Amerisure Mutual Insurance Company v. Allstate Insurance Company

CourtDistrict Court, N.D. Illinois
DecidedMarch 25, 2020
Docket1:19-cv-07080
StatusUnknown

This text of Amerisure Mutual Insurance Company v. Allstate Insurance Company (Amerisure Mutual Insurance Company v. Allstate Insurance Company) is published on Counsel Stack Legal Research, covering District Court, N.D. Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Amerisure Mutual Insurance Company v. Allstate Insurance Company, (N.D. Ill. 2020).

Opinion

UNITED STATES DISTRICT COURT FOR THE NORTHERN DISTRICT OF ILLINOIS EASTERN DIVISION

ALLSTATE INSURANCE COMPANY, ) ) Plaintiff, ) ) No. 19 C 4341 v. ) ) Judge Jorge L. Alonso AMERISURE MUTUAL INSURANCE ) COMPANY, ) ) Defendant. ) ______________________________________________________________________________

AMERISURE MUTUAL INSURANCE ) COMPANY, ) ) Plaintiff, ) ) No. 19 C 7080 v. ) ) Judge Jorge L. Alonso ALLSTATE INSURANCE COMPANY, ) ) Defendant. )

MEMORANDUM OPINION AND ORDER

In this reinsurance dispute, Allstate Insurance Company (“Allstate”) and Amerisure Mutual Insurance Company (“Amerisure”) have filed competing motions to confirm an arbitration award. Allstate seeks confirmation of certain determinations made in an interim award issued on May 6, 2019, and opposes confirmation of the October 26, 2019 final award made in the same matter by the same panel of arbitrators. Amerisure seeks confirmation of the October 26, 2019 final award and opposes confirmation of the May 6, 2019 interim award. For the following reasons, Amerisure’s motion is granted, and Allstate’s motion is denied. BACKGROUND

Amerisure issued certain primary and umbrella insurance policies to F.B. Wright Company (“F.B. Wright”) between November 1976 and November 1979 and to Armstrong Machine Works/Armstrong Video Productions (“Armstrong”) between January 1979 and January 1981 and January 1982 to January 1983. These policyholders were engaged in the manufacture, supply, or distribution of asbestos-containing industrial materials. Thousands of claimants have filed lawsuits against F.B. Wright and Armstrong (collectively, “the policyholders”), beginning in 1985 and 1992, respectively, for injuries caused by exposure to their asbestos-containing products. Amerisure defended F.B. Wright and Armstrong in these suits and indemnified them for their losses under the primary policies. When the primary policies were exhausted, Amerisure continued to defend and indemnify F.B. Wright and Armstrong under the umbrella policies. Amerisure had reinsured the umbrella polices by entering into six reinsurance contracts, known as “facultative certificates” or “fac certs,” issued by Allstate. When Amerisure’s defense

costs (or “loss adjustment expenses” (“LAE”)) and losses approached and exceeded the level at which Allstate’s reinsurance contracts began to provide coverage, Amerisure notified Allstate and began to submit reinsurance billings. Upon examining the reinsured policies and the claims, Allstate could not determine why Amerisure seemed to be paying defense costs in addition to the umbrella policy limits, rather than considering payment of defense costs to erode the policy limits. Allstate inquired about the matter and attempted to exercise its contractual right to associate with Amerisure in the defense of its policyholders. But in December 2017, believing Amerisure’s response to its inquiries and requests to be incomplete and evasive, Allstate served Amerisure with a demand for arbitration, pursuant to the terms of the facultative certificates, all six of which provided that any “irreconcilable difference of opinion . . . as to the interpretation” of the contracts “shall be submitted to arbitration.” (See Amerisure Pet. to Confirm ¶ 10, Case No. 19 C 7080, ECF No. 1.) The parties selected a panel of arbitrators, deposed witnesses, and submitted briefs.

Allstate explained in its pre-hearing brief that its central grievance was that Amerisure had never satisfactorily explained why it was paying defense costs in addition to the policy limits, when the reinsured umbrella policies seemed to provide for payment of defense costs only within policy limits. (See Mar. 28, 2019 Allstate Pre-Hearing Brief at 59, Knoerzer Decl. Ex. 8, ECF No. 27- 9.) According to Allstate, if Amerisure was gratuitously paying defense costs above policy limits, in excess of its contractual obligations under the reinsured umbrella policies, then Allstate was not bound to repay Amerisure for those gratuitous expenditures under its facultative certificates. Allstate further stated that it sought an “Interim Award” in which the panel would, among other things, (a) require Amerisure to provide Allstate with additional information about why it was paying defense costs in addition to policy limits and exactly what expenses the claimed defense

costs defrayed, while retaining jurisdiction to resolve any disputes that might arise based on that information; and (b) declare that Allstate has no obligation to repay Amerisure for defense costs that Amerisure paid or will pay under the pre-1982 policies in excess of the limits of those policies. (See id. at 59-60.) The panel held a hearing in April 2019, and, on May 6, 2019, it issued a ruling captioned as an “Interim Final Award.” In the ruling, the panel recognized that, under the 1982 Armstrong umbrella policy, Amerisure was required to pay defense costs in addition to limits, so it was proper for Amerisure to bill Allstate for defense costs incurred under that policy, irrespective of the policy limits. (Interim Final Award at 3, Allstate Compl. Ex. 8, Case No. 19 C 4341, ECF No. 1-8.) However, the language of the pre-1982 umbrella policies was different. Those policies paid defense costs only within the policy limits, unless the policyholders’ claims were “not covered” by the primary policies, in which case the umbrella policies paid defense costs in addition to limits under a defense endorsement. (See Mar. 28, 2019 Allstate Pre-Hearing Brief at 7)). The panel

rejected Amerisure’s argument that, because the limits of the pre-1982 primary policies were exhausted, the policyholders’ claims under those policies were “not covered” by them. (Interim Final Award at 2.) The panel explained that “not covered” did not mean uncollectible due to exhaustion of the primary policy; it meant outside the range of risks that the primary policies covered. (Id.) Thus, according to the panel, to the extent Amerisure had billed Allstate for “expense [i.e. defense costs] in addition” to policy limits under the pre-1982 policies, the billings were improper, just as “Amerisure appeared to [have] recognize[d] . . . by correctly incorporating the appropriate expense treatment within” a cost-sharing agreement (“CSA”) it had worked out with F.B. Wright’s other insurers, under which defense costs were included within policy limits. (Id.)

Based on this reasoning, the panel rendered the following ruling: Accordingly, the Panel hereby Orders as follows: 1. Amerisure’s claims for recovery of expenses billed under the F. B. Wright facultative certificates 62-048-098, 62-040-759 and 62-041-774 are denied. 2. Amerisure’s claims for recovery of expenses billed under the Armstrong pre-'82 facultative certificates 62-041-995 and 62-042-812 are denied. 3. Amerisure’s claims for recovery of expenses billed under the 1982 Armstrong facultative certificate 62 045 560 are granted. The parties should proceed in following the below expense payment protocol. 4. Ex parte communications can be resumed. 5. All other claims for relief by either party are denied.

Expense Payment Protocol: Amerisure provided Allstate with the details of its expense billings by letter from Clyde & Co. dated March 26, 2019 (Ex 313). Allstate responded with numerous questions regarding the propriety of specific Armstrong LAE billings on March 29, 2019 (Ex 314). Amerisure has fifteen (15) business days from the date of this Award to respond to Allstate’s letter of March 29, 2019.

The parties shall thereafter “meet and confer” and make a good faith attempt to resolve all issues between them.

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Amerisure Mutual Insurance Company v. Allstate Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/amerisure-mutual-insurance-company-v-allstate-insurance-company-ilnd-2020.