Axis Insurance Company v. American Specialty Insurance & Risk Services

111 F.4th 825
Court of Appeals for the Seventh Circuit·Decided August 6, 2024·No. 23-1698·Published

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 Company sought indemnification from defendant-appellee American 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 approving 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 American 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 contract required AXIS to provide notice of claims to American Specialty, but AXIS otherwise retained nearly complete control over settlement decisions.

Additionally, Indiana case law does not hold that the tender of defense is an implied condition in an indemnification agreement. Indiana law respects the freedom to contract in insurance agreements. We see no reason to think the Indiana Supreme Court would depart from that respect for contractual 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 insurance policies for professional sports teams and other organizations in entertainment industries. In 2008, AXIS signed a contract with American Specialty that allowed American Specialty to “accept proposals for insurance, negotiate, underwrite 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 obtain a variety of insurance coverages, including employer’s liability coverage. American Specialty sent back an insurance proposal and binder on behalf of AXIS. These documents mentioned employer’s liability coverage, but everyone involved in this litigation—AXIS, American Specialty, and the Buccaneers—has interpreted the language differently. When a Buccaneers’ player later asserted a substantial personal injury claim against the team, the parties to the insurance purchase disagreed about whether the Buccaneers’ policy included employer’s liability coverage. The Buccaneers believed 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 insisted that the policy did not include employer’s liability coverage 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 employer ’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 coverage .

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 insurance policy was issued to the Buccaneers, but the two 4 No. 23-1698

companies were no longer working together when the disputed 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 review 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-ending injury after contracting a Methicillin-resistant Staphylococcus 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 performed 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 conference 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 immediately . 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 Buccaneers ’ insurance policy should have included employer’s liability 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 Specialty that AXIS itself would handle the Tynes claim due to the potential exposure it presented. On April 8, 2015, AXIS instructed American Specialty to “keep an administrative file, pay bills and chronicle the claim with file note entries as normal .” 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 purview . American Specialty is not to have any role in the directing or managing of the defense of 6 No. 23-1698

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

111 F.4th 825 (Axis Insurance Company v. American Specialty Insurance & Risk Services) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

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