Lead Opinion
BATCHELDER, C.J., delivered the opinion of the court in which NORRIS, J., joined, and STRANCH, J., joined in Sections I. and II.A. STRANCH, J. (pp. 678-81), delivered a separate opinion concurring in part and dissenting in part.
OPINION
At its core, an insurance policy is simply a contract between the insurer and the insured, with each entitled to the benefit of the bargain. This statement encapsulates two self-evident but fundamental tenets of contract law — that generally speaking: (1) the benefit of the bargain directly accrues only to the parties to the contract, unless the contract otherwise provides; and (2) the parties are entitled only to the benefit of their bargain, that is, the bargain represented in the written contract. These two tenets decide this appeal.
Here, the insured is Plaintiff-Appellant Tooling, Manufacturing & Technologies Association (TMTA) and the insurer is Defendant-Appellee Hartford Fire Insurance Company. The insurance policy at issue, known as the CrimeShield Policy (Policy), is a type of employee fidelity policy designed to transfer the risk of employee theft from the TMTA to Hartford. The TMTA’s decision to insure against employee theft was prescient — almost immediately after the parties signed the Policy a TMTA employee began diverting funds into his own accounts that would have otherwise, in the fullness of time, accrued to the TMTA.
The problem for us is that the pilfering employee, one Mark Tyler, diverted funds not from the TMTA but from the TMTA Insurance Agency (Agency) — a limited liability corporation controlled by the TMTA and from which the TMTA receives a significant portion of its income. And the Agency is not a named insured under the Policy. Hartford refuses to pay the policy because of its view that the Agency, not the TMTA, suffered the loss and the Agency is not a named insured. The TMTA appeals to us to enforce its interpretation of the Policy, arguing that the Agency is covered because the TMTA is covered, and that any loss to the Agency is actually a direct loss to the TMTA — direct losses being covered under the Policy’s express terms.
So is Hartford’s refusal to pay the TMTA’s claim on the Policy a breach of contract? The issues are twofold: (1) may we consider the Agency a party directly covered by the policy, and (2) regardless of the resolution to the first issue, does the Policy otherwise provide for the TMTA to recover funds that were diverted from the Agency? Because the answer to both questions is “no,” there is no breach, and we affirm the judgment of the district court.
The TMTA is a Michigan trade association whose members are engaged primarily in the manufacturing and tooling industry. The TMTA arranges the sale of insurance policies to its members as part of its normal activities, but because Michigan law does not permit the TMTA to collect commissions directly from insurance companies,
[The Agency] is a Michigan limited liability company that brokers insurance policies for TMTA members. TMTA is the Agency’s sole member and TMTA’s entire revenue derives primarily from the Agency in the form of commissions from insurance companies paid directly to the Agency for brokering policies to TMTA members. The Agency has no employees and its property consists only of the commissions paid to it by insurance companies for sales of policies to TMTA members. TMTA accounts for all of the Agency’s income as part of its federal and state filings. Thus, each year, TMTA receives the entire benefit or loss from the Agency’s operations.
Tooling, Mfg. & Techs. Ass’n v. Hartford Fire Ins. Co. (Tooling I), No. 08-cv-11812,
In September 2003, the TMTA— then known as the Michigan Tooling Association — procured the Policy from Hartford. The Policy covered employee theft (up to $300,000), depositor’s forgery, non-employee theft, disappearance and destruction, and computer and funds-transfer fraud. In addition to the TMTA, the Policy and its amendments listed six other named insureds
Loss that is an indirect result of any act or “occurrence” covered by this Policy including but not limited to loss resulting from
1. your inability to realize income that you would have realized had there been no loss of or damage to “money”, “securities” or “other property”.
2. payment or damages of any type for which you are legally liable. But we will pay compensatory damages arising directly from a loss covered under this policy.
3. payment of costs, fees or other expenses you incur in establishing either the existence of or the amount of loss under this policy.
The parties also dispute the applicability of this provision to the facts of the case. Finally, the Policy defines “theft” as “the unlawful taking of ‘money’, ‘securities’ or ‘other property’ to the deprivation of the insured,” and further that “this Policy is for your [the named insured’s] benefit alone and no other person has any rights or benefits.”
In early 2007, Tyler resigned from his position at the TMTA. Soon thereafter, the TMTA discovered that, using entities that he owned, Tyler had re-directed to himself commission payments that were due to the Agency, in effect stealing over $715,000 in commissions that would have eventually accrued to the TMTA. Tooling I,
The TMTA brought this action in state court seeking a declaratory judgment and damages for breach of contract, and Hartford removed the case to federal district court on the basis of diversity jurisdiction. The parties filed cross-motions for summary judgment and agreed that there were no issues of disputed fact and that judgment could be rendered as a matter of law. Id. The parties dispute whether the injury suffered by the TMTA arose “directly” from Tyler’s illegal conduct while he was an employee of the TMTA. In essence, the TMTA argued that the injury was direct because the TMTA’s injury was a natural and unavoidable consequence of Tyler’s conduct, and Hartford argued that the injury was indirect because the commissions were diverted from the Agency and the Agency is not a named insured under the policy. The district court granted summary judgment to Hartford, holding that: (1) the TMTA cannot have a direct interest in the commissions due to the Agency because the Agency is a separate entity under Michigan law; (2) the Agency is not a named insured in the Policy; (3) the exclusion clause barring recovery for indirect losses applies to the commissions stolen by Tyler; and (4) Tyler only had a duty to turn the stolen commissions over to the Agency, not to the TMTA. Id. at *4-7. The TMTA filed a timely appeal.
We review de novo a district court’s decision on a motion for summary judgment, and summary judgment is appropriate where “the pleadings, the discovery and disclosure materials on file, and. any affidavits show that there is no genuine issue as to any material fact and that the movant is entitled to judgment as a matter of law.” Defoe v. Spiva,
Subject matter jurisdiction in this case is premised solely on diversity of the parties, so we apply'Michigan law as enunciated by the Michigan Supreme Court. See, e.g., Corrigan v. U.S. Steel Corp.,
First, an insurance contract must be enforced in accordance with its terms. A court must not hold an insurance company liable for a risk that it did not assume. Second, a court should not create ambiguity in an insurance policy where the terms of the contract are clear and precise. Thus, the terms of a contract must be enforced as written where there is no ambiguity.
While we construe the contract in favor of the insured if an ambiguity is found, this does not mean that the plain meaning of a word or phrase should be perverted, or that a word or phrase, the meaning of which is specific and well recognized, should be given some alien construction merely for the purpose of benefiting [sic] an insured. The fact that a policy does not define a relevant term does not render the policy ambiguous. Rather, reviewing courts must interpret the terms of the contract in accordance with their commonly used meanings. Indeed, we do not ascribe ambiguity to words simply because dictionary publishers are obliged to define words differently to avoid possible plagiarism.
Citizens Ins.,
The court applies these principles in a two-part test to determine “whether an insured is entitled to insurance benefits”: “First, we determine if the policy provides coverage to the insured. If it does, we then ascertain whether that coverage is negated by an exclusion.”
A.
In addressing whether the employee-theft clause itself entitles the TMTA to recover under the Policy, we first examine whether the Agency is covered by the Policy. If it is, then the TMTA is entitled to recover under the Policy, as Hartford freely admits. As we mentioned, the Agency is not named in the Policy as a covered insured. Although this fact might normally end our inquiry on this point, we recognize that the Agency and the TMTA are unusually consanguineous. The TMTA argues that this close relationship essentially erases any difference between the TMTA and the Agency for the purposes of the contract, that any injury to the Agency under the contract is an injury to the TMTA, that the entities are sepa
Rather than simply analyze the degree to which the interests of the TMTA and the Agency overlap, here we must “effectuate the intent of the parties,” Auto-Owners,
Second, the TMTA itself has admitted that it is separate from the Agency. As the district court noted, the TMTA argued in state court, in response to a counterclaim by Tyler, that the Agency was the entity that was due the commissions, not the TMTA, and the state court appeared to agree. See Tooling, Mfg. & Technologies Ass’n v. Hartford Fire Ins. Co. (Tooling II), No. 08-cv-11812,
Finally, we think it is significant that the Agency is not listed as a covered insured under the Policy even though six other entities closely related to the TMTA are. This raises the question: If the parties intended that these kinds of entities would be covered by the Policy simply because the TMTA was, why were those six enti
B.
Next, we examine whether the employee theft provision covers the TMTA’s claims — that is, whether the TMTA’s loss of income from the Agency “resulted] directly from” Tyler’s theft. The parties dispute only the word “directly” in this Policy provision. Based on the plain meaning of the word, we hold that Tyler’s theft from the Agency did not “directly” result in the TMTA’s loss.
In Michigan, “reviewing courts must interpret the terms of the contract in accordance with their commonly used meanings, ... [and] [w]hen considering a word or phrase that has not been given prior legal meaning, resort to a lay dictionary such as Webster’s is appropriate,” Citizens Ins.,
la: without any intervening space or time: next in order....
2a: straight on along a definite course of action without deflection or slackening ...[;] d: simultaneously and exactly or equally
3: in close relational proximity ...[;]
4a: without any intervening agency or instrumentality or determining influence: without any intermediate step....
See Webster’s Third New Int’l Dictionary 641 (1981), available at http://unabridged. merriam-webster.com/cgi-bin/unabridged? va=directly (last visited May 23, 2012). Black’s Law Dictionary defines “directly” as:
In a direct way without anything intervening; not by secondary, but by direct, means.
Black’s further defines “direct” as:
Immediate; by the shortest course; without circuity; operating by an immediate connection or relation, Instead of operating through a medium; the opposite of indirect.
In the usual or natural course or line; immediately upwards or downwards; as distinguished from that which is out of the line, or on the side of it; the opposite of collateral. In the usual or regular course or order, as distinguished from that which diverts, interrupts» or opposes; the opposite of cross, contrary, collateral or remote.
Without any intervening medium, agency or influence; unconditional.
Finally, Black’s defines “direct loss” to mean:
One resulting immediately and proximately from the occurrence and not remotely from some of the consequences or effects thereof.
See Black’s Law Dictionary 459-60 (6th ed. 1990). The primary word used to describe “directly” in each of these definitions is “immediate,” and each of the dictionaries defines “directly” or “direct” as “without anything intervening” or “without any intervening space or time ... agency or instrumentality.” Thus, the Policy covers the TMTA only for “loss of or damage to ‘money’, ‘securities’ and ‘other property’ which results [immediately and without any intervening space, time, agency, or instrumentality] from ‘theft’ by an ‘employee.’ ” On its face, this definition would exclude the type of loss sustained by the TMTA from coverage under the Policy.
As we mentioned, at least a simple majority of courts that have considered the issue favor a “direct is direct,” or analogous reasoning, approach in employee fidelity bonds or insurance contracts — specifically, courts interpreting the law of the following states: California, Vons,
Courts have applied the proximate cause approach with respect to the law of the following jurisdictions: Louisiana, First Nat’l Bank of Louisville v. Lustig,
By claiming that it was “inevitable” and “inescapable” that it would suffer a loss due to Tyler’s actions, the TMTA is essentially arguing that we should apply the “proximate cause” definition for “directly.” We decline to do so because we find the “direct is direct” approach more persuasive. As the Agency is a separate entity from TMTA, both legally and for the purposes of the Policy, Tyler’s theft of commissions intended for the Agency does not directly result in a loss to TMTA — there was an intermediate step between Tyler’s theft and TMTA’s loss, no matter how closely aligned the Agency and TMTA are. Accordingly, the Policy does not demonstrate that the parties intended to cover the TMTA’s losses due to Tyler’s misdirection of Agency commissions.
The dissent argues that we should follow an unpublished opinion by the Michigan Court of Appeals that construes, in the context of a physical property damage insurance policy, the word direct to mean “ ‘immediate’ or ‘proximate.’ ” See Acorn Inv. Co. v. Mich. Basic Prop. Ins. Ass’n, No. 284234,
First, as we have noted, the Michigan Supreme Court has repeatedly stated that where a term in an insurance policy has not been previously defined, the court should look to its plain meaning. See Citizens Ins.,
Second, we have previously recognized that “relevant data [regarding what the Michigan Supreme Court would do] also include[s] ... the majority rule among
The TMTA also argues that because Tyler owed a fiduciary duty to both the TMTA and the Agency, (1) as soon as he stole the commissions that were intended for the Agency he breached his fiduciary duties to TMTA and the Agency; (2) he was required under Michigan law to hold the commissions in trust for TMTA and
III.
For the foregoing reasons, we AFFIRM the judgment of the district court.
Notes
. Mich. Comp. Laws § 500.1240 (2002) ("An insurer or insurance producer shall not pay a commission, service fee, or other valuable consideration to a person for selling, soliciting, or negotiating insurance in this state if that person is required to be licensed under this chapter and is not so licensed.”). TMTA is not a licensed producer under Michigan law, so it created the Agency as a licensed producer that can lawfully receive the insurance commission payments.
. The other named insureds were: MTA Salaried Employee Defined Benefits Plan; MTA Money Purchase Pension Plan; MTA Salaried Employee Defined Contribution Plan; MTA Deferred Compensation Plan; MTA Insurance Trust; and MTA Dental Trust.
. The Considerations clause of the Policy also placed an emphasis on "direct” harms:
In exchange for the payment of premium and subject to the Declarations, Insuring Agreements, Definitions, Exclusions, General Conditions, and terms of the Policy, we will pay for loss which you sustain resulting directly from acts committed or events occurring after the RETROACTIVE DATE shown in the SCHEDULE and discovered by you during the Policy Period shown in the Declarations or during the period of time provided in the EXTENDED PERIOD TO DISCOVER LOSS General Condition.
. On appeal, Hartford argues that Tyler's actions do not qualify as a "theft” under the Policy. Because Hartford did not make this argument to the district court, the argument
. The district court declined to address the first step of Michigan’s rule, collapsing the two-part inquiry into one by stating that
Still, the error would have been harmless had the exclusions clause been appropriate in this case, which brings us to our second reason: the district court incorrectly interpreted the Policy’s "indirect loss” exclusions clause. The clause begins by excluding loss "that is an indirect result of any act or ‘occurrence’ covered by this Policy,” and then gives several examples of indirect loss that is excluded, including "your inability to realize income that you would have realized had there been no loss of or damage to ‘money’, 'securities’ or 'other property’.” R. 37, Ex. D., part V.H., PG ID 410 (emphasis added). We conclude, based on a plain reading of the provision, that this clause applies where there is direct loss— covered by the Policy — from which the insured derives indirect losses, which are not. See Patrick Schaumburg Autos., Inc. v. Hanover Ins. Co.,
. The, district court also held that it would not "disregard the distinction the law makes between the [Agency and TMTA], and dishonor TMTA’s business decision to create the Agency as [a] separate legal entity and not add it as an insured to the Policy.” Tooling I,
. In this recent case, this court found that "the phrase 'resulting directly from' does not unambiguously limit coverage” to a "direct as direct” approach and so holds that "the Ohio Supreme Court would apply a proximate cause standard” simply because it is the more liberal construction. Id. at 830-32. The plaintiff in Retail Ventures was only able to cite a pair of old Ohio appellate decisions from other first-party coverage contexts to support their position. Id. at 830-31. The court noted that "[t]he Ohio courts have not decided whether to apply proximate cause in the context of a fidelity bond or commercial crime policy.” Id.
. See Acorn,
. This is the entirety of the discussion in Acorn about the meaning of "direct” within the insurance policy:
Here, the insurance policy expressly requires that "direct physical loss” be caused by the act of vandalism. The use of the word “direct” signals "immediate” or “proximate” cause, as distinct from remote or incidental causes, de Laurentis v. United Services Automobile Ass’n,
Acorn,
.
. The TMTA also argues that because the Agency did not have any employees it could not have been covered by an employee theft policy, and that "[t]he trial court’s reasoning therefore forecloses TMTA from ever being able to secure insurance for employee theft which occurs in the course of performing Agency insurance work.” Appellant’s Br. at 24. But the Policy clearly states that "[a]n ‘employee’ of any Insured is considered to be an ‘employee’ of every Insured”; there was nothing to prevent the Agency from being covered by the Policy had the TMTA added it as a named insured. The TMTA argues that this provision is unclear, but it seems clear to us: if the employee of one covered insured steals from another covered insured, the employee is treated as if he or she were employed by both and the theft is covered.
. The TMTA cites a number of insurance contract cases to support the position that it suffered a direct loss, but these cases are distinguishable. See Phillip R. Seaver Title Co., Inc. v. Great Am. Ins. Co., No. 08-CV-11004,
Concurrence Opinion
concurring in part and dissenting in part.
I concur in Sections I. and II. A. of the majority opinion. I cannot join Section II.B, however, because the majority misapplies the “direct is direct” approach to bar TMTA from coverage under Hartford’s crime shield policy for a direct loss resulting from employee theft.
The only policy construction issue Hartford presented to our court is this: Does the policy’s indirect loss exclusion require denial of coverage for Tyler’s theft of TMTA’s money. We summarily and correctly dispose of that issue in footnote 5 of the majority opinion by holding that Hartford failed to negate coverage through the “indirect loss” exclusion. That decision resolves the case in favor of coverage. Yet the majority goes on to explain why it thinks Hartford is not required to provide fidelity coverage despite TMTA’s payment of premiums and the inapplicability of the indirect loss exclusion. It does so by employing an erroneous construct.
To preserve the purpose of fidelity bonds, the insurance industry inserted into the standard coverage clause the phrase, “loss resulting directly from.” Retail Ventures, Inc.,
My more immediate concern is, however, that the majority unties the “direct is direct” approach from its mooring and uses it in a completely inappropriate way: to analyze the relationship between TMTA, the Agency, and Tyler. According to the majority’s reasoning, if Tyler had not committed theft, the commissions would have flowed through the Agency before finally reaching TMTA’s bank account. Because the money did not flow directly from Tyler to TMTA, but passed through the Agency, the majority applies the “direct is direct” approach, then construes that approach to mandate the conclusion that the fidelity policy bars coverage.
This analysis distorts the fundamental purpose of the “direct is direct” approach, which is to distinguish between first- and third-party claims and restrict fidelity coverage to first-party claims, such as we have here. TMTA, the insured, paid Tyler, its employee, to sell insurance policies to TMTA members. TMTA owned the commissions earned on the sale of those policies, but Tyler embezzled the money for his own use. The loss of money TMTA suffered resulted directly from the theft by its own employee. We have no need to decide whether this policy would cover a
To decide in this case whether the Agency’s existence has any impact on coverage, we must inquire into what the insurance contract means by “loss ... which results directly from theft by an employee.” Because the case comes to us under diversity jurisdiction, we must look to Michigan law to interpret the meaning of the policy. See Erie R.R. Co. v. Tompkins,
The Michigan Court of Appeals has held that the word “direct” means “immediate” or “proximate” cause, “as distinct from remote or incidental causes.” Acorn Inv. Co. v. Mich. Basic Prop. Ins. Ass’n, No. 284234,
Doing so is consistent with our recent opinion in Retail Ventures, Inc. In that case, our court looked to Ohio law to discern the meaning of the identical phrase “loss resulting directly from” included within a crime policy. Retail Ventures, Inc.,
Tyler’s theft of commissions owned by TMTA — even if not characterized as immediate due to the existence of the Agency — was certainly the proximate cause of TMTA’s loss. See Acorn Inv. Co.,
“The purpose of insurance is to insure against a loss.” Fed. Ins. Co. v. Hartford Steam Boiler Inspection and Ins. Co.,
