Amhs Insurance Company, Risk Retention Group, a Foreign Corporation v. Mutual Insurance Company of Arizona, an Arizona Corporation, Amhs Insurance Company, Risk Retention Group, a Foreign Corporation v. Mutual Insurance Company of Opinion Arizona, an Arizona Corporation

258 F.3d 1090
CourtCourt of Appeals for the Ninth Circuit
DecidedJuly 30, 2001
Docket99-15703
StatusPublished
Cited by12 cases

This text of 258 F.3d 1090 (Amhs Insurance Company, Risk Retention Group, a Foreign Corporation v. Mutual Insurance Company of Arizona, an Arizona Corporation, Amhs Insurance Company, Risk Retention Group, a Foreign Corporation v. Mutual Insurance Company of Opinion Arizona, an Arizona Corporation) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Amhs Insurance Company, Risk Retention Group, a Foreign Corporation v. Mutual Insurance Company of Arizona, an Arizona Corporation, Amhs Insurance Company, Risk Retention Group, a Foreign Corporation v. Mutual Insurance Company of Opinion Arizona, an Arizona Corporation, 258 F.3d 1090 (9th Cir. 2001).

Opinion

258 F.3d 1090 (9th Cir. 2001)

AMHS INSURANCE COMPANY, RISK RETENTION GROUP, A FOREIGN CORPORATION, PLAINTIFF-APPELLANT,
v.
MUTUAL INSURANCE COMPANY OF ARIZONA, AN ARIZONA CORPORATION, DEFENDANT-APPELLEE. AMHS INSURANCE COMPANY, RISK RETENTION GROUP, A FOREIGN CORPORATION, PLAINTIFF-APPELLEE,
v.
MUTUAL INSURANCE COMPANY OF OPINION ARIZONA, AN ARIZONA CORPORATION, DEFENDANT-APPELLANT.

No. 99-15703,, No. 99-15704

UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT

Argued and Submitted January 11, 2001--San Francisco, California
Filed July 30, 2001

[Copyrighted Material Omitted]

Counsel David L. White, White, Cummings & Longino, Phoenix, Arizona, for appellant AmHS Insurance Company, Risk Retention Group.

Steven S. Guy, Snell & Wilmer, Phoenix, Arizona, for appellee Mutual Insurance Company of Arizona.

D.C. No. CV-97-01507-RCB; D.C. No. CV-97-01507-RCB Appeal from the United States District Court for the District of Arizona Robert C. Broomfield, District Judge, Presiding

Before: Joseph T. Sneed, Susan P. Graber, and Richard A. Paez, Circuit Judges.

opinion by judge SNEED; Dissent by Judge GRABER

SNEED, Circuit Judge:

Appellant AmHS Insurance Company, Risk Retention Group ("RRG") and Appellee Mutual Insurance Company of Arizona ("MICA") provided professional liability insurance to Dr. Wesley Romberger ("Dr. Romberger"). Following a jury trial, Dr. Romberger was found negligent in his care and treatment of Christina Beery. RRG defended Dr. Romberger and satisfied the $7,897,543.18 judgment against him. The parties dispute how much MICA should contribute to the payment of this judgment.

RRG appeals the district court's determination that it failed to state either a direct or subrogated bad-faith claim against MICA. Both parties appeal the district court's decision on summary judgment ordering MICA to pay RRG an equitable contribution in the amount of $445,013.83. RRG also appeals the district court's order establishing that prejudgment interest did not begin to accrue until September 19, 1997.

We address each order of the district court in turn. We affirm the dismissal of both the direct and subrogated claims. We reverse the district court's calculation of MICA's contribution and remand for further proceedings. We affirm the district court's determination of the date from which prejudgment interest began to run.

FACTS

Dr. Romberger delivered Christina Beery on September 1, 1986. He subsequently provided care, treatment, and evaluations of Christina through September 23, 1988. In July 1990, Christina Beery was diagnosed with a ventricular septal defect. In March 1992, Christina Beery, by and through her mother, sued Dr. Romberger, alleging negligent failure to detect and diagnose Christina's heart defect.

The Beery case proceeded to trial in August 1993. MICA contributed 10% of the cost of defending Dr. Romberger while a third insurance carrier, Samaritan, contributed 90%. MICA was continually updated on the Beery litigation, but (other than its commitment to pay 10% of the defense costs) played no role in the defense of Dr. Romberger. The jury returned a verdict in favor of Christina Beery. Through two lump sum payments, RRG paid $7,897,543.18 in complete satisfaction of the judgment. The first of these payments was made in July 1996 in the sum of $4.3 million. The second payment was made in June 1997 in the amount of $3.6 million. RRG informed MICA that it had satisfied the judgment and requested contribution. Both during the Beery litigation and after RRG satisfied the full judgment, MICA offered a maximum of $150,000 toward the total settlement of the case. RRG brought this action for bad faith and contribution against MICA.

I.

Both the viability of the bad-faith claims and the correct computation of MICA's contribution depend upon whether the competing insurance carriers are primary, excess, or co-excess insurers of the Beery judgment. And, more broadly, on the intended application of the insurance policies. We must review the language of the policies to determine the status of each insurer so as to properly apportion the loss. We begin, therefore, with a brief summary of the principles and purposes of excess insurance. We then identify the relevant portions of the competing insurance policies and categorize them with reference to the "overall insuring scheme." United Serv. Auto. Ass'n v. Empire Fire & Marine Ins., 653 P.2d 712, 714 (Ariz. Ct. App. 1982).

A. Excess Insurance Policies

An "excess" or "umbrella" insurance policy serves a different purpose than a primary policy. A "true" excess policy protects the insured "in the event of a catastrophic loss in which liability exceeds the available primary coverage. " 16 Couch on Insurance §§ 220:32 (3d ed. 1995); See also 8C Insurance Law and Practice §§ 5071.65 at 107 (1981) ("In this day of uncommon, but possible, enormous verdicts, [excess policies] pick up this exceptional hazard at a small premium."). A primary policy, alternatively, provides coverage from"dollar one" for a given loss.

This clear distinction can be muddied by the inclusion of an "other insurance" clause in an otherwise primary policy. The inclusion of such a clause will not convert a primary policy into "true" excess coverage. The underlying purpose of the primary policy remains the same and it must contribute to an insured's loss before "true" excess coverage attaches. However, determining whether a given policy is primary (with an other insurance clause) as opposed to excess can sometimes be difficult. 16 Couch on Insurance §§ 220:32 ("[I]t is extremely difficult to draw any black letter rules of law. There is usually no way . . . to avoid doing a time-consuming, complete coverage analysis.")

Because the instant controversy arises under Arizona law, we rely on the Arizona Supreme Court's standards for determining when a particular policy is "true" excess insurance. Under Arizona law, a "true" excess policy applies "when the same insured has purchased underlying coverage for the same risk." St. Paul Fire & Marine Ins. Co. v. Gilmore, 812 P.2d 977, 980 (Ariz. 1991). The underlying primary policy"operate[s] as a kind of deductible and `an insured pays a reduced premium to the excess carrier expressly because that carrier will be obligated to pay a claim only after a certain amount has been paid' by the insured's primary carrier. " Id. (quoting Maricopa County v. Fed. Ins. Co., 757 P.2d 112, 114 (Ariz. Ct. App. 1988)). In addition, "true" excess coverage is "written under circumstances where rates were ascertained after giving due consideration to known existing and underlying . . . primary policies." Id. (quoting Loy v. Bunderson, 320 N.W.2d 175, 179 (Wis. 1982)).

With these standards in mind, we turn to the policies at issue in this appeal.

B. Competing Policies

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