Sumitomo Marine & Fire Insurance Co. v. Cologne Reinsurance Co. of America

149 A.D.2d 377, 539 N.Y.S.2d 947, 1989 N.Y. App. Div. LEXIS 5040
CourtAppellate Division of the Supreme Court of the State of New York
DecidedApril 25, 1989
StatusPublished
Cited by2 cases

This text of 149 A.D.2d 377 (Sumitomo Marine & Fire Insurance Co. v. Cologne Reinsurance Co. of America) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Sumitomo Marine & Fire Insurance Co. v. Cologne Reinsurance Co. of America, 149 A.D.2d 377, 539 N.Y.S.2d 947, 1989 N.Y. App. Div. LEXIS 5040 (N.Y. Ct. App. 1989).

Opinion

— Order and judgment of the Supreme Court, New York County (Beatrice Shainswit, J.), entered June 7, 1988 and July 7, 1988, respectively, which granted the motions of defendants-respondents the Philadelphia Reinsurance Corporation and the Buffalo Reinsurance Company and dismissed the complaint as against them, reversed, on the law, without costs, and the complaint reinstated against these defendants.

Supreme Court erred in granting summary judgment to defendants-respondents the Philadelphia Reinsurance Corporation (Philadelphia) and the Buffalo Reinsurance Company (Buffalo). The court incorrectly found that there had been a modification of the "original contract” between plaintiff-appellant, the Sumitomo Marine & Fire Insurance Co., Ltd. (Sumitomo), and its insured, Auburn Steel Co., Inc. (Auburn), by Sumitomo’s addition of amendment 3 which, the court found, had not been accepted by respondents.

The all-risk insurance coverage provided by Sumitomo for Auburn’s buildings and other property expressly excluded losses resulting from war and nuclear incidents. Amendment 3, however, extended coverage to radioactive contamination, as follows: "Sudden and accidental Radioactive Contamination, including resultant radiation damage * * * from material used or stored or from processes conducted on the described premises”. The policy became effective on February 1, 1983, and shortly thereafter Auburn sustained a loss due to nuclear contamination from a load of scrap metal delivered to its premises.

Sumitomo indemnified its insured and sought reimburse[378]*378ment from respondents in accordance with their respective reinsurance agreements. These agreements had been negotiated with respondents through Sumitomo’s agent, Thomas A. Greene & Company, Inc. (Greene & Company). The agreement with respondent Philadelphia contains a multiparagraph clause excluding coverage for "any loss or liability by radioactive contamination”. The reinsurance certificate issued by respondent Buffalo after it had received notice of the loss also contains a typewritten notation "excluding Radioactive Contamination”. Based on these provisions, respondents sought summary judgment after depositions had been taken of the parties’ witnesses.

In its cross motion for summary judgment, Sumitomo maintained that respondents knew or should have known of the incidental risk of nuclear contamination because all steel processing plants use cesium, a radioactive element, in a device that measures steel output. Sumitomo’s assistant manager averred that "radioactive contamination coverage is normal for a steel plant.” He also asserted that amendment 3 was inserted in the policy to provide the same coverage to Auburn as had been previously provided by another insurer, and that this amendment "was issued together with the policy form to Auburn”. As to respondents’ claim that they were not informed of the nuclear contamination coverage in their discussions with Sumitomo’s agent, the attorney for Greene & Company submitted an affidavit stating that his client took no position with respect to the motion and cross motion and, without specifically addressing the merits, his client neither admitted nor adopted any of the statements in either of the movants’ papers.

Given this record, Supreme Court erred in resolving the factual issues in respondents’ favor. The evidence establishes that respondents issued their certificates containing nuclear exclusion clauses after they had received copies of the Sumitomo policy which included amendment 3. Under these circumstances, it was incumbent upon respondents to determine the scope of the coverage in the direct insurance policy before issuing their formal contract underwriting the risk of such coverage. The only question which remains is whether the unambiguous wording of the nuclear incident exclusion clause indeed places the risk of nuclear contamination such as occurred here outside the scope of respondents’ undertaking.

Respondents’ construction of this multiparagraph clause focuses on paragraph 4, which provides as follows: "Without in any way restricting the operations of paragraphs (1), (2), [379]*379and (3) hereof, this Reinsurance does not cover any loss or liability by radioactive contamination accruing to the Reassured, directly or indirectly, and whether as Insurer or Rein-surer, when such radioactive contamination is a named hazard specifically insured against.”

This language, respondents argue, excludes the nuclear contamination loss covered by Sumitomo under amendment 3, inasmuch as such hazard is named in that amendment and specifically insured against. However, paragraph 5 of the nuclear incident exclusion clause provides: ”5. It is understood and agreed that this Clause shall not extend to risks using radioactive isotopes in any form where the nuclear exposure is not considered by the Reinsured to be the primary hazard.”

Respondents’ reading of the nuclear exclusion clause founders on the fact that paragraph 5, unlike the preceding paragraph, is not prefaced with the phrase "[wjithout in any way restricting the operations of paragraphs (1), (2), and (3) hereof’. Paragraph 5, therefore, is meant to restrict the operation of the preceding provisions, paragraph 4 among them. Consequently, the exclusion of coverage in paragraph 4 when radioactive contamination is a named hazard specifically insured against in the direct policy is inoperative when, pursuant to paragraph 5, the risk of nuclear exposure from use of radioactive isotopes is not considered a primary hazard by the direct insurance carrier.

A question of fact remains as to whether Sumitomo considered the nuclear exposure from the use of cesium to be a primary or incidental hazard. The order and the judgment appealed from therefore should be reversed and the matter remanded for trial. Concur—Ross, J. P., Asch, Rosenberger and Ellerin, JJ.

Wallach, J., dissents in a memorandum as follows: I would affirm the order and judgment of the Supreme Court granting defendants’ motion for summary judgment and dismissing the complaint against them. Plaintiff primary insurer commenced this action for breach of contract against two of its reinsurers because of their refusal to indemnify it against a claim made by plaintiffs insured for radioactive contamination. Defendant reinsurers moved for summary judgment, relying heavily on the facts and circumstances surrounding the formation of their contracts of reinsurance, as elicited at pretrial depositions, to show that they had no knowledge of plaintiffs specific agreement with the insured to cover radioactive contamination, and also to show that had they such knowledge they would not have agreed to reinsure plaintiff. In opposition, [380]*380plaintiff drew different inferences from the deposition testimony as to the parties’ intent at the time of contract formation concerning coverage for radioactive contamination, but placed greater emphasis on the actual certificates, i.e., the formal contracts, of reinsurance issued by defendants many months after the facts and circumstances surrounding contract formation took place. It appears that in the insurance industry, contracts are formed on the basis of informal commitments, sometimes oral, referred to as "binders”, and that "policies” formally reducing the entire agreement of the parties to writing may not be issued until many months later.

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Bluebook (online)
149 A.D.2d 377, 539 N.Y.S.2d 947, 1989 N.Y. App. Div. LEXIS 5040, Counsel Stack Legal Research, https://law.counselstack.com/opinion/sumitomo-marine-fire-insurance-co-v-cologne-reinsurance-co-of-america-nyappdiv-1989.