CAMERON McGOWAN CURRIE, District Judge.
This insurance coverage dispute is before the court on cross motions for summary judgment. The issues central to both motions are whether: (1) Zurich American Insurance Company ("Zurich") may be held responsible for providing coverage based on Zurich's status as parent company of the entity that wrote the policies (Steadfast Insurance Company ("Steadfast")); (2) the policies at issue (claims-made-and-reported policies) may be construed to cover a claim made against the insured during one policy period and reported to the insurer during a subsequent period covered by a policy renewal; and (3) the policies otherwise exclude coverage due to one or more policy provisions. For reasons set forth below, the court resolves all issues in Defendants' favor, denies Plaintiff's motion, and grants Defendants' motion in full.
Summary judgment should be granted if "the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed.R.Civ.P. 56(a). It is well established that summary judgment should be granted "only when it is clear that there is no dispute concerning either the facts of the controversy or the inferences to be drawn from those facts." Pulliam Inv. Co. v. Cameo Properties, 810 F.2d 1282, 1286 (4th Cir.1987). The party moving for summary judgment has the burden of showing the absence of a genuine issue of material fact, and the court must view the evidence before it and the inferences to be drawn therefrom in the light most favorable to the nonmoving party. United States v. Diebold, Inc., 369 U.S. 654, 655, 82 S.Ct. 993, 8 L.Ed.2d 176 (1962).
In the present case, the parties agree that there are "no material facts in dispute. The only dispute is the interpretation of the insurance contract." See Dkt. No. 34 at 2 (Plaintiff's memorandum in opposition to Defendants' motion); see also Dkt. No. 32 at 2 n. 2 (Defendants' memorandum in opposition to Plaintiff's motion stating "it does not appear that the parties... disagree about the relevant facts and timing of the events relevant to this case").
The critical and undisputed facts are as follows. Plaintiff, GS2 Engineering & Environmental Consultants, Inc. ("GS2"), was covered under a series of insurance policies issued by Defendant Steadfast Insurance Company ("Steadfast"). Dkt. No. 31-4 at 3-4 (Affidavit of Ann Marie Forte ¶¶ 8, 13). Steadfast is a subsidiary of Zurich and utilizes Zurich's logo on various documents including some pages of its policies and correspondence relating to the claim at issue. See, e.g., id. ¶¶ 9, 10; Dkt. No. 31-4 at 12 (declaration page indicating issuance by "Steadfast Insurance Company" but also bearing Zurich logo and indicating all notices should be sent to "Zurich North America-Specialties Environmental Claims"). The individual who handled the claim describes herself as "Claims Counsel in the Environmental Division for various Zurich companies, including Steadfast." Forte aff. ¶ 6.
The first policy which Steadfast issued to GS2 covered the period August 7, 2005, to August 7, 2006. Id. ¶ 8. The policy was renewed annually for a total of six one-year policy periods, with the last renewal policy ending on August 7, 2011. Id. ¶ 13. For purposes of this action, the critical policies are the last two renewal policies, which covered the periods August 7, 2009, to August 7, 2010 ("2009 Policy"), and August 7, 2010, to August 7, 2011 ("2010 Policy").
The 2009 Policy and 2010 Policy covered claims made and reported during the relevant policy period subject to a retroactive date of August 7, 1998. See id. ¶ 11 (addressing nature of policies); Dkt. No. 31-4 at 31 (retroactive date endorsement for policy for last policy period); see also Dkt. No. 40 at 2 (Joint Supplemental Brief agreeing that policies for last two policy periods did not differ in any material respect).
The 2009 and 2010 Policies addressed the claims-made-and-reported requirement in their introductory paragraphs as follows:
Dkt. No. 31-4 at 14.
The coverage provisions of these policies also explained that coverage was provided for claims arising from specified services, when the following criteria were met:
Dkt. No. 31-4 at 14 ("Professional Liability Coverage" provision); see also id. (substantially the same requirements under the "Contractor's Pollution Liability" provision). "Policy Period" is defined as the period specified on the declarations page. Dkt. No. 31-4 at 26 (Policy § VIII. R.).
The policies' extended reporting period ("ERP") provisions read as follows:
Dkt. No. 31-4 at 18-19.
GS2 received the claim that is at issue in this action no later than April 14, 2010, when its attorney accepted service of a lawsuit filed by Richland School District Two ("Richland Two"). Forte aff. ¶ 20. At the time GS2 accepted service, nearly four months remained in the 2009 Policy Period. GS2 did not, however, take action to inform Steadfast of the claim before the 2009 Policy expired and the 2010 Policy went into effect on August 7, 2010.
Steadfast received its first notice of the suit on September 23, 2010, roughly 47 days into the 2010 Policy Period. Forte aff. ¶ 21. This notice was provided by counsel for Richland Two, rather than by GS2. Id. (referring to receipt of courtesy copy of summons and complaint against GS2). GS2 first communicated with Steadfast regarding the claim on November 12, 2010. Id. ¶ 22. This communication responded to an October 6, 2010, inquiry from Steadfast regarding its receipt of the summons and complaint from Richland Two. Id. n. 4. Thus, GS2 did not both receive and report the claim during the same policy period.
Because GS2 renewed its policy, it was not eligible either for the automatic (thirty-day) ERP or purchase of a longer ERP.
As noted above, Defendant Zurich seeks summary judgment on the grounds that it is merely Steadfast's parent company and did not issue the policies in question. This argument is addressed in Section I. below.
In addition, both Defendants move for summary judgment on the grounds that GS2's claim was not made and reported during the same policy period. GS2, in contrast, seeks summary judgment on the grounds that the multiple policy periods formed a single period of continuous coverage which, together with the language of the ERP, should be construed in favor of the insured to require coverage. These arguments are addressed in Section II below.
Defendants also argue for summary judgment based on additional policy provisions. These arguments are addressed in Section III, below.
Zurich seeks summary judgment on grounds it did not write the policies at issue in this action. Instead, the policies were written by Steadfast, Zurich's wholly owned subsidiary. Zurich argues that there are no other grounds on which to hold it liable for whatever obligations may exist under the policies.
GS2 responds that "Zurich has been involved in this matter since the beginning[,]" noting the presence of the Zurich logo on the policies' declaration pages and endorsements, the reference to Zurich in the address to be used for notices, and the use of Zurich letterhead by Defendants' claim representative, Forte. Dkt. No. 34 at 12. GS2 also notes that "South Carolina courts ascribe to the alter-ego theory of parent and subsidiary corporations ... [as] a way to pierce the corporate veil." Id. at 11. GS2, nonetheless, concludes that it "merely wants an insurer which will honor the terms of the contract." Id. at 12. Thus, if "Steadfast admits it is the party liable on the insurance contract, GS2 will not need to retain Zurich as a defendant." Id.
The confusion as to which company is responsible is understandable given the communications between the parties. See, e.g., Forte aff. ¶¶ 24, 25, 38. There is, however, no evidence that Zurich wrote the policies at issue in this action. Neither is there any evidence that Steadfast has denied that it is responsible for any claim covered by the policies (though it denies that the claim at issue falls within the scope of coverage). Finally, while GS2 notes the theoretical availability of a veil-piercing claim, it has not proffered any evidence which might support recovery on this basis. Zurich is, therefore, entitled to summary judgment that it has no obligation to GS2 regardless of the interpretation of the policies.
Defendants argue, correctly, that the basic nature of claims-made-and-reported policies requires that claims be both made against the insured and reported to the insurer during the same policy period. See, e.g., Dkt. No. 31-1 at 11-17 (citing multiple cases for this proposition). The reporting period may, however, be expanded by contractual terms such as those found in the ERP included in many such policies. Id.
The introductory language in the policies issued to GS2 disclosed these requirements and noted that they might be different from other policies the insured had purchased.
Dkt. No. 31-4 at 14 (emphasis added). The policies' relevant coverage provisions, likewise, provided that coverage applied only if the "the claim is first made against the insured during the policy period and reported to us during the policy period, the automatic extended reporting period or the extended reporting period, if applicable." Id. (Professional Liability Coverage
The question here is not how these requirements operate as a general rule. It is, instead, how they operate where the insured is covered under a series of renewed policies that contain extended reporting period provisions that are not available in the event of renewal.
GS2 relies on two decisions which found claims covered under claims-made-and-reported policies despite the insureds' failure to report the claim during the same policy period in which it was made. In both decisions, the courts found the policy language ambiguous, construed the language in favor of the insured, and held that renewal of the particular policies before the court resulted in an extension of the reporting period from one policy year into subsequent year(s).
The earlier of the two decisions, Helberg v. Nat'l Union Fire Ins. Co., 102 Ohio App.3d 679, 657 N.E.2d 832 (1995), concluded that an extended reporting period ("ERP") that was available only in the event of cancellation or nonrenewal, thus unavailable in the event of renewal, did "not deny coverage in th[e] context" of a claim made during one policy period and reported during the next (renewed) policy period. The court found this conclusion supported by an expectation of continuous coverage created by language found in a preexisting condition exclusion. Id. at 834 (referring to exclusion which precluded coverage of claims arising prior to the first policy period "and continuously renewed thereafter"). Id. at 834. The court explained as follows:
Id.
The majority in AIG Domestic Claims, Inc. v. Tussey, 2010 WL 3603844 (Ky.Ct. App.2010), review granted (Sep. 14, 2011), reached the same conclusion as to the policy there at issue.
A dissenting judge, after noting that the majority opinion might, "[a]t first blush,... have intuitive appeal," concluded that the extension of the reporting period was unwarranted because it would provide ... an unbargained for tail of liability exposure. Id. at *5 (also noting that the circumstances did not warrant an equitable extension of the reporting deadline as the claim was not received late in the covered period). The dissent noted that the majority of cases confronting similar issues had found an absence of coverage. Id. (citing Helberg and Cast Steel Products, Inc. v. Admiral Ins. Co., 348 F.3d 1298 (11th Cir.2003), as cases representing the minority position and distinguishing Cast Steel based on the promptness with which the eleventh-hour claim was reported to the insurer).
Defendants cite multiple cases in support of the contrary position: that renewal of a claims-made-and-reported policy does not modify the requirement that claims be reported in the same policy period in which they are received unless a ERP applies. See, e.g., Dkt. No. 40 at 5-17 (discussing cases involving renewal policies and ERPs). For example, in Checkrite Ltd., Inc. v. Illinois Nat. Ins. Co., 95 F.Supp.2d 180 (S.D.N.Y.2000), the district court held that ERP language similar to that found in the policies at issue in this case did "not support a reading into the contract of an `inherent' extended reporting period in the event of renewal." Id. at 193 (predicting New York law based on a perceived majority view). As here, the insured in Checkrite received the claim in one policy period but did not report it until after the policy was renewed, thus in a subsequent policy period. The court held that the claim was not covered because the "conceptual framework [applicable to claims-made-and-reported policies] applies where a policy is renewed, as well as when it is not, since each policy year represents an agreement as to a specific period during which claims made and reported will be covered." Id. at 194. The Checkrite court conceded the intuitive appeal of the insured's position, but rejected it, noting that there was "a rationale for providing [an ERP] option only in the case of cancellation or nonrenewal[,]" because "[a]n insured who cancels or does not renew faces a risk of coverage gaps that can result from switching to an occurrence policy or to another claims-made policy." Id. at 193 (citing Ehrgood v. Coregis Ins. Co., 59 F.Supp.2d 438 (M.D.Pa.1998) (discussed below)). The circumstances addressed in Checkrite do not appear to be distinguishable from the circumstances in the present action.
Defendants also rely on Ehrgood v. Coregis Ins. Co., 59 F.Supp.2d 438 (M.D.Pa. 1998), which excluded coverage under two
The Ehrgood court also held the claim could not be covered under the subsequent 1997-1998 policy, even though the actual claim was received during that policy period, because of a prior knowledge exclusion. Id. at 444. In reaching this conclusion, the court rejected an argument that the claim should be covered because the 1997-1998 policy was a renewal policy (with notice of the claim having been received in the prior policy year). In addition to noting the different time periods covered by each policy, the court noted that each policy had a different policy number, different premiums were charged for each policy, and the insurer required "detailed information [for each of the] policy renewal applications and claim information supplement forms." Id. The court found these factors "clearly evince[d] an intent to create three separate policies as opposed to one continuous policy."
This court finds the reasoning in Checkrite and Ehrgood persuasive as they better reflect the nature of the policies at issue and their actual language.
Even if the court were to find the ERP provisions in the Steadfast policies ambiguous, it would, at most, construe them to
In sum, the court adopts the reasoning in Checkrite and Ehrgood, and rejects GS2's arguments that all policies should be treated as a single continuous policy or the reporting period for the 2009 Policy should be extended into the 2010 Policy Period. The court, therefore, denies Plaintiff's motion for summary judgment and grants Defendants' motion to the extent they seek judgment that the claim at issue is not covered under the 2009 Policy due to belated reporting of the claim.
Defendants also argue that the claim is excluded: (1) under the specific "pollution liability" provisions of the policy because the claim was made "four months or so before the Steadfast Policy went into effect"; and (2) by the "pre-existing condition" exclusion. Dkt. No. 31-4 at 22-25. Both of these argument necessarily relate to coverage under the 2010 Policy given that the claim was, in fact, received by GS2 during the 2009 Policy Period.
It is undisputed that the claim was received by GS2, thus "made" during the 2009 Policy year. No argument suggests a basis for disregarding the requirement that the claim be made during the relevant policy year. It follows, therefore, that Defendants are entitled to summary judgment that the claim is not covered under the 2010 Policy for this reason.
For the reasons set forth above, the court denies Plaintiff's motion and grants Defendants' motion in full.
IT IS SO ORDERED.