Zenith Insurance Co. v. Employers Insurance of Wausau

141 F.3d 300, 1998 WL 138772
CourtCourt of Appeals for the Seventh Circuit
DecidedMay 14, 1998
Docket96-3589
StatusPublished
Cited by27 cases

This text of 141 F.3d 300 (Zenith Insurance Co. v. Employers Insurance of Wausau) is published on Counsel Stack Legal Research, covering Court of Appeals for the Seventh Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Zenith Insurance Co. v. Employers Insurance of Wausau, 141 F.3d 300, 1998 WL 138772 (7th Cir. 1998).

Opinion

*302 DIANE P. WOOD, Circuit Judge.

This case is about information: information that does, or should, flow from a primary insurance company to a reinsurer. Employers Insurance of Wausau (‘Wausau”) issued an “umbrella” Commercial General Liability (“CGL”) insurance policy to one of its clients, and it then reinsured part of its exposure under that policy with Zenith Insurance Company (“Zenith”). When the client enlisted Wausau to defend against a tort action, Wausau handled matters on its own, not notifying Zenith even of the existence of the case until after the jury had returned a whopping verdict against the client. Zenith thought that was too late, denied coverage under the reinsurance policy, and sued for a declaratory judgment in its favor. The district court agreed with Zenith and entered the requested judgment, rejecting Wausau’s counterclaim in the process. Wausau now appeals. We conclude that the district court correctly concluded that under the governing Wisconsin law Wausau’s notice was late, but that further proceedings are necessary to determine whether Zenith was prejudiced by the delay.

I

In 1989, Wausau issued two insurance policies to its client, Standard Motor Products, Inc: (“Standard”), an automotive parts distributor. The first policy was a primary policy insuring Standard against commercial liability up to $1 million, and the second was the umbrella policy at issue here, insuring Standard for an additional $20 million. Each policy took effect on January 1,1990.

To protect itself, Wausau reinsured the umbrella policy—that is, it insured its own risk that Standard would call on it to pay some or all of the $20 million—with a variety of other insurance companies. One such company was Zenith, which agreed to insure Wausau for 50% of the first $1 million Wausau had to pay under the umbrella policy. This meant that, if Standard were found liable for $2 million in damages covered by its CGL policy, Wausau would pay the first $1 million under the primary policy, and Wausau and Zenith would each pay $500,000 under the umbrella policy (assuming no participation by any of the other reinsurers). The reinsurance policy took the form of “facultative” reinsurance, rather than “treaty” reinsurance. In other words, Zenith agreed only to provide reinsurance on Wausau’s specific umbrella policy with Standard. If it had been treaty reinsurance, Zenith’s policy would have covered an entire class of policies issued by Wausau. See Lee R. Russ & Thomas F. Segalla, Couch on Insurance 3d § 9:3.

The agreement between Wausau and Zenith was memorialized in a “Facultative Reinsurance Certificate.” Part V of that certificate is the focus of the current dispute:

V. Claims. The Reinsured [Wausau] agrees that it will investigate and will settle or defend all claims arising under the primary policy and that it will give prompt notice to the Company [Zenith] of any event or development which, in the judgment of the Reinsured, might result in a claim upon the Company hereunder, and will forward promptly to the Company copies of such pleadings and reports of investigation as may be requested by the Company.
The Company shall have the right, at its own expense, to participate jointly with the Reinsured in the investigation, adjustment or defense of claims to which, in the judgment of the Company, it is or might become exposed.
The Company shall reimburse the Reinsured or its legal representative promptly for loss against which indemnity is herein provided, upon receipt in the home office of the Company of satisfactory evidence of payment of such loss.

The policy was to be in force through January 1,1991.

The events giving rise to this suit were set in motion when Standard, through its Champ Service division, sold some lug nuts to a mechanic who used them to install a wheel on 19-year-old Edward Smith’s car. On May 8, 1990, the wheel fell off the car while Smith was driving it on Interstate Highway 79 in West Virginia. The injuries Smith suffered left him a paraplegic. He sued a number of defendants, including Standard, claiming al *303 ternatively that the accident was caused by defective lug nuts and washers that caused the wheel to fall off, and that the various defendants had failed to provide adequate warnings about the use of the washers and lug nuts on the type of wheel he had on his car.

Wausau received notice of the claim from Standard on March 14, 1991. At that time, Wausau opened a claim file under its $1 million primary policy, but it did not open a file under the umbrella policy. Wausau did notify its treaty reinsurers of the claim, because it recognized that the seriousness of Smith’s injuries gave his claim a potential settlement value of $2 million to $3 million. It did not, however, notify any facultative reinsurers, because its policy was to send those notifications when it opened its own umbrella policy file.

Once it knew about Smith’s lawsuit, Wausau began its own internal investigation. It retained attorney Thomas Humey to represent Standard’s Champ Service division and it prepared an analysis of the suit, which was reflected in a May 17, 1991, memorandum. In that memo, Don Warren, Wausau’s Home Office Liability Claim Manager, expressed the opinion that liability was “questionable,” and that “the potential settlement value of this ease could be in the range of $2,000,-000—$3,000,000.” Wausau Appendix at 1065. In response to Warren’s report, Wausau gradually increased its funds on reserve for the litigation from a low of $50,000, to $250,-000 (May 1991), up to $500,000 (end of 1991).

As the trial approached, Humey became more concerned about the outcome of the ease. On several occasions, he notified Wausau that everything depended on whom the jury would believe, Wausau’s experts (who said the accident occurred because Smith was driving too fast, and the wheel did not fly off until the car hit the guardrail) or Smith’s eyewitness Craig Milgram (who said that he saw the wheel come off before Smith’s ear began to swerve). In April 1992, still before the trial, Humey estimated the total potential damages as falling between $2 million and $5 million and he noted that only three defendants (including Champ Service) remained in the case at that point. Smith’s lawyers, for their part, had decreased their settlement demands from all defendants from $5 million to $3.4 million. Smith offered around that time to settle with Champ Service for $2 million, but Hurney did not have authority to go that high. Believing that Smith’s lawyers would accept less, Hurney asked Wausau to grant him the authority to settle for between $750,000 and $1.5 million.

Wausau thought Humey was being too generous. In response to his request, it granted him the authority to make a settlement offer of up to $750,000. Hurney offered $635,000 on May 27, 1992, just before the trial, but Smith’s lawyers stuck to their final counteroffer of $1.5 million. Meanwhile, Champ Service was slowly being isolated as the lone remaining defendant, which it was by the time of trial.

The trial began on June 3, 1992. A series of email messages from Humey to Wausau reflected his growing concern about the jury’s likely verdict.

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Cite This Page — Counsel Stack

Bluebook (online)
141 F.3d 300, 1998 WL 138772, Counsel Stack Legal Research, https://law.counselstack.com/opinion/zenith-insurance-co-v-employers-insurance-of-wausau-ca7-1998.