Insurance Co. of North America v. Home & Auto Insurance

628 N.E.2d 643, 256 Ill. App. 3d 801, 195 Ill. Dec. 179, 1993 Ill. App. LEXIS 1829
CourtAppellate Court of Illinois
DecidedDecember 9, 1993
Docket1-92-2672
StatusPublished
Cited by7 cases

This text of 628 N.E.2d 643 (Insurance Co. of North America v. Home & Auto Insurance) is published on Counsel Stack Legal Research, covering Appellate Court of Illinois primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Insurance Co. of North America v. Home & Auto Insurance, 628 N.E.2d 643, 256 Ill. App. 3d 801, 195 Ill. Dec. 179, 1993 Ill. App. LEXIS 1829 (Ill. Ct. App. 1993).

Opinion

PRESIDING JUSTICE CAHILL

delivered the opinion of the court:

This appeal draws us deep into the catacombs of insurance policy English, a dimly lit underworld where many have lost their way. We are asked to decide the comparative liability of two insurers which offer primary coverage for the same injury under identically worded clauses in their policies — clauses that, to borrow the insurance industry trope, "mirror” one another. The issue is whether the insurers share the liability equally or in proportion to the limits of each policy. The trial court relied on Georgia Casualty & Surety Co. v. Universal Underwriters Insurance Co. (5th Cir. 1976), 534 F.2d 1108, and concluded that the insurers must share the loss in proportion to their policy limits. However, three years after Georgia Casualty, the same circuit traveled the same path and reached an opposite result in McDaniels v. Great Atlantic & Pacific Tea Co. (5th Cir. 1979), 602 F.2d 78, holding that the insurers must share liability equally. We believe the dissent in Georgia Casualty and the opinion in McDaniels are more carefully reasoned than the opinion in Georgia Casualty, and so we reverse.

Here is the clause, contained in both policies, to which we are asked to lend meaning:

"Other Insurance
The insurance afforded by this policy is primary insurance, except when stated to apply in excess of or contingent upon the absence of other insurance. ***
When both this insurance and other insurance apply to the loss on the same basis, whether primary, excess or contingent, the company shall not be liable under this policy for a greater proportion of the loss than that stated in the following applicable contribution provision:
a. Contribution by equal shares. If all of such other valid and collectible insurance provides for contribution by equal shares, the company shall not be liable for a greater proportion of such loss than would be payable if each insurer contributes an equal share until the share of each insurer equals the lowest applicable limit of liability under any one policy or the full amount of the loss is paid, and with respect to any amount of loss not so paid the remaining insurers then continue to contribute equal shares of the remaining amount of the loss until each such insurer has paid its limit in full or the full amount of the loss is paid.
b. Contribution by limits. If any of such other insurance does not provide for contribution by equal shares, the company shall not be liable for a greater proportion of such loss than the applicable limit of liability under this policy for such loss bears to the total applicable limit of liability of all valid and collectible insurance against such loss.”

Our case involves V-h years of continuous lead poisoning. Sabrina Reed ingested lead-based paint chips while she lived in an apartment building from January 1, 1976, to June 30, 1977. The building was owned by Central National Bank. Sabrina’s mother filed a personal injury claim for Sabrina against the bank. Three policy periods were triggered. Insurance Company of North America (INA) issued one policy that provided coverage from April 1, 1973, to April 1, 1977; Home and Auto Insurance Company (HOME) issued the other policy, which covered the period from April 1, Í977, to April 1, 1978. INA and HOME together settled the personal injury action for $285,000. INA paid $259,090.91; HOME paid $25,909.09. INA reserved a right to seek further payment from HOME.

After the settlement, INA filed a declaratory judgment action arguing that each insurer contribute equal shares toward the settlement, based on the language of both policies. HOME argued that each insurer should contribute an amount proportional to the limits of coverage. On cross-motions for summary judgment, the trial court, relying on Georgia Casualty, found that the policy language required pro rata sharing and entered judgment for HOME. INA appeals.

The parties agree that the three policy periods provide primary coverage. INA’s liability limit is $500,000 for each of two policy periods; HOME’S liability limit is $100,000 for one period. The total coverage is $1,100,000. HOME argues it is only required to pay one-eleventh of the $285,000 settlement. INA argues that the settlement should be shared equally up to policy limits.

In Georgia Casualty, two insurers settled a personal injury action. As here, one insurer argued it should pay a pro rata share of the settlement while the other argued the insurers should pay equal amounts. The court first determined both insurers were primarily liable for the loss. It then considered whether clause (a), the equal shares clause, or clause (b), the pro rata clause, applied to the apportionment of the loss. The court concluded that since neither policy included an unconditional promise to contribute equal shares, then neither policy "provided for” contribution by equal shares. The court reasoned that the condition of clause (a), "If all of such other valid *** insurance provides for contribution by equal shares,” was not met, and the condition of clause (b), "If any of such insurance does not provide for contribution by equal shares,” was met. The court then ordered a pro rata allocation. Georgia Casualty, 534 F.2d at 1111.

There was a dissent in Georgia Casualty that stated, in part:

"Where, as here, both insurers have taken the evolutionary step of including identical language agreeing to accept 'equal shares,’ it seems to me inaccurate to say that the policies do not 'provide for’ contribution by equal shares simply because mirror image clauses are phrased in permissive rather than mandatory language. Each was written without knowledge of what other policy it would face and necessarily could not be worded with mandatory precision.” Georgia Casualty, 534 F.2d at 1112 (Clark, J., dissenting).

Three years later, the same court, in McDaniels, adopted the reasoning of the dissent in Georgia Casualty, without referring to it or citing to the case. McDaniels also involved a dispute between two insurance companies over settlement costs. Both policies included the same "other insurance” clause. Following the dissent analysis in Georgia Casualty, the McDaniels court refused to construe the words "provide for” to require an unconditional promise. The court held that by including the "equal shares” language in the policies, both insurers provided for contribution by equal shares. The court also noted that neither policy provided an alternative other than equal as an exclusive basis for computing contribution and so held that the insurers must contribute equal shares of the settlement. McDaniels, 602 F.2d at 83.

The intended meaning of the words "provide for” is the heart of the matter. If we interpret the words to mean that an insurer commits unconditionally to contribute equal shares, an unreasonable conclusion results. Before an insurer can be said to have provided for equal shares, it must demand equal and only equal contribution.

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Bluebook (online)
628 N.E.2d 643, 256 Ill. App. 3d 801, 195 Ill. Dec. 179, 1993 Ill. App. LEXIS 1829, Counsel Stack Legal Research, https://law.counselstack.com/opinion/insurance-co-of-north-america-v-home-auto-insurance-illappct-1993.