Wells Cargo, Inc. v. Transport Insurance Company
Filing
166
MEMORANDUM DECISION AND ORDER granting in part and denying in part 124 Motion for Partial Summary Judgment; granting in part and denying in part 125 Motion for Partial Summary Judgment; granting 133 Motion to Stay; finding as moot 142 Motion to Strike. Signed by Judge B. Lynn Winmill. (caused to be mailed to non Registered Participants at the addresses listed on the Notice of Electronic Filing (NEF) by (cjm)
UNITED STATES DISTRICT COURT
FOR THE DISTRICT OF IDAHO
WELLS CARGO, INC., a corporation,
Case No. 4:08-CV-00491-BLW
Plaintiff,
MEMORANDUM DECISION AND
ORDER
v.
TRANSPORT INSURANCE
COMPANY, a corporation,
Defendant.
INTRODUCTION
The Court has before it Plaintiff Wells Cargo, Inc.’s Motion for Partial Summary
Judgment, or Alternatively for Declaratory Relief, Regarding Retrospective Premium
Endorsement (Dkt. 124), Transport Insurance Company’s Motion for Partial Summary
Judgment Regarding Retrospective Premium (Dkt. 125), Plaintiff’s Motion to Stay (Dkt.
133), and Plaintiff’s Motion to Strike Declaration of Expert Witness James A. Robertson,
or in the Alternative for Leave to Make a Supplemental Submission in the Event Any
Expert Testimony is Allowed (Dkt. 142). The Court heard oral argument on the motions
on May 15, 2012. The Court then allowed supplemental briefs, which were fully
submitted to the Court by June 8, 2012. The Court now issues its decision.
BACKGROUND
MEMORANDUM DECISION AND ORDER - 1
The United States Forest Service brought a CERCLA action arising out of
environmental pollution and contamination at the North Maybe Mine in Southeast Idaho.
Plaintiff Wells Cargo is a party to the CERCLA action because it conducted mining
operations at the mine from 1965 to 1967. Wells Cargo seeks coverage from Transport
Insurance under several policies Transport issued to Wells Cargo between 1961 and 1985.
Wells Cargo seeks a declaration that Transport is required to defend and indemnify it for
the CERCLA action, as well as an award of damages for breach of contract.
The Court and the parties agreed to phase the litigation. During phase I, the parties
resolved the missing policy issue through stipulation. Next, the Court addressed three
issues: (1) whether Transport has a duty to defend Wells Cargo in the underlying
environmental proceeding under the Transport policies; (2) whether the amounts
associated with and paid in connection with the Remedial Investigation and Feasibility
Study (“RI/FS”) constitute defense costs or indemnity costs under the terms of the
Transport policies; and (3) the applicable law that will be applied to the two foregoing
issues. The Court determined that Idaho law applies, that Transport does have a duty to
defend Wells Cargo, and that RI/FS costs are defense costs.
The Court and the parties then agreed to address whether the case should be
stayed, and the interpretation of the retrospective premium endorsements attached to the
Transport insurance policies. Those issues are now before the Court.
LEGAL STANDARD
1.
Summary Judgment Legal Standard
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Summary judgment is appropriate where a party can show that, as to any claim or
defense, “there is no genuine dispute as to any material fact and the movant is entitled to
judgment as a matter of law.” Fed. R. Civ. P. 56(a). One of the principal purposes of the
summary judgment “is to isolate and dispose of factually unsupported claims . . ..”
Celotex Corp. v. Catrett, 477 U.S. 317, 323-24 (1986). It is “not a disfavored procedural
shortcut,” but is instead the “principal tool[ ] by which factually insufficient claims or
defenses [can] be isolated and prevented from going to trial with the attendant
unwarranted consumption of public and private resources.” Id. at 327. “[T]he mere
existence of some alleged factual dispute between the parties will not defeat an otherwise
properly supported motion for summary judgment.” Anderson v. Liberty Lobby, Inc., 477
U.S. 242, 247-48 (1986). There must be a genuine dispute as to any material fact - a fact
“that may affect the outcome of the case.” Id. at 248.
The evidence must be viewed in the light most favorable to the non-moving party,
and the Court must not make credibility findings. Id. at 255. Direct testimony of the
non-movant must be believed, however implausible. Leslie v. Grupo ICA, 198 F.3d 1152,
1159 (9th Cir. 1999). On the other hand, the Court is not required to adopt unreasonable
inferences from circumstantial evidence. McLaughlin v. Liu, 849 F.2d 1205, 1208 (9th
Cir. 1988).
When cross-motions for summary judgment are filed, the Court must
independently search the record for factual disputes. Fair Housing Council of Riverside
County, Inc. v. Riverside Two, 249 F.3d 1132, 1136 (9th Cir. 2001). The filing of
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cross-motions for summary judgment - where both parties essentially assert that there are
no material factual disputes - does not vitiate the court's responsibility to determine
whether disputes as to material fact are present. Id.
The moving party bears the initial burden of demonstrating the absence of a
genuine dispute as to material fact. Devereaux v. Abbey, 263 F.3d 1070, 1076 (9th Cir.
2001)(en banc). To carry this burden, the moving party need not introduce any
affirmative evidence (such as affidavits or deposition excerpts) but may simply point out
the absence of evidence to support the nonmoving party's case. Fairbank v. Wunderman
Cato Johnson, 212 F.3d 528, 532 (9th Cir.2000).
This shifts the burden to the non-moving party to produce evidence sufficient to
support a jury verdict in her favor. Id. at 256-57. The non-moving party must go beyond
the pleadings and show “by her affidavits, or by the depositions, answers to
interrogatories, or admissions on file” that a genuine dispute of material fact exists.
Celotex, 477 U.S. at 324.
ANALYSIS
1.
Cross-Motions for Partial Summary Judgment on Retrospective Premium
Wells Cargo and Transport filed competing motions for partial summary judgment
related to the retrospective premium endorsement. Wells Cargo seeks partial summary
judgment on Transport’s affirmative defense based on a retrospective premium
endorsement. Wells Cargo argues that Transport does not have the right now to charge
Wells Cargo any additional retrospective premium. Alternatively, Wells Cargo seeks a
MEMORANDUM DECISION AND ORDER - 4
declaration that the terms of the retrospective premium endorsement do not permit
Transport to make any retrospective premium adjustment at this stage of the proceedings.
Transport seeks partial summary judgment confirming that Transport is entitled to
charge retrospective premiums pursuant to a formula set forth in the insurance policies.
Transport asks the Court to declare that the retrospective premium endorsements are
enforceable, and that the Transport policies permit Transport to calculate and charge
retrospective premium arising out of Wells Cargo’s alleged liability in the underlying
administrative action according to the terms and conditions of the retrospective premium
endorsements.
A retrospective premium endorsement is a way to make an insurance premium
payment more accurately reflect the actual loss and cost experience of the insured. It
allows the insurer and the insured to hedge their bets; the insurer avoids having to bear all
of the cost of a catastrophic loss not anticipated by its underwriting procedures, while the
insured avoids paying the higher up-front premium which would be necessary in the
absence of such a provision. In the most basic terms, if the retrospective earned premium
is less than the standard premium charged over the specified time period, the insured is
entitled to a credit, but if it is less than the standard premium, the insured must pay the
difference.
Here, the parties have stipulated that both the 1961 and 1966 insurance policies
included a retrospective premium endorsement, but they disagree on how they apply. As
the Court stated in its earlier opinion, Idaho law applies to this case. Therefore, before
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addressing the language of the policies – specifically the retrospective premium
endorsement language – the Court will analyze the Idaho Supreme Court decisions which
tell us how insurance contracts are to be interpreted.1
A.
Idaho Supreme Court Precedent on Insurance Contracts
The Idaho Supreme Court has made clear that the question of whether an insurance
policy is ambiguous is a question of law for the court to determine. Farm Bureau Mutual
Insurance Co. Of Idaho v. Schrock, 252 P.3d 98, 102 (Idaho 2011) (citing Cherry v.
Coregis Insurance Co., 204 P.3d 522, 524 (Idaho 2009)). A court must ask whether a
policy is reasonably subject to conflicting interpretations in order to determine whether it
is ambiguous. Id. If the language of the policy is clear and unambiguous, then it will be
given its ordinary and plain meaning. Id. That’s the easy part.
The more difficult question is what the Court should do if the language is unclear
and ambiguous. In those instances, the Idaho Supreme Court has stated that “[a]ny
ambiguities should be resolved in favor of the insured, and where language may be given
two meanings, one of which permits recovery while the other does not, the policy should
be given the construction most favorable to the insured.” Cherry, 204 P.3d at 524. The
justification for favoring the insured is the assumption that insurance policies are
1
As discussed below, the Court has determined that the policies are not ambiguous with
respect to whether they were cancelled. Thus, it is not absolutely necessary that the Court clarify
Idaho law regarding interpretation of an ambiguous insurance contract in Idaho. However,
because the issue has come up several times in this case already, and likely will come up again,
the Court finds it appropriate to clarify and explain its understanding of Idaho Supreme Court
precedent on the issue.
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contracts of adhesion which are not typically subject to negotiation. Schrock, 252 P.3d at
102.
However, the Idaho Supreme Court has also indicated that when interpreting
insurance contracts, a court should apply general rules of contract law. Clark v.
Prudential Property And Casualty Ins. Co., 66 P.3d 242, 244 (Idaho 2003). Thus, the
Idaho Supreme Court has stated that “[t]o determine the meaning of an ambiguous
contract, the trier of fact must determine what a reasonable person would have understood
the language to mean and the words used must be construed given their ordinary
meaning.” Id. at 245
At first blush, Clark appears to suggest that resolving ambiguities in insurance
contracts should be left to the fact finder – typically a jury. But unfortunately the Idaho
Supreme Court’s final determination in Clark is not all that helpful because the court
ultimately found that the insurance policy was unambiguous. Id. Therefore, it did not
wrestle with how to interpret ambiguous contract language.
However, the Idaho Supreme Court did indicate that when applying the general
rules of contract law to an insurance contract, they are “subject to certain special canons
of construction.” Id. at 244. Those special canons of construction include the admonition
that “ambiguities must be construed most strongly against the insurer,” and “[t]he burden
is on the insurer to use clear and precise language if it wishes to restrict the scope of
coverage, and exclusions not stated with specificity will not be presumed or inferred.” Id.
at 245. Thus it seems that Clark, like Cherry and Schrock, stands for the proposition that
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if an insurance contract is ambiguous, the court itself should resolve that ambiguity in
favor of coverage.
Additionally, in 2008 the Idaho Supreme Court again referenced the language in
Clark that when interpreting insurance contracts, the court should apply general contract
law rules subject to special canons of construction. Arreguin v. Farmers Insurance Co. Of
Idaho, 180 P.3d 498 500 (Idaho 2008). In Arreguin, the district court granted summary
judgment in favor of the insurance company, finding that the term outbuildings
unambiguously included a detached garage. According to the insurance policy,
outbuildings were not covered. The Idaho Supreme Court reversed and remanded the case
back to the district court, finding that the term outbuildings was ambiguous. Id. at 502.
The court did not specifically state whether the determination of the term outbuildings
should be submitted to a jury or whether the district court should simply rule in favor of
the insured on the coverage issue. However, the court also addressed whether the insured
had notice that the insurance company considered his detached garage an outbuilding.
The district court had determined that the insured had notice of lack of insurance
coverage for his detached garage because the insurance company had previously denied a
claim for damages to the garage. Id. The court surmised that the district court’s finding
likely was a factual finding that the insured did have notice. The court then decided that it
would be improper for it to consider such a factual finding. In doing so, the court cited the
language from other Idaho Supreme Court cases that “[w]hen a contract is ambiguous, the
interpretation of the contract terms presents a question of fact.” Id. The court stated that
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“the degree to which [the insured’s] previous notice that [the insurance company]
considered the detached garage excluded from coverage should inform the interpretation
of the term ‘outbuildings’ is a question of fact and not a matter to be resolved on
summary judgment.” Id.
Based on these decisions, the Court finds that although the Idaho Supreme Court
has used some imprecise language in describing the standard for interpreting insurance
contracts, its recent decisions confirm that “all ambiguities in an insurance policy are to
be resolved against the insurer.” Cherry, 204 P.3d at 526. Moreover, the Court interprets
the Idaho Supreme Court’s decisions to require that the Court, not a jury, resolve an
ambiguity in favor of the insured. That is what the Idaho Supreme Court did in Cherry,
and this would seem to be the most appropriate approach. It would make little sense for a
court to make the initial determination on whether an insurance policy is ambiguous –
which the Idaho Supreme Court unequivocally states the court must do – and then if the
court finds that it is ambiguous, ask the jury to resolve that ambiguity, but with an
instruction that it must do so by resolving it in favor of the insured. Because ambiguities
must be resolved in favor of the insured, it makes much more sense for the court to simply
make that determination if and when it determines that the contract is ambiguous. The
only issues which should be left to a jury for interpretation are factual determinations that
inform the interpretation of an ambiguous term like those addressed in Arreguin.
Arreguin, 180 P.3d at 502.
B.
The Policies were Cancelled
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A Retrospective Premium Determination Agreement Endorsement is attached to
the 1961 and 1966 policies. Joint Stipulation of Lost Policy Terms, Ex. A, p. 10, Dkt. 641. Section I of the endorsement is a list of definitions, Section II is the formula for
determining the retrospective earned premium, Section III is a list of conditions for the
endorsement, and Section IV is a cancellation clause. Condition 5 of Section III explains
what happens if the policy to which the endorsement is attached is cancelled. Condition 6
explains what happens if the policy to which the endorsement is attached has not been
cancelled. The parties dispute what is meant by “cancelled,” and whether the policies
were cancelled. This, in turn, dictates whether Condition 5 or Condition 6 applies.
According to the Idaho Supreme Court precedent discussed above, the Court’s first
step is to determine whether the term “cancelled” is ambiguous. To make that
determination, the Court must ask whether the policy is reasonably subject to conflicting
interpretations. Farm Bureau Mutual Insurance Co. Of Idaho v. Schrock, 252 P.3d 98,
102 (Idaho 2011).
The stipulated and undisputed facts in this case lead one to the inescapable
conclusion that all four policies were cancelled. First, both parties agree that Transport
issued polices to Wells Cargo in 1961, 1966, 1972 and 1978. Second, although the term
“cancelled” is not defined in the policies, and the parties dispute its meaning, they do not
dispute that the 1978 policy was cancelled by any definition of the term when Transport
notified Wells Cargo of its cancellation in 1985. Joint Stipulation of Lost Policy Terms,
Ex. G, p.62 (Dkt. 64-8). Third, the parties stipulate that each policy was issued from a
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date certain “until cancelled.” Joint Stipulation of Lost Policy Terms, Ex. E, p.2 (Dkt. 645); Pl.’s Supplemental Brief, p.5, Dkt. 161. And Fourth, the parties stipulate to an
effective end date for each policy – the 1961 policy ended on May 1, 1966, the 1966
police ended on September 1, 1972, the 1972 policy ended on October 1, 1978, and the
1978 policy ended on April 5, 1985. Joint Stipulation of Lost Policy Terms, pp. 2, 7, 12,
& 14, (Dkt. 64). Reading these stipulations together require the conclusion that the 1961
policy was “cancelled” on May 1, 1966, the 1966 policy was “cancelled” on September 1,
1972, and the 1972 policy was “cancelled” on October 1, 1978.
Moreover, Wells Cargo’s alternative interpretation is unreasonable. Wells Cargo
suggests that each of the polices constituted a separate contract, which, when renewed to
cover successive policy periods, continued the contractual relationship between the two
parties beyond the issuance of the successor policy. In this view, only the 1978 policy
was cancelled. However, unless each policy was cancelled, they would overlap each
other, provide cumulative coverage, and still be in effect today. But we know from the
parties’ stipulations that they are not still in effect. Rather, the parties have agreed that
each policy continued “until cancelled,” and ended on a date certain – the very date the
subsequent policy went into effect. Joint Stipulation of Lost Policy Terms, pp. 2, 7, 12, &
14, (Dkt. 64).
Accordingly, the Court finds that the only reasonable interpretation of the
insurance contracts is that each policy was “cancelled” when a successor policy took
effect or the policy was expressly cancelled by one of the parties. This, in turn, requires
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the conclusion, as a matter of law, that the cancellation policy language is unambiguous
and that the policies were cancelled. Accordingly, condition 5 applies and the
retrospective premium endorsements are enforceable. However, that does not mean that
Transport may, at this point in the litigation, calculate and charge retrospective premium
arising out of Wells Cargo’s alleged liability. Transport’s demand for immediate
reimbursement of defense costs is premature.
Condition 5 provides that “upon demand,” Wells Cargo “will reimburse
[Transport] for any additional charges resulting from the settlement of any known or
unknown losses in accordance with the Formula for DETERMINING RETROSPECTIVE
EARNED PREMIUM as defined in Section II herein.” Joint Stipulation of Lost Policy
Terms, Ex. A, p. 14, Dkt. 64-1. Because condition 5 restricts Transport’s claim to charges
“resulting from the settlement of” the CERCLA Action, Transport cannot calculate or
demand reimbursement of such charges until settlement occurs.
2.
Motion to Strike
Wells Cargo asks the Court to strike the declaration of expert witness James A.
Robertson. Having determined that the policy language is unambiguous, but that
Transport cannot demand reimbursement at this time, Mr. Robertson’s testimony is of no
consequence now. Accordingly, the motion will be deemed moot.
3.
Motion to Stay
Wells Cargo asks the Court to stay the indemnity phase of this action until
completion of the RI/FS and the Forest Service’s publication of its Record of Decision.
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The standard for determining whether a stay is appropriate is generally committed to the
discretion of the district court. Lockyer v. Mirant Corp., 398 F.3d 1098, 1109 (9th Cir.
2005). However, citing the Supreme Court’s decision in Landis v. North American Co.,
299 U.S. 248 (1936), the Ninth Circuit indicates that the Court should weigh the
competing interests which will be affected by granting or refusing to grant a stay. Those
interests include: (1) possible damage which may result from granting a stay; (2) the
hardship or inequity a party may suffer if forced to proceed; (3) and the orderly course of
justice measured in terms of the simplifying or complicating of issues, proof, and
questions of law which could be expected to result from a stay. Id. at 1110 (citing CMAX,
Inc. v. Hall, 300 F.2d 265, 268 (9th Cir. 1962).
Here, the Court finds that Wells Cargo has shown a clear case of prejudice in its
ability to defend the North Maybe Mine claim if the stay is not granted. More
specifically, the Court finds that Wells Cargo’s coverage defenses in this case are
intertwined with the underlying CERCLA action. Thus, Wells Cargo’s defenses in the
CERCLA action may be undermined if forced to litigate the coverage issues at this point,
and Wells Cargo should not be forced to engage in a two-front war fighting both its
insurance carrier and defending itself against the allegations in the cleanup action. The
Court notes that there may be portions of this litigation which could be addressed at this
point without creating conflict for Wells Cargo, but it simply is not plausible to carve out
those portions in any meaningful way. Ultimately, the Court finds that the lion’s share of
the issues presented in this coverage action depend to some degree on when the alleged
MEMORANDUM DECISION AND ORDER - 13
property damage occurred, who is responsible, and the extent of contamination. These are
the very issues being addressed in the underlying case, and the risk of forcing Wells
Cargo to take inconsistent positions by simultaneously litigating liability and coverage is
too great.
Additionally, the RI/FS will likely determine whether there is evidence of
contamination and the source thereof which is critical to the indemnification issue.
Addressing those issues now in this coverage suit would be judicially inefficient. It makes
much more sense to wait for the Record of Decision before litigating those matters here.
Finally, a stay will not prejudice Transport. The only real potential for prejudice is
the potential loss of testimony from witnesses who may become incapacitated or
otherwise unavailable. However, there is no evidence that this is a real risk. Still, if
Transport can provide the Court with specific concerns about individuals from whom it
may not be possible to obtain testimony in the near future, the Court will consider
allowing limited depositions. As for Transport’s suggestion that “[m]ost people cannot
remember what they did two weeks ago let alone remember the details of what they did in
1965,” it makes little difference then whether they are deposed now or after the RI/FS.
For these reasons, the Court will grant the stay.
ORDER
IT IS ORDERED:
1.
Plaintiff Wells Cargo, Inc.’s Motion for Partial Summary Judgment, or
Alternatively for Declaratory Relief, Regarding Retrospective Premium
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Endorsement (Dkt. 124) is DENIED in part and GRANTED in part.
Condition 5 applies and the retrospective premium endorsements are
enforceable. However, Transport cannot calculate or demand
reimbursement of such charges until settlement of the CERCLA Action
occurs.
2.
Transport Insurance Company’s Motion for Partial Summary Judgment
Regarding Retrospective Premium (Dkt. 125) is GRANTED in part and
DENIED in part. Condition 5 applies and the retrospective premium
endorsements are enforceable. However, Transport cannot calculate or
demand reimbursement of such charges until settlement of the CERCLA
Action occurs.
3.
Plaintiff’s Motion to Stay (Dkt. 133) is GRANTED.
4.
Plaintiff’s Motion to Strike Declaration of Expert Witness James A.
Robertson, or in the Alternative for Leave to Make a Supplemental
Submission in the Event Any Expert Testimony is Allowed (Dkt. 142) is
DEEMED MOOT.
DATED: July 31, 2012
B. LYNN WINMILL
Chief U.S. District Court Judge
MEMORANDUM DECISION AND ORDER - 15
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