Murphy-Brown, LLC v. Ace Am. Ins. Co.
Opinion
Murphy-Brown, LLC v. Ace Am. Ins. Co., 2020 NCBC 96.
STATE OF NORTH CAROLINA IN THE GENERAL COURT OF JUSTICE COUNTY OF WAKE SUPERIOR COURT DIVISION 19 CVS 02793 MURPHY-BROWN, LLC and SMITHFIELD FOODS, INC., ORDER AND OPINION ON Plaintiffs, PLAINTIFFS’ MOTIONS FOR PARTIAL SUMMARY JUDGMENT v. AGAINST OLD REPUBLIC INSURANCE COMPANY AND ACE ACE AMERICAN INSURANCE AMERICAN INSURANCE COMPANY COMPANY; et al.,
Defendants.
THIS MATTER is before the Court on Plaintiffs’ Motion for Partial Summary
Judgment on Count I of their Amended Complaint Against Defendant Old Republic
Insurance Company (“Partial Summary Judgment Motion against ORIC,” ECF No.
289) and Plaintiffs’ Motion for Partial Summary Judgment on Count II of their
Amended Complaint Against ACE American Insurance Company (“Partial Summary
Judgment Motion against ACE,” ECF No. 293; collectively, the “Motions”).
THE COURT, having considered the Motions, the briefs and evidence filed in
support of and in opposition to the Motions, the evidentiary materials filed by the
parties, the arguments of counsel at the hearing on the Motions, the applicable law,
and other appropriate matters of record, CONCLUDES, in its discretion, that the
Motions should be GRANTED for the reasons stated below.
Middlebrooks Law, PLLC by James Middlebrooks for Plaintiffs Murphy- Brown, LLC and Smithfield Foods, Inc. Reed Smith LLP by Evan T. Knott and John D. Shugrue for Plaintiffs Murphy-Brown, LLC and Smithfield Foods, Inc.
Smith, Anderson, Blount, Dorsett, Mitchell & Jernigan, LLP by Michael W. Mitchell for Plaintiffs Murphy-Brown, LLC and Smithfield Foods, Inc.
Bailey & Dixon, LLP by John T. Crook and David S. Coats for Defendants Ace American Insurance Company.
Clyde & Co US LLP by Marianne May and Daren McNally for Defendants Ace American Insurance Company.
Manning, Fulton, & Skinner, P.A. by Michael T. Medford for Defendant Old Republic Insurance Company.
Clausen Miller, P.C. by Amy R. Paulus and Michael Duffy for Defendant Old Republic Insurance Company.
McGuire, Judge.
1. In this insurance coverage action, Smithfield Foods, Inc. (“Smithfield”)
and its subsidiary, Murphy-Brown, LLC (“Murphy Brown”; collectively, “Plaintiffs”)
seek coverage from Old Republic Insurance Company (“ORIC”), Ace American
Insurance Company (“ACE”; collectively for the purposes of the Motions only,
“Defendants”), and other insurer-defendants for multiple underlying nuisance
lawsuits initially filed against Plaintiffs in State and federal court in 2013 and 2014
(the “Underlying Lawsuits”). Presently before this Court are the Motions, by which
Plaintiffs seek partial summary judgment in their favor as to the claims that ORIC
and ACE breached their respective duties to defend the Underlying Lawsuits under
the applicable business auto liability policies that were issued during policy periods
spanning from April 30, 2010 through April 30, 2015. I. FACTS AND PROCEDURAL HISTORY
2. “Although findings of fact are not necessary on a motion for summary
judgment, it is helpful to the parties and the courts for the trial judge to articulate a
summary of the material facts which he considers are not at issue and which justify
entry of judgment.” Collier v. Collier, 204 N.C. App. 160, 161–62, 693 S.E.2d 250, 252
(2010).
A. The Underlying Lawsuits
3. Smithfield and Murphy-Brown, the third-largest pork producers in the
world, grow the hogs used for their pork products on large farms in North Carolina
and other states. These large farms are sometimes referred to as Concentrated
Animal Feeding Operations (“CAFOs”). In 2013, Plaintiffs were named in twenty-
five (25) nuisance lawsuits filed in North Carolina Superior Court, Wake County by
individual plaintiffs (the “State Claimants”) who live near CAFOs located in eastern
North Carolina (the “State Court Lawsuits”). (Amended Complaint, ECF No. 9, at
¶¶ 29–31.)
4. The disputes in the State Court Lawsuits were centered around
Plaintiffs’ operation of its CAFOs and the impact of those operations on neighboring
properties. The State Claimants alleged that operations of the CAFOs subjected their
neighboring properties to “recurring foul and offensive odors, particulate matter, and
other substances” and to “flies and other insects” from: Plaintiffs’ storage of manure,
urine, and other substances in deep pits (or “lagoons”), the storage of dead animals in
“dead boxes,” and the practice of spraying voluminous hog manure, urine, and other substances (referred to as “spray fields”), among other activities. (See, e.g., Exs. G1–
G28, ECF No. 292.11, at pp. 1–23.) For example, the State Court Lawsuits1 alleged:
[R]ecurring foul and offensive odors, hog manure and urine, particulate matter, other substances, flies and/or other insects, and in some cases, buzzards and/or scavenger animals . . . have emanated from such operations and invaded [the State Claimants’] properties, thereby substantially impairing [the State Claimants’] land, property rights, and use and enjoyment of their property, and causing harm including but not limited to: substantial anger, embarrassment, discomfort, annoyance, inconvenience, decreased quality of life, deprivation of [the State Claimants’] opportunity to continue to develop their respective properties, injury to [the State Claimants’] properties, and in the case of some [State Claimants], health concerns and/or material physical and/or mental discomfort, and [the State Claimants] have thereby been damaged.
(Id. at p. 14.) Based on these allegations, the State Claimants brought claims for
private nuisance, negligence, and negligent entrustment, 2 seeking both actual and
punitive damages. (Id. at pp. 14–23.)
5. The State Claimants dismissed the State Court Lawsuits in 2014. (ECF
No. 9, at ¶ 32.) However, prior to dismissing the State Court Lawsuits, most of the
same plaintiffs 3 filed the Underlying Lawsuits against Smithfield and Murphy-
1 Referring to the Alderman complaint (ECF No. 292.11, at pp. 1–23), which contains allegations typical and substantially identical to the allegations in the other State Court Lawsuits.
2 Referring to Smithfield’s entrustment of its hogs to certain individuals or entities which
raise hogs on behalf of Smithfield through contract-grow agreements. (ECF No. 292.11, at p. 21.)
3 There were 26 lawsuits filed in federal court against Smithfield and Murphy-Brown. Some
of the State Claimants did not file lawsuits in federal court, but some additional plaintiffs who had not filed State Court Lawsuits filed Federal Court Lawsuits. Brown. (Id. at ¶¶ 32–34.) The plaintiffs in the Federal Court Lawsuits (referred to
as the “Federal Claimants”; collectively with the State Claimants as the “Claimants”)
brought claims based on allegations substantially similar to those pled in the State
Court Lawsuits. (Id. at ¶ 35; Aff. of Parul Stevens, ECF No. 291, at ¶¶ 11, 13.) Based
on these allegations, the Federal Claimants each brought single claims of private
nuisance, seeking both actual and punitive damages. (Id. at pp. 256–58, ¶¶ 156–75.)
6. Relevant to this dispute, the complaints in the Underlying Lawsuits also
contain allegations that Plaintiffs’ use of large trucks in operating the CAFOs cause
a nuisance. Specifically, the complaints in the State Court Lawsuits allege:
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Murphy-Brown, LLC v. Ace Am. Ins. Co., 2020 NCBC 96.
STATE OF NORTH CAROLINA IN THE GENERAL COURT OF JUSTICE COUNTY OF WAKE SUPERIOR COURT DIVISION 19 CVS 02793 MURPHY-BROWN, LLC and SMITHFIELD FOODS, INC., ORDER AND OPINION ON Plaintiffs, PLAINTIFFS’ MOTIONS FOR PARTIAL SUMMARY JUDGMENT v. AGAINST OLD REPUBLIC INSURANCE COMPANY AND ACE ACE AMERICAN INSURANCE AMERICAN INSURANCE COMPANY COMPANY; et al.,
Defendants.
THIS MATTER is before the Court on Plaintiffs’ Motion for Partial Summary
Judgment on Count I of their Amended Complaint Against Defendant Old Republic
Insurance Company (“Partial Summary Judgment Motion against ORIC,” ECF No.
289) and Plaintiffs’ Motion for Partial Summary Judgment on Count II of their
Amended Complaint Against ACE American Insurance Company (“Partial Summary
Judgment Motion against ACE,” ECF No. 293; collectively, the “Motions”).
THE COURT, having considered the Motions, the briefs and evidence filed in
support of and in opposition to the Motions, the evidentiary materials filed by the
parties, the arguments of counsel at the hearing on the Motions, the applicable law,
and other appropriate matters of record, CONCLUDES, in its discretion, that the
Motions should be GRANTED for the reasons stated below.
Middlebrooks Law, PLLC by James Middlebrooks for Plaintiffs Murphy- Brown, LLC and Smithfield Foods, Inc. Reed Smith LLP by Evan T. Knott and John D. Shugrue for Plaintiffs Murphy-Brown, LLC and Smithfield Foods, Inc.
Smith, Anderson, Blount, Dorsett, Mitchell & Jernigan, LLP by Michael W. Mitchell for Plaintiffs Murphy-Brown, LLC and Smithfield Foods, Inc.
Bailey & Dixon, LLP by John T. Crook and David S. Coats for Defendants Ace American Insurance Company.
Clyde & Co US LLP by Marianne May and Daren McNally for Defendants Ace American Insurance Company.
Manning, Fulton, & Skinner, P.A. by Michael T. Medford for Defendant Old Republic Insurance Company.
Clausen Miller, P.C. by Amy R. Paulus and Michael Duffy for Defendant Old Republic Insurance Company.
McGuire, Judge.
1. In this insurance coverage action, Smithfield Foods, Inc. (“Smithfield”)
and its subsidiary, Murphy-Brown, LLC (“Murphy Brown”; collectively, “Plaintiffs”)
seek coverage from Old Republic Insurance Company (“ORIC”), Ace American
Insurance Company (“ACE”; collectively for the purposes of the Motions only,
“Defendants”), and other insurer-defendants for multiple underlying nuisance
lawsuits initially filed against Plaintiffs in State and federal court in 2013 and 2014
(the “Underlying Lawsuits”). Presently before this Court are the Motions, by which
Plaintiffs seek partial summary judgment in their favor as to the claims that ORIC
and ACE breached their respective duties to defend the Underlying Lawsuits under
the applicable business auto liability policies that were issued during policy periods
spanning from April 30, 2010 through April 30, 2015. I. FACTS AND PROCEDURAL HISTORY
2. “Although findings of fact are not necessary on a motion for summary
judgment, it is helpful to the parties and the courts for the trial judge to articulate a
summary of the material facts which he considers are not at issue and which justify
entry of judgment.” Collier v. Collier, 204 N.C. App. 160, 161–62, 693 S.E.2d 250, 252
(2010).
A. The Underlying Lawsuits
3. Smithfield and Murphy-Brown, the third-largest pork producers in the
world, grow the hogs used for their pork products on large farms in North Carolina
and other states. These large farms are sometimes referred to as Concentrated
Animal Feeding Operations (“CAFOs”). In 2013, Plaintiffs were named in twenty-
five (25) nuisance lawsuits filed in North Carolina Superior Court, Wake County by
individual plaintiffs (the “State Claimants”) who live near CAFOs located in eastern
North Carolina (the “State Court Lawsuits”). (Amended Complaint, ECF No. 9, at
¶¶ 29–31.)
4. The disputes in the State Court Lawsuits were centered around
Plaintiffs’ operation of its CAFOs and the impact of those operations on neighboring
properties. The State Claimants alleged that operations of the CAFOs subjected their
neighboring properties to “recurring foul and offensive odors, particulate matter, and
other substances” and to “flies and other insects” from: Plaintiffs’ storage of manure,
urine, and other substances in deep pits (or “lagoons”), the storage of dead animals in
“dead boxes,” and the practice of spraying voluminous hog manure, urine, and other substances (referred to as “spray fields”), among other activities. (See, e.g., Exs. G1–
G28, ECF No. 292.11, at pp. 1–23.) For example, the State Court Lawsuits1 alleged:
[R]ecurring foul and offensive odors, hog manure and urine, particulate matter, other substances, flies and/or other insects, and in some cases, buzzards and/or scavenger animals . . . have emanated from such operations and invaded [the State Claimants’] properties, thereby substantially impairing [the State Claimants’] land, property rights, and use and enjoyment of their property, and causing harm including but not limited to: substantial anger, embarrassment, discomfort, annoyance, inconvenience, decreased quality of life, deprivation of [the State Claimants’] opportunity to continue to develop their respective properties, injury to [the State Claimants’] properties, and in the case of some [State Claimants], health concerns and/or material physical and/or mental discomfort, and [the State Claimants] have thereby been damaged.
(Id. at p. 14.) Based on these allegations, the State Claimants brought claims for
private nuisance, negligence, and negligent entrustment, 2 seeking both actual and
punitive damages. (Id. at pp. 14–23.)
5. The State Claimants dismissed the State Court Lawsuits in 2014. (ECF
No. 9, at ¶ 32.) However, prior to dismissing the State Court Lawsuits, most of the
same plaintiffs 3 filed the Underlying Lawsuits against Smithfield and Murphy-
1 Referring to the Alderman complaint (ECF No. 292.11, at pp. 1–23), which contains allegations typical and substantially identical to the allegations in the other State Court Lawsuits.
2 Referring to Smithfield’s entrustment of its hogs to certain individuals or entities which
raise hogs on behalf of Smithfield through contract-grow agreements. (ECF No. 292.11, at p. 21.)
3 There were 26 lawsuits filed in federal court against Smithfield and Murphy-Brown. Some
of the State Claimants did not file lawsuits in federal court, but some additional plaintiffs who had not filed State Court Lawsuits filed Federal Court Lawsuits. Brown. (Id. at ¶¶ 32–34.) The plaintiffs in the Federal Court Lawsuits (referred to
as the “Federal Claimants”; collectively with the State Claimants as the “Claimants”)
brought claims based on allegations substantially similar to those pled in the State
Court Lawsuits. (Id. at ¶ 35; Aff. of Parul Stevens, ECF No. 291, at ¶¶ 11, 13.) Based
on these allegations, the Federal Claimants each brought single claims of private
nuisance, seeking both actual and punitive damages. (Id. at pp. 256–58, ¶¶ 156–75.)
6. Relevant to this dispute, the complaints in the Underlying Lawsuits also
contain allegations that Plaintiffs’ use of large trucks in operating the CAFOs cause
a nuisance. Specifically, the complaints in the State Court Lawsuits allege:
[Murphy-Brown’s] CAFOs are also a major source of truck traffic that create or contribute to additional recurrent excessive noise, odors, and in some cases emanate manure, urine, and other substances onto the roads.
(ECF No. 292.11, at p. 15, ¶ 72.)
7. The complaints in the Federal Court Lawsuits allege:
[A]s another independent cause of the nuisance, [Murphy- Brown’s] hogs necessitate very large trucks crawling up and down the streets outside of the [Claimants’] homes. These are often narrow and even unpaved country lanes, which normally would never be subjected to having repeated episodes of large tractor-trailers and other big trucks taking feed to the hogs, trucking in live hogs, and trucking out both live hogs and dead hogs. These trucks often go by [Claimants’] homes in the dead of night and they cause noise, dust, liquid spilling from the trucks and bright lights of their headlights.
(ECF No. 292.15, at p. 217, ¶4.)
Large hog trucks carry hogs into and out of the facilities. All of these activities cause odor, annoyance, dust, noise and loss of use and enjoyment of homesteads. The stench and associated nuisance also embarrasses and humiliates the [Claimants].
(Id. at pp. 221–22, ¶ 33.)
[Claimants] have suffered . . . liquid dripping from passing hog trucks and ‘dead trucks,’ the increased pest populations and other aspects of the nuisance. The [Claimants] feel angry, fearful, worried, and depressed. They are worried and fearful about their health and their children’s health.
(Id. at pp. 222–23, ¶ 36.)
Big trucks go past [Claimants’] house with live and dead hogs. These trucks can produce a stench and also they cause noise and dust. The foul odor has affected [Claimants’] use and enjoyment of their land and their ability to enjoy time with family and friends.
(Id. at p. 237, ¶ 127.)
[E]ver since the hogs have come, very large trucks crawl up and down the streets outside of the [Claimants’] homes . . . . These trucks cause noise, dust, and lights from headlights and they pass even in the middle of the night.
(Id. at p. 244, ¶ 180.)
8. Further, the Underlying Lawsuits contain allegations that Plaintiffs
knew or had reason to know of the nuisance caused by their CAFOs, as well as
allegations of negligence and reckless disregard. For example, the complaints in the
Federal Court Lawsuits allege:
[Murphy-Brown] had actual knowledge during some or all pertinent times that the subject hogs were causing a nuisance.
(Id. at p. 257, ¶ 164.) In contrast to [Murphy-Brown’s] assertions that its hogs do not cause nuisance or injury, numerous scientific reports and studies have found that they do. These reports show that [Murphy-Brown] has actual knowledge of the nuisance caused by its swine, or is willfully blind to that fact.
(Id. at p. 253, ¶ 214.)
Studies, reports, incidents and complaints that have amassed since [Murphy-Brown] first started the CAFO system clearly show predictable nuisance caused by swine sites to nearby neighbors.
(Id. at p. 251, ¶ 205.)
[Murphy-Brown] knew or should have known that [Murphy-Brown’s CAFOs] would recurrently encroach upon and invade [Claimants’] properties, and substantially impair [Claimants’] use and enjoyment of their properties.
(Id. at p. 257, ¶ 165.)
The recurring conduct, acts, omissions, negligence, and impropriety of [Murphy-Brown] were willful, wanton, malicious, and in reckless disregard for the rights and interests of the [Claimants] and justify an award of punitive damages.
(Id. at p. 258, ¶ 175.)
9. Jury trials in five of the Federal Court Lawsuits have been completed,
resulting in judgments against Plaintiffs of roughly $98 million. (ECF No. 9, at ¶¶
42–48.) The Fourth Circuit has since reviewed one of these judgments, remanding
the case for the sole purpose of re-determining the proper amount of punitive
damages. McKiver v. Murphy-Brown, LLC, 2020 U.S. App. LEXIS 36416, at *84 (4th
Cir. 2020). B. The Insurance Policies
10. During the policy periods spanning from April 30, 2010 through April
30, 2015, Plaintiffs were insured under commercial general liability insurance
policies (the “Primary CGL Policies”) and business automobile policies (the “Primary
Auto Policies”) issued by ACE or ORIC. Specifically, ACE issued one CGL Policy and
one Primary Auto Policy for the coverage period from April 30, 2010 through April
30, 2011. (Aff. of Marianne May, ECF No. 330, at ¶ 3; ECF No. 291, at ¶ 4; ECF No.
292.1.) ORIC issued four (4) successive Primary CGL Policies and (4) successive
Primary Auto Policies for the coverage periods from April 30, 2011 through April 30,
2015. (Aff. of Michael Duffy, ECF No. 358, at ¶¶ 3–4; ECF No. 291, at ¶¶ 5–8; ECF
Nos. 292.2–9.)
11. In their Motions, Plaintiffs seek summary judgment only on their claims
that Defendants breached their respective duties to defend the Underlying Lawsuits
under the Primary Auto Policies, but not under the Primary CGL Policies. The ACE
and ORIC Primary Auto Policies contain identical or nearly identical terms. 4 The
Primary Auto Policies contain the following grants of coverage:
We will pay all sums an “insured” legally must pay as damages because of “bodily injury” or “property damage” to which this insurance applies, caused by an “accident” and resulting from the ownership, maintenance or use of a covered “auto”.
(ECF No. 292.8, at p. 57 (hereinafter, the “First Coverage Grant”).)
4 Given the identical relevant language of the Primary Auto Policies, the Court will refer to
the provisions of the 2014–2015 Business Auto policy issued by ORIC, except as otherwise noted, for quotation of policy provisions. (Ex. E, ECF No. 292.8–9.) We will also pay all sums an “insured” legally must pay as a “covered pollution cost or expense” to which this insurance applies, caused by an “accident” and resulting from the ownership, maintenance or use of covered “autos”. However, we will only pay for the “covered pollution cost or expense” if there is either “bodily injury” or “property damage” to which this insurance applies that is caused by the same “accident”.
(Id. at p. 57 (hereinafter, the “Second Coverage Grant”).)
We have the right and duty to defend any “insured” against a “suit” asking for such damages or a “covered pollution cost or expense”. However, we have no duty to defend any “insured” against a “suit” seeking damages for “bodily injury” or “property damage” or a “covered pollution cost or expense” to which this insurance does not apply. We may investigate and settle any claim or “suit” as we consider appropriate. Our duty to defend or settle ends when the Liability Coverage Limit of Insurance has been exhausted by payment of judgments or settlements.
(Id. at p. 57.)
12. In the Primary Auto Policies, “bodily injury” is defined as “physical
injury, mental anguish, mental injury, shock, humiliation, sickness or disease
sustained by a natural person . . . .” (Id. at p. 94.) “Property damage” is defined as
“damage to or loss of use of tangible property.” (Id. at p. 66.) The policies do not
contain a definition of “accident,” but provide that an “accident” “includes continuous
or repeated exposure to the same conditions resulting in ‘bodily injury’ or ‘property
damage.’” (Id. at p. 64.) Covered “auto” is defined as “any auto” including “land motor
vehicle, ‘trailer’ or semitrailer designed for travel on public roads.” (Id.) 13. Under the Primary Auto Policies, a “covered pollution cost or expense,”
as provided for in the Second Coverage Grant, is limited to costs or expenses arising
from:
1. Any request, demand, order or statutory or regulatory requirement that any “insured” or others test for, monitor, clean up, remove, contain, treat, detoxify or neutralize, or in any way respond to, or assess the effects of “pollutants”; or
2. Any claim or “suit” by or on behalf of a governmental authority for damages because of testing for, monitoring, cleaning up, removing, containing, treating, detoxifying or neutralizing, or in any way responding to or assessing the effects of “pollutants”.
(Id. at p. 65.) “Pollutants” are defined as “any solid, liquid, gaseous or thermal
irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals
and waste.” (Id. at p. 66.)
14. The Primary Auto Policies exclude coverage for expected or intended
injury (the “Expected or Intended Injury Exclusion”), and pollution (the “Pollution
Exclusion”). (Id. at pp. 58–60.) “Expected or Intended Injury” is defined as “‘bodily
injury’ or ‘property damage’ expected or intended from the standpoint of the
‘insured.’” (Id. at p. 58.)
15. The Pollution Exclusion excludes coverage for:
“Bodily injury” or “property damage” arising out of the actual, alleged or threatened discharge, dispersal, seepage, migration, release or escape of “pollutants”:
a. That are, or that are contained in any property that is: (1) Being transported or towed by, handled, or handled for movement into, onto or from, the covered “auto”; (2) Otherwise in the course of transit by or on behalf of the “insured”; or (3) Being stored, disposed of, treated, or processed in or upon the covered “auto”
b. Before the “pollutants” or any property in which the “pollutants” are contained are moved from the place where they are accepted by the “insured” for movement into or onto the covered “auto”;
c. After the “pollutants” or any property in which the “pollutants” are contained are moved from the covered “auto” to the place where they are finally delivered, disposed of or abandoned by the “insured.”
(Id. at pp. 59–60.) Further, an endorsement titled “Pollution Liability – Broadened
Coverage For Covered Autos” states: “Paragraph a. of the Pollution Exclusion applies
only to liability assumed under a contract or agreement.” (“Pollution Endorsement,”
Id. at p. 169.) 5
16. The Primary Auto Policies impose a duty on the insured to provide
“prompt notice of the ‘accident’ or ‘loss.’” (Id. at p. 62.) A failure to fully comply with
the notice requirements set out in the Primary Auto Policies relieves the insurers’
duty to provide coverage. (Id.) A “Notice of an Accident” endorsement under ORIC’s
Primary Auto Policies clarifies that “if you report an occurrence to an insurer
providing other than Automobile Liability insurance, which later develops into an
Automobile Liability claim covered under this policy, failure to report such occurrence
to us at the time of the occurrence shall not be deemed a violation of these conditions.”
(“Notice of an Accident Endorsement,” Id. at p. 120.) ACE’s Primary Auto Policy also
5The Court will refer to the Second Coverage Grant, the Pollution Exclusion, and the Pollution Endorsement collectively as the “Pollution-Related Provisions.” includes a Notice of Accident Endorsement, which is identical to ORIC’s aside from
the following additional language “[the insured] shall give immediate notification of
the accident to [ACE], as soon as is reasonably possible, that the accident is an
Automobile Liability claim.” (ECF No. 292.1, at p. 59.)
17. The Primary Auto Policies have policy limits of $2 million, with the
exception of one (1) ORIC Primary Auto Policy which has a $3 million policy limit.
(ECF 292.1, at p. 2; ECF Nos. 292.2, 292.4, 292.6, 292.8.) Further, the Primary Auto
Policies are subject to a $1 million “deductible” 6 that is eroded by Plaintiffs’ payment
of defense costs. (ECF No. 292.1, at pp. 52–53; ECF No. 292.8, at p. 44.)
18. At all pertinent times to this dispute, Plaintiffs’ used Marsh USA, Inc.
(“Marsh”) as their insurance broker. (ECF No. 290, at p. 11; ECF No. 294, at p. 10;
ECF No. 291, at ¶¶ 19, 32.)
C. The Program Agreement Between ORIC and Plaintiffs
19. ORIC and Smithfield entered into a Program Agreement which
governed certain aspects of their insurance relationship (“Program Agreement”).
(ECF No. 363.1 [SEALED], public redacted version at ECF No. 369.1 7; ECF No. 358,
at ¶ 2, Ex. 1.) 8 ORIC issued its Primary CGL Policies and Primary Auto Policies
pursuant to the Program Agreement under which Plaintiffs agreed to “retain all or a
6A “deductible” is the “portion of the loss to be borne by the insured before the insurer becomes liable for payment.” Deductible, BLACK’S LAW DICTIONARY (11 ed. 2019).
7 For future reference, after any initial specific citation to documents sealed by this Court,
the Court will thereafter only cite to the ECF number of the public, redacted version.
8 ACE was not a party to the Program Agreement. certain portion of the Losses and Allocated Loss Adjustment Expenses” incurred
under those policies. (ECF No. 369.1, at p. 1.) The Program Agreement provides, in
relevant part:
Claims arising under Policies issued by Old Republic will be administered by a third party claims administrator approved by, and under a contract acceptable to Old Republic or, when approved by Old Republic, self administered by the Insured under an acceptable separate written contract. Claims arising solely under [the Primary CGL Policies] issued by Old Republic shall be defended by legal counsel selected by the Insured. Whether a third party claims administrator or the Insured itself, the party administering the claim must: provide a monthly report to Old Republic showing the status of all claims, including details of payments and outstanding reserves in a format acceptable to Old Republic . . . .
(ECF No. 369.1, at § 10.1.)
20. Pursuant to the Program Agreement, ORIC’s Primary CGL Policies are
subject to a retention 9 equivalent to “100% of the Policy limits” (Id. at Schedule A),
and generally act as “fronting policies” because the retention amount for each
occurrence is equal to the policy limits. 10 Smithfield is responsible for paying “all loss
and [Allocated Loss Adjustment Expense [“ALAE”]].” (Id.) “ALAE” is defined as
9 “Retention” refers to a “Self-Insured Retention,” which is “[t]he amount of an otherwise-
covered loss that is not covered by an insurance policy and that usu[ally] must be paid before the insurer will pay benefits[.]” Self-insured retention, BLACK’S LAW DICTIONARY (11 ed. 2019).
10 A “fronting policy” is, in a practical sense, a form of self-insurance. The deductible equals the policy’s liability limits, and the insurance company acts only as a surety that the holder of the fronting policy will be able to pay any judgment covered by the policy. Essentially, the insured rents an insurance company’s licensing and filing capabilities, and in return, the insurer issues a policy which allows the corporation to comply with the insurance laws and regulations of each state. See Croft v. Old Republic Ins. Co., 618 S.E.2d 909, 915–17 (S.C. 2005). “expenses which are incurred in conjunction with the investigation, defense,
adjustment or settlement of claims or suits” which includes, but is not limited to, legal
costs and attorneys’ fees. (Id. at § 4(a).)
21. Pursuant to the Program Agreement, ORIC’s Primary Auto Policies are
subject to a $1 million per accident retention, where Plaintiffs are responsible for
paying “all [ALAE] up to, but not exceeding, the Insured’s Retention.” (Id. at
Schedule A (hereinafter, the “Retention Requirements”).)
22. The Program Agreement also provides as follows:
To the extent that any of the terms or conditions of the aforesaid Policies are inconsistent with any of the terms or conditions of this Agreement, the latter are to be given effect and the former will be considered superseded by this Agreement.
(Id. at § 20.)
23. ACE’s Primary CGL Policy and Primary Auto Policy issued to Plaintiffs
are not subject to the Program Agreement.
D. Communication between the Insurers and the Insured
24. Plaintiffs first notified ORIC and ACE of the State Court Lawsuits
through “First Report of Loss” letters sent by Marsh at the direction of Plaintiffs on
July 19, 2013. (Exs. P1–P14, ECF No. 292.25, at pp. 2–6; Exs. L1–L14, ECF No.
292.23, at pp. 2–6; collectively, “First Reports of Loss.”) The First Reports of Loss,
along with at least four additional notice letters sent to ORIC and ACE in October
2013, were reported under the Primary CGL Policies, but included language stating:
“[t]his matter is reported under any and all applicable policies whether or not cited.” (ECF No. 292.25, at pp. 2–66; ECF No. 292.23, at pp. 2–67.) On November 7, 2013,
Plaintiffs first reported the loss to ORIC and ACE specifically under “business auto”
coverage in addition to CGL coverage. (ECF No. 292.25, at pp. 67–69; ECF No.
292.23, at pp. 68–70.) Plaintiffs provided two additional notice letters reported under
the Primary Auto Policies to both ORIC and ACE in October and November 2014,
notifying them of the newly filed Federal Court Lawsuits. (ECF No. 292.25, at pp.
70–78; ECF No. 292.23, at pp. 71–79.) All notice letters previously referenced, as well
as reports of loss, included copies of the complaints in the Underlying Lawsuits.
i. Responses from ORIC
25. ORIC first responded to Plaintiffs’ notice regarding the State Court
Lawsuits on September 20, 2013. (Ex. Q, ECF No. 292.19.) ORIC’s first response
reads, in pertinent part: “[w]e have reviewed the allegations in the complaint and a
defense is owed in this matter pursuant to a full reservation of rights[.]” (Id.)
26. In 2015, ORIC twice requested status updates of the Underlying
Lawsuits through Plaintiffs’ insurance broker, Marsh. (Ex. 12, ECF No. 363.12; Ex.
13, ECF No. 363.13.) The only updates provided were that McGuire Woods, LLP was
handling the defense in the Underlying Lawsuits, and that they planned on putting
together a status update for the carriers. (Id.)
27. On April 21, 2016, ORIC issued essentially identical coverage letters
regarding the State Court Lawsuits and Federal Court Lawsuits, titled: “Renewed
Denial of Coverage / Reservation of Rights.” (Ex. R, ECF No. 292.20; Ex. S, ECF No.
292.26; collectively “April 2016 Coverage Letters.”) The April 2016 Coverage Letters generally state that their purpose is “to supplement [ORIC’s] previous
correspondence with [Plaintiffs], re-assert previous Denial of Coverage / Reservation
of Rights and to remind [Plaintiffs] of [ORIC’s] ongoing coverage position.” (ECF No.
292.20, at p. 1; ECF No. 292.26, at p. 1.) Throughout the letters, ORIC repeatedly
“denies coverage” while also “reserv[ing] the right to disclaim indemnity.” (See ECF
No. 292.20, at pp. 3–4, 11, 13, 15–16, 21, 23; ECF No. 292.26, at pp. 2, 8, 10, 11–12,
13, 16, 18.)
28. The April 2016 Coverage Letters provide an analysis of ORIC’s coverage
position, in which ORIC acknowledges that: “the Underlying Complaints, when read
as a whole, do allege that the operation of the CAFOs (which include the alleged
increase in truck traffic) generally have caused [bodily injury]”; “[t]he [allegations in
the Underlying Lawsuits] appear to fit in [the policy’s] definition of ‘property
damage’”; “a fair reading of the Underlying Complaints do not appear to allege that
the damage was caused by an intentional incident or incidents, but rather appear to
be progressive, ongoing accidental damage”; “the Complaints [to the Underlying
Lawsuits] do make an allegation that they sustained damages resulting from the
operation of an automobile”; and “there is a nexus between the alleged injuries and
alleged use of a vehicle.” (ECF No. 292.20, at p. 10, 19–20; ECF No. 292.26, at p. 7,
15–16.) Despite these acknowledgments, ORIC “denie[d] coverage under the Auto
Policy and further reserve[d] the right to disclaim indemnity[.]” (ECF No. 292.20, at
p. 21; ECF No. 292.26, at p. 16.) 29. With respect to the Pollution Exclusion in ORIC’s Primary Auto Policies,
ORIC acknowledged that it is “questionable and unlikely” that the Pollution
Exclusion excludes coverage for damage caused by “noise,” as is alleged in the
Underlying Lawsuits. Further, ORIC acknowledged that the Pollution Endorsement
to the ORIC’s Primary Auto Policies
essentially eliminates the Pollution exclusion, except in circumstances: (1) where liability [is] assumed in a contract . . . ; (2) where the accident occurs before the pollutants are removed from the place where they are accepted . . . ; or (3) after the pollutants are removed from the covered auto to the place where they are finally delivered, disposed of or abandoned by the insured.
(ECF No. 292.20, at pp. 22–23; ECF No. 292.26, at p. 17.) Nevertheless, ORIC found
that the Pollution Exclusion “eliminates coverage” and, therefore, ORIC again
“denie[d] coverage . . . and further reserve[d] its right to disclaim indemnity[.]” (ECF
No. 292.20, at p. 23; ECF No. 292.26, at p. 17–18.)
30. With respect to ORIC’s Expected or Intended Injury Exclusion, the April
2016 Coverage Letters state: “Old Republic denies coverage and further reserves the
right to disclaim indemnity . . . to the extent that [Plaintiffs] had knowledge that
generally, the alleged directed practices of CAFO could and did cause injury to
someone, and/or to [Claimants] in particular.” (ECF No. 292.20, at p. 23; ECF No.
292.26, at 18.)
ii. Responses from ACE
31. ACE first responded to Plaintiffs’ notice of the State Court Lawsuits by
an email dated July 22, 2013. (Ex. M-1, ECF No. 292.16.) In the email, ACE stated it was “in the process of establishing a claim file and reviewing the information” and
that “[i]n the meantime, ACE reserves its rights and defenses[.]” (Id.)
32. ACE did not provide its next response until it sent coverage position
letters to Plaintiffs dated May 4, 2018 and May 17, 2018. (Ex. N, ECF No. 292.18;
Ex. O, ECF No. 292.24 (hereinafter, “ACE Coverage Letters”).) In these letters, ACE
“reserve[d] all of its rights to deny coverage” on grounds that the claims: “do not
appear to involve ‘bodily injury’ or ‘property damage’ caused by an ‘accident’ resulting
from the ownership, maintenance or use of a covered ‘auto’ during the policy period”;
“may be excluded by the pollution exclusion”; and may “fall within the scope of the
expected or intended injury exclusion.” (ECF No. 292.24, at p. 8.) Further, the ACE
Coverage Letters “reserve[] all [ACE’s] rights to deny coverage on the grounds that
the notice and/or cooperation conditions have not been met.” (Id.)
E. Initiation of the present lawsuit
33. To date, neither ORIC nor ACE have provided a defense to Plaintiffs in
the State Court Lawsuits or the Federal Court Lawsuits. (ECF No. 291, at ¶¶ 30,
43.) Since in or around 2013, counsel retained by Plaintiffs, McGuire Woods LLP,
has handled Plaintiffs’ defense in the Underlying Lawsuits. (ECF No. 363.23.)
34. On February 28, 2018, Plaintiffs, in a letter to Marsh, provided a
litigation status report regarding the Underlying Lawsuits, which contained the
following statement: “To date, Smithfield/Murphy Brown have paid [REDACTED] to
defend the nuisance lawsuits in North Carolina. Smithfield/Murphy-Brown repeat
their prior request that their insurers defend and indemnity them under applicable general and auto liability policies.” (ECF No. 363.15 [SEALED], public redacted
version at ECF No. 369.15.)
35. On March 5, 2019, Plaintiffs commenced this action by filing the
Complaint (ECF No. 4). Plaintiffs filed an Amended Complaint on March 19, 2019
(ECF No. 9). Count I of the Amended Complaint alleges a breach of ACE’s duty to
defend Plaintiffs in the Underlying Lawsuits under ACE’s Primary Auto Policy and
Count II alleges the same claim against ORIC under ORIC’s Primary Auto Policies.
(Id. at ¶¶ 74–89.) Plaintiffs filed their Partial Summary Judgment Motion against
ORIC (ECF No. 289) and their Partial Summary Judgment Motion against ACE (ECF
No. 293) on March 20, 2020. Defendants ORIC and ACE responded in opposition to
the Motions on June 12, 2020 and June 1, 2020, respectively. (ORIC’s Opp. To Plf.’s
Mot. Part. Summ. J. on Ct. II of Amend. Compl., ECF No. 357 [SEALED], public
redacted version at ECF No. 368; ACE’s Mem. Of Law in Opp. To Plf.’s Mot. Part.
Summ. J. on Ct. 1 of Amend. Compl., ECF No. 329.) Plaintiffs replied to the Briefs
in Opposition on July 6, 2020 and June 25, 2020, respectively. (Plf.’s Repl. Bf. Supp.
Plfs.’ Mot. Part. Summ. J. Against Def. ORIC on Ct. II of Amend. Compl., ECF No.
379; Plfs.’ Repl. Bf. Supp. Plfs.’ Mot. Part. Summ. J. on Ct. of Amend. Compl., ECF
No. 374.) A hearing on the Motions was held on September 9 and September 21,
2020. The Motions are now ripe for decision. II. LEGAL STANDARD
A. Summary Judgment
36. Summary judgement is appropriate where “the pleadings, depositions,
answers to interrogatories, and admissions on file, together with the affidavits, if any,
show that there is no genuine issue as to any material fact and that any party is
entitled to a judgment as a matter of law.” Variety Wholesalers, Inc. v. Salem
Logistics Traffic Servs., 365 N.C. 520, 523, 723 S.E.2d 744, 747 (2012) (quoting
N.C.G.S. § 1A-1, Rule 56(c)). “An issue is ‘genuine’ if it can be proven by substantial
evidence and a fact is ‘material’ if it would constitute or irrevocably establish any
material element of a claim or a defense.” CSX Transp., Inc. v. City of Fayetteville,
247 N.C. App. 517, 521, 785 S.E.2d 760, 763 (2016) (quoting Lowe v. Bradford, 305
N.C. 366, 369, 289 S.E.2d 363, 366 (1982)). The Court views the evidence in the “light
most favorable to the non-moving party.” Allstate Ins. Co. v. Lahoud, 167 N.C. App.
205, 207, 605 S.E.2d 180, 182 (2004) (citation omitted).
37. “The party moving for summary judgment ultimately has the burden of
establishing the lack of any issue of triable fact.” Unitrin Auto & Home Ins. Co. v.
McNeill, 215 N.C. App. 465, 467, 716 S.E.2d 48, 50 (2011) (citations omitted). The
moving party may meet this burden by “proving an essential element of the opposing
party’s claim does not exist, cannot be proven at trial, or would be barred by an
affirmative defense.” Dobson v. Harris, 352 N.C. 77, 83, 530 S.E.2d 829, 835 (2000)
(citations omitted). Once the moving party “makes the required showing, the burden
shifts to the nonmoving party to produce a forecast of evidence demonstrating specific facts, as opposed to allegations, showing that he can at least establish a prima facie
case at trial.” Unitrin Auto & Home Ins. Co., 215 N.C. App. at 467, 716 S.E.2d at 50
(citations omitted).
B. Duty to Defend
i. Generally
38. Insurance contracts commonly impose upon on the insurer two related
duties: the duty to defend and the duty to indemnify. A “duty to defend” refers to the
“insurer’s obligation to defend its insured against claims brought by third parties.” 1
LEXIS NEXIS PRACTICE GUIDE: NEW APPLEMAN NORTH CAROLINA INSURANCE
LITIGATION § 15.02 (2020). The “duty to indemnify is the duty to pay for settlement
or to pay a judgment rendered against an insured.” Id. at § 4.04. Our Supreme Court
has addressed the difference between these two duties:
Generally speaking, the insurer’s duty to defend the insured is broader than its obligation to pay damages incurred by events covered by a particular policy. An insurer’s duty to defend is ordinarily measured by the facts as alleged in the pleadings; its duty to pay is measured by the facts ultimately determined at trial. When the pleadings state facts demonstrating that the alleged injury is covered by the policy, then the insurer has a duty to defend, whether or not the insured is ultimately liable.
Waste Management of Carolinas, Inc. v. Peerless Ins. Co., 315 N.C. 688, 691, 340
S.E.2d 374, 377 (1986). In other words, “the duty to defend is broader than the duty
to indemnify in the sense that an unsubstantiated allegation requires an insurer to
defend against it so long as the allegation is of a covered injury[.]” Harleysville Mut.
Ins. Co. v. Buzz Off Insect Shield, L.L.C., 364 N.C. 1, 7, 692 S.E.2d 605, 610–11 (2010). However, the duty to defend is not without limitation: “even a meritorious allegation
cannot obligate an insurer to defend if the alleged injury is not within, or is excluded
from, the coverage provided by the insurance policy.” Id.
39. “[T]here is no statutory requirement that an insurance company provide
its insured with a defense.” Brown v. Lumbermens Mut. Casualty Co., 326 N.C. 387,
392, 390 S.E.2d 150, 153 (1990). “An insurer’s duty to defend suits against its insured
is determined by the language in the insurance contract.” Id. Thus, a duty to defend
exists where “a[n] [insurance] company [ ] provide[s] by contract that it will defend
its insured.” Id. Accordingly, general contract interpretation rules apply to the
Court’s duty to defend analysis. See Accardi v. Hartford Underwriters Ins. Co., 373
N.C. 292, 295, 838 S.E.2d 454, 456 (2020) (“When interpreting an insurance policy,
courts apply general contract interpretation rules.”) “[A] contract of insurance should
be given that construction which a reasonable person in the position of the insured
would have understood it to mean[.]” Grant v. Emmco Ins. Co., 295 N.C. 39, 43, 243
S.E.2d 894, 897 (1978). Provisions in a policy “[w]hich extend coverage . . . must be
construed liberally so as to afford coverage whenever possible by reasonable
construction.” N.C. Farm Bureau Mut. Ins. Co. v. Stox, 330 N.C. 697, 702, 412 S.E.2d
318, 321 (1992). Provisions which exclude or put limitations or conditions on coverage
are “construed strictly . . . to provide coverage.” Trust Co. v. Insurance Co., 276 N.C.
348, 355, 172 S.E.2d 518, 522–23 (1970). “Any doubt as to coverage is to be resolved
in the favor of the insured.” Waste Mgmt., 315 N.C. at 693, 823 S.E.2d at 378; see Jamestown Mut. Ins. Co. v. Nationwide Mut. Ins. Co., 266 N.C. 430, 434, 146 S.E.2d
410, 414 (1966) (construing an ambiguous policy provision in the favor of the insured).
40. A duty to defend is triggered when an insurer receives actual notice of
an underlying complaint that contains “potentially” or “arguably” covered claims
under the insurance contract. See Crandell v. Am. Home Assur. Co., 183 N.C. App.
437, 438, 644 S.E.2d 604, 605 (2007) (finding an insurer has a duty to defend where
a “review of the pleadings . . . gives rise even to ‘a mere possibility’ that the insured’s
potential liability is covered by the insurance policy”); Waste Mgmt., 315 N.C. at 692,
340 S.E.2d at 378 (finding that an insurer is only excused from its duty to defend
where “the facts are not even arguably covered by the policy”); Kubit v. MAG Mut.
Ins. Co., 210 N.C. App. 273, 293, 708 S.E.2d 138, 154 (2011) (“[T]he duty to defend
arises when an insurer receives actual notice of the underlying action.”). The
presence of both non-covered and potentially or arguably covered claims in an
underlying complaint does not relieve an insurer of its duty to defend. See Pulte Home
Corp. v. Am. S. Ins. Co., 185 N.C. App. 162, 171, 647 S.E.2d 614, 620 (2007) (finding
that where the pleadings allege both non-covered and potentially covered claims, “the
mere possibility the insured is liable, and that the potential liability is covered, may
suffice to impose a duty to defend” (internal quotations omitted) (citation omitted));
Builders Mut. Ins. Co. v. Mitchell, 210 N.C. App. 657, 667, 709 S.E.2d 528, 535 (2011)
(“Where . . . there are multiple claims, if some of the claims may be covered, even if
others are not, the duty to defend is triggered.”). ii. Comparison Test
41. In determining whether claims are potentially or arguably covered
under an insurance policy, North Carolina courts routinely apply the “comparison
test”: the language of the insurance policy and underlying complaint are read “side-
by-side . . . to determine whether the events as alleged are covered or excluded.”
Waste Mgmt., 315 N.C. at 693, 340 S.E.2d at 378; see Harleysville, 364 N.C. at 6, 692
S.E.2d at 610; N.C. Farm Bureau Mut. Ins. Co. v. Cox, 263 N.C. App. 424, 441, 823
S.E.2d 613, 625 (2019); Duke Univ. v. St. Paul Fire & Marine Ins. Co., 96 N.C. App.
635, 637, 386 S.E.2d 762, 763–64 (1990). All the facts alleged in the underlying
complaint are taken as true, and “[i]f the insurance policy provides coverage for the
facts as alleged, then the insurer has a duty to defend.” 11 Harleysville, 364 N.C. at 7,
692 S.E.2d at 611. Accordingly, a duty to defend may be found even where the facts
upon which the duty is based “may not, in reality, be true.” Id.
42. The Court is generally limited to the pleadings in applying the
comparison test. See Waste Mgmt., 315 N.C. at 691, 340 S.E.2d at 377 (“An insurer’s
duty is ordinarily measured by the facts as alleged in the pleadings[.]”). However,
North Carolina courts as well as relevant federal courts have recognized that facts
outside the pleadings may only be considered to provide for, rather than to deny,
coverage. See Duke Univ., 96 N.C. App. at 638, 386 S.E.2d at 764 (citations omitted)
(stating that “facts learned from the insured and facts discoverable by reasonable
11 Our Supreme Court has clarified that “the question is not whether some interpretation of
the facts” is potentially covered, but rather whether the “facts as alleged” are potentially covered under the insurance policy. Harleysville, 364 N.C. at 7, 692 S.E.2d at 611 (emphasis added). investigation may also be considered,” but only “to show that the facts of the claim
were within coverage of the policy”); Waste Mgmt., 315 N.C. at 691–92, 340 S.E.2d at
377 (explaining that “[w]here the insurer knows or could reasonably ascertain facts
that, if proven, would be covered by its policy,” the duty to defend is triggered); Cox,
263 N.C. App. at 441, 823 S.E.2d at 625 (considering “pleadings, depositions, answers
to interrogatories, and other documents” to ultimately find a duty to defend);
Continental Cas. Co. v. Amerisure Ins. Co., 226 F. Supp. 3d 537, 544 (W.D.N.C. 2017),
aff’d in part and vacated in part on other grounds, 886 F.3d 366 (4th Cir. 2018)
(finding that under North Carolina law, an insurer “may look to facts collateral to the
allegations against the policyholder to confirm a defense obligation, but not to negate
one” (emphasis in original)); New NGC, Inc. v. Ace Amer. Ins. Co., 105 F. Supp. 3d
552, 568 (W.D.N.C. 2015) (equating the consideration of evidence outside the
pleadings for purposes of determining a duty to defend “to a perfunctory review of the
merits of the underlying claims against the insured” which is “not consistent with the
duty to defend” under North Carolina law). Thus, the insurer must “investigate and
evaluate facts expressed or implied in the [ ] complaint as well as facts learned from
the insured and from other sources” when determining its duty to defend obligation,
Waste Mgmt., 315 N.C. at 692, 340 S.E.2d at 378, but these facts may only be used
“to show the facts of the claim were within coverage of the policy.” Duke Univ., 96
N.C. App. at 638, 386 S.E.2d at 764 (citation omitted). Any failure by the insurer to
consider known or accessible facts outside the pleadings which, if proven, would require coverage, puts the insurer at risk of breaching its duty to defend. Waste
Mgmt., 315 N.C. at 691, 340 S.E.2d at 377.
III. ANALYSIS
43. Plaintiffs contend that Defendants have breached their duties to defend
under the Primary Auto Policies. Plaintiffs argue that, applying the comparison test,
the allegations in the Underlying Lawsuits’ complaints regarding Plaintiffs’ truck
operations are clearly, and therefore at least potentially or arguably, covered by the
Primary Auto Policies. On the other hand, (a) ORIC argues that the Court should
not apply the traditional comparison test because ORIC and Plaintiffs had a unique
insurance program under which ORIC has no duty to defend Plaintiffs, (b) ACE
argues that the Court should not apply the traditional comparison test because
Plaintiffs treated the claims as arising under the Primary CGL Policy, never
requested that ACE provide a defense, and defended the Underlying Lawsuits using
their own counsel for over five years without involvement from ACE; (c) the claims in
the Underlying Lawsuits are not covered because the Underlying Lawsuits do not
allege “bodily injury” or “property damage” resulting from the use of a covered “auto”;
(d) the Underlying Lawsuits are not covered because they do not allege an “accident”
or are excluded by the Expected or Intended Injury Exclusion; (e) coverage for the
Underlying Lawsuits is excluded by the Pollution Exclusion; (f) there is no duty to
defend under ORIC’s Primary Auto Policies and Plaintiffs’ have not met the Retention
Requirements under the Program Agreement; and (g) there is no duty to defend because Plaintiffs did not provide prompt notice of the claims under the Primary Auto
Policies.
A. Applicability of the Comparison Test
44. Defendants first argue that this Court should ignore North Carolina’s
well-established precedent requiring use of the “comparison test” to determine an
insurer’s duty to defend based on comparison of the allegations in the complaint and
insurance policy. Defendants’ arguments emphasize the purposefully designed
insurance relationship between the parties, which revolved around largely self-
funded, self-administered, fully fronted CGL policies accompanied by the Primary
Auto Policies at issue, under which neither ORIC nor ACE had a duty to defend.
45. ORIC contends that, rather than relying on a comparison of the
complaints in the Underlying Lawsuits and ORIC’s Primary Auto Policies, the Court
must consider the entire “comprehensive insurance program” which consists of the
Primary CGL Policies, Primary Auto Policies, and the Program Agreement. (ECF
No. 368, at p. 14.) ORIC argues that “the Motion entirely ignores and contradicts the
Program Agreement and the predominant CGL policies.” (Id. at p. 1.) ORIC further
asserts that Plaintiffs neither wanted nor expected a defense from ORIC and
intended the insurance program with ORIC to leave defense of all claims, including
choice of counsel and litigation strategy decisions, under the exclusive control of
Plaintiffs. (Id. at pp. 1–2.) ORIC contends that the nature of the relationship created
by the Program Agreement relieves them of the duty to defend the Underlying
Lawsuits. (Id. at p. 14.) However, ORIC cites to no authority, from North Carolina or any other jurisdiction, supporting the application of this type of duty to defend
analysis. Indeed, ORIC does not cite a single North Carolina case that has deviated
from a “comparison test” analysis in deciding an insurer’s duty to defend.
46. ACE contends that it should not be obligated to provide a defense
because Plaintiffs treated the claims as arising under the ACE Primary CGL Policy,
never requested that ACE provide a defense, proceeded on their own with defending
the Underlying Lawsuits using their own counsel for over five years without any
involvement from ACE, and then requested reimbursement of legal costs on the eve
of trial. (ECF No. 329, at pp. 16–17.) ACE argues that “[i]n circumstances such as
these, a traditional duty to defend analysis simply does not apply. Rather, . . . this
situation requires an indemnity analysis rather than a duty to defend analysis.” (Id.
at p. 17.) However, the issue before the Court is whether ACE breached its duty to
defend, which is explicitly included in ACE’s Primary Auto Policy—not whether ACE
has any duty to pay based on the facts as determined at trial. While Plaintiffs likely
will seek reimbursement of the defense costs incurred to date based on this Order,
this does not transform the Court’s “duty to defend” analysis into a much narrower
“duty to indemnify” analysis. The Court has thoroughly reviewed the authority cited
by ACE in support of its argument (Id. at pp. 17–18), and concludes that it is
inapposite and does not support ACE’s request to apply an indemnity analysis to the
duty to defend issue raised by the Motions.
47. The Court, having carefully considered Defendants’ arguments, will not
deviate from well-established North Carolina authority. The Court believes the comparison test provides a level of certainty to policyholders regarding their right to
a defense if sued, and to insurers regarding their obligations in determining whether
they must defend. Therefore, the Court will apply the comparison test; accordingly,
any evidence outside of the insurance policies and the allegations in the Underlying
Lawsuits may only be considered if it supports coverage. See Duke Univ., 96 N.C.
App. at 638, 386 S.E.2d at 764.
B. “Bodily Injury” or “Property Damage,” and Covered “Auto”
48. ORIC argues that Plaintiffs have “failed to sustain their burden of
demonstrating that there was ‘bodily injury’ or ‘property damage’ caused by a covered
automobile under the [ORIC Primary Auto Policies].” (ECF No. 368, at p. 15.)
Specifically, ORIC first argues that Plaintiffs have “cherry-picked” allegations from
only one of the Underlying Lawsuits; and second, that the Claimants in the already-
tried Underlying Lawsuits did not seek damages for bodily injury. (Id.) ORIC makes
these arguments despite its acknowledgment in the 2016 Coverage Letters that the
Underlying Lawsuits “do allege that the operation of the CAFOs (which include the
alleged increase in truck traffic) generally have caused [bodily injury],” and “[t]he
[allegations] appear to fit in [the policy’s] definition of ‘property damage.’” (ECF No.
292.20, at pp. 19–20; ECF No. 292.26, at pp. 15–16.)
49. First, Plaintiffs indeed rely on the McGowan complaint (ECF No.
292.15, at pp. 215–60) for purposes of their argument for coverage. The McGowan
complaint alleges that Claimants were “embarrass[ed],” “humiliate[d],” “angry,
fearful, worried, and depressed” due to the alleged nuisance from Plaintiffs’ CAFOs, and that Plaintiffs’ CAFO operations, including the use of trucks, have caused “odor,
annoyance, dust, noise” and “bright lights from headlights” resulting in the “loss of
use and enjoyment of homesteads.” (Id. at p. 217, ¶4, pp. 221–23, ¶¶ 33, 36.) Similar,
if not identical allegations are made in each of the Underlying Lawsuits. Therefore,
the Court is not persuaded that, by choosing to pull allegations from the McGowan
complaint, Plaintiffs have misrepresented the true nature of the Underlying
Lawsuits. 12
50. Accordingly, comparing the allegations in the McGowan complaint to
ORIC’s Primary Auto Policies, the Underlying Lawsuits at least arguably allege
bodily injury and property damage. The allegations of humiliation fit within ORIC’s
Primary Auto Policies’ definition of bodily injury, which specifically includes
humiliation. Further, the allegations of embarrassment, anger, worry, fear, and
depression arguably constitute forms of mental anguish or mental injury under the
ORIC Primary Auto Policies’ definition of bodily injury. As to property damage, the
allegations of “loss of use and enjoyment of homesteads” are arguably covered given
the ORIC Primary Auto Policies’ definition of property damage specifically includes
“loss of use of tangible property.”
51. Second, the fact that the Claimants did not seek damages for bodily
injury or property damage at trial is irrelevant to the Court’s duty to defend analysis.
The duty to defend is measured by the facts as alleged in the pleadings, not what
12 The Court also notes that Defendants do not argue that the duty to defend issue cannot be
decided on summary judgment because significant differences in allegations in the Underlying Lawsuits require a case-by-case analysis of the question. subsequently occurs at trial. Waste Mgmt., 315 N.C. at 691, 340 S.E.2d at 377.
Further, evidence outside the pleadings may only be used in a duty to defend analysis
to provide for, rather than exclude, coverage. Duke Univ., 96 N.C. App at 638, 386
S.E.2d at 764.
52. Finally, the Underlying Lawsuits contain numerous allegations of
injury and damage from Plaintiffs’ use of trucks. The Primary Auto Policies provide
an exceptionally broad definition of covered “auto.” See supra ¶ 12. Defendants do
not argue that the trucks are not covered autos.
53. The Court, having considered Defendants’ arguments, and having
compared the complaints in the Underlying Lawsuits to the Primary Auto Policies, is
not persuaded that the allegations in the Underlying Lawsuits are not even arguably
covered due to the Primary Auto Policies’ definitions of bodily injury, property
damage, and covered auto.
C. “Accident” and “Expected or Intended Injury Exclusion”
54. Defendants argue that the claims in the Underlying Lawsuits are not
covered because the alleged injuries and property damage were not caused by an
“accident” (ECF No. 368, at pp. 16–19; ECF No. 329, at pp. 24–25), and that coverage
is excluded under the Expected or Intended Injury Exclusion (ECF No. 368, at pp.
20–21; ECF No. 329, at p. 26). Specifically, Defendants contend that the Underlying
Lawsuits are not covered and excluded because the alleged bodily injury and property
damage from the CAFOs, including Plaintiffs’ truck operations, were “expected or
intended.” 55. The Primary Auto Policies do not define the term “accident” but provide
that ‘“[a]ccident’ includes continuous or repeated exposure to the same conditions
resulting in ‘bodily injury’ or ‘property damage.’” (ECF No. 292.8, at p. 64; ECF No.
292.1, at p. 29) The Expected or Intended Injury Exclusion states that coverage does
not apply for ‘“[b]odily injury’ or ‘property damage’ expected or intended from the
standpoint of the ‘insured.’” (ECF No. 292.8, at p. 58; ECF No. 292.1, at p. 23.)
56. Where an insurance policy does not define a term, the Court applies its
plain, ordinary, and accepted meaning. Williams v. Insurance Co., 269 N.C. 235, 238,
152 S.E.2d 102, 105 (1967). Our Supreme Court has defined “accident” in the context
of liability coverage as “an unforeseen event, occurring without the will or design of
the person whose mere act causes it; an unexpected, unusual, or undersigned
occurrence; the effect of an unknown cause, or, the cause being known, an
unprecedented consequence of it; a casualty.” Waste Mgmt., 315 N.C. at 694, 340
S.E.2d at 379. More simply, an “accident” is an event that is “unexpected or
unintended” from the standpoint of the insured. Cox, 263 N.C. App. at 444, 823
S.E.2d at 627. Thus, an “accident” under the Primary Auto Policies is an “unexpected
or unintended” event from the standpoint of the insured that results in bodily injury
or property damage, including that which arises from “continuous or repeated
exposure to the same events.” Accordingly, in determining whether the alleged injury
and property damage were the result of an “accident,” the Court must inevitably
determine whether the Expected or Intended Exclusion applies. See Cox, 263 N.C.
App. at 444, 823 S.E.2d at 627 (“When an insurance policy that does not define ‘accident’ includes an exclusion for acts by an insured that were ‘expected or
intended,’ our analysis does not materially change—because we must determine that
an alleged ‘bodily injury’ was ‘unexpected or unintended’ by the insured.”).
57. In determining whether an event is “expected or intended,” the
“ultimate focus is on the injury[.]” Holz-Her U.S. Inc. v. U.S. Fid. & Guar. Co., 141
N.C. App. 127, 129, 539 S.E.2d 348, 350 (2000). Thus, an “accident” can involve
intentional conduct “if the injury is not intentional or substantially certain to be the
result of the intentional act.” Russ v. Great Am. Ins. Cos., 121 N.C. App. 185, 188,
464 S.E.2d 723, 725 (1995) (emphasis omitted) (quoting Stox, 330 N.C. at 709, 412
S.E.2d at 325). Conversely, there is no “accident” where “the potentially damaging
effects of an insured’s intentional actions can be anticipated by the insured.” Plum
Props., LLC v. N.C. Farm Bureau Mut. Ins. Co., 254 N.C. App. 741, 745, 802 S.E.2d
173, 176 (2017).
58. In support of their arguments, Defendants contend that (i) the
allegations in the Underlying Lawsuits pertaining to numerous “[s]tudies, reports,
incidents and complaints” which Defendants have “amassed” over the years, detail
the “predictable nuisance caused by swine sites to nearby neighbors” (ECF No. 368,
at pp. 17–18; ECF No. 329, at p. 26); and (ii) the findings of the already-tried
Underlying Lawsuits demonstrate Plaintiffs engaged in willful and wanton conduct
(ECF No. 368, at p. 19; ECF No. 329, p. 25). i. Studies, Reports, Incidents, and Complaints
59. Defendants argue that the allegations in the Underlying Lawsuits
establish that Plaintiffs knew injury or property damage was substantially certain to
result from Plaintiffs’ truck operations. (ECF No. 368, at pp. 17–18; ECF No. 329, at
p. 26.) While the Underlying Lawsuits contain allegations that Plaintiffs knew or
should have known that their operations of CAFOs would cause nuisance to
neighboring residents, none of the Underlying Lawsuits allege that Plaintiffs knew
injury or property damage was substantially certain to result specifically from
Plaintiffs’ truck operations. Similarly, the numerous “studies, reports, incidents, and
complaints” referenced in the Underlying Lawsuits are not alleged to have detailed
predictable nuisance specifically from Plaintiffs’ truck operations. (See e.g., ECF No.
292.11, pp. 9–13; ECF No. 292.15, at pp. 251–56; ECF No. 292.12, at pp. 23–29.)
Furthermore, to the extent Defendants have directed this Court to specific language
outside the complaints to the Underlying Lawsuits, the Court may only consider this
information to find coverage in a duty to defend analysis. See Duke Univ., 96 N.C.
App. at 638, 386 S.E.2d at 764 (citations omitted). Nevertheless, the complaints in
the Underlying Lawsuits also contain allegations of “negligence” and “reckless
disregard” with respect to the operation of the CAFOs, resulting in nuisance. See
supra ¶ 8. Therefore, the Court is not persuaded that the allegations in the
Underlying Lawsuits establish that the Plaintiffs “expected or intended” the injuries
and property damage from their truck operations—at least not to the extent that these allegations would be considered not even arguably covered by the Primary Auto
Policies.
ii. Findings in the already-tried Underlying Lawsuits
60. Defendants argue that Plaintiffs have failed to meet their burden of
establishing an accident because punitive damages awards by juries in the already-
tried Underlying Lawsuits required a showing of willful conduct. (ECF No. 368, at p.
19; ECF No. 329, at p. 25.) Defendants contend that the juries’ findings show that
Plaintiffs’ acts were willful (i.e., intentional), and that Plaintiffs knew of (i.e.,
expected) the nuisance caused by its CAFOs, including the truck operations. (Id.)
However, the fact that a jury found Plaintiffs engaged in willful and wanton conduct
is irrelevant to this Court’s duty to defend analysis. A duty to defend analysis is
limited to the facts as alleged in the pleadings, not the facts as they are determined
at trial. Waste Mgmt., 315 N.C. at 691, 340 S.E.2d at 377.
61. Therefore, the Court, having considered Defendants’ arguments, and
having compared the allegations in the Underlying Lawsuits to the Primary Auto
Policies, is not persuaded that the allegations are not even arguably covered due to
the Primary Auto Policies’ definition of “accident” or the Expected or Intended Injury
Exclusion.
D. The Pollution-related Provisions
62. Defendants next argue that coverage for the claims raised in the
Underlying Lawsuits is excluded by the Pollution Exclusion in the Primary Auto
Policies. A duty to defend is “determined by the language of an insurance contract.” Brown, 326 N.C. at 392, 390 S.E.2d at 153. Thus, general rules of construction which
govern the interpretation of insurance policy provisions apply to the Court’s
determination of whether the Pollution Exclusion excludes coverage, and conversely,
whether the Pollution Endorsement affords coverage. See Stox, 330 N.C. at 702, 412
S.E.2d at 321. Accordingly,
[t]hose provisions in an insurance policy which extend coverage to the insured must be construed liberally so as to afford coverage whenever possible by reasonable construction. However, the converse is true when interpreting the exclusionary provisions of a policy; exclusionary provisions are not favored and, if ambiguous, will be construed against the insurer and in favor of the insured.
Id. (citations omitted).
63. “When the language of the contract is clear and unambiguous,
construction of the agreement is a matter of law for the court and the court cannot
look beyond the terms of the contract to determine the intentions of the
parties.” Bank of Am., N.A. v. Rice, 230 N.C. App. 450, 456, 750 S.E.2d 205, 209
(2013); see also Lynn v. Lynn, 202 N.C. App. 423, 431, 689 S.E.2d 198, 205 (2010).
“Whether or not the language of a contract is ambiguous . . . is a question for the court
to determine.” Lynn, 202 N.C. App. at 432, 689 S.E.2d at 205 (citation omitted).
64. The parties argue two very different constructions of the Pollution-
Related Provisions contained in the Primary Auto Policies. Plaintiffs argue that the
unambiguous language of the Primary Auto Policies establishes that the Pollution
Endorsement overrides the Pollution Exclusion and makes the Pollution Exclusion
applicable only to claims for pollution-related injury or damage arising from “liability assumed [by Plaintiffs] under a contract or agreement.” (ECF No. 290, pp. 19–20;
ECF No. 294, pp. 18–19.) Since there is no claim in this case that Plaintiffs are
seeking coverage for liability assumed by Plaintiffs under a contract, Plaintiffs
contend that the Primary Auto Policies cover the claims in this case even if the noise,
light, or other alleged nuisance caused by Plaintiffs’ trucks is considered a
“pollutant.”
65. Defendants, on the other hand, argue that the Pollution Endorsement
only broadens coverage to the extent coverage already exists under the Second
Coverage Grant for a “covered pollution cost or expense” involving clean-up of
pollutants or lawsuits brought by governmental authorities resulting from
pollutants. Therefore, Defendants contend that coverage for the claims for bodily
injury and property damage alleged by the Claimants in the Underlying Lawsuits are
excluded from coverage because the Underlying Lawsuits allege injuries and damage
caused by “pollutants” emanating from Plaintiffs’ trucks and not arising from clean-
up of pollutants or a governmental lawsuit. (ECF No. 368, at p. 21–22; ECF No. 329,
at p. 27.) However, Defendants do not provide an explanation of how they construct
the Pollution-Related Provisions to reach this conclusion, and the Court is left to
speculate as to their interpretation. Nevertheless, the Court will address the
construction of the Pollution-Related Provisions in the Primary Auto Policies.
66. Following thorough review of the language of the Pollution-Related
Provisions, the Court reads the relevant provisions in the following order to arrive at
a conclusion as to their proper construction: (1) the First Coverage Grant (ECF No. 292.8, at p. 57; ECF No. 292.1, at p. 22); (2) the Second Coverage Grant (Id.); (3) the
definition of “covered pollution cost or expense” (ECF No. 292.8, at p. 65; ECF No.
292.1, at p. 30); (4) the Pollution Exclusion (ECF No. 292.8, at pp. 59–60; ECF No.
292.1, at pp. 24–25); (5) the definition of “pollutant” (ECF No. 292.8, at p. 66; ECF
No. 292.1, at p. 31); and (6) the Pollution Endorsement (ECF No. 292.8, at p. 169;
ECF No. 292.1, at p. 96).
67. The First Coverage Grant, generally, provides coverage for bodily injury
or property damage claims caused by an accident resulting from use of a covered auto.
(ECF No. 292.8, at p. 57; ECF No. 292.1, at p. 22.) The Second Coverage Grant,
generally, provides coverage for a “covered pollution cost or expense” (Id.), which is
defined as a “request, demand, order or statutory or regulatory requirement” or a
“claim or suit by or on behalf of a government authority” for, essentially, clean-up as
a result of an accident involving “pollutants.” (ECF No. 292.8, at p. 65; ECF No.
292.1, at p. 30.) The Pollution Exclusion, generally, excludes coverage for bodily
injury or property damage claims involving “pollutants.” (ECF No. 292.8, at pp. 59–
60; ECF No. 292.1, at pp. 24–25.) A “pollutant,” is defined as a “solid, liquid, gaseous
or thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids,
alkalis, chemicals and waste.” (ECF No. 292.8, at p. 66; ECF No. 292.1, at p. 31.)
Finally, the Pollution Endorsement, inter alia, limits the application of the Pollution
Exclusion only to circumstances where liability for bodily injury or property damage
claims due to pollutants is assumed by Plaintiffs “under a contract or agreement.”
(ECF No. 292.8, at p. 169; ECF No. 292.1, at p. 96.) In other words, the Pollution Endorsement eliminates the exclusion of claims for injury or damage caused by
pollutants except where the liability arises solely because of Plaintiffs’ contractual
assumption of the liability, and broadens coverage under the Primary Auto Policies
to claims for bodily injury and property damage caused by pollutants.
68. Applying this construction, the Underlying Lawsuits allege “bodily
injury” or “property damage” claims—not “clean-up” claims. For example, the
allegation that “[l]arge hog trucks carry hogs into and out of the facilities” causing
“odor, annoyance, dust, noise and loss of use and enjoyment of homesteads” which
“embarrasses and humiliates the [Claimants]” (ECF No. 292.15, at pp. 221–22, ¶ 33)
does not involve a “request, demand, order or statutory or regulatory requirement” or
a “claim or suit by or on behalf of a government authority” for “clean-up” of
“pollutants.” Rather, the allegations in the Underlying Lawsuits fall squarely under
the coverage afforded by the First Coverage Grant for claims involving bodily injury
or property damage. Not only is this construction clear and unambiguous, but it falls
in line with ORIC’s own analysis in its 2016 Coverage Letters. (ECF No. 292.20, at
pp. 22–23; ECF No. 292.26, at p. 17.)
69. The Court has carefully studied the relevant provisions of the Primary
Auto Policies and concludes that the language is unambiguous. The Pollution
Endorsement modifies the Pollution Exclusion so that the Primary Auto Policies
provide coverage for bodily injury and property damage caused by pollutants.
Accordingly, the allegations in the Underlying Lawsuits involving “pollutants” caused by Plaintiffs’ truck operations are, at the very least, arguably covered under
the Primary Auto Policies.
70. Finally, regardless of the Court’s construction of the Pollution-Related
Provisions of the Primary Auto Policies, the allegations in the Underlying Lawsuits
of bodily injury or property damage caused by noise and lights from Plaintiffs’ truck
operations arguably are not excluded from coverage by the Pollution Exclusion.
“Pollutants” are defined under the Primary Auto Policies as “solid, liquid, gaseous or
thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis,
chemicals and waste.” (ECF No. 292.8, at p. 66; ECF No. 292.1, at p. 31.) While it
may be possible for noise or light to be considered pollutants, an argument to the
contrary is equally plausible, and this Court construes exclusions to coverage “strictly
. . . to provide coverage.” Trust Co., 276 N.C. at 355, 172 S.E.2d at 522–23. Therefore,
even adopting Defendants’ construction of the Pollution-Related Provisions, the
Underlying Lawsuits raise potentially covered claims not subject to the Pollution
Exclusion and, therefore, these claims trigger a duty to defend.
E. The Program Agreement and ORIC’s Primary Auto Policies
71. ORIC argues that “Smithfield must demonstrate that it has satisfied its
retention obligations under the Program Agreement before [ORIC] can have any
obligation to pay toward defense or participate in Smithfield’s defense.” (ECF No.
368, at pp. 19–20.) The Court is not persuaded by ORIC’s argument. ORIC does not
contend that the Program Agreement contains express language requiring Plaintiffs
to pay the retention before ORIC has a duty to defend under the Primary Auto Policies, nor does it cite any authority supporting its contention that an insured must
pay a retention in order for an insurer to have a duty to defend. (Id.) Finally, there
is no evidence that ORIC ever asked Plaintiffs to pay the retention or that Plaintiffs
have refused such a request.
F. Notice of the Underlying Lawsuits
72. ACE argues that Plaintiffs’ notice to ACE regarding the Underlying
Lawsuits was improper, and therefore ACE is relieved of its duty to defend.
Specifically, ACE argues that (a) Plaintiffs never explicitly requested a defense (ECF
No. 329, at p. 16) and, (b) that despite receiving notice of the Underlying Lawsuits,
ACE was not provided “immediate notification” of the accident as an auto liability
claim, as required by the insurance policy. 13 (ECF No. 329, at pp. 16–17.)
73. Under North Carolina law, the duty to defend “arises when an insurer
receives actual notice of the underlying action.” Kubit, 210 N.C. App. at 293, 708
S.E.2d at 154. Absent any notice requirements in the insurance policy, the duty to
defend is not contingent upon any explicit demand or request. See Med. Mut. Ins. Co.
v. Am. Cas. Co., 721 F. Supp. 2d 447, 463 (E.D.N.C. 2010) (explaining that aside from
providing “written notice during the policy period of a claim for damages,” as required
by the policy, “there was nothing else for [the plaintiff] to do to receive the benefit of
a defense”); St. Paul Fire & Marine Ins. Co. v. Hanover Ins. Co., 2000 U.S. Dist. LEXIS
21792, at *25–26 (E.D.N.C. 2000) (“[T]here is no requirement in the . . . policy or in
any reported North Carolina case, that an insurer’s defense obligation is contingent
13ACE also argued that a duty to indemnify rather than a duty to defend analysis is warranted, which the Court has previously addressed and rejected. See supra ¶¶ 46–47. upon an insured’s explicit request, made directly to the insurer, that the insurer
provide a defense.”).
74. Upon receiving actual notice of the underlying lawsuit against its
insured, an insurer has three options:
(1) seek a declaratory judgment regarding its obligations before or pending trial of the underlying action, (2) defend the insured under a reservation of rights, or (3) refuse either to defend or to seek a declaratory judgment at the insurer’s peril that it might later be found to have breached its duty to defend.
Imperial Casualty & Indem. Co. v. Radiator Specialty Co., 862 F. Supp. 1437, 1441
(E.D.N.C. 1994) (quoting St. Paul Fire & Marine Ins. Co. v. Vigilant Ins. Co., 724 F.
Supp. 1173, 1182 (M.D.N.C. 1989)). While an insurer is not obligated to defend
allegations that are not within or excluded from the policy, Waste Mgmt., 315 N.C. at
691, 340 S.E.2d at 377, a “refusal to defend is unjustified even if it is based upon an
honest but mistaken belief that the claim is not covered.” Duke Univ., 96 N.C. App.
at 637, 386 S.E.2d at 764.
75. First, ACE’s Primary Auto Policy does not require any explicit demand
or request by the insured that the insurer provide a defense. ACE admits that it
received notice of the Underlying Lawsuits under its Primary CGL Policy, and that
ACE was eventually provided notice under its Primary Auto Policy. Therefore, “there
was nothing else . . . to do to receive the benefit of a defense.” Med. Mut. Ins. Co., 721
F. Supp. 2d at 463.
76. Second, ACE was first notified of the Underlying Lawsuits pending in
state court on July 19, 2013. These “First Reports of Loss” were sent to both ORIC and ACE, and while they were only reported under the Primary CGL Policies, they
also included language stating “[t]his matter is reported under any and all applicable
policies whether or not cited.” (ECF No. 292.25, at p. 5; ECF No. 292.23, p. 5
(emphasis added).) There were roughly four months between the initial First Report
of Loss and the subsequent notice provided to ACE under its Primary Auto Policy in
November 2013. These facts, taken together, do not even arguably demonstrate that
ACE was prejudiced by late notice of the Underlying Lawsuits. Upon receiving the
initial notice letter from Plaintiffs in July 2013, ACE was sufficiently notified of the
claims under any and all applicable policies issued by ACE, whether or not cited. See
New NGC, Inc., 105 F. Supp. 3d at 570 (explaining that the insured was “only
required to comply with the requirements provided in the insurance contract” and “it
was up to [the insurer] to review the underlying suits and determine what obligations
it may owe to [the insured] under any and all applicable policies issued by [the
insurer], whether cited by [the insured] or not”).
77. Therefore, the Court is not persuaded that ACE is relieved of any duty
to defend because of Plaintiffs’ failure to request a defense, or due to late notice of the
Underlying Lawsuits.
F. Conclusion
78. The Court, having considered Defendants’ arguments, the undisputed
facts, and applicable law, finds that the Plaintiffs’ have established that a duty to
defend exists under Defendants’ Primary Auto Polices and that the Underlying Lawsuits are arguably covered under said policies. Therefore, Defendants’ failure to
provide a defense constitutes a breach of their respective duties to defend.
THEREFORE, IT IS ORDERED that Plaintiffs’ Partial Summary Judgment
Motion against ORIC and Plaintiffs’ Partial Summary Judgment Motion against ACE
are GRANTED.
SO ORDERED, this the 22nd day of December, 2020.
/s/ Gregory P. McGuire Gregory P. McGuire Special Superior Court Judge for Complex Business Cases
2020 NCBC 96 (Murphy-Brown, LLC v. Ace Am. Ins. Co.) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.