Werner Indus., Inc. v. First State Ins. Co.

526 A.2d 236, 217 N.J. Super. 436
CourtNew Jersey Superior Court Appellate Division
DecidedMay 6, 1987
StatusPublished
Cited by13 cases

This text of 526 A.2d 236 (Werner Indus., Inc. v. First State Ins. Co.) is published on Counsel Stack Legal Research, covering New Jersey Superior Court Appellate Division primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Werner Indus., Inc. v. First State Ins. Co., 526 A.2d 236, 217 N.J. Super. 436 (N.J. Ct. App. 1987).

Opinion

217 N.J. Super. 436 (1987)
526 A.2d 236

WERNER INDUSTRIES, INC., PLAINTIFF-APPELLANT,
v.
FIRST STATE INSURANCE COMPANY, DEFENDANT-RESPONDENT.
THE RICE AGENCY, A NEW JERSEY CORPORATION, DEFENDANT-THIRD-PARTY PLAINTIFF,
v.
WEGHORN INTERNATIONAL, INC., THIRD-PARTY DEFENDANT.

Superior Court of New Jersey, Appellate Division.

Argued March 31, 1987.
Decided May 6, 1987.

*438 Before Judges PRESSLER, BAIME and ASHBEY.

Jonathan S. Cole argued the cause for appellant Werner Industries Inc. (Cole, Geaney, Yamner & Byrne, attorneys; Jonathan S. Cole, on the brief).

Robert F. Walsh argued the cause for respondent First State Insurance Co. (Siff, Newman, Rosen & Parker, attorneys; Robert F. Walsh, on the brief).

Briefs were not submitted on behalf of The Rice Agency and Weghorn International, Inc.

The opinion of the court was delivered by BAIME, J.A.D.

This appeal presents a question of first impression. At issue is whether an excess liability carrier is obliged to pay a claim falling within the coverage of the underlying insurance where the primary insurer has become insolvent. The surplus umbrella policy issued in this case provides that the secondary insurer will pay sums in excess of the "amounts recoverable" under the underlying insurance. We hold that under this language the *439 excess carrier is duty-bound to bear the loss resulting from the insolvency of the primary insurer.

The facts are not in dispute. Plaintiff, a machinery manufacturer, retained the Rice Agency, a licensed broker, to procure primary general insurance and excess liability coverage. The broker placed plaintiff's underlying insurance with Ambassador Insurance Company (Ambassador) and its surplus umbrella coverage with defendant First State Insurance Company. The umbrella policy issued by defendant is an extensive and complex document consisting of a declaration page, an insuring agreement and several attached riders. The declaration page provides for individual occurrence and aggregate annual maximum liability coverage in the amount of $3,000,000 for injury or damage "in excess of [t]he amount recoverable under the underlying insurance as set out in [s]chedule A." Attached to the policy is schedule A which states the limits of the underlying Ambassador policy, $500,000 for bodily injury and $250,000 for property damage. The declaration page also provides that the "limit of [defendant's] liability is subject to all the terms of [the] policy."

The insuring agreement states that defendant "shall be liable only for the ultimate net loss in excess of the ... insured's underlying limit...." The term "ultimate net loss" is defined as "the sums paid as damages for which the insured is legally liable after making deductions for all other recoveries, salvages and other insurance (whether recoverable or not) other than the underlying insurance...." The term "underlying limit" is defined as "an amount equal to the limits of liability indicated beside the underlying insurance listed in [s]chedule A, plus the applicable limits of any other underlying insurance collectible by the insured." The agreement further provides that coverage is not applicable until the insured's underlying insurer becomes obligated to pay the "underlying limit." In the agreement, the insured "warrants" that the underlying insurance "shall be maintained in force" and that any renewals or replacements will not be "more restrictive in coverage." In the event *440 of a breach of that provision, the agreement states that defendant's liability under the policy will not be increased.

As noted previously, several riders and schedules are attached to the insuring agreement. The only rider in any sense relevant to the issue presented is one entitled "contractual liability." In that rider, apparently designed to cover risks assumed by the insured by way of indemnification agreements, it is stated that the policy "is not applicable unless the contractual liability is covered by valid and collectible underlying insurance...."

During the policy period, plaintiff was served with complaints in two personal injury actions. Both complaints were referred to Ambassador for defense and possible indemnification. In both cases, plaintiff advised Ambassador that the claims might exceed the coverage provided by the underlying insurance. Defense of these matters was undertaken by Ambassador which retained attorneys on plaintiff's behalf. Although one matter was settled for an amount substantially less than the underlying insurance policy limit, the other case remains pending.

In 1984, Ambassador was declared insolvent by a Vermont court. Since Ambassador was a surplus line insurer, it was excluded from the purview of the New Jersey Property — Liability Insurance Guaranty Association Act (N.J.S.A. 17:30A-1 et seq.). Our Legislature thus enacted the New Jersey Surplus Lines Insurance Guaranty Fund Act (N.J.S.A. 17:22-6.70 et seq.) specifically to deal "with the imminent declaration of insolvency of Ambassador...." Introductory Statement, Assembly Bill No. 2273, L. 1984, c. 101. The fund created by that statute provides coverage up to a maximum of $300,000 for any single occurrence. N.J.S.A. 17:22-6.74a(1). That amount may be adjusted periodically based on the monies available to the fund. Following plaintiff's application, the fund assumed the defense in the pending personal injury action. We are advised that the fund is presently paying claims on a proportional basis *441 covering only 40% of the amounts due with the promise to pay the remainder when monies become available.

Based upon these events, plaintiff filed a complaint seeking a declaratory judgment obligating defendant to provide coverage and indemnify it for all claims and losses arising during the policy period. Plaintiff initially contended that the policy language limited defendant's liability to amounts over the primary coverage only when the underlying insurance remains "recoverable" and "collectible." In the case where the primary insurer collapses because of insolvency, plaintiff read the policy as providing "drop down" coverage; i.e., the excess insurer drops down and assumes the primary insurer's responsibilities. As the litigation developed, plaintiff modified its position arguing only that defendant should pay all amounts over and above those provided by the fund on behalf of Ambassador. Defendant filed its answer and counterclaim seeking dismissal of the complaint and a declaration confining its obligation to the payment of amounts in excess of $500,000 on the personal injury claim and $250,000 for property damage.

The parties filed cross-motions for summary judgment. Following oral argument the trial judge issued a letter opinion in which he concluded that plaintiff must bear the loss resulting from the primary insurer's insolvency. Judgment was entered accordingly and this appeal followed.

I

Preliminarily, we reject defendant's argument that this action was brought prematurely. Of course, we recognize that all present and future claims against plaintiff may ultimately be paid by the fund pursuant to N.J.S.A. 17:22-6.74a(1). We are quick to add, however, that at the time of oral argument at least one action was pending against plaintiff in which damages well in excess of the $300,000 limit provided by that statute were demanded. The existence of that suit and the strong *442

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Bluebook (online)
526 A.2d 236, 217 N.J. Super. 436, Counsel Stack Legal Research, https://law.counselstack.com/opinion/werner-indus-inc-v-first-state-ins-co-njsuperctappdiv-1987.