North Dakota Insurance Guaranty Ass'n v. Agway, Inc.

462 N.W.2d 142, 1990 N.D. LEXIS 220, 1990 WL 166188
CourtNorth Dakota Supreme Court
DecidedOctober 31, 1990
DocketCiv. 900127
StatusPublished
Cited by2 cases

This text of 462 N.W.2d 142 (North Dakota Insurance Guaranty Ass'n v. Agway, Inc.) is published on Counsel Stack Legal Research, covering North Dakota Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
North Dakota Insurance Guaranty Ass'n v. Agway, Inc., 462 N.W.2d 142, 1990 N.D. LEXIS 220, 1990 WL 166188 (N.D. 1990).

Opinion

MESCHKE, Justice.

Agway, Inc. [“Agway”] appealed from a judgment determining that the North Dakota Insurance Guaranty Association [“NDIGA”] had no duty to defend or provide coverage in an underlying lawsuit. We affirm.

NDIGA is a non-profit unincorporated legal entity created by NDCC 26.1-42-03. NDIGA is authorized to sue and be sued. NDCC 26.1-42-05(2)(c). NDIGA’s purpose is to protect the public by providing financial resources when an insurer becomes insolvent and there is a claim for which the insolvent insurer was obligated to provide coverage. Beyer’s Cement, Inc. v. North Dakota Insurance Guaranty Association, 417 N.W.2d 370 (N.D.1987).

NDIGA’s responsibilities are limited by the statutes that created it. NDCC 26.1-42-02 says:

Definitions. As used in this chapter:
* * * * * *
3. “Covered claim” means an unpaid claim, including one for unearned premiums, within the coverage of an insurance policy to which this chapter applies issued by an insurer if the insurer becomes insolvent after July 1, 1971. The claimant or insured must be a resident of this state at the time of the insured event or the insured property must be permanently located in this state. “Covered claim” does not include any amount due any reinsurer, insurer, insurance pool, or underwriting association, as subrogation recoveries or otherwise.
NDCC 26.1-42-12 says:
Nonduplication of recovery.
1. Any person having a claim against an insurer under any provision in an insurance policy other than a policy of an insolvent insurer which is also a covered claim, is required to exhaust first the right under the policy. Any amount payable on a covered claim under this chapter must be reduced by the amount of any recovery under the insurance policy.

*144 Thus, NDIGA does not provide coverage if there is other available insurance to cover the loss or if the claim is one for subrogation.

Agway is an incorporated farm supply and food marketing cooperative. In 1983, two separate windstorms destroyed two large grain bins at Agway’s facility in Grandin, North Dakota. The bins had been manufactured by Brock Manufacturing, Inc. [“Brock”], and were constructed by C & J Distributing, Inc. [“C & J”]. For the loss of the bins, Agway recovered $12,-862.44 from Travelers Insurance Company [“Travelers”] and $173,161.89 from Agway Insurance Company [“AIC”], which is a wholly owned subsidiary of Agway.

Agway sued Brock and C & J, alleging negligence, breach of warranty, and strict liability. C & J’s insurer, Iowa National Mutual Insurance Company, was later declared insolvent and C & J is also insolvent. C & J’s defense was assumed by NDIGA.

NDIGA then brought this declaratory judgment action seeking a determination that Agway’s claim was not a “covered claim” under NDCC 26.1-42-02 because Agway had received payment for the losses from its own insurers, Travelers and AIC. Agway conceded that it was not entitled to recover from NDIGA the $12,862.44 paid by Travelers. Agway asserted, however, that it was entitled to recover for its losses in excess of $12,862.44 because the payments from AIC were not insurance proceeds but were actually payments under a self-insurance plan funded by Agway and administered by AIC. After a trial without a jury, the trial court determined that the payments from AIC were insurance proceeds and that NDIGA had no duty to defend or provide coverage.

The pivotal issue on appeal is whether the agreement between Agway and AIC was a contract of insurance.

A sketch of Agway’s insurance program will supply the setting of this dispute. Ag-way’s primary insurer at the time of the losses was Travelers. The Travelers policy provided $732 million in coverage, with a per occurrence deductible of $100,000 and an aggregate deductible of $1,000,000. Agway’s contract with AIC was designed to cover the deductible on the Travelers policy, providing coverage of $100,000 per occurrence with a $1,000,000 limit. The written agreement between Agway and AIC appears on its face to be a contract of insurance, and Agway concedes that it is virtually identical to the Travelers insurance policy.

Although the parol evidence rule ordinarily limits admission of extrinsic evidence to vary the terms of an unambiguous written agreement, where the controversy is between a party to the written contract and a stranger to it, the rule does not apply. E.g., Zimmer v. Bellon, 153 N.W.2d 757, 762 (N.D.1967); Roberts v. First National Bank of Fargo, 8 N.D. 474, 79 N.W. 993, 997 (1899) (on Petition for Rehearing).

Agway asserts, and its witnesses testified, that the agreement between Agway and AIC was not intended to be a contract of insurance, but rather Agway intended to self-insure through a program administered by AIC. Agway contends that the “premium” it paid to AIC was actually a self-insurance fund, with an amount designated as profit to AIG for its services in administering the plan. Agway’s witnesses testified that there was an oral agreement that, at the end of each policy year, AIC was to return any surplus which had not been paid out on losses to Agway. Agway asserts that it therefore bore the full risk of any losses and was not insured by AIC.

Whether a particular contract constitutes a contract of insurance is generally a question of intention of the parties. 12 Appleman, Insurance Law and Practice § 7003 (1981). Where extrinsic evidence is admitted, the intent of the parties to a written contract is a question of fact. Addy v. Addy, 456 N.W.2d 506, 509 (N.D.1990); Ramsdell v. Ramsdell, 454 N.W.2d 522, 524 (N.D.1990). The trial court admitted extrinsic evidence of the parties’ intent and found that they intended to engage in insurance:

*145 [Ejven if the Court could find that [Ag-way’s] original intent was to self-insure, that original intention was subsequently changed to engage in true insurance when [Agway], by its voluntary conduct and among other things, caused an insurance binder and standard insurance contract to issue and be in force and effect at the time of the loss claimed and thereafter.

Because Agway was thus insured, the trial court concluded that Agway did not have a “covered claim.”

Our review of findings of fact is governed by NDRCivP 52(a). A finding of fact is clearly erroneous if the reviewing court on the entire evidence is left with a definite and firm conviction that a mistake has been made. Heupel, Inc. v. Schuch, 453 N.W.2d 776, 778 (N.D.1990). We review the evidence accordingly.

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Cite This Page — Counsel Stack

Bluebook (online)
462 N.W.2d 142, 1990 N.D. LEXIS 220, 1990 WL 166188, Counsel Stack Legal Research, https://law.counselstack.com/opinion/north-dakota-insurance-guaranty-assn-v-agway-inc-nd-1990.