Axis Insurance Company v. American Specialty Insurance & Risk Services, Inc.

CourtDistrict Court, N.D. Indiana
DecidedMarch 17, 2023
Docket1:19-cv-00165
StatusUnknown

This text of Axis Insurance Company v. American Specialty Insurance & Risk Services, Inc. (Axis Insurance Company v. American Specialty Insurance & Risk Services, Inc.) is published on Counsel Stack Legal Research, covering District Court, N.D. Indiana 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, Inc., (N.D. Ind. 2023).

Opinion

UNITED STATES DISTRICT COURT NORTHERN DISTRICT OF INDIANA FORT WAYNE DIVISION

AXIS INSURANCE COMPANY,

Plaintiff,

v. CAUSE NO. 1:19-CV-165 DRL

AMERICAN SPECIALTY INSURANCE & RISK SERVICES, INC.,

Defendant.

OPINION AND ORDER

In 2015, Tampa Bay Buccaneers kicker Lawrence Tynes sued the franchise for an off-the-field injury that ended his decorated career. The Buccaneers believed the franchise had insurance coverage based on representations in a proposal from one broker, American Specialty Insurance & Risk Services, Inc. American Specialty served as underwriter for AXIS Insurance Company. But AXIS called an audible and denied coverage. The Tynes suit never progressed to name American Specialty or AXIS. Instead, as the suit proceeded against the Buccaneers, rather than ask American Specialty to defend even a potential claim, AXIS directed American Specialty to stay out of it, and did so for eighteen months. AXIS maintained its position that it wasn’t actually liable because the insurance policy provided no coverage. At mediation, AXIS nevertheless chose to attend and contribute to a Buccaneers settlement in exchange for the franchise’s promise not to sue AXIS. AXIS had invited American Specialty to consider a “market solution” at mediation too but never asked for a defense. American Specialty’s silence and lack of contribution at mediation kicked off AXIS’s suit based on an indemnity clause in their Program Manager Agreement. This case presents the question whether AXIS paid a loss for which it was not liable or in a manner that rendered its settlement contribution voluntary such as to foreclose a request for indemnity. American Specialty requests summary judgment for this reason. The court grants summary judgment accordingly. BACKGROUND On February 1, 2008, American Specialty and AXIS entered into a Program Manager Agreement (PMA) [ECF 235-1]. This contract governed American Specialty’s duties to AXIS, authorizing American Specialty to accept proposals for insurance, negotiate, underwrite, and accept insurance coverages on AXIS’s behalf. The PMA included an indemnity provision that required American Specialty to indemnify AXIS for losses stemming from American Specialty’s errors or omissions in the performance or breach

of duties under the PMA [id. § 27.4]. An agent (from Marsh USA) for the Buccaneers contacted American Specialty on May 9, 2013. Seeking an insurance quote, the agent informed American Specialty that one of the items the team sought in its new policy was excess liability coverage. American Specialty knew to view insurance policy proposals for NFL teams as an AXIS referral. The parties debate whether American Specialty’s referral ever contemplated excess liability coverage and whether AXIS ever approved such coverage, though the referral never seems to identify its need explicitly. American Specialty provided an insurance proposal and binder to the Buccaneers on May 28 and June 4, 2013 respectively [ECF 235-3, 235-4]. The proposal and binder listed primary employer’s liability coverage as “TBD.” The documents never seemed to mention excess employer’s liability coverage. The proposal explained that its terms did “not represent contract terms” but the policy would be subject to (though not limited to) “all terms, conditions, and exclusions as noted.” By its terms, the binder constituted “temporary evidence of insurance coverage and will be replaced by [a] policy.”

On June 6, 2013, American Specialty delivered the AXIS Excess Policy to the Buccaneers [ECF 235-5]. The policy omitted a schedule of primary employer’s liability insurance policy, much less contained any excess coverage. In May 2014, the Buccaneers (through its agent) notified American Specialty that excess employer’s liability coverage was absent from the policy and requested that it be added, but American Specialty did not notify AXIS at that time. In July 2013, kicker Lawrence Tynes joined the Buccaneers. He developed a MRSA infection that he claimed originated from the team’s facility. On March 2, 2015, Mr. Tynes sent the Buccaneers a draft complaint seeking damages from this injury. On March 5, American Specialty notified AXIS of this claim. On March 24, AXIS denied coverage for the Tynes claim, telling the Buccaneers that AXIS would neither defend nor indemnify the team. On April 29, 2015, AXIS informed American Specialty that it “had no authority” over the Tynes

claim and “should not be involved in the claims handling in any way,” including “any discussions, selection of counsel or agreement on cost share” [ECF 235-17]. AXIS reiterated its stance on May 4, 2015, stating that “American Specialty is not to have any role in the directing or managing of the defense of this claim” [ECF 235-13]. Instead, AXIS instructed that “American Specialty’s primary obligation is to maintain an administrative file, process expenses, chronicle the file with claim note entries, report as requested, review the reporting completed by defense counsel, and report to AXIS accordingly” [id.]. Despite AXIS’s directives, AXIS still expected American Specialty to indemnify AXIS “for any consequential damages suffered by AXIS as a result of the underwriting of the AXIS Excess Policy” [id.]. American Specialty responded on May 14, claiming that AXIS had approved the excess employer’s liability coverage and that the policy should be reformed due to a clerical error [ECF 229-17]. Mr. Tynes sued the Buccaneers in May 2015 in Florida state court. On October 5, 2016, the Buccaneers notified AXIS and American Specialty of an upcoming mediation with Mr. Tynes and

“expected” their representatives to attend. AXIS told the Buccaneers that “based on the disclaimer language in both the proposal and the binder, as well as the ultimate lack of excess employer’s liability coverage in the policy, there is insufficient evidence to merit reformation of the excess policy, and AXIS hereby declines to do so” [ECF 235-20]. AXIS nonetheless decided to attend the mediation. On November 7, 2016, AXIS reached out to American Specialty about the mediation [ECF 235-14]. AXIS stood by its expectation that American Specialty would “honor fully its commitment to defend and indemnify AXIS from any loss that may result,” though seemingly only should a court or jury rule against the insurer [id. 3]. AXIS also invited American Specialty to attend the mediation because it may be in American Specialty’s interest “to try to accomplish a market solution to resolve this claim” [id.]. American Specialty never responded.

AXIS attended the mediation without American Specialty and contributed to a settlement with Mr. Tynes—a self-described “commercial accommodation” and not an admission of liability. In exchange, the Buccaneers agreed not to sue AXIS for any coverage issues underlying the Tynes claim. AXIS then sued American Specialty, seeking indemnification for AXIS’s contribution to the settlement. STANDARD Summary judgment is warranted when “the movant shows that there is no genuine dispute as to any material fact and the movant is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a). The non-moving party must present the court with evidence on which a reasonable jury could rely to find in his favor. Weaver v. Speedway, LLC, 28 F.4th 816, 820 (7th Cir. 2022). The court must construe all facts in the light most favorable to the non-moving party, viewing all reasonable inferences in that party’s favor, Bigger v. Facebook, Inc., 947 F.3d 1043, 1051 (7th Cir. 2020), and avoid “the temptation to decide which party’s version of the facts is more likely true,” Payne v. Pauley, 337 F.3d 767, 770 (7th Cir. 2003); see also Joll v. Valparaiso Cmty.

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Axis Insurance Company v. American Specialty Insurance & Risk Services, Inc., Counsel Stack Legal Research, https://law.counselstack.com/opinion/axis-insurance-company-v-american-specialty-insurance-risk-services-innd-2023.