Crist v. Sharp Electric, Inc.

876 F.2d 379
CourtCourt of Appeals for the Fifth Circuit
DecidedJune 20, 1989
DocketNos. 88-3508, 88-3769
StatusPublished
Cited by3 cases

This text of 876 F.2d 379 (Crist v. Sharp Electric, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fifth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Crist v. Sharp Electric, Inc., 876 F.2d 379 (5th Cir. 1989).

Opinion

E. GRADY JOLLY, Circuit Judge:

In this diversity case, when the insurer was declared insolvent, the insureds owed the insurer some $194,000 in unpaid premiums. The insurer, however, because of insolvency, failed to defend claims after the date of insolvency. The insureds refused to pay the insurer’s receiver on grounds that the insurer’s failure to defend was a breach of the contract, relieving the insureds of any further obligation under the contract. The district courts upheld the appellees’ contention under principles of general contract law. We reverse because the Louisiana insurance insolvency law applies, rather than general contract law.

I

Altogether, five insurance policies issued by Transit are at issue in these consolidated appeals. Two, a general and automobile liability policy and a worker’s compensation policy, were issued to Drake Concrete Company of Belle Chasse, Inc. (“Drake”). The policy periods for both expired on June 30, 1985. Three policies, two general and automobile liability policies and one worker’s compensation policy, were issued to Sharp Electric, Inc. (“Sharp”). None of these policies expired later than January 1, 1985.

Premiums on the policies were due at the beginning of the respective policy periods. However, some adjustment of the premium was necessary since a basic component in the calculation of the premiums was the size of the company’s payroll during the policy period. Because of the impossibility of fixing that figure in advance, the company initially used an estimate, subject to later audit and adjustment. If the actual payroll was higher than the estimate, the insured was undercharged at the beginning of the policy period and owed additional premiums. If the actual payroll was lower than the estimate, the insured was overcharged and was owed a refund. The insured’s obligations under the policies thus became fixed at the end of each policy term.

After payroll costs were determined at the end of each of the five policy periods, Drake had underpaid its premiums by approximately $57,000, and Sharp had underpaid by approximately $137,000. On December 3, 1985, well after the policy periods of the five policies at issue had ended, Transit was declared insolvent and placed into receivership pursuant to an amended order of liquidation. Crist became receiver for Transit and, acting to marshal Transit’s assets, sought to recover the unpaid premiums from Drake and Sharp.

On November 2, 1987, Crist filed a complaint against Sharp. Sharp denied that it owed additional premiums, arguing that, after insolvency, Transit had breached its contractual duty under the policy to defend Sharp in lawsuits. Sharp filed a motion for summary judgment on June 2,1988, and on July 1, 1988, without oral argument, the district court granted Sharp’s motion for summary judgment, dismissing Crist’s suit. In his order dated July 1, 1988, Judge Carr stated that

Transit breached its obligation to defend and for compensation benefits in accord-[381]*381anee with its obligations under the policies for whatever reason, and is therefore not entitled to recover the premiums claimed. Defendant’s motion for summary judgment is granted, and Plaintiffs suit will be dismissed.

On December 17, 1987, Crist filed a complaint against Drake. Drake denied that it owed additional premiums effectively for the same reasons as Sharp. On August 11, 1988, Drake filed a motion for summary judgment. On September 29,1988, without oral argument, Judge Sear granted Drake’s motion for summary judgment for essentially the same reasons as in Sharp’s case. Crist filed timely appeals of both district courts’ decisions. The appeals have been consolidated.

II

The threshold issue in this case is whether Louisiana contract law or the Louisiana law governing insolvency of insurers controls. Sharp and Drake argue that this case is controlled by Louisiana general contract law. They contend, and the district courts agreed, that Transit had not fulfilled its obligations under the insurance contracts because after the date of insolvency it failed to provide legal defense against lawsuits pursuant to the terms of coverage. It is a fundamental doctrine of Louisiana contract law, they maintain, that one “cannot require enforcement of a contract where he is unwilling or unable to discharge his own undertaking.” Pennington v. Drews, 49 So.2d 5, 8 (La.1949) (citation omitted). Therefore, they argue, Crist has no right to collect the premiums.

Transit responds that the Louisiana law governing insolvency of insurers controls. That law is an interlocking web of statutes, starting with La.Rev.Stat. 22:738, which provides that “the rights and liabilities of the insurer and of its creditors ... shall be fixed as of the date of the entry of the order directing liquidation.” That statute is supplemented by La.Rev.Stat. 22:1183, which describes in detail the rights and liabilities of insurers and their insureds after the insurer is declared insolvent:

A. Any claim of an insolvent insurer against an insured or against the agent through whom a policy was written, concerning any policy of insurance issued or delivered in this state shall be subject to the following limitations:
(1) The insured shall not be liable to an insolvent insurer for any premium which had not been earned on a pro rata basis on the date the insurer was declared insolvent.

When an insured has paid its premiums but not received policy benefits because of the insurer’s insolvency, Louisiana’s Insurance Guaranty Association Law also becomes a part of the legislative scheme affecting the rights and obligations of the insolvent insurers and their insureds. La. Rev.Stat. 22:1382 establishes the powers and duties of the Louisiana Insurance Guaranty Association (LIGA). It provides that

(1) the Association shall:
(a) be obligated to the extent of the covered claims existing prior to the determination of the insurer’s insolvency ... but such obligation shall include only that amount of each covered claim.... Notwithstanding the foregoing, the Association shall pay the full amount of any covered claim arising out of a workmen’s compensation policy. In no event shall the Association be obligated to a policyholder or claimant in an amount in excess of the obligation of the insolvent insurer under the policy from which the claim arises.
(b) be deemed the insurer to the extent of its obligation on the covered claims and to such extent shall have all rights, duties and obligations of the insolvent insurer as if the insurer had not become insolvent.

Another section of the Insurance Guaranty Law, La.Rev.Stat. 22:1385, defines the effect of paid claims, providing that any person recovering from LIGA will be deemed to have assigned his rights under the policy to LIGA to the extent of his recovery from LIGA. Thus, argues Crist, LIGA would be subrogated to any rights against the receiver that the insured previously had, and [382]

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876 F.2d 379, Counsel Stack Legal Research, https://law.counselstack.com/opinion/crist-v-sharp-electric-inc-ca5-1989.