JOHN W. SEDWICK, SENIOR JUDGE.
At docket 14, Plaintiff Anchorage School District ("Plaintiff" or "ASD") filed a motion for summary judgment as to its complaint against Defendant Starr Indemnity & Liability Co. ("Defendant" or "Starr"), asking that the court declare that all amounts paid to an ASD student pursuant to ASD's "Catastrophic Student Blanket Accident Policy" issued by Ace American Insurance Company ("Ace") will work to erode the retained limit needed to trigger coverage under ASD's "Special Excess Liability Policy" issued by Starr. Defendant filed a response and cross motion for summary judgment at docket 21.
ASD is the school district governing most of the schools in the Anchorage area. It purchased an excess liability policy from Starr with a limit of $10 million (the "Starr Policy"). However, given that it is an excess liability policy, it has a retained limit of $1.5 million, meaning coverage under the Starr Policy is only triggered after the retained limit has been met. The retained limit can be met through the insured, ASD, paying out of pocket or obtaining underlying insurance coverage.
ASD also purchased a policy from Ace Insurance Company (the "Ace Policy"). The Ace Policy is labeled a "Catastrophic Blanket Accident Policy" that provides various coverage to injured students totaling up to $1.65 million. The Ace Policy is not a liability policy; rather, it provides first-party benefits to injured ASD students regardless of fault on the part of ASD.
On December 15, 2014, an ASD student was severely injured during wrestling practice. The student and his parents asserted a negligence claim against ASD. ASD tendered the claim to its insurance providers. The student received benefits under the Ace Policy. ASD contends that the benefits paid to the student under its Ace Policy erode the $1.5 million retained limit in the Starr Policy, triggering excess liability coverage up to $10 million. Starr, however, asserts that the payments made to the student under the Ace Policy do not count toward the retained limit because (1) the Ace Policy is not an "underlying insurance" policy for ASD and (2) payments made pursuant to the Ace Policy do not constitute "payments for judgments, settlements, or defense costs" as is required to erode the retained limit under the Starr Policy. ASD responds that a reasonable interpretation of the Starr Policy does not require underlying insurance to be liability insurance or to cover payments for judgments, settlements, or defense costs. It instead argues that the Starr Policy only
Summary judgment is appropriate where "there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law."
The moving party has the burden of showing that there is no genuine dispute as to any material fact.
The dispute at issue in this litigation turns on the interpretation of the Starr Policy. Under Alaska law, the interpretation of an insurance contract is a question of law for the court.
The disputed policy provisions in this case involve those related to the retained limit and what is necessary to erode that limit and trigger excess coverage. As noted above, the Starr Policy provides coverage up to $10 million above the retained limit of $1.5 million: "We will pay on your behalf those sums in excess of the retained limit that the insured becomes legally obligated to pay as damages by reason of liability imposed by law because of bodily injury ...."
The bolded terms in the Starr Policy are those that are specifically defined. The disputed and relevant terms here are "retained limit" and "underlying insurance." Those terms are defined as follows:
Although not a term used in any of the disputed provisions, a definition for "underlying insurer" is also set forth in the Starr Policy:
ASD asserts that under the Starr Policy, specifically Section III.C and Section III.D, the retained limit can be exhausted in one of two ways: either (1) through self-insurance where payments are made for "judgements, settlements and defense costs" or (2) through underlying insurance of any kind that is "available" to ASD. It then argues that the issue for the court is simply whether the Ace Policy constitutes "any other insurance available to [ASD]." As noted above, Section III.C, explains that the excess liability coverage under the policy is only triggered after the retained limit has been met by payments for settlements, judgments or defense costs related to claims and suits. The definition of "retained limit" states that it can consist of both self-insurance or underlying insurance. Therefore, the limitation in Section III.C is not necessarily confined to those payments made by an insured without underlying insurance as ASD suggests and nothing in Section III.D negates or modifies the limitation set forth in Section III.C. However, when considering these provisions in light of the definitions provided in the Starr Policy, the court agrees that the Starr Policy is nonetheless ambiguous as to how exactly the retained limit works and whether payments under the Ace Policy to the student who was injured and brought negligence claims against ASD can be considered payments for settlements, judgments or defense costs related to claims and suits.
To start, the definition of retained limit can consist of "underlying insurance." Underlying insurance includes "[a]ny other insurance available to [ASD]." Starr argues that the Ace Policy, under which ASD is not the insured, is clearly not "available" to ASD. Indeed, the Ace Policy is not a liability insurance policy with ASD listed as the insured. ASD is simply the policy holder, paying the premiums to provide accident insurance to its students, and eligible students are the insureds. The policy covers, among other things, expenses an injured student incurs for treatment, services, and supplies related to the injury. These expense are paid to the insured student regardless of any determination of fault on the part of ASD and without any release in favor of ASD.
ASD argues that despite the fact that it is not the insured party, the policy is, albeit indirectly, "available" to it because any payments made to an injured student who is bringing a claim against ASD would qualify as advance payments towards that student's damages. These
Starr counters that such an indirect benefit is clearly not enough to make the policy "available" to it. That is, there is no situation where ASD itself could ever make a claim or receive benefits under the Ace Policy, and therefore, under the plain meaning of the term "available," it cannot reasonably be considered an underlying insurance policy. What is meant by an available insurance policy is not unambiguously constrained as Starr suggests. That is, Starr's interpretation is not the only possible one. As noted by ASD, courts that have previously considered what is meant by insurance provisions referring to "other available insurance" have concluded that the term is ambiguous because it has many ordinary meanings ranging from actually available (in one's hand) to hypothetically available (a possible source of coverage even if the limits of that coverage have already been exhausted).
Starr argues that regardless of whether the Ace Policy could conceivably and indirectly be "available" to ASD, the Starr Policy as a whole makes clear that the Ace Policy payments cannot erode the retained limits to trigger coverage under the Starr Policy. It argues that underlying insurance — or insurance available to ASD — necessarily and unambiguously means primary liability insurance in the context of an excess insurance policy. However, ambiguity is determined "from the standpoint of a layman, not from that of a lawyer."
Starr argues that the limitation in Section III.C, further requiring that the retained limit be exhausted by payments for judgements, settlements, or defense costs, makes clear that other insurance used to meet the retained limit must in fact be liability insurance. However, this limitation is not as clear as Starr asserts. A reasonably prudent layperson would not necessarily conclude that exhaustion by judgments, settlements, or defense costs means that the retained limit can only be exhausted by payments made pursuant to a liability policy. The definition of retained limit only further obscures the issue. As noted above, the definition states that the retained limit is the amount set forth in the policy's declarations and consists of the sum of all damages that begins to accrue at the first occurrence or wrongful act. It does not mention damages owing as a result of judgments or settlements, but it does specify that the retained limit "with respect to self-insured retention" shall include defense costs. It then explains what types of costs are eligible to be considered defense costs. This definition of retained limit reasonably creates confusion on the part of an insured as to how the retained limit works under the Starr Policy. More importantly, contrary to Starr's position, payments for judgements and settlements could reasonably be understood to include damages paid in advance pursuant to the Ace Policy. That is, the court agrees with ASD's assertion that
Starr points to a subrogation provision in the Ace Policy in support of its position that the Ace Policy cannot qualify as underlying insurance because it is not liability insurance. That provision states as follows: "[Ace] may recover any benefits paid under the [Ace Policy] to the extent an Insured is paid for the same Injury by a third party, or another insurer."
Based on the preceding discussion, Plaintiff's motion for summary judgment at docket 14 is GRANTED, and Defendant's motion for summary judgment at docket 21 is DENIED.