Case Information
*1 BEFORE: GRIFFIN and DONALD, Circuit Judges; GRAHAM, District Judge. [*]
JAMES L. GRAHAM, District Judge.
Stryker Corporation appeals the district court’s ruling that Stryker is obligated to pay a $2 million self-insured retention (“SIR”) under an insurance policy it held with XL Insurance America. XL cross-appeals the district court’s rulings that XL is not entitled to recoup overpayments it made as part of a settlement with a third party and that XL must pay pre-judgment penalty interest.
For the reasons set forth below, the district court is AFFIRMED in all respects.
I.
The matter before the Court presents questions concerning the implementation of the
Court’s prior decision in this case,
Stryker Corp. v. XL Ins. America, Inc.
,
Though affirming on the coverage issue, the Court reversed the district court’s holding as to the consequences under Michigan law of XL’s breach of its duty to defend and indemnify Stryker. The district court, relying on the Sixth Circuit’s interpretation of Michigan law in Capitol Reproduction, Inc. v. Hartford Insurance Co. , 800 F.2d 617, 624 (6th Cir. 1986), had held that XL became liable for the full amount of Stryker’s losses, including the SIR and amounts exceeding the policy’s $15 million limit. This Court held that Capitol Reproduction was no longer good law and that XL was not liable for losses beyond $15 million unless Stryker could prove that they constituted consequential damages. Stryker I Appellate Opinion , 735 F.3d at 358.
The Court next dealt with the issue of pre-judgment penalty interest under Michigan
Compiled Laws § 500.2006. The Court affirmed the district court’s finding that the statute
applied against XL and affirmed the district court’s methodology in calculating interest.
Stryker
I Appellate Opinion
,
On remand, the parties disputed how the
Appellate Opinion
should be
implemented. The district court’s prior rulings as to
Capitol Reproduction
had been delivered in
two separate opinions. The first ruling held that XL’s breach made it liable for the SIR,
Stryker
I
, 2008 WL 68958 (W.D. Mich. Jan. 4, 2008) (“
First SIR Opinion
”), and the second held that
XL’s breach made it liable for losses in excess of the policy’s limit of liability,
Stryker I
, 2009
WL 3256179 (W.D. Mich. Oct. 7, 2009) (directing the entry of final judgment) (“
Final Judgment
Opinion
”). Stryker argued on remand that XL was still liable for the SIR because the
Stryker I Appellate Opinion
did not reverse the
First SIR Opinion
and that XL had waived its right to
challenge the
First SIR Opinion
on appeal. The district court rejected both arguments. Though it
found that the
Appellate Opinion
did not expressly state that it was reversing the
First
SIR Opinion
, the district court concluded that the Court’s rejection of
Capitol Reproduction
meant that the
First SIR Opinion
was erroneous.
See Stryker I
,
XL cross appeals a separate aspect of the
Second SIR Opinion
concerning XL’s assertion
that it was entitled to recoup an alleged overpayment. This aspect of the district court’s ruling
requires a brief explanation of background. In 1998 Stryker acquired Howmedica, Inc., the
manufacturer and distributor of Uni-Knees, from Pfizer, Inc. Under a stock and asset purchase
agreement, Stryker agreed to defend and indemnify Pfizer for costs associated with any claims
brought against Pfizer relating to Uni-Knees sold after the closing of the stock and asset
purchase. Such claims were in fact brought against Pfizer, and Pfizer obtained a declaratory
judgment that Stryker was liable to defend and indemnify Pfizer as to those claims.
Pfizer,
Inc. v. Stryker Corp.
,
XL structured the Pfizer settlement in a way that allocated certain amounts to the
following categories: Pfizer’s settlements with Uni-Knee tort plaintiffs, Pfizer’s costs in
defending the tort suits, Pfizer’s litigation expenses in bringing suit against Stryker, and interest.
The
Appellate Opinion
held that XL could apply the settlement portion and the
litigation expense portion toward the policy limit.
The Pfizer settlement also came into play on remand with respect to implementing the
Stryker I Appellate Opinion
on the issue of pre-judgment penalty interest. The district court’s
original interest award accrued on the amount of Stryker’s settlements with tort plaintiffs who
made direct claims against Stryker (as opposed to Pfizer).
See Stryker I
, 726 F.Supp.2d 754,
754-74 (W.D. Mich. 2010) (“
First Interest Opinion
”). The
Stryker I Appellate Opinion
instructed the district court on remand to award interest on amounts “for which XL is actually
liable to Stryker.”
II.
“‘The trial court must implement both the letter and the spirit of the mandate, taking into
account the appellate court’s opinion and the circumstances it embraces.’”
United States v.
Moored
,
“Interpretation of an appellate mandate is a legal issue which [this Court] reviews
de
novo
.”
United States v. Haynes
, 468 F.3d 422, 425 (6th Cir. 2006). To the extent the
proceedings on remand raised issues not covered by the mandate, the Court reviews
de novo
the
district court’s
Second SIR Opinion
in which it granted in part and denied in part XL’s motion
for summary judgment,
see Int’l Union v. Cummins, Inc
.,
A.
1. The Stryker I Appellate Opinion held that Capitol Reproduction no longer reflected Michigan law as to the liability imposed upon an insurer for breaching its duty to defend:
The district court found that the self-insured retention and the aggregate limits of liability do not apply to the XL policy, because XL breached its duty to defend Stryker against both the direct claims and the claims in the Pfizer litigation. Final Judgment Opinion , 2009 WL 3256179 at *4. In reaching both conclusions, the district court relied on Capitol Reproduction, Inc. v. Hartford Insurance Co ., 800 F.2d 617, 624 (6th Cir. 1986), which held that “an insured is not required to prove that the amount of the judgment in excess of the policy limits was caused by the failure of the insurer to provide a reasonable defense....” (internal quotation marks and citation omitted). In other words, any losses resulting from a breach of the duty to defend could be assumed to be consequential losses, and thus would not account against any limits of liability.
While the Capitol Reproduction court may have correctly applied Michigan law at the time of the decision, subsequent Michigan decisions have undermined the rationale and holding of the case. Capitol Reproduction holds that, in an insurance context only, all losses are assumed to be consequential losses, without the breached party’s having to demonstrate the connection between the loss and the breach. This is an extra-contractual rule of the kind the Michigan Supreme Court rejected in [ Frankenmuth Mut. Ins. Co. v. Keeley , 433 Mich. 525, 447 N.W.2d 691 (1989) (Levin, J., dissenting), dissent adopted on rehearing, 436 Mich. 372, 461 N.W.2d 666 (1990)] and [ Wilkie v. Auto–Owners Ins. Co .,469 Mich. 41 ,664 N.W.2d 776 (2003)]. As a federal court sitting in diversity, we are obligated to apply the law of Michigan as it currently stands, even if such an application is inconsistent with prior case law from this circuit. . . .
For these reasons, we reverse the district court’s judgment that the aggregate limit of liability of the XL policy does not apply to the judgments in Stryker I and II . On remand, the district court should consider what portion, if any, of the total liability for and II judgments beyond $15 million represents consequential damages as defined under Michigan contract law.
Stryker I Appellate Opinion
,
Using the statement of “we reverse the district court’s judgment that the aggregate limit of liability of the XL policy does not apply,” Stryker argues that the prior panel intentionally refrained from reversing the First SIR Opinion . In further support, Stryker notes that the First SIR Opinion was not among the district court rulings identified by the Court in its review of ’s procedural history as among “six rulings that are relevant on appeal.” Id . at 353.
We disagree and find that the Stryker I Appellate Opinion reversed the First SIR Opinion . Whether the First SIR Opinion was mentioned in the procedural history section is less significant than its inclusion in the Court’s legal analysis on the issue of whether Capitol Reproduction was still good law. O’Dell , 320 F.3d at 681 (stating that the appellate court’s analysis must inform implementation of the mandate). And on that issue, the Court was clear that it was not. The Stryker I Appellate Opinion overturned Capitol Reproduction – the very holding that the Court had expressly stated was the underpinning of the district court’s First SIR Opinion . The panel’s rejection of Capitol Reproduction vitiated the legal basis of the First SIR Opinion , and it would not be within the spirit of the mandate to leave intact a lower court decision based upon a legally-erroneous foundation.
Capitol Reproduction
concerned whether an insurer’s breach of a duty to defend negated
the insured’s liability under the policy to pay a retained limit of liability.
Capitol Reproduction
,
Having rejected
Capitol Reproduction
, the Court then stated what the consequence of its
ruling would be: “On remand, the district court should consider what portion, if any, of the
total
liability
for and
II
judgments
beyond $15 million
represents consequential damages as
defined under Michigan contract law.”
Stryker I Appellate Opinion
,
2.
Stryker protests that XL waived its right to appeal the First SIR Opinion by failing to challenge it on appeal. Stryker made this argument to the prior panel, which chose not to address it and instead held that Capitol Reproduction was no longer good law. Moreover, Stryker’s argument is unpersuasive in any event. XL’s original Notice of Appeal and Amended Notice of Appeal both included the First SIR Opinion as a ruling it was appealing. And while XL did not explicitly request reversal of the First SIR Opinion in its appellate briefs, it consistently maintained that the contractual limits and the face of the XL policy should be enforced, such that XL would be liable for no more the $15 million limit. Further, XL argued at length in its briefs that Capitol Reproduction was contrary to Michigan law. XL thus presented on appeal the legal argument that the district court had rejected in the First SIR Opinion , by implication taking the position that the First SIR Opinion was wrongly decided.
Stryker makes other waiver arguments that likewise lack merit. Stryker argues that XL’s decision to settle with Pfizer constituted a waiver because XL structured the settlement in a way that allocated $17 million (rather than $15 million) to items that XL believed would count toward the policy limit. [3] However, the district court correctly observed that the Pfizer settlement “was not an admission of liability for the $2 million SIR.” Second SIR Opinion , 2013 WL 504646, at *4. The manner in which XL allocated funds in settling a separate suit with a non- party to this action did not, without more, have a binding effect as between XL and Stryker with respect to the SIR. Stryker was not a party to the Pfizer settlement, and it has not offered any coherent legal theory in support of its argument that the settlement constituted a waiver of the SIR issue.
Finally, Stryker argues that XL waived its right to challenge the
First SIR Opinion
by
making certain representations to the district court and to this Court in the first appeal.
United States v. Johnson
,
B.
With the district court’s holding that Stryker is liable for the SIR affirmed, we turn to
XL’s assertion that it is entitled to a “credit” for the amount it paid over the policy limit to Pfizer.
Before the district court, XL’s legal theory was not clear; it did not file a counterclaim for
recoupment, restitution or unjust enrichment,. In a one paragraph assertion that it should receive
a credit, XL cited two cases standing for the proposition that a payment made pursuant to an
insurance contract may be recovered it is was made under a mistake of material fact.
See Couper
v. Metro. Life Ins. Co
.,
We affirm the district court’s holding that XL has not demonstrated any mistake of fact in its payment to Pfizer. The settlement was a calculated decision to exhaust the policy limit and thereby bring a halt to pre-judgment interest. XL now cites § 35 of the Restatement (Third) of Restitution and Unjust Enrichment, arguing that, in light of the significant interest accruing, it had no reasonable choice but to make the overpayment. We find that § 35 offers no refuge to XL because it expressly provides that a contracting party, which is compelled by the circumstances to render over-performance, is entitled to restitution only if it performs under protest or with reservation of rights. Restatement (Third) of Restitution and Unjust Enrichment § 35(1). XL did not do so here.
On appeal, XL raises another theory for the first time – that an insurer is entitled in equity
to reimbursement if it made overpayments pursuant to a legal obligation that is later nullified by
judicial opinion. In support, XL cites a Michigan case regarding equitable restitution,
Mich.
Educ. Emp. Mut. Ins. Co. v. Morris
,
Because this argument is raised for the first time on appeal, it need not be addressed.
See
City of Detroit v. Simon
,
C.
1. We affirm also the district court’s holding on remand that Stryker is entitled to pre- judgment penalty interest under Michigan Compiled Laws § 500.2006 on the indemnification portion, which is the amount of Stryker’s settlements with direct Uni-Knee tort plaintiffs. XL argues that it should not be required to pay pre-judgment interest on the indemnification portion because, having exhausted the policy limit in payments to Pfizer, XL was not actually liable for that portion. XL points to language in the Stryker I Appellate Opinion stating that on remand the district court “should recalculate the pre-judgment award based on the total amount for which XL is actually liable to Stryker . . . .” Stryker I Appellate Opinion , 735 F.3d at 361. XL contends that it was merely potentially liable to Stryker for the indemnification portion and never became actually liable because the limit was exhausted by the Pfizer settlement.
XL’s focus on the “actually liable” language ignores the analysis employed in the Stryker I Appellate Opinion and the circumstances it embraced. The Court upheld the district court’s application of § 500.2006 to the indemnification portion, rejecting XL’s argument that an award of interest was subject to the “reasonable dispute” rule:
Here, it is undisputed that Stryker is the claimant, because Stryker already paid off the third-party tort claims. The district court’s rule is therefore a logical one and one that is consistent with the statutory language—as long as the “claimant” is a third-party, the “reasonable dispute” rule applies; the moment the “claimant” becomes the insured, it ceases to apply.
Stryker I Appellate Opinion
,
The Court expressly authorized an award of pre-judgment penalty interest on amounts within the limit, and it approved the district court’s methodology in calculating interest. This is not a situation where the Pfizer settlement occurred after the issuance of the Appellate Opinion . The settlement was already in place, and the Court held that certain Pfizer settlement portions could be used to exhaust the policy limit. Id . at 358-59. Against that backdrop, the Court affirmed the district court’s holding that XL was liable to pay interest and said that interest should be assessed on amounts within the policy limit.
As the district court stated on remand, “XL was actually liable for Stryker’s settlements and was liable for penalty interest on those settlements until XL paid out the policy limits with the Pfizer settlement.” Third Interest Opinion , 2013 WL 1194917, at *3. The district court entered final judgment in Stryker I after holding that XL was liable for the indemnification portion of Stryker’s losses. The Stryker I Appellate Opinion affirmed the coverage ruling and the district court’s holding that § 500.2006 applied. While clarifying that XL could use certain portions of the Pfizer settlement toward the policy limit, the Court left no doubt that XL had wrongfully denied Stryker’s demand for coverage as to direct Uni-Knee claims. Stryker tendered its demand in August 2000, over two years prior to the filing of the Pfizer suit and over eight years prior to the Pfizer settlement. XL thus was liable for the indemnification portion and wrongly refused to pay until it chose to pay the Pfizer settlement. In these circumstances, an award of penalty interest under § 500.2006 on the indemnification portion is appropriate.
2.
XL argues that this interpretation of the Stryker I Appellate Opinion is contrary to the language of § 500.2006 itself. Its argument concerns two provisions of the statute. First, XL contends that the “benefits paid” element of the statute is not satisfied: “If benefits are not paid on a timely basis the benefits paid shall bear simple interest . . . at the rate of 12% per annum, if the claimant is the insured or an individual or entity directly entitled to benefits under the insured's contract of insurance.” Mich. Comp. Laws § 500.2006(4) (emphasis added). According to XL, it never paid benefits to Stryker and cannot be assessed interest.
Second, XL argues that an award of interest here would violate the following provision of the statute: “If the loss exceeds the limits of insurance coverage available, interest shall be payable based upon the limits of insurance coverage rather than the amount of the loss.” Mich. Comp. Laws § 500.2006(4). XL contends that the indemnification portion of Stryker’s loss is beyond the policy limit, because the limit was exhausted by the Pfizer settlement and thus is ineligible for an interest award.
We disagree on both counts. A reasonable reading of the “benefits paid” language is that
it refers to benefits that are not timely paid. The purpose of the statute is to penalize insurers
who fail to timely pay benefits.
See
Mich. Comp. Laws § 500.2006(1);
Yaldo v. N. Pointe Ins
Co.
,
XL’s second argument too is unavailing. After the entry of final judgment in Stryker I , this Court affirmed the district court’s coverage ruling and its holding that § 500.2006 applied. XL denied Stryker’s demand for coverage for well over eight years, and § 500.2006(1) clearly imposed an obligation on XL to either timely pay its insured or pay penalty interest. The provision to which XL cites should not be used to defeat a straightforward application of the statute. Were it the case that the amount of the indemnification portion alone exceeded the policy limit, then § 500.2006(4) would apply here to reduce the amount on which interest would be payable. But in the circumstances of this case, the language and intent of § 500.2006 is best effectuated by requiring XL to pay interest.
3.
Finally, XL argues that it entitled to set off the interest that XL paid Pfizer against its interest liability to Stryker. XL allocated $8.5 million of its settlement with Pfizer to pre- judgment interest. In support of its argument, XL cites the following statutory provision: “Interest paid pursuant to this section shall be offset by any award of interest that is payable by the insurer pursuant to the award.” Mich. Comp. Laws § 500.2006(4).
This provision operates to prevent an insured from receiving both an award of pre-
judgment penalty interest under § 500.2006 and a standard prejudgment interest award under
Mich. Comp. Laws § 600.6013.
See McCahill v. Commercial Union Ins. Co
., 179 Mich. App.
761, 776-80, 446 N.W.2d 579, 586-88 (Mich. Ct. App. 1989);
Angott v. Chubb Group Ins.
,
XL’s argument for an offset is novel and not supported by the statutory language. The
difficulty arises from XL’s attempt to match a payment of ordinary interest made to a party in
one suit against an award of § 500.2006 interest payable to a different party in a separate suit.
Courts have applied the offset only in situations where the right to standard interest and the right
to penalty interest arise from the same award of benefits to an insured. ,
e.g.
,
McCahill
,
With this traditional understanding of the statute and case law in mind, the district court
found that XL is not entitled to the offset because § 500.2006 “is limited by its terms to interest
that it payable pursuant to ‘the award.’ [Mich Comp. Laws § 500.2006(4)]. Assuming the Pfizer
settlement is ‘an award,’ it is not ‘the award’ that generated the penalty interest.”
Third Interest
Opinion
,
III.
We AFFIRM the district court’s Second SIR Opinion and Third Interest Opinion in their entirety.
Notes
[*] The Honorable James L. Graham, Senior United States District Judge for the Southern District of Ohio, sitting by designation.
[1] In the Western District of Michigan, Stryker filed two lawsuits, known as and
Stryker II
, in 2001 and 2005.
Stryker Corp. v. XL Ins. America, Inc.
, No. 4:01–cv–157,
(W.D. Mich.) (“ ”);
Stryker Corp. v. Nat’l Union Fire Ins. Co., et al.
, No. 1:05-cv-51
(W.D. Mich.) (“
Stryker II
”).
It has been accurately observed that these insurance cases have “a long and tortured
history.”
Stryker II
,
[2] A
Second Interest Opinion
was issued by the district court concerning the end-date in the
calculation of interest. ,
[3] It would later be held that XL’s payment of $1.1 million for Pfizer’s costs in defending
the tort suits did not count toward the policy limit.
Stryker I Appellate Opinion
,
