Amerisure Mutual Insurance v. Everest Reinsurance Co.

109 F. Supp. 3d 969, 2015 U.S. Dist. LEXIS 33301, 2015 WL 1245935
CourtDistrict Court, E.D. Michigan
DecidedMarch 18, 2015
DocketCase No. 14-cv-13060
StatusPublished
Cited by1 cases

This text of 109 F. Supp. 3d 969 (Amerisure Mutual Insurance v. Everest Reinsurance Co.) is published on Counsel Stack Legal Research, covering District Court, E.D. Michigan primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Amerisure Mutual Insurance v. Everest Reinsurance Co., 109 F. Supp. 3d 969, 2015 U.S. Dist. LEXIS 33301, 2015 WL 1245935 (E.D. Mich. 2015).

Opinion

OPINION AND ORDER GRANTING MOVANTS MOTION TO CONFIRM ARBITRATION AWARD (ECF #2) AND DENYING RESPONDENTS MOTION TO VACATE ARBITRATION AWARD (ECF #23)

MATTHEW F. LEITMAN, District Judge.

INTRODUCTION

This is a reinsurance coverage dispute between Movant Amerisure Mutual Insurance Company (“Amerisure”), and its rein-surer, Respondent Everest Reinsurance Company (“Everest”). After a nine-day, highly-contentious arbitration hearing, an arbitration panel awarded Amerisure over $14 million. Amerisure now moves to confirm the arbitration award (see ECF # 2); Everest moves to vacate it. (See ECF # 23.) For all of the reasons stated below, the Court GRANTS Amerisure’s motion and DENIES Everest’s motion.

RELEVANT FACTUAL BACKGROUND AND PROCEDURAL HISTORY

A. The Parties and the Direct Access Treaty

Amerisure is a property and casualty insurance company. In 1979, Amerisure purchased “reinsurance” from Everest. “ ‘In essence, reinsurance is insurance for insurance companies,’ whereby a reinsured (here, [Amerisure]), cedes some of its risk to a reinsurer (in this case, [Everest]), and shares its premium with the reinsurer.” Certain Underwriters at Lloyd’s London v. Westchester Fire Ins. Co., 489 F.3d 580, 582 n. 1 (3d Cir.2007) (quoting Cont’l Cas. Co. v. American Nat’l Ins. Co., 417 F.3d 727, 729 n. 1 (7th Cir.2005)). Amerisure purchased its reinsurance from Everest under a series of treaties.

The treaty in place between July 1979 and July 1988 is referred to as the “Direct Access Treaty.” (See ECF # 28-1.) This treaty was amended several times while it was in force. (See the “Endorsements,” id. at 3-27, Pg. ID 242-266.)

The Direct Access Treaty provided that “with respect to each occurrence,” Everest would indemnify Amerisure for the amount of “net loss under [the] casualty business of [Amerisure] ... in excess of the ‘Company Retention.’ ” (Id. at 40, Pg. ID 279.) The Direct Access Treaty defined an “occurrence” as “each accident or occurrence [975]*975or series of accidents or occurrences arising out of one event.” (Id. at 43, Pg. ID 282.) The “Company Retention” was a $500,000 “per occurrence” deductible that Amerisure had to satisfy before it was entitled to indemnification from Everest. (Id. at 40, Pg. ID 279.)

B. The Direct Access Treaty Contained Exclusions From Coverage and Exceptions to Those Exclusions

The original version of the Direct Access Treaty included five specifically-numbered exclusions from coverage.1 (Id. at 40-41, Pg. ID 279-280.) These exclusions provided that Everest would not indemnify Amerisure for losses arising out of, among other things, “insurance written by [Amerisure’s] aviation unit,” insurance related to the “handling and shipping” of explosives, and bodily injuries arising out of riots. (Id.)

The original version of the Direct Access Treaty also contained an exception to the listed exclusions. This exception provided that an otherwise-applicable exclusion would not bar indemnification if the trigger for the exclusion was merely an incidental part of the insured’s overall operations:

If [Amerisure] provide[s] insurance for an insured with respect to any premises, operations or products listed in one or more of the exclusions and such premises, operations or products constitute only a minor and incidental part of the total premises, operations or products of the insured such exclusion(s) shall not apply.

(The “Generally-Applicable Incidental Exception to the Treaties’ Exclusions,” id. at 41, Pg. ID 280.)

Effective July 1, 1987, the parties adopted an endorsement to the Direct Access Treaty. (See the “1987 Endorsement,” id. at 6-7, Pg. ID 245-246.) The 1987 Endorsement added four new specifically-numbered coverage exclusions beyond the five exclusions listed in the original treaty. The newly-added ninth exclusion precluded indemnification for certain asbestos-related losses if either (1) Amerisure knew that its insured’s operations presented a risk of asbestos exposure or (2) the insured’s asbestos exposure was generally recognized (the “Asbestos Exclusion”). But this new exclusion provided that it did not apply to (and would not preclude indemnification for) certain specified asbestos-related activities if those activities were merely incidental to an insured’s operations (the “Incidental Exception Language in the Asbestos Exclusion”). The entire text of this exclusion was as follows:

SECTION 2 — EXCLUSIONS, is amended to include the following:
[....]
9. Bodily injury (including occupational disease) and/or property damage arising from the manufacture, removal, installation, storage, mining, handling or transportation of asbestos if the insured's operations, at the time of the policy issuance, present known and/or generally recognizable asbestos exposures; however, this exclusion shall not apply to the removal, installation, storage, handling or transportation of asbestos if such removal, installation, storage, handling or transportation is incidental to the insured’s operations:
[976]*976The term “incidental” as used in this exclusion is intended to recognize the fact that certain insureds (such as, but not limited to, plumbing, carpentry, etc.) will infrequently, but regularly, encounter asbestos within the scope of their operations — even though their operations, as such, do not involve the manufacture, removal, installation, storage, mining, handling, or transportation of asbestos. This Exclusion does not apply to such “incidental” operations.

(Id. at 6-7, Pg. ID 245-246.)

The 1987 Endorsement expressly provided that all of the Direct Access Treaty’s “other terms and conditions”- — i.e., those not specifically modified or deleted in the endorsement — “shall remain unchanged.” (Id. at 9, Pg. ID 248.) The 1987 Endorsement did not purport to modify or delete the Generally-Applicable Incidental Exception to the Treaties’ Exclusions. Thus, the modified version of the Direct Access Treaty contained both the Incidental Exception Language in the Asbestos Exclusion and the Generally-Applicable Incidental Exception to the Treaties’ Exclusions.

C.The Woods Treaties

In 1988 and 1989, Everest provided reinsurance to Amerisure under a series of six additional contracts that the parties refer to as the “Woods Treaties” (together with the Direct Access Treaty, the “Treaties”). {See ECF ##28-2 — 287.) The Woods Treaties expressly stated that Amerisure was permitted to aggregate individual losses in order to satisfy its $500,000 deductible. {See, e.g., ECF # 28-2 at 13, Pg. ID 307.) Except for this difference, the Woods Treaties and the Direct Access Treaty were similar in all respects relevant to this dispute. For example, the Woods Treaties contained virtually the same Asbestos Exclusion included in the 1987 Endorsement to the Direct Access Treaty.2

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Cite This Page — Counsel Stack

Bluebook (online)
109 F. Supp. 3d 969, 2015 U.S. Dist. LEXIS 33301, 2015 WL 1245935, Counsel Stack Legal Research, https://law.counselstack.com/opinion/amerisure-mutual-insurance-v-everest-reinsurance-co-mied-2015.