RLI Insurance v. Philadelphia Indemnity Insurance

421 F. Supp. 2d 956, 2006 U.S. Dist. LEXIS 10265, 2006 WL 680472
CourtDistrict Court, N.D. Texas
DecidedMarch 15, 2006
Docket4:04-cv-00635
StatusPublished
Cited by8 cases

This text of 421 F. Supp. 2d 956 (RLI Insurance v. Philadelphia Indemnity Insurance) is published on Counsel Stack Legal Research, covering District Court, N.D. Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
RLI Insurance v. Philadelphia Indemnity Insurance, 421 F. Supp. 2d 956, 2006 U.S. Dist. LEXIS 10265, 2006 WL 680472 (N.D. Tex. 2006).

Opinion

MEMORANDUM OPINION AND ORDER

FITZWATER, District Judge.

In this coverage dispute among insurance companies arising from the settlement of a state-court wrongful death lawsuit, the court must make an Erie-gaess concerning how the Texas Supreme Court would decide an issue of stacking of insurance policies and would allocate liability among four policies provided by three insurance carriers, each of whom moves for summary judgment.

I

This is a diversity action in which plaintiff RLI Insurance Company (“RLI”) sues defendants Philadelphia Indemnity Insurance Company (“PIIC”) and USF Insurance Company (“USF”) to recover part of what it paid to settle a lawsuit filed against its insured, BMW Healthcare, Inc. (“BMW”). RLI alleges that it contributed a disproportionate share of the settlement proceeds because neither PIIC nor USF tendered the full amount it was obligated to contribute. RLI sues for equitable and/or contractual subrogation and contribution, breach of contract, and negligence, and it seeks attorney’s fees.

The facts are substantially undisputed. 1 BMW is in the business of operating nursing home facilities, including Westridge Manor (“Westridge”). BMW was sued in Tutt v. BMW Healthcare, Inc. (“Tutt Lawsuit”) 2 arising from the death of Payton Moore (“Moore”), a Westridge resident from November 12, 1998 to November 21, 1999. The Tutt plaintiffs alleged that BMW had negligently caused Moore’s injuries and death by providing a continuing course of substandard, improper care throughout the duration of his residency at Westridge.

PIIC insured BMW d/b/a Westridge under a commercial general liability (“CGL”) *959 insurance policy (“PIIC Primary Policy”) for the period October 1, 1998 to October 1, 1999, with primary policy limits of $1 million per occurrence. PIIC also insured BMW under a commercial excess liability policy (“PIIC Excess Policy”) for the same period, with excess liability limits of $1 million per occurrence. Westridge was a covered facility under both PIIC Policies throughout the Policies’ periods.

On August 25, 1999 PIIC mailed BMW notices that it would not renew the Policies. The notices of non-renewal indicated that the policy expiration dates for both the PIIC Primary Policy and the PIIC Excess Policy would be extended to October 28, 1999. PIIC also attached a “Policy Change Form” to the PIIC Primary Policy. This form stated: “In Consideration of No Change in Premium the Policy is Being Amended as Follows: The Policy Expiration Date Should Read 10-28-99 in Lieu of 10-1-99. All Other Terms and Conditions Remain the Same.” Stipulation of Facts 2. PIIC provided the coverage extension on its own initiative and for no additional premium to ensure that BMW would be provided with 60 days’ notice of non-renewal. BMW neither requested the coverage extensions nor paid additional premiums.

At the time PIIC mailed the non-renewal notices, BMW was insured under a primary CGL policy provided by USF (“USF Policy”) that covered the period March 18, 1999 to March 18, 2000, with policy limits of $1 million per occurrence. BMW was also insured under a commercial umbrella liability policy provided by RLI (“RLI Policy”) for the period March 18, 1999 to March 18, 2000, with umbrella liability limits of $5 million. The Westridge facility was not covered by either policy. Effective October 1, 1999 Westridge was added as an insured location to both the USF Policy and the RLI Policy.

BMW, RLI, USF, and PIIC settled the Tutt Lawsuit in 2003 for $3.9 million. During settlement negotiations, two disputes arose among the insurers. First, RLI and PIIC disputed the Tutt Lawsuit’s settlement value. RLI valued the settlement at $3.9 million, and PIIC valued it at $3.7 million. Both RLI and PIIC now concede that the other company’s valuation was reasonable. They also agree that, because the PIIC Excess Policy had limits of $1 million and the RLI Policy had limits of $5 million, any excess coverage beyond the primary policy limits is to be allocated between the excess policies at a ratio of five-to-one. Second, RLI, PIIC, and USF disputed how the settlement amount was to be allocated. RLI contended that PIIC and USF should each contribute the full $1 million limits of their respective primary policies. PIIC and USF maintained that they should each pay $500,000 on their primary policies to meet the $1 million total primary liability limits.

Each party reserved its rights, and the settlement was allocated as follows. PIIC and USF each paid $500,000 on their primary policies, for a total of $1 million in primary coverage. Because PIIC valued the settlement at $3.7 million, it believed the excess amount to be $2.7 million. PIIC thus paid the additional sum of $450,000 on the PIIC Excess Policy, which is one-sixth (based on the five-to-one ratio) of the $2.7 million excess. RLI, valuing the settlement at $3.9 million, paid the remainder, which was $2.45 million. RLI now seeks to recover from PIIC and USF a portion of the $2.45 million it paid to settle the Tutt Lawsuit. All parties move for summary judgment. Because they present related questions, the court considers the motions together. 3

*960 II

In its motion for summary judgment, RLI contends that Texas law 4 requires PIIC and USF each to contribute $1 million on its primary policy toward the Tutt Lawsuit settlement. RLI maintains that the PIIC Primary Policy and USF Policy obligate each to contribute its full limits. It posits that because the primary policies overlapped for 27 days in October 1999, the combined $2 million primary limits would not violate Texas’ rule against stacking of consecutive coverage limits. RLI additionally asserts that, even absent the 27-day overlap, its excess liability is not triggered until PIIC and USF have each exhausted its policy limits. RLI argues alternatively that PIIC has failed to pay the full amount required under the PIIC Excess Policy because it contributed one-sixth of $2.7 million in excess, rather than one-sixth of $2.9 million.

PIIC and USF move for summary judgment, contending that Texas law does not permit the primary policies to be stacked to achieve $2 million in primary policy liability. They also maintain that RLI’s negligence and contribution claims fail as a matter of law and that RLI is not entitled to attorney’s fees because it cannot prevail on its breach of contract claim. Finally, PIIC asserts that it was entitled to value the settlement at $3.7 million, which RLI concedes was reasonable, and therefore is not required to contribute one-sixth of the remainder.

Ill

The court first considers whether PIIC and USF must each contribute $1 million toward the settlement of the Tutt Lawsuit.

A

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Cite This Page — Counsel Stack

Bluebook (online)
421 F. Supp. 2d 956, 2006 U.S. Dist. LEXIS 10265, 2006 WL 680472, Counsel Stack Legal Research, https://law.counselstack.com/opinion/rli-insurance-v-philadelphia-indemnity-insurance-txnd-2006.