MELLOY, Circuit Judge.
Travelers Property Casualty Insurance Company of America ("Travelers") appeals the district court's adverse grant of summary judgment on its claims against Kansas City Power & Light ("KCPL") and
KCPL is a public utility company located in Kansas City, Missouri. In February 1999, an explosion occurred at a KCPL generating station, the Hawthorne Generating Station ("Station"). A jury later determined the explosion caused approximately $452 million in total losses. This total loss amount included such items as physical damage to the Station, cleanup and demolition expenses, lost fuel, replacement energy costs, lost profits, and various other expenses. The total loss took into consideration offsets due to decreased operating expenses that normally would have been associated with the Station.
It is undisputed that some of these broad categories of loss were insured and some were not. In fact, the claims KCPL submitted to its insurers totaled only $285 million. Relevant to the present appeal, National Union insured the Station as the primary insurer, providing $200 million in coverage.
After the explosion, KCPL invited National Union and Travelers to participate in talks regarding potential litigation against third parties and the allocation of litigation expenses and recoveries. KCPL indicated to the insurers that, because it had suffered uninsured and insured losses, it likely had an independent interest in claims against potentially responsible third-parties separate from the insurers' subrogation interests.
An adjuster scheduled a meeting for November 15, 1999, to discuss these issues and notified Travelers of the meeting. Internal communications at Travelers indicate personnel from Travelers received the notice, were aware of the preliminary meeting, and understood subrogation would be a topic of discussion at the meeting. Prior to this time, an adjuster's report had indicated the total insured loss might exceed the first $200 million of coverage provided by National Union and reach into Travelers's coverage. It was not certain, however, that the total insured loss would exceed $200 million, and National Union had not yet paid its policy limits. Travelers took the position that the total insured loss likely would not reach into the excess coverage. According to the appellees, and according to Travelers's own internal written communications, Travelers elected not to participate in the November 15, 1999 subrogation discussions because Travelers did not want to "send the wrong message" by suggesting a belief that the insured loss — the ultimate net loss — would reach into the excess coverage.
In a September 19, 2000 meeting, KCPL invited Travelers to enter into the Allocation Agreement. Travelers expressly declined in writing in an October 13, 2000 letter stating Travelers did not believe the insured loss would exceed $200 million and did not anticipate making a payment that would give rise to a subrogation interest. Travelers, however, expressly reserved any subrogation right that it may have held, stating, "While the adjustment to date indicates the loss is not likely to exceed $200 million, Travelers reserves its right to participate in the subrogation agreement if the situation changes." As of that time, KCPL and National Union had not yet filed any actions against potentially responsible third parties, and National Union had not paid KCPL its policy limits.
Litigation then moved forward on two fronts: KCPL and National Union sought recoveries from potentially responsible third parties pursuant to the Allocation Agreement ("Subrogation Litigation"), and KCPL brought suit against National Union and Travelers seeking insurance coverage ("Coverage Litigation").
In the Subrogation Litigation, National Union and KCPL filed suit against several third parties, all but one of which settled prior to trial. This settlement resulted in the recovery of approximately $126 million. KCPL and National Union divided this settlement amount between themselves according to the Allocation Agreement.
KCPL and National Union proceeded to trial in Missouri state court against the sole remaining tortfeasor, Rockwell Automation. In an August 26, 2002 letter, before the trial against Rockwell Automation, an attorney for Travelers notified KCPL's holding company parent that "Travelers intends to take the position that these recoveries will be netted against any payments that Travelers may ultimately be responsible for on this claim." The trial resulted in the jury determination, referenced above, that the total loss from the explosion was $452 million. The jury also found KCPL was partially at fault and Rockwell Automation was liable for approximately $97 million. The Missouri trial court reduced that amount to approximately $190,000 based on an interpretation of a contract between KCPL and Rockwell Automation. The Missouri Court of Appeals subsequently reversed the trial court and entered judgment reinstating the jury's $97 million award.
Regarding coverage disputes, KCPL submitted insurance claims to National Union and Travelers for $200 million and $85 million, respectively. KCPL submitted these claims before the Rockwell Automation trial. National Union paid a portion of its policy limits, but contested the balance of the claim. As the excess insurer whose coverage was secondary and supplemental to National Union's unexhausted coverage, Travelers contested KCPL's claim on the excess policy. The insurers disagreed with KCPL's assertions regarding the quantity of loss and the character of certain losses as insured or uninsured.
KCPL then initiated the Coverage Litigation against National Union and Travelers
In the Coverage Litigation, Travelers identified National Union's and KCPL's settlements with responsible third parties as evidence that KCPL's insured loss was less than $200 million. Travelers argued that recoveries from third parties effectively reduced KCPL's "ultimate net loss."
The district court issued two rulings in the Coverage Litigation addressing the question of whether recoveries from third parties reduced KCPL's "ultimate net loss." The court framed the core issues as (1) whether KCPL was entitled to declare the nature of recoveries from third parties as representing insured or uninsured losses, and (2) whether the recoveries from third parties represented insured or uninsured losses. The district court determined that KCPL, which undisputedly suffered a total loss in excess of any insurance coverage, had the authority to determine the nature of recovered proceeds as representing payments for insured or uninsured losses. The district court further determined that KCPL exercised this authority when entering into the Allocation Agreement and that the money KCPL received as its share in the $126 million subrogation settlement represented uninsured rather than insured losses. The court stated:
Kansas City Power & Light Co. v. National Union and Travelers, No. 02-680-CV-W-DW (W.D. Mo., Sept. 10, 2004 Order). In an earlier, June 15, 2004 order from the same Coverage Litigation, the district court refused to entertain certain arguments that KCPL had made regarding interpretation of the phrase "ultimate net loss." The court viewed KCPL's arguments as advancing only subrogation-based rather than coverage-based arguments and refused to address them. The court stated:
Id. (June 15, 2004 Order). In summary, the district court in the Coverage Litigation, in discussing arguments from Travelers, determined the characterization of subrogation proceeds under the Allocation Agreement in order to resolve questions regarding "ultimate net loss." The court, however, refused to entertain separate subrogation-based arguments by KCPL relevant only to Travelers because Travelers had not yet made payment on the excess policy.
After these rulings, National Union paid its policy limits and KCPL voluntarily dismissed National Union from the Coverage Litigation. Travelers and KCPL then entered into a settlement agreement ("Settlement Agreement") in which Travelers agreed to pay $10 million to settle the insurance claim and the Coverage Litigation.
At the time that KCPL and Travelers entered into the Settlement Agreement, the state trial court had reduced the award against Rockwell Automation to $190,000, but the Missouri Court of Appeals had not yet reinstated the jury's original $97 million award. KCPL took the position that Travelers was not entitled to proceeds from any third-party recoveries. Travelers asserted it was entitled to a priority subrogation interest in such proceeds. Travelers and KCPL, therefore, addressed this issue in the Settlement Agreement.
The parties acknowledged the existence of this dispute and reserved for Travelers any subrogation rights that it might hold as to the then-pending judgment in the state court action against Rockwell Automation. Travelers and KCPL specifically referenced the case involving Rockwell Automation, by name and case number, and specifically agreed to defer their resolution of the subrogation dispute until after a final judgment in the case against Rockwell Automation. Travelers, however, expressly waived any subrogation interest it may have held as to the $126 million of settlement proceeds KCPL and National Union had previously obtained from third parties and divided between themselves. As a result, at the time the Missouri Court of Appeals reinstated the $97 million jury award and entered a final judgment against Rockwell Automation, Travelers maintained whatever right it held to assert a subrogation claim against the $97 million. KCPL did not admit in the Settlement Agreement, however, that Travelers, in fact, held any such right. National Union
After the Missouri Court of Appeals entered final judgment for the sum of $97 million against Rockwell Automation, Travelers asserted its claimed subrogation interest in an attempt to recoup its $10 million payment. Travelers claimed to possess a priority interest over National Union and KCPL. When payment was not forthcoming, Travelers instituted the present federal litigation.
In the district court, Travelers asserted several different theories to support its claims, and all three parties moved for summary judgment. National Union and KCPL presented substantive arguments and also argued Travelers had waived any contractual subrogation rights it may have held by not participating in the Allocation Agreement or the Subrogation Litigation. The district court rejected the waiver argument but otherwise ruled against Travelers and in favor of National Union and KCPL.
Regarding the claims against KCPL, the district court determined the amount KCPL recovered from third parties represented uninsured losses and further determined KCPL was entitled to retain such amounts. Travelers argued that characterization of the recovery as insured or uninsured did not matter, but the district court rejected this argument. In so holding, the district court acknowledged open questions under Missouri law regarding an insured's ability to characterize and retain funds as representing insured or uninsured losses. The court then concluded that the Missouri Supreme Court would likely permit KCPL to characterize and retain funds as representing uninsured losses. In so holding, the court relied primarily upon dicta in one Missouri case and the holding in a district court case from the District of Columbia. See Keisker v. Farmer, 90 S.W.3d 71 (Mo.2002) (En banc); Fed. Sav. & Loan Ins. Corp. v. Ins. Co. of N. Am., No. 86-0262, 1989 WL 39031 (D.D.C. Apr.13, 1989).
Regarding the claims against National Union, the district court held Travelers was not entitled to recover any amount from National Union because "National Union is not a party to the Travelers
Travelers appeals, renewing some but not all of its arguments from the district court.
We review a grant of summary judgment de novo. Burkhart v. Am. Railcar Indus., 603 F.3d 472, 473 (8th Cir.2010). Missouri law controls as to all substantive matters in this case: the insurance policies, the Allocation Agreement, and the Settlement Agreement are governed by Missouri law. The parties also raise waiver issues (related to Travelers's refusal to participate in the Allocation Agreement or Subrogation Litigation) and subrogation issues based, in part, on equitable principles. Although the parties disagree as to how these issues apply in the present case, the parties agree that Missouri law is controlling.
In applying state law, we are bound to apply the law of the state as articulated by the state's highest court. Baribeau v. City of Minneapolis, 596 F.3d 465, 475 (8th Cir.2010). When the state's highest court has not spoken, our job is to predict how the state's high court would resolve the issue. Id. We may look to decisions of the state's intermediate courts to the extent they contain sound reasoning, and such decisions may often serve as "the best evidence" of how the highest court would rule. Id. We, however, are not bound by the decisions of a state's intermediate courts. Lancaster v. Am. & Foreign Ins. Co., 272 F.3d 1059, 1062 (8th Cir.2001). As to issues of preclusion or "law of the case" principles stemming from the final judgment in the Coverage Litigation, we "may look to the common law or to the policies supporting res judicata and collateral estoppel...." Allen v. McCurry, 449 U.S. 90, 96, 101 S.Ct. 411, 66 L.Ed.2d 308 (1980).
The parties present several arguments, some of which can be disposed of easily, see supra notes 1-3. Regarding KCPL, Travelers alleges a priority interest in the subrogation proceeds relative to KCPL and argues KCPL breached a duty of good faith and fair dealing in failing to protect Travelers's subrogation interest. KCPL argues primarily that it was entitled to designate and retain its recoveries under the Allocation Agreement as representing uninsured losses and that Travelers possesses no subrogation rights as to these uninsured losses.
Regarding National Union, Travelers argues that it holds a primary interest in subrogation proceeds and that National Union's subrogation interest is subordinate. Travelers asserts arguments based on policy language, industry standards, and the basic nature of primary and excess insurance coverage. National Union takes the opposite position regarding priority, also asserting arguments based on policy language. Further, National Union argues that because it was not a party to the Travelers policy, it is not required to recognize or respect the subrogation provisions of that policy. In addition, National Union argues Travelers waived arguments based on equitable principles and
"Waiver ... is `the intentional relinquishment of a known right.' Waiver may be express or it may be implied by conduct that clearly and unequivocally shows a purpose by the insurer to relinquish a contractual right." Shahan v. Shahan, 988 S.W.2d 529, 534 (Mo.1999) (en banc) (rejecting a waiver argument related to an insurer's defense to coverage) (quoting Brown v. State Farm Mut. Auto. Ins. Co., 776 S.W.2d 384, 386-87 (Mo.1989) (en banc)). Applying Missouri law, we have stated that a finding of implied waiver is only appropriate where an insurer's conduct is "so manifestly consistent with and indicative of an intention to renounce a particular right ... that no other reasonable explanation of the conduct is possible." Osborn v. Prudential Ins. Co. of Am., 453 F.3d 1077, 1079 (8th Cir.2006). Ultimately, "[w]aiver is a question of intention, and is based upon knowledge of the circumstances." Purington Paving Brick Co. v. Metro. Paving Co., 4 F.2d 676, 680 (8th Cir.1925) (applying Missouri law). It follows from this strict standard that we should interpret waivers narrowly and consistently with the parties' demonstrated intentions and not presume that a waiver of some rights necessarily entails a waiver of all related rights. This is especially important in the present context where different rights are conceptually separable, like the right to control or participate in the management of litigation or negotiations as contrasted with the ultimate right to share in a resulting recovery.
Applying this standard, we conclude Travelers waived certain rights by refusing repeated invitations to participate in subrogation discussions, the Allocation Agreement, and the Subrogation Litigation. Those rights include the right to control or participate in the management of claims or litigation against third parties, the decision to settle with most of those parties, and all of the various strategic decisions involved in the litigation against Rockwell Automation. Because suits against third-party tortfeasors in the context of subrogation and recovery actions may not be split and litigated repeatedly, Travelers cannot now pursue third parties separately. See Keisker, 90 S.W.3d at 75; State ex rel. Home Serv. Oil Co. v. Hess, 485 S.W.2d 616, 619 (Mo.Ct.App.1972) ("The `splitting' prohibition is designed ... to avoid harassment of a defendant by a multitude of law suits for damages sustained by the same person from the same tortious act."). By failing to join in KCPL's and National Union's recovery efforts, after repeatedly being invited to do so, Travelers waived its right to direct, control, or subsequently criticize the negotiations and litigation.
Buttressing this conclusion is the fact that no party now suggests Travelers possesses a right to complain about KCPL's and National Union's day-to-day management of the negotiations or litigation with third parties or about the details or dollars involved in the litigation or settlement with third parties.
Travelers, however, did not waive all of its rights. Travelers at no time took actions nor made statements suggesting, much less "manifestly" demonstrating, Osborn, 453 F.3d at 1079, or "clearly and unequivocally show[ing]," Shahan, 988 S.W.2d at 534, an intention to relinquish its right to assert an interest in amounts National Union and KCPL might recover from Rockwell Automation. To the contrary, Travelers stated in the October 13, 2000 letter and again in the August 26, 2002 letter that it reserved its subrogation rights in the event it might make a payment pursuant to the excess policy. Travelers again preserved its subrogation interest as against the Rockwell Automation proceeds in the Settlement Agreement with KCPL. In contrast, through the Settlement Agreement, Travelers expressly and clearly waived any subrogation interest as to the first $126 million recovered by KCPL and National Union.
Notwithstanding the reservation of rights by Travelers, National Union argues it would be unjust to permit Travelers to assert a subrogation claim after failing to participate in the subrogation proceedings. In support of its waiver argument, National Union cites Community Title Co. v. Safeco Ins. Co. of America, 795 S.W.2d 453, 461-62 (Mo.Ct.App.1990), for the proposition that, if an insurer denies coverage, "sits idly by," and permits an insured to pursue and settle a claim against a third-party tortfeasor, the insurer thereby waives its right to insist upon compliance with a subrogation provision. National Union's argument is misplaced as Community Title involved an insurer's attempt to void a policy and avoid payment on a claim rather than a question of subrogation priority. Id. Community Title simply finds no application in the present context.
In Community Title, the insurer refused coverage and the insured, without the benefit of coverage, settled with a third-party tortfeasor and released the third party
We also note that, even if National Union were correct that the Missouri Court of Appeals decision in Community Title stands for the broader proposition that insurers lose all subrogation rights by failing to immediately pay claims and participate in subrogation litigation, the Community Title decision is not in accord with the bulk of Missouri authority. In several Missouri cases distinguishing between subrogation rights and assignment rights, the Missouri Supreme Court has emphasized that, with subrogation rights, the insured maintains legal title to the right to sue third parties and sole authority to maintain such suits, and the insurer holds only the right to later assert a claim against proceeds recovered. See Keisker, 90 S.W.3d at 74 ("The exclusive right to pursue the tortfeasor remains with the insured, which holds the proceeds for the insurer."); Hagar v. Wright Tire & Appliance, Inc., 33 S.W.3d 605, 610 (Mo.Ct.App.2000) ("[T]he insured still holds the legal right to the claim, the insurer cannot sue the tortfeasor directly but must wait and assert its subrogation interest against any recovery the insured makes against the tortfeasor."). Given this state of the law, we find no basis for the assertion that Travelers's failure to join in the litigation and its election to assert its subrogation claim after making payment serves as a waiver of subrogation rights. See Doss v. Howell-Oregon Elec. Coop., 158 S.W.3d 778, 783 (Mo.Ct.App.2005) ("[I]n general terms, a failure to intervene by an insurance carrier does not waive its right to reimbursement or subrogation."); Buatte v. Gencare Health Sys., Inc., 939 S.W.2d 440, 443 (Mo.Ct.App.1996) ("[Insurer] did not waive its subrogation/reimbursement rights by failing to intervene in the ... action against [the tortfeasor]."); see also 16 Lee R. Russ, Couch on Insurance § 224.155 (3d ed. 2010) ("It has been held that an insurer does not waive its subrogation rights by failing to intervene in an insured's action against a tortfeasor, where there was no requirement to intervene."); id. § 224.156 (stating that not only is there no abstract duty to intervene, but an insurer may, in some instances, even take reasonable positions in opposition to the insured without waiving its subrogation rights).
At the district court level, Travelers claimed that it was "entitled to priority of recovery" against National Union's
Travelers argues throughout its opening brief that it is entitled to a "priority of recovery." It asserts that National Union acted without regard to Travelers's rights when National Union took and retained subrogation proceeds. Travelers presents ample authority from courts and scholars discussing the fundamental nature of excess and primary insurance, the relative duties of excess and primary insurers in the payment of claims, and the relative rights of excess and primary insurers in the context of subrogation. See, e.g., Century Indemn. Co. v. London Underwriters, 12 Cal.App.4th 1701, 1709-10, 16 Cal.Rptr.2d 393 (Cal.Ct.App.1993) (holding that where an insured enters into an excess policy granting the excess insurer priority in subrogation proceeds, the primary insurer must honor the insured's contract obligation as expressed in the excess policy); Vesta Ins. Co. v. Amoco Prod. Co., 986 F.2d 981, 988 (5th Cir.1993) ("Where the insurers' coverage is in the nature of layers, the excess carrier should recover under subrogation before primary insurers can be reimbursed.") (quoting 16 Lee R. Russ, Couch on Insurance § 61.48 at 133 (2d ed.1983)); Fluor Austl. Pty. Ltd. v. Allianz Global Risks U.S. Ins. Co., 234 Fed.Appx. 579, 580 (9th Cir.2007) ("[S]ubrogation proceeds should be allocated to insurers in the order opposite to that in which they contributed to a settlement payout.... [T]raditional insurance principles and considerations of equity ... dictate top-down allocation in accordance with the levels of risk exposure for which the various insurers bargained.") (internal citation omitted). Through Travelers's own statements, its references to authority, and its discussion of that authority, the issue of industry standards permeates the portion of Travelers's opening brief directed towards the relative priority of Travelers and National Union. National Union's arguments to the contrary focus largely on the labels employed in Travelers's brief rather than the content of the arguments. Travelers plainly did not waive any issues or arguments surrounding industry standards or the nature of excess and primary coverage.
Regarding a possible waiver of "equitable principles," our decision today does not rest on any such principles standing alone; the subrogation rights in this case are contractual in nature and Travelers's claim that National Union must disgorge funds is inextricably linked to Travelers's arguments regarding industry standards and practices and the basic nature of excess and primary insurance. As such, in this case, we need not determine whether Travelers waived any specific or wholly separate issues or arguments based on equitable principles.
That having been said, the origins of subrogation, in general, are equitable in nature. Given this fact we view with skepticism arguments that a party asserting any subrogation-based claim could at the same time entirely waive equitable principles. This is true even where the asserted subrogation-rights are contractual in nature (unless, of course, the contract rights at issue are unusual and contrary to established
Turning to the substance of Travelers's claims, we first address the claims against KCPL.
Our starting point is to determine what issues have been resolved by the final judgment from the Coverage Litigation involving Travelers, KCPL, and National Union and to look at the impact of our conclusions regarding waiver. The district court in the Coverage Litigation determined KCPL was entitled to determine the character of proceeds obtained from third parties because KCPL suffered uninsured losses as well as insured losses. The district court further determined that KCPL effected an apportionment of recoveries as between insured and uninsured losses by executing the Allocation Agreement. National Union subsequently exhausted its policy limits and was released from the Coverage Litigation, and KCPL and Travelers sought and obtained the entry of a final judgment. No party appealed.
Given these facts, it is appropriate to consider the apportionment of recoveries as representing insured or uninsured losses as the established law of the case. See Little Earth of the United Tribes, Inc. v. U.S. Dep't of Hous. & Urban Dev., 807 F.2d 1433, 1440-41 (8th Cir.1986) (noting that because no party had appealed from an earlier order in the case and because the parties had expended considerable sums in reliance on the order, it would not be appropriate to revisit the issues expressly and implicitly decided in the order). In Little Earth, the court characterized the law-of-the-case doctrine as discretionary and noted the purpose of the doctrine was to "protect[ ] the settled expectations of parties, ensuring uniformity of decisions, and promoting judicial efficiency." Id. at 1441. The court examined these purposes as well as the absence of any changed conditions after the initial order in deciding to apply the doctrine. Subsequently, we have stated that the doctrine is not applicable to interlocutory orders. See Gander Mountain Co. v. Cabela's Inc., 540 F.3d 827, 830-31 (8th Cir.2008) (refusing to apply the law-of-the-case doctrine based on a determination implicit in an interlocutory order). Here, however, we view the district court's 2004 order regarding the allocation as between insured and uninsured losses as a final order — the parties sought and obtained the ruling as to the impact of the Allocation Agreement for the purpose of defining total insured loss, and subsequently, in reliance on that ruling, resolved the case and obtained the final entry of judgment.
Given this state of affairs, the question we must address is whether, under Missouri law and according to the terms of the Travelers policy, an excess insurer may assert a subrogation claim against funds that an insured received from third-party tortfeasors and that represent uninsured losses. A plain language interpretation of the subrogation provision in the Travelers policy demonstrates KCPL is not bound by any contract language to remit to Travelers any such specifically designated proceeds. The relevant subrogation provision contains two sentences pertinent to our analysis:
(Emphasis added). Because the only recovery obtained and retained by KCPL represents uninsured losses — losses for which, by definition, Travelers made no payment — we find within the quoted language no contractual obligation for KCPL to pay Travelers these retained funds. See generally, 16 Lee R. Russ, Couch on Insurance §§ 226:36-40 (3d ed.2010) (discussing generally the requirement that recoveries correspond to losses for which the insurer made payment before the insurer may assert a subrogation right as against those recoveries).
Regarding Missouri law, we find an older case to be directly on point and a more recent case to be consistent and instructive. In Union Trust Co. v. Wyatt, 58 S.W.2d 708 (Mo.1933), the Missouri Supreme Court held that where a bank suffered total losses of $18,300 due to an employee's malfeasance and was insured on a fidelity bond for $10,000, the bank was entitled to credit sums obtained from the wrongdoer against the $8,300 of uninsured loss. See id. at 713 ("[C]ertainly the bank would have the right in the absence of any specific designation otherwise to credit same upon either his notes, cash items, or that part of his defalcations in excess of the amount covered by the contract of indemnity insurance ....") (emphasis added). In so holding, the court looked at intent as to the manner of crediting the payment:
Id. at 712. Union Trust, then, stands for the proposition that an insured may designate a recovery as representing insured or uninsured losses and may retain sums designated
Much more recently the Missouri Supreme Court faced a situation where an insured had suffered several categories of loss, including business-interruption losses, in excess of policy limits. See Keisker v. Farmer, 90 S.W.3d 71, 73-74 (Mo.2002) (En banc). There, the insurer paid approximately $127,000 for damage to a building and personal property and $15,000 for lost income and profits. The policy provided only $15,000 in coverage for business-interruption losses, so the insurer had paid the coverage limit on that category of loss. Subsequently, the insured, in asserting a claim against a third-party tortfeasor, sought only damages in the form of lost income and profits. Id. The third-party tortfeasor deposited funds with the court, and the insurer intervened asserting a right to the deposited funds. Id. The insured "concede[d] that it would be unjustly enriched if it recovered its first $15,000 in lost profits from both [the insurer] and the [tortfeasor]." Id. at 75. In addition, the insured obtained $6,000 from a separate tortfeasor.
The court, recognizing that the insured was entitled to designate the losses at issue, held, "Assuming the [insured] can prove lost profits of at least $106,000 [the total obtained from third parties], the [insured] is not unjustly enriched in receiving the remaining $85,000 of the interpled funds." Id. The insurer complained that the insured should not be allowed to limit its request for damages against the third party only to lost profits and income, but the court rejected this argument. Ultimately, the Missouri Supreme Court remanded the case for trial regarding proof of the alleged lost income and profits in excess of $15,000. The remand, however, in no manner impacts the holding: the Missouri Supreme Court recognized that an insured is entitled to designate the nature of a recovery from a third-party as representing uninsured loss. This is precisely the position KCPL adopted in entering into the Allocation Agreement.
Travelers spends the majority of its brief on appeal discussing the applicability of the "made-whole doctrine" and the question of whether the Missouri Supreme Court, if faced with the question, would adopt this doctrine. In general terms, the made-whole doctrine provides that an insurer who has paid a claim is not entitled to recover proceeds in subrogation until the insurer's payment to the insured, plus the insured's recovery from third parties, has completely compensated the insured for all losses — insured and uninsured. See, e.g., 16 Lee R. Russ, Couch on Insurance § 223.133 (3d ed.2010) (describing "the traditional equity principle that the insured is entitled to be made whole before the insurer recovers on its subrogation claim"). As such, the made-whole doctrine is a default rule of sorts that characterizes all recoveries from third parties as representing uninsured losses until such time that the insured is made whole. Only after the insured party achieves this level of compensation would the made-whole doctrine permit the characterization of additional recovered proceeds as representing insured losses and make such losses available for subrogation claims from insurers. See generally, John D. Ingram, Priority Between Insurer and Insured in Subrogation Recoveries, 3 Conn. Ins. L.J. 105, 112-15 (1996).
We find questions regarding the made-whole doctrine to be somewhat immaterial in the context of the present case. The procedural history of the present matter has already resulted in the clear and settled identification of KCPL's portion of the recovery as representing uninsured proceeds. It has also resulted in the clear
Here, for whatever reasons — uncertainty as to how Missouri might treat the rule, uncertainty as to likely expenses and the likelihood of success in actions against third parties, and uncertainty as to KCPL's own ability to prove its damages — KCPL already elected to declare a substantial portion of the recovered funds as representing insured losses. Given the scale of the total loss incurred, the made-whole doctrine seemingly would not have required KCPL to designate any of the recovered funds towards insured losses. Regardless, it has done so. We should not now attempt to predict how a state court might deal with the default "rule" of the made-whole doctrine when the events in the present case have obviated the need to resort to any such default rule.
Resolution of the priority question does not fully address all of Travelers's claims against KCPL. Travelers also asserts that KCPL owed Travelers a separate duty not to harm Travelers's subrogation interests and that KCPL breached this duty. The subrogation provision of the Travelers policy provides, "Each insured agrees to assist and cooperate with The Travelers in any subrogation proceedings which it initiates and to do nothing after a loss to prejudice The Travelers subrogation rights." Travelers argues specifically that KCPL prejudiced Travelers's subrogation rights by initially entering into the Allocation Agreement apportioning insured losses to National Union and subsequently permitting the dispersal of recovered funds to National Union. Regarding the agreement to apportion funds, we believe any such arguments are subsumed by our prior discussion: Travelers cannot now argue that KCPL acted improperly by entering into the Allocation Agreement, and KCPL was entitled to designate and retain funds as representing uninsured losses. Regarding the potential breach of a duty towards Travelers through the dispersal to National Union of funds representing insured losses, we could only find Travelers's claim against KCPL to have merit if we first found that (1) Travelers held a priority interest over National Union, and (2) dispersal of the funds representing insured proceeds caused prejudice to Travelers.
Because we address priority as between Travelers and National Union below in relation to Travelers's claims against National Union, we do not do so separately here. We conclude in our analysis below that Travelers holds a priority interest relative to National Union for several reasons, primary among which is the fact that National Union's subrogation rights are limited to only those rights held by KCPL, and KCPL bound itself by contract with Travelers to grant priority in insured proceeds to Travelers alone.
This means Travelers's claim against KCPL based on the duty not to harm Travelers's subrogation interest turns on the question of prejudice to Travelers caused by payment to National Union. In this regard, we note that Travelers seeks only one recovery — reimbursement for its $10 million payment. Because we hold below that National Union is bound to
Although our resolution of this issue turns on policy language and Missouri's recognition that a subrogee's rights are limited to those rights held by the subrogor, we are compelled to discuss the basic industry practices as set forth, in part, in the ample authority presented by Travelers. The industry practice, in short, is that excess carriers are the last insurers obligated to pay claims and the first insurers entitled to recover in subrogation. See, e.g., Century Indemn. Co., 12 Cal. App.4th at 1709-10, 16 Cal.Rptr.2d 393; Vesta Ins. Co., 986 F.2d at 988 ("`Where the insurers' coverage is in the nature of layers, the excess carrier should recover under subrogation before primary insurers can be reimbursed.'") (quoting 16 Lee R. Russ, Couch on Insurance § 61.48 at 133 (2d ed.1983)); Fluor Austl. Pty. Ltd., 234 Fed.Appx. at 580; Westchester Fire Ins. v. Heddington Ins. Ltd., 883 F.Supp. 158, 167 (S.D.Tex.1995), aff'd, 84 F.3d 432 (5th Cir. 1996) ("Money recouped by insurers after paying a claim is first applied to the highest layer of coverage ...."); id. at 162, 164 n. 11 ("Where there is apparent conflict between ... policies, courts should resolve disputes among the carriers by looking to the overall pattern of insurance coverage" and by "considering the contracted-for risks.").
Insurers know and understand this apportionment of risk among fellow insurers, and they price their insurance accordingly, as was done in this case. In cases where insurers who have contracted to provide primary coverage seek to avoid primary liability either by refusing to pay or asserting priority over excess carrier's subrogation interests, courts have rejected such attempts and have cited the need to ensure that insurers are held to bear the actual risks they contracted to accept. See Horace Mann Ins. Co. v. Gen. Star Nat'l Ins. Co., 514 F.3d 327, 337 (4th Cir.2008) (holding that, as between a true excess policy and primary policy, the critical inquiry "was premised on the nature of the policies at issue, not on the language of the other-insurance clauses"); Fluor Austl., 234 Fed.Appx. at 580 ("subrogation proceeds should be allocated to insurers in the order opposite to that in which they contributed... in accordance with the levels of risk exposure for which the various insurers bargained") (emphasis added); Smith v. Wausau Underwriters Ins. Co., 977 S.W.2d 291, 294 (Mo.Ct.App.1998) ("A primary insurer cannot use an `other insurance clause' to require an umbrella carrier to share in its liability.").
As in most matters, of course, clear contract language could override any concepts such as industry standards, but no such language exists in this case. As such, we cannot read these commercial insurance contracts in a vacuum; where terms have meanings generally understood within an industry, we will not give these terms different meanings unless the parties have unambiguously and expressly done so in their contract language. Sonoma Mgmt. Co. v. Boessen, 70 S.W.3d 475, 481 (Mo.Ct.App.2002) ("Where a contract term is susceptible to multiple definitions, it should be interpreted in the context of the subject matter of the contract ... and
Against this backdrop, we conclude that the Travelers policy unambiguously grants sole priority in insured proceeds to Travelers and that National Union is bound to the Travelers policy as a subrogee of KCPL who holds only the rights of, and is subject to the contractual restrictions upon, KCPL. We also conclude that the National Union policy itself is consistent with this conclusion because, at best, it is ambiguous regarding the priority of recovery between primary and excess insurers.
To explain these conclusions, we turn first to the language of the two policies.
National Union asserts what it describes as a plain-language interpretation of the insurance policies at issue in this case, concluding that it, rather than Travelers, possesses a priority subrogation interest. Travelers, similarly, asserts a "plain language" argument but reaches the opposite conclusion. In addition to their respective interpretations of the policies, the parties disagree as to the applicability and substance of underlying state law regarding subrogation as well as whether National Union is bound by any terms of the Travelers policy.
In interpreting policy language, we read the relevant provisions, each in the context of its corresponding insurance policy as a whole, giving meaning to each provision and eliminating surplusage and internal contradictions where possible. See Rice v. Shelter Mut. Ins. Co., 301 S.W.3d 43, 47 (Mo.2009) (en banc); J.E. Hathman, Inc. v. Sigma Alpha Epsilon Club, 491 S.W.2d 261, 264 (Mo.1973). Also, we apply "the meaning which would be attached by an ordinary person of average understanding if purchasing insurance." Seeck v. Geico Gen. Ins. Co., 212 S.W.3d 129, 132 (Mo.2007) (en banc) (internal quotation and citation omitted).
We address this policy first because its subrogation provision is unambiguous. As quoted supra note 5, the relevant sentence of the subrogation provision states, "The Travelers shall be entitled to priority of recovery against any such third party (including interest) to the extent payment has been made to the Insured, plus attorney's fees, expenses or costs incurred by The Travelers." The quoted passage is unambiguous in that it accords priority to Travelers and Travelers alone. It does not describe a possible class to which Travelers may belong or a group of insurers or interested parties. The policy, as a true excess policy that references the primary insurance, acknowledges the presence of other insurers, but in the face of this recognition, states simply that Travelers is entitled to priority.
National Union argues that a separate sentence within the same paragraph imposes on KCPL a duty to cooperate in recovery proceedings that Travelers initiates, and, therefore, the entire subrogation provision is triggered only if Travelers itself initiates recovery proceedings. We reject this argument for two reasons. First, the policy uses the terms "it initiates" not "Travelers initiates." This use of the pronoun "it" is imprecise, and the sentence containing these terms can just as easily be read to mean "insureds initiates." More importantly, however, we reject National Union's argument as an unnatural reading of the subrogation provision. The subrogation provision sets out rights for Travelers and imposes duties upon KCPL. The separate sentences of the subrogation provision largely stand alone. The only explicit internal reference among the sentences of the subrogation provision is the term "such third parties" found within the actual sentence granting Travelers a right of subrogation. There is no referencing language in any other sentences suggesting a limitation to proceedings initiated by any particular party. National Union's proffered interpretation, then, takes a qualifying term from one sentence dealing with the imposition of a duty upon KCPL and applies that qualifying term in a separate sentence dealing with the grant of a right to Travelers. There is no sensible explanation nor textual basis for doing so.
We also note that National Union's suggested, unnatural reading lacks any reasonable basis in insurance practice. National Union cites no authority suggesting lay persons in general or insurers specifically might read a qualifying term from a cooperation clause into a separate sentence
The provisions of the National Union Policy most pertinent to our discussion are the subrogation provision and two separate provisions authorizing KCPL to obtain excess insurance or additional "contributing" primary-layer insurance. The contributing primary-layer insurance provision states that if KCPL obtains such insurance, National Union is obligated to join contributing primary-layer insurers in paying claims in proportion to the amount of primary insurance provided by each contributing insurer. The excess-insurance clause, in contrast, does not discuss insurers joining together to make proportionate payments of shared obligations. Rather, the excess insurance provision states that if KCPL obtains excess insurance, National Union agrees the existence of such insurance will not reduce any of National Union's liability under the policy.
Read in combination, these separately styled provisions authorizing KCPL to obtain excess and contributing insurance show that National Union recognizes a distinction between true excess policies, on the one hand, and contributory or additional primary-layer coverage, on the other. National Union may effectively have its own liability reduced by sharing primary-layer coverage with other primary insurance that KCPL may elect to purchase, but National Union may not use the existence of any excess insurance as a tool to reduce National Union's own liability. Further, because National Union expressly authorized KCPL to obtain both types of additional insurance and did not in any manner limit that right to obtaining such insurance from National Union or entities related to National Union, the policy anticipates the possibility of insurance from other companies.
We read the excess-insurance clause as mirroring the standard industry practices described above in that, by disavowing an ability to reduce National Union's own liability due to the possible existence of excess insurance, the National Union policy implicitly recognizes that excess insurers are the last insurers obligated to pay claims and also the first insurers entitled to recover proceeds that are obtained from third parties and represent insured losses. In other words, any reading of the actual subrogation provision that would place excess insurers' subrogation rights on par with, or subordinate to, National Union's own subrogation rights would impermissibly make the liability limitation provision of the excess-insurance provision surplusage. Farmland Indus., Inc. v. Republic Ins. Co., 941 S.W.2d 505, 510 (Mo.1997) (en banc) ("[E]very clause must be given some meaning if it is reasonably possible to do so.") (citation omitted). Through the excess-insurance provision, National Union promises not merely to pay claims without reference to the existence of excess insurance, National Union agrees that excess insurance will not "reduce any liability under" the policy. (Emphasis added). In effect, this expansive language addresses the concept of net liability — total outlays after subrogation recoveries — and not merely National Union's initial payments of claims.
Reading the National Union policy's subrogation provision against this backdrop, i.e., in the context of the policy as a whole, we find nothing inconsistent with awarding a priority subrogation interest to an excess insurer. The National Union policy's subrogation provision is, at best, silent as to the relative rights of National
We believe there are several possible readings of this provision as "Company(ies) involved" arguably could refer only to National Union and certain National Union affiliates, only to entities actually involved in recovery proceedings, or only to entities involved in the payment of claims to KCPL (National Union and excess insurers or additional, contributing primary insurers). These multiple possible readings "create an ambiguity — a duplicity, indistinctness, or uncertainty in the meaning of the language in the policy." Keisker, 90 S.W.3d at 74. As such, we refuse to hold in contravention of industry standards that the National Union policy somehow precludes priority for an excess insurer. Not only does such priority find textual support in the excess-insurance authorizing provision, it can be inferred as a general matter from industry practice, and inferred specifically in this case, by viewing the policy as a whole and acknowledging the relative risks the respective insurers' contracted to accept. See Horace Mann, 514 F.3d at 329 ("primary insurers charge larger premiums for coverage than do excess and umbrella carriers"); id. at 339 (refusing "to insulate [the primary insurer] from the effect of its decision to write a primary liability insurance policy"). Here, for example, National Union priced its primary policy at $850,000 for $200 million of coverage and granted permission for KCPL to obtain excess insurance without reducing any of National Union's liability. Travelers priced the $100 million of excess coverage at $25,000 and asserted an unambiguous limitation on its own liability precluding payment prior to exhaustion of an underlying $200 million primary policy and asserting an unambiguous claim to a priority subrogation interest. This pricing and the bedrock nature of the policies suggests no confusion as to the relative rights and duties of the insurers in terms of payment and subrogation recoveries.
Regardless of any claims to priority found in the National Union Policy, Missouri law requires that National Union, as the subrogee, be bound by limitations KCPL places upon itself as subrogor. Jos. A. Bank Clothiers, Inc. v. Brodsky, 950 S.W.2d 297 (Mo.Ct.App.1997) ("Bank"), is directly on point. Bank holds that where an insured has a contractual obligation to a party, and an insurer asserts subrogation rights, the insurer merely stands in the shoes of the insured and therefore any claims by the insurer are subject to the contractual duties and limitations that apply to the insured.
The facts in Bank involved a clothing retailer (Bank) whose shop was flooded and whose landlord was responsible, in part, for the flooding. In the property lease between Bank and the landlord, Bank had agreed to maintain insurance naming the landlord as an additional insured. Bank initially had fulfilled this duty. In obtaining insurance with a different
When the insurer tried to recover through subrogation in a claim against the landlord, the Missouri Court of Appeals ultimately held the insurer could not recover. The court recognized that the insurer was not a party to the lease agreement and that the landlord was not, in fact, listed as a named co-insured. The court nevertheless applied Missouri's "no subrogation" rule and held that because the insurer could not ignore Bank's contractual relationship with the landlord, the landlord was to be considered a named insured, therefore precluding a subrogation claim. Id. at 302 ("Where an insurance company attempts to recover, as a subrogee, from a coinsured under the policy, whose negligent act occasioned the loss, the claim must fail in the absence of design or fraud on the part of the coinsured."). Although the landlord was not technically a co-insured, the Missouri Court of Appeals held, "The lease provisions for co-insurance bind Bank. [The insurer] as Bank's subrogee, is also bound by a coinsured relationship of Bank and [the landlord]." Id.
The court relied in part on insurance law and held, "Where a party is required by contract to carry insurance for the benefit of another, that party will be treated as a coinsured." Id. at 303; see also Rock Springs Realty, Inc. v. Waid, 392 S.W.2d 270, 277 (Mo.1965); Monsanto Chem. Co. v. Am. Bitumuls Co., 249 S.W.2d 428, 431 (Mo.1952). In the alternative, however, the court relied on simple contract law, stating that Bank's breach of the contractual duty to provide insurance for the landlord precluded suit by Bank against the landlord. The court held, "The subrogee stands in the place of the subrogor.... Thus, Bank's breach forecloses its claim against [the landlord] and [the insurer's] claim as Bank's subrogee." Bank, 950 S.W.2d at 303
Applying Bank, we hold that National Union is entitled to exercise only those rights KCPL itself could exercise. KCPL, as a party to the Travelers policy, was bound to recognize the priority of Travelers's subrogation claim as against insured proceeds. Regardless of any arguments National Union may present based upon purported priority as established through its own policy, it cannot ignore KCPL's own contractual duties toward Travelers when standing in KCPL's shoes. See Century Indemn. Co. v. London Underwriters, 12 Cal.App.4th 1701, 1709, 16 Cal.Rptr.2d 393 (1993) (applying California law consistent with Missouri law and holding a primary insurer, as the subrogee of the insured, "had no greater rights than [the insured] itself and thus was bound by the agreement that [the insured] had made with [the excess insurer]").
National Union argues against this position and against the holding of Bank and Century Indemnity and cites cases generally for the proposition that contracts bind only the parties to the contract. See, e.g., EEOC v. Waffle House, Inc., 534 U.S. 279, 293, 122 S.Ct. 754, 151 L.Ed.2d 755 (2002) ("It goes without saying that a contract cannot bind a nonparty."); In re Exec Tech Partners v. Resolution Trust Corp., 107 F.3d 677, 680 (8th Cir.1997) (applying Missouri law). These cases espouse a fundamental and unobjectionable aspect of contract law. They do not defeat our analysis, however, because as a subrogee, National Union's claim of right to the contested proceeds for insured losses can be no greater than KCPL's rights. KCPL is a party to the Travelers policy and KCPL's rights are precisely the contract rights under examination. Here the critical inquiry is whether Traveler's holds a priority
National Union also cites a Missouri Court of Appeals case involving a recording statute and subrogation provisions in a series of loan documents and deeds of trust. See Kansas City Downtown Minority Dev. Corp. v. Corrigan Assocs., 868 S.W.2d 210 (Mo.Ct.App.1994). As an initial matter, we reject National Union's assertion that we are bound by Corrigan; we are not bound by the decisions of a state's intermediate courts. Swope v. Siegel-Robert, Inc., 243 F.3d 486, 496 (8th Cir.2001). Further, Corrigan is factually distinguishable as it involved recording statutes and subrogation in the context of deeds of trust and multiple loan agreements; it did not involve questions of subrogation priority as between primary and excess insurers.
In Corrigan, the court held that a subordinate lender, whose lien was extinguished upon foreclosure by the primary lienholder, could not recover from the primary lienholder because (1) the recording statutes did not permit recognition of the subordinate lender's assertion of priority, and (2) the evidence did not show an intent among the parties to accord priority to the subordinate lender. If anything, the material holding we should take from Corrigan, then, is not that a subrogee is free from the contractual limitations of the subrogor. Rather the material point is that it is necessary to examine the intent of the parties in the apportionment of rights. In this case, that necessarily entails an examination of the risks the different insurers contracted to insure. Contrary to National Union's arguments, then, Corrigan affords National Union no shelter from Travelers's priority claim.
Finally, we note that the district court in the present case discussed the inherently limited nature of subrogation rights and found no duty for National Union to make a payment to Travelers. The court, discussing Great Atl. Ins. Co. v. Liberty Mut. Ins. Co., 576 F.Supp. 561, 564 (E.D.Mo. 1983), stated:
We disagree that Great Atlantic is applicable to the present situation. Great Atlantic is distinguishable because it involved an attempt to force a primary insurer to pay on a policy that did not cover the loss at issue. Here, Travelers seeks only the recognition of its priority subrogation rights as to the proceeds from the Rockwell Automation judgment, not additional payment beyond the policy limits by National Union.
Great Atlantic involved mistakes of fact and mutual mistakes between contracting parties, and, as the court in Great Atlantic summarized, one party was trying to profit by another's inadvertent mistake. Id. at 565 ("The sum and substance of the foregoing is that Great Atlantic is seeking to profit by the inadvertent mistake of Liberty Mutual for the purpose of obtaining money to which it is not entitled. The evidence admits of but one conclusion, namely, that Great Atlantic is not entitled to recover against Liberty Mutual."). In Great Atlantic, a primary insurer inadvertently wrote two $500,000 policies that covered risks in the United States as well as
The court refused to order additional payment. The court held that, contrary to the mutual mistake of the primary insurer and the insured, the evidence established that the primary insurer and the insured had intended there to be only $500,000 of primary coverage for domestic risks. The court then held that, because the insured itself had no right to recover additional funds from the primary insurer, the excess insurer, through subrogation, could not recover additional money from the primary insurer.
Great Atlantic, then, is wholly distinct from the present case. There the excess insurer was not asking for subrogation recoveries held by a primary insurer to be disgorged in favor of an excess insurer with a superior subrogation right. Further, we believe Great Atlantic stands for the proposition that the parties' intent matters and insurers should be held to pay for the risks they contracted to accept. Importantly, even if Great Atlantic were applicable here, the question in the present case is not whether National Union owes KCPL some additional amounts under some unexhausted National Union policy. The question is simply whether, in the distribution of the proceeds from the Rockwell Automation judgment, the parties honored KCPL's contractual duties to Travelers or whether funds were improperly diverted and should be disgorged by National Union to Travelers, the party with the priority interest. We conclude that National Union, like KCPL, was bound to recognize Travelers's priority interest and must now disgorge $10 million from its 55% share of the $97 million judgment against Rockwell Automation.
We affirm in part, reverse in part, and remand for further proceedings consistent with this opinion.
Regarding contributing insurance, the National Union policy provides:
Regarding excess insurance, the National Union policy provides:
(Emphasis added).
The entire subrogation provision of the National Union policy is as follows:
The subrogation provision of the Travelers policy provides: