American Employers Insurance Company v. The United States

812 F.2d 700, 33 Cont. Cas. Fed. 75,071, 1987 U.S. App. LEXIS 106
CourtCourt of Appeals for the Federal Circuit
DecidedFebruary 11, 1987
DocketAppeal 86-1243
StatusPublished
Cited by16 cases

This text of 812 F.2d 700 (American Employers Insurance Company v. The United States) is published on Counsel Stack Legal Research, covering Court of Appeals for the Federal Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
American Employers Insurance Company v. The United States, 812 F.2d 700, 33 Cont. Cas. Fed. 75,071, 1987 U.S. App. LEXIS 106 (Fed. Cir. 1987).

Opinion

DAVIS, Circuit Judge.

American Employers Insurance Company (American Employers) appeals from a decision of the Claims Court (Mayer, J.) holding that the United States was not liable, after a final settlement in 1950, for additional premium payments on an insurance contract issued during World War II. We agree with the Claims Court.

BACKGROUND 1

During World War II, Bethlehem-Alameda Shipyard, Inc. (Bethlehem-Alameda) entered into cost-plus shipbuilding contracts with the United States Maritime Commission and built 10 vessels used during the war-time effort. Under the provisions of these contracts, Bethlehem-Alameda was required to provide workers’ compensation insurance for its employees. Any premiums paid by Bethlehem-Alameda were then *702 passed on to the Maritime Commission for reimbursement. Appellant was underwriter of the workers’ compensation policy covering Bethlehem-Alameda employees for the period October 19, 1942 through June 19, 1948.

The insurance policy was written under the provisions of the California Defense Rating Plan (Rating Plan). The Rating Plan reflects a cost-plus basis under which periodic premium payments are adjusted retroactively to reflect actual loss experience. According to the provisions of the Rating Plan, the insured gave appellant an advance deposit of a premium, and at the end of a specified period, a final premium was determined based on actual loss experience. The payments consisted of a deposit premium of not less than 15% of the estimated annual premium and monthly payments of not less than 50% of the standard monthly premium. The goal was a premium payment comprised of “a fixed charge plus modified losses plus all actual allocated claim expenses, all multiplied by the tax multiplier, subject to a maximum premium equal to 90% of the standard premium times the tax multiplier.” The standard premium was the workers’ compensation premium, without discounts, prescribed by the State of California. Excluding the tax multiplier, the premium cost under the war contract would not exceed 90% of the allowable workers’ compensation rate charged during peace-time economy. The premium could be significantly less than the 90% “cap,” however, because it was tied to actual loss experience. In determining the final premium, the insured contractor either made an additional payment in excess of the progress payments or received a refund depending on the level of filed and pending claims.

With the close of World War II, the United States proceeded to terminate, assign, and settle contracts and subcontracts entered into for the war effort, pursuant to the Contract Settlement Act of 1944 (Act), 41 U.S.C. § 101 et seq. Accordingly, the Bethlehem-Alameda shipbuilding contract was closed out in 1948. Bethlehem-Alameda assigned all rights and obligations under the workers’ compensation insurance policy underwritten by appellant to the Maritime Commission, effective June 19, 1948.

As established by the provisions of the Rating Plan, a final settlement of premiums was to occur within 8 months of the expiration of the policy. Appellant and the Maritime Commission negotiated to extend the time for final settlement up to 245 weeks from the expiration date of the policy. The parties conducted final settlement negotiations some time during 1949-1950 and a final settlement was reached in June 1950. 2 During settlement negotiations, American Employers did not seek to set aside any reserves for occupational injuries and diseases that might go undetected for many years. Since 1977, more than 30 claims have been received from former Bethlehem-Alameda employees for injuries said to arise from asbestos exposure in the shipyard during the war-time effort.

In July 1982 American Employers brought suit in the Claims Court, seeking additional premium payments from the Government to cover former workers who had filed claims for and incurred asbestos-related illnesses. It argued that the final settlement it had negotiated with the Maritime Commission did not apply to occupational-related injuries or diseases incurred but not reported at the time of settlement. The final settlement was said to apply only to claims actually pending or filed at the time of the 1950 settlement. On that view, American Employers asked the court for additional premium payments to cover former workers who had incurred asbestos-related illnesses and filed claims well after World War II.

The Claims Court held that the Contract Settlement Act of 1944 applied and that the final settlement carried with it final disposition and release of all further claims. The court also found no support for appellant’s' assertion that there was a mutual mistake *703 that would justify reformation of the final settlement or of the release of its claims. Summary judgment was granted for the Government 3

DISCUSSION

A. The 1950 Settlement. The major issue is whether the Maritime Commission and American Employers reached a “full and final settlement” within the meaning of the Contract Settlement Act of 1944. Section 103(m) of the Act provides that “[t]he term ‘final and conclusive/ as applied to any settlement, finding, or decision means that such settlement, finding or decision shall not be reopened, annulled, modified, set aside, or disregarded ... in any suit, action, or proceeding except as provided by this chapter.” Section 106(c) deals with conclusiveness of settlements and provides for certain exceptions:

where any such settlement is made by agreement, the settlement shall be final and conclusive, except (1) to the extent otherwise agreed in the settlement; (2) for fraud; (3) upon renegotiation to eliminate excessive profit under section 1191 of Appendix to Title 50, unless exempt or exempted under such section; or (4) by mutual agreement before or after payment____

The Claims Court held that the 1950 settlement was a final settlement under the Act. In reaching that conclusion, the court concluded that exception (1) of § 106(c) did not apply because American Employers had failed to show that the parties had agreed to exempt those employees who had incurred injuries but had not reported them prior to final settlement. The judge also concluded that exceptions (2), (3), and (4) are not relevant on the facts of this case.

American Employers argues to us that there was no “full and final settlement” because either exclusion (1), or, alternatively, exclusion (4) applies in the present circumstances. The essence of the contention is that the Rating Plan, which provided for a cost-plus-a-fixed fee reimbursement for all claims, was effectively incorporated into the final settlement agreement, thus putting the final settlement within the protective ambit of exception (1). Appellant then argues that exception (4) also applies because of the assignment agreement (in 1948) under which the Maritime Commission became responsible for all present and future obligations of the shipyard with respect to the payment of premiums. American Employers also says that the Rating Plan was a separate agreement, still in force after the settlement.

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Bluebook (online)
812 F.2d 700, 33 Cont. Cas. Fed. 75,071, 1987 U.S. App. LEXIS 106, Counsel Stack Legal Research, https://law.counselstack.com/opinion/american-employers-insurance-company-v-the-united-states-cafc-1987.