Filed: Apr. 19, 2005
Latest Update: Feb. 12, 2020
Summary: UNPUBLISHED UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT No. 04-1490 CONTINENTAL CASUALTY COMPANY, Plaintiff - Appellee, versus PENN NATIONAL INSURANCE COMPANY, Defendant - Appellant. Appeal from the United States District Court for the District of South Carolina, at Charleston. C. Weston Houck, Senior District Judge. (CA-01-3117-2-12) Argued: March 16, 2005 Decided: April 19, 2005 Before WILKINSON, NIEMEYER, and MOTZ, Circuit Judges. Affirmed in part; reversed in part; and remanded by
Summary: UNPUBLISHED UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT No. 04-1490 CONTINENTAL CASUALTY COMPANY, Plaintiff - Appellee, versus PENN NATIONAL INSURANCE COMPANY, Defendant - Appellant. Appeal from the United States District Court for the District of South Carolina, at Charleston. C. Weston Houck, Senior District Judge. (CA-01-3117-2-12) Argued: March 16, 2005 Decided: April 19, 2005 Before WILKINSON, NIEMEYER, and MOTZ, Circuit Judges. Affirmed in part; reversed in part; and remanded by u..
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UNPUBLISHED
UNITED STATES COURT OF APPEALS
FOR THE FOURTH CIRCUIT
No. 04-1490
CONTINENTAL CASUALTY COMPANY,
Plaintiff - Appellee,
versus
PENN NATIONAL INSURANCE COMPANY,
Defendant - Appellant.
Appeal from the United States District Court for the District of
South Carolina, at Charleston. C. Weston Houck, Senior District
Judge. (CA-01-3117-2-12)
Argued: March 16, 2005 Decided: April 19, 2005
Before WILKINSON, NIEMEYER, and MOTZ, Circuit Judges.
Affirmed in part; reversed in part; and remanded by unpublished per
curiam opinion.
ARGUED: Frank Barron Grier, III, West Columbia, South Carolina,
for Appellant. William Jefferson Leath, Jr., LEATH, BOUCH &
CRAWFORD, L.L.P., Charleston, South Carolina, for Appellee. ON
BRIEF: Jeanette F. Barber, GRIER LAW FIRM, L.L.C., West Columbia,
South Carolina, for Appellant.
Unpublished opinions are not binding precedent in this circuit.
See Local Rule 36(c).
PER CURIAM:
This appeal from a declaratory judgment concerns a dispute as
to coverage under three insurance policies for $2.5 million in
damages arising out of an automobile accident. For the reasons
that follow, we conclude that Penn National Insurance Company is
liable under its business auto coverage policy for the first $1
million in damages arising from the accident, and that Continental
Casualty Company is liable under its business auto coverage policy
for the remaining $1.5 million. Accordingly, we affirm in part,
reverse in part, and remand for further proceedings consistent with
this opinion.
I.
The parties stipulated to the following facts. On August 1,
1997, David Breu, an employee of Allied Steel Corporation, was
working a second job as a delivery man for a Pizza Hut located in
North Charleston, South Carolina. With Allied Steel’s permission,
Breu was using a car owned by Allied Steel to perform his delivery
route. While delivering pizzas that evening, Breu ran a red light
and struck the car of Russell Bernard, a North Charleston police
officer who was off duty at the time. The accident injured
Bernard.
On January 28, 1999, Bernard and his wife Sharon brought
companion suits against Pizza Hut and Breu. Breu sued for his
2
injuries and Sharon Breu sued for loss of consortium. Allied Steel
was not a party to either action. In February of 2001, Continental
(which insured Pizza Hut and various other Pepsico, Inc.
subsidiaries in 49 states), on behalf Pizza Hut only, and Penn
(which insured Allied Steel), on behalf of Breu only, settled with
the Bernards for $2.5 million. Of this sum, Continental paid $1.75
million and Penn paid $750,000, though both insurers reserved the
right to contest this distribution.
On March 20, 2001, Continental filed a declaratory judgment
action against Penn in South Carolina state court seeking to
determine each party’s rights under the three policies in effect at
the time of the accident: Penn’s business auto coverage policy,
which provided Allied Steel with up to $1 million in liability
insurance; Continental’s business auto coverage policy, which
provided Pizza Hut with up to $5 million in liability insurance;
and Penn’s umbrella policy, which provided Allied Steel with
additional insurance of up to $1 million. Penn subsequently
removed the case to federal court.
After a bench trial, the district court ruled that: (1) Penn
is primarily liable under its business auto coverage policy for the
first $1 million in damages arising out of the accident as well as
for Breu’s defense costs; (2) Penn is liable under its umbrella
policy for the next $1 million in damages arising out of the
accident; and (3) even though Breu was insured under Continental’s
3
policy at the time of the accident, the vehicle he was driving was
not covered and, therefore, Continental provided “no liability
coverage for the accident and was under no duty to defend Mr. Breu
as a result thereof.”1 Penn timely appealed. We review the
district court’s findings of fact for clear error and its
conclusions of law de novo. Williams v. Sandman,
187 F.3d 379, 381
(4th Cir. 1999).
II.
Before addressing the substantive questions involved, we
briefly describe how the three insurance policies at issue
function.
The business auto coverage policies function identically.
Each contains a “Declarations” page that indicates a “liability”
code number. This code number corresponds to a description
provided in Section I, “Covered Autos.” Thus, in this case, both
policies provide liability coverage for “any ‘auto.’” Each policy
also contains a “Definitions” section -- Section V in both policies
-- that defines various relevant terms.
In addition, both business auto coverage policies define -- in
Section II, “Liability Coverage” -- what “coverage” is and “who is
an insured.” With respect to “coverage,” both policies state: “We
1
Although defense costs were at issue below, Penn has not
raised any issue as to them on appeal, and we therefore do not
consider defense costs.
4
will pay all sums an ‘insured’ legally must pay as damages because
of ‘bodily injury’ or ‘property damage’ to which this insurance
applies, caused by an ‘accident’ and resulting from the ownership,
maintenance or use of a covered ‘auto.’”
Each policy also includes -- in Section IV, “Business Auto
Conditions” -- an “other insurance” clause, which determines the
conditions under which the policy will be considered “primary” or
“excess.” Penn’s and Continental’s “other insurance” clauses are
identical. They provide in relevant part: “For any covered ‘auto’
you own, this Coverage Form provides primary insurance. For any
covered ‘auto’ you don’t own, the insurance provided by this
Coverage Form is excess over any other collectible insurance.”
Relevant to this case, Continental’s policy also includes several
“Endorsements” that amend the policy.
Penn’s umbrella policy differs in substance from the business
auto coverage policies in that it provides coverage only when the
applicable underlying limit -- in this case, Penn’s business auto
coverage policy’s $1 million limit -- is insufficient to cover
resulting damages, and it provides coverage only for those damages
in excess of that underlying limit. The umbrella policy operates
similarly to the other policies, however, in that it contains a
“coverage” section, a section defining “who is an insured,” an
“other insurance” clause, and a “definitions” section.
5
III.
The first substantive question we consider is whether the
district court correctly concluded that Continental provided “no
liability coverage” in this case.
Under South Carolina law, insurance policies are subject to
the general rules of contract construction:
A court must give policy language its plain, ordinary,
and popular meaning. An insurer’s obligation under a
policy of insurance is defined by the terms of the policy
and cannot be enlarged by judicial construction.
However, where present, ambiguous or conflicting terms in
an insurance policy must be construed liberally in favor
of the insured and strictly against the insurer.
Sunex Int’l, Inc. v. Travelers Indemnity Co.,
185 F. Supp. 2d 614,
617 (D.S.C. 2001) (citations omitted); accord Poston v. Nat’l
Fidelity Life Ins. Co.,
399 S.E.2d 770, 772 (S.C. 1990) (“Where
language used in an insurance contract is ambiguous, or where it is
capable of two reasonable interpretations, that construction which
is most favorable to the insured will be adopted.” (internal
quotations marks and citation omitted)).
The district court noted that Continental’s policy “listed a
number of vehicles as ‘covered auto,’ but the vehicle being
operated by Mr. Breu on August 1, 1997 was not listed.” The court
also noted that “[n]owhere in [Continental’s] policy is ‘covered
automobile’ defined so as to include one not owned by an employee
but being operated by an employee about the business of Pizza Hut.”
On the basis of these facts, the court concluded that “[t]he
6
vehicle that Mr. Breu was driving at the time of the accident was
not a covered vehicle under [Continental’s] policy,” and, as a
result, Continental “provided no liability coverage for the
accident.”
Though we accept the facts noted by the district court, we
cannot accept its ultimate conclusion. First, the plain language
of Continental’s business auto coverage policy strongly indicates
that both Breu and the vehicle he was driving were covered under
that policy. It is undisputed that Breu was “an insured” under the
policy. Endorsement 8 amended the definition of “who is an
insured” to include “any employee . . . while acting ‘within the
scope of [his] duties’ to [Pizza Hut],” and Endorsement 19 provides
that “[a]ny employee of [Pizza Hut] is an ‘insured’ while using a
covered ‘auto’ [Pizza Hut] do[esn’t] own, hire or borrow in [its]
business or [its] personal affairs.” Neither the district court
nor Continental points to any language in Continental’s policy
providing that in order for an “insured” to be entitled to
liability coverage, his specific vehicle must be listed in the
policy. Indeed, given that Continental’s policy covers Pizza Hut
and various other subsidiaries of Pepsico, Inc. in 49 states, such
a requirement would likely preclude coverage in many otherwise
deserving cases.
Furthermore, nowhere in Continental’s policy is “covered auto”
defined so as to exclude a vehicle not owned by a Pizza Hut
7
employee that is used in the scope of that employee’s employment.
In fact, to the contrary, Continental’s policy, like Penn’s,
explicitly states that “any ‘auto’” is a “covered auto” for
purposes of liability insurance. Absent any contrary indication,
“any” auto must include Breu’s.
Nevertheless, Continental contends that Endorsement 20 narrows
the scope of “covered autos” so as to exclude from coverage any
non-employee-owned vehicles. See Brief of Appellee at 20.
Endorsement 20, styled a “[d]escription of ‘Auto[,]’” provides:
“Any employee owned vehicle only while the employee is working on
the clock for Pizza Hut, Inc. and operating such vehicle on behalf
of Pizza Hut, Inc.” The Endorsement further states: “Any ‘auto’
described in the Schedule will be considered a covered ‘auto’
[Pizza Hut] own[s] and not a covered ‘auto’ [Pizza Hut] hire[s],
borrow[s] or lease[s] under the coverage for which it is a covered
‘auto.’”
Continental’s reading of Endorsement 20 is at odds with the
text’s plain language. Endorsement 20 does not purport to limit
the definition of “auto” provided in Section V, i.e., “a land motor
vehicle, trailer or semitrailer designed for travel on public
roads.” Rather, as the policy specifically states, Endorsement 20
merely clarifies that when a Pizza Hut employee is using his own
vehicle in the course of his employment, that vehicle “will be
considered a covered ‘auto’ [Pizza Hut] own[s] and not a covered
8
‘auto’ [Pizza Hut] hire[s], borrow[s] or lease[s] . . . .”2 In
other words, Endorsement 20 seeks only to clarify that, for
liability purposes, an employee who uses his own vehicle on the job
will be treated identically to an employee who uses a vehicle owned
by Pizza Hut. In short, contrary to Continental’s contention,
Endorsement 20 does not, under any reasonable interpretation, make
“clear” that for coverage to extend to an employee, “the vehicle
must be ‘employee owned[.]’” See Brief of Appellee at 20. And,
even if Endorsement 20 were capable of “two reasonable
interpretations,” which it is not, we would be required to adopt
the construction “most favorable to the insured.” See
Poston, 399
S.E.2d at 772.
Thus, under the plain language of Continental’s policy, and
because we must resolve any ambiguity in favor Breu, we conclude
that Continental provided liability coverage to Breu.
IV.
Concluding as we have that Continental’s policy provides
liability coverage, we must now decide which of the two business
auto coverage policies provides primary coverage. Penn argues,
largely on the basis of parol evidence, that Continental provides
2
As this case demonstrates, the distinction between a “covered
‘auto’ [Pizza Hut] own[s]” and a “covered ‘auto’ [Pizza Hut]
do[esn’t] own” is significant under the “other insurance” clauses
of both Continental’s and Penn’s policies for determining which
policy provides primary coverage. See infra Part IV.
9
“sole primary coverage,” and, in the alternative, that Penn and
Continental provide “co-primary coverage.” Brief of Appellant at
21, 28. Because the clear language of the policies requires the
conclusion that Penn’s coverage is primary, these arguments fail.
It is hornbook law that when the terms of a written instrument
are unambiguous, parol evidence is inadmissible. E.g., Proffitt v.
Sitton,
136 S.E.2d 257, 259 (S.C. 1964). In this case, the
policies are clear and unambiguous as to which one is primary and
which one is excess. Both policies contain an identical “other
insurance” clause, which provides: “For any covered ‘auto’ you own,
this Coverage Form provides primary insurance. For any covered
‘auto’ you don’t own, the insurance provided by this Coverage Form
is excess over any other collectible insurance.” It is undisputed
that Allied Steel owned the vehicle Breu was driving at the time of
the accident and that Breu was driving it with Allied Steel’s
permission. It is therefore clear that Penn is the primary
insurer. This conclusion is bolstered by the “general rule” in
South Carolina that “when two policies extend coverage to the
operation of a vehicle, the policy insuring the liability of the
owner of a described vehicle has the first and primary obligation.”
N.C. Farm Bureau Mut. Ins. Co. v. State Farm Mut. Auto. Ins. Co.,
403 S.E.2d 151, 152 (S.C. Ct. App. 1991).
Attempting to escape the reality of its primary obligation,
Penn points to South Carolina’s “total policy insuring intent”
10
rule. That rule provides that in some cases, when two policies
both contain “excess” clauses, those clauses “should cancel each
other out,” and the court should determine, through analysis of
several factors, the “total policy insuring intent.” S.C. Ins. Co.
v. Fidelity and Guaranty Ins. Underwriters, Inc.,
489 S.E.2d 200,
204 (S.C. 1997). Penn then relies on parol evidence tending to
show that Pizza Hut’s intent was to provide primary car insurance
to its delivery men. See Brief of Appellant at 16-21, 23, 26-27.
The fatal flaw in this argument is that the “total policy
insuring intent” rule only applies when “it is impossible to give
effect to both ‘excess’ clauses” because they contradict each
other,
Fidelity, 489 S.E.2d at 205, which, as explained above, is
not the case here. See S.C. Farm Bureau Mut. Ins. Co. v.
S.E.C.U.R.E. Underwriters Risk Retention Group,
578 S.E.2d 8, 11
(S.C. 2003) (holding that where two “other insurance” clauses “are
not mutually repugnant, it [is] unnecessary to apply the ‘total
policy insuring intent’ rule to allocate priority between the two
carriers”). Thus, because the plain language of the policies
dictates that Penn is the primary insurer, we conclude,
notwithstanding any parol evidence, that Penn is liable for the
first $1 million in damages arising from the accident between Breu
and Bernard.
11
V.
The question remains whether Continental’s policy or Penn’s
umbrella policy is next in line.
Penn’s umbrella policy provides: “We will pay on behalf of
the insured the ‘ultimate net loss’ in excess of the ‘applicable
underlying limit’ which the insured becomes legally obligated to
pay as damages because of” bodily and other injury “to which this
insurance applies . . . .” Qualifying this grant of coverage is
the umbrella policy’s “other insurance” clause, which provides:
“If other insurance applies to claims covered by this policy, the
insurance under this policy is excess and we will not make any
payments until the other insurance has been used up. This will not
be true, however, if the other insurance is specifically written to
be excess over this policy.”
Penn does not dispute that, but for Continental’s policy and
its umbrella policy’s “other insurance” clause, its umbrella policy
would provide coverage after exhaustion of primary insurance.
Indeed, the umbrella policy clearly indicates that Penn’s primary
policy is the applicable underlying policy, and (according to Penn)
the umbrella policy specifically lists Breu’s vehicle. Thus, if
Continental provided no liability coverage in this case and the
umbrella policy’s “other insurance” clause did not apply, Penn
would be liable under its umbrella policy for $1 million in excess
damages -- that is, the “ultimate net loss” up to its policy limit,
12
which is $1 million, in excess of the “applicable underlying
limit,” which is also $1 million.
It is a general principle of insurance law, however, that
“umbrella policies are regarded as excess over and above any type
of primary coverage, excess provisions arising in regular policies
in any manner, or any escape clauses” because “umbrella policies
are not an attempt by a primary insurer to limit a portion of its
risk by labeling it ‘excess’ nor a device to escape
responsibility.” 15 Lee R. Russ & Thomas F. Segalla, Couch on
Insurance 3d § 220:41, at 220-51 (1999). Moreover, we have adopted
a similar approach, i.e., that, absent a contrary state rule,
“where purported conflicts exist between an umbrella policy and an
essentially primary policy made excess by a non-ownership clause”
-- precisely the case here -- “the umbrella policy need not
contribute until after the primary and ordinary excess coverages
are exhausted.” Allstate Ins. Co. v. Am. Hardware Mut. Ins. Co.,
865 F.2d 592, 594 (4th Cir. 1989).3
Of course, our Allstate rule would not apply in the face of
contrary state law. But South Carolina, which has noted that
umbrella policies are “fundamentally different” from primary
policies, Todd v. Federated Mut. Ins. Co.,
409 S.E.2d 361, 365
3
Although Continental states that its policy was “specifically
written” to be excess over Penn’s umbrella policy, Brief of
Appellee at 18, it points to no policy language other than the
generic “other insurance” clause to support this contention; we
therefore find it unpersuasive.
13
(S.C. 1991), has never recognized a different rule. And, given
that the Allstate rule is in line with the ‘overwhelming weight of
authority,’
Allstate, 865 F.2d at 595, it seems unlikely that South
Carolina courts would adopt a contrary rule.
Continental argues that the Allstate rule “does not apply here
since the unrefuted language of the Umbrella Policy provides
coverage for the Allied-owned vehicle.” Brief of Appellee at 19.
But, as in Allstate, the issue is not whether the umbrella policy
would provide coverage if it were the only policy available; it is
instead whether “the primary and ordinary excess coverages [have
been] exhausted.”
Allstate, 865 F.2d at 594. Furthermore, the
Allstate rule works no injustice in this case. Breu’s accident
occurred during the course of his employment for Pizza Hut, so
there is nothing inequitable about Pizza Hut’s insurer bearing a
portion of the liability for resulting damages. Cf. Allstate Ins.
Co. v. Employers Liability Assurance Corp.,
445 F.2d 1278, 1283-84
(5th Cir. 1971) (weighing five considerations in holding that
primary insurance limits must be exhausted before umbrella policy
kicks in -- relied upon by Fourth Circuit in
Allstate, 865 F.2d at
594).
14
VI.
For the foregoing reasons, we conclude that Penn is primarily
liable for the first $1 million in damages arising from the
accident between Breu and Bernard and that Continental is liable
for the remaining $1.5 million in damages.4 Thus, the judgment of
the district court is
AFFIRMED IN PART;
REVERSED IN PART;
AND REMANDED.
4
Since Continental’s policy limit is high enough to cover the
$1.5 million in remaining damages, Penn bears no liability under
its umbrella policy. However, since Continental paid $1.75 million
toward the settlement, and Penn paid $750,000, Penn remains liable
to Continental in the amount of $250,000.
15