’s brief defense of the Plough action precluded it as a matter of law from reserving its rights or denying coverage for a breach of the notice-of-occurrence provision. Given this procedural posture, we must address the waiver and equitable estoppel issues as if they had been submitted to a properly instructed jury that resolved them against IFF. We must therefore view the facts in the light most favorable to CU. We turn now to those issues.
Waiver of a defense is proven by evidence that the insurer intended to abandon that defense. Albert J. Schiff Associates, Inc. v. Flack,
IFF’s final theory is based on equitable estoppel, a doctrine that limits an insurer’s ability to delay coverage decisions after undertaking the defensе of an action. It precludes the insurer from denying coverage if: (1) the period of time taken by the insurer to determine compliance is unreasonable under the circumstances, and (2) the defense offered by the insurer during that period prejudices the insured. See, e.g., Tel-Tru Mfg. Co. v. North River Ins. Co.,
Judge Pollack’s grant of judgment n.o.v. was apparently based on equitable estoppel. He stated that CU “belatedly” conceived that it might wish to assert untimely notice as a defense and “delay[ed]” its decision to disclaim. Commercial Union,
We also reject the district court’s conclusion that the facts recited in the Plough complaint alone gave CU sufficient knowledge in March 1979 to make an immediate decision as to coverage. See Commercial Union,
Because we hold that the jury verdict for CU should be reinstated in its entirety, we need not reach the issues arising out of the second trial.
Reversed and remanded with instructions to enter judgment for CU.
Notes
. Plough and the FDA had been in contact in 1977 and 1978 concerning reactions to Plough’s suntan products, during which time the FDA honored Plough’s request to keep their meetings and correspondence confidential. In December 1978, however, over Plough’s objections, the FDA required Plough to recall any units of Tropical Blend containing 6-MC still on the market. The telegram stated in pertinent part:
THERE NOW EXISTS AMPLE EVIDENCE THAT [6-MC] ... IS A POTENT PHOTOCONTACT ALLERGEN, RESPONSIBLE FOR A SIGNIFICANT NUMBER OF ALLERGIC REACTIONS.... PHOTOCONTACT ALLERGY MAY HAVE SERIOUS HEALTH CONSEQUENCES ... AND LEAD TO A SEVERE CHRONIC CONDITION ... WE ARE PARTICULARLY CONCERNED ABOUT THE PRESENCE OF THIS SUBSTANCE IN SUNTAN OR SUNSCREEN PREPARATIONS BECAUSE OF THEIR OBVIOUS INTENDED USE IN SUNLIGHT. WE BELIEVE SUCH PRODUCTS CONTAINING THIS SUBSTANCE POSE A SUBSTANTIAL HAZARD TO CONSUMERS AND SHOULD IMMEDIATELY BE REMOVED FROM THE MARKET.
. In a letter dated May 3, 1978, a Holt attorney wrote to his Fulton counterpart that he would pass on CU’s comments concerning the Fulton firm’s proposed motions "[a]s soon as I have heard from Commercial Union, who I understand is attempting to confirm what coverages, if any, they have in reference to this subject matter of the Complaint.” In confirming receipt of the Fulton firm’s legal memorandum on May 16, the same attorney wrote, "I have not yet been advised by Commercial Union concerning their confirmation of coverage or the position which they wish to take concerning coverage of International Flavors and Fragrances, Inc.”
. IFF objects to the following portion of the jury charge:
The second and separate category of loss which IFF claims it suffered and seeks to recover on is the amount of the legal costs and expenses that IFF reasonably incurred and paid to defend itself in the Plough lawsuit by reason of the failure and refusal of Commercial Union in alleged bad faith to unconditionally defend IFF in that lawsuit in breach of its duty under the policies.
An insurer who denies coverage dоes so at its own risk, and although its position may not have been entirely groundless, if the denial is found to be wrongful and in bad faith, it is liable for the full amount which will compensate the insured for all the damage caused by the insurer’s breach of express and implied obligations of the contract.
The proper measure of damages where coverage has been in bad faith denied is the amount which will compensate the party aggrieved for all the detriment proximately caused thereby or which in the ordinary course of things would be likely to result therefrom.
Once Commercial Union has been found liable by you for its failure and refusal in bad faith to defend [IFF] an award of the cost of defense is not an award of attorney’s fees in the usual sense. Rather, it is compensation for the foreseeable consequences of the company's breach of contract, (emphasis added)
. We note that although the district court later characterized as "cryptic" the jury’s verdict that “IFF is not entitled to damages,” Commercial Union,
. IFF asserts that Judge Pollack erred in ruling that N.Y.Ins.Law § 167(8) (currently § 3420(d) (McKinney 1985)) was inapplicable to this case. Under this statute, it is not necessаry for an
Dissenting Opinion
(dissenting):
The majority holds that IFF failed to give timely notice to Commercial Union of a relevant occurrence and thus Commercial Union had no duty to defend or indemnify IFF. Because I believe IFF satisfactorily complied with its obligation under the contract to notify Commercial Union of the suit brought by Plough, I respectfully dissent.
Under Paragraph 4 of the Commercial Union policies, IFF had duties аs follows:
(a) In the event of an occurrence, written notice containing particulars sufficient to identify the insured and also reasonably obtainable information with respect to the time, place and circumstances thereof, and the names and addresses of the injured and of available witnesses, shall be given by or for the insured to the company or any of its authorized agents as soon as practicable.
(b) If claim is made or suit is brought against the insured, the insured shall immediately forward to the company every demand, notice, summons or other process received by him or his representative.
(c) The insurеd shall cooperate with the company and, upon the company’s request, assist in making settlements, in the conduct of suits and in enforcing any right of contribution or indemnity against any person or organization who may be liable to the insured because of injury or damage with respect to which insurance is afforded under this policy; and the insured shall attend hearings and trials and assist in securing and giving evidence and obtaining the attendance of witnesses. The insured shall not, except at his own cost, voluntarily make any payment, assume any obligation or incur any expense other than for first aid to others at the time of accidеnt.
There is no doubt that IFF complied with subparagraph 4(b) relative to notification of the suit brought by Plough, and “Occurrence” is defined in the Commercial Union policies as “an accident, including continuous or repeated exposure to conditions, which results in bodily injury or property damage neither expected nor intended from the standpoint of the insured.”
In a malpractice insurance case, Giles v. St. Paul Fire & Marine Insurance Co.,
To be sure, there is broad language in Security Mutual Insurance Co. v. Acker-Fitzsimons Corp.,
Here I suggest that the ingredient 6-MC had been used for decades as a fragrance and flavoring agent without incident or complaint. Both as a discrete ingredient and as part of Plough’s suncare products, it had been thoroughly tested and found to be without harmful propensity. Existing testing methodologies were not able to predict or demonstrate its photoallergenicity and the scientific community as a wholе believed it harmless, as the scientific literature likewise indicated. Moreover, IFF had been requested by Plough to duplicate a fragrance provided by Plough which itself contained 6-MC, and Plough itself did not consider the alleged reactions to its products serious enough even to call for a warning to consumers, much less a recall of such products, until the FDA request in September 1978, a request which Plough resisted. I note that Plough had kept strictly confidential its meetings and correspondence in 1977 and 1978 with the FDA over a possible recall of Plough’s products, and had urged the FDA to do likewise, on the ground that the problem was not seriоus enough to warrant publicity, let alone recall. It is interesting that after 6-MC had been identified as a photoallergen and replaced in IFF’s fragrance, Plough continued to purchase the reformulated fragrance and other fragrances from IFF, without making any claim against IFF. And, Plough never made any claim against IFF or even indicated that it intended to do so until it brought suit in March 1979, three months after the FDA action. Finally, IFF in my opinion could reasonably have thought the manufacturer of the end product, that is, Plough, was responsible for the safety of that product, as the ultimate use of the fragrance was wholly within its control. Mr. Grisanti of IFF, whо had twenty-five years’ experience in the fragrance industry, testified that nobody in that industry had ever been sued as a result of an allergic reaction to a fragrance supplied to a cosmetics manufacturer.
Given these points, many of them stipulated to by CU, I do not think IFF violated the notice provision of the policy by failing to notify CU until Plough actually brought suit. Indeed, as early as December 8, 1978, IFF notified its insurance broker who in turn notified CU of the FDA’s finding that 6-MC could cause allergic reactions in con
Accordingly, I dissent.
