Willie Leonberger, Plaintiff/Respondent v. Missouri United School Insurance Council, and United Educators, a Reciprocal Risk Retention Group

501 S.W.3d 1, 2016 WL 2994332, 2016 Mo. App. LEXIS 521
CourtMissouri Court of Appeals
DecidedMay 24, 2016
DocketED103669
StatusPublished
Cited by5 cases

This text of 501 S.W.3d 1 (Willie Leonberger, Plaintiff/Respondent v. Missouri United School Insurance Council, and United Educators, a Reciprocal Risk Retention Group) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Willie Leonberger, Plaintiff/Respondent v. Missouri United School Insurance Council, and United Educators, a Reciprocal Risk Retention Group, 501 S.W.3d 1, 2016 WL 2994332, 2016 Mo. App. LEXIS 521 (Mo. Ct. App. 2016).

Opinion

SHERRI B. SULLIVAN, P.J.

Introduction

United Educators, A Reciprocal Risk Retention Group (Appellant) appeals from the trial court’s Order and Judgment denying Appellant’s Motion to Compel Arbitration and granting Willie Leonberger’s (Respondent) Motion to Stay Arbitration. We affirm.

Factual and Procedural Background

Accident

In 2011, Respondent drove a school bus for the North Callaway R-l School District (District). The District was Respondent’s employer. On January 18, 2011, Respondent was driving the bus when he accidentally struck and killed student Hunter Pitt (Pitt) after Pitt disembarked the bus.

*4 Insurance Coverage

I. MUSIC Policy

The District was a member of and procured liability insurance for its bus drivers from the Missouri United School Insurance Council (MUSIC). 1 Arthur J. Gallagher Risk Management Services (Gallagher Services) was MUSIC’S claims administrator. The District’s MUSIC policy had limits of $2,500,000 per occurrence. “Occurrence” was defined by the MUSIC policy to mean an accident. The MUSIC policy stated:

[W]e have the right and duty to investigate, defend and settle any Claim or Occurrence to which this Coverage Agreement applies.... An excess insurance policy or reinsurance contract may provide coverage to members of MUSIC once the loss exceeds a certain dollar amount. Thus, any loss is subject to the terms, language and conditions of the particular excess insurance policy or contract, if applicable_ It is this excess insurance that allows the Program to cap large losses at an affordable level, but allows MUSIC, through its claims administrators, to manage and control all losses within the self-insured retention ....

II. FRA Policy

For liability claims, MUSIC entered into a “Facultative Reinsurance Agreement” (FRA) with Appellant to provide all coverage under the MUSIC policy in excess of $500,000. The FRA provides in paragraph 2 that Appellant’s liability would “follow that of [MUSIC] subject in all respect to the terms, conditions, exclusions and limits of liability of [the MUSIC policy], except when otherwise specifically provided herein.”

In paragraph 4 of the FRA, Appellant declares MUSIC “must notify” Appellant “as soon as practicable of any occurrence reasonably likely to involve” the FRA, so Appellant:

shall have the right and be given the opportunity:
a. to approve in advance, counsel selected by a Covered Organization 2 (which we will not unreasonably withhold or delay) or to require the Covered Organization to revoke that counsel’s appointment. ...
b. to be associated at our own expense with the Covered Organization or the Covered Organizations underlying Covered Parties as defined under the Reinsured’s Memorandum of Coverage, or both, in the defense and control of claims, or the trial of any suits or other legal proceedings, relative to any occurrence that in Reinsurer’s opinion, may create liability for Reinsurer under the terms of this agreement, in which event the Covered Organization shall cooperate with Reinsurer in all things in the defense of that claim, suit, or other legal proceeding; or
c. at the Reinsurer’s sole option, to take over the defense of any claim, suit, or legal proceeding and to exercise the DEFENSE AND SETTLEMENT rights of Reinsured that are contained in its Memorandum of Coverage.

(Emphasis in original.)

The FRA provides with regard to settlement:

*5 [Appellant] will not settle any claim without the agreement of [MUSIC].' If [MUSIC] or any Covered Organization refuses to consent to a reasonable settlement [Appellant] recommends that is acceptable to a claimant, our liability for losses associated with that claim is limited to the amount of Damages as defined under [the MUSIC policy] for which the claim could have been settled.... In addition, [MUSIC] and [Appellant] agree that notification of any settlement demand that involves [Appellant’s] limit will be given to the [Appellant] by [MUSIC] prior to consenting to any settlement.

Proceedings

On January 19, 2011, MUSIC and Gallagher Services learned of the accident. MUSIC confirmed “coverage is applicable and there are no coverage issues on this Auto Liability Claim. No exclusions apply.” It also recognized liability for Respondent was probable with “90-100% fault on the bus driver.” MUSIC notified Appellant of the accident. Appellant acknowledged the claim and assigned cláims attorney Rhonda Hurwitz (Hurwitz). The Pitts notified MUSIC that they had retained an attorney. MUSIC retained an attorney to represent Respondent. Hur-witz asked Respondent’s attorney to copy her directly on all emails and updates. Appellant requested a separate attorney represent the school district. Attorney Bob Numrich (Numrich) was retained for that purpose.

Criminal Case

On May 20, 2011, the Callaway County prosecuting attorney charged Respondent with second-degree involuntary manslaughter. MUSIC retained criminal attorney Rusty Antel (Antel) for Respondent. Antel 'advised Respondent to plead guilty to thé prosecutor’s charge. Pursuant to Antel’s advice, Respondent pled guilty to the charge of second-degree involuntary manslaughter. . Numrich provided MUSIC and Appellant, with the details of Respondent’s plea. Appellant informed MUSIC it was considering denying coverage based on Respondent’s plea due to the MUSIC policy’s (and hence, FRA policy’s) exclusions in Section 19 (o) and (p) of coverage for criminal acts.

On December 16, 2011, MUSIC’S claims adjuster wrote:

Our intention all along was to get this to mediation. Now however, it appears [Appellant] may want to issue a reservation of rights due to the alleged criminal act of [Respondent]. [Respondent] may have been charged due. to pressure by the family in this matter, but he was not convicted. This 79-year-old man pled out to keep from going to prison for involuntary manslaughter. The fact of the matter is, he was still in the course and scope of his duties as a district employee when this unfortunate accident occurred. We will have a conference call shortly to try and resolve this issue.

The following day, the supervising claims adjuster noted: “Now since criminal charges were filed, and the driver signed the affidavit, there is a question from excess [Appellant] if there is coverage for the driver. Anita [Khiene (Khiene), an employee of Gallagher Services] has been notified and a conference call will be set up to discuss.”

The Pitt family made a formal policy limits demand. Hurwitz e-mailed Réspon-dent’s attorney and Numrich and asked them to provide her with a copy of Respondent’s sentencing hearing transcript. The conference call was cancelled.

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501 S.W.3d 1, 2016 WL 2994332, 2016 Mo. App. LEXIS 521, Counsel Stack Legal Research, https://law.counselstack.com/opinion/willie-leonberger-plaintiffrespondent-v-missouri-united-school-insurance-moctapp-2016.