Gary Wayne COKER, Teresina Coker, Plaintiffs-Appellees, v. AMERICAN GUARANTEE AND LIABILITY INSURANCE COMPANY, Endurance American Specialty Insurance Company, Great American Insurance Company, Defendants-Appellants.
No. 15-14070
United States Court of Appeals, Eleventh Circuit.
Filed June 15, 2016
1287
Ronald Scott Masterson, Joelle C. Sharman, Lewis Brisbois Bisgaard & Smith, LLP, Stephen Michael Schatz, Steven J. DeFrank, Swift Currie McGhee & Hiers, LLP, Michael J. Athans, Karen Rebecсa Dunbar, Gilson Athans, PC, Atlanta, GA, for Defendants-Appellants.
Before HULL and BLACK, Circuit Judges, and ROTHSTEIN,* District Judge.
HULL, Circuit Judge:
In this uninsured/underinsured motorist (UM) coverage case, three excess liability insurers—Great American Insurance Company (Great American), American Guarantee & Liability Insurance Company (American Guarantee), and Endurance American Specialty Insurance Company (Endurance) (collectively the Defendants)—appeal the district court‘s order granting summary judgment in favor of Gary and Teresina Coker (the Cokers) with respect to the Cokers’ breach of contract claims against the Defendants. The district court concluded that
I. FACTUAL BACKGROUND
A. Car Accident, Consent Judgment, and Relevant Liability Policies
On September 18, 2007, Plaintiff Gary Coker was driving a truck owned by his then employer, Ansco & Associates (Ansco), on a Georgia road. Third-party motorist Donald Woodall crossed the center line of the road and struck Coker head on. Coker was severely injured in the accident.
In September 2009, the Cokers sued Woodall in the Superior Court of Walton County, Georgia. In November 2010, the Cokers obtained a $5.5 million consent judgment against Woodall. Though Woodall had an automobile liability insurance policy, he was considered underinsured because his policy limits were $25,000 and were not nearly high enough to satisfy the consent judgment. An uninsured motorist is not only a person who has no insurаnce at all, but also a person, such as Woodall, who was underinsured.
The Cokers provided Woodall with a limited liability release in exchange for $25,000, the full limit of Woodall‘s automobile liability policy. Despite this partial recovery from Woodall‘s insurer, the vast majority of the $5.5 million consent judgment remained unsatisfied. To satisfy the remainder of the consent judgment, the Cokers turned to policies purchased by Coker‘s employer, Ansco.
At the time of the accident, Ansco held the following liability insurance policies:
- Liberty Mutual Insurance Company (Liberty Mutual) Business Automobile Policy No. AS2-631-004260-027 (the Liberty Mutual policy), with limits of $5 million;
- Westchester Fire Insurance Company (Westchester) Umbrella Policy No. G22049860002 (the Westchester policy), with limits of $10 million;1
- Great American Insurance Company Excess Liability Policy No. TUE356014902 (the Great American policy), with limits of $10 million;
- American Guarantee & Liability Insurance Company Excess Liability Policy No. AEC913878501 (the American Guarantee policy), with limits of $25 million; and
- Endurance American Specialty Insurance Company Surplus Lines Policy No. ELD10000214301 (the Endurance policy), with limits of $25 million.
These policies were vertically structured so that the Liberty Mutual policy provided first-layer primary coverage, the Westchester policy provided second-layer umbrella coverage, the Great American policy provided third-layer excess coverage, the American Guarantee policy provided fourth-layer excess coverage, and the Endurance policy provided fifth-layer excess coverage.
As noted above, at the time of the accident, Coker was driving his employer Ansco‘s truck and acting in the course and scope of his employmеnt with Ansco. The parties do not dispute that Coker was insured under the Ansco policies.
B. The Liberty Mutual Primary Policy
The $5 million Liberty Mutual policy provides primary automobile liability cov-
C. The Westchester Umbrella Policy
The $10 million Westchester policy provides cоverage for those sums in excess of the Retained Limit which the Insured by reason of liability imposed law ... shall become legally obligated to pay. The Westchester policy defines Retained Limit as either the total of the applicable limits of the Underlying Insurance, or, with respect to any Occurrence that is not covered by Underlying Insurance or any other insurance, $10,000. The Westchester policy defines Underlying Insurance as the policies listed in the Schedule of Underlying Insurance. The Schedule of Underlying Insurance lists, among other policies, the Liberty Mutual policy. The Schedule of Underlying Insurance notes that the Liberty Mutual policy does not contain UM coverage.
Under a section titled Limits of Insurance, the Westchester policy provides, If the applicable limits of insurance of the Underlying Insurance ... are reduced or exhausted by payments from one or more Occurrences happening during the Policy Period of this policy, the Limits of Insurance of this policy will apply in excess of such reduced or exhausted limits.
The Westchester policy also contains an Automobile Limitation endorsement to coverage. This endorsement provides:
With respect to Bodily Injury or Property Damage arising out of the use of any Automobile, this policy is limited to the coverage provided by the Underlying Insurance as listed on ... [the] Schedule of Underlying Insurance.
If coverage is not provided by Underlying Insurance, coverage is excluded from this policy.
However, this policy does not apply to any obligation or liability imposed on the Insured under any ... uninsured motorists [or] underinsured motorists law or any similar law.
Attached to the Westchеster policy is an Uninsured Motorists Coverage Offer form reflecting that Ansco explicitly rejected UM coverage in writing. However, Ansco executed this form on May 30, 2008—eight months after Coker‘s accident.
D. The Great American Excess Policy
The $10 million Great American policy provides coverage to Ansco only in excess of the Underlying Limits of Insurance provided by the Westchester policy. The Great American policy provides:
[I]f the underlying Limits of Insurance stated in [the Westchester policy] are reduced or exhausted solely by payment of loss, such insurance provided by this policy will apply in excess of the reduced Underlying Limits or, if all Underlying Limits are exhausted, will apply as underlying insurance subject to the same terms, conditions, definitions and exclusions of the [Westchester] Policy, except for the terms, conditions, definitions and exclusions of this policy.
The Great American policy further states that [c]overage under this policy will not apply unless and until the Insured or the Insured‘s underlying insurance has paid or is obligated to pay the full amount of the Underlying Limits of Insurance stated in [the Westchester policy].
E. The American Guarantee Excess Policy
The $25 million American Guarantee policy provides coverage for the sums in excess of the total Underlying Limits of Insurance shown in ... the Declarations that the insured becomes legally obligated to pay as damages. The American Guarantee policy declarations reference the $10 million Westchester policy and state that the Total Limits Of All Underlying Insurance is $20 million.2
Under the section titled Limits of Insurance, the American Guarantee policy states that its coverage applies only in excess of the Underlying Limits of Insurance shown in ... the Declarations. The American Guarantee policy further states that [c]overage under this policy will not apply unless and until the insured or the insured‘s underlying insurance has paid or is obligated to pay the full amount of the Underlying Limits of Insurance stated in ... the Declarations.
F. The Endurance Excess Policy
The $25 million Endurance policy provides coverage for losses in excess of the underlying limits of insurance, defined as the sum of the limits of all applicable underlying insurance listed in Item 5. of the Declarations. Item 5 of the Declarations refers to an attached Schedule of Underlying Policies, which idеntifies the first underlying insurance policy as the Westchester policy and the other underlying insurance policies as the Great American and American Guarantee policies.
Under the section titled Limits of Insurance, the Endurance policy states that its coverage applies only in excess of the underlying limits of insurance and only after the underlying limits of insurance have been exhausted. The Endurance policy further states that [c]overage under this policy will not apply unless and until the insured or the insured‘s underlying insurance is obligated to pay the full amount of the underlying limits of insurance.
G. Demands for Payment
In March 2011, the Cokers made separate written demands against Liberty Mutual, Westchester, and each of the Defendants for payment of the $5.5 million consent judgment. In March 2012, the Cokers entered into a confidential settlement agreement with Liberty Mutual for substantially less than the $5 million policy limit. In June 2012, the Cokers entered into a confidential settlement agreement with Westchester for substantially less than the $10 million policy limit. Despite the money recovered in the Cokers’ settlements with Liberty Mutual and Westchester, a substantial portion of the $5.5 million consent judgment remained unsatisfied.
The three excess insurer Defendants here did not tender payment in response to the Cokers’ demands.
II. PROCEDURAL HISTORY
In October 2012, the Cokers filed a complaint against Defendants Great American, American Guarantee, and Endurance in the State Court of Fulton County, Georgia, alleging causes of action for breach of contract and bad faith relating to the Defendants’ refusal to tender payment for the $5.5 million consent judgment. The Defendants removed the action to federal district court.
In an August 27, 2014 ordеr, the district court granted partial summary judgment
III. DISCUSSION
On appeal, the Defendants argue that the district court erred by granting summary judgement in favor of the Cokers on the ground that
We first consider whether
A. Georgia‘s UM Statute Applies to Defendants’ Excess Liability Policies
(a)(1) No automobile liability policy or motor vehicle liability policy shall be issued or delivered in this state to the owner of such vehicle or shall be issued or delivered by any insurer licensed in this state upоn any motor vehicle then principally garaged or principally used in this state unless it contains an endorsement or provisions undertaking to pay the insured damages for bodily injury, loss of consortium or death of an insured or for injury to or destruction of property of an insured under the named insured‘s policy sustained from the owner or operator of an uninsured motor vehicle, within limits exclusive of interests and costs which at the option of the insured shall be:
(A) Not less than $25,000.00 because of bodily injury to or death of one person in any one accident ...; or
(B) Equal to the limits of liability because of bodily injury ... or death ... if those limits of liability exceed the limits of liability set forth in subparagraph (A) of this paragraph.
Typically, when interpreting a contract under Georgia law, сourts must construe [a] contract as written and not ... make a new contract for the parties. Friday v. Friday, 294 Ga. 687, 755 S.E.2d 707, 712-13 (2014) (quotation marks omitted). However, an insurance policy that is not in compliance with the Georgia Insurance Code shall be construed and applied in accordance with such conditions and provisions as would have applied had the policy ... been in full compliance with [the Code].
Thus, under the 2006 version of
The requirements found in the 2006 version of
Here, the Abrohams decision makes clear that the Defendants’ excess liability policies, which undoubtedly provide automobile or motor vehicle liability insurance in excess of the Westchester policy, are subject to the requirements of
Although they acknowledge their statutory obligation to provide UM coverage, the Defendants argue that, pursuant to the terms of their excess liability policies, they were not required to tender payment until the Cokers exhausted the policy limits of the underlying $10 million Westchester policy and, if applicable, any other underlying excess liability policies.7 Accordingly, we examine the exhaustion requirements found in excess liability policies governed by Georgia law as well as those contained in the Defendants’ policies.
B. Defendants’ Excess Liability Policies Contain Vertical Exhaustion Requirements
Excess or secondary coverage is coverage whereby, under the terms of the policy, liability attaches only after a predetermined amount of primary coverage has been exhausted. U.S. Fire Ins. Co. v. Capital Ford Truck Sales, Inc., 257 Ga. 77, 355 S.E.2d 428, 431 (1987). Thus, excess policies, by their very nature, contain an exhaustion requirement. Georgia courts have repeatedly recognized the validity of excess policies and the exhaustion requirements necessarily embedded within those policies. See, e.g., Jackson v. Sluder, 256 Ga.App. 812, 569 S.E.2d 893, 898 (2002) ([E]xcess insurance coverage is not regarded as collectible insurance until the limit of liability of the primary policy is exhausted. (quotation marks omitted)); Atl. Wood Indus. v. Lumbermen‘s Underwriting All., 196 Ga.App. 503, 396 S.E.2d 541, 545 (1990) (concluding that the exhaustion of the limits of a primary liability policy was a condition precedent to recovery under an excess policy).
This Court has determined that, under Georgia law, when an excess policy clearly sets a threshold starting point for payment, the contract is unambiguous and must be enforced. See Garmany v. Mission Ins. Co., 785 F.2d 941, 945-46 (11th Cir. 1986).
Here, each of the Defendants’ excess liability policies contain unambiguous language limiting recovery to only those amounts exceeding the policy limits of an underlying insurance policy or policies. The Great American policy contains languagе providing that no coverage is available until the Westchester policy limits are exhausted. The American Guarantee policy contains language providing that no coverage is available until the Westchester and Great American policy limits are exhausted. The Endurance policy contains language providing that no coverage is available until the Westchester, Great American, and American Guarantee policy limits are exhausted. Based on these terms, the Defendants were under no obligation to providе any coverage, UM or
The Cokers nevertheless contend that the exhaustion requirements in the Defendants’ excess liability policies are void under
C. Section 33-7-11 Does Not Supersede the Vertical Exhaustion Requirements in Defendants’ Excess Liability Policies
The Georgia Supreme Court has described the remedial purpose of
The purpose of uninsured motorist or UM coverage is to place the injured insured in the same position as if the offending uninsured motorist were covered with liability insurance. Stated otherwise, the purpose of uninsured motorist legislation is to require some provision for first-party insurance coverage to facilitate indemnification for injuries to a person who is legally entitled to recover damages from an uninsured motorist, and thereby to protect innocent victims from the negligence of irresponsible drivers. The Georgia uninsured motorist statute is designed to protect the insured as to his actual loss, within the limits of the policy or policies of which he is a beneficiary.
State Farm Mut. Auto. Ins. Co. v. Adams, 288 Ga. 315, 702 S.E.2d 898, 900 (2010) (emphasis added) (quotation marks and citations omitted).
According to the Georgia Court of Appeals,
Georgia courts have never explicitly addressed whether
The problem for the Cokers is that nothing in
Second, while
Third, a vertical exhaustion requirement does not undermine the remedial purpose of
For these reasons, we conclude that
Because the Cokers failed to exhaust the limits of the underlying Westchester policy, the Defendants were under no obligation to provide any coverage whatsoever. As such, they are entitled to summary judgment on the Cokers’ breach of contract claims.
IV. CONCLUSION
For the foregoing reasons, the district court‘s August 27, 2014 order granting the Cokers’ motion for partial summary judgment against the Defendants and denying the Defendants’ motions for summary judgment against the Cokers is REVERSED. The case is REMANDED for entry of judgment in favor of the Defendants.
HULL
CIRCUIT JUDGE
