National Union Fire Insurance v. Ambassador Group, Inc.

738 F. Supp. 57, 1990 U.S. Dist. LEXIS 5832, 1990 WL 66167
CourtDistrict Court, E.D. New York
DecidedMay 10, 1990
DocketMDL No. 778 (RJD). Civ. No. 85-2132
StatusPublished
Cited by23 cases

This text of 738 F. Supp. 57 (National Union Fire Insurance v. Ambassador Group, Inc.) is published on Counsel Stack Legal Research, covering District Court, E.D. New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
National Union Fire Insurance v. Ambassador Group, Inc., 738 F. Supp. 57, 1990 U.S. Dist. LEXIS 5832, 1990 WL 66167 (E.D.N.Y. 1990).

Opinion

MEMORANDUM AND ORDER

DEARIE, District Judge.

BACKGROUND

Plaintiff National Union Fire Insurance Company of Pittsburgh, Pa. (“National Union”) is the liability insurer of the directors and officers of Ambassador Group, Incorporated (“Ambassador Group”), an insurance holding company whose two principal subsidiaries, Ambassador Insurance Company and Horizon Insurance Company, are presently in receivership. National Union brought this statutory interpleader action, see 28 U.S.C. § 1335, to facilitate the resolution of claims that have been asserted against several directors and officers it insures. 1

Defendants Arnold Chait, Doris June Chait, Edward C. Chait, Douglas M. Aus-ter, Joseph F. Maresca, and Richard A. Tafro have moved for partial summary judgment on their first counterclaim. Defendants Sol Kroll and Edward M. Cameron, III have joined the motion, and defendant Jay Wells has moved for partial summary judgment on his counterclaim. The movants seek a declaration that National Union is obligated to pay on behalf of these individual defendants ninety-five (95) percent of the legal fees and costs, as they are billed, in defending certain actions which have been brought against them as officers or directors of Ambassador Group or its subsidiaries.

The motions require interpretation of certain provisions of the Directors and Officers Liability and Corporate Reimbursement Insurance Policy issued by National Union to Ambassador Group and its subsidiaries (referred to herein as the “Policy” or the “National Union Policy”). The insuring clause of the Policy provides for coverage

against loss (as hereinafter defined) arising from any claim or claims which are first made against the Insureds, jointly or severally, during the policy period by reason of any Wrongful Act (as hereinafter defined) in their respective capacities as Directors or Officers.

Paragraph 2(c) of the Policy defines the term “loss” to include “costs, charges and expenses ... incurred in the defense of actions, suits or proceedings and appeals therefrom.” Paragraph 4(e) of the Policy sets forth various exclusions, which include claims “brought about or contributed to by the dishonesty of the Insured.” Paragraph 4(e) also provides, however, that:

notwithstanding the foregoing the Insureds shall be protected under the terms of this policy as to any claims upon which suit may be brought against them, by reason of any alleged dishonesty on the part of the Insureds, unless a judgment or other final adjudication thereof adverse to the Insureds shall establish that acts of active and deliberate dishonesty committed by the Insureds with actual dishonest purpose and intent were *60 material to the cause of action so adjudicated. (emphasis added)

Thus, unless a judgment establishes that the acts of the Insureds were within the exclusion, National Union must provide coverage.

There is no dispute that the Insureds' legal expenses are covered “losses” as defined in paragraph 2 of the Policy. The question before the Court is whether the Policy requires National Union to provide contemporaneous, as-billed reimbursement of these expenses. For the reasons discussed herein, this Court answers this question in the negative.

National Union argues that Endorsement No. 3 to the Policy provides for a prioritization of payments which necessarily precludes the interim advancement of defense costs. 2 Paragraph A of Endorsement No. 3 provides, in pertinent part, that the Insurer shall pay 95% of all costs, charges and expenses, subject to the following conditions:

1. If a payment not in excess of the Limit of Liability has to be made to dispose of a claim, costs, charges and expenses shall be payable up to the Limit of Liability applicable under this policy.
2. If the claim is successfully resisted by the Insureds, costs, charges and expenses shall be payable up to but not exceeding the Limit of Liability under this policy.

National Union argues, and this Court agrees, that under paragraph A of the Endorsement the claims of third parties for injuries caused by the acts or omissions of the insured officers and directors are superior to the Insureds’ claims for legal fees. Payment for the Insureds’ costs, charges and expenses is required only to the extent that payment for the third-party claim has not exhausted the Policy’s proceeds. Obviously the interim reimbursement of legal fees could easily deplete the proceeds available to satisfy third party claims. To require such reimbursement contravenes the plain meaning of the Policy.

THE OKADA DECISIONS

Movants rely principally on Okada v. MGIC Indemnity Corp., 608 F.Supp. 383 (D.Hawaii 1985), aff'd in pertinent part, rev’d in part, 795 F.2d 1450 (9th Cir.1986) (“Okada I ”), amended and corrected, 823 F.2d 276 (9th Cir.1987) (“Okada II”), in which a director and officer liability policy was held to require contemporaneous reimbursement of defense costs. Movants also point to Pepsico Inc. v. Continental Casualty Co., 640 F.Supp. 656 (S.D.N.Y.1986), which based its decision, in part, on the District Court’s opinion in Okada. For several reasons, however, the Court is not persuaded that Okada and Pepsico require the contemporaneous payment of legal fees in this ease.

On its first occasion to address the issue (Okada I), the Ninth Circuit expressly determined that the policy before it was a “defense” policy (imposing on the insurer a duty to defend); it based this conclusion on the assertion that (i) under Hawaii law, insurers have a general duty to defend potentially covered claims unless such obligation is expressly excluded by the policy, and (ii) a provision of the policy attempted to disclaim such liability for potentially covered claims, but failed to do so as a result of ambiguities in its wording. 3 795 F.2d at *61 1454. Having determined that the policy at issue was a defense policy, the majority concluded that the policy required contemporaneous payment of legal fees.

This Court agrees with the dissent in Okada I, see 795 F.2d at 1457-60, and the district court in Zaborac v. American Casualty, 663 F.Supp. 330, 334 (C.D.Ill.1987), that the Okada I majority incorrectly read into the contract a duty to defend (both as a matter of law and as a question of contract interpretation), and that the Okada I majority’s imposition of a duty to pay legal fees contemporaneously was erroneous. Indeed, the Okada I majority’s result conflicts with the pre-Okada

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Bluebook (online)
738 F. Supp. 57, 1990 U.S. Dist. LEXIS 5832, 1990 WL 66167, Counsel Stack Legal Research, https://law.counselstack.com/opinion/national-union-fire-insurance-v-ambassador-group-inc-nyed-1990.