Utica Mut. Ins. Co. v. Clearwater Ins. Co.

906 F.3d 12
CourtCourt of Appeals for the Second Circuit
DecidedSeptember 25, 2018
DocketDocket 16-2535 (L); 16-2824 (XAP); August Term 2017
StatusPublished
Cited by46 cases

This text of 906 F.3d 12 (Utica Mut. Ins. Co. v. Clearwater Ins. Co.) is published on Counsel Stack Legal Research, covering Court of Appeals for the Second Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Utica Mut. Ins. Co. v. Clearwater Ins. Co., 906 F.3d 12 (2d Cir. 2018).

Opinion

Wesley, Circuit Judge:

From the 1950s to the 1990s, Utica Mutual Insurance Company issued various liability insurance policies to Goulds Pumps, Inc. Clearwater Insurance Company reinsured several of these policies. The Utica-Goulds policies proved valuable to Goulds when it started receiving thousands of asbestos bodily-injury claims in the 1990s. The policies simultaneously proved costly to Utica, which had failed to include aggregate limits in certain years' policies. After Utica and Goulds reached a settlement agreement regarding Utica's liability under those policies lacking aggregate limits, Utica sued Clearwater seeking indemnification pursuant to its reinsurance contracts.

Utica now appeals from the district court's grant of Clearwater's partial motion for summary judgment on the scope of its coverage under the reinsurance contracts. Clearwater cross-appeals from the district court's grant of Utica's motion for summary judgment on Clearwater's liability under the Utica-Goulds settlement.

BACKGROUND

I. Insurance and Reinsurance Generally

This case involves several types of insurance with their own spheres of coverage;

*15 understanding them is essential to resolution of the case. Primary and excess insurers provide liability coverage. Primary insurance provides the first layer of coverage of an insured's liability or loss. Ali v. Fed. Ins. Co. , 719 F.3d 83 , 90 (2d Cir. 2013) ; 1 Steven Plitt et al., Couch on Insurance § 1:4, at 12 (3d ed. 2009). Excess insurance provides the additional layer of coverage for an insured's losses exceeding the primary insurance policy's limits. Ali , 719 F.3d at 90 . Umbrella policies blend primary and excess coverage by providing last-resort excess coverage as well as gap-filling primary coverage on claims not otherwise insured by primary policies. See, e.g. , BASF AG v. Great Am. Assurance Co. , 522 F.3d 813 , 815 (7th Cir. 2008) ; Francis M. Gregory Jr. & Nicholas T. Christakos, Primary, Excess and Reinsurance Problems in Large Loss Cases , 59 Def. Counsel J. 540, 542 (1992). In this case, Utica Mutual Insurance Company provided both primary and umbrella policies to Goulds.

Insurers have insurance, too. Reinsurance occurs when a carrier (the "reinsurer") agrees to cover losses experienced by an insurer for certain covered risks. Here, Clearwater Insurance Company 1 insured Utica (the "cedent" or "reinsured") against loss or liability arising from its policies with Goulds (the "insured"). See generally Unigard Sec. Ins. Co. v. N. River Ins. Co. ( Unigard ), 4 F.3d 1049 , 1053 (2d Cir. 1993) (describing "the business of reinsurance"). These reinsurance contracts allow the reinsured to distribute its risk of loss among reinsurers. Id. There are two types of reinsurance contracts: facultative and treaty. A facultative reinsurer insures part or all of a single insurance policy, with underwriting occurring as to each reinsured policy. Id. at 1054 ; N. River Ins. Co. v. CIGNA Reins. Co. ( CIGNA ), 52 F.3d 1194 , 1199 (3d Cir. 1995) ("[A] facultative reinsurer 'retains the faculty, or option, to accept or reject any risk.' " (quoting William G. Clark, Facultative Reinsurance: Reinsuring Individual Policies , in Reinsurance 117, 121 (Robert W. Strain ed., 1980) ) ). A treaty reinsurer insures specified classes of a ceding insurer's policies. Unigard , 4 F.3d at 1054 . All five of Clearwater's reinsurance policies at issue here are facultative.

Several types of clauses defining the reinsurer's obligations in relation to the obligations of the reinsured commonly appear in facultative reinsurance contracts. Three types are relevant to this case.

The standard follow-the-form or following-form clause ensures that the reinsurance contract covers the same risks as those covered in the reinsured insurance policy. It provides that all the terms and conditions of the reinsured insurance policy are incorporated by reference into the reinsurance contract, except insofar as the reinsurance and insurance contracts conflict. CIGNA , 52 F.3d at 1199 ; Graydon S. Staring & Dean Hansell, Law of Reinsurance § 12:5, 258-63 (2017) (explaining that differences in premiums, limits, and period are the most common exceptions to congruence).

Some reinsurance contracts also contain what is called a follow-the-settlements , following-settlements , or loss-settlement clause. 2 When a reinsurance contract *16 contains a follow-the-settlements clause, the reinsurer must indemnify the reinsured for losses settled reasonably and in good faith, even if the reinsured was not actually liable for those losses under the reinsured insurance policy. See Travelers , 419 F.3d at 189 ; U.S. Fid. & Guar. Co. , 20 N.Y.3d at 418-20, 962 N.Y.S.2d 566 , 985 N.E.2d 876 . If the contract does not contain a follow-the-settlements provision, the reinsurer must indemnify the reinsured only for the reinsured's proven liability under the reinsurance policy.

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906 F.3d 12, Counsel Stack Legal Research, https://law.counselstack.com/opinion/utica-mut-ins-co-v-clearwater-ins-co-ca2-2018.