Arceneaux v. Amstar Corp.

66 So. 3d 438, 2011 La. LEXIS 1575, 2011 WL 2591701
Supreme Court of Louisiana·Decided July 1, 2011·No. 2010-C-2329·Published·Cited by 61 cases

Opinion

VICTORY, J.

We granted a writ application in this insurance case primarily to determine whether the lower courts erred in holding that the insurer waived its right to enforce its policy, defenses because it breached its duty to defend. After reviewing the record and the applicable law, we find that the lower courts erred in holding the insurer liable for 100% of the claims asserted by the insured. In spite of breaching its defense duty, the insurer was entitled to rely on its policy defenses in limiting its indemnity obligation. Therefore, we reverse the judgment of the court of appeal on that issue and render judgment against the insurer for the proper amount due under the insurance policies. All other issues are remanded to the trial court.

FACTS AND PROCEDURAL HISTORY

A detailed history of the facts and procedural history of this case can be found at Arceneaux v. Amstar Corp., 06-1592 (La.App. 4 Cir. 10/31/07), 969 So.2d 755, unit denied, 07-2486, 08-0053 (La.3/24/08), 977 So.2d 952, 953. (“Arceneaux II ”), but will be summarized here. On February 2, 1999, four employees of Tate & Lyle North America Sugars, Inc. (“T & L”) filed a cumulated action 1 against T & L for damages from noise exposure during their employment with T & L at its Domino Sugar Refinery. The period of alleged exposure was between 1947 and 1994.

Continental Casualty Insurance Company (“Continental”) issued eight general liability insurance policies to T & L covering bodily injury occurring between March 1, 1963 and March 1, 1978. Each of the policies contained exclusions for bodily injury to employees of the insured arising out of the course and scope of employment. However, in the last policy, covering the period between March 1, 1975 and March 1, 1978, the exclusion was deleted by special endorsement effective December 31,1975.

After T & L notified Continental of the lawsuit, in May of 1999, Continental retained the firm of Galloway, Johnson, Burr & Smith (“Galloway”) to defend T & L, and Galloway enrolled as co-counsel with T & L’s counsel. Continental did not reserve its rights to contest coverage or to assert any coverage defenses in connection with its defense of these claims. 2 In April, 2001, the plaintiffs filed a supplemental and amending petition adding 125 new *442 plaintiffs to the suit alleging noise exposure between 1947 and 2001. Due to the large number of plaintiffs, the case was to be tried in flights of 15 plaintiffs by bench trial. 3 Trial was continued to allow for settlement on May 9, 2003, and on that date, without Continental’s consent, T & L settled with the first flight of 15 plaintiffs for $35,000 per plaintiff. On May 29, 2003, Continental was notified of the settlement. On June 6, 2003, Continental withdrew from the defense by letter, disclaiming liability based on the | ¡¡exclusions in its policies for injuries to employees. This was done based on Continental’s mistaken belief that all of its policies contained employee exclusions when in fact, as stated above, for the final 26 months of its last policy — from December 31, 1975 to March 1, 1978 — the employee exclusion had been removed. In addition, Continental reserved its right to disclaim coverage to the extent that “[t]he alleged bodily injury did not take place during one or more of the Continental Casualty policy periods,” and stated that its reservation of rights extended to any “future litigation regarding these policies.” In July of 2003, T & L sued Continental as a third party defendant. In its third party demand, T & L sought indemnification for the amounts it was required to pay plaintiffs, defense costs, and bad faith penalties under La. R.S. 22:658.

In August 2003, and April 2004, plaintiffs filed their second and third supplemental and amending petitions adding Continental as a defendant and adding 160 new plaintiffs. (These plaintiffs, added after Continental disclaimed coverage and issued its reservation of rights letter are referred to as the “post-denial plaintiffs;” the plaintiffs in the original and first supplemental and amending petition who sued before this time are referred to as the “pre-denial plaintiffs.”) The post-denial plaintiffs’ claims were not tendered to Continental and Continental did not assume the defense of those claims.

In October 2004, the trial court granted partial summary judgment to T & L, finding that Continental had waived its right to rely on its policy exclusion defenses. This judgment apparently was directed to only the pre-denial plaintiffs. The trial court based its ruling on the fact that Continental participated in T & L’s defense for a period of four years without securing a non-waiver agreement or issuing a reservation of rights declaration. This partial summary judgment was certified as a final judgment for the purposes of an appeal and was eventually affirmed by the court of appeal on December 14, 2005. Arceneaux v. Amstar Corp., 05-0177 (La.App. 4 Cir. 12/14/05), 921 So.2d 189 (“Arceneawo /”). The court of appeal found Continental had waived its right to assert its policy exclusions based on the following:

In the instant case, the plaintiffs’ original petition states that “[a]t various times between 1947 and 1994, plaintiffs were employed as direct employees at the Arabi facility ...” In September of 1999, the defense counsel retained by [Continental] specifically advised [Continental] that the plaintiffs were longtime employees of [T & L]. [Continental] was also well aware of the employee related exclusions in its policies. As such, [Continental] was aware of its rights and acted in such a manner as to waive those rights.

921 So.2d at 192. Continental did not file a writ application with this Court, making this a final judgment. On November 11, 2004, T & L submitted defense bills to *443 Continental for the first time and, after reviewing the policies, Continental realized that there were in fact 26 months (from January 1976 to March 1978) when the employee exclusion was not in effect. Accordingly, Continental offered to pay its pro rata share of the defense bills, but the offer was rejected. After attempts to get other insurers to share in the costs of defense failed, Continental notified T & L that it would pay 100% of the defense costs and defend all of the claims going forward under a full reservation of rights. On April 6, 2005, Continental paid T & L $1,419,168.95, the full amount of reimbursement for defense costs to date, and paid the full cost of defense from that point forward.

Shortly before trial for the second flight of plaintiffs, on April 14, 2005, T & L announced that it had entered into a settlement with all of the remaining plaintiffs, under which it would pay $35,000 for each plaintiff who met certain settlement criteria. This settlement was entered into without Continental’s consent. Ultimately, T & L made payments that included 101 pre-denial plaintiffs and 116 post-denial plaintiffs.

| ¡/Trial on T & L’s cross-claims against Continental was held between August 22 and August 25, 2005.

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Arceneaux v. Amstar Corp., 66 So. 3d 438, 2011 La. LEXIS 1575, 2011 WL 2591701 (La. 2011).

66 So. 3d 438 (Arceneaux v. Amstar Corp.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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