Axis Insurance Company v. American Specialty Insurance & Risk Services

111 F.4th 825
CourtCourt of Appeals for the Seventh Circuit
DecidedAugust 6, 2024
Docket23-1698
StatusPublished

This text of 111 F.4th 825 (Axis Insurance Company v. American Specialty Insurance & Risk Services) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Axis Insurance Company v. American Specialty Insurance & Risk Services, 111 F.4th 825 (7th Cir. 2024).

Opinion

In the

United States Court of Appeals For the Seventh Circuit ____________________ No. 23-1698 AXIS INSURANCE COMPANY, Plaintiff-Appellant, v.

AMERICAN SPECIALTY INSURANCE & RISK SERVICES, Defendant-Appellee. ____________________

Appeal from the United States District Court for the Northern District of Indiana, Fort Wayne Division. No. 1:19-cv-00165-DRL — Damon R. Leichty, Judge. ____________________

ARGUED JANUARY 9, 2024 — DECIDED AUGUST 6, 2024 ____________________

Before ROVNER, HAMILTON, and JACKSON-AKIWUMI, Circuit Judges. HAMILTON, Circuit Judge. Pursuant to an indemnification clause in a contract, plaintiff-appellant AXIS Insurance Com- pany sought indemnification from defendant-appellee Amer- ican Specialty Insurance & Risk Services for claims that AXIS settled. The parties’ contract did not require AXIS to give American Specialty the opportunity to choose between ap- proving the settlement payment and assuming the defense 2 No. 23-1698

itself. But American Specialty argues that AXIS was obliged to do so under Indiana law. The district court agreed with Amer- ican Specialty and granted summary judgment for it. We reverse. Insurance companies like AXIS and American Specialty bargain for the rights and obligations they hold in a contractual relationship like this one, including the specifics of a promise of indemnification. The contract in this case did not obligate AXIS to tender the defense to American Specialty before settling claims against AXIS. To the contrary, the con- tract required AXIS to provide notice of claims to American Specialty, but AXIS otherwise retained nearly complete con- trol over settlement decisions. Additionally, Indiana case law does not hold that the ten- der of defense is an implied condition in an indemnification agreement. Indiana law respects the freedom to contract in in- surance agreements. We see no reason to think the Indiana Supreme Court would depart from that respect for contrac- tual freedom and impose an implied requirement like the one advocated by American Specialty. I. Factual and Procedural Background AXIS is an insurance company that specializes in insur- ance policies for professional sports teams and other organi- zations in entertainment industries. In 2008, AXIS signed a contract with American Specialty that allowed American Spe- cialty to “accept proposals for insurance, negotiate, under- write and accept insurance coverages on [AXIS’s] behalf….” The parties’ contract stipulated that if American Specialty acted negligently in these tasks, it would indemnify AXIS for any resulting losses. That indemnification provision lies at the core of this case. No. 23-1698 3

A. Insurance for the Buccaneers In May 2013, an agent for the professional football team Tampa Bay Buccaneers reached out to American Specialty asking for an insurance quote. The Buccaneers wanted to ob- tain a variety of insurance coverages, including employer’s li- ability coverage. American Specialty sent back an insurance proposal and binder on behalf of AXIS. These documents mentioned employer’s liability coverage, but everyone in- volved in this litigation—AXIS, American Specialty, and the Buccaneers—has interpreted the language differently. When a Buccaneers’ player later asserted a substantial personal in- jury claim against the team, the parties to the insurance pur- chase disagreed about whether the Buccaneers’ policy in- cluded employer’s liability coverage. The Buccaneers be- lieved that the policy included it because that was what the team had requested. Alternatively, the Buccaneers demanded that AXIS and American Specialty cover any gap in coverage due to employer’s liability being left off the policy. AXIS in- sisted that the policy did not include employer’s liability cov- erage because, regardless of what the binder and proposal said, the policy that was actually issued to the Buccaneers did not include it. American Specialty was caught in the middle. It agreed with AXIS that the actual policy did not include em- ployer’s liability coverage, but it concluded that a mistake had been made in issuing the policy. American Specialty urged AXIS to reform the policy to include employer’s liability cov- erage. American Specialty and AXIS worked together for several years, but effective February 2014, they agreed to terminate their contract. The parties’ contract was in effect when the in- surance policy was issued to the Buccaneers, but the two 4 No. 23-1698

companies were no longer working together when the dis- puted claim arose. B. The Tynes Infection and Claim Nobody recognized the absence of employer’s liability coverage until it became the center of debate during the re- view of a claim. In March 2015, lawyers for Buccaneers kicker Lawrence Tynes sent a demand letter and a draft complaint to the Buccaneers alleging that he had suffered a career-end- ing injury after contracting a Methicillin-resistant Staphylo- coccus Aureus (often known as “MRSA”) infection at the team’s facility. Tynes alleged that he contracted the infection while rehabilitating from a medical procedure that was per- formed on his kicking foot. The draft complaint sought over $15 million in compensatory damages for the career-ending injury. Tynes had won two Super Bowls and had kicked game-winning field goals in overtime in two separate confer- ence championship games. See Rich Cimini, Tynes Lives Dream Yet Again, ESPN (Jan. 23, 2012, 2:34 AM), https://perma.cc/PX9J-BD8B. The draft complaint named the Tampa Bay Buccaneers and the Tampa Bay Mall Limited Partnership (the owner and operator of the Buccaneers’ practice facility) as defendants. American Specialty quickly notified AXIS of the imminent claim. After reviewing the claim, AXIS denied coverage to the Buccaneers and refused to indemnify the team for Tynes’ claims. The employer’s liability issue became apparent immedi- ately. AXIS had denied coverage to the Buccaneers on Tynes’ claims because it believed that employer’s liability insurance was not part of the insurance policy it had actually issued. No. 23-1698 5

American Specialty, however, told AXIS that the policy should be reformed to include employer’s liability coverage— American Specialty said that a “mistake” had been made that left employer’s liability coverage off the Buccaneers’ policy even though the team had requested it. AXIS and American Specialty exchanged emails about their conflicting views. In those emails, American Specialty said twice that the Bucca- neers’ insurance policy should have included employer’s lia- bility coverage. AXIS stressed that the policy did not include the coverage and that it would seek indemnification from American Specialty for any losses resulting from American Specialty’s negligence in preparing the policy. AXIS and American Specialty had ended their cooperative business relationship the year before. When the dispute arose about coverage of the Tynes claim, AXIS told American Spe- cialty that AXIS itself would handle the Tynes claim due to the potential exposure it presented. On April 8, 2015, AXIS in- structed American Specialty to “keep an administrative file, pay bills and chronicle the claim with file note entries as nor- mal.” AXIS reiterated this message a few weeks later, saying that “American Specialty has no authority in this matter and should not be involved in the claims handling in any way.” On May 4, 2015, outside counsel for AXIS echoed the same message in another email: Please also be advised that American Specialty has no authority with respect to handling this claim, and that all claim management activity, including determinations and evaluations of coverage issues, are solely within AXIS’s pur- view. American Specialty is not to have any role in the directing or managing of the defense of 6 No. 23-1698

this claim.

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