Nationwide Mutual Insurance v. American Reinsurance Co.

796 F. Supp. 275, 1991 U.S. Dist. LEXIS 21637, 1991 WL 338538
CourtDistrict Court, S.D. Ohio
DecidedAugust 7, 1991
DocketC-2-86-1158
StatusPublished
Cited by2 cases

This text of 796 F. Supp. 275 (Nationwide Mutual Insurance v. American Reinsurance Co.) is published on Counsel Stack Legal Research, covering District Court, S.D. Ohio primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Nationwide Mutual Insurance v. American Reinsurance Co., 796 F. Supp. 275, 1991 U.S. Dist. LEXIS 21637, 1991 WL 338538 (S.D. Ohio 1991).

Opinion

MEMORANDUM AND ORDER

HOLSCHUH, Chief Judge.

I.

This is a diversity case which involves an issue of reinsurance. Nationwide Mutual Insurance Company, the plaintiff, provided both a special multi-peril insurance policy and an umbrella policy to AAA Employment, Inc., an employment agency. It reinsured 90% of the coverage provided under the umbrella policy with defendant American Reinsurance Company. In 1984, Nationwide paid a $1 million judgment which had been entered by a Florida state court against AAA Employment in a personal injury action. In this suit, it seeks to require American to reimburse it for 90% of the amount paid pursuant to the umbrella policy, and for the expenses it incurred in defending the lawsuit. American claims that AAA Employment’s conduct that led to the judgment was excluded from coverage under the umbrella policy, and that even if coverage existed, Nationwide did not timely request reinsurance payment.

The parties have submitted summary judgment motions, exhibits, and deposition transcripts on these two issues. The motions are ripe for decision. For the reasons that follow, the court concludes that Nationwide’s umbrella policy did not provide coverage for the specific claim made against AAA Employment, and therefore American is not obligated to Nationwide under the reinsurance agreement.

II.

The salient facts of this case are somewhat lengthy but not overly complicated. There does not appear to be any dispute about the facts which, in the court’s view, are material to the issues presented by the summary judgment motions.

The story began in 1979 when Nationwide issued a “Special Multi-peril (SMP) Policy” and a “Commercial Umbrella Liability Policy” to AAA Employment, Inc. and John and Gloria DeHaven of St. Petersburg, Florida. The SMP policy, which is not at issue in this case, had a general liability limit of $300,000. Nationwide did not reinsure any of that risk. The umbrella policy provided for an additional $1 million of liability coverage. The terms of that policy, and particularly endorsement number 5 thereto, are crucial to this case.

In general, the umbrella policy provided for an additional dollar amount of coverage for risks which were covered by the underlying SMP policy. However, there were endorsements to the umbrella policy which excluded coverage for some risks which were covered under the SMP policy. The one at issue here is endorsement number 5, which reads in full as follows:

EMPLOYMENT AGENCY ERRORS AND OMISSIONS EXCLUSION

It is agreed that this policy does not apply to liability for any acts, errors, or omissions of the Insured or by any other person for whose acts the Insured is legally liable, in the conduct of the Insured’s business of an Employment Agency.

Without going into detail, the evidence supports the proposition that this endorsement was added to the umbrella policy after conversations about errors and omissions coverage between Nationwide and American.

On September 14, 1979, shortly before Nationwide issued the umbrella policy to its insured, American issued a “Facultative Reinsurance Quote-Binder.” In the “remarks and conditions” section of the binder, American notes that the umbrella policy “excludes pollution, contractual, auto liability, CCC-real, employment agency E & O *277 [errors and omissions].” American ultimately issued a “Certificate of Facultative Reinsurance” on November 2, 1979. The general conditions of that certificate state, in pertinent part, that:

“The Reinsurer agrees to indemnify the company [Nationwide] against losses or damages which the company is legally obligated to pay with respect to which insurance is afforded during the term of this Certificate under the policy reinsured, subject to the reinsurance limits and coverage shown in the Declarations.”

The underlying SMP policy, the umbrella policy, and the reinsurance agreement were all in effect on May 10, 1980.

On May 9, 1980, a prospective employer called AAA Employment. He said his name was Jay Blackwell, that he was a magician, and that he was performing at a magician’s convention being held at the Holiday Inn in West Palm Beach, Florida the next day. He asked for a female to work as his assistant that day, and said he would pay $150 for her services. AAA called Fannie Krueser, who had previously sought work through the agency, and gave her that information. She came into the agency, was given an introduction card, and was instructed to call “Mr. Blackwell” the next afternoon at the Holiday Inn.

Ms. Krueser ultimately arranged to meet “Mr. Blackwell” in his room at the Holiday Inn on May 10. As soon as she entered the motel room, she was struck on the head, tied up, and raped by “Mr. Blackwell,” whose real name was Paul Votta. Votta was subsequently convicted of sexual battery by force, aggravated battery, false imprisonment, and robbery in connection with this attack.

Alleging that AAA had been negligent in failing to respond appropriately to the suspicious circumstances under which “Mr. Blackwell” had requested an employee, Fannie Krueser sued AAA and Nationwide in the Circuit Court of the Fifteenth Judicial Circuit in and for Palm Beach County, Florida. Nationwide accepted the defense of AAA and retained counsel in Florida to defend the case. On April 27, 1984, a jury returned a verdict in favor of Ms. Krueser in the amount of $1 million. Approximately two weeks after the verdict was returned, Nationwide advised American for the first time that it had been presented with a claim for payment under the umbrella policy and that it would expect American to pay 90% of that claim under the reinsurance agreement. Nationwide subsequently paid the the judgment, allocating the first $300,000 to the SMP policy and the balance, or $700,000, to the umbrella policy. It asked American to reimburse it for $630,-000 (90% of $700,000) plus its costs of defense. American declined, primarily on grounds that the events described in Ms. Krueser’s complaint were excluded from coverage under the umbrella policy by endorsement number 5. American continues to maintain that position, and also asserted, as a defense to this lawsuit, that Nationwide did not timely notify it of the potential that it would be obligated to perform on the reinsurance contract, since its first notice of the existence of Ms. Krueser’s claim came after the jury verdict was entered in her favor. The parties’ motions present those two issues for the court’s consideration.

III.

Fed.R.Civ.P. 56(c) provides:

The judgment sought shall be rendered forthwith if 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 the moving party is entitled to judgment as a matter of law.

“[T]his standard provides that the mere existence of some alleged factual dispute between the parties will not defeat an otherwise properly supported motion for summary judgment; the requirement is that there be no genuine issue of material fact.” Anderson v. Liberty Lobby, Inc.,

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Bluebook (online)
796 F. Supp. 275, 1991 U.S. Dist. LEXIS 21637, 1991 WL 338538, Counsel Stack Legal Research, https://law.counselstack.com/opinion/nationwide-mutual-insurance-v-american-reinsurance-co-ohsd-1991.