RICHARD W. STORY, District Judge.
This case is before the Court on Everest's Motions for Summary Judgment ( [54], [70])
Latex Construction Company has been in the business of welding and laying pipes for over sixty years. According to its 2009 insurance renewal application, in 2007, Latex had revenues of $272,464,000. Latex procures various lines of insurance for its business, including: general liability, excess general liability, workers compensation, automobile, pollution, and others. Willis Insurance Services of Georgia, Inc. ("Willis") is the insurance broker of record for Latex. Everest issued Policy No. 71G7000031-071, an excess general liability policy, to Latex for the period of January 1, 2007, to January 1, 2008 ("Everest Policy" or "Policy").
The Everest Policy applies to "injury or damage covered by the `first underlying insurance'" and obligates Everest to "pay on behalf of any insured those sums in excess of `underlying insurance' or `other insurance' that any insured becomes legally obligated to pay as damages to which this insurance applies." (Everest Policy, [70-2] I.A.1., I.A.2.) The Policy further obligates Everest to "defend any `suit' against any insured seeking damages to which this insurance applies when `underlying insurance' or `other insurance' ... [c]ease to apply because of exhaustion of their limits of insurance solely by the payment
The Everest Policy's notice provisions read:
(Everest Policy [70-2] IV.3.a. (as amended and replaced by Georgia Changes, p. 32 of 38), IV.3.b.2.) The Zurich Policy contains similar notice provisions. The Everest Policy also provides: "No person or organization has a right under this Coverage Part ... to sue us on this Coverage Part unless all of its terms have been fully complied with." (Everest Policy [70-2] IV.4.b.)
Along with the Policy, Everest provided Latex with Claim Reporting Guidelines ("Guidelines"). The Guidelines specify that they are "merely for illustrative purposes" and are not "intended to replace, modify or waive any terms, conditions or warranties contained in the policy." (Guidelines [70-2] at 4 of 38.) The first page of the Guidelines provides contact information for sending excess liability loss notices to Everest. The Guidelines also address when the insured should report a claim to Everest. (Guidelines [70-2] at 5-6 of 38.)
Latex was hired to work on Panhandle Eastern Pipe Line Company's ("Panhandle") Tuscolusa East End Enhancement Project ("Project"). Latex's responsibilities on the Project included welding the pipeline, hydrostatic testing the pipeline and getting it ready to be placed into service, and burying pipe. On October 23, 2007, a pipe section failed hydrostatic testing. During the test, the pipe ruptured near a weld. Three days later, after the pipe section was put back together, it failed another hydrostatic test, this time within an inch or so of a different weld. Dave Stotz, then-Vice President at Latex, testified that he believed he heard about the test failures immediately and recalled telling Latex's President Bill Honey about the failures "on or about the time that the hydrostatic failures occurred."
By November 2007, Panhandle communicated to Latex that it was "concerned" that the Project's x-ray company (Acuren) had, for a variety of reasons, missed flaws in the welds and that some of the welds that had been accepted were no longer acceptable. Panhandle hired a third party to review the welds and audit the x-ray film. Ultimately, Panhandle had concerns about 200 to 300 welds. According to Stotz, as a result of the two pipe failures in October 2007, Panhandle shut the whole job down and spent millions of dollars investigating the remainder of the welds. (Stotz Depo. [70-1] at 20 of 47:4-12.)
On December 1, 2007, after reviewing lab reports and weld cross-sections related to the October 2007 test failures, National Welding sent a one-page letter to Latex. The letter indicated that the electrode specified by the welding procedures (established by Panhandle) for the Project was "asking for a cracking problem." By the end of 2007, Latex acknowledged that there was a high repair rate on the welds, but the rate was not inconsistent with repair rates on other jobs. In a November 2007 meeting, a Panhandle project manager
During a conference call on January 4, 2008, between Stotz and Panhandle representatives Dave Owen and Dan Pribble, Latex attempted to find ways to "appease" Everest so that they could continue their business relationship. (Stotz Depo. [70-1] at 32 of 47: 16-23.) On January 21, 2008, Pribble sent Bill Honey a proposed Agreement Letter "regarding [the] conversation on 1/4/08 ... concerning the settlement meeting for the repairs for our East End Pipeline." (Proposed Agreement Letter [70-6] at 2 of 9.) According to the letter, it "captured the essence" of the January 4 conference. The letter reads, in pertinent part:
(Proposed Agreement Letter [70-6] at 3-4 of 9.)
Latex refused to sign the proposed agreement and responded to Everest in writing on January 23, 2008. The response letter, authored by Stotz, stated:
(Latex Response Letter [70-7] at 3-4 of 4.) As of January 2008, Latex had not informed
By April 2008, Stotz heard a rumor that Panhandle was considering a lawsuit on the Project. (Stotz Depo. [70-1] at 38 of 47: 3-19.) In a letter dated May 30, 2008, Everest informed Latex and five other parties that a lawsuit had been filed against them on April 3, 2008 "to recover the damages it suffered as a result of the problems arising on the East End Project" ("Panhandle Suit"). (Panhandle Litigation Letter [70-9] at 3 of 3.) According to the letter, the estimated cost overruns on the Project were over $50 million. However, the letter continued, Everest had not attempted to serve any of the named parties because "it would prefer to resolve this matter informally before proceeding with litigation." (Panhandle Litigation Letter [70-9] at 3 of 3.) Everest invited the parties to a meeting to try to settle the dispute. The letter stated: "In light of the magnitude of the costs involved, it is recommended you place your insurers on notice if you have not already done so." (Panhandle Litigation Letter [70-9] at 3 of 3.)
According to Timothy Elder, Secretary-Treasurer of Latex, Latex does not have any internal guidelines of which he is aware for handling insurance claims. (Elder Depo. [70-5] at 20 of 32: 19-21.) Latex's practice, in cases involving litigation, was to make Willis aware of the claim and rely on Willis to provide notice to insurers when instructed to do so. (Elder Depo. [70-5] at 16 of 32: 10-17.) However, the Service Agreement between Latex and Willis did not expressly delegate to Willis the duty to communicate Latex's claims to its carriers.
Elder testified that Latex's practice was to report "situations[s] which could perhaps or should lead to an insurance response." (Elder Depo. [70-5] at 19 of 32: 4-7.) According to Elder, Latex determined it was appropriate to notify their carriers about the Panhandle Suit in late May or early June 2008. (Elder Depo. [70-5] at 19 of 32: 14-21.) On June 3, 2008, without necessarily believing Latex had an obligation to do so under its insurance policies, Elder emailed Willis about the Panhandle Litigation Letter of May 30, 2008, and asked Willis to "please ensure that the appropriate parties are notified in order to assist us in protecting our interests." (Elder Depo. [70-5] at 23 of 32: 11-23; Notice to Willis [70-12] at 2 of 2.) The email did not specify which carriers should be notified for which policy years, but Latex believed that its request included notification to Everest for the 2007-2008 Policy. On June 6, 2008, Willis notified Zurich of the Panhandle Suit. Three days later, Willis notified AIG, Latex's excess carrier for 2008 to 2009, of the suit.
On August 18, 2008, Panhandle called a meeting of all of the parties to attempt to settle the case. (Stotz Depo. [70-1] at 30 of 47: 2-4; 08/28/08 Letter, Latex to Willis [70-15] at 2 of 3.) According to Stotz, Latex did not believe at that point that Panhandle was blaming Latex for problems with the Project, and thought perhaps Panhandle would ask them to join a suit against Acuren. (Stotz Depo. [70-1] at 30 of 47: 5-14.) However, in an effort to maintain a business relationship with Panhandle and to "help offset some of the profit that [Latex was] going to make on the project," Latex offered Panhandle three or four million dollars. (Stotz Depo. [70-1] at 31 of 47: 3-15.) Panhandle rejected Latex's offer. On August 28, 2008, Elder informed Willis of the August 18 settlement meeting. Elder told Willis that Panhandle was claiming $44 million in damages and asked Willis to "forward this letter and its attachments to Latex's CGL
On February 3, 2009, at the request of Zurich and AIG, Latex's counsel asked Willis to provide copies of all notice letters sent to Latex's carriers regarding the Panhandle Suit. (02/03/09 Kilpatrick Email [70-13] at 2 of 9.) At that point, Latex had not received any correspondence from Everest regarding the litigation. Shortly thereafter, on February 5, 2009, Willis emailed CRC Insurance Services, Everest's agent, official notice of the Panhandle Suit. (Notice to Everest [70-16] at 2 of 3.)
Via letter dated January 30, 2009, Zurich agreed to participate in Latex's defense in the Panhandle Suit subject to "a full reservation of rights," including the right to bring a declaratory judgment action against Latex to determine Zurich's duties to Latex under its 2008-2009 policy. (01/30/09 Zurich Letter [70-17] at 5-9 of 9.) Zurich later supplemented its January 30 letter to advise Latex that "this loss potentially should be established under [the 2007-2008] policy." (04/08/09 Zurich Letter [70-18] at 4 of 6.)
In correspondence dated June 11, 2009, Everest informed Latex that it had received a copy of the Panhandle Complain and "it [was Everest's] position that there may not be coverage for this lawsuit under the Everest policy." (Everest Reservation of Rights Letter [70-19] at 2-3 of 7.) The Everest letter continued:
The letter contained no reference to the Everest Policy's notice provisions, but did contain excerpts from several other Policy provisions.
On September 17, 2010, Zurich filed suit against Latex seeking a declaration that Zurich had no duty to defend or indemnify
Everest also learned on May 13, 2011, that Panhandle had offered to settle its claims against Latex. Everest was asked on that date by Latex's counsel to contribute to the Panhandle settlement in the amount in excess of the Zurich Policy limits. (05/03/11 Kilpatrick Settlement Email [70-23] at 3 of 4.) That same day, Everest sent a coverage position letter, explicitly amending its June 11, 2009 reservation of rights letter, informing Latex that Everest had "concluded that coverage does not exist under the Everest Policy" and denying Latex's request for coverage. (Everest Denial Letter [70-24] at 4 of 8.) Specifically, Everest's denial letter stated:
Following Everest's denial letter, on March 15, 2012, Latex filed this action for breach of contract and a judicial declaration of Everest's obligations with respect to the Panhandle Suit. (Compl. [1].) Everest has moved for summary judgment on grounds that coverage is barred because "Latex's notice to Everest of the underlying insurance claim forming the basis of this litigation is untimely as a matter of law." (See generally Everest Motion for Summary Judgment Brief ("Def.'s MSJ Br.") [70-25].) Latex moves for partial summary judgment on grounds that Everest did not properly reserve the right to raise a timeliness of notice defense and Everest waived the right to raise such a defense. (See generally Latex Motion for Partial Summary Judgment Brief ("Pl.'s MPSJ Br.") [74-1].)
Federal Rule of Civil Procedure 56 requires that summary judgment be granted
The applicable substantive law identifies which facts are material. Id. at 248, 106 S.Ct. 2505. A fact is not material if a dispute over that fact will not affect the outcome of the suit under the governing law. Id. An issue is genuine when the evidence is such that a reasonable jury could return a verdict for the non-moving party. Id. at 249-50, 106 S.Ct. 2505.
Finally, in resolving a motion for summary judgment, the court must view all evidence and draw all reasonable inferences in the light most favorable to the non-moving party. Patton v. Triad Guar. Ins. Corp., 277 F.3d 1294, 1296 (11th Cir. 2002). But, the court is bound only to draw those inferences which are reasonable. "Where the record taken as a whole could not lead a rational trier of fact to find for the non-moving party, there is no genuine issue for trial." Allen v. Tyson Foods, Inc., 121 F.3d 642, 646 (11th Cir. 1997) (quoting Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587, 106 S.Ct. 1348, 89 L.Ed.2d 538 (1986)). "If the evidence is merely colorable, or is not significantly probative, summary judgment may be granted." Anderson, 477 U.S. at 249-50, 106 S.Ct. 2505 (internal citations omitted); see also Matsushita, 475 U.S. at 586, 106 S.Ct. 1348 (once the moving party has met its burden under Rule 56(a), the nonmoving party "must do more than simply show there is some metaphysical doubt as to the material facts").
Latex maintains that the Court need not address timeliness of Latex's notice because under Hoover v. Maxum Indem. Co., 291 Ga. 402, 730 S.E.2d 413 (2012) ("Hoover II"), Everest is precluded from raising a defective notice defense. (See generally Pl.'s MPSJ Br., [74].) The Court agrees with Latex that Hoover II controls this issue.
The material facts in Hoover are similar to those in the present case. Mr. Hoover was injured on the job when he fell from a roof. He filed a personal injury lawsuit against his employer and others. When his complaint was forwarded to Maxum, the employer's general liability insurer, it disclaimed coverage. 730 S.E.2d at 415-16. Maxum's coverage letter stated that it would not provide a defense or indemnification and cited the policy's Employers Liability Exclusion as grounds for its coverage position. Id. at 415. The coverage letter also included broad language reserving Maxum's right to claim other defenses, including that "coverage for this matter may be barred or limited to the extent the insured has not complied with the notice provisions under the policy." Id. at 416. The letter went on: "Maxum's specific enumeration of the above policy defenses is not intended as a waiver of any other policy defenses that Maxum may have that
Subsequently, Maxum filed a declaratory judgment action against Hoover's employer. Maxum's complaint did not mention failure to comply with the policy's notice provisions as a ground for denying coverage. Instead, Maxum again relied on the Employer's Liability Exclusion. Id. However, Maxum did cite failure to comply with the policy's notice provisions as a defense in a third-party suit filed by the employer, and in its answer to the Hoover complaint. Id. But in its motion for summary judgment in the third-party action, Maxum again asserted only policy exclusions as the basis for denying coverage. Id.
In Hoover II, the Georgia Supreme Court found that (1) Maxum could not deny the claim and reserve its right to assert other defenses later, and (2) even if Maxum were allowed to disclaim coverage and reserve its right to pursue other future defenses, Maxum's purported reservation of rights was defective. Id. at 416-18. Consequently, the court concluded that Maxum had waived its right to assert a defective notice defense and "Hoover was entitled to summary judgment on the issue of notice." Id. at 418. For the same reasons given by the Georgia Supreme Court in Hoover II, the Court finds that Everest is precluded from raising a defective notice defense and Latex is entitled to partial summary judgment on the issue of notice.
Like Maxum, Everest disclaimed coverage under the Policy. In its May 13, 2011 letter, Everest stated that it "reviewed the pleadings, its policy and the information provided concerning the claim and [] concluded that coverage does not exist under the Everest policy." (Everest Denial Letter [70-24] at 4 of 8 (emphasis added).) Accordingly, Everest wrote, "Everest must respectfully deny Latex's request for coverage." (Id.) Everest listed three grounds for its coverage position: (1) a question about whether an "occurrence" was stated under the Zurich Policy, (2) the Policy's contractual liability exclusion, and (3) the Policy's property damage exclusions. (Id. at 6-8.)
Like Maxum's letter denying coverage, Everest's denial letter also contains a broad reservation of rights. It says: "If any additional information affecting coverage is provided, we reserve the right to withdraw or modify our coverage position.... Likewise, nothing in this letter is intended to or should be construed to deprive Latex of any rights it may have under the law or under the Everest Policy." (Id. at 8 of 8.) The denial letter explicitly "amends Everest's June 11, 2009 letter," which also includes broad reservation of rights language. (Everest Reservation of Rights Letter [70-19] at 6 of 7 ("... Everest reserves its right in connection with this matter. We continue to reserve all of Everest's rights[,] remedies and defenses under the Everest policy as well as under the `Underlying Insurance' as defined in the Everest policy.").) The June 11, 2009 letter quotes several specific provisions from the Policy, including the Policy's definition of "occurrence" and provisions regarding coverage under the Zurich Policy. (Id. at 4-6 of 7.) Neither Everest letter mentions the Policy's notice provisions.
According to the Georgia Supreme Court, "[a]n insurer cannot both deny a claim outright and attempt to reserve the right to assert a different defense in the future." Hoover II, 730 S.E.2d at 416 (citing Browder v. Aetna Life Ins. Co., 190 S.E.2d 110 (Ga.Ct.App.1972)). The court reasoned:
Id. (internal quotations and citations omitted) (emphasis in original). Thus, the court found, "Maxum failed to properly reserve its right to assert a notice defense when it denied [the employer's] claim on the grounds of the Employer Liability Exclusion and refused to undertake a defense." Id. at 417. Here, Everest attempted just what Maxum attempted — to both deny coverage and reserve future defenses — which, after Hoover II, it not permitted.
The court in Hoover II went on to find that even if Maxum were permitted to deny coverage and reserve its rights to assert other defenses, Maxum's reservation was defective "because it did not unambiguously inform [the employer] that Maxum intended to pursue a defense based on untimely notice of the claim." Id. "A reservation of rights is not valid if it does not fairly inform the insured of the insurer's position." Id. In Hoover II, even though Maxum's denial letter specifically mentioned the insured's failure to provide timely notice of the occurrence, the court found that the "boilerplate language" in the letter was not sufficient to put the employer on notice of Maxum's position. Id. at 417-18.
Under Hoover II, once Everest denied coverage, it no longer had a right to reserve future defenses. Even if Everest were permitted to simultaneously deny and reserve (which the Court does not interpret Hoover II to allow), its reservation of rights was defective. Everest's reservation provided even less notice (as to a notice defense) than the purported reservation of rights at issue in Hoover II. Furthermore, in the early stages of this litigation, Everest maintained its position that it owed no duty to Latex because the claim at issue was not covered by the Policy. Therefore, under Hoover II, Everest waived a defense based on late notice.
Everest's attempts to distinguish Hoover II from the present care are unavailing. First, Everest argues that Hoover II "stands for the proposition that coverage defenses can be waived in litigation," which has not occurred here. (Def.'s MSJ Br. [70-25] at 28 of 39 (emphasis added).) Everest contends that other courts interpreting
In Lovett v. Am. Family Life Ins. Co., 107 Ga.App. 603, 131 S.E.2d 70, 73 (1963), the plaintiff contended that "the defendant's first rejection of her claim, on the ground that it was barred by the policy's nine months' waiting perior [sic] for maternity benefits, estopped it from later asserting the defense of a pre-existing condition." Without any discussion whatsoever of any denials or reservations of rights provided by the insurer to the plaintiff, the court in Lovett concluded that the plaintiff's claim lacked merit because "[t]he doctrines of implied waiver and estoppel, based upon conduct or action of the insurer, are not available to bring within the coverage of a policy risks not covered by its terms, or risks expressly excluded therefrom." Id. Here, Latex's motion for partial summary judgment is not an attempt to bring within coverage a claim that is not covered under the Policy's terms and exclusions. Rather, Latex seeks only to preclude Everest from asserting a defective notice defense (in theory, allowing Everest to pursue other defenses based on the terms and exclusions of the Policy). Therefore, Lovett does not alter the Court's analysis of Hoover II or Hoover II's applicability to this matter.
Similarly, St. Paul Fire & Marine Ins. Co. v. Purdy, 129 Ga.App. 356, 199 S.E.2d 567, 568-69 (1973), contains no discussion of an insurer simultaneously denying coverage and purportedly reserving future rights. The court in Purdy holds, without analysis or explanation:
Id. The court goes on to hold — again without discussion of any background facts — that the "defendant's initial representation that the plaintiff was covered, does not estop it from later denying coverage." Id. at 569 (emphasis added). This case also does not persuade the Court to abandon its Hoover II analysis.
In Kay-Lex Co. v. Essex Ins. Co., 286 Ga.App. 484, 649 S.E.2d 602, 605 (2007), the court found that the primary insurer had not waived its right to assert a defective notice defense just because it did not specifically identify that defense in its reservation of rights letter. However, Kay-Lex is distinguishable from the present case in a very important respect: there, the primary insurer agreed to defend the insured under a reservation of rights and the excess insurer issued a reservation of rights; there is no indication that either insurer attempted both to disclaim coverage and reserve its future rights. An insurer's attempt to simultaneously deny coverage and reserve its future rights is the central concern in Hoover II. According to the Hoover II court, simultaneous denial and reservation, especially with a boilerplate reservation of rights, does not clearly put the insured on notice of the insurer's position. 730 S.E.2d at 417. The facts in the present case are more akin to Hoover than Kay-Lex.
Even though it came after Hoover II, AGCO Corp. does not mention the higher court's opinion. It also contains no discussion of coverage denial letters (if there were any), or the insurers' coverage positions throughout the litigation (but suggests, based on the quoted language above, that the insurers did not initially take inconsistent positions on coverage). Furthermore, the Court of Appeals focuses on detrimental reliance by the insured — an element of estoppel, not waiver, and an issue notably absent from the Hoover II case. Again, this case does not demonstrate that the Court should not follow Hoover II.
Finally, Everest relies on Bank of Camilla v. St. Paul Mercury Ins. Co., 939 F.Supp.2d 1299 (M.D.Ga.2013), for the proposition that, at the very least, Hoover II is limited to the duty to defend and does not apply to the duty to indemnify. (Def.'s MSJ Br., [70-25] at 30 of 39.) In Bank of Camilla, the court did find Hoover II "inapposite." Id. at 1305. The court reached that conclusion because Georgia courts "have drawn a distinction between the duty to defend and the duty to pay costs, finding that a refusal to defend does not affect the insurer's right to refuse payment of costs." Id. The policy at issue in Bank of Camilla only provided for a duty to pay costs. Id. The Everest Policy, on the other hand, includes a duty to defend and a duty to indemnify. (Everest Policy [70-2].) Thus, the court's rationale in Bank of Camilla does not apply to the present case.
Further, as Latex notes, Hoover involved both the duty to defend and the duty to indemnify. In his original complaint against Maxum, Hoover alleged that Maxum breached its duties to defend and indemnify his claim for compensation. See Hoover v. Maxum Indem. Co., 310 Ga.App. 291, 712 S.E.2d 661, 662 (2011). Maxum disclaimed both duties and moved for summary judgment on grounds that timely notice of the occurrence had not been given and policy exclusions barred coverage. Id. at 662-63. Hoover filed a motion for partial summary judgment, contending that Maxum breached its duty to defend as a matter of law. Id. at 663.
The trial court in Hoover found that Maxum had breached its duty to defend, but did not breach its duty to indemnify because there was noncompliance with the policy's notice requirements. Id. (emphasis added). The Court of Appeals affirmed in part and reversed in part, finding "that the evidence established an unreasonable failure to give timely notice as required by the policy, and therefore, Maxum was not obligated to provide either a defense or coverage." Id. (emphasis added). The Georgia Supreme Court granted certiorari in Hoover II to determine "whether the Court of Appeals properly analyzed the claim that Maxum waived its right to assert a defense based on untimely notice..." Id. Clearly, based on the case's history,
Everest's second argument is that Hoover II is distinguishable from the present case because unlike Maxum, Everest initially reserved its rights and did not issue an immediate denial of coverage. (Def.'s MSJ Br. [70-25] at 28 of 39.) The Court finds this argument unpersuasive. When Everest did deny coverage, it also purported to reserve its rights to future defenses. In May 2011, Everest explicitly amended its earlier reservation of rights letter and denied coverage outright. The principles in Hoover II applied as soon as Everest issued its denial letter amending its earlier position.
Moon v. Cincinnati Ins. Co., 920 F.Supp.2d 1301 (N.D.Ga.2013) directly supports this interpretation of Hoover II. In Moon, the insurer initially agreed to defend the suit, but later denied coverage on multiple, enumerated grounds. Id. at 1303-06. The plaintiffs in Moon argued that, under Hoover II, the insurer waived all coverage defenses other than those set forth in its denial letter. Id. at 1303. The insurer responded that Hoover II did not apply to its denial letter because the insurer first reserved its rights and agreed to defend, and because it obtained non-waiver agreements with the plaintiffs, which purported to reserve all rights the insurer had to deny liability or obligation to the plaintiffs under the policy. Id. at 1304-05. Judge Thrash found, however, that when the insurer "subsequently denied coverage and refused to provide a defense ... its denial letter fell within the purview of Hoover." Id. at 1305. Under Hoover II, the court concluded, "the reservation of rights was extinguished when [the insurer] denied coverage" and the "letter denying coverage and revoking its defense should be construed as limiting the grounds [on which the insurer] can ultimately deny coverage." Id. at 1305-06.
Third, Everest contends that its "conduct does not evidence an intent to waive late notice as a defense to coverage." (Def.'s MSJ Br. [70-25] at 28 of 39.) To support this position, Everest points to: the fact that it reserved the right to rely on any defense raised by Zurich, its raising of an untimely notice defense in its Answer, and its "immediate" request to bifurcate discovery in order to pursue its
Further, as the Court has already noted, Everest did not raise its untimely notice defense until after it filed a motion to dismiss this case (based on non-coverage because of Policy exclusions). Therefore, even in this litigation (which, as the Court has already discussed, is not the dispositive time period under Hoover II),
Fourth, Everest maintains that Hoover II should not be applied to this case because Hoover dealt with a Georgia insured, a Georgia insurer, a loss in Georgia, and a liability suit pending in Georgia, but the case at bar involves a Georgia insured, a New Jersey-headquartered insurer, a loss in Indiana, and a liability suit pending in Texas. (Def.'s MSJ Br. [70-25] at 28, 32-33 of 39.) Everest argues that Hoover II "cannot be credibly argued to stand for the proposition that non-Georgia insurers must comply with Georgia law in denying coverage for losses occurring and lawsuits pending in other jurisdictions." (Id. at 33 of 39.) Everest maintains that extension of Hoover II to cases like the present one will force insurers "to issue inconsistent coverage determinations for underlying lawsuits pending in other jurisdictions, one letter if the current state's law applies and a back-up, just in case Georgia law applies." (Id. at 33-34 of 39.)
While the Court appreciates Everest's public policy concerns, Georgia's public policy is to apply its laws and protections to insureds residing in this state. Insurance laws and regulations fall within the States' domain. Everest's contention that insurers, particularly those that do business nationwide, should not be forced to adjust their business and legal practices to comply with different states' laws is a nonstarter. Furthermore, Hoover II does not require "inconsistent" coverage determinations or denial letters between Georgia and other states — it simply requires clear notice (at least to Georgia insureds) of the insurer's coverage position, whatever that position may be. The Court also
Finally, Everest argues that even if Hoover II controls this case, there are material fact issues regarding waiver of its untimely notice defense, and thus summary judgment is precluded. (Def.'s Reply, [90] at 39-42 of 48.) However, none of the salient facts are disputed (e.g., Everest's denial of coverage and simultaneous reservation of all future rights). Thus, under Hoover II, Everest waived a defense based on untimely notice and any claims based on such a defense fail as a matter of law.
Because the Court has found Hoover II applicable to the present case, Everest requests that the Court certify three questions to the Georgia Supreme Court:
Under O.C.G.A. § 15-2-9, the Court may certify unsettled, determinative questions of law directly to the Georgia Supreme Court. However, based on the Court's interpretation of Hoover II, these questions are not unsettled and they have been addressed in the Court's discussion above. Therefore, the Court declines to certify these questions to the Georgia Supreme Court.
Based on the foregoing, Everest's Motion for Summary Judgment [70] is