Employers Reinsurance Corp. v. American Fidelity & Casualty Co.

196 F. Supp. 553, 1959 U.S. Dist. LEXIS 4096
CourtDistrict Court, W.D. Missouri
DecidedDecember 14, 1959
Docket11814, 11895
StatusPublished
Cited by3 cases

This text of 196 F. Supp. 553 (Employers Reinsurance Corp. v. American Fidelity & Casualty Co.) is published on Counsel Stack Legal Research, covering District Court, W.D. Missouri primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Employers Reinsurance Corp. v. American Fidelity & Casualty Co., 196 F. Supp. 553, 1959 U.S. Dist. LEXIS 4096 (W.D. Mo. 1959).

Opinion

RIDGE, Chief Judge.

The issue in each of the above cases is whether Employers Reinsurance Corporation (hereinafter referred to as “Employers” or the “Reinsurer”) is liable to American Fidelity and Casual *554 ty Company, Inc., (hereinafter called “American” or the “Reinsured”) under applicable reinsurance treaties, for amounts paid by American in excess of primary policy limits stated in two policies of liability insurance issued by American because of American’s “bad faith” failure to settle the liability of the insured named in the primary policies when American could reasonably have done so within the limits of the primary liability policy coverage.

In Case Number 11895, American alternatively sues Employers in two counts for breach of one reinsurance contract in respect to the above matter. In Case Number 11814, Employers seeks summary judgment of non-liability to American on a different contract concerning the above proposition. Both parties have filed motions for summary judgment, supported by affidavits. It appears that no facts are in dispute between the parties as to any issue raised or presented by the pleadings herein. Hence, these cases are ripe for disposition on ruling the above motions. In so doing, the facts in respect to the two claims will be separately stated. However, applicable law to both claims being the same, conclusions thereof will be singularly stated.

Case Number 11895.

American issued a basic policy of liability insurance in Oklahoma to L. C. Jones Trucking Company, with coverage up to $25,000. By the terms of a reinsurance treaty (Ex. A herein) American retained $10,000 of the liability loss exposure thereof, while Employers reinsured the balance, $15,000. Employers’ maximum reinsurance coverage under the treaty, supra, was $90,000 measured by the “Definition of Loss and Claim Expenses” stated in Article 3 thereof. American’s Retention as to each policy loss was $10,000, unless the whole loss was excluded from the treaty, as stated in Article 5. “Loss”, within the ambit of the treaty, was stated to “mean only such amounts, within applicable policy limits, as are actually paid in cash by the reinsured to claimants in settlement of claims or in satisfaction of judgment; but the word ‘loss’ shall not include claim expenses.” “Claim Expenses” was defined to “mean court costs, interest upon judgments, insurance afforded for first aid medical expense, and allocation, investigation and legal expense, paid by the reinsured.” The treaty provided that the reinsurer will indemnify the reinsured against that portion of claim expense that the amount of the loss ultimately borne by the reinsurer bears to the total amount of the loss. As respects expenses connected with appeal taken by the reinsured from a verdict or judgment which is in excess of the reinsured’s Retention, Employers agreed to “indemnify the reinsured (i. e. American) against that proportion of the claim expenses connected with such appeal, that the amount of such appeal or judgment in excess of the reinsured’s Retention bears to the total amount of such verdict or judgment, excluding from such computation such part of such verdict or judgment as may be in excess of the limits provided by the policy.” (Emphasis added.)

Under Article 10 of the treaty, American agreed it would:

“ * * * investigate, settle or defend all claims arising under policies with respect to which reinsurance is afforded by this agreement, and that it will give prompt notice to (Employers) of any event or development which, in the judgment of (American), might result in a claim (against Employers) and will forward promptly to (Employers) copies of such pleadings and reports of investigations as may be requested by (Employers).” (Parentheses added.)

Employers had the right, at its own expense, to participate jointly with American in the investigation, adjustment or defense of claims to which, in the judgment of Employers, it is, or might become exposed. By the treaty Employers agreed to reimburse American “promptly for all loss against which indemnity is herein provided,” upon receipt in the Home Office of Employers of satisfactory evidence of payment of such loss.

*555 (See Jones et al. v. Eppler, 266 P.2d 451, 48 A.L.R.2d 333, where the parties occupied reverse positions in the trial Court; which is hereinafter referred to as the Oklahoma case), arose out of an accident which occurred in the State of Oklahoma on June 14, 1948, that involved a basic insured of American. The reinsurance treaty, supra, (Ex. A), was applicable coverage. Employers was first notified of the Eppler claim when it received American’s letter of April 10, 1951, which advised Employers that a verdict of $31,000.00 had been returned in favor of Eppler against the basic insured. American’s letter explained the facts of the accident; stated that “the one and only (settlement) demand we ever received in the case (before trial and verdict) was $15,000.00, which we thought was ridiculous” (par. added) and that the outcome of the trial had not been expected. Enclosed with this letter was the trial brief of American’s attorney. Employers, replied on April 16, 1951, asking to be kept informed of any further developments. In the latter part of May, 1951, the vice president of Employers visited the home office of American, where he reviewed the Eppler v. Jones claim file. On June 28, 1951, Employers wrote American, referring to the visit and recalling that motions for new trial had been filed in the Oklahoma case, and asked to be kept informed of further developments. American replied on September 11,1951, that the motions for new trial had been overruled and that its attorney strongly recommended an appeal, although there would be some difficulty encountered in posting the appeal bond because the amount thereof was above the policy limits.

(Observe that up to this point the re-insurer did not have the opportunity to participate in any settlement negotiations or decisions regarding settlement of the Oklahoma case.)

American again wrote Employers on September 24, 1951, that an appeal was still being urged by its attorney and that plaintiff’s attorney had submitted a proposition of $25,000.00 for settlement but that its attorney recommended that this figure be not considered. This letter of September 24, 1951 closed with the following paragraph:

“We don’t think this ease is even worth our Retention of $10,000.00, however, since there is an outstanding verdict of $31,000.00, we will go along with whatever you want to do concerning the case. However, it is our recommendation that we continue with our appeal.”

Employers replied on September 28, 1951, in the following language (in part):

“Some time ago, we had a discussion on possible appeal and we presume that it is going to be somewhat difficult to make bond in excess of the policy limit. If you decide on appeal, we will be very glad to go along, but on the other hand if you think we should pay off the judgment up to the limits of the policy, it will be satisfactory to us.”

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Bluebook (online)
196 F. Supp. 553, 1959 U.S. Dist. LEXIS 4096, Counsel Stack Legal Research, https://law.counselstack.com/opinion/employers-reinsurance-corp-v-american-fidelity-casualty-co-mowd-1959.