ACE American Insurance Co. v. American Guarantee & Liability Insurance Co.

257 F. Supp. 3d 596
CourtDistrict Court, S.D. New York
DecidedJuly 2, 2017
Docket16 Civ. 8773 (JSR)
StatusPublished
Cited by3 cases

This text of 257 F. Supp. 3d 596 (ACE American Insurance Co. v. American Guarantee & Liability Insurance Co.) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
ACE American Insurance Co. v. American Guarantee & Liability Insurance Co., 257 F. Supp. 3d 596 (S.D.N.Y. 2017).

Opinion

[598]*598OPINION AND ORDER

JED S. RAKOFF, U.S.D.J.

In this action, plaintiff ACE" American Insurance Company (“ACE”) and defendant American Guarantee & Liability Insurance Company (“American Guarantee”) dispute whether and to what extent ACE or American Guarantee is ultimately responsible for funding a $5 million share of a $24 million settlement of a state-court personal injury lawsuit. To conclude the settlement and resolve that lawsuit, ACE paid $3.5 million and American Guarantee paid $1.5 million, with each reserving its right to contest its obligations in a subsequent lawsuit, he., the instant action. Currently before the Court are the parties’ cross-motions for summary judgment, each of which seeks a declaration that the other insurer was responsible for the entire amount. Upon careful consideration, the Court hereby grants ACE’s cross-motion, denies American Guarantee’s cross-motion, and declares that American Guarantee is responsible for' funding the settlement lip to the limit of its $5 million excess policy.

By way of background, on November 11, 2016, ACE commenced this declaratory judgment action. See Complaint, ECF No. 1. Although the complaint recites two causes of .action, ACE effectively seeks only one remedy: a declaration that American Guarantee, rather than ACE, was and remains responsible for funding the $5 million portion of the state-court settlement. See id. ¶¶ 38-47. On December 6, 2016, American Guarantee answered the’ complaint and brought 'two counterclaims against ACE, the first of which seeks a declaration that ACE is responsible for refunding to American Guarantee the $1.5 million that American Guarantee paid, and the second of which seeks $1.5 million in damages. See Answer with Affirmative Defenses and Counterclaims,'ECF No. 13, ¶¶’20-33. On March 28, 2017, American Guarantee filed'an amended answer asserting for the first time the affirmative defense of unclean hands. See First Amended Answer with Affirmative Defenses and Counterclaims (“Am. Ans.”), ECF .No. 22, at 8. On May 19, 2017, ACE and American Guarantee cross-moved for summary judgment.1 On June 8, 2017, ACE and American Guarantee, each filed answering papers;2 on June 20, 2017, ACE and American Guarantee each filed reply papers;3 and on June 26, 2017, the Court [599]*599held oral argument. See Transcript dated June 26, 2017. Having now carefully considered all the above, the Court rules in favor of ACE, for the reasons that follow.

A court may grant summary judgment “only where ‘there is ho genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.’ ” Darnell v. Pineiro, 849 F.3d 17, 22 (2d Cir. 2017) (quoting Fed. R. Civ. P. 56(a)). The court must “construe the evidence in the light most favorable to the [non-moving party], drawing all reasonable inferences and resolving all ambiguities in [its] favor.” Id.

The relevant facts, which are undisputed, are as follows. On October 31, 2009, Richard Wager, an employee of Wager Contracting Company, Inc. (‘Wager Contracting”), was injured while performing demolition work for Pelham Union Free School District (“Pelham”). Plf. 56.1 Stmt. ¶ 37; Def. 56.1 Resp. ¶37. Thereafter', in 2011, Richard Wager and his wife Saha Wager sued Pelham (among others) in New York state court, asserting claims for violations of the New York Labor Law and common' law negligence. Def. 56.1 Stmt. II16; Plf. 56.1 Resp.’ ¶ 16. Pelham, in turn, sued Wager Contracting for common law and contractual indemnification. Def. 56.1 Stmt. ¶ 20; Plf. 56.1 Resp. ¶ 20.

Several insurance policies covering Wager Contracting artd/or Pelham potentially provided coverage with respect to Richard Wager’s injury. To begin with, non-party NGM Insurance Company (“NGM”) had issued a $1 million primary general liability policy insuring both Wager Contracting and Pelham (the “NGM Policy”). Plf. 56.1 Stmt. ¶¶3-5; Def. 56.1 Resp. ¶¶3-5; see NGM Policy, Ex. B to Declaration of Adam M. Smith in Support of American Guarantee & Liability Company’s Motion for Summary Judgment (“Smith Decl.”), ECF No. 27. However, the NGM Policy included workers’ compensation and employers’liability exclusions that, in general, barred coverage to Wager Contracting for employees’ bodily -injuries unless Wager Contracting had assumed that liability by contract. Plf. 56.1 Stmt. ¶¶ 7-11; Def.'56.1 Resp. ¶¶ 7-1L In this case, however, Wager Contracting had assumed such liability by contract with Pelham. Plf. 56.1 Stmt. ¶ 12; Def. 56.1 Resp. ¶ 12.

Second, American Guarantee had issued a $5 million Commercial Umbrella-Liability Policy covering both Wager Contracting and Pelham (the -“American Guarantee Policy”). Def. 56.1 Stmt. ¶ 11; Plf. 56.1 Resp. ¶ 11; see American Guarantee Policy, Ex B. to Rule 26(a)“Initial Disclosure, ECF No. 17. The American Guarantee Policy was excess to the NGM Policy, to which the American Guarantee Policy “followed form,” See Plf. 56.1 Stmt. ¶¶ 14-18; Def. • 56.1 Resp. ¶¶ 14-18; see also Def. 56.1 Stmt. ¶¶ 12-13; Plf. 56.1 Resp. ¶¶ 12-13. In other words, the American Guarantee Policy adopted in general the NGM Policy’s underlying substantive terms and thus provided the same basic coverage at the excess layer.

Third, New York Schools Insurance Reciprocal (“NYSIR”) provided insurance to Pelham with limits .of $1 million primary and $15 million excess (the “NYSIR Policy”); Plf. 56.1 Stmt. ¶ 35; Def. 56.1 Resp. ¶ 35; see NYSIR Policy, Ex. E to Smith Decl. The NYSIR Policy did not cover Wager Contracting. Plf. 56.1 Stmt. ¶ 36; Def. 56.1 Resp. ¶ 36.

Finally, ACE issued a Specific Excess Workers’ Compensation and Employers’ Liability Insurance Policy covering Wager Contracting (the “ACE Policy”). Plf. 56.1 Stmt. SISI ¶¶ 21-28; Def. 56.1 Resp. ¶¶ 21-28; see ACE Policy, Ex. A to Rule 26(a) Initial Disclosure. As a formal matter, ACE issued this policy to the Special Trades Contracting and Construction Trust (“Special Trades”), a group self-in[600]*600surance program authorized by the New York Workers’ Compensation Law. Plf. 56.1 Stmt. ¶¶ 21, 24; Def. 56.1 Resp. ¶¶ 21, 24. Wager Contracting was a participant in Special Trades, and hence was covered under the ACE Policy. Plf. 56.1 Stmt. ¶¶ 23, 28; Def. 56.1 Resp. ¶¶23, 28. The ACE Policy was excess to Special Trades’ $1 million workers’ compensation/employers’ liability self-insured retention (“SIR”). Plf. 56.1 Stmt. ¶¶ 27, 30; Def. 56.1 Resp. ¶¶27, 30. Theoretically, the ACE Policy provided unlimited workers’ compensation and employers’ liability coverage. Plf. 56.1 Stmt. ¶ 32; Def. 56.1 Resp. ¶ 32; see also Def. 56.1 Stmt. ¶3; Plf. 56.1 Resp. ¶3. However, the ACE Policy purported to limit its coverage to “damages imposed upon [Wager Contracting] by law,” as opposed to liabilities assumed by contract. See ACE Policy, Part Two — Employers Liability Insurance ¶ B(l).

The net of all this was that Pelham was covered by the NYSIR Policy ($1 million primary/$15 million excess), by the NGM Policy ($1 million primary), and by the American Guarantee Policy ($5 million excess to the NGM Policy). Wager Contracting was covered, as to workers’ compensation/employers’ liability claims, by the $1 million SIR and by the ACE Policy (unlimited excess to the SIR), and, for general liability, by the NGM Policy ($1 million primary) and by the American Guarantee Policy ($5 million excess to the NGM Policy).

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257 F. Supp. 3d 596, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ace-american-insurance-co-v-american-guarantee-liability-insurance-co-nysd-2017.