Fireman's Fund Insurance Company v. OneBeacon Insurance Company

CourtDistrict Court, S.D. New York
DecidedOctober 19, 2020
Docket1:14-cv-04718
StatusUnknown

This text of Fireman's Fund Insurance Company v. OneBeacon Insurance Company (Fireman's Fund Insurance Company v. OneBeacon Insurance Company) is published on Counsel Stack Legal Research, covering District Court, S.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fireman's Fund Insurance Company v. OneBeacon Insurance Company, (S.D.N.Y. 2020).

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK

FIREMAN’S FUND INSURANCE COMPANY,

Plaintiff, ORDER

- against - 14 Civ. 4718 (PGG)

ONEBEACON INSURANCE COMPANY as successor-in-interest to GENERAL ACCIDENT INSURANCE COMPANY OF AMERICA,

Defendant.

PAUL G. GARDEPHE, U.S.D.J.: Plaintiff Fireman’s Fund Insurance Company (“Fireman’s”) brings this action against OneBeacon Insurance Company, alleging that OneBeacon breached its obligation to make certain reinsurance payments. Fireman’s issued three insurance policies to Asarco, Inc., one of which OneBeacon reinsures (“Policy 3”). Fireman’s settled claims with Asarco for $35 million and allocated a portion of that settlement to Policy 3. OneBeacon denied Fireman’s reinsurance claim, arguing that no portion of Fireman’s settlement with Asarco should have been allocated to Policy 3. The parties have filed cross-motions for summary judgment. For the reasons stated below, Fireman’s motion will be granted and OneBeacon’s motion will be denied. BACKGROUND1 I. REINSURANCE This case concerns reinsurance policies. “Simply put, ‘[r]einsurance is a contract by which one insurer insures the risks of another insurer.’” North River Ins. Co. v. Ace Am.

Reinsurance Co., 361 F.3d 134, 137 (2d Cir. 2004) (citing People ex rel. Cont’l Ins. Co. v. Miller, 177 N.Y. 515, 521 (1904)). “[R]einsurance may serve at least two purposes, protecting the primary insurer from catastrophic loss, and allowing the primary insurer to sell more insurance than its own financial capacity might otherwise permit.” Hartford Fire Ins. Co. v. California, 509 U.S. 764, 773 (1993) (internal quotation marks omitted). “When entering into a reinsurance contract, a reinsured agrees to pay a particular premium to a reinsurer in return for the reinsurer assuming the risk of a portion of the reinsured’s potential financial exposure under certain direct insurance policies it has issued to its insured.” North River, 361 F.3d at 137. “‘The scope of the risks assumed by a reinsurer depends upon the terms of the policies that are reinsured.’” Nat’l Union Fire Ins. Co. of Pittsburgh, PA v. Am. Re-Ins. Co., 441 F. Supp. 2d

646, 650 (S.D.N.Y. 2006) (quoting BARRY R. OSTRAGER & THOMAS R. NEWMAN, HANDBOOK ON INS. COVERAGE DISPUTES § 15.01[a] (12th ed. 2004)).

1 To the extent that this Court relies on facts drawn from a party’s Local Rule 56.1 statement, it has done so because the opposing party has either not disputed those facts or has not done so with citations to admissible evidence. See Giannullo v. City of New York, 322 F.3d 139, 140 (2d Cir. 2003) (“If the opposing party . . . fails to controvert a fact so set forth in the moving party’s Rule 56.1 statement, that fact will be deemed admitted.” (citations omitted)). Where a non-moving party disputes a moving party’s characterization of cited evidence, and has presented an evidentiary basis for doing so, the Court relies on the non-moving party’s characterization of the evidence. See Cifra v. Gen. Elec. Co., 252 F.3d 205, 216 (2d Cir. 2001) (court must draw all rational factual inferences in non-movant’s favor in deciding summary judgment motion). Unless otherwise indicated, the facts cited by the Court are undisputed. II. FACTS The material facts of this case are not in dispute. Plaintiff Fireman’s issued three excess liability insurance policies2 (collectively, the “Fireman’s Policies”) to Asarco. (Pltf. R. 56.1 Stmt. (Dkt. No. 37) ¶ 4) Fireman’s Policy No. XLX 1481698 (“Policy 1”) provides

coverage of $20 million for losses in excess of $30 million in excess of a $3 million self-insured retention3 for the period March 15, 1982 to March 15, 1983. (Pltf. R. 56.1 Stmt. (Dkt. No. 37) ¶ 5; Def. R. 56.1 Stmt. (Dkt. No. 46) ¶ 48) Fireman’s Policy No. XLX 1534773 (“Policy 2”) provides coverage of $20 million for losses in excess of $30 million in excess of a $3 million self-insured retention for the period March 15, 1983 to March 15, 1984. (Pltf. R. 56.1 Stmt. (Dkt. No. 37) ¶ 6; Def. R. 56.1 Stmt. (Dkt. No. 41) ¶ 49) Fireman’s Policy No. XLX 1534774 (“Policy 3”) provides coverage of $20 million for losses in excess of $75 million in excess of a $3 million self-insured retention for the period March 15, 1983 to March 15, 1984. (Pltf. R. 56.1 Stmt. (Dkt. No. 37) ¶ 7; Def. R. 56.1 Stmt. (Dkt. No. 41) ¶ 50) The Fireman’s Policies were part of an annual insurance program purchased by

Asarco, which includes sequential layers of insurance referred to as a “coverage tower.” (Def. R. 56.1 Stmt. (Dkt. No. 41) ¶ 47) Because the Fireman’s Policies are excess liability insurance policies, they are not drawn on unless and until underlying insurance policies in the coverage tower are exhausted. (Def. R. 56.1 Stmt. (Dkt. No. 41) ¶ 52)

2 “‘Excess’ liability insurance policies” are insurance policies that “provide insurance protection beyond the protection provided by underlying policies.” Ali v. Fed. Ins. Co., 719 F.3d 83, 86 (2d Cir. 2013). 3 Self-insured retention is “[t]he amount of an otherwise-covered loss that is not covered by an insurance policy and that . . . must be paid [by the insured] before the insurer will pay benefits.” Self-Insured Retention, BLACK’S LAW DICTIONARY (10th ed. 2014). Policy 3 states that “[i]t is a condition of [the policy] that the insurance afforded under [the policy] shall apply only after all the underlying insurance has been exhausted.” (Policy 3 (Dkt. No. 38-9) at 5) Each of the Fireman’s Policies includes a “Schedule of Underlying Insurance.” (Def. R. 56.1 Stmt. (Dkt. No. 41) ¶ 57) Policy 2 is the underlying

insurance for Policy 3. (Id. ¶ 61) The Fireman’s Policies also contain a Limit of Liability provision, which reads as follows: Limit of Liability The Company shall be liable only for the limit of liability stated in Item 3 of the Declarations in excess of the limit or limits of liability of the applicable underlying insurance policy or policies all as stated in the declarations of this policy. The limit of the liability stated in the declarations as applicable to “each occurrence” shall be the total limit of the Company’s liability for all damages sustained as the result of any one occurrence, provided, however, in the event of reduction o[r] exhaustion of the applicable aggregate limit or limits of liability under said underlying policy or policies solely by reason of losses paid thereunder on account of occurrences during this policy period, this policy shall in the event of reduction, apply as excess of the reduced limit of liability thereunder. Subject to the applicable limit of liability as respects each occurrence, the limit of liability stated in the declarations as “aggregate” shall be the total limit of the Company’s liability for all damages sustained during each annual period of this policy because of (i) personal injury and property damage arising out of the completed operations hazard and product hazard combined; or (ii) advertising whenever occurring by whatever media, on account of all occurrences; or (iii) injury arising out of any hazard, other than as described in (i) and (ii), to which the underlying policy affords coverage subject to an aggregate limit and to which this policy also applies.

(Policy 3 (Dkt. No. 38-9) at 5 (emphasis added)) General Accident Insurance Company reinsured Policy 3 under a facultative reinsurance4 contract – the Certificate of Facultative Reinsurance No. FC 4620 (the “Facultative

4 “There are two types of reinsurance, facultative and treaty. Treaty reinsurance obligates the reinsurer to accept in advance a portion of certain types of risks.

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Fireman's Fund Insurance Company v. OneBeacon Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/firemans-fund-insurance-company-v-onebeacon-insurance-company-nysd-2020.