Continental Casualty Co. v. Amerisure Insurance Co.

226 F. Supp. 3d 537, 2017 U.S. Dist. LEXIS 313, 2017 WL 34822
CourtDistrict Court, W.D. North Carolina
DecidedJanuary 3, 2017
Docket3:14CV529
StatusPublished
Cited by1 cases

This text of 226 F. Supp. 3d 537 (Continental Casualty Co. v. Amerisure Insurance Co.) is published on Counsel Stack Legal Research, covering District Court, W.D. North Carolina primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Continental Casualty Co. v. Amerisure Insurance Co., 226 F. Supp. 3d 537, 2017 U.S. Dist. LEXIS 313, 2017 WL 34822 (W.D.N.C. 2017).

Opinion

ORDER

Graham C. Mullen, United States District Judge

This matter is before the Court upon Plaintiff Continental Casualty Company’s (“Continental”) Motion for Summary Judgment (Doc. No. 33), Defendant Amerisure Insurance Company’s (“Amerisure”) Motion for Summary Judgment (Doc. No. 31), as well as Continental’s Motion to Strike (Doc. No. 43) and Motion in Limine (Doc. No. 34). All motions have been fully briefed and are ripe for disposition.

I. FACTUAL BACKGROUND

The facts in this case are largely undisputed. This is an insurance coverage action arising out of serious injuries to an employee of a subcontractor that occurred during the construction of a project owned by Charlotte Mecklenburg Hospital Authority (“CMHA”) in Pineville, North Carolina. The general contractor on the project, KBR Building Group, LLC (“BE & K”), entered into a subcontract with Steel-Fab, Inc. (“SteelFab”) to supply and erect the structural steel infrastructure for the project. SteelFab, in ton, subcontracted with Carolina Steel and Stone, Inc. (“CSS”) for the erection of structural steel. On December 14, 2010, an employee of CSS, Dustin Miller, fell from steel decking and suffered serious injuries.

In addition to instituting a workers’ compensation action against CSS, Miller filed a personal injury action against Steel-Fab and BE & K (“the Miller suit”). Specifically, the Miller suit alleged that Miller was working for CSS, a subcontractor of SteelFab and that while working for CSS and pursuant to CSS’s subcontract with SteelFab, he was injured. He asserts that actions or omissions by BE & K, SteelFab, and CSS contributed to his injuries, including inter alia allegations that CSS did not provide adequate safety protections and that BE & K and SteelFab failed to provide and failed to require CSS to provide such protections to CSS employees.

A. The Insurance Policies:

At the time of the accident, CSS held commercial general liability (“CGL”) and umbrella insurance policies issued by Am-erisure, as required by the CSS-SteelFab subcontract. SteelFab and BE & K were additional insureds under both the Ameri-sure policies. The CGL Policy provided limits of liability of $1,000,000 per occurrence and the Umbrella Policy provided limits of $5 million per occurrence. Steel-Fab held policies issued by Continental, and BE <& K was an additional insured under the Continental policies. The Continental CGL Policy also provided for a $1,000,000 per occurrence limit.

The Amerisure policy contains standard insurance industry forms which include, inter alia, the following language:

Throughout this policy the words “you” and “your” refer to the Named Insured shown in the Declarations...
[541]*541The word “insured” means any person or organization qualifying as such under Section II—Who Is An Insured....

(Doc. No. 6-2, p. 16 of 30).

With respect to the duty to defend and the duty to indemnify, the Amerisure Policy states:

SECTION I. COVERAGES COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILTY
1. Insuring Agreement
a. We will pay those sums that the insured becomes legally obligated to pay as damages because of “bodily injury” ... to which this insurance applies. We will have the right and duty to defend the insured against any “suit” seeking those damages....

(Id. at p. 3, ¶ 22).

The Amerisure policies also contained an exclusion (the “CIP exclusion”) which provided as follows:

This insurance does not apply to “bodily injury” or “property damage” arising out of either your ongoing operations or operations included within the “products-completed operations hazard” if such operations were at any time included within a “controlled insurance program” for a construction project which you are or were involved.

(Doc. No. 6-3, p. 31; Doc. No. 5-5, p. 29). The policy defined “controlled insurance program” as:

a construction, erection or demolition project for which the prime contractor/ project manager or owner of the construction project has secured general liability insurance covering some or all of the contractor subcontractors involved in the project, otherwise referred to as an Owner Controlled Insurance Program (O.C.I.P.) or Contractor Controlled Insurance Program. (C.C.I.P).

(Doc. No. 1-5, p. 93).

After construction had begun on the project, CMHA opted to implement a rolling owner controlled insurance program (“ROCIP”) on the project.1 In connection with the ROCIP, CMHA obtained General Liability and Workers Compensation policies of insurance from Zurich American Insurance Company (“Zurich”). BE & K was enrolled in the ROCIP and insured under the Zurich policy. SteelFab was not enrolled, nor was CSS. In late December 2010, after Mr. Miller’s injury, Amerisure inquired of Zurich whether CSS was insured under any insurance policies issued by Zurich per the ROCIP procured by CMHA. Zurich informed Amerisure by letter dated December 23,2010 that CSS was not enrolled in the ROCIP and thus was not insured under the Zurich ROCIP insurance. Therefore, Amerisure knew that CSS was not covered under the ROCIP.

Moreover, prior to the present dispute, during an audit of premium, Amerisure’s auditor asked CSS to provide any documentation regarding any operations covered by an OCIP. Amerisure’s practice was to exclude from its premium calculations payroll for its named insured’s operations covered by an OCIP, resulting in lower premiums. In other words, the insured pays no premium to Amerisure for payroll on operations covered by an OCIP.

In order to take advantage of a lower premium, the named insured had to provide documentation proving its operations were covered by an OCIP. The December 2011 audit report reflects that Amerisure required CSS to provide documentary proof in the form of OCIP insurance policies, certificates of insurance showing CSS covered by OCIP insurance or payroll re[542]*542ports submitted to any CIP carrier, showing which of CSS’s operations, if any, were covered by an OCIP. CSS did not provide to Amerisure any documentation showing CSS’s operations were covered by any OCIP during the May 2010 to May 2011 period when Miller was injured.

Because CSS provided no documentation proving that any of its operations were, according to Amerisure, “OCIP projects” or “OCIP jobs covered elsewhere,” Amerisure calculated the final premium (i.e. price) charged to CSS for CGL insurance provided under the Amerisure policies based on CSS’ payroll on all of CSS’ operations, including CSS’s operations on the CMHA project per the SteelFab-CSS subcontract. In other words, Amerisure charged CSS and CSS paid premium for insurance coverage, including coverage for additional insureds, based on the exposures presented by all of CSS’s operations between May 30, 2010 to May 30, 2011, including CSS’s operations on the CMHA project when Miller was injured.

B. The Miller Suit

When SteelFab and BE & K were sued by Miller, Continental, on their behalf, tendered defense and indemnity of the Miller suit to CSS and Amerisure.

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Cite This Page — Counsel Stack

Bluebook (online)
226 F. Supp. 3d 537, 2017 U.S. Dist. LEXIS 313, 2017 WL 34822, Counsel Stack Legal Research, https://law.counselstack.com/opinion/continental-casualty-co-v-amerisure-insurance-co-ncwd-2017.