United States Fire Insurance v. Worcester Insurance

821 N.E.2d 91, 62 Mass. App. Ct. 799, 2005 Mass. App. LEXIS 37
CourtMassachusetts Appeals Court
DecidedJanuary 20, 2005
DocketNo. 03-P-1170
StatusPublished
Cited by2 cases

This text of 821 N.E.2d 91 (United States Fire Insurance v. Worcester Insurance) is published on Counsel Stack Legal Research, covering Massachusetts Appeals Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
United States Fire Insurance v. Worcester Insurance, 821 N.E.2d 91, 62 Mass. App. Ct. 799, 2005 Mass. App. LEXIS 37 (Mass. Ct. App. 2005).

Opinion

Perretta, J.

This appeal brings before us the question who had the duty to defend Youngblood Plumbing & Heating Company (Youngblood) on a partially settled claim — Worcester Insurance Company (Worcester), the primary insurer, or United States Fire Insurance Company (US Fire), the excess carrier. On cross motions for summary judgment, Worcester argued that after it had exhausted its policy limits in obtaining settlements of the claims against Youngblood, five full and one partial, it became US Fire’s duty to represent Youngblood on the remainder of the partially settled claim. US Fire argued in [800]*800the trial court and continues to do so on appeal that based on the language of its policy and the law to be applied in the circumstances presented, the duty to defend remained with Worcester. We affirm the judgment in Worcester’s favor.

1. The undisputed facts. Although somewhat lengthy in the retelling, the undisputed facts are not complicated. Due to work negligently performed by Youngblood at the Woburn Nursing Center (the Center), there was an explosion and fire. Various claims, six in all, for bodily injury and property damages were then brought against Youngblood. Youngblood owned a “Contractor’s Business Owners Insurance Policy” issued by Worcester with liability limits in the amount of $1,000,000. US Fire provided Youngblood with a commercial umbrella policy with excess liability limits in the amount of $5,000,000. In tendering a defense to the six claims, Worcester put US Fire on notice that the claims against Youngblood were likely to exceed the $1,000,000 policy limit of the primary insurance.

After an investigation, and due to some irregularities in Youngblood’s application for insurance, Worcester brought an action against Youngblood and the six claimants in the underlying tort actions. Pursuant to that action, and as of July 14, 1994, Worcester had negotiated full settlements on five of the claims for a total amount of $150,500. The sixth claim was that of St. Paul Fire and Marine Insurance Company (St. Paul). St. Paul had paid the center $2,900,000 pursuant to an arbitration award on the nursing center’s property damage claim. Worcester negotiated a settlement of St. Paul’s subrogation claim, and on July 17, 1994, received a partial and limited release in consideration of a payment of $59,500 as well as a previous payment in the amount of $790,000, for a total amount of $849,500. With those payments, Worcester exhausted the limits of its policy — that is, $1,000,000, leaving Youngblood exposed to further litigation with St. Paul on the remaining amount of its claim, $2,050,500. Youngblood knew of these negotiations and agreed to all six settlements, and Worcester dismissed its action against the six claimants.

Its policy limit exhausted, Worcester notified Youngblood and US Fire that it was withdrawing its defense of Youngblood against St. Paul. Although US Fire then took up Youngblood’s [801]*801defense, it did so under protest and made repeated requests to Worcester that it resume its defense of Youngblood, all to no avail. US Fire settled what remained of St. Paul’s claim and then brought this action against Worcester seeking a declaration that it was entitled to recoup the costs of its defense in so doing.

After the judge ruled on the cross motions for summary judgment, US Fire brought a motion for reconsideration as well as a motion to vacate the judgment pursuant to Mass.R.Civ.P. 60(b), 365 Mass. 828 (1974). These motions were based on allegations that Worcester had made misrepresentations of fact on the issue of whether it had exhausted its policy limits in settling its claims against Youngblood.1 The judge denied both motions.

2. The arguments on appeal. US Fire does not dispute that the six claims against Youngblood involved personal injuries and property damage which were covered by both the primary and excess insurance policies or that Worcester paid $1,000,000, its policy limit, in exchange for five settlements and one limited release from the six claimants. Rather, US Fire argues that because the settlements reached by Worcester were not good faith settlements and included payment of counsel fees to it, Worcester’s policy limits were not exhausted, and therefore, Worcester was not discharged from its duty to defend Youngblood.

3. Discussion. We take up first US Fire’s argument that the “Other Insurance” condition, Condition H of its policy, made Worcester responsible for all the costs of Youngblood’s defense. That condition reads in full:

“Other Insurance. If there is any other collectible insurance available to the ‘Insured’ (whether such insurance is stated to be primary, contributing, excess or contingent) that covers a loss that is also covered by this policy, the insurance provided by this policy will apply in excess of, and shall not contribute with, such insurance. This Condition H does not apply to any insurance policy purchased [802]*802specifically (and which is so specified in such insurance policy) to apply in excess of this policy.”

US Fire argues that because Condition H of its policy provides that it has no obligation to contribute “if there is other insurance, ‘whether such insurance is stated to be primary, excess, or contingent,’ ” it is a so-called “super escape clause.” It then contends that Section III H 1, the “Other Insurance” condition set out in Worcester’s policy, made it an excess insurer. That condition reads:

“If there is other insurance covering the same loss or damage, we will pay only for the amount of covered loss or damage in excess of the amount due from that other insurance, whether you can collect on it or not. But we will not pay more than the applicable Limit of Insurance.”

As support for its argument, US Fire cites United States Fid. & Guar. Co. v. Hanover Ins. Co., 417 Mass. 651, 654-656 (1994).

Assuming for purposes of US Fire’s argument that Worcester’s “other insurance” clause made its coverage excess and subject to US Fire’s “super escape clause,” id. at 656-657, the fact remains that Condition H of US Fire’s policy did not come into play because Worcester exhausted its policy limits and there was, as stated in Condition H of US Fire’s policy, no “other collectible insurance available to the ‘Insured.’ ”

We turn next to the question whether Worcester had exhausted its policy limit. US Fire’s first contention on this point is that Aetna Cas. & Sur. Co. v. Sullivan, 33 Mass. App. Ct. 154 (1992), holds that when an insurer is faced with multiple claims against its insured, the insurer has a duty to use its policy limits reasonably and in good faith to settle as many claims as reasonably possible in order to reduce the insured’s exposure. In Aetna, id. at 157-158, the court stated:

“Under what we believe to be the fair meaning of the [policy] language, in the circumstances, the insurer would be discharged from any further duty to defend if it should make a payment equal to the maximum policy limits either to settle a claim against the insured or in total or partial satisfaction of a judgment against the insured upon conclu[803]*803sion of the litigation [emphasis added]. See Lumbermens Mut. Cas. Co. v. McCarthy, 90 N.H. 320, 324 (1939).

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Cite This Page — Counsel Stack

Bluebook (online)
821 N.E.2d 91, 62 Mass. App. Ct. 799, 2005 Mass. App. LEXIS 37, Counsel Stack Legal Research, https://law.counselstack.com/opinion/united-states-fire-insurance-v-worcester-insurance-massappct-2005.