Mallett, J.
This is an action among three insurance companies: St. Paul Fire & Marine Insurance Company, Continental Casualty Company, plaintiffs-appellants, and American Home Assurance
Company, defendant-appellee. In this consolidated appeal, we granted leave to decide the legal effect to be given plaintiff-appellants’ pro-rata "other insurance” clause and defendant-appellee’s excess "other insurance” clause contained in their respective malpractice insurance policies.
More specifically, we must determine whether to adopt the
Lamb-Weston
doctrine
that views all "other insurance” clauses as irreconcilable and prorates liability among all insurers, or to adopt the majority rule that endeavors to reconcile the competing clauses if possible. We hold that the majority rule is the better approach to reconciling competing "other insurance” clauses.
i
From 1968 until 1974, John and Eileen Zatolo-kin were represented by attorney Frederic A. Grimm and his former law firm.
In September of 1974, Grimm was appointed a judge of the Mus-kegon Circuit Court. Following his appointment, Grimm advised the Zatolokins that he would be unable to continue representing their interests. Attorney Forsythe and the law firm in which he was affiliated succeeded Grimm and assumed representation of the Zatolokins.
In March of 1976, Forsythe apprised the Zatolo-kins that their claims on their earlier investments were no longer collectible. He recommended that the investments be written off as bad debts for federal income tax purposes.
Subsequently, the
Zatolokins brought suit against attorneys Grimm and Forsythe and their respective law firms.
Eventually, the case against Grimm and his law firm was settled. Plaintiffs in these actions defended the lawsuit on behalf of the insured and contributed to the settlement. However, pursuant to its contract with the insured, American Home neither defended the lawsuit nor contributed to the settlement.
Accordingly, plaintiffs brought suit seeking a proration of the defense and settlement costs among the three insurers on the basis of their respective policy limits. Judge Kolenda applying the
Lamb-Weston
rule found in favor of the plaintiff insurers and entered judgments of $120,254.25 for St. Paul, and $106,640.56 for cna.
The Court of Appeals reversed.
The Court of Appeals applied the majority rule and reasoned that pro-rata and excess "other insurance” clauses can be reconciled by assigning primary liability to the insurers whose policies contain pro-rata clauses and excusing the insurer whose policy contains an excess clause, unless liability exceeds the pro-rata insurer’s limits.
In the present case, the malpractice lawsuit was settled for less than the limits of plaintiffs’ policies. Therefore, the Court of Appeals ruled that American Home had no obligation either to defend or to indemnify. We subsequently granted leave to appeal and now affirm the Court of Appeals decision. On August 20, 1993, we granted leave.
_
n
A
Before addressing the arguments some brief background may be instructive. Broadly defined, insurance is a contract by which one party, for a consideration, assumes particular risks of the other party.
The parties have the right to employ whatever terms they wish, and the courts will not rewrite them as long as the terms do not conflict with pertinent statutes or public policy.
Auto-Owners Ins Co v Churchman,
440 Mich 560, 566-567; 489 NW2d 431 (1992).
Included in many of these contracts are "other insurance” clauses. These clauses originated in the area of property insurance and were designed to protect the insurer from the moral hazards of fraud and carelessness incident to the over-insurance of property.
"Other insurance” clauses are provisions inserted in insurance policies to vary or limit the insurer’s liability when additional insurance coverage can be established to cover the same loss.
Insurance companies continue to include these provisions as standard clauses in liability policies even though potential fraud through over-insurance in this context is remote.
_
Justice Riley, writing for a unanimous Court, recognized that "other insurance” clauses fall into three general categories. The effect of each in the event of concurrent coverage is to reduce the insurer’s loss. They are:
1. A pro-rata clause, which purports to limit the insurer’s liability to a proportionate percentage of all insurance covering the event;
2. An escape or no-liability clause, which provides that there shall be no liability if the risk is covered by other insurance; and
3. An excess clause, which limits the insurer’s liability to the amount of loss in excess of the coverage provided by the other insurance.
Federal Kemper Ins Co, Inc v Health Ins Administration, Inc,
424 Mich 537, 542; 383 NW2d 590 (1986).
The central dispute revolves around the "other insurance” clause in each party’s respective malpractice policy. The St. Paul "other insurance” clause reads:
[I]f the Insured has other insurance against a loss covered by this Policy, the Company shall not be liable under this Policy for a greater proportion of such loss than the limit of liability stated in the Declarations bears to the total limit of liability of all valid and collectible insurance against such loss ....
Cna’s "other insurance” clause reads:
If the insured has other insurance against a loss covered by this policy the company shall not be liable under this policy to a greater proportion of such loss than the applicable limit of liability stated in the declarations bears to the total applicable limit of liability of all valid and collectible insurance against such loss . . . .[
]
St. Paul and cna’s "other insurance” clauses are commonly known as "pro rata” clauses for the
Free access — add to your briefcase to read the full text and ask questions with AI
Mallett, J.
This is an action among three insurance companies: St. Paul Fire & Marine Insurance Company, Continental Casualty Company, plaintiffs-appellants, and American Home Assurance
Company, defendant-appellee. In this consolidated appeal, we granted leave to decide the legal effect to be given plaintiff-appellants’ pro-rata "other insurance” clause and defendant-appellee’s excess "other insurance” clause contained in their respective malpractice insurance policies.
More specifically, we must determine whether to adopt the
Lamb-Weston
doctrine
that views all "other insurance” clauses as irreconcilable and prorates liability among all insurers, or to adopt the majority rule that endeavors to reconcile the competing clauses if possible. We hold that the majority rule is the better approach to reconciling competing "other insurance” clauses.
i
From 1968 until 1974, John and Eileen Zatolo-kin were represented by attorney Frederic A. Grimm and his former law firm.
In September of 1974, Grimm was appointed a judge of the Mus-kegon Circuit Court. Following his appointment, Grimm advised the Zatolokins that he would be unable to continue representing their interests. Attorney Forsythe and the law firm in which he was affiliated succeeded Grimm and assumed representation of the Zatolokins.
In March of 1976, Forsythe apprised the Zatolo-kins that their claims on their earlier investments were no longer collectible. He recommended that the investments be written off as bad debts for federal income tax purposes.
Subsequently, the
Zatolokins brought suit against attorneys Grimm and Forsythe and their respective law firms.
Eventually, the case against Grimm and his law firm was settled. Plaintiffs in these actions defended the lawsuit on behalf of the insured and contributed to the settlement. However, pursuant to its contract with the insured, American Home neither defended the lawsuit nor contributed to the settlement.
Accordingly, plaintiffs brought suit seeking a proration of the defense and settlement costs among the three insurers on the basis of their respective policy limits. Judge Kolenda applying the
Lamb-Weston
rule found in favor of the plaintiff insurers and entered judgments of $120,254.25 for St. Paul, and $106,640.56 for cna.
The Court of Appeals reversed.
The Court of Appeals applied the majority rule and reasoned that pro-rata and excess "other insurance” clauses can be reconciled by assigning primary liability to the insurers whose policies contain pro-rata clauses and excusing the insurer whose policy contains an excess clause, unless liability exceeds the pro-rata insurer’s limits.
In the present case, the malpractice lawsuit was settled for less than the limits of plaintiffs’ policies. Therefore, the Court of Appeals ruled that American Home had no obligation either to defend or to indemnify. We subsequently granted leave to appeal and now affirm the Court of Appeals decision. On August 20, 1993, we granted leave.
_
n
A
Before addressing the arguments some brief background may be instructive. Broadly defined, insurance is a contract by which one party, for a consideration, assumes particular risks of the other party.
The parties have the right to employ whatever terms they wish, and the courts will not rewrite them as long as the terms do not conflict with pertinent statutes or public policy.
Auto-Owners Ins Co v Churchman,
440 Mich 560, 566-567; 489 NW2d 431 (1992).
Included in many of these contracts are "other insurance” clauses. These clauses originated in the area of property insurance and were designed to protect the insurer from the moral hazards of fraud and carelessness incident to the over-insurance of property.
"Other insurance” clauses are provisions inserted in insurance policies to vary or limit the insurer’s liability when additional insurance coverage can be established to cover the same loss.
Insurance companies continue to include these provisions as standard clauses in liability policies even though potential fraud through over-insurance in this context is remote.
_
Justice Riley, writing for a unanimous Court, recognized that "other insurance” clauses fall into three general categories. The effect of each in the event of concurrent coverage is to reduce the insurer’s loss. They are:
1. A pro-rata clause, which purports to limit the insurer’s liability to a proportionate percentage of all insurance covering the event;
2. An escape or no-liability clause, which provides that there shall be no liability if the risk is covered by other insurance; and
3. An excess clause, which limits the insurer’s liability to the amount of loss in excess of the coverage provided by the other insurance.
Federal Kemper Ins Co, Inc v Health Ins Administration, Inc,
424 Mich 537, 542; 383 NW2d 590 (1986).
The central dispute revolves around the "other insurance” clause in each party’s respective malpractice policy. The St. Paul "other insurance” clause reads:
[I]f the Insured has other insurance against a loss covered by this Policy, the Company shall not be liable under this Policy for a greater proportion of such loss than the limit of liability stated in the Declarations bears to the total limit of liability of all valid and collectible insurance against such loss ....
Cna’s "other insurance” clause reads:
If the insured has other insurance against a loss covered by this policy the company shall not be liable under this policy to a greater proportion of such loss than the applicable limit of liability stated in the declarations bears to the total applicable limit of liability of all valid and collectible insurance against such loss . . . .[
]
St. Paul and cna’s "other insurance” clauses are commonly known as "pro rata” clauses for the
obvious reason that the language creates a formula for establishing the liability of the insurer when other, collectible insurance exists on a proportionate basis. In other words, they are generally intended to become effective only when other valid and collectible primary insurance is available.
Jones v Medox, Inc,
430 A2d 488, 491 (DC App, 1981).
American Home’s "other insurance” clause reads:
If the insured has other insurance against a loss covered by this policy the Company shall not be liable under this policy for a greater proportion of such loss than the applicable limit of liability stated in the Declarations bears to the total applicable limit of liability of all valid and collectible insurance against such loss;
provided, however, with respect to acts or omissions which occur prior to the inception date of the policy, the insurance hereunder shall apply only as excess insurance over any other valid and collectible insurance and shall then apply only in the amount by which the applicable limits of liability of this policy exceeds the sum of the applicable limits of liability of all such other insurance.
[Emphasis added.][
]
The language emphasized above is known as an excess "other-insurance clause.” It provides that if other, collectible insurance covers the occurrence, the "policy will provide coverage only for liability above the maximum coverage of the primary pol
icy or policies.”
In other words, it is generally the insurer’s intent that the policy only afford secondary coverage when the same loss is covered by "other insurance.”
Id.
Most professional liability policies contain an "other insurance” clause because of the frequency of overlapping periods of insurance coverage.
As in this case, the clause was inserted in "error and omission” insurance policies to address the issue of how liability under more than one applicable policy is to be apportioned, or if it is to be apportioned at all.
Stine v Continental Casualty Co,
419 Mich 89, 96-97; 349 NW2d 127 (1984).
B
The case before us involves two types of errors and omissions insurance policies afforded the professional. They are "discovery” or "claims made” policies and the so-called "occurrence” policy. In
Stine, supra
at 97, we outlined the differences between "occurrence” and "claims made” insurance policies available for professionals:
As a general proposition, although not in every case ... a "discovery” or "claims made” policy is one in which indemnity is provided no matter when the alleged error or omission or act of negligence occurred, provided the misdeed complained of is discovered and the claim for indemnity is made against the insurer during the policy period. Some "claims made” policies . . . are written to provide coverage only for negligent acts or omis
sions which occur during the policy period and for which the claim is made against the insured during that period.
An "occurrence” insurance policy, on the other hand, generally is one in which indemnity is provided no matter when the claim is brought for the misdeed complained of, providing it occurred during the policy period.
In the instant case, each insurer had a contractual relationship with attorney Grimm. Plaintiffs and Grimm agreed to contract for an occurrence policy,
while American Home and Grimm opted for a claims-made policy.
Consequently, plaintiffs’ occurrence policies were "on” the risk for Grimm’s alleged legal malpractice because the acts or omissions occurred during those policy periods.
On the other hand, American Home’s "other insurance” provision of its "claims made” policy functions as an excess clause only, whenever the acts or omissions complained of "occur prior to the inception date of the policy . . . .”
The excess portion of American Home’s hybrid "other insurance” clause is activated in this case because it is undenied that all the acts or omissions occurred before the inception date of the American Home policy.
Finally, we recognize the vital role "other insur-
anee” clauses play in insurance policies. Moreover, these clauses are inserted deliberately and are thus the negotiated intent of the contracting parties. They afford interested parties, insurers, insureds, and claimants a way to sort out their respective rights and responsibilities under the applicable insuring agreements.
Accordingly, we shall refrain from rewriting the contracts and instead give effect to the meaning and intent of the policy language.
Upjohn Co v New Hampshire Ins Co,
438 Mich 197; 476 NW2d 392 (1991);
Eghotz v Creech,
365 Mich 527, 530; 113 NW2d 815 (1962).
c
The question presented requires this Court to determine whether a pro-rata "other insurance” clause in two malpractice policies and an excess "other insurance” clause in another can be reconciled to give effect to the intent of the contracting parties, or whether the clauses are irreconcilable and require that this Court disregard the contractual language and impose a pro-rata share of the loss upon each insurance company. Our options are: (1) the minority view that prorates the loss among all the insurers, or (2) the majority view that requires the insurer with the pro-rata clause to cover all losses up to its policy limit.
The first option is the rule adopted by the Ore
gon Supreme Court in
Lamb-Weston v Oregon Automobile Ins Co,
219 Or 110, 129; 341 P2d 110 (1959).
In our opinion, whether one policy uses one clause or another, when any come in conflict with the "other insurance” clause of another insurer, regardless of the nature of the clause, they are in fact repugnant and each should be rejected in toto.
Later, in
Sparling v Allstate Ins Co,
249 Or 471; 439 P2d 616 (1968), the Oregon Supreme Court expanded upon its previous holding in
Lamb-Weston.
In
Sparling,
the court held that "other insurance” clauses conflict with one another for purposes of the rule, making them repugnant, whenever the policies containing those clauses cover the same loss and the clauses attempt to limit coverage in light of other insurance.
Id.
at 476.
Only a few jurisdictions have followed the
Lamb-Weston
rule. Nonetheless, plaintiffs contend that Michigan adheres to the minority rule, citing as support
Farm Bureau Mutual Ins Co v Horace Mann Ins Co,
131 Mich App 98; 345 NW2d 655 (1983), and
Mary Free Bed Hosp & Rehabilitation Center v Ins Co of North America,
131 Mich App 105; 345 NW2d 658 (1983).
In
Farm Bureau,
the Court of Appeals encountered a dispute between a pro-rata clause and an escape "other insurance” clause. The
Farm Bureau
panel expressly rejected the majority view. In holding that the escape clause and pro-rata clause conflicted, the Court stated:
The majority view attempts to resolve an intractable conflict. This is not possible. We recognize "the absurdity of attempting to assume that where conflicting 'other insurance’ provisions exist
by reason of overlapping coverages of the same occurrence the provisions of one policy must yield to the provisions of the other.” Courts which have arrived at that conclusion represent the minority view. Under that approach, the conflicting "other insurance” clauses are declared "repugnant” and are "rejected in toto.” Once the conflicting clauses are disregarded, both policies clearly provide coverage. Each insurer’s liability is then prorated based on the proportion of the combined policy limits represented by the limits of each insurer’s policy. We adopt the minority view.
[Id.
at 103-104. Citations omitted.]
The
Farm Bureau
panel also decided the case of
Mary Free Bed, supra.
In
Mary Free Bed,
the Court was confronted with two identical excess "other insurance” clauses that were activated on the same risk. The panel held that the clauses conflicted because both could not be excess to the other. The panel merely cited its holding in
Farm Bureau,
which followed
Lamb-Weston.
Consequently, the plaintiffs argue that their pro-rata "other insurance” clause and the excess "other insurance” clause in American Home’s policy are mutually repugnant, and thus the liability must be shared jointly by the three insurers. Taking issue with the Court of Appeals conclusion that the pro-rata and excess "other insurance” clauses are not necessarily mutually repugnant or automatically in conflict, they urge this. Court to reject the majority rule and to adopt the
Lamb-Weston
rule.
Moreover, they contend that the
majority rule requires circularity of reasoning, and that the decision regarding which policy constitutes other valid and collectible insurance triggering the "other insurance” clause of the second policy will depend upon which contract is read first.
The second option is the interpretation embraced by the majority of jurisdictions that have considered competing pro-rata and excess "other insurance” clauses.
Courts adopting the majority view have reconciled the pro-rata clause and the excess clause by interpreting the policy containing the excess clause as secondary coverage where there is another insurance policy covering the same risk. See
St Paul Mercury Ins Co v Pennsylvania Casualty Co,
642 F Supp 180 (D Wy, 1986). The result, under this view, is that the excess insurer is generally liable for the loss only to the extent that the insured’s claim exceeds the policy limits of the insurance policy containing the pro-rata "other insurance” clause.
American Home maintains that Michigan courts have adopted the majority rule. See
Vandermore v Michigan Millers Mutual Ins Co,
34 Mich App 429;
191 NW2d 501 (1971), and
Werner v Travelers Indemnity Co,
55 Mich App 390; 222 NW2d 254 (1974).
In
Vandermore,
the Court of Appeals affirmed a judgment against the carrier whose policy contained a no-liability provision, which judgment required that the carrier bear a loss without contribution from another carrier that had a policy in effect at the pertinent time because that policy contained an excess provision. However, the Court explicitly noted that, because of "the equities of the two insurers,” there was no need for it to attempt to generally reconcile no-liability and excess-liability clauses.
Id.
at 433.
In
Werner,
the Court of Appeals spoke approvingly of the majority rule and expressly rejected the minority rule.
Id.
at 394-401. However, the Court’s discussion of it was merely dictum. Consequently, the question of allocating loss among insurers while one policy has an insurance clause calling for the pro-rata sharing of the loss and the other specifies that it is only for coverage in excess of other policies despite the arguments of the parties, has not been decided by our state courts. However, the issue regarding competing pro-rata and excess "other insurance” clauses has been considered in numerous jurisdictions.
A carefully considered opinion that addresses the comparable worthiness of the majority rule and the
Lamb-Weston
rule is
Jones v Medox, Inc,
430 A2d 488 (DC App, 1981). In order to reconcile a pro-rata and an excess "other insurance” clause,
the
Jones
court reasoned that the policies containing a pro-rata clause are effective only when "other valid and collectible” primary insurance is available.
Id.
at 491. On the other hand, a policy containing an excess "other insurance” clause is not considered to be other valid and collectible primary insurance for the purpose of triggering the operation of the pro-rata clause. Consequently, the policy containing the excess clause becomes secondary coverage because the carrier is liable only for the loss after the primary insurer has paid up to its policy limits.
Id.
The court specifically stated:
"[W]here an excess clause is inserted in a typical . . . liability insurance policy the usual intent of the insurer is that the policy will afford only secondary coverage when the loss is covered by 'other insurance.’ On the other hand, a provision that limits a policy to only pro rata liability in the event of concurrent coverage usually is intended to become effective only when other valid and collectible primary insurance is available. . . .”
Stated another way, these courts assume that the standard phrase "other valid and collectible insurance” means other valid and collectible primary insurance. It follows, then, that the policy containing the pro rata clause is other valid and collectible primary insurance that triggers application of the excess clause in the second policy. The excess clause in the second policy therefore is given full effect and that carrier is liable only for the loss after the primary insurer had paid up to its policy limits. The policy containing the excess clause, however, is not considered to be other valid and collectible primary insurance for the purpose of triggering the operation of the pro rata clause, because when a stated contingency occurs, that is, when there is other valid and collectible primary insurance available to the insured, the policy con
taining the excess clause becomes secondary coverage only.[
] [
Id.]
The
Jones
court in addressing the
Lamb-Weston
rule stated:
The
Lamb-Weston
rule presents an appealingly, simple and no-nonsense way to deal with the vagaries of insurance policies.
A principal concern of courts adopting this rule apparently is that one insurance company is getting "stuck” and that regardless of the intent of the contracting parties as expressed in their "other insurance” clauses, two companies covering the same risk should pay equally.
Courts swayed by this concern, however, have failed to recognize that the insurance companies have no contractual relationship with each other, and one company hardly needs to be protected from the other. Neither insurance company is getting "stuck” for anything more than it contracted to provide for its insured. Moreover, courts applying the
Lamb-Weston
rule ignore a basic rule of contracts requiring consideration of all the language in a policy to determine its meaning and intent. By sweeping away the contractual language and, perhaps the negotiated intent of the parties, these courts effectually are legislating mandatory pro rata clauses for insurance policies having "other insurance” provisions. Courts generally should take such drastic action only when presented with clearly irreconcilable provisions. [430 A2d 492-493. Emphasis added.]
ill
We are persuaded by the reasoning in
Jones, supra,
and therefore adopt the majority view for resolving disputes between pro-rata and excess
"other insurance” clauses.
Although the simplicity and ease of application of the
Lamb-Weston
rule is tempting, we find the cost of nullifying the negotiated intent of the parties alarming.
Accordingly, we refrain from rewriting the instant contracts and instead give effect to the meaning and intent of the policy language.
Upjohn Co v New Hampshire Ins Co,
438 Mich 197; 476 NW2d 392 (1991);
Eghotz, supra
at 530.
We also acknowledge that it may be necessary to declare "other insurance” clauses irreconcilable when the applicable portions of the two other insurance clauses are identical excess clauses.
In the example presented, there is an actual problem with circularity. Moreover, the literal interpretation of policies containing competing excess clauses would leave the insured without any coverage where it first appeared he had multiple cover
age. In these cases, there is no rational reason to give the language of one policy preference over identical language in the other policy.
However, that is not the case before us. Instead, we are confronted with a dispute involving pro-rata and excess "other insurance” clauses.
We do not view "other insurance” clauses as being automatically irreconcilable and choose not to adopt a rule that requires this Court to automatically override the contractual language and, perhaps, the negotiated intent of the parties. We therefore decline to adopt the
Lamb-Weston
rule and affirm the decision of the Court of Appeals.
IV
This case involved bewildering questions raised by "other insurance” clauses contained within individual insurance policies that insured the same risk. After examining the relative merits of the
Lamb-Weston
and majority rules, we are persuaded that the majority rule is the better choice and adopt it as the law of Michigan. In sum, we hold that the pro-rata and the excess "other insurance” clauses at issue in this case are not in conflict or mutually repugnant. In addition, American Home is absolved from all liability.
We affirm the decision of the Court of Appeals.
Cavanagh, C.J., and Levin, Brickley, Boyle, Riley, and Griffin, JJ., concurred with Mallett, J.