Allstate Insurance v. Farmers Insurance Group

108 A.D.2d 284, 488 N.Y.S.2d 703, 1985 N.Y. App. Div. LEXIS 48386
Appellate Division of the Supreme Court of the State of New York·Decided May 9, 1985·Published·Cited by 4 cases

Opinion

OPINION OF THE COURT

Fein, J.

This case raises again the issue of how “excess” insurers should contribute to the satisfaction of a claim once the primary insurance coverage has been exhausted.

The pedestrian victim was injured crossing the street in December 1979 when she was struck by a vehicle owned by Trans-Mountain Leasing Corp., leased to Maria Stowe, and being driven with permission at the time by Peter Kardaras. A damage action against the vehicle’s owner, lessee and driver was settled in April 1983 for $1,000,000.

The driver of the vehicle was covered by a $500,000 liability insurance policy issued to his parents by plaintiff Allstate Insurance Company. Stowe, the lessee, was insured by Farmers [285] Insurance Group to a maximum limit of $100,000. Trans-Mountain, the owner, had two insurance policies: one, issued by Guaranty National Insurance Company, provided contingency coverage in the event that the lessee did not have primary insurance coverage in effect; the other was a “Commercial Comprehensive Catastrophe Liability Policy” issued by defendant U.S. Fire Insurance Company, with limits of $5,000,000.

The terms of the settlement of the damage action were that Farmers (Stowe’s insurer) would immediately pay the first $100,000, with the balance to be obligated in limine as follows: $500,000 would be guaranteed by Allstate (Kardaras’ insurer), and the remaining $400,000 would be paid immediately by U.S. Fire (one of Trans-Mountain’s insurers), with the precise breakdown of contribution to be resolved by the same Judge who had presided over the damage settlement, in a declaratory judgment action to be instituted by Allstate. Actual payment of the guaranteed $500,000 was to abide that resolution. This declaratory judgment action was then commenced. The ensuing judgment at Trial Term confirmed the order of responsibility as stipulated in limine, viz., Farmers ($100,000), Allstate ($500,000), and U.S. Fire ($400,000).

It is undisputed that the Farmers policy was primary insurance, and that Farmers has already paid to the extent of its liability ($100,000). Trial Term found that Guaranty National was absolved from liability upon its policy covering Trans-Mountain, because it was a contingency policy which, by its terms, would only be called into operation if the primary insurance coverage of Stowe were found to be inapplicable. There was no appeal from that determination. Thus, the only question to be resolved is the manner in which Allstate and U.S. Fire should contribute to the balance of $900,000.

U.S. Fire maintains, as Trial Term held, that Allstate is liable to the full extent of its coverage ($500,000), and that U.S. Fire’s obligation is only for the remaining $400,000. Allstate contends either that its coverage was excess to that of U.S. Fire, which should be exhausted first, or that both policies provided excess coverage, and thus should contribute ratably in proportion to the extent of each insurer’s total liability.

The general rule is that where two or more insurance policies purport to provide coverage of the same risk in excess of other available insurance, the “excess” clauses cancel each other out, obligating each such insurer to share ratably in the settlement (Federal Ins. Co. v Atlantic Natl. Ins. Co., 25 NY2d 71). The recognized exception to this rule is where the terms of one policy [286] specifically identify it as providing coverage in excess of another named policy.

Three nonprimary insurance policies were involved in Lumbermens Mut. Cas. Co. v Allstate Ins. Co. (51 NY2d 651). One policy, issued to the mother of the responsible driver of the automobile, provided that its coverage would be excess “over any other collectible insurance” (supra, p 654). The terms of a second policy, issued by the same company to the father of the driver, made it excess to the limits of any underlying insurance listed in an attached schedule, included in which was the policy issued to the driver’s mother. The Court of Appeals held that the parties, in purchasing these policies, had clearly bargained for separate layers of excess coverage, and that blind adherence to the general rule of ratable contribution among the excess insurers “would effectively deny and clearly distort the plain meaning of the terms of the policies of insurance here involved” (supra, at p 655).

The third excess policy involved in Lumbermens (supra), called a “Catastrophe Policy”, provided coverage up to $5,000,000, but in excess of “any other valid and collectible insurance available to the insured, whether such other insurance is stated to be primary, contributing, excess or contingent” (emphasis added). The Court of Appeals held that such a refer-, ence to other “excess coverage”, albeit unidentified, effectively raised this policy to a still higher layer of coverage.

“Catastrophe” insurance has become known in the industry under the sobriquet of an “umbrella” policy, one which is offered at moderate cost to provide financial security at very high levels where other coverages terminate (see, 8A Appleman, Insurance Law and Practice § 4909.85). However, the name of the policy is not dispositive. The guide is purpose and language. In Lumbermens (supra), it was not the name of the third excess policy (“Catastrophe”) but rather the plain language of that policy which made it secondary to other excess insurance (see, 51 NY2d, at pp 655-656). As the Court of Appeals made clear, in the absence of such express language, the general rule of ratable contribution for multiple excess insurers would be applicable.

Free access — add to your briefcase to read the full text and ask questions with AI

Allstate Insurance v. Farmers Insurance Group, 108 A.D.2d 284, 488 N.Y.S.2d 703, 1985 N.Y. App. Div. LEXIS 48386 (N.Y. Ct. App. 1985).

108 A.D.2d 284 (Allstate Insurance v. Farmers Insurance Group) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Town of Massena v. Healthcare Underwriters Mutual Insurance
281 A.D.2d 107 (Appellate Division of the Supreme Court of New York, 2001)
Great Northern Insurance v. Mount Vernon Fire Insurance
708 N.E.2d 167 (New York Court of Appeals, 1999)
Allstate Insurance v. Insurance of North America
215 A.D.2d 612 (Appellate Division of the Supreme Court of New York, 1995)
Farm Family Mutual Insurance v. Allstate Insurance
179 A.D.2d 965 (Appellate Division of the Supreme Court of New York, 1992)