UTICA MUTUAL INSURANCE COMPANY, Plаintiff-Appellant, v. MUNICH REINSURANCE AMERICA, INC., Defendant-Appellee. UTICA MUTUAL INSURANCE COMPANY, Plaintiff-Counter Defendant-Appellee, v. CENTURY INDEMNITY COMPANY, Defendant-Counter Claimant-Appellant.
Nos. 19-1241; 19-4335
United States Court of Appeals for the Second Circuit
AUGUST TERM 2020. ARGUED: MAY 5, 2021. DECIDED: JULY 29, 2021
* The Clerk of Court is respectfully directed to amend the caption as set forth above.
Plaintiff Utica Mutual Insurance Company, having paid asbestos losses incurred by its insured, sued to recover reinsurance from Defendants Munich Reinsurance America and Century Indemnity Company in two suits before different judges of the same court, with inconsistent results. Utica appeals from the judgment of the United States District Court for the Northern District of New York (Sannes, J., No. 19-1241) entered following a bench trial; and Century appeals from the judgment of the court (Hurd, J., No. 19-4335) entered following a jury trial. The appeals were heard in tandem. They primarily concern whether Munich and Century must reimburse Utica for defense costs in addition to limits of Utica‘s umbrella policies. Judge Sannes entered judgment for the reinsurer (there, Munich); Judge Hurd entered judgment for the reinsured, or cedent (Utica). Century also seeks a new trial on whether it is a counterparty at all to certain reinsurance, and on whether Utica breached a duty of good faith.
In No. 19-1241, we affirm; and in No. 19-4335, we reverse in part, vacate, and remand.
BRUCE M. FRIEDMAN, Rubin, Fiorella, Friedman & Mercante LLP, New York, NY (Alan J. Sorkowitz, Crystal D. Monahan, Jason Eson, on the brief) for Munich Reinsurance America, Inc. in 19-1241.
JONATHAN D. HACKER, O‘Melveny & Meyers LLP, Washington, D.C. (Tancred V. Schiavoni, Brad Elias, Ashley E. Robertson, on the brief) for Century Indemnity Company in 19-4335.
DENNIS JACOBS, Circuit Judge:
These interrelated reinsurance disputes, heard in tandem, arise from the 30-year insurance program of a manufacturer of products containing asbestos. Plaintiff Utica Mutual Insurance Company, having paid asbestos losses incurred by the manufacturer, sued to recover reinsurance from Defendants Munich Reinsurance America and Century Indemnity Company in two suits before different judges of the same court, with inconsistent results. The disputes concern a two-year segment of the insurance program, 1973 and 1974, in which Utica issued primary and umbrella coverage.
The first issue on appeal is whether Munich‘s and Century‘s 1973 certificates reinsured for defense costs in addition to the umbrella policy limits. The second issue, concerning the 1975 certificate, is whether Century is entitled to a new trial to determine if it is the successor to INA Re and therefore liable on that certificate. The third issue is whether Century is also entitled to a new trial on a counterclaim against Utica for breach of a duty of good faith based on Utica‘s charging Century defense costs above the 1973 umbrella policy limits.
On appeal, the cases were heard in tandem. We hold that the 1973 certificates reinsure defense costs within limits, not in addition. In that respect, we affirm Judge Sannes‘s judgment in No. 19-1241, and reverse Judge Hurd‘s judgment in No. 19-4335. As for the 1975 certificate, the overriding issue is whether Century is the successor to the company that underwrote the certificate. And on that issue, we vacate the judgment in view of trial errors, and remand for
I.
The first issue is the same in both cases. Are the reinsurers (Munich and Century) obligated to reimburse Utica for defense costs in addition to limits?
Facts discussed in this Opinion are drawn from Judge Sannes‘s findings of fact, see Utica Mut. Ins. Co. v. Munich Reinsurance Am., Inc., 381 F. Supp. 3d 185 (N.D.N.Y. 2019), and the undisputed portions of the parties’ pleadings and filings, see Citigroup Glob. Markets Inc. v. Abbar, 761 F.3d 268, 270 (2d Cir. 2014).
In 1973, Utica issued a $300,000 primary policy to Goulds Pumps, Inc., for defense and indemnity of personal-injury and other claims lodged against Goulds. Utica also issued an umbrella policy with an aggregate limit of $25
In the 1990s, Goulds faced a wave of asbestos litigation, which continued into the 2000s, and Utica began to defend and indemnify its insured under the primary policies. Coverage disputes that arose were settled in 2007, and Utica turned to its reinsurers for reimbursement on liabilities it allocated to the 1973 umbrella policy. Munich and Century each paid Utica $5 million for their undisрuted one-fifth shares of the umbrella policy; but they refused to pay defense costs in addition to limits when Utica billed them an extra $2,760,534 each.
A bench trial was held in the suit against Munich, while the issue was put to a jury in the suit against Cеntury. After a bench trial, we review conclusions of law de novo and findings of fact for clear error. Bessemer Trust Co., N.A. v. Branin, 618 F.3d 76, 85 (2d Cir. 2010). We review de novo denials of motions for judgment as a matter of law after a jury trial. Sanders v. N.Y.C. Human Res. Admin., 361 F.3d 749, 755 (2d Cir. 2004).
We construe the umbrella policy and certificates like “any ordinary contract.” Utica Mut. Ins. Co. v. Fireman‘s Fund Ins. Co., 957 F.3d 337, 344 (2d Cir. 2020) (quoting British Int‘l Ins. Co. v. Seguros La Republica, S.A., 342 F.3d 78, 82 (2d Cir. 2003)). A contract “that is complete, clear and unambiguous on its face must be enforced according to the plain meaning of its terms.” Glob. Reinsurance Corp. of Am. v. Century Indem. Co., 30 N.Y.3d 508, 519 (2017) (quotation omitted). If the contract, read as a whole, “is reasonably susceptible of only one meaning, a court is not free to alter the contract.” Id. (quotation omitted).
Whether a contract is ambiguous is a question of law, as is the meaning of an unambiguous contract. See JA Apparel Corp. v. Abboud, 568 F.3d 390, 397 (2d Cir. 2009). Ambiguous language is that which is “capable of more than one meaning when viewed objectively by a reasonably intelligent persоn who has examined the context of the entire integrated agreement and who is cognizant of
A.
Does the 1973 umbrella policy, as modified by the 1974 endorsement, cover defense costs in addition to limits?
The 1973 umbrella policy, like other such policies, provides vertical and horizontal coverage. Its vertical coverage rests on top of the 1973 primary policy, insuring against the same categories of risks covered by the primary policy with additional limits if losses exceed the primary policy limits. This excess coverage is thus triggered by exhaustion of the primary limits. The horizontal, or “drop down,” component affords primary coverage in the first instance for categories of risks not covered by the underlying primary policy, and does not depend upon exhaustion of the primary limits. Thus, the umbrella policy “blend[s]
The cases here involve the excess coverage. The primary policy covered the asbestos claims. Once that coverage exhausted, the excess coverage of the umbrella policy began to provide defense and indemnity, the question being whether defense costs eroded the umbrella policy limits, or were supplemental to them. It is undisputed that the umbrella coverage paid defense in addition to limits for those risks not covered by the primary policy, i.e., on the horizontal, drop-down coverage. That is because an endorsement in 1974 so specified.
Utica argues that the 1974 endorsement to the umbrella policy made defense supplemental for the vertical, excess coverage as well. But we agree with Judge Sannes that the endorsement unambiguously does not apply to the excess coverage.
The endorsement relied on by Utica provides that the 1973 umbrella policy pays defense costs in addition to limits, but only “[w]ith respеct to any
With respect to any occurrence not covered by the underlying policy(ies) of insurance ..., but covered by the terms and conditions of this policy . . . [Utica] shall: (a) defend any suit against the insured . . . [and] (c) pay all expenses incurred by the company . . . and the amounts so incurred, except settlements of claims and suits, are payable by the company in addition to the applicable limit of liability of this policy.
J. App‘x 532, No. 19-1241 (emphasis added). The phrase “occurrence not covered by” unambiguously refers to the umbrella policy‘s drop-down coverage of risks that were not already insured under the primary policy. For example, the umbrella policy insures “mental injury” and “false arrest” while the primary policy does not. Id. at 196, 517. The endorsement does not bear upon the excess coverage of bоdily injury, which includes asbestos injury.
We first consider the policy language. The umbrella policy and its endorsement use similar wording to reference the drop-down coverage. The parties agree that the umbrella policy defines its drop-down coverage as such coverage as is afforded when the “insurance afforded by [the primary policy] is inapplicable to the occurrence.” Id. at 517. “Occurrence” means an “accident during the policy period,” or a “continuous or repeated exposure to conditions”
Likewise, an “occurrence not covered by the underlying policy(ies) of insurance” refers to a risk that is outside the scope of the primary policy, as Judge Sannes concluded. See Munich, 381 F. Supp. 3d at 211-12. “Covered” is a term of art that usually describes a risk that is insured. See N.Y. Univ. v. Cont‘l Ins. Co., 87 N.Y.2d 308, 323 (1995) (citing Albert J. Schiff Assocs., Inc. v. Flack, 51 N.Y.2d 692, 697-98 (1980)) (defining “coverage” as “the net total of policy inclusions minus exclusions“); In re Joint E. & S. Dist. Asbestos Litig., 993 F.2d 313, 314 (2d Cir. 1993) (defining “coverage” as “the amount and extent of the risk . . . contractually assumed, as specified in the insuring clause and exclusions“). Correspondingly, “not covered” refers to risks that are uninsured.
The use of the term “covered” in the umbrella policy is unexceptional. The policy denotes the risk insured as: “Coverage A - Personal Injury Liability” and “Coverage B - Property Damage Liability.” Id. And it definеs the “Ultimate Net Loss” as that which the insurer must pay “as a consequence of any occurrence
Utica argues that an occurrence is “not coverеd by” the primary policy once the primary exhausts. But neither the umbrella nor the primary policy suggests that an occurrence is no longer a “covered” risk after exhaustion; what ceases is the obligation to pay for liabilities arising from the risks that are covered.3 The phrase “not covered” in the endorsement is consistent with the
umbrella policy: it delineates uninsured risks and is not a function of exhaustion. See also Pergament Distribs., Inc. v. Old Republic Ins. Co., 128 A.D.2d 760, 761 (2d Dep‘t 1987) (“[T]he terms ‘covered’ and ‘not covered’ refer to whether the policy insures against a certain risk not whether the insured can collect on an underlying policy.“).
Utica‘s construction erases parts of the endorsement. See Beal Sav. Bank v. Sommer, 8 N.Y.3d 318, 324 (2007) (“A reading of the contract should not render any portion meaningless.“). If the endorsement paying defense in addition to limits applied to both the drop-down and the excess coverages, there would be no need to specify that it applies when an occurrence is “not covered by” the primary policy. It would have been enough that it applies to occurrences “covered by the terms and conditions of this [umbrella] policy.” J. App‘x 532, No. 19-1241. The phrase “not covered by” narrows the endorsement, and
B.
Does the 2007 settlement between Utica and Goulds require the reinsurers to pay Utica‘s billed defense costs?
Utica argues that under follow-the-settlements doctrine, the reinsurers must accept Utica‘s decision to allocate to the 1973 umbrella policy all defense costs in addition to limits. This decision is purportedly reflected in the 2007 settlement between Utica and Goulds, which resolved the following dispute (among others). Utica had taken the position that the primary policies had aggregate limits, and it sought to allocate ongoing losses and defense costs to the umbrella policies (which were reinsured). Goulds contended that the primary policies had no aggregate limits, in effect creating infinite coverage of asbestos claims, which Utica would bear--a situation that was financially untenable. So the parties entered a coverage-in-placе settlement agreement in 2007.
Significantly for present purposes, the agreement specified that the 1973 (and 1974) umbrella policies each had an aggregate limit of $25 million, and that defense costs were payable within limits. Across all 17 umbrella policies in the program, it was agreed that coverage totaled $325 million (reflecting an increase in the limits of several umbrella policies not at issue here in exchange for treating umbrella policy limits as including defense costs). Thus the settlement allocated
After the settlement with Goulds was executed, Utica discovered the 1974 endorsement, which Utica contends (in this reinsurance litigation) amended the 1973 umbrella policy to pay defense costs in addition to limits. Neither Utica nor Goulds, however, sought to reopen the settlement as a result. Nor would it have benefited Utica to do so. Indeed, at Century‘s trial, a Utica claims attorney testified that, following discovery of the endorsement, she felt the “settlement with Goulds” was made “even better” from Utica‘s perspective, because Utica could now bill its reinsurers for defense costs in addition to limits (under the endorsement) yet its own liability to Goulds was limited to payment of defense costs within limits (under the settlement). As Utica continued to pay losses and costs after the settlement and pursuant to its terms, it reached the $25 million aggregate limit on the 1973 umbrella policy. Utica billed Century and Munich accordingly, for $5 million each, which they paid. But, citing the endorsement, Utica allocated defense costs to the 1973 umbrella policy above its limit on the theory that the charge was allowed by the endorsement. (These costs appear to
True, when a reinsurance certificate contains a follow-the-settlements clause,4 the reinsurer cannot question allocation decisions made after a settlement between the cedent and policyholder if the settlement “is in good faith, reasonable, and within the applicable policies.” Travelers Cas. & Sur. Co. v. Gerling Glob. Reinsurance Corp. of Am., 419 F.3d 181, 190 (2d Cir. 2005) (citing N. River Ins. Co. v. Ace Am. Reinsurance Co., 361 F.3d 134, 140 (2d Cir. 2004)). But this assumes that the cedent‘s billing to its reinsurers is at least consistent
The 2007 settlement treated the 1973 umbrella policy as paying defense costs within limits (specifically, “[t]he payment by Utica Mutual of Defense Costs and allocation of such Defense Costs to a particular Goulds Umbrella Policy Periоd will erode that Policy Period‘s Unimpaired Limits“). J. App‘x 2215, No. 19-4335. This settlement term contradicts Utica‘s present contention that the reinsurers must reimburse defense costs in addition to the umbrella policy limits. On the settlement‘s own terms, Utica‘s allocation is invalid.
Utica‘s argument fails on another front. Its allocation, irrespective of what the 2007 settlement authorized, is outside the terms of the 1973 umbrella policy. Fireman‘s Fund, 957 F.3d at 348. The umbrella policy, as we hold above, covers defense costs within limits on the asbestos claims. The Century and Munich certificates reinsure the same because they have “follow form” clauses. These clauses link the reinsurers’ liabilities to Utica‘s obligation under the umbrella policy, meaning their liabilities must track Utica‘s. See id. at 341; Clearwater, 906 F.3d at 15; see also Glob. Reinsurance, 30 N.Y.3d at 513 (“[I]n facultative
reinsurance, the reinsurer agrees to indemnify the cedent for all or a portion of the cedent‘s risk under a single policy in the event of a loss.“).
The certificates incorporate the obligation to pay defense costs within the stated limits on the asbestos coverage, not in addition. Century and Munich “cannot be held accountable for an allocation that is contrary to [this] express language” in their reinsurance policies. Fireman‘s Fund, 957 F.3d at 347; see also U.S. Fid. & Guar. Co. v. Am. Re-Ins. Co., 20 N.Y.3d 407, 420 (2013) (“[A] follow the settlements clause ‘does not alter the terms or override the language of reinsurance policies.‘” (quoting Travelers Cas. & Sur. Co. v. Certain Underwriters at Lloyd‘s of London, 96 N.Y.2d 583, 596–97 (2001))). “It is well-established and not at all surprising that follow-the-fortunes does not require indemnification for losses not covered by the underlying policies.” Gerling, 419 F.3d at 193.
We hold, therefore, that the 2007 settlement agreement with Goulds does not independently require Century or Munich to pay defense costs in addition to limits.
C.
Do the facultative certificates themselves require the reinsurers to reimburse the disputed defense costs regardless of Utica‘s own obligations under the 1973 umbrella policy?
Utica argues that it may bill the reinsurers for defense costs originally paid under other policies (or possibly no policy at all, if its reasoning is taken to its logical conclusion) because the certificates bind the reinsurers to pay all “expenses incurred” by Utica. The Munich certificate provides that Munich “shall be liable for its proportion of allocated loss expenses incurred by [Utica] in the same ratio that [Munich‘s] share of the settlement or judgment bears to the total amount of such settlement or judgment under the policy reinsured.” J. App‘x 1731, No. 19-1241 (emphasis added). “Allocated loss expenses” is defined as “all expenses incurred in the investigation, adjustment and litigation of claims or suits, but excluding the office expenses of [Utica] and the salaries and expenses of all employees of [Utica].” Id. To similar effect, the Century certificate provides that, as to “[a]ll claims involving this reinsurance, . . . [Century] . . . shall be bound to pay . . . its proportion of expenses, other than
Utica‘s construction violates the contractual intent of facultative reinsurance.5 The Munich and Century certificates connect thе reinsurers’ liability for “expenses incurred” to Utica‘s liability under the 1973 umbrella policy. Under New York law, to “incur” means “to become liable or subject to“; to incur a charge, one “must at some point be legally liable to pay that charge.” Metz v. U.S. Life Ins. Co., 662 F.3d 600, 602 (2d Cir. 2011) (emphasis omitted). The certificates, which have follow-form clauses, specify in their declarations that the policy reinsured is the 1973 umbrella policy. See 1A Steven Plitt, et al., Couch on Ins. § 9:28 (3d ed. June 2021) (“By virtue of [a follow-form clause], the reinsurer‘s risk is limited to the risk involved in the original contract.“). The only “expenses
Utica argues that what is “incurrеd” is not limited to Utica‘s liabilities under the umbrella policy. This improperly detaches the phrase “expenses incurred” from the specifically reinsured umbrella policy. The Munich certificate specifies that the ratio of Munich‘s liability for expenses tracks the ratio of its liability for loss “under the policy reinsured.” J. App‘x 1731, No. 19-1241. And the certificate refers to expenses as “loss expenses,” linking them to the follow-form clause, i.e., to the “losses or damages which [Utica] is legally obligated to pay under the policy reinsured” that Munich “agrees to indemnify.” Id. The certificate further specifies that “[t]he reinsurance provided . . . shall be payable” by Munich to Utica or any “liquidator, receiver, or statutory successor” of Utica ”on the bаsis of the liability of [Utica] under the policy reinsured.” Id. at 1732 (emphasis added).
Utica emphasizes that the wording of the Munich certificate obligates Utica “to investigate and defend claims or suits“; so, Utica argues, Munich
Similarly, the Century certificate limits Century‘s obligation to reimburse expenses to “[a]ll claims involving this reinsurance.” J. App‘x 1204, No. 19-4335. The reinsurance--including all conditions contained within the certificate--is “in respect of the [Utica] policy” being reinsured. Id. The certificate “reinsure[s]” the 1973 umbrella policy, incorporating the “terms and conditions” of that policy. Id. Thus Century‘s obligation to reimburse expenses tracks Utica‘s obligations under the umbrella policy. The follow-form clause is unequivocal: “the liability of [Century] specified in Item 4 of [the] Declarations shall follow that of [Utica]“; and Item 4 specifies the “Reinsurance Accepted” as the “Policy Limits and Application” of the umbrella policy. Id. at 1203. The only “expenses” that Century must reimburse are those “incurred” by Utica within the terms of the umbrella policy.
II.
With respect to the 1975 certificate, Century contends that it has no liability, full stop. Century was found liable for breach of contract as successor to the original issuer of the certificate, which Utica alleges was Insurance Company
As Judge Hurd correctly instructed the jury, Utica must prove that it “entered into the . . . 1975 reinsurance contract[] with Century” to recover the alleged unpaid balance of reinsurance. J. App‘x 634, No. 19-4335. Utica had no copy of the certificate, but introduced two documents to prove the certificate‘s existence. The first was a reinsurance binder letter from September 1975 summarizing the certificate‘s coverage and terms. See Springer v. Allstate Life Ins. Co. of N.Y., 94 N.Y.2d 645, 649 (2000) (“[A]n insurance binder is a temporary or interim policy until a formal policy is issued.“). The second was a November 1976 letter asking Utica about payment of the premium owed to the reinsurer. The documents, however, point in different directions. They were written on “INA Reinsurance Compаny” letterhead and signed by INA Re employees, and
Century sought to introduce evidence at trial showing that it is not the successor to INA Re. Although that fact was undisputed, Century‘s evidence of it was nevertheless excluded on the ground that Century had waived the right to deny successorship when it failed to raise that argument as an affirmative defense in its pleadings. On appeal, Century seeks a new trial on its liability under the 1975 certificate.
“We review a district court‘s evidentiary rulings for abuse of discretion, and will reverse only if an erroneous ruling affected a party‘s substantial rights.” Marcic v. Reinauer Transp. Cos., 397 F.3d 120, 124 (2d Cir. 2005). “Whether an evidentiary error implicates a substantial right depends on the likelihood that the error affected the outcome of the case.” Tesser v. Bd. of Educ., 370 F.3d 314, 319 (2d Cir. 2004) (quotation omitted). “Thus, an evidentiary error in a civil case is harmless ‘unless [the appellant demonstrates that] it is likely that in some
Under
Utica recasts Century‘s argument as a denial that it is the real party in interest, a defense that is subject to waiver. This defense arises from the principle that a suit must be brought by “the person who, according to the governing substantive law, is entitled to enforce the right.” Oscar Gruss & Son, Inc. v. Hollander, 337 F.3d 186, 193 (2d Cir. 2003) (quotation omitted). However, Century is not trying to enforce substantive rights (or defenses) that belong to another. Rather, Century is attempting to assert only that it is not a counterparty to the certificate--an essential element of Utica‘s claim.
The record is insufficient to resolve whether Exhibit VIII can establish that Century is the counterparty to the 1975 certificate. Because Utica is neither a party nor a beneficiary to the settlement between Century and R&Q, it cannot
III.
The last issue on appeal is whether Century is entitled to a new trial on its counterclaim of bad faith with respect to the 1973 certificate. The counterclaim alleges that by “improperly billing Century” for defense costs in addition to limits (among other acts) Utica violatеd its duty as cedent to act with good faith. J. App‘x 1197, 19-4335. As presented in the jury charge, an essential element of this counterclaim was that “Century performed its obligations under the 1973
The district court instructed that Century “must establish by a preponderance of the evidence [that] it did what it was obligated to do under the 1973 reinsurance certificate,” and that “this element is in dispute.” Id. at 1196. The verdict sheet likewise instructed the jury to decide whether “plaintiff Utica Mutual Insurance Company prove[d] by a preponderance of the evidence that Century Indemnity Company failed to do what it was obligated to do under the 1973 Certificate.” Id. at 596. The jury answered “Yes,” defeating Century‘s counterclaim. These instruсtions were error because there is no actual dispute whether Century did all it was obligated to do under the 1973 certificate.
As a matter of law, Century is not obligated under the certificate to pay defense in addition to limits--the only pertinent issue at trial regarding Century‘s obligations. A jury instruction that misinforms the jury on the law requires a new trial unless the error is harmless. Fid. & Guar. Ins. Underwriters, Inc. v. Jasam Realty Corp., 540 F.3d 133, 139 (2d Cir. 2008). Utica argues that any error was harmless because the jury, in a separate question on the verdict sheet, found
IV.
For the foregoing reasons, the judgment in No. 19-1241 is affirmed; and the judgment in No. 19-4335 is reversed in part, vacated, and the case is remanded with instruction to enter judgment in favor of Century on the 1973 certificate and for further proceedings on the 1975 certificate.
