A-18-14 Templo Fuente De Vida Corp v. National Union Fire Insurance Company of Pittsburgh

129 A.3d 1069, 224 N.J. 189, 2016 N.J. LEXIS 144
CourtSupreme Court of New Jersey
DecidedFebruary 11, 2016
DocketA-18-14
StatusPublished
Cited by629 cases

This text of 129 A.3d 1069 (A-18-14 Templo Fuente De Vida Corp v. National Union Fire Insurance Company of Pittsburgh) is published on Counsel Stack Legal Research, covering Supreme Court of New Jersey primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
A-18-14 Templo Fuente De Vida Corp v. National Union Fire Insurance Company of Pittsburgh, 129 A.3d 1069, 224 N.J. 189, 2016 N.J. LEXIS 144 (N.J. 2016).

Opinion

Justice SOLOMON

delivered the opinion of the Court.

In this appeal, we are called upon to determine whether, in order to disclaim coverage, an insurance company must show it was prejudiced by an insured’s failure to comply with the notice provision in a Directors and Officers “claims made” policy.

*193 In the instant case, the insured, who had been sued for damages by plaintiffs, entered into a settlement whereby it agreed to assign its rights and interests under the insurance policy to plaintiffs. However, when plaintiffs sought to recover under the policy, the insurer denied coverage because the insured breached the policy’s notice conditions. The trial court granted summary judgment to the insurance company, finding that notice was not given “as soon as practicable,” and that the insurance company need not show appreciable prejudice as a result of the delay in notice in order to refuse coverage. Plaintiffs appealed, and the Appellate Division affirmed substantially for the reasons given by the trial court.

We hold that because this Directors and Officers “claims made” policy was not a contract of adhesion but was agreed to by sophisticated parties, the insurance company was not required to show that it suffered prejudice before disclaiming coverage on the basis of the insured’s failure to give timely notice of the claim.

I.

A.

We begin with a review of plaintiffs’ claims against the insured that underlie the instant litigation and were ultimately settled. With respect to those claims, the following facts are not in dispute.

Plaintiffs, Templo Fuente De Vida Corp. (Templo) and Fuente Properties, Inc. (Fuente) (collectively, plaintiffs), 1 engaged Morris Mortgage Inc. (MMI) to find funding sources for the purchase of property to relocate plaintiffs’ church and daycare centers. Approximately two and one-half months later, plaintiffs made a down payment and entered into a purchase agreement to buy a property in North Bergen (the property), conditioned upon plaintiffs secur *194 ing mortgage financing by a certain date. After several extensions of the financing date, MMI identified Merl Financial Group, Inc. (Merl) as a possible funding source.

Over the course of approximately nine months, Merl gave plaintiffs a series of funding commitments in exchange for ten percent of the total amount of each commitment. However, when the final closing date for the property arrived, neither Merl nor any of the sources of financing listed in the commitment documents were able to fund the loan to purchase the property, and the sellers terminated the purchase agreement. As a result of the losses sustained in their attempt to purchase the property, plaintiffs filed a complaint 2 against Merl, among others. The defendants named in the complaint were served with the first-amended complaint on or about February 21, 2006.

Sometime prior to the filing of the complaint, Merl was restructured and renamed First Independent Financial Group (First Independent). First Independent purchased a $1 million Directors, Officers and Private Company Liability Insurance Policy (the Policy) from National Union Fire Insurance Company of Pittsburgh (National Union) covering the time period from January 1, 2006 through January 1, 2007.

The policy is a “claims made” policy, as opposed to an “occurrence” policy, and contained “NOTICE/CLAIM REPORTING PROVISIONS,” section 7, requiring that, as a condition precedent to coverage under the policy, “The Company or the Insureds”

give wiitten notice to the Insurer of any Claim made against an Insured as soon as practicable and either: (1) anytime during the Policy Period or during the Discovery Period (if applicable); or (2) within 30 days after the end of the Policy Period or the Discovery Period (if applicable), as long as such Claim is reported no later than 30 days after the date such Claim was first made against an Insured.

*195 The mutual interests of the insured and the insurer served by the notice provisions of the policy are reflected in section 8, “DEFENSE COSTS, SETTLEMENTS, JUDGMENTS (INCLUDING THE ADVANCEMENT OP DEFENSE COSTS),” which grants the insured the right to defend itself against the claim, while simultaneously guaranteeing the insurer the ability to “associate” with the insured in that defense. Section 8 further allows the insured to “tender defense of the Claim to the Insurer,” but prohibits any action by the insured from the time it receives the claim until a defense is tendered by the insurance company, if so requested. This prohibition checks action that could prejudice the insurance company, the insured, or both, such as interposing an ill-conceived defense strategy, or engaging in settlement discussions. Compliance by the insured commands its defense by the insurance company and permits the insured to “associate” with the insurance company in the defense of the claim, and settlement negotiations. 3

On August 28, 2006, more than six months after being served with the first amended complaint, and after retaining counsel and *196 filing an answer, First Independent provided notice of the claims to National Union. National Union denied coverage, asserting, among other defenses, that the claims against First Independent were made outside of the policy period, and that notice of the claims was not given to National Union “as soon as practicable.”

Plaintiffs and several defendants, including First Independent, reached a settlement agreement in the underlying litigation. Under that agreement, the settling defendants’ liability exceeded $3 million, and they committed to pay plaintiffs a portion of that liability by a fixed date. To cover the remainder of the settlement amount, First Independent assigned to plaintiffs its rights and interests under the Policy. 4 Thereafter, the trial court dismissed plaintiffs’ complaint as settled.

B.

Plaintiffs initiated this litigation against National Union seeking a declaratory judgment that First Independent was an insured under the Policy, and that plaintiffs were entitled to coverage. Upon the completion of discovery, plaintiffs moved for partial summary judgment, and National Union filed a cross-motion for summary judgment on all counts.

Following oral argument, the trial court granted National Union’s cross-motion for summary judgment and dismissed plaintiffs’ complaint with prejudice. The trial court found that although there was insufficient proof to establish that the claims had been made outside the policy period, the claim for coverage was nevertheless barred because First Independent failed to provide National Union with notice of plaintiffs’ claims “as soon as practicable,” as required by the specific terms of the policy. In reaching this conclusion, the trial court relied on Associated Metals & Minerals Corp. v. Dixon Chemical & Research, Inc., 82 N.J.Super.

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Cite This Page — Counsel Stack

Bluebook (online)
129 A.3d 1069, 224 N.J. 189, 2016 N.J. LEXIS 144, Counsel Stack Legal Research, https://law.counselstack.com/opinion/a-18-14-templo-fuente-de-vida-corp-v-national-union-fire-insurance-company-nj-2016.