JOHNSON CONTROLS, INC., Plaintiff-Respondent, v. LONDON MARKET, Defendant-Appellant, AIU INSURANCE COMPANY, American Home Assurance Company, Granite State Insurance Company, Landmark Insurance Company and National Union Fire Insurance Company of Pittsburgh, PA, Defendants-Intervenors, ALLSTATE INSURANCE COMPANY, Allianz Underwriters Insurance Company, Affiliated FM Insurance Company, American Employers Insurance Company, American Motorists Insurance Company, Associated International Insurance Company, Central National Insurance Company of Omaha, Employers Mutual Casualty Company, Employers Reinsurance Corporation, Federal Insurance Company, Highlands Insurance Company, Industrial Indemnity Company, International Surplus Lines Insurance Company, International Insurance Company, Westport Insurance Corporation, Stonewall Insurance Company, TIG Insurance Company, Transamerica Premier Insurance Company, United National Insurance Company and Westchester Fire Insurance Company, Defendants.
No. 2007AP1868
Supreme Court of Wisconsin
June 24, 2010
2010 WI 52 | 784 N.W.2d 579 | 325 Wis. 2d 176
Oral argument February 23, 2010. Motion for Reconsideration pending.
For the plaintiff-respondent there were briefs by William M. Cannon, Mark L. Thomsen, Allan M. Fo
For the defendants-intervenors there was a brief by Anne Berleman Kearney and Appellate Consulting Group, Milwaukee, and Margaret J. Orbon, Ilene M. Korey, and Clausen Miller P.C., Chicago, Ill., and oral argument by Anne Berleman Kearney.
An amicus curiae brief was filed by Lynn R. Laufenberg and the Laufenberg Law Group, S.C., Milwaukee, on behalf of the Wisconsin Association for Justice.
An amicus curiae brief was filed by Erin O‘Connor and O‘Connor Law Offices, LLC, Fox Point, on behalf of the Metropolitan Milwaukee Association of Commerce.
An amicus curiae brief was filed by Thomas R. Schrimpf and Hinshaw & Culbertson LLP, Milwaukee, and Laura A. Foggan and Wiley Rein LLP, Washington, D.C., on behalf of Complex Insurance Claims Litigation Association, American Insurance Association, and Wisconsin Insurance Alliance.
¶ 2. London Market contends that it had no duty to defend Johnson Controls because its insurance policy
¶ 3. In the alternative, London Market asserts that even if it had a duty to defend under the policy, that duty was never triggered because it is conditioned upon exhaustion of the underlying insurer‘s policy limits, and those limits were never exhausted. Further, London Market contends that Wisconsin law did not require it to drop down and defend Johnson Controls when the underlying insurer refused to defend.
¶ 4. Based on the language of the policies, we conclude that London Market had a duty to defend. Although its excess umbrella policy does not have a duty to defend provision, it does contain a follow form provision that incorporates the duty to defend found in the underlying Travelers policies.
¶ 5. We further determine that its duty to defend was not conditioned upon exhaustion of the underlying Travelers policies. Rather, under the terms of the “other insurance” provision, London Market‘s duty to defend was triggered when the underlying insurer “denie[d] primary liability under its policy.” Accordingly, we affirm the circuit court and remand for further proceedings.
I
¶ 6. Johnson Controls is a manufacturing company based in Milwaukee, Wisconsin. During the 1970s, it contracted with various insurers for a layered program of primary, umbrella, and umbrella excess commercial general liability (CGL) policies. This appeal
¶ 7. Before delving into the specific issues presented, it is helpful to provide some historical background about this case, which has been ongoing for over 21 years. In the mid-1980s, Johnson Controls started to receive notification that it had been identified as a potentially responsible party (PRP) in connection with environmental contamination at various sites across the country.3 As a PRP, Johnson Controls could be required to contribute to the environmental restoration and remediation costs at these sites.
¶ 8. Johnson Controls asserts that it notified its insurers, seeking defense and indemnification.4 The insurers refused to provide defense or indemnification, justifying their refusal on the ground that their CGL policies did not cover environmental restoration and remediation costs imposed under the Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA).5
¶ 9. In 1989, Johnson Controls filed suit against its various primary, umbrella, and excess insurers. It
¶ 10. Before the circuit court made a determination on the insurers’ obligations, this court decided City of Edgerton v. General Casualty Co. of Wisconsin, 184 Wis. 2d 750, 517 N.W.2d 463 (1994). In that case, this court determined that environmental response costs under CERCLA constitute “equitable relief” rather than legal damages and that a CGL insurer has no duty to indemnify the insured for these expenses. Id. at 782, 784. Further, this court determined that the receipt of a PRP letter or comparable letter from a state agency did not constitute a “suit,” and therefore a CGL insurer‘s duty to defend was not triggered by the receipt of a PRP letter. Id. at 771.
¶ 11. The circuit court applied the holding of Edgerton and granted summary judgment in favor of the insurers. It determined that there was no duty to defend or indemnify Johnson Controls under any of the CGL policies. The court of appeals affirmed in an unpublished decision, noting that “as long as City of Edgerton remains the law in this state” Johnson Controls could not prevail. Johnson Controls v. Employers Ins. of Wausau (Johnson Controls I), Nos. 95-179, 95-2591, unpublished slip op. at 4 (Wis. Ct. App., Oct. 13, 1998).
¶ 12. The court of appeals remanded to the circuit court for factual determinations of whether all the sites fit within the rule outlined above. On remand, the circuit court determined that there was no coverage under any of the policies for any of the contaminated sites.
¶ 14. In 2003, this court reviewed the Johnson Controls II decision and reversed. Overruling Edgerton, the court concluded that an insured‘s costs for “restoring and remediating damaged property, whether the costs are based on remediation efforts by a third party (including the government) or are incurred directly by the insured, are covered damages under applicable CGL policies, provided that other policy exclusions do not apply.” Johnson Controls v. Employers Ins. Wausau (Johnson Controls III), 2003 WI 108, ¶¶ 4-5, 264 Wis. 2d 60, 665 N.W.2d 257.
¶ 15. It also concluded that Edgerton‘s discussion of the insurer‘s duty to defend in the context of CERCLA letters was “unworkable.” Id., ¶ 4. The court determined that PRP letters constitute “the functional equivalent of a suit” because a PRP letter “marks the beginning of adversarial administrative legal proceedings that seek to impose liability upon an insured.” Id., ¶¶ 5, 120. Therefore, the receipt of such a letter triggers the insurer‘s duty to defend. Id., ¶ 120.
¶ 16. Finally, the court stated that “[a]lthough this court would like to end this action after more than 13 years of litigation, we must remand the cause for further proceedings[.]” Id., ¶ 123. The circuit court was instructed to determine whether other exclusions in the policies might apply and to determine the liability of the various insurers. Id.
¶ 18. At some point, it became apparent that Johnson Controls planned to file a similar motion for declaratory judgment against London Market. In January 2007, London Market moved for partial summary judgment. It contended that its policy was an indemnity-only excess umbrella insurance policy that contained no promise of defense.
¶ 19. In its motion in support of partial summary judgment, London Market stated: “In order to resolve this issue so that the parties can address the real coverage questions—whether the London policy indemnifies [Johnson Controls] for any of the [ ] pollution sites—London Market Insurers move this Court for a ruling, as a matter of law, that London Market Insurers’ excess umbrella liability policy does not contain a duty to defend.” In the alternative, London Market sought a declaration that “if the Court believes the London policy does have a duty to defend, the duty would not ripen unless and until the underlying policies have been exhausted.”
¶ 21. The court of appeals certified two questions to this court:
First, should a duty to defend be imported from an underlying umbrella insurance policy into an excess umbrella liability policy by language in the excess policy stating that it is subject to the same terms, definitions, exclusions and conditions as the underlying policy “except as otherwise provided“? . . .
Second, is the excess liability carrier‘s duty to defend primary in nature, such that it may be triggered even if the excess policy expressly requires exhaustion of the underlying policy as a precondition to liability and the underlying policy has not been exhausted?
The court of appeals explained that both issues were matters of first impression in Wisconsin and both would have broad implications for the business community and the insurance industry.
¶ 22. After we granted certification, five excess insurers involved in the litigation at the circuit court filed a motion to intervene under
II
¶ 23. This case requires us to determine whether the circuit court erred in denying London Market‘s motion for partial summary judgment. We review the circuit court‘s denial of a motion for partial summary judgment independently, but using the same methodology as employed by the circuit court. Radke v. Fireman‘s Fund Ins. Co., 217 Wis. 2d 39, 42-43, 577 N.W.2d 366 (Ct. App. 1998). Summary judgment is appropriate when there is no genuine issue of material fact and the moving party is entitled to judgment as a matter of law. Id.; see also
¶ 24. Here, the parties dispute whether London Market had a duty to defend Johnson Controls under the terms of an insurance policy. If it did, we review the parties contest when, if at all, that duty was triggered. The construction of an insurance policy presents a question of law, reviewed independently of the determination rendered by the circuit court. Plastics Eng‘g Co. v. Liberty Mut. Ins. Co., 2009 WI 13, ¶ 27, 315 Wis. 2d 556, 759 N.W.2d 613.
¶ 26. When the policy‘s language is unambiguous, we enforce the contract as written, without resorting to the rules of construction or principles from case law. Plastics Eng‘g Co., 315 Wis. 2d 556, ¶ 27. However, if the policy language is susceptible to more than one reasonable interpretation, it is ambiguous. Id. “[B]ecause the insurer is in a position to write its insurance contracts with the exact language it chooses—so long as the language conforms to statutory and administrative law—ambiguity in that language is construed in favor of an insured seeking coverage.” Froedtert Mem‘l Lutheran Hosp. v. Nat‘l States Ins., 2009 WI 33, ¶ 43, 317 Wis. 2d 54, 765 N.W.2d 251.
III. Duty to Defend
¶ 27. We determine first whether London Market‘s policy contains a duty to defend. London Market asserts that its umbrella excess policy was an indemnity-only policy that did not promise a defense.
¶ 29. When a contract imposes a duty to defend, however, that duty is broader than the duty to indemnify. Id. The duty to defend arises when there is arguable, as opposed to actual, coverage under the policy. Id. It is the nature of the claim alleged against the insured which triggers the duty to defend—even though the suit may be groundless, false, or fraudulent. Sustache v. Am. Family Mut. Ins. Co., 2007 WI App 144, ¶ 10, 303 Wis. 2d 714, 735 N.W.2d 186.
¶ 30. In support of its assertion that its policy does not provide a duty to defend, London Market advances that it is contrary to the role of an excess insurer and the purpose of excess insurance to provide a duty to defend. Such reliance on generalized statements about the role and purpose of excess coverage misses the mark.
¶ 31. Instead, “[t]he duty to defend an insured is based on the language in the insurance contract.” Southeast Wis. Prof‘l Baseball Park Dist. v. Mitsubishi Heavy Indust. Am. Inc., 2007 WI App 185, ¶ 41, 304 Wis. 2d 637, 738 N.W.2d 87; see also Novak v. Am. Family Mut. Ins. Co., 183 Wis. 2d 133, 137, 515 N.W.2d 504 (Ct. App. 1994). In practice, most primary policies do contain a contractual duty to defend, and some umbrella and excess policies do as well. To determine
¶ 32. London Market asserts that it promised indemnification only, and that it did not promise to defend. It points to its insuring agreement, which states that London Market agrees, “subject to the limitations, terms and conditions hereinafter mentioned, to indemnify the Assured for all sums which the Assured shall be obligated to pay by reason of” certain liabilities:
Underwriters hereby agree, subject to the limitations, terms and conditions hereinafter mentioned, to indemnify the Assured for all sums which the Assured shall be obligated to pay by reason of the liability . . . for . . . Property Damage . . . arising out of the hazards covered by and as defined in the underlying [Travelers policies].
London Market‘s insuring agreement promises indemnification but is silent regarding defense.
¶ 33. London Market is correct that the language of the insuring agreement—read in isolation—does not impose an obligation to defend. However, this insuring agreement does not exist in isolation.
A. Follow Form Policy
¶ 34. Rather, the excess umbrella policy issued by London Market is a “follow form” policy, meaning that the policy is relatively brief and incorporates many of the provisions of an underlying policy—in this case, the excess umbrella policies issued by Travelers.7 One of the conditions “hereinafter mentioned” in the London Market policy is the follow form provision:
This Policy is subject to the same terms, definitions, exclusions and conditions (except as regards the premium, the amount and Limits of Liability and except as otherwise provided herein) as are contained in or as may be added to the Underlying [Travelers policies] prior to the happening of an occurrence for which claim is made hereunder.
Thus, to determine the terms, definitions, exclusions, and conditions of the London Market policy, it is necessary to turn to the Travelers policies.8
¶ 35. Among other provisions, the underlying Travelers policies contain a duty to defend as well as a duty to indemnify:
Liability. The company will pay on behalf of the insured all sums which the insured shall become legally obligated to pay as damages . . . , and the company shall have the right and duty to defend any suit against the insured seeking damages on account of such injury or damage . . . , but the company shall not be obligated to pay any claim or judgment or to defend any suit filed after the applicable limit of the company‘s liability has been exhausted by payments of judgments or settlements.
(Emphasis added.)
¶ 36. To determine whether Travelers’ duty to defend is incorporated into London Market‘s policy, we
¶ 37. London Market‘s follow form provision does not expressly disclaim the duty to defend found in the Travelers policies. Rather, it explicitly sets forth three ways in which the London Market policy differs from the underlying Travelers policies: (1) the premium; (2) the amount and Limits of Liability; and (3) “except as otherwise provided herein.”
¶ 38. No argument is made about the first two areas of difference. The parties focus on the third area of difference, “except as otherwise provided herein.”
B. “Except as Otherwise Provided Herein”
¶ 39. London Market asserts that its policy does “otherwise provide” that there is no duty to defend. It contends that by omitting a promise to defend from the insuring agreement, it “otherwise provided” that there would be no duty to defend.
¶ 40. This argument is circular. As discussed above, the insuring agreement that London Market relies upon refers the insured to the follow form provision and to the terms of the underlying Travelers policies. Although London Market‘s insuring agreement does not promise a defense, the follow form provision incorporates the terms, definitions, exclusions, and conditions of the Travelers policies. One of those terms is Travelers’ duty to defend, a duty that the London Market policy does not disclaim.
¶ 41. The phrase “except as otherwise provided herein” suggests that to “otherwise provide,” there must
¶ 42. Given that Travelers imposes a duty to defend and London Market‘s silence regarding that duty, a reasonable person in the position of the insured would interpret London Market‘s policy as incorporating the duty to defend found in the Travelers policies. Although it is not certain whether London Market intended to provide a duty to defend when it drafted the policy, we do not construe insurance policies based on what we believe the intentions of the insurer may have been. Frost, 257 Wis. 2d 80, ¶ 20. Accordingly, we refuse to rewrite insurance contracts by filling in gaps left in the draftsmanship.9 Rather, we look to the policy language itself, as it would be understood by a reasonable insured.
¶ 43. Even if we were to determine that it was unclear whether the follow form‘s duty to defend was incorporated into the London Market policy, given London Market‘s silence regarding defense, we would con-
clude that the policy language should be construed to incorporate the duty to defend. It is axiomatic that policy language which is unclear and susceptible to more than one reasonable interpretation is ambiguous and is construed in favor of coverage. Plastics Eng‘g Co., 315 Wis. 2d 556, ¶ 27. In interpreting the policy language, we conclude that London Market had a duty to defend.¶ 44. Our interpretation is supported by case law. In another case addressing an excess insurer‘s contractual duty to defend, the Second Circuit Court of Appeals examined an excess policy containing a follow form provision. See Home Ins. Co. v. Am. Home Prods. Corp., 902 F.2d 1111 (2d Cir. 1990). Similar to London Market‘s policy, the policy in Home stated that it was “subject to the same warranties, terms and conditions [as the underlying policy] (except as otherwise provided herein)[.]”
¶ 45. In that case, the underlying policy covered payments for defense costs. However, Home‘s policy expressly excluded “all expenses and Costs” and further defined costs to include “legal expenses.” Id. at 1113. Given Home‘s express exclusion of defense costs, the Second Circuit stated that the underlying policy “conflict[ed] with the subject Home policy which... excludes from payment those expenses and costs” covered by the underlying policy.10 Id. at 1114.
IV. Parties’ Arguments Extrinsic to the Policy Language
¶ 47. Having examined the language of the relevant policies and determined that London Market has a contractual duty to defend, we turn to address two additional arguments advanced by the parties in support of their respective positions regarding whether London Market‘s policy incorporates Travelers’ duty to defend. Both arguments rely on evidence that is extrinsic to the language of the policy. We address each argument in turn.
A. Subsequent Policies Expressly Exclude Any Duty to Defend
¶ 48. Johnson Controls asserts that evidence that London Market‘s 1973-1976 policy contains a duty to defend is found by the fact that four subsequent and otherwise identical policies issued by London Market expressly excluded any duty to defend. One policy stated that London Market “shall have the right but not the duty to assume... the defense of any suit[.]” Another policy provided that London Market “shall not be called upon to assume charge of the settlement or defense of any claim[.]”
¶ 49. We do not find Johnson Controls’ reliance on the subsequent policies to be helpful for two reasons. First, we do not believe that London Market‘s subsequent modification of its standard insuring agreement sheds light on the language of the 1973-1976 agree
¶ 50. Second, even if subsequent policies were relevant in determining what the language of the 1973-1976 policy provides, it is unclear what conclusion we would reach. We could conclude, as Johnson Controls suggests, that the express disclaimer demonstrates that London Market knew how to disclaim the duty to defend but did not intend to do so in the 1973-1976 policy. We could also conclude, as suggested by London Market, that the fact that Johnson Controls continued to purchase excess coverage that expressly disclaimed the duty to defend indicates that Johnson Controls never expected defense from its excess insurer.
B. Premium Charged
¶ 51. We turn next to London Market‘s arguments about the premium it charged for the umbrella excess policy. London Market contrasts the relatively small premium it charged with the larger premium Johnson Controls paid for the umbrella coverage provided by Travelers.11 London Market asserts that the relatively low premium paid for its excess policy is evidence that the parties did not contract for London Market to provide a defense. It contends that this argument is borne out by Oelhafen v. Tower Ins. Co., 171 Wis. 2d 532, 539, 492 N.W.2d 321 (Ct. App. 1992), which explained that “the intent of umbrella policies to serve a different
¶ 52. London Market‘s argument is unpersuasive for two reasons. First, contract interpretation should be based on the language of the policy rather than a court‘s conjecture about extrinsic information. Second, even if we considered the relative size of the two premiums in our analysis, we would not be persuaded that the lower premium evinces an absence of the duty to defend. There are additional reasons apart from defense costs that an umbrella excess policy might be less expensive than a primary policy or an umbrella policy.
¶ 53. In Davis v. Allied Processors, Inc., 214 Wis. 2d 294, 300, 571 N.W.2d 692 (Ct. App. 1997), the court of appeals explained that insurance companies calculate premiums based upon statistics. Excess policies may be less expensive because most judgments and settlements will be within the limits of the primary policy, leaving no exposure for the excess policy. Id. Excess coverage is normally not reached except in the case of a catastrophic loss:
[I]t was far more likely that payment would be required for compensatory damages under the underlying policy than would be required for a compensatory loss of over [the limits of the underlying policy] through the umbrella policy. Because the risk was diminished for the umbrella policy, it could and did charge a smaller premium.
¶ 54. We conclude that the extrinsic evidence offered by both parties is not helpful in our determination of whether the 1973-1976 London Market policy contains a duty to defend. Rather, for the reasons men
V. When the Duty to Defend Is Triggered
¶ 55. Having determined that London Market‘s policy incorporates the duty to defend found in the Travelers policies, we turn to address if and when that duty was triggered under these facts. Both London Market and the excess intervenors appear to assert that as a matter of law, an excess carrier‘s duty to defend may not be triggered until the limits of the underlying Travelers policies have been exhausted.12
¶ 56. In its brief, London Market explains:
Wisconsin law is clear. An excess insurer is just that. It is not a co-primary insurer, responsible for providing a defense from dollar one. That obligation falls solely on the primary insurer.... This court should reaffirm Wisconsin law, holding that an excess insurer is not required to provide a defense where the primary is required to do so.
¶ 57. We agree that a primary insurer generally has the primary duty to defend a claim. “An excess insurer usually is not required to contribute to the defense of the insured so long as the primary insurer is required to defend.” 2 Arnold P. Anderson, Wisconsin Insurance Law § 11.33 (5th ed. 2004); see also Southeast Wis. Prof‘l Baseball Park Dist., 304 Wis. 2d 637, ¶ 64. “True excess coverage attaches when a single insured has two policies that cover the same loss but only one policy is written with the expectation that the primary insurer will conduct all investigations, negotiations, and defense of claims until its limits are exhausted.” Id., § 11.17.
¶ 58. However, this does not establish an immutable rule of law requiring exhaustion of all primary policies before an excess insurer‘s duty to defend can be triggered. Rather, it depends on the language of the policies.
¶ 59. Wisconsin case law instructs that the language of the policy should be our initial focus. After focusing on the policy language, we turn to examine Wisconsin cases that have held that an excess insurer‘s duty to defend may be triggered prior to the exhaustion of the primary policy.
A. Policy Language
¶ 60. As stated above, the London Market policy incorporates the provisions of the Travelers policies unless otherwise provided. The Travelers policies explain when Travelers’ duties to indemnify and to defend end—upon exhaustion of Travelers’ limits of liability:
[Travelers] shall not be obligated to pay any claim or judgment or to defend any suit filed after the applicable limit of the company‘s liability has been exhausted by payments of judgments or settlements.
¶ 61. According to the follow form provision, London Market‘s duty to defend would also be terminated upon the exhaustion of its limits of liability. Although the above language determines when Travelers and London Market‘s duties to indemnify and defend end, this language is silent regarding the question of when the duty to defend begins.
B. Other Insurance Provision
¶ 62. However, a separate provision in the Travelers policies, the “other insurance” provision, sheds light on the inquiry. This provision explains that if another insurer denies primary liability, Travelers will respond as though the other insurance were not available.13 It provides:
[I]f the insurer affording other insurance to the named insured denies primary liability under its policy, [Travelers] will respond under this policy as though such other insurance were not available.
(Emphasis added.) A reasonable person in the position of the insured would interpret this provision as promising that, where the excess insurer has a contractual duty to defend, it will step in and provide a defense in the event that the primary insurer refuses to do so.14
¶ 63. Under the follow form provision, the language of the “other insurance” provision is incorporated into the London Market policy “unless otherwise provided herein.” Thus, London Market would be required to “respond under [its] policy as though such other insurance were not available” in the event that the underlying insurer “denies primary liability under its policy“—unless the London Market policy otherwise provides.
C. Interpreting the Term “Liability”
¶ 65. London Market asserts that under the limits of liability provision in its policy, its duty to defend did not “attach” until the limits of the underlying Travelers policies were exhausted. The limits of liability provision states that “liability shall attach” to London Market only after Travelers has paid or has been held liable to pay its limits:
It is expressly agreed that liability shall attach to the Underwriters only after the Underlying Umbrella Insurers have paid or have been held liable to pay the full amount of their respective net loss liability[.]
¶ 66. The limits of liability provision discusses when London Market‘s “liability” begins—after Travelers has paid or has been held liable to pay the full amount of its net loss liability. However, it does not expressly state when the duty to defend begins. In isolation, it is unclear whether the term “liability” encompasses the duty to defend.
¶ 67. Although the London Market policy provides that “liability” does not attach until the underlying policies have been exhausted, it does not define the term “liability.” An examination of the term “liability” as it is used in the context of the London Market policy indicates, however, that “liability” refers to indemnification for injuries or property for which Johnson Controls is held liable. It does not refer to the duty to defend.
¶ 69. The term “liability” appears to be used interchangeably with “indemnification” in other places throughout London Market‘s policy. The “non cumulation of liability” provision equates liability with payment for personal injury or property damage:
[I]n the event that personal injury or property damage arising out of an occurrence covered hereunder is continuing at the time of the termination of this Policy [London Market] will continue to protect the Assured for liability in respect of such personal injury or property damage without payment of additional premium.
Further, its “notice of occurrence” provision discusses injuries and damage for which the insured will be held liable:
Whenever the Assured has information from which they may reasonably conclude that an occurrence covered hereunder involves injuries or damage which, in the event that the Assured shall be held liable, is likely to involve this Policy, notice shall be sent....
¶ 70. It therefore appears that the exhaustion provision‘s discussion of when “liability” attaches means that London Market will not indemnify Johnson Controls for injury or property damage until the indemnification limits of the underlying policies have been exhausted. However, defense and indemnification are separate duties. Radke, 217 Wis. 2d at 44. Even if
¶ 71. London Market makes one additional argument in support of its assertion that its duty to defend was not triggered until exhaustion of the Travelers policies. It shifts from examining the language of its own policy to focusing on the language of the Travelers policies. It points to the paragraph in the Travelers policies that imposes both the duty to indemnify and the duty to defend and explains that the first word in that paragraph is “liability“:
Liability. The company will pay on behalf of the insured all sums which the insured shall become legally obligated to pay as damages..., and the company shall have the right and duty to defend any suit against the insured seeking damages on account of such injury or damage[.]
¶ 72. Thus, London Market contends, the term “liability” encompasses both defense and indemnification obligations. At oral argument, counsel for London Market explained: “[I]f the term ‘liability’ is dependent upon what the Travelers policy says, it is clear that Travelers considers both the duty to defend and the duty to indemnify as part of liability.... Under that analy
¶ 73. London Market‘s argument rests on an infirm foundation. In examining the language of the Travelers policies, it is far from “clear that Travelers considers both the duty to defend and the duty to indemnify as part of liability.” The term “liability” is not set forth in the definition section of the Travelers policies. Although not specifically defined, it appears in many places throughout the policies. In most places, the term “liability” is used to refer to the obligation to indemnify, and defense is treated as a separate obligation.16
¶ 74. Given a lack of definition and the disparate use of the term “liability” in the Travelers policies, it is not at all clear that the Travelers policies intend that “liability” be defined to include the duty to defend. Even if it were clear, however, such usage would conflict with the usage of the term “liability” in London Market‘s own
¶ 75. We conclude that although London Market‘s duty to indemnify is conditioned upon exhaustion of the underlying Travelers policies, its duty to defend is not so conditioned. Rather, under the “other insurance” provision, London Market was required to “respond under [its] policy as though such other insurance were not available” because Travelers “denie[d] primary liability under its policy.” Thus, London Market was required to assume the defense.
D. Supportive Case Law
¶ 76. Contrary to the assertion of London Market, this conclusion does not fly in the face of an overarching rule of law requiring exhaustion of all primary policies before the duty to defend can be triggered. Quite the contrary. Wisconsin case law recognizes that an excess insurer‘s duty to defend may under certain circumstances be triggered prior to the exhaustion of the primary policy.
¶ 77. In Teigen v. Jelco Wis., Inc., 124 Wis. 2d 1, 367 N.W.2d 806 (1985), for example, this court approved a settlement agreement between a primary insurer and the plaintiff who brought suit against the insured. The settlement agreement was for less than the limits of the primary policy. It released all claims against the primary and the insured, but it left the excess carrier potentially
¶ 78. Teigen is not alone. In American Motorists Insurance Co. v. Trane Co., 544 F. Supp. 669, 692 (W.D. Wis. 1982), American Motorists’ excess policy promised to defend against suits for losses covered by the American Motorists policy but not covered by the underlying policy. Id. at 692. The federal district court applied Wisconsin law to the policy and concluded that the excess insurer with a contractual duty to defend was required to do so in the event that the primary insurer refused to defend:18
If the underlying insurer has refused to defend, asserting that there is no coverage under the substantive provisions of the underlying policy, the excess insurer will have a duty to defend, provided there is coverage under the excess policy and the claim falls within the policy limits of the excess insurer.
¶ 79. Eleven years later, the Wisconsin court of appeals revisited the holdings of American Motorists. In Azco Hennes Sanco, Ltd. v. Wisconsin Insurance Security Fund, 177 Wis. 2d 563, 502 N.W.2d 887 (Ct. App. 1993), a suit was filed against the insured, Azco, seeking damages in excess of the limits on Azco‘s primary insurance policy. Azco‘s primary insurer defended against the lawsuit. Additionally, Azco also hired a second attorney who was instrumental in ensuring that the case settled within the primary policy limits. Azco then sent the bills for the second attorney to its excess insurer, asserting that it was required to pay them under American Motorists.19 The excess insurer refused, asserting that its duty to defend had not been triggered even though the complaint against Azco alleged damages in excess of the primary policy‘s limits.
¶ 80. The court of appeals noted that it was not bound to follow a federal district court‘s opinion on Wisconsin law. Id. at 568. It rejected the conclusion in American Motorists that alleged damages in excess of the primary policy‘s limits were sufficient to trigger an excess insurer‘s duty to defend. Id.
¶ 81. However, it did not disturb the other conclusion in American Motorists—that an excess insurer with a contractual duty to defend might be obligated to
¶ 82. American Motorists was also cited in a recent decision of the Wisconsin court of appeals, Southeast Wisconsin Professional Baseball Park District v. Mitsubishi Heavy Industries America, 2007 WI App 185, 304 Wis. 2d 637, 738 N.W.2d 87. In that case, the primary insurer refused to defend despite the circuit court ordering it to defend on three separate occasions. Id., ¶ 13. As a result, an excess carrier provided a defense. Id., ¶ 8.
¶ 83. In a footnote, the court of appeals cited American Motorists and explained: “If the underlying insurer has refused to defend, asserting that there is no coverage under the substantive provisions of the underlying policy, the excess insurer will have a duty to defend, provided there is coverage under the excess policy and the claim falls within the policy limits of the excess insurer.” Id., ¶ 8, n.4. Given that the primary had breached its primary duty to defend, however, the court required it to reimburse the excess insurer for the defense costs it incurred. Id., ¶¶ 61-64.
¶ 84. The United States Court of Appeals for the Tenth Circuit also relied on American Motorists when it addressed a situation strikingly similar to the facts of this case. See Hocker v. New Hampshire Ins. Co., 922 F.2d 1476 (10th Cir. 1991). There, an umbrella insurer asserted that its duty to defend was never triggered because the primary policy limits had not been exhausted. Id. at 1481. The court rejected the argument, concluding that the language of the umbrella policy
¶ 85. The court explained that “as written,” the umbrella policy “explicitly addresses the possibility that the primary insurer will wrongfully deny coverage for occurrences that it had warranted would be covered by its primary policy.” Id. In those circumstances, “[t]he excess carrier must then drop down and provide a defense.” Id. The court further clarified that had the umbrella insurer fulfilled this obligation, it would be able to maintain a subrogation claim against the primary insurer to recoup the legal expenses incurred. Id. at 1483, n.6.
¶ 86. Some courts appear to have recognized a general rule that an insured that has purchased layers of coverage—including layers of a contractual duty to defend—should not be left without a “prompt and proper defense[.]” New Hampshire Indem. Co., Inc. v. Budget Rent-a-Car Systems, Inc., 64 P.3d 1239 (Wash. 2003). For example, the Washington Supreme Court stated: “[I]f a primary insurer fails to assume the defense, for any reason, the secondary insurer which has a duty to defend should provide the defense[.]” Id. at 1243; see also Anderson, supra, §§ 11.26, 11.33; Grossman v. Am. Family Mut. Ins. Co., 461 N.W.2d 489 (Minn. App., 1990). We need not and do not adopt a general rule to resolve this case, however, given that the language of the policies provides that London Market was required to assume the defense.20
VI
¶ 87. In sum, based on the language of the policies, we conclude that London Market had a duty to defend. Although its excess umbrella policy does not have a duty to defend provision, it does contain a follow form provision that incorporates the duty to defend found in the underlying Travelers policies.
¶ 88. We further determine that its duty to defend was not conditioned upon exhaustion of the underlying Travelers policies. Rather, under the terms of the “other insurance” provision, London Market‘s duty to defend was triggered when the underlying insurer “denie[d] primary liability under its policy.” Accordingly, we affirm the circuit court and remand for further proceedings.
By the Court.—The order of the circuit court is affirmed, and the cause is remanded.
generalizable concepts about the role of excess insurance and the duties of excess insurers. Focusing on concepts rather than policy language, the dissent makes a series of predictions about the effect that this opinion will have on all excess insurance policies, regardless of policy language.
As a result of this error, the dissent speaks in broad terms. For example, the dissent forecasts that “after today, the excess insurer becomes a surety for the performance of the underlying umbrella and the primary insurer‘s obligations[.]” Dissent, ¶ 104. “Even if an insurance policy... fails to mention even one word about defending, the majority opinion imposes an unqualified obligation to defend.” Id., ¶ 103. “[T]he majority creates an obligation for the excess insurer to defend as soon as a primary insurer fails to follow through with its obligation to defend.” Id., ¶ 89.
Our decision will have no such transformative effect on Wisconsin law because our analysis is driven by the specific policy language at issue in this case. A different result is contingent upon different policy language.
A. The majority decision is contrary to longstanding principles of insurance law
¶ 90. True excess coverage “exists as a part of layered coverage created by specific design and is intended to come into play only when the limits of underlying primary coverage are exhausted.” 14 Lee R. Russ & Thomas F. Segalla, Couch on Insurance § 200:39 (3d ed. 2007). As a general rule, an excess insurer is not required to defend until the primary insurer‘s policy limits are exhausted, even when the claim exceeds the primary insurer‘s policy limits or when the primary
¶ 91. The majority weaves together separate and distinct policies from different insurers to reach a particular outcome. In the same breath, the majority also concludes that the London Market policy‘s language is ambiguous. Essentially, the majority concludes that the policy is ambiguous because it does not specifically pen every conceivable limitation or exclusion. In so doing, the majority effectively imposes a requirement that insurance policies list all possible limitations and exclusions regardless of relevance to avoid ambiguity. The majority for the first time concludes that silence on an issue creates ambiguity and, thus, a duty.
¶ 92. The duty to defend is separate from the duty to indemnify. Neither common law nor statute mandates that an insurer always defend its insured. Novak v. Am. Family Mut. Ins. Co., 183 Wis. 2d 133, 137, 515 N.W.2d 504 (Ct. App. 1994); 14 Russ & Segalla, supra, § 200:5 (“An insurer does not have a duty to defend if there is no contractual obligation to defend.“). The majority decision upsets these longstanding principles and creates new contractual obligations that have never before been required or recognized.
B. The London Market policy does not provide a duty to defend
¶ 93. The London Market policy is a policy of indemnification and does not provide a duty to defend its insured, Johnson Controls. Absent an express promise to defend, no reasonable insured would expect an excess insurance policy to provide a duty to defend, especially in light of the general rule that excess policies
do not include a duty to defend. To the contrary, with respect to primary insurance policies, the standard industry practice is to provide a defense along with indemnification. Compare Gross v. Lloyd‘s of London Ins. Co., 121 Wis. 2d 78, 84, 358 N.W.2d 266 (1984) (noting that primary insurance policies “impose two duties on the insurer with respect to the insured—the duty to indemnify and the duty to defend“) with 2 Arnold P. Anderson, Wisconsin Insurance Law §§ 11.16-.18 (5th ed. 2004) (noting that specific excess insurance and true excess insurance generally do not contain a duty to defend). Here, consistent with industry practice, London Market‘s policy is an excess policy that does not provide a duty to defend.¶ 94. The majority cannot find a duty to defend within the terms of the London Market policy itself; therefore, it resorts to importing that duty from the Travelers policy by way of the London Market policy‘s “follow form” provision. In so doing, the majority rewrites the insurance policy in order to impose on London Market a duty for which it did not contract, that neither it nor its insured contemplated, and for which it was not paid.
¶ 95. The majority determines that the duty to defend was triggered, not upon the exhaustion of the underlying policies, but rather, upon the underlying insurer‘s denial of primary liability. Majority op., ¶¶ 4-5. The majority nonetheless acknowledges that “it is not certain whether London Market intended to provide a duty to defend when it drafted the policy” but nevertheless concludes that the proper, and only, inquiry is not what the policy says, but rather, how the policy language could be understood by the insured. Majority op., ¶ 42. Because “[a]n insurance policy is construed to give effect to the intent of the parties as
¶ 96. The pertinent parts of the London Market policy‘s insuring agreement are as follows:
INSURING AGREEMENTS
1. COVERAGE
[London Market] hereby agree[s], subject to the limitations, terms and conditions hereinafter mentioned, to indemnify [Johnson Controls] for all sums, which [Johnson Controls] shall be obligated to pay ....
....
....
CONDITIONS
....
2. MAINTENANCE OF UNDERLYING UMBRELLA INSURANCE
This policy is subject to the same terms, definitions, exclusions and conditions (except as regards the premium, the amount and Limits of Liability and except as otherwise provided herein) as are contained in [the underlying Travelers policy]....
(Emphasis added.) The part of Travelers policy that the majority incorporates into London Market‘s policy in order to create a duty to defend, reads as follows:
Liability. The company ... shall have the right and duty to defend any suit against [Johnson Controls] seeking damages on account of [a covered incident]....
(Emphasis added.) The majority must cut and paste that duty from the Travelers policy to the London Market policy in order to find a duty to defend.
¶ 98. The majority opinion employs the London Market policy‘s follow form provision to incorporate the Travelers policy‘s obligation to defend. Instead of determining that the follow form addressed the level of underlying coverage and the type of claims that were covered so that the London Market policy remained truly an excess umbrella policy, the majority creates a duty to defend. In so doing, the majority operates contrary to the language of the insurance contract and the general rule for excess liability policies. 2 Anderson, supra, § 11.16.
¶ 100. In order to accomplish this additional rewriting of the contract, the majority ignores the “other insurance” clause already present in the London Market policy. The London Market policy‘s “other insurance” clause explicitly limits the policy to excess coverage, which is antithetical to dropping down to provide a primary defense. See infra Part C. Therefore, the London Market policy does provide terms other than the “other insurance” clause in the Travelers policy. As such, the Travelers policy‘s “other insurance” clause cannot be incorporated into London Market‘s policy, even under the majority‘s logic.2
¶ 101. Particularly troublesome here is that the plaintiff seeks to recover defense costs for an action commenced 25 years ago. Notwithstanding this, the majority has chosen to transform an excess insurance policy into a primary insurance policy. Under the majority‘s logic, when a primary insurer fails to defend,
¶ 102. The majority also concludes that any consideration of the cost of the premiums is “not helpful” in reaching its conclusion and states that “contract interpretation should be based on the language of the policy rather than a court‘s conjecture about extrinsic information.” Majority op., ¶¶ 54, 52. In this case, the relatively low cost of the premiums could at least inform some part of the analysis as to the expectations of the parties in obtaining excess coverage, especially in light of the fact that the duty to defend does not appear anywhere in the London Market policy.3 See 2 Anderson, supra, § 11.16 (“An insurer typically charges a lower premium for specific or following-form excess insurance based on the decreased risk of a judgment or settlement within higher layers of coverage, as well as the absence of a duty to defend the insured.“) (emphasis added).
¶ 103. In the end, the consumers of excess insurance policies will be the ones who pay for the majority‘s decision. No longer will an excess insurance carrier be able to charge only $20,000 for a $10 million policy of indemnity coverage as an excess policy. Under the holding of the majority opinion, a duty to defend can begin at the inception of the lawsuit because its holding
¶ 104. Thus, after today, the excess insurer becomes a surety for the performance of the underlying umbrella and the primary insurer‘s obligations, even if the primary insurer has breached its duty to defend.
C. Even assuming, arguendo, that a duty to defend exists, the policy first requires exhaustion of the primary policy
¶ 105. Even if one were to conclude that the London Market policy incorporates a duty to defend from the Travelers policy, I must dissent because the London Market policy is an excess policy to the Travelers policy and is conditioned upon exhaustion of the Travelers policy. As previously stated, an “‘excess insurer is not obligated to defend until the primary [policy] limits are exhausted.‘” Azco Hennes-Sanco, Ltd. v. Wis. Ins. Sec. Fund, 177 Wis. 2d 563, 568, 502 N.W.2d 887 (Ct. App. 1993) (citation omitted).4 London
¶ 106. The London Market policy clearly defines itself as an excess policy. The pertinent language at “Conditions” reads as follows:
5. OTHER INSURANCE
If other valid and collectible insurance with any other Insurer is available to [Johnson Controls] covering a loss also covered by this Policy, other than insurance that is specifically stated to be in excess of this Policy, the insurance afforded by this Policy shall be in excess of and shall not contribute with such other insurance.
(Emphasis added.) This clause solidifies London Market‘s place in the hierarchy of insurance policies—below all policies that specifically state they are in excess to London Market‘s policy and above all other policies.
2. LIMIT OF LIABILITY-UNDERLYING LIMITS
It is expressly agreed that liability shall attach to [London Market] only after [Travelers] ha[s] paid or ha[s] been held liable to pay the full amount of [its] respective ultimate net loss liability....
“[U]ltimate net loss” is the $7 million underlying limits in the Travelers policy.
¶ 108. While it is true that the policy issued by London Market is a follow form insurance policy, its duties arise only after liability reaches a certain “excess” monetary level. See Allmerica Fin. Corp. v. Certain Underwriters at Lloyd‘s, London, 871 N.E.2d 418, 426 (Mass. 2007) (“Follow form language thus allows an insured to have coverage for the same set of potential losses (and with the same set of exceptions) in each layer of the insurance program. The language does not, however, bind the various insurers to a form of joint liability should coverage at a prior layer fail. The layer of risk each insurer covers is defined and distinct.“); see also 2 Anderson, supra, § 11.18 (“‘An excess policy covering the same risks that are covered by the underlying policy is known as a “following form” policy.‘“) (quoting Coleman Co., Inc. v. Cal. Union Ins. Co., 960 F.2d 1529, 1530 n.1 (10th Cir. 1992)).
¶ 109. The majority‘s interpretation of London Market‘s “limits of liability” (or exhaustion) provision is somewhat confusing. Majority op., ¶¶ 65-75. The majority concedes that the limits of liability provision provides that “‘liability’ does not attach until the underlying policies have been exhausted.” Id., ¶ 67. How
¶ 110. Specifically, the London Market excess umbrella policy states: “[L]iabilities shall attach to [London Market] only after the Underlying Umbrella Insurers have paid or have been held liable to pay” their policy limits. Thus, despite the majority‘s creativity, any assumed duty to defend under the excess umbrella policy cannot arise when the coverage under the excess umbrella policy is yet to be invoked.
¶ 111. Simply stated, the majority wishes to have its cake and eat it too. On the one hand, the majority concludes that the London Market policy does not define the term “liability” and so it imports Travelers policy‘s definition in its rewriting of the contract to create that duty to defend. Thus, even if liability includes the duty to defend, as the majority would redefine it, such duty can reasonably attach only after Travelers has paid or been liable to pay the full amount of its ultimate net loss liability, that is, $7 million. This disparity magnifies the majority‘s overreaching when it comes to creating the duty to defend, because in point of fact, even if it can be said that there is a duty to defend, that duty can attach only after Travelers has exhausted its policy limits.
¶ 112. The majority‘s reasoning errs in its conclusion that once Travelers refuses to defend Johnson Controls, London Market is required to drop down to fill Travelers’ shoes and provide a defense. It requires that London Market‘s duty to defend is in full force and
¶ 113. London Market‘s policy contains no promise to drop down in the event of denial of defense by Travelers. As just noted, London Market‘s policy attaches, at most, only after the Travelers policy is exhausted.
¶ 114. The majority states that there is no absolute rule of law that an excess insurer‘s duty to defend is never triggered until the underlying policy limits are exhausted. Of course this is true, since insurers and insureds can contract so that an excess insurer‘s duty to defend is triggered prior to the exhaustion of the underlying policy limits. However, the parties did not so contract here. Moreover, the majority opinion lacks any Wisconsin case in which a court required an excess insurer to provide a defense before the underlying policy limits were exhausted.
¶ 115. For example, the majority reads Teigen v. Jelco of Wisconsin, Inc., 124 Wis. 2d 1, 367 N.W.2d 806 (1985), as requiring a defense by the excess insurer before exhaustion of primary insurance. This reading of Teigen is far from complete. In Teigen, the insured plaintiff had executed a Loy6 release, in which the
¶ 116. While the plaintiff in Teigen was not paid the primary insurer‘s full policy limits, those limits were exhausted because the insured received the full protection of the primary policy for which he had bargained. Id. at 8 (“The trial court correctly concluded that [the primary insurer] has exhausted its liability by virtue of the Loy release. The effect of the settlement is that [the primary insurer] has discharged in toto its obligation to its insured.“) (emphasis added).
¶ 117. Loy and Teigen highlight, rather than abrogate, the necessity of exhausting a primary insurer‘s policy limits before an excess insurer can be required to provide a defense. Absent a Loy release that exhausts a primary insurer‘s limits, a settlement below those limits does not trigger an excess insurer‘s duty to defend if the insurer had contracted to defend. See Azco, 177 Wis. 2d at 567 (holding that an excess insurer had no duty to defend a claim that settled within the primary insurer‘s limits, even where the original claim brought exceeded the primary insurer‘s limits).
¶ 118. The majority also cites American Motorists Insurance Co. v. Trane Co., 544 F. Supp. 669, 692 (W.D. Wis. 1982), for the proposition that “[i]f the underlying insurer has refused to defend ..., the excess insurer will have a duty to defend....” However, this reasoning was explicitly rejected in Azco, 177 Wis. 2d at 568
¶ 119. The Azco court went further than rejecting Trane; it endorsed and adopted the view of a majority of jurisdictions, which hold that an excess insurer has no obligation to defend its insured until the primary insurer‘s limits are exhausted, absent express policy language otherwise. Id. at 568 (citing Firemen‘s Fund Ins. Co. v. Rairigh, 475 A.2d 509, 518 (Md. Ct. Spec. App. 1984) cert. denied, 482 A.2d 501 (1984)).7
¶ 120. Finally, the majority relies on a footnote in Southeast Wisconsin Professional Baseball Park District v. Mitsubishi Heavy Industries America, Inc., 2007 WI App 185, ¶ 8 n.4, 304 Wis. 2d 637, 738 N.W.2d 87, which says that an excess insurer must drop down and
CONCLUSION
¶ 121. An insurance policy is a contract. There is no common law or statutory duty to defend. There is a duty to operate in good faith; a violation of that duty is a tort, not a breach of contract.9 Here, London Market‘s excess policy does not provide a duty to defend. Furthermore, even if one were to assume, arguendo, that there is a duty to defend, it cannot be invoked until the primary policy is exhausted because of the London Market policy language.
¶ 122. In sum, the majority‘s conclusion increases the likelihood of nonperformance by primary insurers or underlying insurers as it shifts costs to excess insurance providers.
¶ 124. For the foregoing reasons I dissent.
¶ 125. I am authorized to state that Justices PATIENCE DRAKE ROGGENSACK and MICHAEL J. GABLEMAN join this dissent.
Notes
The unusual facts of this case complicate the exhaustion issue here. It is undisputed that the underlying policies were not exhausted during the 1980s and 1990s because Travelers, like all of the insurers, refused to indemnify Johnson Controls for its environmental response expenses. After 2003, when this court determined that these types of expenses could be covered under the insurance policies, Johnson Controls settled its breach of contract claims with several of its insurers, including Travelers.
It is unclear whether these settlements are relevant to an inquiry about whether the limits of the underlying policies were exhausted. In any event, the settlement agreements are not in the record.
London Market‘s policy also has an other insurance provision. However, it does not address how London Market will respond when the underlying insurance is not “available” because the underlying insurer denies liability and refuses to defend. It states as follows:
If other valid and collectible insurance with any other Insurer is available to [Johnson Controls] covering a loss also covered by this Policy, other than insurance that is specifically stated to be in excess of this Policy, the insurance afforded by this Policy shall be in excess of and shall not contribute with such other insurance.
This provision explains that London Market‘s policy is excess over “other valid and collectible insurance” that is “available” to Johnson Controls. There is no conflict between London Markets other insurance provision and Traveler‘s promise to “respond under this policy as though such other insurance were not available.”
Travelers’ other insurance provision also explains that, in the event of the primary insurer‘s refusal to defend and Travelers responding as though the primary policy were not available, Travelers would be subrogated to the rights of the insured against its primary insurer: “Thereafter, [Travelers] shall be subrogated to all rights of the insured to such other insurance and the insured shall do all things necessary to enforce such rights.” This policy language appears to recognize that although Travelers would provide a defense, the insured might have a breach of contract or bad faith claim against its primary insurer. If so, Travelers could be subrogated to those claims.
The Travelers policies go on to explain that “[i]n the event of any payment under this policy, [Travelers] shall be subrogated to all the insured‘s rights of recovery therefor...and the insured shall execute and deliver instruments and papers and do whatever else is necessary to secure such rights.”
For instance, the supplemental payments section treats costs for indemnification separately from defense costs. It provides that the company will pay, “in addition to the applicable limit of liability... all expenses incurred by the company, and all costs taxed against the insured in any suit defended by the company.” Further, Travelers’ limits of liability section discusses costs incurred for bodily injury and property damage—not those costs incurred in defending: “The limits of liability... is the combined total limit of the company‘s liability for all damages, including damages for care and loss of services, because of bodily injury and property damage....”
We recognize that Travelers’ Limits of Liability section is supplanted by London Market‘s Limits of Liability section under the express terms of the follow form provision. We discuss it here only as an example of how the term “liability” is used throughout the policies.
