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EVANSTON INSURANCE CO. v. OEA, INC.

United States District Court, E.D. California
Jul 25, 2005
CIV-S-02-1505 DFL PAN, CIV-S-02-1981 DFL PAN (E.D. Cal. Jul. 25, 2005)

Opinion

CIV-S-02-1505 DFL PAN, CIV-S-02-1981 DFL PAN.

July 25, 2005


MEMORANDUM OF OPINION AND ORDER


This action involves an insurance coverage dispute relating to two accidents that occurred at the OEA Aerospace plant in Fairfield, California. The employees injured in those accidents sued OEA Aerospace ("Aerospace") and OEA, Inc. ("OEA") for damages. At the time of the accidents and subsequently, OEA was insured by several different insurance companies. All of these insurance companies have refused to indemnify OEA and all but one refused to defend OEA in the matter.

This is the second round of summary judgment motions in this case. In September 2003, the court granted summary judgment in favor of Evanston Insurance Company ("Evanston"), Royal Insurance Company of America ("Royal"), and Certain Underwriters at Lloyd's of London, et. al. ("Lloyd's"), but denied summary judgment as to Nutmeg Insurance Company ("Nutmeg") and Twin City Fire Insurance Company ("Twin City"). OEA, Twin City, and Nutmeg have now filed cross-motions for summary judgment on the issues left unresolved by the court's earlier ruling. Additionally, OEA has moved for reconsideration of the court's earlier rulings in favor of Evanston, Royal, and Lloyd's.

I.

OEA is a Delaware corporation with its principal place of business in Denver, Colorado. (09/22/2003 Order at 2.) Until 1994, it manufactured items for use in the aerospace industry, and many of its products have an explosive component, such as the booster cups that caused the injuries at issue in this case. (Id.) Aerospace is located in Fairfield, California, and is a wholly owned subsidiary of OEA. (Id.) OEA alleges that it transferred its aerospace business to Aerospace in 1994 and, from that point on, limited its focus to manufacturing automotive safety devices. (Id.)

In two incidents in late 1995 and early 1996, two Aerospace employees — Patricia Shugart ("Shugart") and Karen Wise ("Wise") — were injured while repairing booster caps originally sold and manufactured by OEA. (Id.) Shugart filed suit on December 18, 1996, and Wise filed suit on February 6, 1997. (Id.) Shugart and Wise were represented by the same attorney and the two complaints were virtually identical. (Id.) The named defendants in both actions were "OEA, OEA Aerospace, and Does 1 through 200." (Id.) Both complaints described an explosion at "OEA Aerospace . . . in Fairfield, California" and stated that the premises were "owned, maintained, managed and operated by OEA, OEA Aerospace." (Id. at 3-4.) The complaints asserted that "OEA, OEA Aerospace . . . were engaged in the manufacture, distribution, and/or sale of explosive items. . . ." (Id. at 4.) Additionally, the complaints listed OEA and Aerospace as separate defendants and business organizations in a section of the form complaint that requests organizational information about any defendant. (Id. at 9.)

Although Aerospace was served with Shugart's complaint on June 10, 1997, OEA was not served with the complaint until over a year later, on October 23, 1998. (Id.) On November 3, 1997, James Welsh ("Welsh"), OEA's Director of Personnel and Security, was served with the Wise complaint as "Agent for Service of Process of OEA Aerospace, Inc." (Id.) However, Welsh was not the agent for service of process for Aerospace. (Id.) It does not appear that there was any other attempt to serve either OEA or Aerospace. (Id.)

When Aerospace received the Shugart complaint in June 1997, it forwarded a copy to Welsh at OEA, but Welsh allegedly concluded that Shugart's claims would be handled exclusively as a worker's compensation claim because Shugart was an Aerospace employee. (Id.) He notified CIGNA, the worker's compensation insurance carrier for Aerospace, of the claim. (Id.) OEA asserts that the agent Welsh notified was Patricia Hollenbeck ("Hollenbeck"). (Id.) The same process was followed with the Wise complaint. (Id. at 4-5.)

In July 2002, following a jury trial, a $13,680,565 judgment was entered against OEA in the Shugart suit, which included $10 million in punitive damages. (Nutmeg and Twin City Mot. at 19-20.) However, on June 27, 2005, the California Court of Appeal overturned the jury award and remanded the case for a new trial.Shugart v. OEA, Inc., 2005 WL 1503812, at *1 (Cal.App. 1 June 27, 2005). Shortly after the Shugart trial, OEA settled the Wise suit. (09/22/2003 Order at 5.)

Evanston and Royal each filed suit against OEA for breach of contract, intentional misrepresentation, and rescission of insurance contract. (Id.) After removing these suits to federal court, OEA counterclaimed against Evanston, Royal, Nutmeg, Twin City, and Lloyd's for breach of contract and breach of the covenant of good faith and fair dealing. (Id. at 6.)

In June 2003, OEA and all five insurance companies filed cross-motions for summary judgment on the issue of whether there was coverage for the Wise and Shugart claims under each policy. In an order filed September 22, 2003, the court found that the Evanston and Royal insurance policies did not cover the claims because they were first "made" prior to the Evanston and Royal insurance policy period. (Id. at 6-11.) Likewise, the court ruled that Lloyd's had no obligation to cover the claims because OEA breached the insurance policy's notice provision by delaying over two years in giving Lloyd's written notice of the claims. (Id. at 34-35.) The court, therefore, granted summary judgment in favor of Evanston, Royal, and Lloyd's. However, the court found that several unresolved disputes prevented a determination of whether the Nutmeg and Twin City policies covered the claims. (Id. at 12-18, 24-25.)

OEA, Twin City, and Nutmeg now bring cross-motions for summary judgment on the issues left unresolved by the court's earlier ruling. Additionally, OEA moves for reconsideration of the summary judgment rulings in favor of Evanston, Royal, and Lloyd's.

II.

A. Evanston and Royal

The Evanston policy was a general liability policy that provided coverage of $1 million per occurrence and $2 million aggregate. (OEA Mot. at 2.) It was in effect from May 1, 1998 through May 1, 1999. (Id.) The policy states that it covers "all sums in excess of the deductible amount . . . which the insured shall become legally obligated to pay as damages as a result of CLAIMS FIRST MADE AGAINST THE INSURED DURING THE POLICY PERIOD for personal injury or property damage to which this insurance applies. . . ." (Id., emphasis in original.) "Claim" is defined in the policy as "a notice received by the insured of an intention to hold the insured responsible for an occurrence involving this policy and shall include the service of suit or institution of arbitration proceedings against the insured." (Id.)

The Royal policy was a "Commercial Catastrophe Liability Policy" that provided excess coverage above the Evanston policy. (Id. at 2-3.) The policy period was the same as the Evanston policy, May 1, 1998 to May 1, 1999. (Id.) Like the Evanston policy, the Royal policy was a "claims made" policy that only provided coverage for claims first made during the policy period. (Id. at 3.)

The court previously found that the Shugart and Wise claims were not covered by these policies because OEA became aware of the claims against it before the inception of the policy period, when it received copies of the Shugart and Wise complaints in June 1997 and November 1997 respectively. (Id. at 10-11.) OEA had argued that Welsh did not realize that any claim was made against OEA until OEA was served with the Shugart complaint in October 1998, believing instead that the Shugart and Wise claims were worker's compensation claims against Aeorspace only. (09/22/2003 Order at 7.) However, the court found Welsh's subjective belief to be insufficient. (Id. at 8.) Rather, "[t]he critical issue is whether on any reasonable reading of the complaints both OEA and Aerospace are named as defendants." (Id. at 8.) Based upon a reading of the Shugart and Wise complaints, the court found that OEA was named as a defendant by the complaints and, accordingly, granted summary judgment to Evanston and Royal. (Id. at 10.)

OEA now moves for reconsideration of this ruling, claiming that it has newly discovered facts that call the ruling into question. The new facts, OEA argues, show that Hollenbeck, the experienced insurance agent, believed the Shugart and Wise claims were workers compensation claims against Aerospace only. (OEA Mot. at 6.) The new facts consist primarily of Hollenbeck's deposition and numerous communications between Hollenbeck and other individuals about the Wise and Shugart claims.

This "new" evidence does not call into question the court's earlier ruling. The basis of the court's ruling was that the Shugart and Wise complaints gave reasonable notice that OEA was named as a separate defendant in a civil liability suit. Just as the court found Welsh's subjective belief insufficient, Hollenbeck's equally mistaken belief is also insufficient. In fact, Hollenbeck's subjective belief is even less persuasive than Welsh's, given that her understanding was not based on a personal review of the complaints themselves, but on communications with Welsh. (Moak Decl. Ex. A, at 59-60.)

Moreover, Hollenbeck's belief that the claims were worker's compensation claims is not really a "new" fact, given that OEA submitted arguments and evidence to that effect as part of its earlier summary judgment motion. (Evanston Opp'n at 5-6.) Although the deposition testimony of Hollenbeck and other submitted documents are "new" in that they were not available at the time of the first summary judgment motion, they add little, if anything, to OEA's earlier arguments. For the above reasons, OEA's motion to reconsider is DENIED. B. Lloyd's

Evanston and Royal also argue that OEA's motion should be denied because OEA has not met the requirements of Rule 60(b) and L.R. 78-230(k). (Evanston Opp'n at 4-7; Royal Opp'n at 3-6.) These arguments fail because they are premised on the incorrect assumption that this motion to reconsider is governed by Rule 60(b). Rule 60(b) only applies to motions to reconsider "final orders." The court retains, as part of its inherent powers, the right to reconsider its earlier interlocutory orders, notwithstanding Rule 60(b). United States v. Iron Mountain Mines, Inc., 812 F.Supp. 1528, 1555 (E.D.Cal. 1992). Because the earlier ruling was not a final order, OEA's motion falls within the court's inherent discretion to reconsider its earlier interlocutory orders.

OEA subscribed to a surplus-line insurance policy from Lloyd's, entitled "Aircraft Builders Products Liability Policy," for the policy period August 1, 1995 to August 1, 1996. (09/22/2003 Order at 25.) The policy's notice provision states in part that: "written notice shall be given by or on behalf of the Insured to the Insurers through their authorized agents as soon as practicable." (09/22/2003 Order at 26.) The policy also requires that "[i]f a claim is made or suit is brought against the Insured the Insured shall as soon as practicable forward to the Insurers' authorized agents every demand, notice, summons or other process received by him or his representative." (Id.) OEA did not give Lloyd's notice of the Shugart and Wise claims until it forwarded the complaints to the Lloyd's insurance broker on October 30, 2000. (Id. at 26-27.)

The court previously granted summary judgment in favor of Lloyd's, holding that OEA's two year delay in providing notice of the Shugart and Wise suits breached the notice provision of the insurance policy. (Id. at 34-35.) This ruling was premised, in large part, on the court's determination that Colorado law, rather than California law, governed the interpretation of the policy. Although the Shugart and Wise accidents occurred in California, the Lloyd's policy, which was negotiated and received in Colorado, specified that Colorado law would govern the interpretation of its terms and conditions. (Lloyd's Opp'n at 4.)

At the time of the earlier ruling, California and Colorado law differed in their treatment of insurance policy notice provisions. (Id. at 27-28.) Under California's notice-prejudice rule, the failure of an insured to give prompt notice of a claim to an insurer is not a defense to coverage unless the insurance company also proves prejudice. Pacific Employers Ins. Co. v. Superior Court, 221 Cal.App.3d 1348, 1357, 270 Cal.Rptr. 779 (1990). However, Colorado law had not adopted the notice-prejudice rule, except with regard to automobile insurance policies with uninsured motorist provisions. Clementi v. Nationwide Mut. Fire Ins. Co., 16 P.3d 223, 224 (Colo. 2001). Under then-existing Colorado law, lack of timely notice by the insured automatically violated the insurance contract and voided the insurer's duty to indemnify, regardless of whether an insurer could show prejudice from the untimely notice. Id. at 225.

Applying California's governmental interest analysis, the court concluded that Colorado law governed the policy and, therefore, the lack of timely notice automatically violated the insurance contract. (09/22/2003 Order at 35.) However, in a footnote, the court noted that the Colorado Supreme Court had granted certiorari to consider the validity of the traditional Colorado late-notice rule with respect to liability insurance policies. (Id. at 28 n. 14.) The court stated that depending on how the Colorado Supreme Court resolved that issue, "the court may be required to reconsider the choice of law analysis." (Id.)

This footnote proved prescient. On January 31, 2005, the Colorado Supreme Court issued a decision overturning its long-established notice standard and adopting a notice-prejudice standard for all insurance policies. Friedland v. Travelers Indem. Co., 105 P.3d 639, 647 (Colo. 2005). Colorado's new rule is similar to California's rule, requiring the insurer to demonstrate it was prejudiced by the untimely notice. Id.

OEA now seeks reconsideration of the court's earlier ruling in favor of Lloyd's, arguing that in light of this change in the law, the notice-prejudice rule, rather than Colorado's now-rejected "notice rule," governs the policy. (OEA Mot. at 2.) As Lloyd's concedes, this motion for reconsideration hinges on whether Friedland should be applied retroactively. (Lloyd's Opp'n at 2.) If yes, a notice-prejudice rule (whether it be California's or Colorado's) governs this case, and Lloyd's must show it was prejudiced in order to prevail based on this notice provision. If no, no basis exists for re-examining the court's choice-of-law analysis in the earlier summary judgment order.

Like Evanston and Royal, Lloyd's also argues that OEA has failed to show the "extraordinary circumstances" necessary to obtain relief under Rule 60(b). (Lloyd's Opp'n at 6.) However, as noted above, this argument fails because it is premised on the incorrect assumption that OEA's motion for reconsideration is governed by Rule 60(b).

The court finds that Friedland should be applied retroactively to the present case. As a general matter, federal courts, sitting in diversity, apply the state's law as presently defined by the state's highest court, regardless of whether the law was altered while the federal case was pending. Vandenbark v. Owens-Illinois Glass Co., 311 U.S. 538, 543, 61 S.Ct. 347 (1941); Kona Enters., Inc v. Bishop, 229 F.3d 877, 886-87 (9th Cir. 2000); FBW Enters. v. Victorio Co., 821 F.2d 1393, 1395 (9th Cir. 1987); Plyler v. Wheaton Van Lines, 640 F.2d 1091, 1093 (9th Cir. 1981); Nelson v. Brunswick Corp., 503 F.2d 376, 381-82 (9th Cir. 1974). This rule is especially strong where the decision creating the new rule "itself retroactively applied the court's new holding" to the litigants in the very case. FBW Enter., 821 F.2d at 1395 (stating that where decision creating new rule itself retroactively applied the court's new ruling, both state law and federal law mandate its retroactive application to pending cases). Here, the Friedland court applied its newly-created notice-prejudice rule retroactively when it reversed the trial court's issuance of summary judgment against the plaintiff. 105 P.3d at 649.

Several Ninth Circuit cases have questioned the appropriateness of applying the Vandenbark rule in a "hard and fast" manner in diversity cases, and have done so only after concluding that the state court would also give retroactive effect to its new decision. E.g., FBW, Inc., 821 F.2d at 1395; Nelson, 503 F.2d at 381-82. However, whether the court applies Vandenbark's "hard and fast" rule or this more flexible approach, the outcome in this case would be the same. As discussed above, Ninth Circuit cases have held thatVandenbark's rule and state law yield the same results where, as here, the decision creating the new rule "itself retroactively applied the court's new holding" to the litigants in the case.FBW, Inc., 821 F.2d at 1395.

In further support of Friedland's retroactive application, Colorado courts have applied Clementi — which adopted the notice-prejudice rule in the context of uninsured motorist provisions — retroactively on several occasions. See State Farm Mut. Auto Ins. Co. v. Brekke, 105 P.3d 177, 181-82, 191 (Colo. 2004); Brown v. Silvern, 45 P.3d 749, 753 (Colo.App. 2001).

Despite this case law, Lloyd's contends that the court must determine whether to apply Friedland retroactively in this case based upon an examination of Colorado's retroactivity analysis. (Lloyd's Opp'n at 11-13.) Even if Lloyd's is correct, Colorado's retroactivity analysis yields the same result.

Colorado adheres to the generally accepted presumption that judicial decisions will have retroactive application. Martin Marietta Corp. v. Lorenz, 823 P.2d 100, 111 (Colo. 1992). Whether Colorado courts will give a judicial decision retroactive effect is evaluated under the three-part test enunciated by the United States Supreme Court in Chevron Oil Co. v. Huson, 404 U.S. 97, 92 S.Ct. 349 (1971). Marinez v. Indus. Comm'n of Colo., 746 P.2d 552, 556 (Colo. 1987). First, a "decision to be applied nonretroactively must establish a new principle of law."Chevron, 404 U.S. at 106. Second, the court must "weigh the merits and demerits [of retroactive application] in each case by looking to the history of the rule in question, its purpose and effect, and whether retroactive application will further or retard its operation." Id. at 106-07. Third, the court must weigh the inequity that would be imposed by retroactive application in order to avoid injustice or hardship. Id. at 107.

Here, applying Friedland's rule retroactively will further the purposes of the new rule. One of the reasons given by theFriedland court for adopting the new rule was to prevent the insurer from receiving a windfall, and the insured not receiving policy benefits, due to a technicality. Friedland, 105 P.3d at 645-46. Applying the rule retroactively would further this stated purpose by preventing Lloyd's from avoiding its coverage obligations due to this "technicality."

Additionally, Lloyd's has not shown that applying Friedland retroactively would cause an injustice or extreme hardship. Although Lloyd's complains that retroactive application of Friedland would penalize it for exercising its contractual rights under the law as it then existed and force it to determine its bargained-for-agreement by a standard which was not law at the relevant time, this is always the case when a new rule is applied retroactively. (Lloyd's Opp'n at 20-22.)

Lloyd's also argues that retroactive application ofFriedland would create a grave injustice because doing so would conflict with the general rule in California and Colorado that duty-to-defend determinations, as opposed to breach of contract determinations, must be made based upon the law applicable at the time the claim was tendered to the insurance company. (Lloyd's Opp'n at 23-24.) However, assuming Lloyd's is correct regarding the proper analysis for duty-to-defend claims, the court can analyze the breach of contract claim separately from the duty-to-defend claim.

For the above reasons, the court finds that Friedland applies retroactively to the present case. Accordingly, the court GRANTS OEA's motion for reconsideration. C. Nutmeg and Twin City

Lloyd's contends that, even if Friedland is applied retroactively, a conflict still exists between California's and Colorado's notice-prejudice rules. (Lloyd's Opp'n at 8.) However, at the hearing on this matter, the parties agreed that the court need not address this issue at this time. The court agrees. If Lloyd's chooses to make a new motion for summary judgment on the basis of the policy's notice provision, the court will then determine which state's notice-prejudice law applies.

The Nutmeg policy is a an "Excess General Liability Insurance Policy," which was in effect from May 1, 1995 through May 1, 1998. (Nutmeg Opp'n at 10.) OEA and Aerospace are both named as an insured under the policy. (09/22/2003 Order at 12.) The policy contains an "employment exclusion" clause, which states that the policy does not apply to "[b]odily injury . . . sustained by any person as the result of an occurrence directly or indirectly relating to the employment or prospective employment of any person by any insured." (Id.) The policy also contains a "separation of insureds" clause which provides that "[e]xcept with respect to the Limits of Liability, and any rights or duties specifically assigned in this policy to the Named Insured . . ., this insurance applies: a. As [if] each Named Insured were the only Named Insured; and b. Separately to each insured against whom claim or suit is brought." (Id. at 15.)

The Twin City policy is an umbrella policy over the Nutmeg policy, and was in effect from May 1, 1996 until May 1, 1998. (Id. at 19.) A "Claims Made Limitation Endorsement" in the Twin City policy provides that the policy will attach as excess insurance "to such `claims' on the same basis, subject to all limitations upon coverage and other policy terms and conditions of such `Controlling Underlying Insurance Policy.'" (Pappas Decl. Ex. D. at 291.) The endorsement specifies that the Nutmeg policy is the "Controlling Underlying Insurance Policy." (Id.) Accordingly, to the extent that the Shugart and Wise claims are not covered by the Nutmeg policy, they are, likewise, not covered by Twin City's policy.

OEA contends that if the employment exclusion clause of the Nutmeg policy is incorporated into the Twin City policy, such terms would conflict with certain exclusions included in the Twin City policy, thereby creating an ambiguity. (OEA Reply at 1-3.) This argument lacks persuasiveness given the clear and explicit language of the Claims Made Limitation Endorsement in the Twin City policy. By its plain terms, the endorsement precludes coverage for any claims excluded by the Nutmeg policy, even if its own policies would not preclude coverage for such claims. Therefore, no inconsistency is created by enforcing this endorsement.

In their earlier motion, Nutmeg and Twin City moved for summary judgment on the basis of the employment exclusion clause. This provision excludes coverage, they contended, because Shugart and Wise were employees of "any insured," namely Aerospace, and they sustained employment-related bodily injuries. (09/22/2003 Order at 12.) The court, however, found the clause ambiguous. (Id. at 15.) The court agreed that the plain language of the employment exclusion clause suggests that the exclusion bars the claims. (Id.) However, it found that the "separation of insureds" clause makes the exclusion ambiguous and suggests that it might preclude coverage only for claims of an employee of the insured seeking coverage. (Id.) In light of this ambiguity, the court declined to interpret the employment exclusion clause because the parties' briefs had not adequately addressed OEA's objectively reasonable expectations. (Id. at 16.)

Nutmeg and Twin City now move again for summary judgment on the basis of the "employment exclusion" clause. Their new motion centers on a determination of OEA's objectively reasonable expectations regarding the interplay of these two clauses. Under California law,

a court that is faced with an argument for coverage based on assertedly ambiguous policy language must first attempt to determine whether coverage is consistent with the insured's objectively reasonable expectations. In so doing, the court must interpret the language in context, with regard to its intended function in the policy. This is because language in a contract must be construed in the context of that instrument as a whole, and in the circumstances of that case, and cannot be found to be ambiguous in the abstract.
Bank of the West v. Superior Court, 2 Cal.4th 1254, 1265, 10 Cal.Rptr.2d 538 (1992) (internal quotations omitted). "Only if [the objectively reasonable expectation] rule does not resolve the ambiguity do we then resolve it against the insurer." Id. Nutmeg and Twin City argue that, when the policy is read as a whole and in light of the underlying purpose of the separation of insureds clause, the separation of insureds clause does not alter the plain language of the employment exclusion clause. (Nutmeg and Twin City Mot. at 7.) For the following reasons, the court agrees and finds that Nutmeg's interpretation of the contract reflects the parties' objectively reasonable expectations.

California cases have interpreted exclusions with the language "an insured" or "any insured" to exclude coverage for damages to or by any insured, even if another insured was seeking coverage. See, e.g., Fire Ins. Exch. v. Altieri, 235 Cal.App.3d 1352, 1360-61, 1 Cal.Rptr.2d 360 (1991). The separation of insureds clause does not alter this plain language. To the contrary, adopting OEA's reading of the two clauses would require the court to alter the employment exclusion clause's plain language by negating the recognized distinction between the phrase "any insured" and "the insured." Such an interpretation runs counter to the prohibition against interpreting contractual language in such a way as to render some clauses inoperative or meaningless. See, e.g., City of Atascadero v. Merrill Lynch, 68 Cal.App.4th 445, 473, 80 Cal.Rptr.2d 329 (1998).

In contrast, Nutmeg's and Twin City's reading of the contract is consistent with the underlying purpose of the separation of insureds clause and the general principles of contract interpretation. As several courts that have examined the issue closely have explained, the purpose of "separation of insureds" clause is "to provide each insured with separate coverage, as if each were separately insured with a distinct policy, subject to the liability limits of the policy." Bituminous Cas. Corp. v. Maxey, 110 S.W.3d 203, 210 (Tex. 2003). Such a clause is not, however, intended to change the meaning of "any insured" language in an exclusionary clause. Id. at 214. In fact, its purpose is the exact opposite. The clause became part of the standard insurance industry form contract in 1955, and its purpose was aimed at "clarifying what insurance companies had intended all along, namely that the term `the insured' in an exclusion refers merely to `the insured' claiming coverage." Michael Carbone, Inc. v. Gen. Accident Ins. Co., 937 F.Supp. 413, 419 (E.D. Pa. 1996).

The history of this clause makes clear that the "separation of insureds" clause only affects exclusionary clauses referring to "the insured," not "any insured." Interpreted in such a way, the separation of insureds clause and the employment exclusion clause are consistent with one another and neither is rendered inoperative or meaningless by the interpretation advanced by Nutmeg and Twin city. This interpretation is also consistent with the general principle of construction that a specific provision relating to a particular subject should govern with respect to that subject as against a general provision. E.g., Continental Cas. Co. v. Zurich Ins. Co., 57 Cal.2d 27, 35, 17 Cal.Rptr. 12 (1961).

This reading of the contract is in agreement with the majority of cases that have analyzed an exclusion using the language "any insured" in conjunction with a separation of insureds clause.See, e.g., Bituminous Cas. Corp., 110 S.W.3d at 210-214;Carbone, 937 F.Supp. at 419; Am. Family Mut. Ins. Co. v. Copeland-Williams, 941 S.W.2d 625, 629 (Mo.Ct.App. 1997);Northwest G.F. Mut. Ins. Co. v. Norgard, 518 N.W.2d 179, 183-84 (N.D. 1994). As one recent case stated:

To hold that the term `any insured' in an exclusion means `the insured making the claim' would collapse the distinction between the terms `the insured' and `any insured' in an insurance policy exclusion clause, making the distinction meaningless. It would also alter the plain language of the clause, frustrating the reasonable expectations of the parties when contracting for the insurance. We should not adopt an unreasonable construction of an insurance contract.
Moreover construing the term `any' the same as the word `the' in an exclusion clause when an insurance policy contains a separation of insureds . . . clause would require a tortured reasoning of the terms of the policy. It would also expand liability beyond that bargained for by a reasonable person who followed the plain language of the policy and would invite collusion among insureds, whereby any one insured could make a claim for coverage of damages caused by any other insured. We should not give the terms of a contract such an expansive reading without a definite expression of the parties' intent that we do so.
Bituminous Cas. Corp., 110 S.W.3d at 214.

More importantly, the one California case directly addressing this issue adopted this majority approach. Cal. Cas. Ins. Co. v. Northland Ins. Co., 48 Cal.App.4th 1682, 1697-98, 56 Cal.Rptr.2d 434 (1996). Although this case involved a different context than the present case — it dealt with an innocent wife's community property liability for her husband's wrongdoing — the Northland court analyzed both the majority and minority line of cases and specifically found the majority's rationale more persuasive.Id. at 1697. The Northland court stated that a specific exclusion should prevail over a general separation of insureds clause and noted that the purpose of severability clauses is to "afford each insured a full measure of coverage up to the policy limits, not to negate bargained — for and plainly — worded exclusions." Id. In sum, these cases, and the rationale underlying their holdings, persuades the court that the separation of insureds clause does not alter the plain language of the employment exclusion clause in Nutmeg's policy.

The court is aware, as OEA notes, that other out-of-state courts have disagreed with the above-described interpretation and have reached a contrary holding. E.g., Worcester Mut. Ins. Co. v. Marnell, 398 Mass. 240, 245, 496 N.E.2d 158 (1986); Premier Ins. Co. v. Adams, 632 So.2d 1054, 1056-57 (Fl.App. 1994). However, for the reasons described above, the court does not find the rationale of these cases persuasive. For one, these cases do not address, and their interpretation is contrary to, the underlying purpose of the separation of insureds clause. Moreover, as these cases themselves admit, their interpretation renders the "any insured" language in the exclusionary clause meaningless. Accordingly, reading the policy in the way they suggest would undercut the bargained — for and plainly worded exclusions in the policy and defeat the parties' objectively reasonable expectations.

OEA also argues that California case law is equally unsettled on this issue, citing a concurring opinion from the California Supreme Court in Safeco Ins. Co. v. Robert S., 26 Cal.4th 758, 776-77, 10 Cal.Rptr.2d 844 (2001) (Baxter, J. concurring). (OEA Opp'n at 7-8.) In his concurring opinion, Justice Baxter criticized the Northland holding and indicated his agreement with the Marnell line of cases. Id. However, Justice Baxter's analysis did not represent the majority opinion of the court, and this issue was not briefed or thoroughly argued before the Safeco court. See Safeco Ins. Co., 26 Cal.4th at 766 n. 2 (noting that this issue was not thoroughly discussed by the parties in their briefs to the court).

OEA also contends that the employment exclusion clause is designed only to exclude coverage for employment-related practices — such as discrimination, sexual harassment, employment-related defamation, wrongful termination, and claims of emotional distress arising from such conduct — not bodily injury claims like the one at issue here. (OEA Opp'n at 3-4.) Rather, another exclusion, Exclusion J, was meant to address bodily injury claims. (Id.) However, this argument runs counter to the plain language of the employment exclusion clause. The clause's language specifically states that the policy does not apply to claims for "bodily injury . . . sustained by any person as the result of an occurrence directly or indirectly relating to the employment or prospective employment of any person by any insured." (Id. at 5.) Thus, regardless of whether Exclusion J does or does not provide coverage for the Shugart and Wise claims, the claims are excluded by the plain language of the employment exclusion clause.

The employment exclusion clause — Exclusion H — states that the policy does not apply to: "Bodily injury, property damage, personal injury, employee benefits injury or advertising injury sustained by any person as the result of an occurrence directly or indirectly relating to the employment or prospective employment of any person by any insured." Exclusion J, in contrast, states that the policy does not apply to "bodily injury to: (1) An employee of the insured arising out of or in the course of employment by any insured; or (2) the spouse, child, parent, brother or sister of that employee as a consequence of (1) above." (OEA Opp'n at 5.)

Finally, OEA argues that Nutmeg's reading of the insurance policy would render Exclusion J superfluous because anything covered in Exclusion J would be covered by the "employment exclusion" clause. (Id. at 4-6.) However, it is common for multiple exclusions to apply to certain types of claims. (Nutmeg and Twin City Reply at 7.) Therefore, the fact that more than one exclusionary clause might theoretically apply to certain claims does not automatically render these clauses ambiguous.

In sum, the court finds that the Shugart and Wise claims are excluded from coverage by the employment exclusion clause contained in Nutmeg's insurance policy. The court, therefore, GRANTS Twin City's and Nutmeg's motion for summary judgment.

Nutmeg and Twin City also requested summary judgment based on several alternative arguments. However, given the court's holding on the employment exclusion clause, it is not necessary for the court to reach these issues.

OEA contends that, whether or not Twin City or Nutmeg has a duty to indemnify OEA, they have a duty to defend the Shugart and Wise claims. (OEA's Mot. at 17-18.) However, an insurer has no duty to defend if it can show undisputed facts that conclusively negate its coverage obligations. Atl. Mut. Ins. Co. v. J. Lamb, Inc., 100 Cal.App.4th 1017, 1038-39, 123 Cal.Rptr.2d 256 (2002). For the reasons described above, Twin City and Nutmeg have shown that the Shugart and Wise claims are not covered by their policies; accordingly, they have no obligation to either defend or indemnify these claims.

III.

For the forgoing reasons, the court rules as follows: (1) OEA's motion for reconsideration of the court's summary judgment ruling in favor of Evanston and Royal is DENIED; (2) OEA's motion for reconsideration of the court's summary judgment ruling in favor of Lloyd's is GRANTED; (3) Twin City's and Nutmeg's motion for summary judgment against OEA is GRANTED, and OEA's cross-motion for summary judgment against Twin City and Nutmeg is DENIED.

IT IS SO ORDERED.


Summaries of

EVANSTON INSURANCE CO. v. OEA, INC.

United States District Court, E.D. California
Jul 25, 2005
CIV-S-02-1505 DFL PAN, CIV-S-02-1981 DFL PAN (E.D. Cal. Jul. 25, 2005)
Case details for

EVANSTON INSURANCE CO. v. OEA, INC.

Case Details

Full title:EVANSTON INSURANCE CO., Plaintiff, v. OEA, INC., and DOES 1-20, inclusive…

Court:United States District Court, E.D. California

Date published: Jul 25, 2005

Citations

CIV-S-02-1505 DFL PAN, CIV-S-02-1981 DFL PAN (E.D. Cal. Jul. 25, 2005)

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