Hopeman Bros., Inc. v. Cont'l Cas. Co.
Hopeman Bros., Inc. v. Cont'l Cas. Co.
Opinion of the Court
This matter is before the Court on a motion for summary judgment filed by Continental Casualty Company, ("Continental") and Lexington Insurance Company ("Lexington") (collectively "Defendants"), ECF No. 83, as well as a motion for partial summary judgment filed by Hopeman Brothers, Inc. ("Hopeman" or "Plaintiff"), ECF No. 81. For the reasons stated below, the Court GRANTS in part and DENIES in part Defendants' motion for summary judgment, ECF No. 83, and GRANTS in part and DENIES in part Plaintiff's motion for partial summary judgment, ECF No. 81. The Court reserves for later disposition the issue of whether certain asbestos-related claims fall into products/completed operations by default and the issue of whether the underlying policies have been exhausted.
I. FACTUAL AND PROCEDURAL BACKGROUND
This case arises out of a coverage dispute between Hopeman and its insurers *439regarding numerous asbestos-related claims. From the 1930s until 2003, Hopeman specialized in the engineering, manufacture, and installation of marine interiors on ocean-going vessels. During this period, maritime standards required the use of fire-containing materials. To meet these requirements, Hopeman procured and installed several kinds of asbestos-containing panels. Since 1979, Hopeman has been named in over 123,000 claims alleging personal or bodily injury from exposure to asbestos fibers contained in marine interior materials provided by Hopeman.
Beginning in 1937, Hopeman purchased primary and, starting in 1965, excess general liability insurance coverage. During the relevant period of 1971 to 1977, Hopeman maintained multilayer insurance coverage. Hopeman's primary-layer policies were all issued by the Liberty Mutual Insurance Company ("Liberty") for $500,000 in annual coverage (totaling $3 million in primary coverage from 1971 through 1977). Hopeman also obtained additional layers of excess insurance through annual policies issued by various excess insurers, including a number of policies issued by Defendants. From 1971 to 1974, Hopeman obtained two excess policies for $5 million in annual coverage from the Home Indemnity Company ("Home") and the Insurance Company of North America ("INA") for a combined total of $30 million in coverage. From 1974 to 1977, Hopeman acquired two further excess policies of $5 million in annual coverage from Liberty and the Aetna Casualty & Surety Company ("Aetna") for an additional $30 million in excess coverage. For additional excess coverage, Hopeman maintained a "quota share" layer including Continental, Lexington, and North Star Reinsurance Corporation ("North Star"). This agreement provided for $10 million in combined annual limits above the $10 million underlying excess coverage and $500,000 primary insurance (totaling $60 million in excess coverage from 1971 to 1977). Lexington agreed to be responsible for half of each quota share limit ($30 million in total), Continental for 20% ($12 million) and North Star the remaining 30% ($18 million).
As a result of numerous asbestos exposure claims, Hopeman has faced significant liability. These claims have in turn triggered the policies of Plaintiff's primary and excess-layer insurers, and Hopeman has received payments from or otherwise resolved coverage with all of the relevant insurers covering the 1971-77 period except Defendants.
In 2003, 2005, and 2009, Hopeman settled with Liberty, Aetna, and INA respectively. In 2013, Hopeman settled with the Insurance Commissioner of the State of New Hampshire as Liquidator of the Home. This settlement resolved Hopeman's claims against seven Home policies, and Hopeman ultimately assigned its rights under the Home policies to a third party. In all of the above-mentioned settlements, Hopeman agreed to modified pro rata allocation. See Van Epps Dep., Ex. 11 at 125:2-127:11, ECF No. 84-11.
In late 2012, Plaintiff notified the "quota share" excess insurers that the underlying 1974-77 policies were nearing exhaustion. In February 2013, Hopeman informed Defendants and the General Reinsurance Corporation ("Gen Re"), the successor to North Star, that the underlying policies had been exhausted, and requested that the "quota share" layer insurers immediately enter settlement negotiations. Soon thereafter, Hopeman began negotiations with Gen Re, resulting in a settlement on a modified pro rata basis in October 2013.
*440Between 2013 and December 2016, the Claro Group ("Claro"), Hopeman's agent, negotiated with Defendants' third-party administrator, Resolute Management Inc., regarding Defendants' policies. Hopeman asserts that Continental initially agreed to pay on its policies, making $355,823 in payments between December 2012 to April 2014, but that it terminated its participation in July 2014. Lexington, however, has never agreed to participate in any payments. In December 2016, the parties terminated further settlement negotiations after Resolute refused Plaintiff's latest settlement demand.
Shortly thereafter, Hopeman filed a two-count complaint, alleging breach of contract and seeking a declaratory judgment regarding Defendants' alleged obligation to pay various asbestos-related claims. See generally Compl., ECF No. 1. Specifically, Hopeman alleges that Defendants are in breach of contract for failing to reimburse Hopeman for claims related to Defendants' 1974-77 policies. See id. at 8. Hopeman also demands a declaratory judgment regarding Defendants' obligations to pay an "all sums" share of amounts incurred for asbestos-related claims arising during the 1971-77 policy periods, as well as "all sums" incurred in defense of such claims. Id. at 7, 9. In May 2017, Defendants filed their answers to the complaint. ECF Nos. 32, 33.
In November 2017, Plaintiff filed its motion for partial summary judgment. ECF No. 81. Hopeman first requests summary judgment on two scope of coverage issues: (1) that the "all sums" allocation method applies to the policies, id at 1; and (2) that the Lexington Policies provide defense coverage, id. Plaintiff next seeks a ruling that the underlying insurance of the 1974-77 policies has been exhausted. Id. at 2. For the 1971-74 policies, Hopeman requests summary judgment that Hopeman's payment of the Home policy's products/completed operations aggregate limit and the granting of an allowed claim in the Home insolvency satisfy the Home policy's limits. Id. Plaintiff then argues that summary judgment is appropriate on the following coverage issues: (1) that products/completed operations coverage applies by default for asbestos-related claims, id. at 2; (2) that "bodily injury" occurs for products/completed operations claims from the date of first exposure and continues thereafter, id. at 2-3; and (3) that each individual alleging bodily injury from exposure to asbestos constitutes a separate "occurrence" under the policies, id. at 3. Hopeman also requests summary judgment that the non-cumulation clauses only reduce Insurers' policy limits with respect to the same "occurrence" or "loss" as the one for which Hopeman seeks coverage, and only to the extent Hopeman has recovered for that same "occurrence" or "loss" under relevant prior insurance at the same "layer" or horizontal "tier" of coverage. Id. at 3. Plaintiff further requests summary judgment that the term "loss" in several relevant non-cumulation clauses should be read narrowly, and that, in any case, the first $7 million of recovery from Defendants will be unaffected by the non-cumulation clauses because Hopeman has not previously recovered from prior insurance in the same tier or layer as the policies at issue. Id. Finally, Hopeman seeks a ruling that it has satisfied any duty to mitigate or avoid losses for asbestos-related claims. Id. Defendants responded to Hopeman's motion in late November 2017, ECF No. 98, and Plaintiff filed a reply in December 2017, ECF No. 115.
In November 2017, Defendants also filed their motion seeking summary judgment on five issues. ECF No. 83. Defendants first argue that Plaintiff had previously evinced a belief that Defendants' policies required a "pro rata" allocation method, and therefore should not be permitted to *441now seek "all sums" allocation. See Defs.' Summ. J. Br. 2, 12-15, ECF No. 84. Second, Defendants claim that, even if an "all sums" allocation method applies, the prior insurance/non-cumulation provisions must be enforced to limit coverage. Id. at 2, 15-20. Third, Defendants assert that they are under no obligation to pay the excess liability claims because the underlying policies are not exhausted. Id. at 2, 20-23. The claims are allegedly not exhausted because Hopeman compromised its claims with certain insurers for less than the full limits of those policies. Id. at 2. Fourth, Defendants argue that Hopeman failed to comply with its obligation to allocate claims according to whether they were "product" or "non-product" claims. Id. at 23-26. Accordingly, Defendants claim they are entitled to a ruling that this method of calculating the exhaustion of the underlying limits is incorrect as a matter of law. See id. at 26. Finally, Defendants claim that Hopeman is improperly seeking reimbursement of some defense costs. See id. at 26-30. In November 2017, Hopeman filed a response to Defendants' motion, ECF No. 97, and in December 2017, Defendants filed a reply brief, ECF No. 113.
Having been fully briefed and considered by this Court, Plaintiff's motion for partial summary judgment and Defendants' motion for summary judgment are ripe for review.
II. CHOICE OF LAW
Because the parties ask this Court to interpret the relevant insurance contracts, the Court must first determine which state's laws govern their interpretation. As a federal court exercising diversity jurisdiction, the Court must apply the choice of law rules of the state in which it sits. See Klaxon Co. v. Stentor Elec. Mfg. Co.,
Both parties admit that New York law applies in this case. See Pl.'s Partial Summ. J. Br. at 7, 8; Defs.' Summ. J. Br. 10-12, ECF No. 84. At the time the policies were issued, Hopeman's headquarters was located in New York. See Defs.' Summ. J. Br. 12. Hopeman's New York business address is listed on the policies, and it paid insurance premiums from that state.
III. DECLARATORY JUDGMENT STANDARD
The Federal Declaratory Judgment Act provides that, "[i]n a case of actual controversy within its jurisdiction," the district court "may declare the rights and other legal relations of any interested party seeking such declaration, whether or not further relief is or could be sought."
Our Court of Appeals has held that a district court's discretion is not without limits and that it "may not refuse *442to entertain a declaratory judgment action out of whim or personal disinclination ... but may do so only for good cause." Nautilus Ins. Co. v. Winchester Homes, Inc.,
The controversy at hand appears well suited for a declaratory judgment. Plaintiff seeks declaratory judgment regarding numerous issues related to the scope of Defendants' 1971-74 coverage obligations. See Compl. ¶¶ 33-37. These issues are nearly identical to those of the breach-of-contract claim of the 1974-77 policies, and a declaration of rights under the non-triggered policies will obviate the need for further litigation construing such policies. While Defendants deny that Plaintiff's demanded relief is justified, they agree that a genuine dispute exists regarding these policies. See Lexington's Answer ¶ 35, ECF No. 32; Continental's Answer ¶ 35, ECF No. 33. There are also no parallel state proceedings underway that would threaten piecemeal resolution of this matter. Thus, the Court finds that a declaratory judgment regarding the Defendants' 1971-74 policies is warranted.
IV. SUMMARY JUDGMENT STANDARD OF REVIEW
The Federal Rules of Civil Procedure provide that a district court shall grant summary judgment in favor of a movant if such party "shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law." Fed. R. Civ. P. 56 (a). The mere existence of some alleged factual dispute between the parties "will not defeat an otherwise properly supported motion for summary judgment; the requirement is that there be no genuine issue of material fact." Anderson v. Liberty Lobby Inc.,
Moreover, because a ruling on summary judgment "necessarily implicates the substantive evidentiary standard of proof that would apply at the trial on the merits [,]" where the preponderance of the evidence standard applies, "[t]he mere existence of a scintilla of evidence in support of the [non-movant]'s position will be insufficient" to overcome a movant's well-founded summary judgment motion. Anderson,
New York law controls the substantive aspects of this diversity case, Erie Railroad v. Tompkins,
Under New York law, courts interpret insurance policies according to general rules of contract interpretation. Olin Corp. v. Am. Home Assur. Co.,
"The determination of whether an insurance policy is ambiguous is a matter of law for the court to decide." Law Debenture Tr. Co. of N.Y. v. Maverick Tube Corp.,
When a contractual provision is ambiguous, a court may consider extrinsic evidence to ascertain the parties' intent at the formation of the contract. JA Apparel Corp. v. Abboud,
V. DISCUSSION
A. Whether "All Sums" or "Pro Rata" Allocation Applies
The parties have cross-moved for summary judgment regarding the proper allocation method to apply to the policies, with Hopeman seeking an "all sums"
Defendants also claim that, even if all sums allocation is otherwise required, Plaintiff should be held to a pro rata method because Hopeman's prior course of conduct evinced a belief that the policies required this method. See Defs.' Summ. J. Br. 2, 12-15; Defs.' Opp'n Partial Summ. J. Br. 11-12. Hopeman settled with its other insurers on a modified pro rata basis, billed those insurers on a modified pro rata basis, and claims to have billed Lexington and Continental on a modified pro rata basis. Defs.' Summ. J. Br. 15. Defendants conclude that Hopeman should be held, not to the modified pro rata method, but instead to "a time on the risk pro rata *445allocation method." Defs.' Opp'n Partial Summ. J. Br. 12.
Before turning to Defendants' other allocation method arguments, the Court will first determine whether, under New York law, the contractual language of the instant policies requires an "all sums" or "pro rata" method of allocation. Because this Court is bound by the Viking Pump (NY) court's interpretation of non-cumulation clauses, the Court will briefly summarize below the relevant points from that case.
1. The Viking Pump (NY) Decision and Allocation
The appeal in Viking Pump (NY) arose from an insurance coverage dispute between two companies and their excess policy insurers regarding numerous asbestos exposure claims. In that case, the Delaware Supreme Court certified two questions to the New York Court of Appeals, one of which was "whether 'all sums' or 'pro rata' allocation applies where the excess insurance policies either follow form to a non-cumulation provision or contain a non-cumulation and prior insurance provision[.]" Viking Pump (NY),
In addressing this question, the Viking Pump (NY) court began by restating its general approach to interpreting insurance contracts. They explained, "we emphasized in Consolidated Edison , and have reiterated thereafter, that 'in determining a dispute over insurance coverage, courts first look to the language of the policy.' " Viking Pump (NY), at 257,
Applying those principles to the language of the contracts before them, the Viking Pump (NY) court determined that an all sums approach applied for "long-tail" claims.
2. Applying Viking Pump (NY) to the Instant Policies
The policies at issue all contain or follow form to NCCs identical to those construed in Viking Pump (NY) . Looking first to the 1974-77 Continental policy, it follows form to the same Liberty Mutual NCC at issue in Viking Pump (NY) . Compare Viking Pump (NY),
With respect to Defendants' argument that, even if the policies might otherwise require all sums allocation, a ruling that such method applies would be premature before Hopeman identifies a loss or occurrence covered under each policy that is also covered under any other excess policy, the Court finds that this goes beyond what is necessary under Viking Pump (NY) . The Viking Pump (NY) court determined on the basis of the NCC language alone that "all sums allocation is appropriate in policies containing such provisions."
Therefore, this Court finds, as a matter of New York contract law, that the NCCs' contractual language unambiguously requires an all sums allocation method for long-tail claims.
3. Whether Hopeman Should Be Bound to a Pro Rata Method
Defendants also claim that, regardless of whether the policies otherwise require all sums allocation, Hopeman should be held to a pro rata method based on its prior course of conduct. The precise theory upon which Defendants rely for this proposition is unclear.
Defendants cite several cases in which courts found that a party's prior course of conduct was relevant for establishing a "practical construction" of an ambiguous contract, see Defs.' Summ. J. Br. 13-14, ECF No. 84, but Defendants explicitly deny offering a practical construction argument, see Defs.' Summ. J. Reply Br. 8, ECF No. 110. They also fail to respond to the following arguments offered by Plaintiff:
*447(1) practical construction does not apply because the prior course of conduct was with parties other than Defendants; (2) practical construction only applies where a provision is ambiguous, and Defendants have not argued that the NCC is ambiguous; (3) Defendants cannot establish the requisite knowledge or acquiescence, because the prior conduct cannot be shown to be an interpretation of the policy language and New York law, rather than a reasonable resolution of disputed issues; and (4) in any case, Hopeman would only be bound to a modified pro rata method, because that is all it has agreed to with its insurers. See Pl.'s Partial Summ. J. Br. 9-11, ECF No. 82. Based on Defendants' denial that they are offering a practical construction argument and their failure to rebut Plaintiff's arguments, the Court views any practical construction argument to have been waived.
Plaintiff also points out, and Defendants do not deny, that the insurers are not arguing that Hopeman is collaterally estopped. See Pl.'s Opp'n Summ. J. Br. 10, ECF No. 97. In the absence of a practical construction or collateral estoppel theory, the Court construes Defendants' argument to be that, for reasons of fair dealing, Plaintiff should not be able to offer a position that is inconsistent with the one it has taken in settlement negotiations. This argument would be similar to that of judicial estoppel, where a party may be precluded as a matter of law from offering a position in conflict with one earlier taken in the same or related litigation. See King v. Herbert J. Thomas Mem'l Hosp.,
Construing Defendants' argument in this way, the Court finds Plaintiff's explanation, for why it has previously used a modified pro rata basis, to be reasonable. Hopeman notes that pro rata allocation was part of the terms of the Wellington Agreement that it entered in 1985 as part of an effort to resolve uncertainties as to how signatories' insurance would apply to asbestos claims. See Pl.'s Opp'n Summ. J. Br. at 10, ECF No. 97. Several of Hopeman's paying insurers are Wellington signatories, and Hopeman's other insurers who are not Wellington signatories have been willing to accept the benefits of the modified pro rata approach rather than seeking to litigate their obligations. See
4. Whether Hopeman Has "Opted Out" of an All Sums Allocation by Settling with Other Insurers on a Pro Rata Basis
Defendants also claim that Hopeman should be bound to a pro rata allocation method because "by settling with other insurers on a pro rata basis and exhausting the underlying limits horizontally, Hopeman has opted out of an all sums allocation," Defs.' Summ. J. Reply Br. at 8, ECF No. 110.
The single case the Defendants cite in support of this claim, GenCorp, Inc. v. AIU Ins. Co,
While the Sixth Circuit affirmed the reasoning of the district court in an unpublished decision, GenCorp Inc. v. AIU Insurance Co.,
To the Court's knowledge, every court outside of Ohio that has been asked to adopt GenCorp's holding has found its reasoning to be flawed and its approach to be inconsistent with "all sums" allocation. See Westport Ins. Corp. v. Appleton Papers Inc.,
Therefore, because Defendants have not successfully asserted any theory under which Plaintiff's prior course of conduct should bind it in this litigation, the Court concludes that Plaintiff may seek an all sums approach for the instant policies.
5. Whether Hopeman Must Allege a Single "Loss" or "Occurrence" To Obtain All Sums Allocation
Defendants' final argument against granting summary judgment for *449an all sums allocation is that Plaintiff has failed to allege that the claims for which it seeks coverage all constitute the same "loss" or "occurrence," which Defendants claim is a condition precedent to the application of the clause in all contexts. Defs.' Summ. J. Br. at 16, ECF No. 84.
Plaintiff denies that any such requirement exists and argues that the relevant cases show that a finding that each asbestos-related claimant is a separate occurrence is not in tension with the all sums method. Pl.'s Opp'n Summ. J. Br. 12, ECF No. 97. First, Plaintiff notes that in Viking Pump the Delaware trial courts determined that each asbestos plaintiff's injury constituted a separate "occurrence" under New York law.
Plaintiff also argues that the plain language of the NCCs does not require that all losses or occurrences constitute a single loss, and notes that the same "loss" or "occurrence" language in the NCCs only is relevant for purposes of demonstrating a contractual intent inconsistent with pro rata allocation. Id. at 12 (quoting Viking Pump (NY),
The Court finds Plaintiff's arguments to be persuasive. Defendants have cited no legal authority for their position, and the Court is not convinced that there is any tension between an all sums allocation method and a finding that each asbestos claimant constitutes a separate occurrence. The plain language of the NCCs merely contemplates that a loss can be covered by more than one period, and Defendants have pointed to no policy language supporting a requirement that all losses or occurrences must be aggregated into a single loss or occurrence before applying the NCCs. Moreover, the complete absence of this supposed requirement in either Viking Pump (NY) or other opinions applying the all sums allocation method under New York law fatally undermines Defendants' position.
In light of the plain language of the NCCs, the New York Court of Appeals' binding guidance in Viking Pump (NY), and this Court's rejection of Defendants' other arguments regarding the application of the all sums method, the Court finds that, as a matter of New York contract law, the policies are unambiguous on the *450allocation issue and that summary judgment is warranted. Seiden Assocs.,
B. Whether the Policies Require Vertical or Horizontal Exhaustion
Hopeman next requests summary judgment that the Continental and Lexington policies only require "vertical" exhaustion of directly underlying insurance. See Pl.'s Mot. Partial Summ. J. 1, ECF No. 81. Because the Viking Pump (NY) court addressed the proper method of exhaustion for policies containing NCCs, the Court will briefly summarize the relevant section of that court's decision before turning to address the parties' remaining exhaustion arguments.
1. The Viking Pump (NY) Decision and Exhaustion
In addition to ruling on which allocation method was required for policies containing NCCs, the Viking Pump (NY) court decided the related question of whether vertical or horizontal exhaustion applies to such policies. The Viking Pump (NY) court noted that under horizontal exhaustion, an insured is required to "exhaust all triggered primary and umbrella excess layers before tapping into any of the additional excess insurance policies."
After looking to the policies, which all hinged their attachment on the exhaustion of underlying policies that covered the same policy periods and were identified by either name, policy number, or policy limits, the court concluded that vertical exhaustion was required.
2. Whether Vertical Exhaustion Applies to the Instant Policies
Hopeman argues, and Defendants do not deny, that the instant policies hinge their attachment on the exhaustion of underlying policies that cover the same policy periods and are identified by either name, policy number, or policy limits. See Pl.'s Partial Summ. J. Br. 12, ECF No. 82. Plaintiff notes that the Continental policies state that Continental pays a "20% quota share or $2,000,000 each occurrence combined Single limit Bodily Injury and Property Damage and $2,000,000 annual aggregate part of $10,000,000 umbrella/layer excess of $10,000,000 lower layer umbrella which is in turn excess of primary insurance as scheduled in Endorsement # 1 attached."
Plaintiff next notes that the Lexington policies also hinge attachment on the exhaustion of specific underlying policies. Pl.'s Partial Summ. J. Br. 13, ECF No. 82. For 1971-74, the declarations identify the underlying policies as the $5 million layer of the Home Umbrella policy and $5 million provided by "Various Companies and Policies." Johnson Ex. 4 at 1885, ECF No. 82-5. Hopeman explains that "Various Companies and Policies" is referring to the $5 million INA policy. Pl.'s Partial Summ. J. Br. 13. For the 1974-77 policy, Endorsement 1 states that the underlying umbrella insurers include "(a) Liberty Mutual-Various" and "(b) Aetna C & S." Johnson Ex. 5 at 1898, ECF No. 82-6.
Hopeman explains, and again Defendants do not deny, that both the policies at issue and the underlying policies are "annualized," meaning that, for example, a three-year policy issued by Continental or Lexington provides for three separate limits of liability, one for each one-year policy period. Pl.'s Partial Summ. J. Br. 13. The 1971-74 Continental policy follows form to the annualization of the INA and Home policies, which provide a limit of liability "in the aggregate for each annual period."
While Defendants strongly contest whether the underlying policies have been exhausted, they do not attempt to refute Plaintiff's contention that vertical exhaustion applies to the policies. See Defs.' Opp'n Partial Summ. J. Br. 10-12, ECF No. 98 (noting that Plaintiff had previously used a horizontal exhaustion method when using a modified pro-rata allocation method, but failing to argue that the instant policies require horizontal exhaustion). In addition, Defendants admit that the policies are annualized in the way Plaintiff suggests. See id. at 1. The Court is also satisfied that the NCCs are unambiguous and that vertical exhaustion applies to the policies. As in Viking Pump (NY), the instant policies hinge attachment on the exhaustion of specific underlying policies.
In light of the above, the Court finds that the contractual language in the NCCs is unambiguous and summary judgment regarding the vertical exhaustion issue is warranted. Seiden Assocs.,
C. Whether the Non-Cumulation Clauses Reduce the Limits of Defendants' Policies
The parties next dispute the extent to which the NCCs should reduce the instant policies' limits. See Pl.'s Mot. Partial Summ. J. 3, ECF No. 81; Defs.' Summ. J. Br. 15-20, ECF No. 84.
The New York Court of Appeals explained in Viking Pump (NY) that the purpose of non-cumulation clauses is to "prevent stacking, the situation in which 'an insured who has suffered a long term or continuous loss which has triggered coverage across more than one policy period ... wishes to add together the maximum limits of all consecutive policies that have been in place during the period of loss.' "
1. Whether Non-Cumulation Clauses Only Apply to Actual Payment by Prior Policies in the Same Coverage Tier
Hopeman asserts that NCCs only apply to an attempt to recover in multiple policy periods within the same coverage "layer" or "tier." Pl.'s Partial Summ. J. Br. 28, ECF No. 82. Plaintiff claims that, as of the date on which damages were calculated, Hopeman had not assigned claims to any prior insurance above the $10.5 million attachment point of the instant policies. Id. at 7, 28. Because no prior insurer in the same coverage tier has made any payments, Hopeman argues that the NCCs have no application for at least the first policy period implicated by Hopeman's damages claim. Id. at 28. This means, at most, the Insurers can argue only that the payment of $7 million within limits will eliminate their remaining $35 million in limits without further payment. Id.
In addition, Hopeman argues that NCCs do not apply where the insured could recover under a prior insurance in the same tier but has not yet obtained recovery. Id. Because Hopeman asserts that it has not yet assigned any claims to prior policies of the same tier as the instant policies, Plaintiff claims that there has been no actual payment that would permit application of the NCCs. Id. at 28-29.
The Court finds Hopeman's above arguments to be persuasive in light of the Second Circuit's decision in Olin IV . In that case, the Second Circuit applied New York law to interpret a policy containing an NCC and found that "after *453Viking Pump [NY ] it is clear that the critical factor is whether the loss covered by a policy dictating all sums is also covered by another policy in the same coverage layer, which itself has already provided indemnification to the insured for the loss." Id.,
The Olin IV court also noted, with respect to actual payment, that "we reject out-of-hand OneBeacon's argument that since Olin could recover from prior insurers whose policies provide coverage for loss at these sites and who sit in the same layer of coverage as OneBeacon, Olin may not recover under the OneBeacon policies."
In the Court's view, Olin IV establishes that, when applying New York law, NCCs only apply to actual payments made under prior policies at the same tier of coverage. Defendants' response on this issue, claiming that the passages cited above from Olin IV were an "unjustified gloss," Defs.' Opp'n Partial Summ. J. Br. at 15, is not persuasive because Defendants fail to provide any analysis for such assertion, and Olin IV is clear on this point. The above-cited passages were key to the court's ultimate ruling on the non-cumulation clause issue, and thus are a part of the case's core holding.
Therefore, the Court finds that, as a matter of New York contract law, the NCCs have an unambiguous meaning on this issue and that summary judgment concerning them is warranted. Seiden Assocs.,
While Defendants contend that Plaintiff has not sufficiently offered admissible evidence to support its claim that it has not previously recovered from prior insurance in the same tier as Defendants' policies, see Defs.' Opp'n Partial Summ. J. Br. 8, the Court disagrees. Plaintiff originally cited Van Epps Declaration ¶ 17 and Van Epps Exhibit 1 in support of its position. Pl.'s Partial Summ. J. Br. 7, ECF No. 82. While the Court struck Van Epps Exhibit 1 because it found that Hopeman had blocked discovery relating to "allocation," the Court denied Defendants' motion to strike Van Epps Declaration ¶ 17. See Omnibus Order at 12, 18, ECF No. 180. Other than claiming that Plaintiff had not supported its claim with admissible evidence, Defendants have not offered any additional evidence or arguments that would raise any doubt about the evidence Hopeman has provided showing that it has not received prior payments for policies in the same tier as the instant policies. The Court therefore finds that the evidence before it does not raise a genuine issue of material fact regarding this issue, and GRANTS Hopeman's request for summary judgment, finding that the first $7 million of *454Hopeman's damages claim cannot be subject to an NCC defense because Plaintiff has not previously recovered from prior insurance at the same tier as Defendants' policies. ECF No. 81.
2. Whether the 1974-77 Continental Policy's Non-Cumulation Clause Limits Recovery
Hopeman next requests summary judgment regarding the 1974-77 Continental Policy. Pl.'s Partial Summ. J. Br. 21, ECF No. 82. Hopeman asserts that under New York law each individual alleging bodily injury from exposure to asbestos-containing material presents a separate "occurrence" for purposes of the Continental policy.
Hopeman argues that the grouping language in the instant policies leads to the conclusion that each asbestos-related claim is a "separate occurrence" for purposes of the NCCs. Pl.'s Partial Summ. J. Br. 22-25, ECF No. 81. With regard to the 1974-77 Continental policy, Hopeman notes that it incorporates language from the Liberty Umbrella policy stating that "[f]or the purpose of determining the limits of the company's liability: (1) all personal injury ... arising out of continuous or repeated exposure to substantially the same general conditions ... shall be considered as the result of one and the same occurrence. " Id. at 22, (quoting Johnson Ex. 10 at 1947, ECF No. 82-11) (emphasis in original). Hopeman then explains that, in light of Appalachian Insurance Co. v. General Electric Co.,
Defendants have not responded to any of Plaintiff's arguments about the import of the grouping language. Therefore, the Court considers Defendants to have conceded Plaintiff's argument that the grouping language does not require the aggregation of claims in this case.
Defendants' only remaining argument regarding the 1974-77 Continental policy's NCC is vague and purportedly based on Fairbanks,
*455Id. The Fairbanks court neither ruled that all asbestos claims constituted a single occurrence nor that other language in the policy required grouping that would limit recovery, though it did state generally that "non-cumulation clauses must be enforced under Viking Pump [NY] [.]" Id. at *5. Based on this reading of Fairbanks, the Court is unaware of how this case supports Continental's position as to how the NCC should be applied here, and Continental has not explained the significance of Fairbanks beyond its conclusory statement quoted above. Thus, the Court rejects Defendants' contention that Fairbanks has any applicability for construing the 1974-77 Continental policy's NCC.
In light of the above, the Court finds that, as a matter of New York contract law, the language of the 1974-77 Continental policy's NCC has an unambiguous meaning and that summary judgment concerning it is warranted. Seiden Assocs.,
3. Whether Plaintiff Must Exhaust All Triggered Policies in Chronological Order
Defendants also argue that Hopeman should not be permitted to make an "end run" around the NCCs by failing to follow an exhaustion model of applying losses to the earliest triggered policy year. Defs.' Opp'n Partial Summ. J. 14, ECF No. 98. As the Court understands Defendants' argument, they claim that Plaintiff's settlements with its lower-layer insurers on a modified pro-rata basis have unfairly prevented the policies of insurers in the same coverage tier as Defendants from having to make payments in the years prior to the instant policies. See
The Court concludes that Viking Pump (NY) and Olin IV establish that, under an all sums allocation method, the policyholder controls the order in which triggered policies pay. The Viking Pump (NY) court explained that vertical exhaustion, which it held should be used in conjunction with all sums allocation, permits a policyholder to choose a particular triggered policy year and access an "excess policy once the immediately underlying policies' limits are depleted, even if other lower-level policies during different policy periods remain unexhausted."
Because the policyholder can choose the order in which to assign damages to triggered policies under an all sums method, it is speculative whether applying an all sums method to Plaintiff's settlements would necessarily have led to the triggering of prior policies in the same tier as Defendants' policies. In any case, Defendants' legal theory is unclear as to how Hopeman manipulated the claims here, and Defendants are also less than clear as to why and how the Court should act to mitigate the effect of such alleged claim manipulation. Thus, the Court will not apply the NCCs as if the policies had been exhausted under Defendants' counterfactual scenario.
4. Whether the Term "Loss" Has a Broad Meaning
The parties also dispute the meaning of the term "loss" in the relevant NCCs. The parties do not dispute that the following provision applies to the Lexington policies and the 1971-74 Continental Policy:
It is agreed that if any loss covered hereunder is also covered in whole or in part under any other excess Policy issued to the Assured prior to the inception date hereof the limit of liability hereon as stated in Item 5 and 6 of the Declarations shall be reduced by any amounts due to the Assured on account of such loss under such prior insurance.
See Ex. C at 41, ECF No. 1-3; Ex. D at 55, ECF No. 1-4; Home Policy, Ex. E at 64, ECF No. 1-5 (featuring an identical NCC to that above, except substituting the word "Insured" for "Assured"). Both sides also agree that the NCCs and underlying policies fail to define the term "loss," but *457they dispute whether this term should be construed narrowly or broadly.
Plaintiff claims that, because the Insurers have failed to define this term, it must be read consistently with plain meaning and an insured's reasonable expectations. Pl.'s Partial Summ. J. Reply Br. 12, ECF No. 115. Hopeman suggests that the Court should adopt the "indisputably reasonable definition" of "loss" from the Continental policies. Id. at 12-13. The Continental policies feature the following definition: " 'Loss' means the sums paid as damages in settlement of a claim or in satisfaction of a judgment for which the insured is legally liable ...." Johnson Ex. 2 at 1860, ECF No. 82-3; Johnson Ex. 3 at 1870, ECF No. 82-4. In addition, Plaintiff claims that the term "loss," which is incorporated from the Home policy, should not be read as referring to similar losses from multiple claims. Pls.' Partial Summ. J. Br. 27-28. Hopeman notes that when the Insurers intended to refer to "losses" resulting from multiple claims, they did so expressly. Id. As evidence Plaintiff cites the Home policy's "Loss Payable" provision, which uses language about the submission of a request for payment of "loss" for a definite claim and submissions of future "losses" for the same occurrence. Id. (quoting Johnson Ex. 8 at 1922, ECF No. 82-9). According to Hopeman, this demonstrates that the same "occurrence" can result in multiple "losses," showing that the "loss" limitation in the Home policy is even narrower than the "occurrence" limitation of the other NCCs. Id.
Defendants do not offer a preferred definition of the term "loss," but they deny that it should be construed narrowly. Defs.' Opp'n Partial Summ. J. 13, ECF No. 98. In support of their position, Defendants cite two cases in which federal courts have found that an undefined "loss" term in similar NCCs should be read broadly. First, the court in California Insurance Co. v. Stimson Lumber Co., No. Civ. 01-514-HA,
The parties' dispute ultimately is about whether the NCC is ambiguous because it has an undefined term. The issue of whether an insurance contract is ambiguous is a question of law. Greenfield v. Philles Records, Inc.,
*458Mostow v. State Farm Ins. Companies,
Turning to whether an undefined term is ambiguous, in general "an undefined term in an insurance policy is to be construed so as to give the term its ordinary and accepted meaning." Sloman v. First Fortis Life Ins. Co.,
In approaching this inquiry, the Court begins with the plain and ordinary meaning of the word "loss." Courts in New York usually invoke dictionary definitions to determine the "plain and ordinary meaning" of words found in a contract. 10 Ellicott Square,
This Court's reading of this term is consistent with that of the Stimson and New England Reinsurance courts mentioned above, and also that of the three other courts which have construed this same term in similar NCCs. See, e.g., Air & Liquid Sys. Corp. v. Allianz Underwriters Ins. Co., No. CIV.A. 11-247,
None of Plaintiff's arguments regarding "loss" convince this Court that the term is either ambiguous or that it has an unambiguously narrow meaning. While Hopeman urges the Court to accept the definition of "loss" from the Continental policies, New York law does not support arbitrarily selecting a definition for an undefined term from another insurance contract. An undefined term must be defined by its ordinary and accepted meaning. See Sloman,
Therefore, because this issue presents a question of contract interpretation for the Court, and because the Court finds that the term "loss" in the NCCs unambiguously refers to the gross amount Hopeman is seeking under each policy, summary judgment on this issue is warranted. Seiden Assocs.,
D. Whether the Lexington Policies Include Defense Coverage
The Court next addresses the parties' cross-motions regarding whether the Lexington policies include defense coverage. The parties' dispute here concerns whether Lexington is liable for various costs associated with defending Hopeman against lawsuits for damages covered under the instant policies.
Excess liability insurance policies typically include a provision explaining what the insurers' obligations are in regards to defense coverage or the indemnification of defense costs. Some excess insurance policies provide for a "duty to defend," which obligates the insurer to provide a defense for the insured against claims that appear to fall within the coverage of the policy. 1 New Appleman Law of Liability Insurance § 1.05 (2017). However, most excess policies provide for a more limited "duty to indemnify," meaning that the insurer is obligated only to pay damages awarded against its insured for covered claims and other defense costs, as stated in the policy.
Plaintiff asserts that the 1971-74 Lexington policy provides for the indemnification of defense costs within limits and that the 1974-77 Lexington policy provides for defense costs outside limits, that is, in addition to limits. Pl.'s Partial Summ. J. Br. 10, ECF No. 82. Concerning the 1971-74 Lexington policy, Plaintiff contends that it incorporates the terms of the underlying *460INA and Home policies, both of which allegedly include a duty to indemnify defense costs within limits.
Defendants claim that the 1971-74 Lexington policy only reimburses defense costs paid as a consequence of a covered occurrence and that the 1974-77 Lexington policy does not provide coverage for defense costs at all. Defs.' Summ. J. Br. 26, ECF No. 84. Defendants claim that the 1971-74 Lexington policy incorporates a provision from the allegedly "immediately underlying" Home policy, which only provides for the reimbursement of defense costs paid as a consequence of a covered occurrence. Id. Concerning the 1974-77 Lexington policy, Defendants claim that it incorporates an applicable provision from the "immediately underlying" Aetna policy, which does not provide for defense costs at all. Id.
Both sides raise arguments based on the effect of the policies' follow form provisions. Follow form provisions are common in multi-layer insurance and provide that an excess policy incorporates by reference certain terms, conditions and exclusions of the underlying policy or policies. See 3 Jeffrey E. Thomas et al., New Appleman Insurance Law Practice Guide § 29A.02 (2017). In general, where there is a conflict between the terms of the excess policy and any underlying policy, the terms of the excess policy control. See Home Ins. Co. v. Am. Home Prod. Corp.,
Determining which provisions a following form policy incorporates is straightforward when there is one underlying policy, but can become more complicated where there are two or more underlying policies. Where there are multiple underlying policies, the following form policy may include a standard provision designating which of the underlying policies is to be followed: "[f]or example, the policy might provide that it follows the primary policy; the immediate underlying policy; the lead excess or umbrella policy; or the primary policy or the most restrictive provisions of any underlying excess policy." 3 Thomas,
Where the following form policy fails to make such a designation, however, courts may find the policy to be either ambiguous or unambiguous depending on whether the underlying policies conflict. Where one underlying policy has a provision on which another is silent, a court may find that the policies are unambiguous and apply the additional provision. See, e.g., GenCorp, Inc. v. Am. Int'l Underwriters,
1. The Lexington Policy Follow Form Provisions
Having described the general standards for construing follow form provisions, the Court now turns to interpret those provisions of the instant Lexington policies. This analysis begins with the language of each policy. Item 2 of the Declarations in the 1971-74 Lexington policy identifies the policy's "Underlying Umbrella Insurers" as the "Home Insurance Company-Policy No. to be advised" and "Varuous [sic] Companies and Policies." Ex. 5 at 2611, ECF No. 84-5. Endorsement # 1 in the 1974-77 policy identifies the Underlying Umbrella Insurers as "(a) Liberty Mutual-Various" and "(b) Aetna C & S." Ex. 7 at 2636, ECF No. 84-7.
Each Lexington policy contains the same definition of coverage, which states:
The Company hereby agrees, subject to the limitations, terms and conditions hereinafter mentioned, to indemnify the Assured for all sums which the Assured shall be obliged to pay by reason of the liability ... [c]aused by or arising out of each occurrence happening anywhere in the world, and arising out of the hazards covered by and as defined in the Underlying Umbrella Policies stated in Item 2 of the Declarations and issued by the "Underlying Umbrella Insurers. "
Ex. 5 at 2614, ECF No. 84-5; Ex. 7 at 2641, ECF No. 84-7 (emphasis added). Both policies also feature a Maintenance of Underlying Umbrella Insurance provision, which provides:
This Policy is subject to the same terms, definitions, exclusions and conditions (except as regards the premium, the amount and limits of liability and except as otherwise provided herein) as are contained in or as may be added to the Underlying Umbrella Policies stated in Item 2 of the Declarations prior to the happening of an occurrence for which claim is made hereunder.
Ex. 5 at 2615 (emphasis added); Ex. 7 at 2642. Outside of the above-cited provisions, the Lexington policies do not otherwise clarify the follow form provisions.
Based on this language, the Court reaches several conclusions. First, the Lexington policies fail to designate an "immediate underlying insurer" or to establish that the immediately underlying insurer is the followed policy. Second, the policies do not indicate any other criteria for determining which underlying policy is to be followed. The language in the Maintenance of Underlying Umbrella Insurance and the Coverage provisions simply states that the policies incorporate the terms, conditions, and exclusions of the policies of the "Underlying *462Umbrella Insurers." Third, the policy language establishes that the policies follow form to the underlying policies only to the extent that they are consistent with the Lexington policies. See Ex. 5 at 2615 (stating the policy incorporates the terms of the underlying policies "except as otherwise provided herein"); Ex. 7 at 2642 (same). The Second Circuit has held that such language establishes a clear intent to have the excess policy's terms control in case of a conflict. See Home Ins. Co.,
While the Lexington policies do not contain any language clarifying which of the underlying policies should prevail if their terms conflict, Lexington argues that one can infer the priority from the underlying policies themselves. Lexington points to language in the 1971-74 INA and 1974-77 Aetna policies in which they respectively list the Home and Liberty Umbrella policies as sitting under the INA and Aetna policies. See INA policy, Ex. F at 76, 79, ECF No. 1-6 (stating that the INA policy is excess of the Home Insurance Company policy); Aetna Policy, Johnson Ex. 11 at 1972, ECF No. 82-12 (listing Aetna as excess of the Liberty Mutual policy). Lexington argues that this establishes that the INA and Aetna policies are the "immediate underlying policies." Defs.' Opp'n to Partial Summ. J. Br. 22; Defs.' Summ. J. Br. 27. Even if this were true, the Lexington policies do not specify that the immediate underlying policies govern in the case of a conflict. As mentioned above, there are numerous possible ways that a following form policy can designate which policy should be followed, and the immediate underlying policy is not by default the followed policy. See 3 Thomas,
2. Whether the 1971-74 Lexington Policy Includes Defense Coverage
The Court next turns to the question of whether the underlying policies of the 1971-74 Lexington policy include defense coverage. The INA policy provides that:
C. The insurance afforded by this certificate shall follow that of the primary insurance except:
(1) anything in this certificate or the primary insurance to the contrary notwithstanding, INA shall not be obligated to assume charge of the settlement or defense of any claim or suit brought or proceeding instituted against the Insured.
Ex. F at 2, ECF No. 1-6 (emphasis added).
This language establishes that the INA policy does not include a duty to defend. However, the duty to defend is broader than the duty to indemnify, Cont'l Cas. Co. v. Employers Ins. Co. of Wausau,
The 1971-74 Lexington policy also follows form to the Home policy, which includes relevant language regarding defense coverage in its "Ultimate Net Loss"
*463provision. The 1971-74 Lexington policy provides that "it is expressly agreed that liability shall attach to the Company only after the Underlying Umbrella Insurers have paid or have been held liable to pay the full amount of their respective ultimate net loss liability" and that the "Company shall then be liable to pay only the excess thereof up to a further ultimate net loss in all in [sic] respect of each occurrence". Ex. C at 40-41, ECF No. 1-3 (emphasis added). The term "ultimate net loss" is not defined in the Lexington policy, but it incorporates a definition from the Home Policy, which states:
The term "Ultimate Net Loss" shall mean the total sum which the Insured, or any company as his insurer, or both, become obligated to pay by reason of personal injury, property damage or advertising liability claims, either through adjudication or compromise, and shall also include hospital, medical, and funeral charges and all sums paid as salaries, compensation fees, charges and law costs, premiums on attachment or appeal bonds, interest, expenses for doctors, lawyers, nurses and investigators and other persons, and for litigation, settlement, adjustment and investigation of claims and suits which are paid as a consequence of any occurrence covered hereunder, excluding only the salaries of the Insured's or of any underlying insurer's permanent employees. The Company shall not be liable for expenses as aforesaid when such expenses are included in other valid and collectible insurance.
Ex. E at 64-65, ECF No. 1-5 (emphasis added).
This language unambiguously provides that defense costs are only covered if (1) they are "paid as a consequence" of a covered occurrence and (2) the fact that an occurrence is covered has been established "through adjudication or compromise." The ultimate net loss provision of the Home policy, which the 1971-74 Lexington policy incorporates, therefore excludes those defense costs associated with unsuccessful suits that either fail at trial or that do not result in settlement. New York courts have described policies with similar language as providing that the obligation to reimburse defense costs follows the indemnity obligations as a matter of law. Stonewall Ins. Co. v. Asbestos Claims Mgmt. Corp.,
Plaintiff's reliance on Federal Insurance Co. v. Kozlowski,
As mentioned above, where one underlying policy includes a provision on an issue for which a second underlying policy is silent, and the following form policy does not indicate which policy is to be followed, the following form policy is unambiguous and the additional provision is incorporated. Here, the INA policy excludes defense coverage but is silent as to the indemnification of defense costs, while the Home policy also excludes defense coverage but unambiguously provides for defense costs within limits. Because the Lexington policy states that it follows the "terms, definitions, exclusions and conditions" of the underlying policies and therefore incorporates the Home policy's ultimate net loss definition, and the Home policy's ultimate net loss definition provides for defense costs within limits while the INA policy is silent on such costs, the Lexington policy is unambiguous and provides for defense costs within limits.
Therefore, because this issue presents a question of contract interpretation for the Court, and because the Court finds that 1971-74 Lexington policy unambiguously incorporates the terms of the Home policy, summary judgment on this issue is warranted. Seiden Assocs.,
3. Whether the 1974-77 Lexington Policy Includes Defense Coverage
The Court turns next to address the defense obligations of the 1974-77 Lexington policy. The underlying Aetna policy states that the company will "indemnify the INSURED against EXCESS NET LOSS arising out of an accident or occurrence[.]" Johnson Ex. 11 at 1970, ECF No. 82-12. It also provides that "[l]oss shall not include any costs or expense in connection with the investigation or defense of claims or suits, or interest on any judgment which accrues after entry of the judgment."Id. at 1971. The parties do not dispute that this language expressly excludes defense coverage and the indemnification of any defense costs.
The underlying Liberty Umbrella policy's Investigation, Defense, Settlement, Assistance and Cooperation provision provides that:
With respect to personal injury, property damage or advertising injury or damage covered under this policy (or which would be covered but for the insured's retention as stated in the declarations), but not covered under any underlying policy or any other insurance , the company will:
(1) defend any suit against the insured seeking damages on account thereof, even if such suit is groundless, false or fraudulent; but the company may make such investigation and settlement of any claim or suit as it deems expedient;
...
and the amounts so incurred , except settlement of claims and suits, are not subject to the insured's retention as stated in the declarations and are payable by the [insurance] company in addition to the applicable limit of liability of this policy.
*465Johnson Ex. 10 at 1946, ECF No. 82-11 (emphasis added).
Lexington argues that, despite the plain language in this provision apparently establishing its obligation to indemnify defense costs in addition to limits, a closer reading reveals that it only creates defense obligations when claims are "not covered under any underlying policy or any other insurance." Defs.' Opp'n Partial Summ. J. Br. 23. In support of its position, Lexington cites Liberty Mutual Insurance Co. v. Pacific Indemnity Co.,
In response, Plaintiff notes that, in In re Viking Pump,
The Court finds the well-reasoned opinions of both the Viking Pump (Del.) and Liberty Mutual courts to be persuasive and to not conflict with one another. Liberty Mutual holds merely that, where there is an unexhausted primary policy that is obligated to provide defense coverage for certain claims, those claims are "covered" by the primary policy such that the umbrella policy has no defense obligations.
Because the Aetna and Liberty Umbrella policies are inconsistent with one another, and the Lexington policy does not designate which policy is to be followed, the Court finds that the 1974-77 Lexington policy's follow form provision is ambiguous. New York law establishes that where a provision of an insurance contract is ambiguous, the court must afford the parties the opportunity to adduce extrinsic evidence to determine the intent of the parties. See Schering Corp. v. Home Ins. Co.,
*466Uniroyal, Inc. v. Home Ins. Co.,
E. Whether Substantial Exposure to Asbestos is Acceptable Evidence of Injury-in-Fact
The Court next addresses Plaintiff's motion for summary judgment regarding the proper trigger for injury-in-fact. Pl.'s Mot. Partial Summ. J. 2, ECF No. 81. Both parties agree that New York courts apply an "injury-in-fact"
Hopeman argues that the trigger for injury-in-fact differs by whether a claim falls into either "products/completed operations" or "operations" coverage. Pl.'s Partial Summ. J. Br. 20, ECF No. 82. While Hopeman admits that Keasbey establishes a demanding bodily injury standard, Plaintiff claims that Keasbey indicates that this standard only applies to "operations" claims.
Defendants claim that the controlling law on trigger in asbestos-related bodily injury cases is Keasbey. Defs.' Opp'n Partial Summ. J. Br. 17, ECF No. 98 (citing Keasbey,
As a starting point for the trigger of coverage analysis, the Court must look to the applicable policy provisions in the instant policies. The Continental policies each provide that "[t]his policy applies to injury ... taking place during this policy period[.]" Johnson Ex. 2 at 1860, ECF No. 82-3, and Johnson Ex. 3 at 1870, ECF No. 82-4. The Lexington policies provide that they "indemnify the Assured for all sums which the Assured shall be obliged to pay by reason of liability ... for damage ... and expenses on account of:- (i) Personal Injuries, including death at any time resulting therefrom,... Caused by or arising out of each occurrence ... arising out of the hazards covered by and defined in the Underlying Umbrella policies ...." Johnson Ex. 4 at 1888, ECF No. 82-5; Johnson Ex. 5 at 1902, ECF No. 82-6. These policies each follow form to further definitions of injury and occurrence from the underlying policies.
In general, the determination of what constitutes an injury-in-fact under New York law is fact-specific and must be made according to the facts and medical evidence presented in a particular case. See Am. Home Prod. Corp. v. Liberty Mut. Ins. Co.,
New York law has also established several other broad rules regarding trigger for asbestos-related bodily injury. First, "[a]n injury-in-fact need not be manifest, diagnosable or compensable in order to constitute 'bodily injury' triggering coverage[.]" 2 Dunham, supra, § 15.03 (citing Am. Home Prod.,
Having noted that injury-in-fact under New York law is determined on a case-by-case basis and depends upon the particular medical evidence presented in a case, the Court now turns to address the Keasbey court's findings regarding trigger of coverage. The trial court in Keasbey found that "injury happens at inhalation."
The Court does not read Keasbey as abrogating the prior case-by-case approach to determining injury-in-fact, and therefore the Court does not agree that Keasbey is binding precedent establishing a uniform trigger for other courts applying New York law with regards to this issue. If the Keasbey court intended to make such a drastic departure, one would expect that they would have plainly stated that that was what they were doing. Cf. R.T. Vanderbilt Co., Inc. v. Hartford Accident & Indem. Co.,
While the Court finds that Keasbey does not establish a definition for asbestos-related "bodily injury" applicable to all courts applying New York law to insurance contracts, the Court cannot agree with Plaintiff that Keasbey is distinguishable because its "bodily injury" determination was restricted to "operations" claims. See Pl.'s Partial Summ. J. Br. 20-21, ECF No. 82 (citing ITT Cannon, No. BC 290354, at 25 n. 23; Viking Pump III,
Hopeman also requests summary judgment that its preferred injury-in-fact trigger applies to the contracts. Pl.'s Mot. Partial Summ. J. 2-3, ECF No. 81. However, because the injury-in-fact trigger involves a factual question that must be decided on the basis of the medical evidence presented in a case, summary judgment on this issue is premature. Though Hopeman entreats this Court to presume that the medical evidence to be presented in this case will be as convincing as that seen by the ITT Cannon and Viking Pump (Del.) courts, see Pl.'s Partial Summ. J. Br. at 21, the Court cannot grant Hopeman's request because the medical evidence from the other cases is not properly before this Court. Therefore the Court DENIES Plaintiff's request for summary judgment that, as to one "who ultimately develops lung cancer, mesothelioma, or nonmalignant asbestos-related disease, bodily injury first occurs, for policy purposes, upon cellular and molecular damage caused by asbestos inhalation, and such cellular and molecular damage occurs during each and every period of an asbestos claimant's significant exposure to asbestos and continues thereafter." ECF No. 81. The Court likewise DENIES Plaintiff's request for summary judgment that the "dates of first substantial exposure are acceptable evidence of injury-in-fact trigger."
*470F. Whether Hopeman May Fill the Gap Created by Home's Insolvency
The Court next turns to the parties arguments regarding whether Hopeman may fill the gap created by the Home's insolvency. Defendants contend that Hopeman cannot exhaust the underlying limits for the 1971-74 Continental and Lexington policies because it has not and cannot receive payments from the Home Insurance Company that exhaust its policy. See Defs.' Summ. J. Br. 20-23, ECF No. 84. Defendants argue that, because the Home Insurance Company-which became insolvent in 2003-has not made actual payment of the insurance limits, the contractual language from the 1971-74 Continental and Lexington policies requiring "payment" of the underlying limits cannot be satisfied.
The facts regarding the Home policy are undisputed. Prior to its insolvency, Home made no payments to Hopeman on any of its policies. In 2013, Hopeman reached settlement with the liquidator of the Home Insurance Company, thereby resolving Hopeman's claims against seven Home policies. Plaintiff later assigned its rights under those Home policies to a third party.
1. Relevant Policy Language
The 1971-74 Lexington policy contains the following Maintenance of Underlying Umbrella provision:
It is a condition of this Policy that the Underlying Umbrella Policies shall be maintained in full effect during the currency hereof except for any reduction of the aggregate limits contained therein solely by payment of claims in respect of accidents and/or occurrences occurring during the period of this Policy or by the operation of Condition of the Underlying Umbrella Policies.
Ex. C at 41, ECF No. 1-3 (emphasis added). The policy also contains the following Limit of Liability provision:
It is expressly agreed that liability shall attach to the Company only after the Underlying Umbrella Insurers have paid or have been held liable to pay the full amount of their respective ultimate net loss liability as follows ...
Ex. C at 39 (emphasis added).
The 1971-74 Continental policy provides that it will "indemnify the insured for the amount of loss which is in excess of the applicable limits of liability of the underlying insurance [.]" Continental Policy, Ex. A at 12, ECF No. 1-1. Loss is defined in part as "the sums paid as damages in settlement of a claim or in satisfaction of a judgment for which the insured is legally liable[.]"
According to Defendants, the 1971-74 Continental and Lexington policies both incorporate the following Loss Payable Provision from the underlying Home policy:
Liability under this policy with respect to any occurrence shall not attach unless and until the Insured, or the Insured's underlying insurer , shall have paid the amount of the underlying limits on account of such occurrence ...
Ex. E at 66, ECF No. 1-5. (emphasis added).
The 1971-74 Continental Loss Payable provision follows form to the following language from the Home policy:
In the event of reduction or exhaustion of the aggregate limits of liability under said underlying insurance by reason of losses paid hereunder , this policy shall *471(1) in the event of reduction pay the excess of the reduced underlying limit.
(2) In the event of exhaustion continue in force as underlying insurance.
Ex. E at 64, ECF No. 1-5 (emphasis added). The Maintenance of Underlying Policies Provision incorporated into the Continental Policy provides:
It is a condition of this policy that the policy or policies referred to in the attached "Schedule of Underlying Insurance' " shall be maintained in full effect during the currency of this policy except for any reduction of the aggregate limit or limits contained therein solely by payment of claims in respect of accidents and/or occurrences occurring during the period of this policy ...
Home Policy, Ex. E at 66, ECF No. 1-5.
2. Relevant New York Caselaw
Defendants rely upon three cases to support their position that the underlying policies can only be exhausted by payments made by the underlying insurer. Defendants' first case, Forest Labs., Inc. v. Arch Insurance Co.,
Comparing the Forest Labs policy with the Lexington policy, one notes that the policies have some similar language requiring that "Underlying Umbrella Insurers" or the "insurers of the Underlying Policy" pay the underlying limits. Ex. C at 39, ECF No. 1-5. However, the Forest Labs policy lacks the language from the Lexington policy about how the underlying policies can be exhausted if the underlying insurer has "been held liable to pay" its limits. The Continental policy is entirely dissimilar to the Forest Labs policy because it does not require that payments be made by the "insurers of the Underlying Policies," nor does it demand that any payment be made pursuant to the terms of the underlying insurance. In contrast to the Forest Labs policy, the Continental policy also incorporates a Loss Payable provision stating that the policies attach after "the Insured, or the Insured's underlying insurer, shall have paid the amount of the underlying limits." Forest Labs is thus instructive regarding some of the language in the Lexington policy, but it does not address the language in the Continental policy.
Defendants' second case, Ali v. Federal Insurance Co.,
The Court also does not find Defendants' third cited authority, In re Rapid-American Corporation, No. 13-10687 (SMB),
Plaintiff cites a single case in support of its contention that the policies permit the insured to fill the gap. In Zeig v. Massachusetts Bonding & Insurance Co.,
3. Relevant Caselaw from Outside New York
Outside of the four cases mentioned above, the parties do not cite additional New York caselaw in which courts have construed similar policy language regarding whether the insured can fill the gap. The Court's own search for additional New York caselaw also did not turn up any applicable cases. Therefore, this Court looks to the persuasive authority of other jurisdictions.
In five cases, courts have found that a policy cannot be exhausted by the insured filling the gap when the policy contains *473language specifically indicating that the underlying insurer must make the requisite payment. In Comerica Inc. v. Zurich American Insurance Co.,
In three other cases, courts have split as to whether the insured can fill the gap where the relevant policy language does not clearly designate that the underlying insurer must make the requisite payments. In Citigroup, the Fifth Circuit found, in addition to the three policies mentioned above, that a fourth policy, which stated only that coverage attached after "the exhaustion of all of the limit (s) of liability of such 'Underlying Insurance' solely as a result of payment of loss thereunder," also required the underlying insurer to make the requisite payments.
In Maximus, Inc. v. Twin City Fire Ins. Co.,
The Fifth Circuit also ruled in Martin Resource Management Corp. v. AXIS Ins. Co,
4. Whether the Home Policy Can Be Exhausted for Purposes of the 1971-74 Lexington Policy
As to the 1971-74 Lexington policy, the above-cited cases are persuasive for the proposition that the Lexington policy can only be exhausted either by actual payment of the Home policy limits by the Home or by the Home being held liable to pay its underlying limits. The Lexington policy states that coverage attaches only after "the Underlying Umbrella Insurers have paid or have been held liable to pay the full amount of their respective ultimate net loss liability[.]" Ex. C at 40, ECF No. 1-3 (emphasis added). Courts who interpreted identical or similar language in Forest Labs, Qualcomm, and JP Morgan all found that this language precluded the insured from filling the gap. The Court therefore finds that this language unambiguously designates the underlying insurer as the party to make any requisite payments. The only remaining question for the Lexington policy is whether Home was "held liable to pay the full amount" of its limits during its liquidation.
Plaintiff claims that Home was held liable to pay its limits when Home's liquidator recommended a $15 million claim be *475allowed to Hopeman, which was ordered allowed in January 2014.
At oral argument on the instant motions, Plaintiff's counsel submitted documents previously produced in discovery that purportedly show that the $15 million claim was allowed only in reference to the instant Home policy. The first document submitted was titled "Proof of Claim," and it clearly shows that Hopeman only requested a total of $15 million from Home in the liquidation proceedings. Plaintiff's counsel also submitted an internal PowerPoint from the Claro Group titled "Hopeman Brothers, Inc.: Home Insurance Company Claim Presentation" that was apparently presented in February 2013. Plaintiff's counsel claimed that this document demonstrates that Hopeman had not made any claims on any other Home policy by the time it submitted its proof of claim. Plaintiff's counsel also submitted a chart showing all of Hopeman's commercial general liability insurance policies. The chart demonstrates that Hopeman had seven policies (including the instant policy) from the Home which have combined limits of approximately $98 million. The chart also shows that Hopeman's six other policies all have attachment points above $40 million. Plaintiff's counsel claimed that the $15 million allowed claim reflected the Home liquidator's assumption that the other six policies were in such high coverage tiers that they would never be reached. In light of these documents, Plaintiff asserts that the $15 million allowed claim should be seen as a determination that Home was held liable to pay the $15 million limits of the instant policy.
Even with these supporting documents before it, the Court finds that genuine issues of material fact remain as to whether the allowed claim was made solely with regard to the instant Home policy. As Defendants point out, the claim allowed was made to resolve Hopeman's claims against all seven Home policies. Defs.' Summ. J. Reply Br. at 12; see also Settlement Agreement, Ex. 16 at 3038, ECF No. 87-6 (noting the seven different policies whose liability was resolved by the agreement). While Hopeman may claim that the other policies were in such high tiers that they likely would never have been reached, Hopeman's documents suggest otherwise. As Defendants' counsel noted at oral argument, the Claro Group claims presentation PowerPoint from February 2013 indicates that Hopeman anticipated hundreds of millions in additional asbestos-related costs by 2047. It thus appears that Hopeman may reasonably have believed that these tiers could eventually have been reached, and therefore the $15 million claim may have been allowed in light of the combined limits of approximately $98 million that Hopeman would have been entitled to under the Home policies. Thus, there is a genuine issue of material fact as to whether *476Home has been "held liable to pay" the full limits of its 1971-74 policy, and consequently the Court cannot grant summary judgment that the Home policy is exhausted with respect to the Lexington policy.
Therefore, the Court DENIES Plaintiff's request for summary judgment that Home has been "held liable to pay" its limits, ECF No. 81, and also DENIES summary judgment to Defendants that the Home policy cannot be exhausted with respect to the Lexington policy. ECF No. 83.
5. Whether Hopeman May Fill the Gap for the 1971-74 Continental Policy
The Court turns next to address whether Hopeman may fill the gap with respect to the 1971-74 Continental policy. As previously noted, the Continental policy includes no language requiring the "underlying insurer" to make the requisite payments. The policy simply states that Continental will "indemnify the insured for the amount of loss which is in excess of the applicable limits of liability of the underlying insurance[,]" where loss is defined as "the sums paid as damages ... for which the insured is legally liable[.]" Ex. A at 12, ECF No. 1-1 (emphasis in original). This policy language is less specific than in any of the above-cited cases. If the Court were only looking to this language, the Maximus court's analysis would be the most applicable and would lead to the conclusion that such language is ambiguous as to whether Hopeman can fill the gap. However, the 1971-74 Continental policy incorporates a provision from the Home policy that clarifies the Continental policy's initial ambiguity.
Defendants have explicitly admitted that the Continental policy incorporates the Home policy's Loss Payable provision. Ex. 2 at 7, ECF No. 83-2. The Loss Payable provision states that liability will not attach until "the Insured, or the Insured's underlying insurer, shall have paid the amount of the underlying limits." Home Policy, Ex. E at 66, ECF No. 1-5. The disjunctive use of "or" in this provision plainly contemplates payment by either the insured or the underlying insurer to exhaust the policy's limits. The Continental policy, which has no language regarding which party is required to make payment, also does not conflict with the Loss Payable provision. The presence of this incorporated Loss Payable provision thus unambiguously demonstrates that the 1971-74 Continental policy may be exhausted through payment by Hopeman up to the underlying limit.
Although neither party specifically addressed the import of the Home policy's Loss Payable provision in their briefs, the Court addressed this issue with the parties at oral argument on the instant motions. At oral argument, the Court asked the parties about whether this provision would alter the Continental policy's ambiguity as to whether Hopeman could fill the gap. Plaintiff's counsel replied enthusiastically, claiming it bolstered Hopeman's argument that it could fill the gap. Counsel for Defendants did not explicitly concede that this provision alters the Continental policy, but argued that, even if it did, there is no evidence that Hopeman has made payments that exhaust the Home policy. Defense counsel did not, however, present any reasons for why the Loss Payable provision would not permit Hopeman to fill the gap. In the absence of any compelling reason to find that the Loss Payable provision otherwise conflicts with the 1971-74 Continental policy, the Court finds that it is incorporated and governs the issue of whether Hopeman may fill the gap.
Numerous other courts interpreting identical or similar provisions to the above Loss Payable provision have held that they establish that exhaustion may be satisfied either by the insured or the underlying *477insurer. See, e.g., Am. Guarantee & Liab. Ins. Co. v. Norfolk S. Ry. Co.,
Therefore, because the 1971-74 Continental policy's own provisions are silent about whether Hopeman can fill the gap, and because the policy incorporates the Loss Payable provision of the underlying Home policy, the Court finds that the 1971-74 Continental policy is unambiguous and that summary judgment on this issue is warranted. Seiden Assocs.,
G. Whether Hopeman Has Satisfied Any Duty to Mitigate
Plaintiff next seeks summary judgment that it has satisfied any duty to mitigate or avoid losses in connection with asbestos-related claims. Pl.'s Partial Summ. J. Br. at 29. Defendants' main allegation is that Hopeman failed to mitigate asbestos-related damages because it continued to sell asbestos-containing inventory pursuant to pre-existing contracts, but Defendants also raise arguments about Hopeman's potential claims against Ingalls Shipyard and about whether Hopeman should have done more to protect its workers from asbestos exposure. Defs.' Opp'n Partial Summ. J.
*478Br. at 30. In response, Plaintiff argues that it took "conservatively extreme measures to limit asbestos-related exposures." Pl.'s Partial Summ. J. Br. at 29. Hopeman claims that summary judgment is appropriate because the insurers will be unable to rebut this evidence of mitigation.
Under New York and Virginia law, the issue of mitigation is normally a question for the jury.
The Court is not persuaded that Hopeman's evidence renders the issue of mitigation one on which no reasonable juror could find that Plaintiff failed to mitigate its damages, and accordingly the Court finds that the issue of mitigation is a fact question that should be resolved by the jury. The Court therefore DENIES Plaintiff's request for summary judgment on the issue of mitigation of damages. ECF No. 81.
VI. CONCLUSION
For the reasons stated above, Defendants' Motion for Summary Judgment, ECF No. 83, is GRANTED in part and DENIED in part, and Plaintiff's Partial Motion for Summary Judgment, ECF No. 81, is GRANTED in part and DENIED in part.
The Court DENIES Defendants' request for summary judgment that a pro rata allocation method applies to the policies, ECF No. 83, and GRANTS Plaintiff's request for summary judgment that all sums allocation applies to the policies, ECF No. 81.
The Court GRANTS summary judgment in favor of Plaintiff on the issue of vertical exhaustion, finding that vertical exhaustion applies to the policies at issue and that Hopeman may obtain coverage from the Insurers up to a combined $7 million in each policy year where any directly underlying $500,000 primary policy limit and $10 million underlying excess limit has been satisfied. ECF No. 81.
The Court GRANTS Hopeman's request for summary judgment that the "prior insurance" or "non-cumulation" clauses only reduce the Insurers' policy limits to the extent that Hopeman has recovered for that same "occurrence" or "loss" under relevant prior insurance at the same "layer" or horizontal "tier" of coverage. ECF No. 81. The Court also GRANTS summary judgment to Hopeman that the first $7 million of Hopeman's damages claim cannot be subject to an NCC defense. ECF No. 81.
The Court GRANTS summary judgment to Hopeman regarding the 1974-77 Continental Policy's non-cumulation clause, finding that it limits its application to recoveries involving the same "occurrence," and that each individual alleging bodily *479injury from exposure to Hopeman asbestos-containing material presents a separate "occurrence." ECF No. 81.
The Court GRANTS summary judgment to Defendants on the issue of whether the term "loss" in the relevant non-cumulation clauses refers to the gross amount Hopeman is seeking under each policy, ECF No. 83, and DENIES summary judgment to Plaintiff on the same issue. ECF No. 81.
The Court GRANTS summary judgment to Defendants on the issue of the defense coverage associated with the 1971-74 Lexington policy, finding that the 1971-74 policy only provides for the reimbursement of defense costs within limits, and also only provides for reimbursement of defense costs paid as a consequence of a covered occurrence. ECF No. 83. The Court DENIES Hopeman's request for summary judgment regarding the 1971-74 Lexington policy. ECF No. 81.
The Court DENIES summary judgment to Hopeman regarding the scope of defense coverage available under 1974-77 Lexington policy. ECF No. 81. The Court also DENIES Defendants' request for summary judgment on this same issue. ECF No. 83.
The Court DENIES Hopeman's request for summary judgment that the trigger for injury-in-fact differs by whether a claim falls into either "products/completed operations" or "operations" coverage. ECF No. 81.
The Court DENIES Hopeman's request for summary judgment that, as to one "who ultimately develops lung cancer, mesothelioma, or nonmalignant asbestos-related disease, bodily injury first occurs, for policy purposes, upon cellular and molecular damage caused by asbestos inhalation, and such cellular and molecular damage occurs during each and every period of an asbestos claimant's significant exposure to asbestos and continues thereafter." ECF No. 81. The Court also DENIES Plaintiff's request for summary judgment that the "dates of first substantial exposure are acceptable evidence of injury-in-fact trigger." ECF No. 81.
With respect to the issue of whether Hopeman can "fill the gap" by making payments to exhaust the Home policy's limits, the Court DENIES Plaintiff's request for summary judgment that Home has been "held liable to pay" its limits, ECF No. 81, and DENIES summary judgment to Defendants that the Home policy cannot be exhausted with respect to the Lexington policy. ECF No. 83. On this same issue but with respect to the 1971-74 Continental policy, the Court GRANTS summary judgment to Hopeman, finding that it can "fill the gap" by making payments exhausting the underlying limits of the Home policy, ECF No. 81, and DENIES summary judgment to Defendants. ECF No. 83.
With respect to the issue of Plaintiff's duty to mitigate or avoid losses for asbestos-related claims, the Court DENIES Plaintiff's request for summary judgment. ECF No. 81.
The Clerk is DIRECTED to send a copy of this Opinion and Order to all counsel of record.
IT IS SO ORDERED.
The facts in this section are drawn from the statements of undisputed fact that appear in the final pretrial order, ECF No. 155, and the parties' motions for summary judgment.
"When a motion for summary judgment is properly made and supported, an opposing party may not rely merely on allegations or denials in its own pleading; rather, its response must-by affidavits or as otherwise provided in this rule-set out specific facts showing a genuine issue for trial." Fed. R. Civ. P. 56 (e) (2).
An "all sums" method of allocation for insurance coverage is the equivalent of seeking "joint and several" liability. This allocation theory "permits the insured to 'collect its total liability ... under any policy in effect during' the periods that the damage occurred,' up to the policy limits." In re Viking Pump, Inc.,
"Under a [pro rata] method, an insurer's liability is limited to sums incurred by the insured during the policy period; in other words, each insurance policy is allocated a pro rata share of the total loss representing the portion of the loss that occurred during the policy period." Viking Pump (NY),
Long-tail claims are those where exposure to an injury-inducing harm, such as asbestos or an environmental contaminant, typically spans multiple policy periods. See Viking Pump (NY),
Defendants claim that Hopeman's settlements on a pro rata basis with other underlying insurers is a "manipulation of the claims" to avoid the application of the NCCs that is similar to permitting policyholders to assign damages in reverse chronological order to neutralize the effect of NCCs. See Defs.' Opp'n Partial Summ. J. Br. 14, ECF No. 82 (citing Liberty Mut. Ins. Co. v. Treesdale, Inc.,
"Under New York law, courts will give effect to general liability policy language specifying that coverage is triggered by bodily injury 'during the policy period,' by requiring the policyholder to show that an 'injury-in-fact,' i.e., an actual rather than a presumed injury, occurred during the policy period." 2 Dunham, supra § 18.03 [3] [a]. "In the toxic tort context, complex medical evidence often must be presented to prove the timing of an injury-in-fact before an insurer will be required to indemnify against a particular loss." Id.
The 1971-74 Continental and Lexington policies incorporate several definitions from the Home policy. The incorporated definitions include "personal injury," which is defined as "bodily injury, mental injury, mental anguish, shock, sickness, disease, disability ...", and "occurrence," which is defined as "an accident or happening or event or a continuous or repeated exposure to conditions which unexpectedly and unintentionally results in personal injury, property damage or advertising liability during the policy period." Johnson Ex. 8 at 1921, ECF No. 82-9. The 1974-77 Continental and Lexington policies follow form to definitions from the Liberty policy, including "personal injury," which is defined as "personal injury or bodily injury which occurs during the policy period," "bodily injury," which is defined as including "sickness or disease or death resulting at any time therefrom[,]" and "occurrence," which is defined as "injurious exposure to conditions, which results in personal injury ...." Johnson Ex. 10 at 1947.
The parties have not stated where the alleged tortious acts took place, but they cite to cases from New York and Virginia. See Defs.' Opp'n Partial Summ. J. Br. 30, ECF No. 98 (citing Aman v. Federal Exp. Corp.,
Reference
- Full Case Name
- HOPEMAN BROTHERS, INC. v. CONTINENTAL CASUALTY COMPANY, and Lexington Insurance Company
- Cited By
- 13 cases
- Status
- Published