Redeemer Covenant Church of Brooklyn Park v. Church Mutual Insurance Co.Redeemer Covenant Church of Brooklyn Park v. Church Mutual Insurance Co.
OPINION
Respondent, an insured, tendered claims to its four insurers, appellant and three other insurers. The three other insurers admitted liability and agreed to defend; appellant denied liability and refused to defend. Respondent brought a declaratory judgment action to determine appellant’s obligation to indemnify or defend, and the three other insurers intervened. All parties moved for summary judgment.
Following a hearing, the district court issued a memorandum order holding in relevant part that: (1) appellant was obligated to defend and indemnify its insured pursuant to its pastoral professional liability policy because the exclusions in the policies did not apply to this insured and because the claims made during оne policy period did not prevent the insured from obtaining claims-made coverage during a subsequent policy period; (2) appellant’s pastoral professional liability coverage was primary and the insured’s comprehensive general liability policies were secondary; (3) appellant’s umbrella policy that did not restrict coverage to occurrences during the policy period provided excess coverage for occurrences outside the policy period; (4) appellant was obligated to defend, but not to indemnify, under its comprehensive general liability policies; (5) the loan receipt agreements that two defending insurers had with the insured entitled those insurers to contribution of part of the defense costs from appellant; and (6) appellant was required to pay the insured’s attorney fees incurred in bringing the declaratory judgment action.
Appellant’s first appeal was dismissed as premature, and the case was remanded for a computation of money damages. Appellant filed a notice of appeal from the remanded judgment; the three other insurers and the insured filed notices of review. We affirm.
FACTS
During the 1960s, 1970s and 1980s, Reverend Albert Magnuson, pastor of respondent Redeemer Covenant Church of Brooklyn Park, sexually abused and molested fifteen respondent-claimants. 1 Seven brought actions against Rеdeemer in 1989; eight brought actions in 1991. All alleged that Redeemer had been negligent in retaining and supervising Magnuson.
Redeemer was insured at various times by appellant Atlantic Mutual Insurance Company and respondents Saint Paul Fire and Marine Insurance Company (SPI), Lutheran Benevolent Insurance Company (LBI), and Church Mutual Insurance Company (CMI). All incidents of abuse occurred while Redeemer had occurrence-based comprehensive general liability (CGL) coverage from CMI, LBI, and SPI; all the claims were brought while Redeemer had claims-made pastoral professional liability (PPL) coverage, occurrence-based CGL coverage, and umbrella coverage from Atlantic. 2
1. Doеs an insurer waive its right to invoke policy exclusions by failing to respond to a notice of claims within the statutory period? 4
2. Does an exclusion narrowly drafted to apply to particular acts or behavior preclude coverage for an insured who has not committed the excluded acts or behavior?
3. Does an insured’s knowledge that abuse has occurred and that claims were brought more than a year earlier constitute knowledge of circumstances that might lead to a claim, thus precluding subsequent coverage under a claims-made policy?
4. Does a pastoral professional liability policy have priority over a comprehensive general liability рolicy in providing coverage for liability incurred as a result of the performance of a pastor’s professional duties?
5. Does an umbrella policy that does not restrict coverage to occurrences during the policy period provide excess coverage for net liability incurred from covered activities during the policy period?
6. Is there a duty to indemnify for damages resulting from abuse under an occurrence based policy when no abuse occurred during the policy period?
7. Does a defending insurer’s loan receipt agreement with an insured entitle the insurer to recover defense costs from a non-defending insurer?
8. Is it an abuse of discretion to require a non-defending insurer to pay an insured’s attorney fees incurred in an action establishing the insurer’s duty to defend?
ANALYSIS
Standard of Review
The parties agree that there is no dispute as to any material facts and that summary judgment is appropriate. Where the material facts are not in dispute, a reviewing court need not defer to the trial court’s application of the law.
Hubred v. Control Data Corp.,
1. Is Atlantic estopped from invoking the exclusions?
Atlantic argues that the exclusions in its PPL policies apply to Redeemer. As a threshold matter, we address Redeemer’s contention that Atlantic is estopped from invoking these exclusions. 5
Minn.Stat. § 72A.201, subd. 4(11) (1996), provides that it is an unfair settlement practice for an insurer to
fail * * *, within 60 business days after receipt of a properly executed proof of loss, to advise the insured of the acceptance or denial of the claim by the insurer.
The statute specifies no consequence for those who violate its provisions and engage in unfair practices. Atlantic violated this provision: it received notice of the actions against Redeemer in 1989 and 1991 and did not respond until February 1993, when it filed an answer asserting the exclusions as defenses.
Redeemer argues that Atlantic’s delay in responding to the tender of defense estopped Atlantic from invoking its exclusions. To
At no time before trial * * * did Alliеd [insurer] inform SCSC [insured] that the pollution exclusion barred either SCSC’s indemnity request or its defense request. Allied specifically told SCSC * * * * that Allied was investigating the claim. SCSC asked Allied on several occasions to state a coverage position, but at no time did Allied comply. Once SCSC came forward with facts showing arguable coverage * * *, Allied had to either defend SCSC * * * or further investigate SCSC’s claim. * * * If Allied had investigated SCSC’s defense request and had concluded that the pollution exclusion barred coverage, it was Allied’s responsibility to communicate this conclusion to SCSC so that SCSC could have the opportunity to provide Allied with further information. In this case, Allied failed either to inform SCSC of its belief that the pollution еxclusion applied or to provide a coverage position. Under these circumstances, Allied cannot now rely on its prior silence to defeat its duty to defend.
Id. at 316 n. 3 (citation omitted).
SCSC
is distinguishable in that Allied did not merely fail to respond: it exchanged letters and information with SCSC and “led SCSC to believe that Allied was actively investigating the claim. In fact, this was not the case.”
SCSC Corp. v. Allied Mut. Ins. Co.,
We are not persuaded that the footnote in
SCSC
provides an adequate basis for holding that Atlantic waived its right to invoke its policy exclusions, particularly since such a holding would contradict the оlder, established principle that “[e]stoppel may not be used to create coverage where none is provided for in the contract.”
Malakowsky v. Johannsen,
In Malakowsky the insurer timely refused coverage in a letter citing three exclusions; the insurer’s attorney later advised the insured’s attorney of a fourth exclusion, which concededly barred coverage. Id. at 817. When in a subsequent garnishment action the insurer moved for summary judgment based on the fourth exclusion, the claimant argued that the insurer was estopped from raising this exclusion because it had not done so in its initial response. In affirming summary judgment for the insurer, the Minnesota Supreme Court stated:
[I]t would be wholly improper to impose coverage liability upon an insurer for a risk not specifically undertaken and for which no consideration has been paid.
Id.
at 819 (quoting
Shannon v. Great American Ins. Co.,
Atlantic’s failure to respond timely to the notice of claim did not operate to enlarge Redeemer’s coverage by estopping Atlantic from invoking the policy exclusions to which Redeemer had agreed.
2. Do the exclusions in Atlantic’s PPL policies аpply to Redeemer?
Atlantic’s pastoral professional liability form reads:
We will pay damages the insured becomes legally obligated to pay resulting from any “claim” made against the insured because of any negligent act, error or omission of the insured arising out of the performance of professional services for others in the insured’s capacity as a pastoral counselor.
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This insurance does not apply to:
A. Any dishonest, fraudulent, criminal or malicious act or omission of any insured;
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H. Licentious, immoral or sexual behavior intended to lead to or culminating in any sexual act.
The district court held that the exclusions did not apply to Redeemer, because Redeemer was neither accused nor guilty of criminal acts or licentious behavior; Redeemer was accused of negligence in its supervision of Magnuson. We agree with the district court.
Case law is instructive in reaching the conclusion that Redeemer is not excluded from coverage even though Magnuson is.
7
In
Republic Vanguard Ins. Co. v. Buehl,
In arguing that the exclusions do apply to Redeemer, appellant cites
Faber v. Roelofs,
[In Buehl, the] claim was held to be within the policy coverage, as it alleged common-law negligence in parental supervision, not negligence in the use of an automobile. In the case at bar, however, the exclusion does not apply merely to the use of an automobile, but to bodily injuries arising out o/the use of an automobile and is thus . distinguishable.
Id. (emphasis added). The critical distinction between Biiehl and Faber, it seems, lies in the broader sweep of an exclusion containing the words “arising out of.” 8 The relevant exclusions in Atlantic’s policy, unlike those in Faber, but like those in Buehl, do not contain “arising out of’ language: they apply to certain activities, i.e., criminal acts and licentious behavior.
The distinction between exclusions that contain the words “arising out of’ and those that do not may be a fine one, but it is appropriate and sound. Insurers are free to draft lawful exclusions as they see fit.
See, e.g., St. Paul Fire & Marine Ins. Co. v. Love,
Atlantic could also have drafted other exclusions that would have applied to Redeemer. Again, case law is instructive. In
Allstate Ins. Co. v. Steele,
Our holding that Atlantic’s exclusion does not apply to Redeemer is consistent with Buehl and underscores a recognition that narrowly drafted exclusions apply only to what they specifically exclude. Atlantic’s policies did not exclude coverage for Redeemer’s alleged negligence.
3. Did the 1989 claims preclude PPL coverage for the 1991 claims?
Atlantic argues that even if the exclusions in its PPL policies are inapplicable, there was no coverage for the 1991 claims because the 1991 PPL policy provided coverage for claims made only if the insured “had no knowledge of or could not have reasonably foreseen any circumstances which might result in a ‘claim’ or suit * * Atlantic argues that the claims brought in 1989 gave Redeemer knowledge of circumstances that might result in suits in 1991. We conclude that Atlantic’s argument on this issue is without merit.
Redeemer purchased its 1991 policy in December 1990. No claims had been filed for 15 months, and none of the 1991 claimants had indicated any intent to file a claim. While Redeemer was aware of Magnuson’s abuse and that the abuse had led to lawsuits, it had no knowledge that any 1991 claimant proposed to sue Redeemer for having negligently hired or supervised Magnuson.
Tо support its argument that Redeemer had knowledge of the 1991 claims, Atlantic relies exclusively on
Truck Ins. Exch. v. Ashland Oil, Inc.,
4. Do the PPL policies have priority over the CGL policies?
Having established that Atlantic had a duty to indemnify under its PPL policies, we turn to the priority among the various policies. Atlantic argues that the “other insurance” clauses in the various policies resolve the priority issue.
Some of the SPI, CMI, and LBI policies included “other insurance” clauses. Atlantic’s PPL policies in effect from 1988-1990 did not contain “other insurance” clauses, but its PPL policies in effect from 1990-1993 provided that:
This Pastoral Professional Liability Insurance is excess over and above any other valid and collectible insurance (including any deductible portion) or agreement of indemnity, available to the insured.
Atlantic argues that each insurer should contribute an equal share to indemnify against the 1989 claims, but that for the 1991 claims, Atlantic is not liable until the other insurers’ policies are exhausted. Atlantic’s argument is unpersuasive.
Particularly where there are overlapping or conflicting “other insurance” clauses, case law deprecates the blanket enforcement of any one clause.
In Minnesota, this court does not simply look at the type of “other insurance” clauses involved. In Integrity Mutual Insurance v. State Automobile & Casualty Underwriters Ins. Co.,307 Minn. 173 , 175,239 N.W.2d 445 , 446 (1976), this court explained that the better approach was to “allocate respective policy' coverages in light of the total policy insuring intent, as determined by the primary risks upon which each policy’s premiums were based and as determined by the primary function of each policy.”
Interstate Fire & Cas. Co. v. Auto-Owners Ins. Co.,
The court held that despite the “excess” clause, the school’s policy had priority over the student’s parents’ homeowners’ policy.
[The school’s insurer] was not * * * relying on each student having a family homeowners policy when it calculated its risk ininsuring the school district. * * * This injury caused by a student supervisor during a physical education class is precisely the type of risk [the school’s insurer] intended to cover in providing catastrophic insurance to the schоol district. To hold that [the homeowners’ insurer] is the primary insurer for this accident would be to ignore the intent of the respective policies.
Id.
at 86.
See also Garrick v. Northland Ins. Co.,
Minnesota law indicates that priority among policies is determined not by the presence or absence of “other insurance” clauses, but by an analysis of the function and intent of the policies.
14
It remains for us to perform this analysis. Minnesota has used two tests for this purрose: the “total policy insuring intent” test,
Garrick,
The total policy insuring' intent test was applied by the federal district court to establish the priority between a professional liability (PL) policy and a CGL policy.
Bettenburg v. Employers Liab. Assurance Corp. Ltd.,
[t]he more recent Minnesota decisions, however, seem to indicate that rather than simply making an attempt to resolve the conflicts in the language of the “other insurance” clauses of the various policies, the Minnesota Courts will attempt to ascertain “the total policy insuring intent” of the respective policies, and allocate the liabilities accordingly.
In Bettenburg, architects having a CGL policy with one insurer and a PL policy with another were sued for the collaрse of a building.
[I]t seems clear to this Court that the [professional liability insurer] was the primary insurer of the risk involved in this action. The [professional liability] policy * * * was designed specifically to meet the type of liability to which the plaintiff architects were exposed as a result of the collapse of the building, whereas the policy issued by [the CGL insurer] appears to afford coverage as a mere incident of its object, which was to provide general, comprehensive liability coverage * * *.
Id. at 877. The CGL and PPL policies here have a relationship strikingly similar to those in Bettenburg. The PPL policies were designed to meet the type of liability to which Redeemer was exposed as a result of Magnu-son’s activities, while the CGL policies covered that liability only incidentally.
Total policy insuring intent is “determined by the primary policy risks and the primary function of each policy.”
Garrick,
We obtain the same result with the closest to the risk test. This analysis asks three questions, two of which are almost identical with the total policy insuring intent test.
(1) Which policy specifically described the accidenLcausing instrumentality?
(2) Which premium is reflective of the greater contemplated exposure?
(3) Does one policy contemplate the risk and use of the accident-causing instrumentality with greater specificity than the other policy — that is, is the coverage of the risk primary in one policy and incidental to the other?
Interstate,
We therеfore conclude that notwithstanding the “excess” clauses in the 1990-1993 PPL policies, the PPL policies take priority over the CGL policies with respect to the claims made here.
5. Does Atlantic’s first umbrella policy provide coverage?
Atlantic’s first umbrella policy did not include language restricting coverage to occurrences “during the policy period.” The district court therefore held that under this policy, Atlantic was liable to defend and indemnify Redeemer for its “ultimate net loss” in excess of other insurance for the period covered by the policy.
Atlantic relies on
Jenoff, Inc. v. New Hampshire Ins. Co.,
[W]e conclude that Minnesota follows the general rule that an “occurrence” within the meaning of an occurrence policy is not the time when the wrongful act was committed but the time when the complaining party was actually injured, and the policy here clearly states that it applies only to occurrences taking place during the policy period * * *.
Id. at 261. Atlantic’s policy did not state that it applied only to occurrences taking place during the policy period. Therefore, the fact that no injury occurred during that period is irrelevant.
The district court properly held Atlantic liable to defend and indemnify Redeemer for its “ultimate net loss” in excess of other insurance for the period covered by the policy-
6. Did Atlantic have a duty to indemnify under its CGL policies?
Redeemer, SPI, and CMI challenge the district court’s determination that Atlantic had no duty to indemnify under its CGL policies because the “occurrences” and “bodily injury” for which the policies provided coverage took place prior to the policy periods. We agree with the district court’s determination on this issue.
An occurrence is “the time when the complaining party was actually injured.”
Id. See also Singsaas v. Diederich,
In holding that Atlantic had no duty to indemnify under its CGL policies, the district court specifically rejected the view that claimants’ discovery of their injuries during the policy period was itself an occurrence. This rejection accords with
Blackowiak v. Kemp,
7. The loan receipt agreements.
SPI and CMI contributed to Redeemer’s defense; funds for this purpose were transferred pursuant to their loan receipt agreements with Redeemer.
Loan receipt agreements have long been recognized in this state and they are a useful device in disposing of insurаnce disputes.
Jostens, Inc. v. Mission Ins. Co.,
Atlantic argues that the district court erred, citing
Nordby v. Atlantic Mut. Ins. Co.,
Jostens distinguishes Nordby:
Nordby
* * * is not in point. There * * * we held that [the insured] was not the real party in interest in a subsequent suit tо recover the insurer’s defense costs from another insurer that had denied coverage.
Jostens,
8. Attorney fees.
When an action leads to a determination that an insurer breached its duty to defend, the insured may recover from the insurer the legal fees incurred in bringing that action.
Garrick,
Atlantic contests the amount of the attorney fees awarded by the district court. “On review, this court will not reverse a trial court’s award or denial of attorney fees absent an abuse of discretion.”
Becker v. Alloy Hardfacing & Eng’g Co.,
It comes with poor grace for Atlantic to fly-speck the expenses incurred by Redeemer after it has sat on the sidelines all these years and refused to participate in Redeemer’s defеnse of the underlying actions. These expenses arise out of the fact that Redeemer was forced by Atlantic’s conduct to commence this declaratory judgment action. None of these expenses would have been necessary if Atlantic had not refused to defend the lawsuits tendered to it. * * * As to Atlantic’s attempt to split hairs between arguments necessary to address the interplay of coverage provided by the policies of both Atlantic and the intervenor-plaintiffs, the Court believes these issues are inextricably intertwined and were necessary to address in this action again only because of Atlantic’s refusal to defend.
DECISION
There was no error of law in determining that Atlantic’s PPL policies obligated it to defend and indemnify Redeemer for the 1989 and the 1991 claims; that the PPL policies take priority over CGL policies; that Atlantic’s first umbrella policy imposes a duty to defend and indemnify; that Atlantic’s CGL policies impose a duty to defend, but riot indemnify; and that the loan receipt agreements entitle SPI and CMI to recover part of the costs of Redeemer’s defense from Atlantic; and there was no abuse of discretion in requiring Atlantic to pay all Redeemer’s legal fees incurred in bringing an action to establish Atlantic’s obligations. We affirm the district court on all issues.
Affirmed.
Notes
. There were actually 17 claimants, but the parties agree that the claims of two are irrelevant to this appeal.
. Specifically, coverage provided by the various insurers was:
Atlantic: occurrence-based comprehensive general liability (CGL) coverage, claims made pastoral professional liability (PPL) coverage, and umbrella liability coverage from July 1988 through December 1992.
CMI: occurrence-based CGL coverage from 1965 through June 1976 and from July 1985 though June 1988, and umbrella coverage from July 1985 through June 1988.
LBI: occurrence-based CGL coverage from July 1982 to July 1985.
SPI: occurrence-based CGL coverage policies from July 1976 through June 1982 and umbrella coverage from July 1980 through June 1982.
. At oral argument, respondent insurers withdrew their challenge to the district court's holding on aggregate limits; thereforе, we do not address that issue.
. The district court did not address this issue; its determination that the exclusions did not apply rendered the issue moot. However, because waiver could potentially dispose of a major issue, this court arguably may review it.
See Harms v. Independent Sch. Dist. No. 300,
.SPI, CMI, and LBI also raise this argument. However, estoppel cannot be asserted by third parties who have no rights under an insurance contract: "[e]stoppeI can only affect rights reserved in the policy."
Malakowsky v. Johannsen,
. The
SCSC
footnote precluding Allied from invoking the pollution exclusion did not enlarge SCSC’s coverage:
SCSC
states earlier that "[c]learly, the jury's finding that the damage arose from a sudden and accidental event established that SCSC met its burden to show the applicability of the exception to the pollution exclusion.”
SCSC,
. It is undisputed that the exclusions preclude coverage of Magnuson.
See National Union Fire Ins. Co. v. Gates,
.
See also Domtar, Inc. v. Niagara Fire Ins. Co.,
. Atlantic did include the "arising out of" language in some of its exclusions, although not in the criminal and licentious act exclusions. See, e.g., exclusion (b): "Bodily injury * * * arising out of the ownership, maintenance, opеration, use, loading or unloading of (1) Any automobile owned or operated by or rented or loaned to the Named Insured;” exclusion (d): "Liability arising out of one or more of the following offenses;” exclusion (e): "acts or omissions arising out of any trade, business, employment or profession other than that of a pastoral counselor.”
. We note that in the context of fire insurance,
Reitzner v. State Farm Fire & Cas. Co., Inc.,
. There appears to be no Minnesota case law directly on point.
. Cases from other jurisdictions indicate that "knowledge of circumstances that might result in a claim” has been held to mean more than speculation.
See, e.g., International Surplus Lines Ins. Co. v. Wyoming Coal Refining Sys. Inc.,
.Although providing a defense, Atlantic could have reserved its right to contest coverage.
Economy Fire & Cas. Co. v. Iverson,
. This law is longstanding.
See, e.g., Bettenburg v. Employers Liability Assurance Corp.,
. Jenoff was released after the district court filed its decision.
. LBI initially contributed but then withdrew from Redeemer's defense. The district court determined that LBI is obligated to pay 25% of the costs incurred after its withdrawal. Because LBI did not have a loan receipt agreement in place with Redeemer, the district court denied LBI the right to recover any of its defense costs from Atlantic, pursuant to
Nordby.
In light of
Nordby
and its predecessor,
Iowa Nat'l Mut. Ins. v. Universal Underwriters Ins. Co.,