XL Insurance America, Inc. v. BJ's Wholesale Club, Inc.

86 Va. Cir. 476, 2013 WL 8035743, 2013 Va. Cir. LEXIS 69
CourtHenrico County Circuit Court
DecidedMay 31, 2013
DocketCase No. (Civil) CL09-2852
StatusPublished

This text of 86 Va. Cir. 476 (XL Insurance America, Inc. v. BJ's Wholesale Club, Inc.) is published on Counsel Stack Legal Research, covering Henrico County Circuit Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
XL Insurance America, Inc. v. BJ's Wholesale Club, Inc., 86 Va. Cir. 476, 2013 WL 8035743, 2013 Va. Cir. LEXIS 69 (Va. Super. Ct. 2013).

Opinion

By Judge Gary A. Hicks

This matter came before this Court on October 25, 2012, for a one-day bench trial. The Court, having reviewed the record in this matter, the applicable case law and statutes, the ore terns arguments of the parties, and the parties’ post-trial submissions, hereby renders its findings of facts and conclusions of law in the following opinion.

Issues

This is a declaratory judgment action presenting the single issue of whether BJ’s Wholesale Club, Inc. (hereinafter “BJ’s”) must reimburse XL Insurance America, Inc. (hereinafter “XL”) in the amount of $500,000.

The Parties

XL is an excess insurer licensed to do business in the Commonwealth of Virginia. BJ’s is a national chain of membership-only warehouse stores. BJ’s purchased an excess insurance policy from XL whereby XL provided the top level of coverage above a $1,000,000 Discover Property & Casualty Insurance Company (hereinafter “Discover Re”) policy, itself inclusive of BJ’s’ $500,000 Self-Insured Retention (hereinafter “SIR”). Pursuant to the policy issued by XL, BJ’s agreed to pay its premiums and comply with the terms of the policy in exchange for insurance coverage for occurrences that exhaust the combined $1,000,000 limit of BJ’s SIR and the Discover Re policy.

[477]*477 The Underlying Lawsuit

The facts of the underlying lawsuit are not in dispute. In 2006, Karen Phillips was employed by BJ’s in Norfolk, Virginia. One evening after work, Ms. Phillips’ husband arrived at that particular store armed with a shotgun and proceeded to shoot and kill Ms. Phillips’ sister in the parking lot. He then entered the store, where he shot Ms. Phillips in the head, causing her to sustain grievous injuries. As a result, Ms. Phillips filed suit against BJ’s in the Circuit Court for the City of Norfolk on March 3, 2008, seeking damages in the amount of $65 million.

BJ’s hired Erik Nyce as lead counsel for the matter. Robert Kelly was retained by XL to assist Mr. Nyce in defending the suit. The parties conducted extensive investigation and discovery in anticipation of trial. During this process, XL and BJ’s began to disagree regarding how best to proceed. While XL favored a negotiated settlement, BJ’s favored proceeding to trial.

Mr. Nyce and Mr. Kelly concluded that BJ’s should settle the matter for $3,000,000-$5,000,000. Both attorneys agreed that a jury verdict as high as $12,000,000 was possible given the facts of the case. Melanie Tilden, claims manager for BJ’s, rejected these assessments. During August of 2009, she informed all relevant parties that BJ’s denied all liability in the matter and would not attend any mediation.

The Mediation

Mediation of the underlying lawsuit took place on September 9, 2009. Messrs. Nyce and Kelly attended as counsel for BJ’s. Mr. Michael Córtese appeared in his capacity as Assistant Vice President in excess claims for XL. Ms. Phillips appeared, represented by Brother Rutter and an associate with the law firm of Rutter Mills. Ms. Phillips’ Attorney in Fact, Robert Slomick, also attended. Following a lengthy mediation assisted by Judge Thomas Shadrick, a Settlement Agreement (hereinafter “the Agreement”) was reached. The Agreement provided for settlement of Ms. Phillips’ claims against BJ’s for $3,000,000. Mr. Nyce signed the Agreement, as did Ms. Phillips’ Attorney in Fact, Robert Slomick. XL did not sign the Agreement.

Analysis

The insurance policy at issue in this case provides that XL “will pay those sums that the ‘Insured’ becomes legally obligated to pay as damages arising out of an ‘occurrence’ which are in excess of the underlying insurance stated in Schedule A of this policy.” XL’s duty to pay a covered occurrence is triggered by payment of the “retained limit” either by BJ’s or on behalf of BJ’s. The policy defines “retained limit” as “[t]he total of the applicable limits of the underlying policies listed in Schedule A of this policy; plus the applicable limits of any other collectible insurance.” Consequently, the [478]*478retained limit in this case is $1,000,000, the payment of which triggered XL’s obligation to pay for an occurrence.

It is undisputed that XL paid the plaintiff in the underlying lawsuit $3,000,000 pursuant to the settlement agreement. As BJ’s, through its counsel Erik Nyce, executed the settlement agreement in question, XL’s subsequent payment of the $3,000,000 to the plaintiff in the underlying lawsuit constitutes a payment “on behalf’ of BJ’s sufficient to trigger BJ’s’ obligation to tender the $500,000 SIR to XL.

XL urges the Court to consider in its decision Harbor Ins. Co. v. City of Ontario, a 1991 California Court of Appeals case deciding similar facts and issues. See 231 Cal. App. 3d 927, 282 Cal. Rptr. 701 (1991). This Court is aware of the limited precedential value provided by this case; however, the policy and analysis underlying the decision are sound and apply to the matter before the Court.

In Harbor Ins., the California Court of Appeals was faced with facts strikingly similar to those before the Court. There, the Harbor Insurance Company issued the City of Ontario (hereinafter “the City”) an umbrella liability policy with a limit of $1,000,000 per occurrence. Id. at 930. The policy provided for a $100,000 self-insured retention. Prior to trial, defense counsel for the City informed their client that it faced substantial exposure to an adverse verdict as high as $2,000,000. Harbor Insurance recommended that the City settle the matter for $400,000. The City consequently granted Harbor Insurance permission to settle the matter for $400,000, but qualified that permission by stating that the City would not tender what remained of its self-insured retention. Notwithstanding the City’s refusal to do so, Harbor Insurance entered into an agreement with the plaintiff to settle the matter for $360,000. Id. at 931. Harbor Insurance funded the settlement. Harbor Ins. at 930. The City refused to tender the remaining portion of its self-insured retention. Id.

Harbor Insurance subsequently brought a declaratory judgment action seeking a determination of whether the City was required to tender its self-insured retention. The trial court ruled that Harbor Insurance was entitled to recover the self-insured retention. Id. at 932. The City appealed.

On appeal, the California Court of Appeals rejected the City’s argument that it gave its permission to Harbor Insurance to settle the matter, but not its agreement so as to commit itself to the self-insured retention pursuant to the policy. See id. at 935. The Court, focusing on that policy’s cooperation clause, reasoned that, once the City permitted the settlement to take place, “defendant in substance agreed to it, and once having done that, there is no way it could logically or legally contend that its self-insured retention was not committed.” Id. at 934. The Court then set forth the policy underpinnings of its holding as follows:

were we to countenance the interpretation urged by defendant, i.e., that it could permit but not agree to the settlement, it [479]*479would accord the insured the power unilaterally

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Related

Walson v. Walson
556 S.E.2d 53 (Court of Appeals of Virginia, 2001)
Harbor Insurance v. City of Ontario
231 Cal. App. 3d 927 (California Court of Appeal, 1991)
Singer Sewing Machine Co. v. Ferrell
132 S.E. 312 (Supreme Court of Virginia, 1926)
Dawson v. Hotchkiss
169 S.E. 564 (Supreme Court of Virginia, 1933)
Andrews v. Andrews
80 Va. Cir. 279 (Prince William County Circuit Court, 2010)

Cite This Page — Counsel Stack

Bluebook (online)
86 Va. Cir. 476, 2013 WL 8035743, 2013 Va. Cir. LEXIS 69, Counsel Stack Legal Research, https://law.counselstack.com/opinion/xl-insurance-america-inc-v-bjs-wholesale-club-inc-vacchenrico-2013.