Oneida Ltd. v. Utica Mutual Insurance

178 Misc. 2d 572, 679 N.Y.S.2d 887, 1998 N.Y. Misc. LEXIS 519
CourtNew York Supreme Court
DecidedOctober 6, 1998
StatusPublished

This text of 178 Misc. 2d 572 (Oneida Ltd. v. Utica Mutual Insurance) is published on Counsel Stack Legal Research, covering New York Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Oneida Ltd. v. Utica Mutual Insurance, 178 Misc. 2d 572, 679 N.Y.S.2d 887, 1998 N.Y. Misc. LEXIS 519 (N.Y. Super. Ct. 1998).

Opinion

OPINION OF THE COURT

William F. O’Brien, III, J.

STATEMENT OF THE FACTS

Plaintiff Oneida Ltd. moves for summary judgment in this declaratory judgment action seeking a determination as to whether Utica Mutual or Republic Western, two of plaintiffs’ insurance carriers, will be obligated to provide coverage for any liability exceeding $1,000,000 (the purported limit of the Republic Western policy)1 resulting from pending personal injury actions commenced by Darrin and Raymond Ketchum (the Ketchum brothers), two employees of Camden Wire Co., Inc. (Camden Wire), who were involved in a workplace accident in October 1992. Defendants Utica Mutual and Republic Western also move for summary judgment, each in their respective favor, alleging that, according to the terms and coverage of their respective insurance policies, they are not bound to [574]*574indemnify Oneida Ltd. for any third-party employer’s liability arising from the Ketchum brothers’ accident, beyond the $1,000,000 of liability Republic Western stipulated to pursuant to its policy.

The Ketchum brothers were seriously injured when they became entangled in cable which was being unspooled by a strander machine. The Ketchum brothers received their statutory benefits pursuant to the Workers’ Compensation Law and, thereafter, being unable to sue Camden Wire, their employer, directly because of the workers’ compensation bar, commenced personal injury actions against the manufacturer of the strander machine and several others. The manufacturer appeared, interposed answers and is currently defending the underlying personal injury actions.

Notes of issue have now been filed in the personal injury actions and the manufacturer has commenced third-party actions against Camden Wire, asserting claims for contribution and indemnity. The Ketchum brothers, in their respective complaints, seek damages of $10,000,000 and $50,000,000. Given the serious nature of the injuries and based on the recent settlement demands of the Ketchum brothers in the personal injury actions, it is apparent that the potential liability of Oneida Ltd.,2 arising from the underlying third-party actions, is substantial and will, in all likelihood, exceed $1,000,000.

At issue in this action are the type and nature of the Republic Western policy and the Utica Mutual policy, the intended limitations of coverage and liability of such policies as evidenced by the express terms of the insurance contracts, and the legality of such purported coverage and liability limits in light of certain alleged statutory constraints within the Workers’ Compensation Law. These issues are specifically relevant as to their applicability to an employer who is accepted as a “self-insured” pursuant to Workers’ Compensation Law § 50 (3) and 12 NYCRR parts 315 and 316.

Oneida Ltd., at all times relevant hereto, was self-insured and its self-insurance program, as approved by the Workers’ [575]*575Compensation Board, provided that Oneida Ltd. would be financially responsible for the first $400,000 of any occurrence (the self-insured retention) and, thereafter, in addition to securing its statutory obligation (by the posting of a letter of credit), the acceptance of Oneida Ltd.’s plan required the purchase of excess reimbursement insurance to cover any statutory liability in excess of the self-insured retention. Oneida Ltd. purchased two policies, an excess workers’ compensation policy from Republic Western and a commercial umbrella liability policy from Utica Mutual, to provide coverage (and protect themselves from catastrophic losses) for amounts in excess of the self-insured retention.

I. The Republic Western Excess Workers’ Compensation Policy

Oneida Ltd. purchased an excess workers’ compensation policy from Republic Western on February 1, 1991, covering the Workers’ Compensation Laws of the States of Arkansas and New York. Camden Wire was a named insured under that policy as a wholly owned subsidiary of Oneida Ltd. The policy was subsequently amended by an anniversary endorsement, with the second annual policy period beginning on February 1, 1992 (bringing the Ketchum brothers’ Oct. 1992 accident within its coverage period).

As relevant to its coverage under the Workers’ Compensation Law in New York, the amount of Oneida Ltd.’s retention, set forth as item 5 on page 1 of the policy, was set in the statutory amount of $400,000 for each occurrence.3 The policy also stated the agreed upon limits of Republic Western’s exposure for workers’ compensation liability and employer’s liability by incorporation of endorsements number 1 and number 2 which were attached to the policy.

Endorsement number 1 states that the coverage for Oneida Ltd.’s statutory liability under the Workers’ Compensation Law was unlimited. Endorsement number 2 states that the policy also provided coverage for employer’s liability coverage but that the employer’s liability coverage was limited to $1,000,000 per occurrence and had a $1,000,000 policy limit. Insuring agreement I.C. of the Republic Western policy states that the policy’s coverage includes protecting Oneida Ltd. from liability imposed by the “Law for Damages” as well as those sustained under the Workers’ Compensation Law. The policy [576]*576also, in the definition section, states that “[t]he term ‘Law for Damages’ shall not include any Workers’ Compensation Act.”

II. The Utica Mutual “Commercial Umbrella Liability Policy”

Oneida Ltd. purchased, in addition, from Utica Mutual, a commercial umbrella liability policy with a policy period from February 1, 1992 to February 1, 1993. Camden Wire was also a named insured under the terms of this umbrella policy, which, as stated on the first declaration page of the policy, provided up to $10,000,000 in coverage. The coverage form for the Utica Mutual policy, under coverage A, section I, states that, under the policy, Utica Mutual: “will pay those sums, in excess of the limits of liability under the terms of any ‘underlying insurance,’ that the insured becomes legally obligated to pay as damages because of the ‘injury’ or ‘wrongful act,’ to which this insurance applies, or would apply but for the exhaustion of its applicable limits of insurance.”

On the supplemental schedule of underlying insurance, also attached to the Utica Mutual policy, is specifically listed the Republic Western policy along with its policy number and a description of the coverage of the Republic Western policy. The Utica Mutual policy states the coverage of the Republic Western policy as “Employers’ Liability on Excess Workers’ Compensation Policy.” The Utica Mutual policy, in addition, states the limits of the Republic Western policy as: “$1,000,000 each accident/$1,000,000 each employee by disease/$l,000,000 policy limit excess of a self-insured retention of 350,000 in New York State. In New York State, Employers Liability is not applicable when New York Workers’ Compensation Law applies.” It is noteworthy also that the terms of coverage for the Utica Mutual umbrella policy define underlying insurance as “the liability insurance coverage provided under the policies shown in the Declarations,” and it is stated on the declarations page of the policy that the list of underlying insurance on the declarations page is supplemented by the “Supplemental Schedule of Underlying Insurance” which, as stated above, lists the Republic Western policy as an underlying insurance policy.

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Bluebook (online)
178 Misc. 2d 572, 679 N.Y.S.2d 887, 1998 N.Y. Misc. LEXIS 519, Counsel Stack Legal Research, https://law.counselstack.com/opinion/oneida-ltd-v-utica-mutual-insurance-nysupct-1998.