In this diversity action for breach of contract and declaratory relief, plaintiff-appellant, Insurance Company of the State of Pennsylvania (ICP), appeals from a decision in favor of defendant-appellee, Associated International Insurance Company (Associated), entered in the United States District Court for the Central District of California after a trial without a jury.
In essence, ICP is seeking damages and a determination of its rights and liabilities under a reinsurance contract with Associated. ICP contends that Associated breached its duty to indemnify ICP under the reinsurance contract. Associated alleges that ICP did not comply with the notice provision of the reinsurance contract and that Associated was prejudiced by the noncompliance. Hence, Associated contends that, under California law, it is relieved of liability under the reinsurance contract. Associated also submits that, regardless of whether ICP breached the notice clause, the settlement for which ICP seeks to be indemnified is beyond the scope of the reinsurance contract.
The questions presented on this appeal are: (1) whether the district court erred in holding that the notice by ICP to Associated in 1987 was not timely under the notice provision in the reinsurance contract; (2) whether California decisional law, which requires a primary insurer to demonstrate actual and substantial prejudice in order to establish a late notice defense, applies to Associated, a reinsurer; (3) whether, having found a breach of the notice clause by ICP, the district court erred in finding actual and substantial prejudice; and (4) whether ICP’s settlement with Fibreboard falls within the indemnity obligation of Associated under the reinsurance contract.
We hold that: (1) the district court did not err in finding that ICP breached the notice requirement in the reinsurance contract; (2) Associated, a reinsurer, must show actual and substantial prejudice to maintain a late notice defense against ICP,
BACKGROUND
In 1976, the Insurance Company for the State of Pennsylvania issued an excess umbrella liability insurance policy providing $20 million coverage to Louisiana-Pacific Corporation. ICP ceded to Associated International Insurance Company and Associated agreed to reinsure the ICP-Louisiana-Pacific policy up to $2.25 million. The certificate of reinsurance, i.e., the reinsurance contract between ICP and Associated, contained a notice provision requiring ICP to:
notify [Associated] promptly of any occurrence which in [ICPj’s estimate of the value of injuries or damages sought, without regard to liability, might result in judgment in an amount sufficient to involve this certificate of reinsurance.
The reinsurance contract also required ICP to “notify [Associated] promptly ... when notice of claim is received by [ICP].” The reinsurance contract specified that Associated had “the right and shall be given the opportunity, with the full cooperation of [ICP], to associate counsel at its own expense and to join with [ICP] and its representatives in the defense and control of any claim, suit or proceeding involving this certificate of reinsurance.” It also provided that Associated must indemnify ICP if ICP pays a claim covered by the reinsured insurance policy.
In 1978, Louisiana-Pacific acquired the stock of Fibreboard Corporation, a company which, prior to 1972, manufactured products containing asbestos. Upon the acquisition, Fibreboard automatically became insured under the ICP-Louisiana-Pacific policy. Subsequently, Louisiana-Pacific’s premiums were increased by ten percent. Shortly thereafter, Associated received a document from ICP indicating the additional premium collected, however, no mention was made of Louisiana-Pacific’s acquisition of Fibreboard.
During the late 1970’s thousands of personal injury claims arising from exposure to asbestos were brought against Fibre-board. As a result, in February 1979, a letter was sent to ICP from Louisiana-Pacific’s insurance brokers informing ICP of the outstanding claims. The letter warned ICP of “an increasing possibility of eventual potential claims against policies issued by excess underwriters.” A similar letter was sent in October, 1980. A third letter, dated December 18, 1980, explained to ICP that “due to the sheer number of claims involved, we believe and expect that your excess policies will be penetrated.” ICP did not relate this information to Associated.
In May 1979, the Fireman’s Fund Insurance Company, one of Fibreboard’s primary insurers, commenced an action in the California state courts seeking declaratory relief against Fibreboard and several of Fibreboard’s insurers to resolve a coverage dispute as to the asbestos claims. Fibre-board cross-claimed against all of its insurers, including ICP. The cross-complaint sought declaratory relief and compensatory and punitive damages for breach of contract, breach of the insurer’s duty of good faith and fair dealing, and deceptive and unfair acts and practices. Specifically, the cross-complaint alleged “that the potential liability of Fibreboard in the underlying action exceeds Fibreboard's underlying primary and other insurance coverage.” These developments were not conveyed to Associated.
In July 1986, Fibreboard notified ICP and other companies affiliated with ICP (AIG companies) of the forthcoming depletion of the layers of insurance below its excess policies for certain years, and requested payment on these policies. In late 1986, negotiations for a complete settlement were commenced during which Fibre-board and AIG companies, including ICP, agreed to include the policy reinsured by Associated.
In a document dated April 15, 1987, entitled “First Notice of Loss,” ICP formally
On May 6, 1988, asserting diversity jurisdiction, ICP sued Associated in the United States District Court for the Central District of California. The case proceeded to a bench trial and, on April 28, 1989, judgment was entered for Associated.
DISCUSSION
I. Standard of Review
Pursuant to Rule 52(a) of the Federal Rules of Civil Procedure, “[fjindings of fact, whether based on oral or documentary evidence, shall not be set aside unless clearly erroneous.... ” The Rule, however, does not apply to a district court’s interpretation of law, which is reviewed de novo.
Pullman-Standard v. Swint,
Generally, the interpretation of a contract is considered a mixed question of law and fact.
James B. Lansing Sound, Inc. v. National Union Fire Ins. Co.,
In this case, the district court concluded that ICP breached the notice clause or requirement in the reinsurance contract, and that Associated was prejudiced. Since the district court’s findings were based upon “an analysis of the contractual language” and its conclusions of California law, they are subject to de novo review.
Lansing Sound,
II. Applicable Law
In this diversity case governed by the substantive law of insurance of California, we are required to “ascertain from all the available data what the state law is and apply it_”
West v. American Telephone and Telegraph Co.,
Careful research discloses no California Supreme Court case that has addressed the specific question of a notice provision in a reinsurance contract. Hence, we are, as was the district court, required to use our “own best judgment in predicting” how the Supreme Court of California would inter
III. Notice Requirement
A reinsurance contract “is one by which an insurer procures a third person to insure him against loss or liability by reason of such original insurance.” Cal.Ins.Code § 620 (West 1972). The language of an insurance contract, like any other contract, “is to govern its interpretation, if the language is clear and explicit, and does not involve an absurdity.” Cal.Civ.Code § 1638 (West 1985).
In this case, the notice clause requires ICP to notify Associated “promptly of any occurrence which in [ICP]’s estimate ... might result in judgment in an amount sufficient to involve this certificate of reinsurance.” ICP contends that “[t]he condition for giving this notice is the reinsured’s (ICP’s) subjective determination that the reinsurance certificate will be impacted by claims made against the original insured (Fibreboard) or, ... ‘when notice of claim is received’ ” (emphasis in original). Hence, ICP contends that “[pjrompt notice of this type was provided to Associated once ICP was informed that [Fibreboard’s] other available insurance limits were nearing exhaustion [in 1987].”
The Supreme Court of California, interpreting an insurance policy, defined the term “occurrence” as “ ‘an accident ... which results, during the policy period, in bodily injury neither expected nor intended from the standpoint of the Insured.’ ”
Preston v. Goldman,
ICP does not dispute that the cross-claim brought by Fibreboard against ICP was an “occurrence” under the reinsurance contract. ICP’s contention as to the notice provision is founded on the premise that the contractual language, i.e., “in [ICP]’s estimate ... might result in judgment in an amount sufficient to involve this certificate of reinsurance,” implies a “subjective determination” as to when to notify Associated of an “occurrence.”
Although we agree with ICP’s interpretation, ICP nonetheless has the obligation, implied by law, to perform its duty under the reinsurance contract “ ‘with care, skill, reasonable expedience and faithfulness.’ ”
Kuitems v. Covell,
We consider the language of the ICP-Associated notice clause analogous to the notice clause between an insured and an excess insurer in the case of
Liberty Mut. Ins. Co. v. Gibbs,
A similar notice provision is found in a reinsurance contract case decided by the United States Court of Appeals for the Third Circuit. In
Trustees of the University of Pennsylvania v. Lexington Insurance Co.,
In light of the foregoing, we conclude that the cross-claim brought by Fibreboard against ICP was an occurrence “that presented a ‘reasonable possibility’ of resulting in a claim under the reinsurance policy.”
Gibbs,
Additionally, the reinsurance contract required ICP to give notice to Associated “when notice of claim is received by [ICP].” Relying on this provision, Associated contends that ICP must give “notice of all claims as they are received, if there is even the merest possibility that the Associated certificate may be implicated.” Associated, in part, relies on section 622 of the California Insurance Code which states that “[w]here an insurer obtains reinsurance, he must communicate all the representations of the original insured, and also all the knowledge and information he possesses, whether previously or subsequently acquired, which are material to the risk.” Associated also notes that the contract gives it the right “to join with [ICP] ... in the defense and control of any claim, suit or proceeding involving this certificate of reinsurance.”
The California Civil Code sets forth the fundamental principle that “[t]he whole of a contract is to be taken together, so as to give effect to every part, if reasonably practicable, each clause helping to interpret the other.” Cal.Civ.Code § 1641 (West 1985). In this case, the notice provision of the contract uses the term “claim” twice. First, the notice provision states that ICP is required to notify Associated “when notice of claim is received.” Secondly, the contract states that Associated may join “in the defense ... of any claim, suit or proceeding involving this certificate of reinsurance.” The language of the contract makes it clear that the more general term “claim,” in the provision requiring notice when a claim is received, encompasses the more specific terms “claim, suit or proceeding” in the provision allowing Associated to join in the defense. Indeed, California courts have broadly defined the term “claim” as an “ ‘assertion, demand or challenge of something as a right; the assertion of a liability to the party making it to do some service or pay a sum of money....’”
Williamson & Vollmer Eng’g, Inc. v. Sequoia Ins. Co.,
It is also important to note that the right of Associated to join in the defense would be sharply curtailed if Associated was only entitled to notice, as ICP contends, upon ICP’s “subjective determination that the reinsurance certificate would be impacted.” Therefore, under California law, Fibre-board’s cross-claim against ICP is a “claim” within the ICP-Associated reinsurance contract. Hence, ICP’s failure to notify Associated of the “claim,” also constituted a breach of the notice clause.
In sum, interpreting the reinsurance contract as would the Supreme Court of California, we conclude that the cross-claim brought against ICP by Fibreboard was both an “occurrence,” and a “claim.” Hence, since under the notice provision ICP was required to notify Associated, ICP
IV. Notice-Prejudice Rule
Under California decisional law, it is settled that an insurer, in order to avoid liability on the basis of a breach of the notice clause, must establish actual and substantial prejudice.
Campbell v. Allstate Ins. Co.,
ICP contends that the notice-prejudice rule “in the direct insurer context should apply with equal force [in] the reinsurer context” since “[t]he notice requirement serves to protect insurers from prejudice, ... not ... to shield them from their contractual obligations.” It would seem clear that the purpose of the notice clause is to “ ‘protect the insurance company from being placed in a substantially less favorable position than it would have been if timely notice had been provided.’ ”
Lexington,
It would also seem clear that the rationale underlying the notice-prejudice rule in contracts of direct insurance is equally applicable in the context of reinsurance contracts. Indeed, in a discussion of this question, the Court of Appeals for the Third Circuit reasoned that:
the excess insurance context presents an even more compelling reason to require prejudice. Unlike primary insurers, excess insurers have no right to control a lawsuit and thus have less need for early notice. Moreover, because primary insurers will usually provide an experienced defense, the likelihood of prejudice from late notice is more remote.
Lexington,
The recent case of
Christiana Gen. Ins. Corp. v. Great Am. Ins. Co.,
Under New York law, a primary insurer does not have to show that it was prejudiced by the late notice in order to avoid liability on an insurance contract.
The policy considerations underlying New York’s rule that a primary insurer need not demonstrate prejudice when an insured breaches a notice provision are not present in a reinsurance contract. Reinsurers have no duty to defend claims, nor is the potential staleness of claim as significant a concern to a rein-surer as it is to a primary insurer.
Id. at 159.
Associated, without citing any authority, asserts that “[t]here is authority which suggests that prejudice is irrelevant in the reinsurance context.” It is obvious that, in order to disregard the prejudice requirement, the notice provision must be construed as a condition precedent. Research, however, indicates that, absent a clear and unambiguous expression by the
In view of the substantive law of California, and noting California’s strong public policy against “technical forfeitures,”
Bollinger v. National Fire Ins. Co.,
V. Was Associated Prejudiced by the Breach?
We note at the outset that courts in some jurisdictions presume prejudice in cases of late notice.
See, e.g., Tiedtke v. Fidelity & Casualty Co.,
Although no categorical definition of prejudice has been found, it is not disputed that California case law “place[s] a heavy burden on an insurer seeking to defend on the ground of breach of the notice clause.”
Colonial Gas Energy Sys. v. Unigard Mut. Ins. Co.,
In this case, Associated contends that the evidence of record supports the district court’s “findings of fact” that Associated was prejudiced in three ways. First, by the fact that the late notice deprived it of the opportunity to investigate the Fibre-board cross-claim and participate in the set
The district court, however, in its Findings of Fact and Conclusions of Law concluded that Associated was prejudiced in the following three ways: (1) by “the fact that a commitment was made by [ICP] committing [Associated’s] funds to funding [the ICP-Fibreboard] settlement;” (2) by the fact that Associated was “deprived of any opportunity to take any evasive action of any kind to protect themselves against [the] loss;” and (3) because Associated was “not given the opportunity, until it was too late ... to join with [ICP] and its representatives in the defense and control of any claim, suit or proceeding involving the certificate of reinsurance.” The district court further stated that “it’s basically prejudicial to be denied ... notice of what is going on.... ”
It seems clear that the district court, in accord with Associated’s first contention, improperly presumed prejudice because Associated was deprived of the opportunity to “join” and “control” the underlying claim. It also seems clear that, pursuant to Associated’s second and third contentions, the district court improperly presumed prejudice because Associated was unable to take “evasive action” to protect itself against the loss. The court, in specifically addressing Associated’s second and third allegations of prejudice, declared that “in terms of the evidence presented regarding the Mission Insurance Company, I suppose that could be considered prejudice as well_ The question of whether establishing a reserve would have enabled [Associated] at an earlier time to claim a tax deduction is a prejudice, but ... these things are all very difficult to say after the fact what prejudice there would have been" (emphasis added). Regardless, Associated has cited no case, and we have found none, to support the proposition that such collateral matters may constitute prejudice so as to relieve an insurer from its liability under an insurance contract.
It is noteworthy that there is authority that allows an insurer to collect money damages to the extent that they were proximately caused by the late notice.
See Security,
In summary, the district court erred in invoking a presumption of prejudice. The court did not find, nor did Associated allege, the actual and substantial prejudice necessary under California law to relieve Associated of its contractual liability. Furthermore, there is no evidence upon which to conclude, under California law, that Associated was prejudiced by ICP’s late notice.
VI. The Settlement Agreement
Associated maintains that the settlement agreement called for the payment of “future, unidentified claims” and is not covered by the reinsurance certificate because “payment is required only for funds actually expended to injured claimants by way of settlement or judgment.” Associated also claims that the settlement is beyond the scope of the certificate since ICP entered into the settlement “to extricate itself from a bad faith lawsuit by its own insured_” Associated makes these contentions despite the fact that the Pre-Trial Conference Order, which was stipulated by both parties, stated that “the funds paid in settlement ... would be used for payment by Fibreboard of actual asbestos claims made against Fibreboard.”
It is basic that “[w]hile uncertainties and ambiguities are to be construed against the insurer, this does not mean that courts are authorized to put a strained and unnatural
On this question, we recognize California’s policy against implying provisions in insurance contracts that would defeat the contractual purpose. To hold that settlements between an insured and insurer which address future claims are not reimbursable by reinsurance pursuant to an indemnification contract would be contrary to that policy. Moreover, to decide in favor of Associated would frustrate the public policy which encourages settlement.
CONCLUSION
We hold that, although ICP breached the notice provision in the ICP-Associated reinsurance contract, Associated did not demonstrate the substantial prejudice required under California law to be relieved of its obligation under the contract. We also hold that the settlement agreement for which ICP sought indemnity is covered by the reinsurance contract. Accordingly, the judgment of the district court is reversed.
REVERSED.
