State of Wisconsin Local Government Property Insurance Fund v. Lexington Insurance Company et al
Filing
27
ORDER signed by Judge J P Stadtmueller on 4/17/15 denying 12 Lexington Insurance Company's Motion to Compel Arbitration and Stay Judicial Proceedings. See Order. (cc: all counsel) (nm)
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF WISCONSIN
STATE OF WISCONSIN LOCAL
GOVERNMENT PROPERTY INSURANCE
FUND,
Plaintiff,
v.
LEXINGTON INSURANCE COMPANY,
THE CINCINNATI INSURANCE
COMPANY, and MILWAUKEE COUNTY,
Case No. 15-CV-142-JPS
ORDER
Defendants.
This case involves an insurance dispute arising from a 2013 fire at the
Milwaukee County Courthouse (“the Courthouse”). (Docket #1, Ex. 2 ¶ 37).
The plaintiff, State of Wisconsin Local Government Property Insurance Fund
(“the Fund”), insures the Courthouse pursuant to its statutory obligations
under Chapters 604 and 605 of the Wisconsin Statutes. (Id. ¶¶ 15–18). The
Fund, in turn, engaged one of the defendant insurers, Lexington Insurance
Company (“Lexington”), as its excess insurer or reinsurer (the parties
disagree). (Id. ¶¶ 7–10). Meanwhile, Milwaukee County (“the County”)1
obtained a separate insurance policy from the remaining defendant insurer,
The Cincinnati Insurance Company (“Cincinnati”), to cover machinery and
equipment that might otherwise be excluded from the County’s policy from
the Fund. (Id. ¶¶ 11–13, 21–27).
As the Court will discuss further, the Fund paid all but a small portion
of the County’s claimed losses. (Id. ¶ 42). The Fund and Cincinnati disagree
over which should pay the County for the small portion that remains. (Id.
1
The County is named as a defendant in this case, but has taken no position
as to the motion to compel arbitration now before the Court.
¶ 64). Pursuant to Joint Loss Agreements that exist in the County’s policies
with the Fund and Cincinnati (and which are integral to the motion to
compel now before the Court), the Fund and Cincinnati are going to arbitrate
their disagreement. (Id. ¶¶ 65–66, 69).
Lexington has now filed a motion seeking to compel the Fund and
Cincinnati to allow Lexington to participate in that arbitration. (Docket #12).
Lexington has paid the Fund a large amount (id. ¶ 48), but there are still
substantial disputes between the two about Lexington’s obligations (id.,
¶¶ 49–61). The Fund hopes to resolve those disputes by litigating this case,
whereas Lexington, it seems, hopes to resolve the disputes in arbitration.
Lexington’s motion to compel arbitration is now fully briefed and
ready for decision. (Docket #13, #19, #22, #24). The Court first provides some
additional background, after which it analyzes and applies the law.
1.
BACKGROUND2
In July of 2013, the Courthouse was severely damaged as a result of
a fire that is believed to have originated in the building’s electrical system.
(Docket #1, Ex. 2 ¶ 37).
At that point, the County held two separate insurance policies
covering the Courthouse. (See id. ¶¶ 11–13, 15–18, 21–27). The primary policy
(“the Fund policy”) was issued by the Fund. (Docket #13, Ex. 1). However,
the Fund policy specifically excluded, among other things, certain forms of
2
The parties largely agree as to the facts that underlie the motion to compel
arbitration. With this background section, the Court hopes to provide enough detail
for the reader to understand the dispute between the parties. The Court, therefore,
cites to the Complaint (Docket #1, Ex. 2) for the underlying facts and to the
submitted insurance policies (Docket #13, Exs. 1–3) and other related documents for
information regarding the formation and terms of the policies.
Page 2 of 18
“[e]lectrical or mechanical breakdown.” (Id. at 17).3 The County
supplemented the Fund policy with a machinery and equipment policy
issued by Cincinnati (“the Cincinnati policy”). (Docket #13, Ex. 3). The
County is listed as the insured on both policies. (See, e.g., Docket #13, Ex. 1 at
2; Docket #13, Ex. 3 at 4).
Importantly, both policies include a Joint Loss Agreement (“JLA”).
(Docket #13, Ex. 1 at 24; Docket #13, Ex. 3 at 17).4 In essence, the JLAs provide
that, in the event of a dispute over which insurer should bear the costs of
certain damage, the insurers are each required to pay one-half of the
disputed amount and thereafter submit their dispute to arbitration. (Docket
#13, Ex. 1 at 24; Docket #13, Ex. 3 at 17). The purpose of a JLA is to make the
insured—in this case, the County—whole as quickly as possible, allowing the
insurers to resolve their dispute over time.
In this case, the County took advantage of both policies and the JLAs.
First, it filed a claim with the Fund. (Docket #1, Ex. 2 ¶ 38; Docket #23 ¶ 4).
The Fund paid approximately $17.4 million in satisfaction of a huge portion
of the County’s claim. (Docket #1, Ex. 2 ¶¶ 42–43; Docket #23 ¶ 4). After the
Fund’s payments, only $1.6 million remained to make the County whole, but
there was disagreement over whether the Fund or Cincinnati should be
responsible for that remaining amount. (See Docket #23 ¶ 5). Thus, the
County sent letters to both the Fund and Cincinnati, invoking the JLA.
3
The insurance policies are all attached as exhibits to Docket Entry No. 13.
Each exhibit includes multiple documents that compose the entirety of the parties’
agreement. Rather than citing to the internal pages of the documents included in
the exhibits, the Court will instead cite to the page number of the exhibit, itself. So,
in this instance, the Court cites to Page 17 of Exhibit 1, rather than to Page 7 of 13
of the “Valuation Policy Provisions” document included in Exhibit 1.
4
It is called the Joint or Disputed Loss Agreement in the Cincinnati policy.
Page 3 of 18
(Docket #19, Exs. A, B). In reliance on the JLA, both the Fund and Cincinnati
paid $800,000 apiece (one-half of the $1.6 million in dispute) to the County,5
and now plan to arbitrate their dispute. (See, e.g., Docket #1, Ex. 2, ¶¶ 42, 69;
Docket #23 ¶ 5).
The remaining piece of this puzzle is the insurance policy issued by
Lexington to the Fund (“the Lexington policy”). (Docket #13, Ex. 2).
According to Lexington, this policy constituted an excess coverage policy,6
providing coverage for per-occurrence losses that exceed $1.8 million.
(Docket #13 at 3). Unlike the Fund and Cincinnati policies, the Lexington
policy names the Fund—not the County—as the insured. (Docket #13, Ex. 2
at 2). Also unlike the Fund and Cincinnati policies, the Lexington policy does
not expressly include a JLA (although, as the Court will explain, Lexington
argues that its policy incorporated the JLA from the Fund policy). (See Docket
#13, Ex. 2).
The Fund filed a claim with Lexington, seeking payment
reimbursement for amounts paid to the County. (Docket #1, Ex. 2 ¶ 47).
Lexington has paid $5 million of the Fund’s claim, but disagreements remain
between Lexington and the Fund over whether Lexington must pay more.
(See, e.g., Docket #1, Ex. 2 ¶¶ 48–62).
This case is the Fund’s effort to put that dispute to rest; Lexington, on
the other hand, seeks to stay this case and compel the Fund and Cincinnati
to allow Lexington to participate in arbitration. (Docket #12). Presumably,
Lexington would argue that Cincinnati should be responsible for a greater
5
Thus, at this point, the County has been made whole.
6
The Fund and Cincinatti disagree, calling the Lexington policy a
reinsurance policy. The Court will address this disagreement further in the analysis
section of this order.
Page 4 of 18
portion of the loss, thus requiring the Fund and, in turn, Lexington to
reimburse a smaller amount.7 (See Docket #24 at 2 (“all parties with a contract
containing the arbitration provision can participate in the arbitration to
determine the full amount of the disputed loss covered under Cincinnati’s
boiler and machinery insurance policy.”)).
Lexington argues that its policy incorporated the JLA from the Fund
policy. (See, e.g., Docket #13). Endorsement A to the Lexington policy states:
“Policy follows form and is excess over the [Fund policy] and
endorsements.” (Docket #13, Ex. 2 at 32). According to Lexington, this
provision essentially imports the terms of the entire Fund policy—most
importantly the JLA—into the Lexington policy. (Docket #13). And, on the
basis of the JLA imported from the fund policy, Lexington now seeks to
compel arbitration.8 (Id.)
2.
ANALYSIS
This dispute gives rise to two overarching issues. The first is whether
the Court should read the Fund policy’s JLA as part of the Lexington policy.
The second, assuming that the JLA is part of the Lexington policy, is whether
the JLA compels Lexington’s participation in arbitration.
2.1
Does the Lexington Policy Include the JLA?
As to the first issue, it appears that the JLA is part of the Lexington
policy by virtue of the follow-form endorsement.
“‘Following form’ is an insurance industry term of art that is typically
understood by insurance professionals to suggest that an excess or umbrella
7
Lexington’s briefs in this regard are generally vague.
8
Lexington has not identified—and the Court cannot find—any express
arbitration clause in the Lexington policy. (See Docket #13, Ex. 2). Thus, it appears
that the JLA is Lexington’s only hope for compelling arbitration to avoid this trial.
Page 5 of 18
policy incorporates the terms of another underlying policy.” Wadzinski v.
Auto-Owners Ins. Co., 2012 WI 75, ¶ 29, 342 Wis. 2d 311, 818 N.W.2d 819
(citing 23 Eric Mills Holmes, Holmes’ Appleman on Insurance § 145.1 (2d ed.
interim vol. 2003)).9 Typically, follow-form policies are extremely short,
doing little more than incorporating the terms of an underlying policy “to
ensure that the same terms of coverage are maintained between primary and
excess levels of insurance.” Wadzinski, 2012 WI 75, ¶ 29 (citing Johnson
Controls, Inc. v. London Mkt., 2010 WI 52, ¶ 34 & n.7, 325 Wis.2d 176, 784
N.W.2d 579, reconsid. denied, 2011 WI 1, 330 Wis.2d 443, 793 N.W.2d 71;
Holmes’ Appleman § 145.1; 15 Lee R. Russ & Thomas F. Segalla, Couch on
Insurance § 220:32 n.31 (3d ed.2005 & Supp.2011)).
Nonetheless, follow-form policies “regularly include terms and
provisions that afford distinct coverage or exclusions from those provided
in the underlying policy.” Wadzinski, 2012 WI 75, ¶ 29 (citing Holmes’
Appleman § 145.1). In the case that a follow-form policy has terms that
provide for coverage or exclusions that differ from those in the underlying
policy, the terms of the underlying policy will control in the event that the
follow-form policy’s terms do not apply or are not specific. See Johnson
Controls, 2010 WI 52, ¶ 40. For instance, in Johnson Controls, the Wisconsin
Supreme Court found that the terms of an underlying policy applied in the
absence of express controlling terms in a follow-form policy. Id.
9
The parties have not addressed the issue of choice of law, but seem to agree
that Wisconsin law applies. The Court can find no basis to apply another state’s
law. Thus, because it is sitting in diversity, the Court will apply Wisconsin law. See
Erie R.R. Co. v. Tompkins, 304 U.S. 64 (1938).
Page 6 of 18
Although London Market’s insuring agreement does not
promise a defense, the follow form provision incorporates the
terms, definitions, exclusions, and conditions of the Travelers
policies. One of those terms is Travelers’ duty to defend, a duty
that the London Market policy does not disclaim.
Id.
Thus, in this case, it appears that the Lexington policy’s follow-form
endorsement effectively imported the Fund policy’s JLA into the Lexington
policy. The parties do not appear to disagree as to the meaning of the
endorsement, and the language of the endorsement is clear enough: it states
that the Lexington policy follows the form of the underlying Fund policy.
Calling the Lexington policy a follow-form policy is, perhaps, a little
strange in light of the Lexington policy’s detail. The Lexington policy totals
31 pages, including 10 endorsements, a two-page statement of “Standard
Property Conditions,” and a 13-page statement of “Valuation Policy
Provisions.” (Docket #13, Ex. 2 at 2–32). It certainly is not short. See Wadzinski,
2012 WI 75, ¶ 29 (“[f]ollowing form policies are typically very short”)
(citations omitted). Moreover, given the many details offered in those 31
pages, the Lexington policy likely departs from the underlying Fund policy
in many ways, defeating the purpose of being a follow-form policy.
Wadzinski, 2012 WI 75, ¶ 29 (noting that the general purpose of follow-form
policies is to “ensure that the same terms of coverage are maintained
between primary and excess levels of insurance”) (citations omitted).
But neither the strange nature of the policy nor anything in the
Lexington policy, itself, requires the Court to read the follow-form
endorsement in any way other than by its plain terms. And, again, those
plain terms make it clear: the Lexington policy follows the form of the
Page 7 of 18
underlying Fund policy. Therefore, the Lexington policy incorporates the
JLA.
Furthermore, nothing in the Lexington policy supersedes or expressly
proscribes application of the JLA. Just as was the case in Johnson Controls,
2010 WI 52, ¶ 40, the Lexington policy “does not disclaim” the JLA, so the
JLA should apply.
Finally, the fact that the important provision of the JLA is an
arbitration requirement makes no difference to the outcome. Sphere Drake Ins.
Ltd. v. All Am. Ins. Co., 256 F.3d 587, 589 (7th Cir. 2001). In Sphere Drake, the
Seventh Circuit determined that a follow-form policy included the arbitration
clause of an underlying policy, because the follow-form policy did not
expressly exclude application of the clause. Id.
Here, as in Progressive Casualty Insurance Co. v. C.A.
Reaseguradora Nacional De Venezuela, 991 F.2d 42 (2d Cir.1993),
a follow-form reinsurance agreement logically includes an
arbitration agreement in the underlying contract. This
understanding could be overridden, but this slip policy's
“Exclusions” section does not displace the arbitration clause.
Sphere Drake, 256 F.3d at 589. Precisely the same can be said of the Lexington
policy, here: nothing in it displaces the arbitration clause of the JLA, and so
the Lexington policy logically includes that clause.
2.2
Does the JLA Require Lexington’s Participation in the Other
Parties’ Arbitration?
So, the Lexington policy incorporates the JLA, but does that make any
substantive difference? Is Lexington correct that the JLA calls for Lexington’s
participation in the arbitration planned between the Fund and Cincinnati?
2.2.1
Legal Principles Governing Interpretation of JLA
In interpreting the JLA, the Court must give the JLA’s terms “their
plain or ordinary meaning.’” Betz v. Diamond Jim’s Auto Sales, 2014 WI 66,
Page 8 of 18
¶ 39, 355 Wis. 2d 301, 849 N.W.2d 292 (quoting Huml v. Vlazny, 2006 WI 87,
¶ 52, 293 Wis. 2d 169, 716 N.W.2d 807). So long as the terms of the JLA “‘are
clear and unambiguous,’” the Court must construe the JLA “‘according to its
literal terms,’ and consistent with ‘what a reasonable person would
understand the words to mean under the circumstances.’” Fabco Equip., Inc.
v. Kreilkamp Trucking, Inc., 2013 WI App 141, ¶ 6, 352 Wis. 2d 106, 841 N.W.2d
542 (quoting Tufail v. Midwest Hospitality, LLC, 2013 WI 62, ¶¶ 26, 28, 348 Wis.
2d 631, 833 N.W.2d 586). In the context of “a business contract,” a reasonable
person’s understanding means “‘the manner that [the contract] would be
understood by persons in the business to which the contract relates.’” Tufail,
2013 WI 62, ¶ 28 (quoting Columbia Propane, L.P. v. Wisconsin Gas Co., 2003 WI
38, ¶ 12, 261 Wis. 2d 70, 661 N.W.2d 776. If the Court determines that the JLA
language gives rise to a single “clear and unambiguous meaning,” then the
Court must apply the JLA as written. MS Real Estate Holdings, LLC v. Donald
P. Fox Family Trust, 2014 WI App 84 ¶ 8, 356 Wis. 2d 307, 853 N.W.2d 627
(citing Nature Conservancy of Wis., Inc. v. Altnau, 2008 WI App 115, ¶ 6, 313
Wis. 2d 382, 756 N.W.2d 641). Absent any ambiguity, the construction of the
JLA is a matter of law. MS Real Estate, 2014 WI App 84, ¶ 8 (citing Levy v.
Levy, 130 Wis. 2d 523, 528, 388 N.W.2d 170 (1986)). “[T]he cornerstone of
contract construction is to ascertain the true intentions of the parties as
expressed by contractual language.” State ex rel. Journal/Sentinel, Inc. v. Pleva,
155 Wis. 2d 704, 711, 456 N.W.2d 359 (1990).
There is generally a strong presumption in favor of interpreting
arbitration clauses to require arbitration. See, e.g., Cirilli v. Country Ins. & Fin.
Servs., 2009 WI App 167, ¶ 14, 322 Wis. 2d 238, 250, 776 N.W.2d 272, 277-78
(citing Kimberly Area Sch. Dist. v. Zdanovec, 222 Wis. 2d 27, 39, 586 N.W.2d 41
Page 9 of 18
(Wis. Ct. App. 1998); AT & T Techs., Inc. v. Commc'ns Workers of Am., 475 U.S.
643, 650 (1986)). “[I]t has been established that where the contract contains an
arbitration clause, there is a presumption of arbitrability in the sense that
‘[a]n order to arbitrate the particular grievance should not be denied unless
it may be said with positive assurance that the arbitration clause is not
susceptible of an interpretation that covers the asserted dispute. Doubts
should be resolved in favor of coverage.’” AT & T, 475 U.S. at 650 (quoting
United Steelworkers of Am. v. Warrior & Gulf Nav. Co., 363 U.S. 574, 582-583
(1960); citing Gateway Coal Co. v. United Mine Workers of Am., 414 U.S. 368,
377-378 (1974)). “When a court is called upon to ascertain the arbitrability of
a dispute, the court’s function is limited to a determination of whether:
(1) there is a construction of the arbitration clause that would cover the
grievance on its face and (2) whether any other provision of the contract
specifically excludes it.” Cirilli, 2009 WI App167, ¶ 14 (citing Joint School Dist.
No. 10, City of Jefferson v. Jefferson Ed. Ass’n, 78 Wis. 2d 94, 111, 253 N.W.2d
536 (1977); Kimberly, 222 Wis.2d at 38, 586 N.W.2d 41).
While this case law leaves little doubt that there is a strong
presumption in favor of requiring arbitration, Lexington takes that
presumption to its extreme. In its briefs, Lexington has largely avoided
providing any clear statement of how the JLA actually applies to require
Lexington’s participation in arbitration in this case. Instead, Lexington’s
position seems to be that: (1) the JLA is part of the Lexington policy; (2) the
Court presumes that arbitration is required; and (3) ipso facto, arbitration
must be required in this case. (See Docket #13 at 7–10 (focusing much more
closely on presumption in favor of arbitration than terms of JLA); Docket #24
at 2–5 (offering limited analysis of the terms of the JLA and how the JLA
applies)). Perhaps that is an oversimplification, but the Court struggles to
Page 10 of 18
find any clear statement from Lexington that addresses the first question
identified in Cirilli: whether “there is a construction of the arbitration clause
that would cover the grievance on its face.” 2009 WI App 167, ¶ 14.
2.2.2
Full Terms of JLA
That question requires a close analysis of the full terms of the JLA. The
JLA provides in full:
In the event of damage to or destruction of property, at a
location designated in this policy and also designated in a
Boiler and Machinery Insurance Policy(ies) and there is a
disagreement between the insurers with respect to:
(1)
Whether such damage or destruction was caused by a
peril insured against by this policy or by a peril insured
against by such Boiler and Machinery Insurance
Policy(ies) or
(2)
The extent of participation of this policy and of such
Boiler and Machinery Insurance Policy(ies) in a loss of
which is insured against, partially or wholly, by any or
all of said policies.
This company shall, upon written request of the insured, pay
to the insured one-half of the amount of the loss which is in
disagreement, but in no event more than this company would
have paid if there had been Boiler and Machinery Insurance
Policy(ies) in effect, subject to the following conditions:
(1)
The amount of loss which is in disagreement, after
making provisions for any undisputed claims payable
under the said policies and after the amount of the loss
is agreed upon by the insured and the insurers, is
limited to the minimum amount remaining payable
under either the Boiler and Machinery or Fire
Policy(ies);
(2)
The Boiler and Machinery insurer(s) shall
simultaneously pay to the insured one-half of said
amount which is in disagreement;
Page 11 of 18
(3)
The payments by the insurers hereunder and
acceptance of the same by the insured signify the
agreement of the insurers to submit to and proceed with
arbitration within 90 days of such payments; the
arbitrators shall be three in number, one shall be
appointed by the Boiler and Machinery insurer, one
shall be appointed by the Fund, and the third appointed
by consent of the other two. The decision by the
arbitrators shall be binding on the insurers and that
judgment upon such award may be entered in any court
of competent jurisdiction;
(4)
The insured agrees to cooperate in connection with such
arbitration but not to intervene therein;
(5)
The provisions of this endorsement shall not apply
unless such other policy(ies) issued by the Boiler and
Machinery insurance company(ies) is similarly
endorsed; and
(6)
Acceptance by the insured of some payment pursuant
to the provisions of this endorsement, including an
arbitration award, shall not operate to alter, waive,
surrender or in any way affect the rights of the insured
against any of the insurers.
(Docket #13, Ex. 1 at 24).10
2.2.3
Interpretation of JLA
Summarizing the plain terms of the JLA, the JLA operates when two
preconditions are present:
(1)
there has been damage to property at a location covered by
both “this policy”—which, depending on interpretation, may
refer to either the Fund policy or the Lexington policy—and
the Cincinnati policy; and
10
In its briefs, Lexington often refers to both JLAs. At one point, Lexington
states “[i]mportant to this motion, the Cincinnati Policy also contained a joint loss
provision.” (Docket #13 at 4). But there is no indication that the Cincinnati policy’s
JLA should play any role in the question of whether Lexington is entitled to
participate in the arbitration.
Page 12 of 18
(2)
the “insurers” disagree over either:
(a)
whether the Fund policy or the Cincinnati policy covers
the damage; or
(b)
the extent of participation of the Fund and Cincinnati
policies.
(Id.).
In the event that those preconditions are present, two secondary
conditions must follow. First, “[t]his company”—which, depending on
interpretation, may mean either the Fund or Lexington—and Cincinnati must
each pay half of the “amount of the loss which is in disagreement,” upon
request of the County. (Id.) The “amount of loss which is in disagreement”
cannot exceed “the minimum amount remaining payable under either the”
Cincinnati policy or a fire policy, after provisions have been made for
undisputed claims and the parties have agreed on the disputed amount. (Id.)
Second, the payments by “the insurers” signify their agreement to be bound
by an arbitration. (Id.) That arbitration must be held within 90 days of
payment. (Id.) The Fund selects one arbitrator, Cincinnati selects a second,
and those two arbitrators select a third. (Id.) The decision of the three
arbitrators is “binding on the insurers.” (Id.)
Three additional provisions govern the arbitration. First, the County
is required to cooperate in the arbitration, but may not intervene in it.11 (Id.)
Second, the Fund policy’s JLA does not operate unless Cincinnati’s policy
includes a reciprocal provision. (Id.) Third, the County’s acceptance of the
insurers’ one-half payments, pursuant to the JLA, does not alter the County’s
rights of recovery in any way. (Id.)
11
And, the County having been made whole by the insurers’ one-half
payments, there would be little conceivable purpose for the County to intervene.
Page 13 of 18
Trying to read the JLA to require or allow for Lexington’s
participation in arbitration is like trying to fit a square peg into a round hole.
The JLA simply was not designed for that purpose. Rather, it was clearly
designed for the singular purpose of governing disputes between the Fund
and Cincinnati. But apparent purpose should not play a role in the Court’s
interpretation of the JLA; instead, the Court must interpret the JLA’s plain
terms. See, e.g., Betz, 2014 WI 66, ¶ 39 (quoting Huml, 2006 WI 87, ¶ 52).
Interpreting the plain terms of the contract, it is clear that the JLA does
not require or allow for Lexington’s participation in the arbitration between
the Fund and Cincinnati in this instance.
To begin, the preconditions to the JLA’s application may not be
present. First, it is not entirely clear that there has been “damage to or
destruction of property, at a location designated in this policy and also
designated in” the Cincinnati policy. (Docket #13, Ex. 1 at 24). Lexington
argues that its policy effectively incorporates the JLA, so “this policy” might,
by its plain terms, refer to the Lexington policy. That would be confusing,
because the Lexington policy generally discusses covered property, as
opposed to covered locations. (See, e.g., Docket #13, Ex. 2 at 11, 20). It is,
perhaps, more likely that “this policy” continues to refer to the Fund policy,
even after being incorporated into the Lexington policy. See Matthews v.
Wisconsin Energy Corp., 534 F.3d 547, 554 (7th Cir. 2008) (“And terms
incorporated by reference within the contract (but which the contract does
not go on to define) do not create an ambiguity. Instead, as long as the
extrinsic terms are clearly identifiable, the parties agree to abide by those
terms just as they agree to the other terms in the contract.”) (citing Mack v.
Joint School Dist., No. 3, 92 Wis. 2d 476, 492, 285 N.W.2d 604 (Wis. 1979);
Barrons v. J.H. Findorff & Sons, Inc., 89 Wis. 2d 444, 452, 278 N.W.2d 827 (Wis.
Page 14 of 18
1979)). In that case, the damage would have occurred “at a location
designated in this policy,” in satisfaction of the first precondition.12
However, even if both preconditions are satisfied, the plain terms of
the JLA do not apply to Lexington. Under the JLA, the “insurers” submit to
arbitration after the “insured”—the County—files a written request seeking
payment of disputed amounts. Lexington is not an “insurer” of the County;
rather, Lexington insures the Fund. (See generally Docket #13, Ex. 2 (listing
Wisconsin Local Government Property Fund in “Issued to” portions of
policy)). Lexington vehemently argues that it is an excess insurer as opposed
to a reinsurer (Docket #24 at 5–7), and that may be true. But it does not
change the fact that Lexington insures the Fund as opposed to the County.
Accordingly, by its plain terms, the JLA does not call for or allow Lexington’s
participation in arbitration.13
Finally, even if the JLA could apply to Lexington, the circumstances
make clear that it does not apply in this case. As the Court noted, two
secondary conditions must follow the preconditions; those secondary
conditions did not occur as to Lexington in this case. First,“[t]his company”
12
It does not seem as though there can be any dispute that the
“insurers”—whether that means the Fund and Cincinnati alone or together with
Lexington—disagree over which policy covers the losses in question. The Court,
therefore, assumes that the second precondition is satisfied.
13
This is especially true in light of the fact that typical insurance business
practice would involve only the Fund and Cincinnati as parties to the arbitration;
an excess insurer is not typically included or contemplated by a JLA provision. See
5-51 Christine Davis, Lara Cassidy, David Mancini, New Appleman on Insurance Law
Library Edition § 51.07 (2015) (not discussing participation of excess insurer in JLArelated arbitration); Tufail, 2013 WI 62, ¶ 28 (plain terms of contract to be
interpreted in “‘the manner that [the contract] would be understood by persons in
the business to which the contract relates.’”) (quoting Columbia Propane, 2003 WI 38,
¶ 12).
Page 15 of 18
may refer to Lexington, by virtue of the incorporation of the JLA into the
Lexington policy. If that is the case, then Lexington would be required to pay
“one-half of the amount of the loss which is in disagreement.” Lexington
clearly has not done so. Second, the payment and arbitration provisions flow
from the “written request of the insured.” In this case, the insured—the
County—sent its written request only to the Fund and Cincinnati, because
those two insurers were the only funds disputing payment to the County.14
Third, Lexington seems to want to arbitrate more than the $1.6 million
currently at issue between the Fund and Cincinnati,15 but this would be
inconsistent with the terms of the JLA. The JLA limits the “amount of the loss
which is in disagreement” to “the minimum amount remaining payable
under the” Cincinnati policy or separate fire policy. Lexington appears to be
seeking to arbitrate much more. Additionally, seeing as the Fund and
Cincinnati have each paid $800,000 as one-half of the “amount of loss which
is in disagreement,” the “amount of loss which is in disagreement” is capped
at $1.6 million by the JLA’s plain terms. Fourth, it is only “the payments of
the insurers hereunder and acceptance of the same by the insured” that
“signify the agreement of the insurers to submit to and proceed with
arbitration.” Lexington has not made any payments under the agreement, so
it has not submitted to arbitration. Fifth, arbitration must occur within 90
days of payments under the JLA. But, again, Lexington has not made any
14
Further, although Lexington would disagree (it vehemently objects to
being labeled a reinsurer), it appears that Lexington insures the Fund, as opposed
to the County. (See generally Docket #13, Ex. 2 (listing Wisconsin Local Government
Property Fund in “Issued to” portions of policy)).
15
See Docket #24 at 2 (“all parties with a contract containing the arbitration
provision can participate in the arbitration to determine the full amount of the
disputed loss covered under Cincinnati’s boiler and machinery insurance policy.”)
Page 16 of 18
payments under the JLA and so has not signified its agreement to proceed
within 90 days. Sixth, the JLA gives only the Fund and Cincinnati the ability
to choose arbitrators; it does not mention that Lexington has any power in
this regard. In sum, Lexington’s situation exists so far outside of the terms
of the JLA, that the JLA cannot possibly be read to require or allow
Lexington’s participation in the arbitration.16
Thus, even appreciating the extremely liberal standards that apply
to arbitration clauses, the Court cannot agree with Lexington’s argument in
this case. The Court cannot identify any “construction of the arbitration
clause that would cover the grievance on its face,” Cirilli, 2009 WI App
167, ¶ 14 (citing Joint School Dist. No. 10, 78 Wis. 2d at 111, 253 N.W.2d 536;
Kimberly, 222 Wis.2d at 38, 586 N.W.2d 41), and, therefore, cannot construe
the arbitration clause in Lexington’s favor.
3.
CONCLUSION
For all of these reasons, the Court is obliged to deny Lexington’s
motion to compel arbitration. It is now time to start moving this case
forward. And, consistent with that objective, the Court will simultaneously
issue an order setting this case for a scheduling conference.
Accordingly,
16
The Court also notes that Lexington’s proposed reading of the JLA would
disregard many of these terms. For instance, among other things, Lexington does
not address or account for the one-half payment requirement, the written notice
requirement, or the definition of the amount of the loss. This contravenes a
standard principle of contract law: the Court must be sure to give reasonable
meaning to every part of the contract, so as not to ignore any portion. Maryland
Arms Ltd. P'ship v. Connell, 2010 WI 64 ¶ 45, 326 Wis. 2d 300, 786 N.W.2d 15 (citing
Kasten v. Doral Dental USA, LLC, 2007 WI 76, ¶ 48, 301 Wis. 2d 598, 733 N.W.2d 300).
Page 17 of 18
IT IS ORDERED that Lexington’s motion to compel arbitration and
stay judicial proceedings (Docket #12) be and the same is hereby DENIED.
Dated at Milwaukee, Wisconsin, this 17th day of April, 2015.
BY THE COURT:
J.P. Stadtmueller
U.S. District Judge
Page 18 of 18
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