Opinion
In this case we examine the specific terms of the insurance policies before us to determine whether a third level insurer “drops down” to assume the obligations of a second level insurer when the second level insurer becomes insolvent. We agree with the trial court that the third level policy incorporates an endorsement that unambiguously precludes it from “dropping down" to provide second level coverage upon the underlying insurer’s insolvency. Consequently, we affirm the summary judgment entered in favor of the insurer.
I. Facts
In 1985, 12 former managers who were fired from Wells Fargo Bank, N.A. (Wells Fargo) in 1984 and 1985, filed suit alleging wrongful termination, defamation and other causes of action. 1 None of Wells Fargo’s insurers agreed to defend or indemnify Wells Fargo in this lawsuit. Consequently, Wells Fargo paid its own defense costs and negotiated and obtained settlements with all plaintiffs. Wells Fargo paid approximately $7.2 million to defend and settle the lawsuit.
When the wrongful termination lawsuit was filed, Wells Fargo had three levels of general liability insurance, providing aggregate coverage of $31 million. Truck Insurance Exchange (Truck) provided the first level of comprehensive general liability coverage. The Truck policy had limits of $1 million per occurrence, and a $1 million annual aggregate limit.
During 1985 respondent Insurance Company of North America (INA) and Granite State Insurance Company (Granite) provided the third level of coverage. Each of the third level policies provided excess coverage of $10 million as a “50% quota share” of total third level excess coverage of $20 million. The INA policy “followed form” with the underlying Mission policy. A “following form” policy incorporates the terms and conditions of another carrier’s policy and provides the same scope of coverage as the underlying policy. (See
Coca Cola Bottling Co.
v.
Columbia Casualty Ins. Co.
(1992)
After Wells Fargo reached settlement with the wrongful termination plaintiffs, Truck, its primary insurer, agreed to contribute more than $800,000 to that settlement. Wells Fargo paid the rest of the settlement, without contribution from its other insurers.
Wells Fargo then filed a declaratory relief action against INA and the other excess insurers seeking a judicial declaration that each insurer had
Mission was insolvent by the time Wells Fargo filed its complaint for declaratory relief. Nevertheless, Wells Fargo contended INA was liable for Mission’s obligations on the ground that the INA coverage “dropped down” to provide second level coverage when Mission became insolvent.
INA moved for summary judgment contending that, as a matter of law, its third level policy did not drop down to provide coverage as a second level policy. INA argued that the INA/Mission policy contained a clause which unambiguously stated it would not drop down in the event of the underlying insurer’s insolvency. In particular, INA relied on the following clause (endorsement No. 4): “It is hereby understood and agreed that: [JO In the event of reduction or exhaustion of the aggregate limits designated in the underlying policy or policies solely by payment of losses in respect to accidents or occurrences during the period of such underlying policy or policies, it is hereby understood and agreed that such insurance as is afforded by this policy shall apply in excess of the reduced underlying limit or, if such limit is exhausted, shall apply as underlying insurance, notwithstanding anything to the contrary in the terms and conditions of this policy.” 4 (Italics added.)
The trial court granted INA’s motion for summary judgment, stating: “Endorsement No. 4 of the Mission policy states that the underlying policy must be exhausted solely by payment of losses and this language is incorporated in the INA following form excess policy. Under
Span, Inc.
v.
Associated International Insurance Co.
(1991)
Wells Fargo made a motion for new trial, which the trial court denied. Wells Fargo has appealed from the judgment entered in INA’s favor. 5
A. Standard of Review
A moving party is entitled to summary judgment “if all the papers submitted show that there is no triable issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.” (Code Civ. Proc., § 437c, subd. (c).) “A defendant . . . has met his or her burden of showing that a cause of action has no merit if that party has shown that one or more elements of the cause of action . . . cannot be established, or that there is a complete defense to that cause of action. Once the defendant. . . has met that burden, the burden shifts to the plaintiff ... to show that a triable issue of one or more material facts exists as to that cause of action or a defense thereto.” (Code Civ. Proc., § 437c, subd. (o)(2);
Jambazian
v.
Borden
(1994)
B. The Rules of Insurance Contract Interpretation
In
Reserve Insurance Co.
v.
Pisciotta, supra,
Well-defined rules guide our interpretation of insurance policies: “Insurance policies are contracts and, therefore, are governed in the first instance by the rules of construction applicable to contracts. Under statutory rules of contract interpretation, the mutual intention of the parties at the time the contract is formed governs its interpretation. (Civ. Code, § 1636.) Such intent is to be inferred, if possible, solely from the written provisions of the contract.
{Id.,
§ 1639.) ... If the meaning a layperson would ascribe to the language of a contract of insurance is clear and unambiguous, a court will
Moreover, “ [i]n the insurance context, we generally resolve ambiguities in favor of coverage. [Citations.] Similarly, we generally interpret the coverage clauses of insurance policies broadly, protecting the objectively reasonable expectations of the insured. [Citations.] These rules stem from the fact that the insurer typically drafts policy language, leaving the insured little or no meaningful opportunity or ability to bargain for modifications. [Citations.] Because the insurer writes the policy, it is held ‘responsible’ for ambiguous policy language, which is therefore construed in favor of coverage.”
(AIU Ins. Co.
v.
Superior Court
(1990)
C. Case Law on the “Drop Down” Issue
Reserve
is the watershed California case on the “drop down” issue. There, the excess policy contained the following coverage clause: “The Company [CNA] shall only be liable for the ultimate net loss in excess of either: . . . 1. the amount recoverable under the underlying insurance as set out in the schedule of the underlying insurance; or 2. 20% of the ultimate net loss or $200 ultimate net loss whichever is lesser in respect of each occurrence not covered by said underlying insurance.” (
In
Reserve,
as here, the underlying insurer became insolvent. (
As the trial court noted,
Span, Inc.
v.
Associated Internat. Ins. Co.
(1991)
We cannot meaningfully distinguish the language of endorsement No. 4 to the INA/Mission policy from the language the court considered in
Span.
Endorsement No. 4 provides that “[i]n the event of . . . exhaustion of the aggregate limits designated in the underlying policy or policies
solely by payment of losses
[then this excess insurance] shall apply as underlying insurance. . . .” (Italics added.) If anything, the addition of the word “solely” in the INA/Mission policy strengthens INA’s position that its third level coverage does not “drop down” to provide second level coverage upon Mission’s insolvency. Every out-of-state court that has interpreted language essentially identical to that in endorsement No. 4 has concluded that it
unambiguously
precludes “dropping down.”
(Alabama Ins. Guar. Ass’n
v.
Kinder-Care
(Ala. 1989)
We choose to follow Span and the out-of-state cases which have concluded that the “solely by payment of losses” language unambiguously precludes an excess insurer from “dropping down” to provide lower level coverage upon the underlying insurer’s insolvency.
Consequently, the trial court correctly granted summary judgment in favor of INA.
D. Wells Fargo’s Attempt to Distinguish Span
Wells Fargo recognizes that Span construed language which is essentially identical to that in the present case. Nevertheless, Wells Fargo attempts to distinguish Span on two grounds.
1) The Distinction Between Excess Coverage and Umbrella Coverage
First, Wells Fargo contends that, unlike the policy in
Span,
the INA/Mission policy provides both excess and umbrella coverage (see fn. 2,
ante).
According to Wells Fargo, this difference is critical because, unlike a pure excess policy which “ ‘provides coverage that begins only after a predetermined amount of primary coverage is exhausted’ ”
(Span, supra,
The INA/Mission policy provides: “The Company shall only be liable for the ultimate net loss the excess of either [<][] (a) the limits of the underlying insurances as set out in the attached schedule in respect of each occurrence
covered
by said underlying insurances. [*][] or (b) the amount as set out in item 2(c) of the Declarations [$10,000] in respect of each occurrence
not covered
by said underlying insurances.” (Italics added.) To paraphrase the
Reserve
court: the two coverage provisions, when read together, make the INA/Mission policy applicable
either
as excess insurance over the limits of the underlying insurance when the underlying insurance “covers” an occurrence, or as alternative primary coverage as to losses “not covered by” the underlying policy. (
Wells Fargo contends that we may distinguish
Span
because the Associated policy in that case provided “excess” coverage only, and did not insure
First, Wells Fargo’s premise is flawed because we cannot tell from the Span opinion whether the Associated policy involved excess or excess and umbrella coverage. It is true that the only portion of the insuring agreement that the Span court quoted concerned excess coverage. 7 However, this was a partial quote only. At no point did the Span court indicate that the second level Associated policy was limited to excess coverage. To the contrary, the Span court stated that “Associated provided Span with an umbrella policy of insurance in excess of [the] primary policy.” (Span, supra, 227 Cal.App.3d at pp. 468-469, italics added.) Thus, the Associated policy could have provided umbrella coverage (as we have defined that term in this opinion), and the Span court may have concluded that fact was irrelevant to its analysis.
Even if Span involved excess coverage only, that distinction is not critical to our analysis. Wells Fargo claims that Reserve controls this case because “the INA/Mission policy follows the same structure as the Reserve policy” in that “the policy in Reserve provided a combination of umbrella and excess coverage.” However, this ignores the fact that the Reserve court did not rely on the “umbrella” clause to find drop down coverage. Rather, as we have explained (see ante, pp. 943-945) the Reserve court found an ambiguity in the “excess” clause and, on that basis alone, found “drop down” coverage. (30 Cal.3d at pp. 814-815.) If anything, Reserve is authority for the proposition that umbrella coverage does not automatically result in drop down coverage. Had the Supreme Court thought that the umbrella clause was controlling, it could have based its decision on that clause. Instead, the Supreme Court ignored the umbrella clause and relied solely on the excess clause to find drop down coverage in Reserve.
Finally, in making its argument, Wells Fargo ignores the specific wording of the coverage clauses in the INA/Mission policy. That policy provides INA is liable for the amount (a) in excess of the limits of the underlying insurance
Wells Fargo also argues that the terms “covered” and “not covered” as used in the INA/Mission policy are ambiguous and must be construed against the insurer/drafter (INA). According to Wells Fargo, “[t]here is no significant distinction, from an insured’s reasonable reading of the policy, between underlying insurance which is not ‘recoverable,’ as in Reserve, ... or which does not ‘cover’ a loss, as [in] the Mission policy. To a lay person, a loss is ‘covered’ by insurance if the insurance pays for the loss, and is ‘not covered’ if the insurance does not pay for the loss.” Basic rules of contract interpretation expose the flaw in this argument.
We need not repeat in detail the principles of contract interpretation which are set out in part II.B. above, but simply reiterate that under those rules, if a term is reasonably susceptible of only one interpretation it is not ambiguous. In a contract of insurance, if there is an ambiguity regarding coverage, it is resolved by interpreting the ambiguous provision in the sense the insurer believed the insured understood the terms when the insurance contract was formed. The objectively reasonable expectations of the insured guide interpretation of the ambiguous language. If ambiguity still remains, only then is it resolved against the insurer.
(Montrose Chemical Corp.
v.
Admiral Ins. Co., supra,
Here, we conclude the term “covered” is not ambiguous. Webster’s Dictionary defines the verb “cover” as “to have sufficient
scope
to include or take into account,” and the noun “coverage” to mean “inclusion within
the scope
of an insurance policy or protective plan.” (Webster’s New Collegiate Diet. (1977) pp. 262-263, italics added.) Thus, a layperson would have understood the phrases “covered by said underlying insurance” and “not covered by said underlying insurance” as referring to the
scope
of the underlying insurance. That is, a layperson would understand that a claim is
If the term “covered” is even arguably ambiguous, the meaning Wells Fargo ascribes to the term is not within “ ‘ “the objectively reasonable expectations of the insured.” ’ ”
(Montrose Chemical Corp.
v.
Admiral Ins. Co., supra,
In sum, the fact that the INA/Mission policy provided both “umbrella” and “excess” coverage does not make this case distinguishable from Span.
2) The References to “Collectible” Insurance
Wells Fargo next attempts to find “drop down” coverage in the INA/Mission policy by focusing on scattered references to “collectible” insurance in that policy. Wells Fargo claims that these references modify the term “underlying insurance,” and require us to read “underlying insurance” to mean “collectible underlying insurance” whenever that term appears in the policy. As we explain, the references to “collectible” apply to “other” insurance only, and do not apply to the “underlying” insurance—i.e., the Mission policy.
Wells Fargo contends that the use of the word “collectible” in the clauses quoted modifies the term “underlying insurance” so that, whenever the term “underlying insurance” appears in the policy, it should be read to mean “collectible” underlying insurance. Consequently, when the INA/Mission policy states that INA shall be liable for “the ultimate net loss the excess of ... the limits of the underlying insurance[], ” Wells Fargo contends we should read this to mean that INA is liable for the excess of the limits of the collectible underlying insurance, which would not include the Mission policy because Mission is insolvent. We do not believe this exercise is prudent or necessary.
The Second District rejected a similar argument in
Span.
There, the term “collectible” appeared in two places. First, the word appeared in a clause that limited the excess insurer’s liability to the ultimate net loss in excess of “ ‘an amount equal to the limits of liability indicated beside the underlying insurance listed in the schedule of underlying insurance hereof, plus applicable limits of any
other
underlying insurance
collectible by the insured.
The
Span
court distinguished and rejected limited foreign authority and relied on “the majority of cases from other jurisdictions” which addressed similar language and found that the term “collectible” was not ambiguous in this context.
(Span, supra,
Despite Wells Fargo’s effort to draw fine grammatical distinctions between this case and
Span,
9
we believe the reasoning of
Span
applies with equal force here. In our view, because the INA/Mission policy repeatedly
In sum, as it appears in the INA/Mission policy, the term “collectible” does not generally qualify the meaning of “underlying insurance.”
III. Disposition
The judgment is affirmed.
Chin, P. J., and Corrigan, J., concurred.
Notes
The parties elected to proceed by way of a joint appendix. (Cal. Rules of Court, rule 5.1.) The applicable rules state that the pages of the appendix “shall be numbered consecutively.” (Cal. Rules of Court, rules 9(a), 5.1(c)(1).) The parties have not complied with this rule, but have instead inserted tabs to separate the various documents in the appendix. This system makes our task of reading and citing to the transcript far more cumbersome than it need be. In the future, counsel should closely follow the rules of court on matters of form, or risk more stringent court action under California Rules of Court, rule 18.
For the purpose of this opinion, we use the terms “excess coverage” or “excess policy” to mean insurance that begins only after a predetermined amount of underlying coverage is exhausted and that does not broaden the underlying coverage. (See
Steve D. Thompson Trucking
v.
Twin City Fire Ins.
(5th Cir. 1987)
The INA policy provided: “The insurance afforded by this certificate shall follow that of the primary insurance” except for certain exceptions not here pertinent. The “primary insurance” was listed on the INA declaration’s page as “Mission National Insurance Co. and others listed in the schedule of underlying insurance . . . .”
This clause was actually an endorsement to the Mission (second level) policy. However, because the INA policy followed form to the Mission policy, that clause effectively became a part of the INA policy. (See
Coca Cola Bottling Co.
v.
Columbia Casualty Ins. Co., supra,
At the time Wells Fargo filed its notice of appeal, the trial court had not entered judgment with respect to the other defendants in the declaratory relief action. Wells Fargo may properly appeal from a judgment that is final as to one party in a multiparty lawsuit. (Eisenberg, Cal.
The court in
Denny’s, Inc.
v.
Chicago Ins. Co.
(1991)
The quoted provision stated: “[T]he company’s liability shall be only for the ultimate net loss in excess of the insured’s retained limits defined as the greater of: Ffl] (A) an amount equal to the limits of liability indicated beside the underlying insurance listed in the schedule of underlying insurance hereof, plus applicable limits of any other underlying insurance collectible by the insured . . . .’” (
The Mission policy indemnified Wells Fargo “for damages on account of . . . personal injuries” which include “mental injury,” “mental anguish,” and “defamation of character.” The wrongful termination plaintiffs alleged mental injury and anguish and defamation, which clearly fell within the scope of the Mission coverage.
In particular, Wells Fargo contends that the following clause distinguishes this case from Span: “As respects occurrences covered under this policy, but not covered under the underlying insurances as set out in the attached schedule or under any other collectible insurance . . . .” (Italics added.) Wells Fargo argues that, “[s]ince the adjective ‘collectible’ qualifies ‘any other insurance,’ the ‘underlying insurances’ must also be ‘collectible insurance.’ The absence of commas, or other syntactical or grammatical clues, which distinguish between the collectibility of the underlying insurances and that of any other insurance, requires one to interpret ‘underlying insurances’ to mean ‘collectible underlying insurances.’ ”
However, two out-of-state cases have construed
the precise policy language
quoted in this footnote, and both have concluded that, in this provision, “collectible” modifies “other insurance,” not “underlying insurances.”
(Bernard Lumber
v.
Louisiana Ins. Guar., supra,
563 So.2d at pp. 264-265;
Radar
v.
Duke Transp. Inc
(La.Ct.App. 1986)
The Mission policy is “scheduled” on the declarations page of INA’s third level policy. Since that policy incorporates the terms of the Mission policy, the Mission policy is “scheduled insurance” with respect to INA’s third level coverage.
