Span, Inc. v. Associated International Insurance

227 Cal. App. 3d 463, 277 Cal. Rptr. 828, 91 Daily Journal DAR 1445, 91 Cal. Daily Op. Serv. 955, 1991 Cal. App. LEXIS 91
CourtCalifornia Court of Appeal
DecidedJanuary 31, 1991
DocketB045661
StatusPublished
Cited by29 cases

This text of 227 Cal. App. 3d 463 (Span, Inc. v. Associated International Insurance) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Span, Inc. v. Associated International Insurance, 227 Cal. App. 3d 463, 277 Cal. Rptr. 828, 91 Daily Journal DAR 1445, 91 Cal. Daily Op. Serv. 955, 1991 Cal. App. LEXIS 91 (Cal. Ct. App. 1991).

Opinion

Opinion

KLEIN, P. J.

Defendant, cross-complainant and appellant Associated International Insurance Company (Associated) appeals the judgment entered after the trial court granted summary judgment in favor of Reynaldo Ledesma (Ledesma), Span, Inc. (Span) and Behavioral Systems Southwest, Inc. (BSSI) in this declaratory relief action. Defendant, cross-complainant and appellant Ledesma has cross-appealed that portion of the summary judgment in favor of Associated. 1

Summary Statement

Associated issued an excess insurance policy to Span which provided coverage in the event of reduction or exhaustion of an underlying policy *468 written by Union Indemnity of New York (Union), “by reason of losses paid thereunder.” Union became insolvent.

While many foreign jurisdictions have found such language unambiguous, no California case has considered whether a policy containing this specific wording requires an excess carrier to “drop down” upon the insolvency of the primary carrier. The rule in California requires that ambiguity in an insurance policy be interpreted in favor of the insured. (Reserve Insurance Co. v. Pisciotta (1982) 30 Cal.3d 800, 807-808 [180 Cal.Rptr. 628, 640 P.2d 764].) Applying the rule here, we find the Associated policy, unambiguously contemplates exhaustion of the underlying insurance only by payment. Therefore, Associated had no duty to provide first dollar coverage upon the insolvency of Union. We affirm the trial court’s ruling in this instance. Therefore, Associated is liable only for that portion of the underlying judgment in excess of the Union policy limits.

We must further decide if the evidence presents a triable issue of fact as to whether Span breached the excess policy either by failing to notify Associated the underlying action was likely to involve Associated’s layer of coverage or by entering into a collusive judgment.

We conclude Associated, as a matter of law, had sufficient knowledge of the underlying action as to amount to constructive notice its policy was likely to be involved. On this issue, summary adjudication in favor of Ledesma is appropriate. However, the existence of triable issues of material fact on the question of collusion precludes summary judgment. The matter therefore is remanded for further proceedings consistent with the views expressed herein.

Factual and Procedural Background

a. Background information.

On July 26, 1982, Ledesma, a federal immigration officer, slipped and fell on premises leased and maintained as a detention center by Span and BSSI in Pasadena, California. Ledesma filed suit against Span, BSSI and others for personal injury (the Ledesma action). 2

At the time of Ledesma’s accident, Union insured Span against such liability up to $500,000. Associated provided Span with an umbrella policy *469 of insurance in excess of Union’s primary policy to an aggregate limit of $4.5 million.

Union defended Span in the Ledesma action until July 16, 1985. On or about that date, Union was placed in liquidation in the State of New York. 3

In a letter dated October 18, 1985, Span’s counsel, Timothy J. Hogan (Hogan), advised Associated of the pending Ledesma action. In response to Associated’s request for further information, Hogan sent Associated a letter dated October 31, 1985, in which he stated Ledesma then claimed $19,000 in medical expenses and $28,000 in lost wages. That letter concluded: “This claim was not heretofore reported to your company as apparently it was believed that it was well within the coverage provided by the primary carrier. Once the primary carrier became insolvent, it thus became necessary to report it to you. We trust you will act promptly for the protection of your insured.”

In a responsive letter dated November 13, 1985, Associated refused to assume the position of primary insurer and declined to provide a defense in the Ledesma action. Associated told Hogan: “The insolvency of Union Indemnity does not alter the Insuring Agreements and conditions of Associated International’s excess umbrella liability policy . . . . [[f] Associated . . . stands ready to fulfill it’s [sic] policy obligations . . . but will resist any effort to transform an excess insurance contract into a primary contract. Therefore, your demand that Associated . . . undertake the defense and indemnity of the insured is respectfully declined, [fl] . . . If [your] evaluation changes and the subject litigation ever represents and [sic] exposure excess of $500,000, we should be immediately advised. In the absence of such advise [sic], we will assume there is no such exposure.”

On November 25, 1986, Span and BSSI filed the instant complaint for declaratory relief. They sought a declaration that Associated bore responsibility for any judgment obtained in the Ledesma action. Associated filed an answer which denied any responsibility to act as primary insurer. .

Before trial could be had, the Ledesma action went to court trial on June 29, 1988. However, that proceeding ended in a mistrial when the trial judge, the Honorable Melvin Grover, disqualified himself.

The Ledesma action thereafter was tried by the court on December 2, 1988. On January 3, 1989, the trial court entered judgment in favor of Ledesma in the amount of $1,276,000.

*470 Upon receipt of notice of the judgment in the Ledesma action, Associated filed a notice of appeal in that action but later abandoned it.

Associated then sought and received leave to file a cross-complaint in this declaratory relief action. The cross-complaint sought a declaration Associated was not required to “drop down” into Union’s position as primary insurer. Associated further claimed it was not responsible for any part of the judgment in the Ledesma action because Span had violated the terms of the Associated policy based upon “the collusion and/or other improper conduct or procedures premising the underlying judgment . . . .”

Span and Ledesma answered the cross-complaint. Ledesma filed a cross-complaint against Associated seeking payment of the judgment.

b. Ledesma’s summary judgment motion in the declaratory relief action.

On June 1, 1989, Ledesma filed a motion, joined in by Span and BSSI, for summary judgment against Associated in which he contended Associated bore responsibility for the entire $1,276,000 judgment. Attached to Ledesma’s motion, among other papers, were declarations of William E. Harris (Harris), the attorney who represented Span in the Ledesma action after Union’s insolvency, and Paul M. Mahoney (Mahoney), Ledesma’s attorney. Also attached was a reporter’s transcript of the court trial in the Ledesma action.

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227 Cal. App. 3d 463, 277 Cal. Rptr. 828, 91 Daily Journal DAR 1445, 91 Cal. Daily Op. Serv. 955, 1991 Cal. App. LEXIS 91, Counsel Stack Legal Research, https://law.counselstack.com/opinion/span-inc-v-associated-international-insurance-calctapp-1991.