The opinion of the court was delivered by
ASHRAFI, J.A.D.
Several parties appeal from a final judgment determining insurance coverage for asbestos-related personal injury claims. Plaintiff IMO Industries, Inc. is the insured and the successor to a manufacturer of industrial products that contained asbestos. Defendants are primary and excess liability insurers, as well as Transamerica Corporation, the former parent company of the predecessor manufacturer.
Over the years, IMO purchased a total of $1.85 billion in insurance coverage from all the defendant insurers. That amount is sufficient to pay for its anticipated liabilities and defense costs for asbestos-related personal injury claims. Nonetheless, IMO initiated this litigation to establish its rights under those insurance policies and to recover money damages.
Among many issues and topics, the appeals present some questions that have not been previously addressed in the New Jersey Supreme Court's insurance allocation decisions for so-called long-tail environmental losses, beginning with
Having considered the record and the parties' written and oral arguments, we find no ground to reverse the many rulings of the several judges who presided over this litigation. We affirm the final judgment of the Law Division.
Plaintiff IMO originated in 1901 as the Delaval Steam Turbine Company. It manufactured turbines, pumps, gears, and other machinery with industrial and military uses, including for United States Navy ships. In some of Delaval's products manufactured from the 1940s to the 1980s, component parts contained asbestos.
Defendant Transamerica is a holding company that acquired Delaval in 1963. Delaval operated as a subsidiary of Transamerica under different names until its divestiture in 1986 by means of a spin-off to shareholders. After the divestiture, plaintiff became IMO Industries, Inc.
From the 1960s until 1993, Transamerica owned Transamerica Insurance Company, which became defendant TIG Insurance Company ("TIG") when it was divested in 1993. Transamerica acquired Pyramid Insurance Company of Bermuda in the 1970s and still owned it at the time of this litigation. Transamerica, TIG, and Pyramid are at times collectively referred to in this litigation as the Transamerica defendants.
The other defendants are insurance companies, together with their predecessors and affiliates, that provided different levels of primary or excess liability insurance to plaintiff or Transamerica. Among the excess insurers that have raised issues on appeal are two groups of insurers that we will refer to in this opinion as "ACE" and "LMI."
In 1972, Transamerica established a corporate risk management program ("TARM") that oversaw insurance matters for its subsidiaries. The objectives of the TARM program were to protect Transamerica and its subsidiaries from catastrophic losses and to minimize costs for insurance coverage and accidental losses. According to Transamerica's director of risk management in the 1980s, the TARM program was never intended to be an insurer for subsidiaries, although Transamerica would often pay losses that fell within a subsidiary's self-insured retention ("SIR"). A SIR operates in some ways like a deductible for an insurance policy but also is significantly different, as we will discuss later in this opinion. The TARM program procured insurance on behalf of Transamerica's subsidiaries in exchange for an annual fee. The fee covered the costs of purchasing insurance, TARM's operating costs, and the subsidiary's share of losses.
Transamerica would charge back its payments covering a subsidiary's SIRs through the risk management fees. Subsidiaries like IMO that experienced unique or significant losses were also charged a catastrophe fee beyond the normal risk management fee. Before its divestiture in 1986, IMO had paid approximately $33 million in such fees to Transamerica.
Before 1964, IMO had general liability policies issued by New Jersey Manufacturers Insurance Company ("NJM") and Aetna Casualty and Surety Company ("Aetna"). From 1964 to 1972, IMO purchased primary insurance directly from TIG. We will refer to these pre-1972 policies as TIG's "direct policies."
From 1972 through 1976, Transamerica purchased insurance on behalf of IMO from the Highlands Insurance Company. The Highlands policies were written above a $100,000 SIR, meaning that IMO's losses must exceed that level of loss from any single occurrence before it could access coverage under the Highlands policies. There was no insurance in place to cover IMO's SIR. TIG also issued excess policies to IMO during this time period.
From 1977 to 1986, Transamerica purchased first-layer excess insurance coverage for IMO from ACE and Pyramid. These policies also required SIRs. To cover the SIRs, Transamerica purchased insurance policies from TIG, which are referred to in this litigation as "fronting policies." These policies allowed IMO to obtain insurance certificates showing full coverage for all losses. The "fronting" reference meant there was no risk assumed by the insurance carrier, here TIG.
The TIG fronting policies had stated coverage limits of $1 million from 1977 through 1984 and higher limits for 1985 and 1986, totaling in the aggregate $10.75 million for the ten-year period. For the fronting policies in effect from 1977 through 1981, defense costs were paid "outside the limits" of the policies. This means that the policies would pay their stated $1 million indemnity limits plus defense costs; the defense costs were supplemental to the indemnification coverage and did not erode the indemnity limits. We will refer to these policies as "outside the limits" policies. Defense costs for the policies in effect from 1982 through 1986 were within the policy limits, meaning payments for defense costs did erode the indemnity limits.
Thus, IMO had "direct policies" from TIG from 1964 through 1972, excess policies at various times including 1972 through 1976, and "fronting policies" from 1977 to 1986, the first five years of which were "outside the limits" policies. Over the years since the 1986 divestiture, TIG made payments totaling more than $30 million for IMO's asbestos liabilities and defense costs from both its direct and fronting policies. Adding TIG's payments from excess policies, TIG paid IMO more than $72 million for its asbestos liabilities and costs.
IMO also received payments from Pyramid's excess policies, including from the time that TIG claimed it had no more responsibility for IMO's losses.
Digressing briefly from the facts to restate the lead issue in this appeal, TIG claims its policies are exhausted because it has paid far more than the amount of loss allocated to it under the
Between 1976 and 1992, Transamerica entered into four agreements with TIG to indemnify TIG for its payments under the fronting policies. In 1992, Transamerica and TIG also entered into an agreement with regard to the pre-1972 direct policies pursuant to which Transamerica would contribute to TIG half the total amounts of defense and indemnity sought by IMO for asbestos litigation. The result of these agreements was that Transamerica actually paid approximately half the amounts paid by TIG to IMO under its direct and fronting policies.
In 1986, Transamerica divested IMO's predecessor by spinning off its shares to Transamerica shareholders, and the new company became IMO. The terms of the divestiture were contained in a Distribution Agreement dated December 18, 1986. On the subject of insurance coverage, the agreement stated:
A dispute on appeal pertains to the underscored language and the obligations, if any, it imposes upon Transamerica after the divestiture.
At the time of the 1986 divestiture, IMO had been named as a third-party defendant in three asbestos liability lawsuits. IMO tendered these claims to TIG for indemnification and defense. TIG provided one hundred percent of the funds to pay these claims, and Transamerica then reimbursed TIG at least half that amount pursuant to their agreements. Many more asbestos claims were filed after the divestiture, and TIG continued to provide a defense to IMO under both its direct policies and its fronting policies.
In 1989, IMO sent "first notice" letters to excess insurers. These letters made no demand for payment and provided minimal information about the claims against IMO or any underlying policies that might be in place. In fact, according to the excess insurers, IMO told them it had ample primary insurance coverage and their policies were unlikely to be reached in the foreseeable future.
In 1991, IMO discovered NJM's and Aetna's older primary insurance policies and tendered its asbestos claims to NJM and to Travelers Insurance Company ("Travelers") as successor to Aetna. Aetna's policies covered IMO from 1955 to 1964. On September 30, 1992, IMO entered into an Interim Defense and Indemnification Funding Agreement ("IFA") with TIG and Aetna/Travelers under which all defense costs were to be paid by TIG and Aetna, and indemnity payments were split in three equal shares among TIG, Aetna, and IMO.
NJM, on the other hand, did not acknowledge coverage on its primary liability policies issued to IMO from 1935 through 1954. IMO filed suit against NJM and was successful in compelling it to provide coverage. On March 24, 1993, IMO entered into an IFA with NJM, which applied in conjunction with the earlier IFA with TIG and Aetna/Travelers. Neither of the two IFAs was intended to be a final allocation of IMO's losses, and both reserved the parties' rights to seek reallocation of the amounts paid.
Under the two IFAs, defense costs were split equally among Aetna, NJM, and TIG, and indemnity costs were split equally among the three insurers and IMO. In 1998, NJM declared its policies exhausted, having paid $4,234,703 in defense and indemnity costs. It made no further payments after that time. When Aetna balked at continuing payments, IMO filed suit against Aetna and IMO's excess insurers seeking to compel payments under Aetna's IFA. IMO did not actively pursue the matter against the excess insurers, and in 2000 it voluntarily dismissed them from the litigation. A new sharing arrangement was reached among Aetna/Travelers, TIG, and IMO under which Aetna paid one fourth of defense costs and one fourth of indemnity costs, IMO paid one third of indemnity costs and none of the defense costs, and the balance of both types of costs was paid by TIG.
Aetna declared its policies exhausted in August 2003, having paid a total of $15,240,064. IMO did not challenge Aetna's declaration of exhaustion. TIG then continued making payments under the IFAs for several more months, paying one hundred percent of defense costs and two thirds of the indemnity costs. All of IMO's defense costs through the end of 2003 were paid by means of the IFAs, and IMO incurred no unreimbursed defense costs through that time.
In early 2004, when TIG declared its 1977 through 1986 fronting policy limits exhausted, TIG had paid a total of $30,856,193 to IMO as reimbursement of indemnity and defense costs, these payments being allocated by TIG to both its pre-1972 direct policies and to the 1977 through 1986 fronting policies.
The New Jersey Supreme Court's 1994 decision in
In July 1998, the Court issued its decision in
In November 1998, representatives from IMO, TIG, and Transamerica met and discussed applying the
In 2002, IMO sought assurance from the Transamerica defendants that they would continue to pay full defense costs and most of the indemnity costs for asbestos claims. When assurance was not given, IMO filed its initial complaint in August 2003 against the Transamerica defendants.
In early 2004, the Transamerica defendants informed IMO that TIG's fronting policies were exhausted as of December 31, 2003. A February 4, 2004 letter written by counsel for Pyramid stated that, up to December 31, 2003, Transamerica had paid "at least $9,703,101 in indemnity for asbestos bodily injury claims, and at least $5,138,148 for expenses for those claims" and that those sums exceeded the amount of the SIRs and the limits of TIG's fronting policies. The letter informed IMO that any future payments for indemnity and expenses would be paid "by Pyramid's excess policies, up to the limits of the Pyramid policies." Pyramid's future payments would be based on its
Although IMO eventually added the excess insurers to the present litigation, it initially told them in private meetings that it had done so to avoid inconsistent judgments if active litigation against the excess insurers were to become necessary in the future. IMO reassured the excess insurers that their policies were not going to be reached because the TIG "outside the limits" policies for 1977 through 1981 would never reach their limits of coverage.
In July 2005, IMO appeared to waver in its belief that the TIG policies had not been exhausted. As a result, Pyramid agreed that its excess policies were triggered and advanced IMO $2 million toward defense invoices. In August 2005, however, IMO again asserted that the TIG policies had not been exhausted. Pyramid then stopped making payments.
On August 21, 2007, IMO wrote to excess insurers demanding that they pay IMO's asbestos losses in accordance with an allocation calculated by IMO's expert, Dr. Charles Mullin. In his trial testimony, Mullin reviewed his calculations and agreed that they indicated TIG's fronting policies should be allocated $13,349,296 in defense and indemnity costs. He subsequently adjusted that figure to $13,433,600.
Since making its August 2007 demand on excess insurers, IMO has settled with more than a dozen of them, with total policy limits of at least $708 million. Some of the excess insurers that did not settle and raise issues in this appeal have also paid millions of dollars to IMO under their policies.
On September 10, 2008, IMO produced a new allocation of losses and claimed that TIG and Transamerica owed millions more than the approximately $13.5 million calculated in Mullin's earlier allocations. IMO based this claim on TIG's continuing obligation to pay defense costs under the first five fronting policies until its actual payments of indemnification obligations, rather than allocation, reached the $1 million level of each policy. IMO claimed that allocation of losses to the fronting policies under the
In this litigation, IMO has referred to this coverage position by several different names, including "bookend" and "limitless defense costs." The Transamerica defendants refer to it as the "running spigot" theory of coverage under TIG's fronting policies of 1977 through 1981. The crux of this theory is that, with defense costs being paid outside the policy limits, TIG's obligation to cover defense costs for claims that could be attributed to those policy years would continue until TIG actually paid $1 million in indemnity costs from the policy in each of those years. With the small amount of indemnity payments on the liability that IMO has for injured plaintiffs in asbestos cases (many of those cases settling for only several thousand dollars from IMO), the limits of the TIG "outside the limits" policies would not be reached for many years. TIG's obligation to continue paying for defense costs would continue indefinitely.
IMO began this litigation with its first complaint and jury demand filed in August 2003 against only the Transamerica defendants. It sought a declaration of rights and obligations under the TARM program and under the primary and excess insurance policies issued by TIG and Pyramid. It also sought compensatory and punitive damages for breach of contract and related causes of action. Defendants filed answers, cross-claims, counterclaims, and a third-party complaint against three excess insurance carriers.
In 2004, IMO filed a second amended complaint, adding new claims against the Transamerica defendants and also naming numerous excess insurers as defendants. Over time in this litigation, most of the excess insurers either settled with IMO or were dismissed from the case. Twelve defendants remained in the case at the time of the trials beginning in 2009.
In the intervening time, the court entered orders holding that New Jersey law is applicable to certain pertinent issues, granting or denying summary judgment on various grounds, determining that the
In January 2009, Retired Judge Robert Muir, Jr., was recalled to the bench and assigned to the case. At about that time, Pyramid and TIG renewed motions they had filed earlier to strike plaintiff's jury demand and to proceed with a bench trial. On June 30, 2009, Judge Muir granted the motions and ordered that all issues would be tried without a jury. This court and the Supreme Court denied IMO's motions for leave to appeal that ruling.
In June 2009, Judge Muir tried the issues related to certain excess insurers in a four-day bench trial. He issued a final decision and order on the excess insurers' coverage disputes on December 16, 2009. Several excess insurers — including ACE, LMI, and Zurich American Insurance Company and its predecessors and affiliates ("Zurich") — have cross-appealed, challenging Judge Muir's December 2009 decision as well as other aspects of the final judgment entered two years later.
After the June 2009 bench trial, Judge Muir scheduled separate bench trials on two major issues. At the Phase I trial conducted in the early months of 2010, the issue was whether the TIG fronting policies were in fact exhausted. Judge Muir found by an oral decision on October 14, 2010, that the policies were not only exhausted by the end of 2003, but that TIG had overpaid its obligations.
In reaching that conclusion, Judge Muir found that IMO's allocation expert, Mullin, was not a credible witness and that IMO's "limitless defense costs" or "running spigot" theory was not supported by the evidence or legal precedent. He determined that TIG had paid $9,655,200 in indemnity losses and $6,254,400 in defense costs, for a total of $15,909,600 paid under its fronting policies of 1977 through 1986 and also excess policies from 1972 through 1976. Since the judge's findings allocated $13,636,700 to IMO's defense costs and indemnification losses during that time period based on an allocation model prepared by the SAM, TIG had overpaid its obligations by $2,271,900. Judge Muir stated it would be inequitable and unconscionable to allow IMO to keep the overpayments, but he did not rule further with respect to disposition of TIG's overpayments, and did not reach any decision as to payments TIG had made under its pre-1972 direct policies.
At the Phase II trial held in the spring of 2010, Judge Muir considered the dispute between IMO and Transamerica. In his written decision issued on December 29, 2010, the judge found that IMO had failed to establish the existence of an implied-in-fact contract requiring Transamerica to continue reimbursing IMO for its SIRs and other unreimbursed costs of asbestos claims, and that the written Distribution Agreement controlling the 1986 divestiture of IMO is an unambiguous contract that governs the issues between IMO and Transamerica. The judge rejected IMO's assertion that Transamerica was IMO's de facto insurer for its SIRs, deductibles, and other expenses, and he dismissed IMO's claims for breach of contract, estoppel, and bad faith.
Judge Muir completed his service on recall in January 2011 after issuing his decisions on the Phase I and Phase II trials. Retired Judge Donald Coburn was then assigned on recall to preside over the case.
Following the Phase I trial, the SAM prepared a retroactive allocation of IMO's losses, which "ignored" payments by TIG and others in calculating the allocation figures and made no recommendations as to the treatment of overpayments by TIG that Judge Muir had found. Because the SAM's report attributed defense costs to TIG after 2003, it concluded that TIG still owed IMO almost $2 million under the fronting policies.
Judge Coburn directed the SAM to prepare a new loss allocation report that did not accept IMO's "running spigot" theory and took into account all payments made by TIG. The SAM's revised allocation schedule issued in April 2011 was based on total estimated costs to IMO of $325 million through the end of 2010. It allocated $15,232,832 to the TIG fronting policies under what TIG calls a "modified spigot" theory.
In his ruling on the final loss allocation, Judge Coburn rejected parts of the SAM's revised allocation schedule as contrary to Judge Muir's Phase I decision. Applying Judge Muir's decision that TIG payments from policy years that were overpaid would be transferred to those years that were underpaid, Judge Coburn determined that all payments from TIG, including those previously attributed to the pre-1972 direct policies, could be transferred to determine if policies were exhausted under the proper
Judge Coburn adjusted the SAM's calculation by reducing defense costs attributed to TIG by the amounts incurred after the TIG policies were exhausted. He allocated $8,165,364 in indemnity and $5,159,341 in defense costs to TIG's pre-1972 direct policies, a total of $13,324,705. He allocated $8,403,478 in indemnity and $5,342,606 in defense costs to TIG's fronting policies, a total of $13,746,084. By taking into account TIG's payments under the IFAs, which totaled $30,856,193, and also payments made by another insurer affiliated with TIG, Judge Coburn determined that TIG had overpaid IMO $15,201,438, which he rounded off to $15,200,000.
Judge Coburn suggested that the parties discuss resolution of how that amount might be reimbursed to TIG by the excess insurers that had coverage obligations. The parties, however, were not able to resolve the issue. By final judgment dated August 16, 2011, the judge awarded $15,200,000 to TIG as money damages against IMO for TIG's overpayments on its policies, plus prejudgment interest of $1,400,000. Of the amount awarded to TIG, the judgment accounted for a total of $8,521,771 as sums paid or to be paid by ACE, LMI, and one other excess insurer to IMO, the balance being IMO's separate responsibility.
The final judgment also declared that Transamerica had no further obligation to IMO for its asbestos claims, and the excess insurers were ordered to pay their shares according to the allocation schedule adopted by the final judgment. The judgment also denied IMO's application for attorneys' fees and prejudgment interest and Transamerica's application for attorneys' fees under an indemnification provision of the 1986 Distribution Agreement. All remaining claims, counterclaims, and cross-claims that were not specifically addressed in the final judgment were dismissed with prejudice.
The lead issue in the case — the exhaustion issue — is whether TIG must cover defense costs for an endless or indefinite time until it has actually paid the indemnification limits of its policies, or whether those policies were exhausted and TIG has no further obligations to IMO.
IMO, some excess insurers, and amicus curiae Independent Energy Producers of New Jersey claim error in Judge Muir's exhaustion decision and its implementation by Judge Coburn in the final allocation judgment. They contend the judges failed to hold TIG liable for a continuing obligation to pay defense costs although the fronting policies from 1977 through 1981 require payment of defense costs "outside the limits" of the indemnification coverage.
The policies provide that the insurer will "not be obligated to pay any claim or judgment or to defend any suit after the applicable limit of the company's liability has been exhausted
Before we address this argument, we will review
The insurance policies in
The Court reviewed a number of options to resolve the question of determining the "occurrence" of an injury that does not manifest for many years. It ultimately adopted a "continuous-trigger" theory by which an injury would trigger coverage continuously from the date of the claimant's first exposure to asbestos onward as a single "occurrence" for each year.
The Court "recognize[d] the difficulties of apportioning costs with any scientific certainty," but accepted that a "rough measure" of each insurer's proportionate allocation of losses might be the best that could be achieved.
In
The Court also rejected the insured's contention that the entire universe of losses should be collapsed to a single year so as to access immediately the coverage from all insurers for that one year.
In
Thus
The Court again affirmed the allocation model in
IMO argues this last-quoted explanation by the Court means that the
IMO and amicus curiae contend that Judge Coburn mistakenly deemed the policy language requiring actual payment to be ambiguous and inappropriately resolved that ambiguity in favor of his own belief that a reasonable insured would never expect coverage of defense costs far exceeding the indemnity limits of a policy. Judge Coburn commented that an insurer would pay its indemnification limit in full before incurring a much larger obligation to pay defense costs, but IMO and amicus curiae contend that case law prohibits an insurer that provided "outside the limits" defense coverage from avoiding its obligations by paying its indemnity limit and then abandoning the insured.
According to IMO and amicus curiae, many insureds actively seek and bargain for limitless coverage of litigation defense and related costs. Amicus curiae cites examples in the federal courts to support its argument that such coverage may far exceed the limits of the indemnification obligation of the insurer.
In his final allocation decision, Judge Coburn first noted that coverage for defense costs outside policy limits was provided in policies representing only $40.6 million of more than $1.85 billion of total coverage. Consequently, the SAM's allocation schedule had "only used the indemnity amount of each policy without attempting to include any value for those portions of policies that paid defense costs in addition to the face amount." The parties agreed with this approach for the sake of efficiency since the difference in the allocation percentages would be negligible.
Judge Coburn disagreed with IMO that the policy language of TIG's "outside the limits" fronting policies unambiguously requires exhaustion by formal payment. He stated he would construe that language consistently with
IMO and amicus curiae also criticize Judge Coburn's statements that the expectations of the parties would not make sense if the obligation of TIG to pay defense costs far exceeded its obligation to provide indemnity coverage under any policy. They argue that many liability policies provide for coverage of litigation or defense expenses far beyond the indemnification limits of the policies, and courts have uniformly recognized the enforceability of such policy provisions.
We recognize that some of Judge Coburn's statements in his oral decision of May 24, 2011, if applied to other types of liability coverage, may deviate from the expectations of insureds who purchase "outside the limits" policies and pay premiums to cover all their litigation expenses. But Judge Coburn was not addressing a typical insurance claim for a single occurrence and a single insurance policy. He was deciding how the allocation model established in
To allay some of the fears expressed by amicus curiae, the exhaustion decision in this case is closely tied to its facts. We reach no general conclusion that an insurer's obligations to cover defense costs and other litigation expenses through an "outside the limits" policy is limited by the maximum amount of indemnification coverage provided in that policy.
In the context of crafting a fair though imprecise allocation model for long-tail claims, our Supreme Court has allowed that a policy term that is contrary to the model may "drop[] out of the policy."
Challenging the final allocation judgment on a separate ground, IMO argues that the payments from TIG that were not reimbursed by Transamerica were paid out of the direct policies pre-dating 1972 and should not be attributed to the fronting policies from 1977 to 1986. According to IMO, Judge Coburn deviated from Judge Muir's decision in transferring payments across policy years, resulting in Judge Coburn's finding that TIG had overpaid its obligations by $15.2 million rather than the approximately $2.27 million that Judge Muir found.
Judge Muir's legal conclusion, however, was not as IMO claims. In responding to IMO's contention that TIG payments reimbursed by Transamerica should not be credited to TIG's allocations, Judge Muir concluded that Transamerica's payments were equally applicable for TIG's exhaustion purposes as were TIG's unreimbursed payments. He stated:
But Judge Muir did not limit the transfer of overpayments on TIG policies to the years that the fronting policies were in effect. The final allocation schedule adopted by the court showed some of TIG's policies individually overpaid and others individually underpaid. Judge Coburn carried forward to additional calculations Judge Muir's conclusion that overpaid years could be shifted to underpaid years and that IMO should not be permitted to retain the total overpayment once the allocation schedule was complete and the entirety of TIG's obligations was determined.
TIG's payments totaled more than $30 million. Although some of those payments are attributable to the pre-1972 direct policies, more than $15 million, according to Judge Muir's findings and more than $13 million according to Judge Coburn's findings based on a revised allocation schedule, were attributable to TIG's fronting policies. There is no dispute that TIG made payments that exceeded the aggregate of its
We also reject IMO's argument that such retrospective shifting of payments across coverage years violates the holding of
A contrary conclusion on shifting of payments among coverage years might provide an incentive for an insurer not to pay claims promptly on the chance that a future development in the law, or the discovery of additional policies and additional responsible insurers, results in a lesser obligation. When TIG, acting alone or in conjunction with Aetna and NJM, paid for IMO's defense expenses in full under the IFAs through 2003, it did so without a concession that its payments were the correct amount of its allocated responsibility and without waiving a right to claim credits when a final allocation was determined.
As a result of Judge Muir's and Judge Coburn's decisions, defense costs are allocated to TIG's fronting policies in general conformity with the risks transferred to those policies. Once the indemnity limits of the fronting policies were reached by allocation, and the prior aggregate payments from TIG exceeded those allocations, TIG's coverage was exhausted. The alternative, that TIG's responsibility for defense costs would remain open indefinitely, would contradict the mandate of
IMO further contends that the trial judges ignored the insurers' contemporaneous conduct in performing their obligations under the policies. It contends that TIG and Transamerica made payments for seventeen years after the 1986 divestiture because they understood their obligations to do so under their contracts with IMO. We reject this argument, too.
It hinges on a spreadsheet prepared by a representative of Transamerica, which shows that the policies were overpaid in the aggregate but not all the individual fronting policies had sufficient losses allocated to exhaust them outright. Judge Muir rejected the probative value of the spreadsheet as both inaccurate in its figures and ultimately immaterial to an
TIG made payments in good faith pursuant to the IFAs. At the time of TIG's payments, allocation pursuant to
It was also a product of IMO's refusal to allow a
In addition, IMO's "running spigot" theory contradicts the dictates of
Finally, Transamerica and TIG offer as an alternative ground for affirmance of the exhaustion issue that IMO should be barred from raising its "running spigot" theory by the doctrine of unclean hands. That doctrine permits the court to refuse equitable relief to a "wrongdoer with respect to the subject matter of the suit," specifically where the party is "guilty of bad faith . . . in the underlying transaction."
Because IMO had previously insisted that TIG adhere to its obligations under the IFAs rather than determine its obligations pursuant to the
In sum, Judge Muir correctly determined that payments by or on behalf of a single insurer could be shifted from one policy year to another to determine exhaustion, and that the TIG fronting policies were exhausted by the end of 2003. In addition, Judge Coburn's final judgment, which deemed the fronting policies exhausted by allocation rather than by payment on specific policies, was consistent with the dictates of
On cross-appeals, ACE, LMI, and TIG allege error in the treatment of multi-year policies in the allocation schedule. They contend that the plain language of their multi-year policies mandates that a single coverage limit for the entire term of the policy should have been used in the allocation schedule rather than the full coverage limit for each year the policy was in effect. They contend there was no basis for relying on extrinsic evidence to interpret the policies, and the trial court's acceptance of annualized application of the coverage limits results in multiplying the coverage that IMO purchased by the number of years the policies were in effect.
ACE and LMI challenge Judge Muir's adoption of the SAM's ruling imposing annual
IMO does not dispute that the plain language of the policies would impose per-occurrence limits on a term rather than annual basis, but it sought a blanket ruling that every year of a multi-year policy should be treated as if a separate annual limit is available for asbestos claims.
The SAM noted that
On November 18, 2009, Judge Muir affirmed the SAM's recommendation in a written opinion and conforming order. The judge observed:
We agree and affirm the judge's decision.
First, we note that the cases upon which ACE and LMI rely,
In
The District Court understood "occurrence" in these cases to mean "discrete and separate injury in every year."
We implicitly endorsed the holding of
Were it not for the pro-rata methodology adopted in
Judge Muir's decision adopting annualized application of the per-occurrence limits of the ACE and LMI multi-year policies is a fairer allocation of the risks transferred and assumed by those policies.
TIG challenges the grant of summary judgment to IMO as to the proper interpretation of a three-year policy it issued in the 1960s. Specifically, TIG contends that the $2.5-million
IMO initially presented the issue to the special discovery master ("SDM") appointed for this litigation, a different individual from the SAM. The SDM ruled that the policy language was ambiguous in regard to an annual aggregate limit or a single limit for the entire three-year period of the policy. He further ruled that the only available extrinsic evidence bearing on the policy's interpretation was so one-sided in favor of IMO's position as to justify the conclusion that the $2.5 million aggregate limit applied separately in each policy year. The trial court subsequently adopted the SDM's ruling.
The relevant facts are that TIG issued a policy that ran from July 1, 1967, to July 1, 1970. The policy provided bodily injury coverage under its Coverage A designation and property damage coverage under its Coverage B designation. The declarations page described Coverage A as having an aggregate products liability limit of $2.5 million and Coverage B as having limits of $500,000 each for aggregate products, operations, protective, and contractual liabilities.
Section 6 of the policy, which addressed products liability Coverages A and B, provided that, "[s]ubject to the limit of liability with respect to `each occurrence' the limits of bodily injury liability and property damage liability stated in the Declarations as `aggregate products' are respectively the total limits of the Company's liability for all damages arising out of the products hazard." Section 7, which addressed operations, protective, and contractual liability under Coverage B, used similar language to delineate the boundaries of those coverages, but explicitly added in a final, isolated sentence that "[a]ggregate limits of liability as stated in the Declarations shall apply
In response, TIG cites
There is support in the case law for TIG's argument that a multi-year policy should not be interpreted as having annual coverage limits unless the language of the policy provides such limits.
We do not find legal error in the SDM's and the trial court's conclusion that the policy at issue here was sufficiently ambiguous that resort to extrinsic evidence should be employed to interpret it. The representatives of TIG who had responsibility for implementing the policy invariably applied an annual $2.5 million aggregate limit in their handling of pertinent claims and in other communications.
TIG argues that the actions of those employees were not relevant to interpreting the policy because they were not involved in drafting or issuing the policy in 1967. They were administering the terms of the policy some thirty years later without ever having reviewed the clear limitations language of the policy. The limitations language of the policy, however, is not as clear as TIG claims, and TIG had no witness to contradict the interpretation that its own representatives placed on the multi-year policy.
We do not find reversible error in the trial court's ruling. The court's application of an annual aggregate limit for bodily injury to each year of TIG's multi-year policy was consistent with the
The ACE defendants claim that the coverage limit of a "stub policy," that is, a policy issued or extended for only part of a year, should be pro-rated. They assert that assigning the full policy limit for purposes of the
An ACE policy in effect from February 13, 1976, to January 1, 1977, provides umbrella liability coverage to a limit of $1 million for each occurrence, and $1 million annual aggregate. ACE contends its coverage limit should be pro-rated to reflect the time on the risk, which would be eleven-twelfths (or 0.9167) of $1 million.
The SAM found that policies issued or extended for a term of less than one year should be treated for purposes of the allocation as having a separate annual aggregate limit that will be in place for the term of the shortened policy period. Judge Muir adopted the SAM's report and recommendation.
In
Our holding in
Judge Muir did not err in attributing the full policy limit to the ACE policy for the period of time it insured the risk.
ACE contends that the trial court erred in determining that IMO's payment of its SIR obligations was outside the coverage limits of ACE policies.
ACE issued two excess umbrella policies to Transamerica and its subsidiaries, which were in effect from January 1, 1976, through April 1, 1979. They provided a $1,000,000 limit of coverage, and also stated:
ACE sought a ruling that the limits of the policies were eroded by IMO's retention of $500,000. The SAM issued a written report and recommendation concluding that the $1 million annual limits are not eroded by the retention. He noted that "[i]t is long standing custom and practice in the insurance industry to distinguish between deductibles and self insured retentions." While the limits of a policy are reduced by a deductible, they remain intact in the case of a self-insured retention. The SAM rejected ACE's argument that the phrase "that would otherwise be recoverable" as quoted from the policy demonstrated an intention that the $500,000 "retention" would be deducted from the coverage limits.
The SAM also observed that ACE's position was weakened by its past course of conduct. It had paid its full $1 million limit for claims occurring during the 1977-78 policy period. Moreover, an ACE claims adjuster stated in a 1980 status report that the policy limits were "in excess of a self insured retention of the insured of $500,000 each occurrence plus an annual aggregate of an additional $500,000 which can be utilized only once per year." The SAM found that the adjustor's "interpretation of the clause is entirely logical and consistent with the reading of the endorsements whereby the word `retained' is given the standard meaning denoting a self insured retention, as commonly understood in the insurance industry."
Judge Muir adopted the SAM's ruling and denied ACE's motion for summary judgment with respect to this issue. The final judgment allocated a total of $1 million each to the two ACE policies.
Although the SAM found that the distinction between a deductible and a SIR is "black letter insurance law," the issue appears not to have been directly addressed by a New Jersey court. In fact, we have in the past observed that "[o]ur courts appear to have used the terms self-insured retention and deductible interchangeably."
New Jersey courts have recognized that an insured's deductible erodes the policy limits.
Here, the $500,000 "retained by the insured" would reduce the coverage limit from $1 million if it is a deductible, but leave the $1 million intact if it is a SIR. In the policies, the $500,000 is described as an amount to be
As to ACE's argument that the SAM should not have considered extrinsic evidence of the parties' intent, that ground for the SAM's ruling was included as a secondary rationale. Moreover, the conduct of the parties does provide an important source for deriving their intent as to the meaning of an insurance contract.
The assignment of $1 million limits to the subject ACE policies was not error in the allocation schedule.
ACE and LMI, joined by other excess insurers, challenge Judge Muir's decision at the 2009 excess insurers' trial that coverage issues would not be re-litigated for each individual asbestos claim. Judge Muir relied on language in
Ordinarily, the insured "bears the burden of establishing that a claim lies within [a] policy's scope of coverage."
Judge Muir first observed that IMO and the insurers that had participated in its defense had adopted reasonable procedures for settling only claims for which IMO potentially faced liability. At the time of that observation, about 75,000 asbestos-related claims had been filed against IMO, of which IMO had settled approximately 15,000 and obtained dismissal of about 30,000. IMO began to notify the excess insurers of the claims in 1989 and offered to make its claim files available to them for inspection. Meanwhile, the excess insurers declined to involve themselves in defense of the claims. They chose their course of action although they had the right, explicitly stated in their policies, to associate in the defense. Judge Muir considered this "continuing indifference" to be "tantamount to a refusal [by the excess insurers] to involve themselves in presented-claims defense."
A primary insurer that refuses its obligation to defend claims against its insured without first timely challenging coverage forfeits the right to hold an insured to that burden at a later time.
In
Judge Muir understood this last directive of the Court as applying with equal force to primary and excess insurers to bar them from contesting coverage of claims. He stated that
Applying the language used by the Supreme Court in
ACE and LMI contend they have a right as excess insurers but no affirmative duty to associate in IMO's defense. They add that
As this court's underlying opinion in
It stands to reason that accommodating a challenge to coverage in tens of thousands of individual claims would not only prove daunting but would compromise the integrity of the framework
Nor is our conclusion inequitable. IMO put the excess insurers on notice of the thousands of claims against it, and
The trial court appropriately gave effect to a plainly stated directive of
ACE argues that the court erred in determining that defense costs incurred by IMO in connection with uncovered asbestos claims are recoverable under policies that limit defense reimbursement to costs paid as a consequence of a covered occurrence. ACE contends the majority of its policies are ultimate net loss policies that only obligate it to indemnify IMO where IMO itself becomes obligated by adjudication or compromise to pay for a covered occurrence. Relying on case law from other jurisdictions, ACE maintains that courts interpreting similar policy language have held that the duty to indemnify defense costs arises only when the costs are incurred in connection with covered claims.
LMI advances the same argument, although its policies differ from the ACE policies. However, both excess insurers' policies use the same definition of ultimate net loss. LMI argues that the ultimate net loss provision makes the existence of an actually covered claim, and not just a potentially covered claim, a prerequisite for indemnification of defense costs. It asserts that requiring IMO to segregate defense costs and to identify those utilized for actually covered claims would have no impact on the allocation process, and it would not be overly difficult to apportion defense costs after the allocation is completed.
IMO responds that the excess insurers' policies promise to pay for the costs of defending liabilities arising from covered "occurrences," not covered "claims." It emphasizes that
IMO further asserts that the excess insurers have relied on cases that are not pertinent to the proper definition of occurrence, and that the differences between the law of New Jersey and the law of New York and other states as to the nature of a covered occurrence distinguish the holdings of the case law cited by ACE and LMI. IMO argues that the trial court's refusal to parse defense costs between covered and uncovered claims accords with the realities of defending mass tort claims, where the effective defense of meritless claims is part and parcel of the defense of covered claims.
A representative provision of the many policies involved provides that the insurer will indemnify the insured:
A representative underlying policy covers damages and expenses for the insured's "ultimate net loss," which it defines as:
The excess insurers argue that the phrase "be [or becomes] obligated to pay" absolves them of paying for defending against claims that are dismissed or adjudicated to be without merit.
In a written report and recommendation dated March 27, 2008, the SAM ruled that "[t]he common straightforward reading of the language is that indemnification for defense related expenses must be related to an occurrence. If there is no occurrence then there can be no covered damages." He observed that New Jersey law defines the occurrence as IMO's decision to sell asbestos products, and concluded that all of IMO's defense expenses flow from that decision. He therefore recommended that the court deny the excess insurers' motion and find that IMO is entitled to receive indemnity for all its defense expenses.
On the request of LMI and ACE for reconsideration, the SAM noted: "Mass-tort asbestos claims are defended very differently from the average claims," and some defendants choose to try questionable cases to a conclusion in order to send a deterrent message to the plaintiffs' bar. He also noted that applying LMI's and ACE's interpretation of an occurrence to each individual claim would present a significant practical challenge, in that it would impose an unworkable burden on IMO and require the expenditure of substantial judicial resources. He added:
Judge Muir adopted the SAM's reasoning and ruling by an order dated November 4, 2009.
Both the excess policies and the underlying policies obligate the insurers to pay for damages arising out of an "occurrence." In
The same result must follow here in the context of proving coverage for each individual claimant. The excess insurers' obligation to cover IMO's ultimate net losses, which include defense costs, was triggered when IMO manufactured and sold asbestos-containing products and claimants became injured by those products. IMO's decision to trade in such products resulted in IMO paying damages to claimants following litigation or settlement. Under the terms of the excess insurance policies, LMI and ACE are required to indemnify IMO for the sums it expended in defending all those claims.
The conclusion that the excess insurers must reimburse IMO for defense costs even if some of them were incurred to defend uncovered claims is also compelled by another aspect of
The unpublished and out-of-state decisions cited by the excess insurers are not controlling. None of them applies an analysis based on the principles articulated in
We affirm the trial court's ruling that defense costs are subject to allocation even if a portion of them ultimately were devoted to defending against claims that were determined not to be covered under the insurance policies.
IMO contends that the court erred in denying its demand for a jury trial on the legal issues in the case for which it sought money damages. More specifically, IMO argues that the court improperly relied on the relief sought in IMO's original complaint. It further argues that claims for future costs did not predominate the Phase I and II trials, and that the court misapplied the holding of
IMO sought a jury trial on its TARM and bad faith claims against the Transamerica defendants and on its bad faith denial of coverage claims against other insurers, for which it sought compensatory and punitive damages. The Transamerica defendants moved to strike IMO's jury demand, arguing that IMO's claims were predominately equitable, that all the claims that sought money damages were ancillary to IMO's declaratory judgment and specific performance claims, and that relevant case law supported dispensing with a jury in the complex circumstances of this litigation.
Judge Muir reviewed the substance of the original complaint and each amended complaint filed by IMO. He stated that the equitable or legal nature of a lawsuit is primarily determined by the remedies sought in the original complaint.
"Failure to grant a constitutionally guaranteed right of jury trial is not amenable to the harmless error rule."
IMO does not have a right to a jury trial unless such a right is in fact found in our State Constitution or in a statute.
The Declaratory Judgment Act,
In general, a jury trial is available in an action at law, but not in an action in equity.
IMO alleges that its third amended complaint contained prominent and independent claims for money damages, which gave it a right to a jury trial. It adds that some claims first made in the third amended complaint did not arise until six months after the original complaint was filed, and those allegations could not have been included in the original filing. Therefore, it argues, Judge Muir should not have focused on the declaratory relief IMO sought in its original complaint.
When equitable issues or defenses are presented, the matter of whether a jury trial should be granted is left to the determination of the judge.
In
Furthermore, the court may strive to dispose of all matters in a controversy in a single action if it can do so without violating a litigant's constitutional or statutory rights.
When legal claims arise from controversies that are independent of the equitable action, they should be tried separately before a jury.
Here, the original complaint focused on declaratory relief, although it also included prayers for compensatory and punitive damages. Primarily, IMO sought the court's aid in defining and fixing the obligations of Transamerica and TIG in relation to the 1986 Distribution Agreement. The crux of the complaint was the alleged "imminent" exhaustion of the TIG insurance policies. The defense costs and indemnification payments that IMO sought were in connection with pending or future asbestos cases.
The second amended complaint named several dozen excess insurers, but IMO still sought the same declaration of rights as its original complaint and, further, a declaration of rights of IMO and the obligations of Transamerica in connection with the excess insurers. For the most part, the asbestos claims in dispute were either ongoing or future claims.
The twenty-four counts of the third amended complaint did not change the primary relief sought. IMO's bad faith claims were rooted in the alleged wrongful abandonment of its defense and the failure to notify IMO in advance that certain insurance policies were about to be exhausted. Again, IMO was concerned that defendants failed or "will fail" to fulfill their obligations under the insurance contracts, and have refused or "will refuse" to defend and indemnify IMO against asbestos claims filed in New Jersey and other states.
All of IMO's pleadings sought declarations about the future obligations of defendants. Any alleged claims of bad faith, wrongful abandonment, breach of fiduciary duty, or tortious interference stem from whether the contractual rights alleged by IMO in fact existed. From the outset and throughout the litigation, IMO's complaints were mainly equitable.
Although additional causes of action for money damages may have arisen after the filing of the initial complaint, those claims are still intertwined with the primary events and the allegations presented in the original complaint.
IMO argues that none of its claims fell within the exceptions to the right to a jury trial as stated in
The case was complex. It involved dozens of insurance companies and estimated future costs that exceeded $1 billion.
Similarly in this case, there was no right to a jury trial because IMO's complaints presented a unique and complex mass-tort insurance coverage case focused on a declaration of the parties' rights and obligations and on the specific performance of insurance contracts as so declared. In fact, the Court in
IMO's breach of contract and bad faith claims grew out of the same dispute and were intertwined with its equitable claims. They were based on the same facts and proofs as the claims for declaratory judgment and specific performance. They were properly and economically adjudicated within the equity court's ancillary jurisdiction.
Additionally, this case is different from
We conclude that Judge Muir did not err as a matter of law when he denied IMO's demand for a jury trial and decided the equitable matters and the ancillary legal issues by means of bench trials.
IMO contends that the Phase II trial was wrongly decided. It argues that Judge Muir erred in concluding that Transamerica did not breach contractual duties it owed to IMO under the TARM program. It argues that the judge disregarded an express contractual provision of the 1986 Distribution Agreement, namely the provision of Section 6.02 that recognizes Transamerica's continuing obligations to IMO by stating that IMO "shall be liable for payment of claims (to the extent not covered by Transamerica's Risk Management Program)." It adds that Transamerica paid IMO's SIRs and deductibles for seventeen years after the divestiture before TIG declared its policies exhausted.
We need not lengthen this opinion by discussing this issue. Judge Muir's written decision on the Phase II trial, issued to the parties on December 29, 2010, fully sets forth the reasons that the judge did not accept IMO's allegations of an implied contract based on the quoted provision of the Distribution Agreement and the parties' conduct after the divestiture. We affirm Judge Muir's decision for the reasons stated in his thorough written opinion.
IMO contends that it should have been awarded attorneys' fees against Pyramid and the excess insurers, as well as prejudgment interest.
Attorneys' fees will not be awarded unless the court has determined there was an obligation to provide coverage.
In denying IMO's motion for attorneys' fees and interest, Judge Coburn held that IMO failed to prove that any of the excess insurers breached their insurance contracts with IMO. He further observed that it was "fairly startling to note that IMO [sought] a million dollars in counsel fees from [excess] carriers" from whom it had never demanded payment of claims, and under the allocation model adopted by the court, "almost all of them will probably never be called upon to make any payment whatsoever." Judge Coburn concluded that IMO had not "prevailed" against those excess insurers.
In addition, Judge Coburn stated that, even if IMO were a successful claimant, he would still deny its application for attorneys' fees because of the "unsound" nature of IMO's bad faith claims against the Transamerica defendants and the excess insurers. Furthermore, he found IMO's fee application did not accurately reflect the work reported for the case, and it was unclear which of the fees charged were related to litigation involving the excess insurers.
IMO asserts that Judge Coburn erred in holding that IMO was not a "successful claimant" against Pyramid and other excess insurers. It cites
The excess insurers see things differently. Some of them argue that IMO was not successful against them because it is highly unlikely that their excess policies will be reached, and IMO never made a specific demand upon them to provide coverage. Others argue that they never denied they were required to provide coverage if their policies did attach, but they requested information about the claims, and IMO did not furnish the requested information as it pursued its theory of limitless defense costs against TIG and Transamerica. Still others contend they made payments toward IMO's losses and costs both before and after the allocation schedule was determined and adopted by the court.
An abuse of discretion standard applies to the trial court's decision on an application for attorneys' fees and costs.
Here, neither Pyramid nor the excess insurers disclaimed coverage. IMO did not demand payment on claims from the excess insurers for a substantial period of time as it sought "limitless" coverage from the TIG fronting policies. When IMO gave first notice of the claims in 1989, some excess insurers requested additional information about the claims but IMO did not provide information at that time because it did not believe their policies would be implicated. Although IMO sued the excess insurers, it initially told them they were included in the lawsuit only to preserve IMO's rights in the event of a future claim.
Under the final allocation model that the court adopted, many of the excess policies are unlikely to be reached.
As to Transport Insurance Company, IMO sought coverage under Transport's excess umbrella policy, although it failed to tender any defense or indemnification to Transport for coverage. Transport did not deny coverage, and the final allocation model indicated that the Transport policy is not implicated for any portion of IMO's losses. Moreover, on March 12, 2010, IMO stipulated that it would dismiss the breach of contract claims against excess insurers "to which no past costs are allocated in the final allocation model approved by the [c]ourt." Thus, there was no obligation by Transport to provide coverage, and it is not liable to IMO for its attorneys' fees.
As to Fireman's Fund Insurance Company, Puritan Insurance Company, and Interstate Fire & Casualty Company, IMO did not demand payment from them. The final allocation model did not attribute defense costs to Puritan and Interstate because the attachment points of their policies have not been reached. As to Fireman's Fund, when it was first held to owe indemnity under one of its policies by the April 2011 allocation model, it arranged for payment of the amount due.
As to LMI, IMO never obtained a ruling that LMI breached its duty to indemnify. IMO contends that LMI was in breach of its policies because the final allocation model allocates indemnity amounts to LMI starting in 2000. But IMO did not demand indemnification from LMI for the first several years of this litigation. When IMO initially made a lump-sum demand in 2007, LMI paid $4.6 million without court intervention. Also, in early 2008, LMI placed $1.5 million into a segregated account for IMO, and that sum was wired to IMO in December 2009 pursuant to a court order. IMO's next demand was made in December 2010, which was paid in the spring of 2011. In total, LMI has paid more than $14.4 million upon IMO's demands and prior to the final allocation.
As to Pyramid, it issued a series of umbrella policies to Transamerica between 1979 and 1986. Pyramid commenced payment of IMO's claims after Transamerica declared the exhaustion of the TIG fronting policies in February 2004. Pyramid paid a total of $23 million within eighteen months of IMO's demand. Although it suspended payments in August 2005 while IMO pursued its theory of "limitless" fronting policies, it resumed payments in November 2007. To date, Pyramid has paid nearly $62 million for IMO's asbestos claims, and it has exhausted its policy limits. The majority of Pyramid's payments to IMO occurred before or contemporaneously with the time that the court ordered payment.
Zurich maintains that it was never tendered a claim to defend IMO or for payment, it never denied coverage of a claim, and it has neither past nor present obligations under its policies.
ACE alleges it did not breach its policies. It did not blatantly refuse to defend and indemnify IMO, but only disputed the allocation. ACE adds that it did not act in bad faith because IMO informed ACE that its policies would never be reached, and then "flip-flopped" in August 2007 and made demands for payment following one of the trial court's decisions on the TIG fronting policies. We find no abuse of discretion in Judge Coburn's decision not to award attorneys' fees against ACE.
In addition, the party requesting fee-shifting is required to identify with specificity the hours spent on the claims it has successfully prosecuted.
Finally, we find no error in the judge's ruling that it would be inequitable to grant IMO prejudgment interest on its claims against the excess insurers. An award of prejudgment interest on a contractual claim is based on principles of equity and is entrusted to the sound discretion of the trial court.
IMO has already received $15.2 million in overpayment from TIG, as well as total overpayments in a similar amount from NJM and Aetna. These facts, compounded by absence of proof that the excess insurers breached their policies, demonstrate there was no damage to IMO that would justify an award of prejudgment interest.
Transamerica argues in its cross-appeal that Judge Coburn erred in denying its application for attorneys' fees and costs. It asserts that Section 3.01 of the 1986 Distribution Agreement requires IMO to indemnify, defend, and hold harmless Transamerica from any losses arising out of actions taken by IMO and, thus, mandates that Transamerica receive reimbursement of its attorneys' fees and costs for this litigation.
IMO responds that the Distribution Agreement contains no express fee-shifting provision if a dispute arises between IMO and Transamerica regarding the scope and interpretation of the agreement. IMO contends that under the applicable Delaware law, indemnification provisions that require one party to defend the other do not permit the shifting of fees incurred in a dispute between the parties.
Judge Coburn found that Transamerica was not entitled to shift its attorneys' fees of approximately $30 million. He found that the critical language of Section 3.01 of the Distribution Agreement does not apply to a dispute between Transamerica and IMO, especially since it includes the requirement that IMO "defend" Transamerica. He noted that the unpublished decisions upon which Transamerica relied did not support its application because the contracts in those cases either did not include a duty to defend or specifically addressed the parties' responsibilities if an action was brought to enforce the agreement. Judge Coburn also reviewed portions of Section 3.03 of the Distribution Agreement that address notice of claims, and concluded that the agreement is concerned with third-party actions.
In
The language in Section 3.01 of the Distribution Agreement is virtually identical to that in
We find no error in Judge Coburn's understanding of the applicable law of Delaware as applied to the Distribution Agreement. We affirm his ruling that Transamerica is not entitled to recover from IMO its attorneys' fees and costs for this litigation.
ACE contends that the trial court erred in prematurely appointing a SAM to make allocation recommendations and other rulings before IMO had proven that its policies covered the losses it claimed. It argues that the timing of the SAM's appointment was not appropriate because the issue of coverage had not yet been decided.
Pursuant to
In 2007, IMO wrote to the trial court and requested that a SAM be appointed. The Transamerica defendants consented to the appointment, but ACE and some other excess insurers objected. On August 27, 2007, Judge Mary Jacobson issued a detailed memorandum to Assignment Judge Linda Feinberg recommending the appointment of a SAM because of the complexity of this case, the large number of active defendants, and the enormous amount of information involved in the disputes. On September 7, 2007, Judge Feinberg entered an order appointing a SAM. ACE agreed to the individual selected as the SAM while preserving its objection to the necessity of a SAM at that time. Supplemental orders of the court set forth that extraordinary circumstances required the appointment.
We apply an abuse of discretion standard of review to the trial court's decision to appoint a special master.
Extraordinary circumstances may include the need for a special master to examine voluminous exhibits or documentation, analyze complex relationships between parties, and reconcile years of litigation.
In
Judge Jacobson's August 27, 2007 memorandum explained the complex legal issues involved, the large number of active defendants, and the extensive record. That memorandum is part of the record in this case and fulfills the purposes of
We also reject ACE's argument that the appointment was reversible error because IMO did not make a formal motion for the appointment. ACE had notice of the request and voiced its objection. The trial court had discretion to proceed without a formal motion. It did not abuse its discretion.
ACE and other excess insurers argue that the allocation schedule failed to make necessary equitable adjustments. They contend that reallocating the full spectrum of losses, including those already incurred and paid before 2004 pursuant to the IFAs, effectively permitted IMO a double recovery of some of those costs.
Specifically, ACE asserts that losses paid by NJM and Aetna, whose policies were exhausted, should not have been subject to reallocation in accordance with the
IMO responds that reallocation of all costs from "dollar-one" is required by the
The trial court's initial order requiring a
ACE and other excess insurers petitioned the SAM for equitable modifications to their respective allocations and to credit them for NJM's and Aetna's payments in excess of their
ACE relies on
In
In this case, however, crediting excess insurers with the actual overpayments made by primary insurers would compromise the integrity of settlements and the bilateral nature of the insurer-insured relationship. Judge Muir adopted the SAM's recommendation that no equitable adjustments should be made to the allocation schedule and emphasized in particular the inequity of awarding the excess insurers credit for payments made by other insurers.
In
We also disagree with ACE's alternative argument that excess insurers are entitled to credit for the full dollar amount paid by NJM and Aetna. While double recovery should be avoided where possible, the result of the ruling in this case is consistent with the treatment of settlements in other types of cases. A tort claimant, for example, who settles with some tortfeasors cannot hold the rest liable for more than their proportionate shares of the damages.
The same principles apply here. Because NJM and Aetna have not sought reimbursement of their overpayments, they are treated as defendants that settled in this litigation. The court need only consider their percentage allocation of responsibility for IMO's claims under the
Furthermore, once the proper allocation is determined, IMO has a superior claim to amounts overpaid by other insurers than does ACE or any other excess insurer. The trial court correctly concluded that a necessary part of fair allocation was to permit IMO, NJM, and Aetna the benefits of their settlements and to hold the remaining insurers liable for the full extent of the allocation and limits reflected by their own policies.
TIG cross-appeals from the April 16, 2009 ruling of Judge Muir denying its motion for summary judgment on the effect of a settlement reached between IMO and International Insurance Company, which is a predecessor of TIG.
For the period from April 1, 1983, to April 1, 1984, Pyramid issued a $10 million excess policy to IMO that would attach for losses after payment of the $1 million TIG fronting policy for that year, that is, from $11 million to $21 million. TIG issued two $10 million excess policies for the same time period, the first attaching after Pyramid's policy for losses from $21 to $31 million and the second for losses from $41 to $51 million for that year. IMO also had a $10 million excess policy from Granite State Insurance Company for the gap between the TIG policies, that is, from $31 to $41 million.
In 1985, Long Island Lighting Company ("LILCO") sued IMO in the United States District Court for the Southern District of New York, claiming it had suffered damages of more than $800 million as a result of defective turbines it had purchased from IMO. On August 20, 1987, the federal court dismissed LILCO's tort claims, but the breach of warranty claim resulted in a 1992 judgment in favor of LILCO for $19.33 million.
Coverage litigation regarding the LILCO lawsuit was also pursued between IMO and TIG in the United States District Court for the Northern District of California. After TIG had paid $11,152,644 for IMO's defense costs in the LILCO litigation, it obtained a judgment in the Northern District of California requiring that IMO repay TIG that full sum, plus post-judgment interest of $1,924,370, a total of $13,077,014. While the appeal of that judgment was pending, IMO and TIG settled the matter in 1997. IMO repaid TIG $9.9 million, and the parties exchanged mutual releases.
In its motion for partial summary judgment in this case, TIG claimed the full $9.9 million it received in settlement of the LILCO coverage litigation should not be applied to restore the limits of its excess policies of 1983-84 for purposes of IMO's current asbestos-related claims and the allocation schedule. It argues that a pro-rated portion — $1,456,785 according to TIG — should be applied to the interest award it received from the federal district court. Attributing the pro-rated amount to the interest award would diminish the available limits of its excess policies for asbestos injury coverage because it would represent an amount that TIG actually paid to IMO for defense of the LILCO litigation and did not recover by means of the $9.9 million settlement. TIG claimed that only the balance of $8,443,215 is attributable to principal on the judgment it obtained, and only that amount should be counted toward its excess policies for the 1983-84 coverage year.
Judge Muir denied TIG's motion, reasoning that the general release language in the 1997 settlement agreement in the coverage litigation was broad enough to extend to the interest award granted to TIG. The release stated:
Also, the release provided that TIG and IMO waived the provisions of a California statute, Civil Code § 1542, that excludes unknown or unsuspected claims from the terms of a general release.
Under California law, which the parties agreed would apply to the 1997 settlement agreement, a release is the "abandonment, relinquishment or giving up of a right or claim to the person against whom it might have been demanded or enforced," and it can be used as a defense to the assertion of claims.
TIG argues, however, that the release of the 1997 settlement agreement did not address to what extent TIG's policy limits were reinstated for future claims by IMO. We agree with Judge Muir that the language in the release was broad enough to apply to any claims arising after the LILCO settlement, including TIG's current claim that it should be permitted to allocate a portion of the LILCO settlement payment as interest.
We disagree with TIG's argument that because the releases were mutual, IMO's claim that the pro-rated interest amount did
TIG also argues that the LILCO settlement affects the attachment point of its excess policies because Pyramid paid the full $10 million of its first-level excess policy for IMO's defense expenses in the LILCO litigation although it had no obligation to do so. TIG relies on the judgment of the United States District Court for the Northern District of California that IMO was not entitled to coverage for defense of a breach of warranty claim.
Pyramid responds that its 1983-84 excess policy was exhausted by its payments for the LILCO litigation, and that TIG's argument cannot affect that exhaustion. TIG does not challenge Pyramid's position and disavows any claim on appeal that would affect the rights of Pyramid and IMO as against each other. It seeks only to determine its rights against IMO with respect to the attachment point of the TIG excess policies.
The final judgment entered by Judge Coburn adopts and incorporates the exhaustion of the 1983-84 Pyramid policy in the allocation schedule. In the context of a long-tail
We reject TIG's contention that the LILCO settlement and Pyramid's payments to IMO in the 1980s should now be revisited to adjust the limits or attachment points of TIG excess policy for 1983-84.
ACE argues that certain of its policies limit the scope of coverage to contracts with the United States Navy and that none of IMO's asbestos-related claims arise from those contracts. ACE points to endorsements in the policies that refer to specific Navy contracts, correspondence between the parties at the time the policies were issued, and the existence of gaps and overlaps in the coverage periods.
IMO responds that the excess liability policies in dispute expressly incorporate the terms and conditions of underlying primary policies that provide coverage for asbestos claims. It argues that the endorsements that extend coverage to certain Navy contracts do not limit the policies' broad "follow form" provisions but were in response to correspondence that a policy be extended to cover a specific Navy contract that might otherwise not be covered.
The Certificate of Excess Insurance for each of the policies in dispute states: "It is agreed that this certificate, except as herein stated, is subject to all conditions, agreements and limitations of and shall follow the Primary Insurance in all respects, including changes by endorsement which in any manner affect this certificate. . . ." Other endorsements state that the coverage shall "include[e] liability assumed under" specified Navy contracts.
In a report and recommendation dated March 27, 2008, the SAM rejected ACE's argument that the policy endorsements were intended to limit coverage to liability arising only from the referenced contracts. Having reviewed the relevant evidence, we agree with that ruling, which was adopted by the trial court, and affirm it without further discussion in this opinion.
ACE argues that the court erred in determining that it has a duty to defend IMO or to reimburse its defense costs under certain ACE policies. It contends that courts have interpreted language similar to that found in its policies as imposing no duty on the excess insurer to provide a defense.
IMO responds that the SAM and the trial court did not conclude that ACE has a duty to defend, but rather ruled that ACE must reimburse costs incurred in IMO's defense against underlying asbestos claims. It argues that the ACE policies "follow form" to underlying policies that provide coverage for "ultimate net loss," which is defined to include expenses for litigation.
The relevant provisions of the representative ACE excess policy, effective January 1, 1974, to January 1, 1977, state that it indemnifies the insured "in accordance with the applicable insuring agreements, exclusions and conditions of the underlying insurance for excess loss as specified," and that "[t]he insurance afforded by this certificate shall follow that of the underlying insurance" with specified exceptions. The exceptions are not applicable to the issue of reimbursement for defense costs. Each of the underlying policies covers liability for "ultimate net loss," and each defines "ultimate net loss" in a way that includes both indemnity and defense costs.
In considering ACE's motion for summary judgment on this issue, the SAM stated that the language of ACE's policy is clear that ACE does not have a duty to defend IMO but carves out its right to participate in a defense. The SAM concluded, however, that a consistent reading of the pertinent policy language together with the underlying policy is that defense costs are included in the definition of loss for which ACE is liable. On November 4, 2009, Judge Muir agreed with the SAM's ruling and adopted it.
By its plain language, the provision in the policy that the insurer "shall not be obligated to assume charge of the settlement or defense of any claim or suit brought or proceeding instituted against the Insured" means that ACE is not obligated to retain counsel and manage the defense. Nothing in the quoted provision precludes the obligation of ACE ultimately to pay for defense costs. Reimbursement of defense costs is included in the provision of the ACE policy and the underlying policy providing coverage for ultimate net losses.
The principal case cited by ACE,
The dispute before the Court arose because the claim at issue had been tried and a verdict of no cause of action had been reached.
The policy in
ACE's reliance on out-of-state cases is equally unavailing. In
In
In sum, although the ACE policy did not require ACE to assume charge of the defense, it did not expressly absolve ACE from paying the costs of the defense. Rather, it followed the coverage of the underlying policies that provided for the payment of defense costs as part of the insured's ultimate net loss. Judge Muir correctly determined that the ACE policy covered reimbursement of defense costs as well as indemnification for payment of claims.
Additional issues raised in the many briefs have been considered but we do not address them specifically because they are either moot or they do not warrant written discussion.
Affirmed.
"LMI" stands for "London Market Insurers" and shall mean one or more of individual Lloyd's syndicates or London Market companies.
We note as well that LMI's argument does not show that the method of allocation employed will actually result in unfair allocation of future defense costs. The illustration used by LMI shows a theoretical discrepancy but involves only a single case. In allocating costs for thousands of claims, such discrepancies may very well balance one another and result in a fair, although imprecise, allocation of future defense costs.