SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
DOCKET NO. A-1917-99T2
SONOCO PRODUCTS COMPANY, INC.
Plaintiff,
and
LEXINGTON INSURANCE COMPANY,
Plaintiff/Intervenor
Appellant,
v.
THE FIRE & CASUALTY INSURANCE
COMPANY OF CONNECTICUT,
Defendant,
and
UNITED STATES FIRE INSURANCE
COMPANY,
Defendant/Third Party
Plaintiff-Respondent,
v.
HOME INSURANCE COMPANY,
Third Party Defendant.
___________________________________
Argued: February 20, 2001 Decided: March 8, 2001
Before Judges Petrella, Newman and Braithwaite.
On appeal from the Superior Court of New
Jersey, Law Division, Middlesex County,
L-12043-97.
Vincent J. Velardo argued the cause for
plaintiff/intervenor-appellant (Velardo &
Velardo, attorneys; Mr. Velardo, on the
brief).
Janet L. Poletto argued the cause for
defendant/third party plaintiff-respondent
(Hardin, Kundla, McKeon, Poletto & Polifroni,
attorneys; Ms. Poletto, of counsel and on the
brief).
The opinion of the court was delivered by
NEWMAN, J.A.D.
This appeal involves a dispute as to primacy and
apportionment of coverage between two umbrella carriers, U.S.
Fire Insurance Company ("U.S. Fire") and Lexington Insurance
Company ("Lexington"). The insurance coverage dispute arises out
of an accident that occurred on November 15, 1993 at Ball-In-Con
Glass Packaging Corp. in Carteret, New Jersey, in which Ramon
Perez ("Perez"), an employee of Ball-In-Con, sustained a
paralyzing injury while driving a forklift in the process of
unloading pallets from a tractor trailer. The tractor trailer
was owned and operated by Blue Diamond Company ("Blue Diamond").
Sonoco Products Company, Inc. ("Sonoco") loaded the pallets onto
the tractor trailer.
At the time of the accident, Blue Diamond was insured by two
policies: a primary motor vehicle liability policy with limits
of $1,000,000 per accident issued by the Fire and Casualty
Insurance Company of Connecticut ("FCICC"), and an excess policy
with limits of $4,000,000 per occurrence issued by U.S. Fire.
The absolute minimum annual premium for the FCICC primary policy
was $708,599; the minimum annual premium for the U.S. Fire excess
policy was $160,000.
At this time, Sonoco was also insured by two policies: a
primary commercial automobile insurance policy with limits of
$2,000,000 per occurrence issued by Home Insurance Company
("Home"), and an umbrella liability coverage policy issued by
Lexington with applicable limits of $25,000,000 per occurrence.
The minimum annual premium for the Home primary policy was
indecipherable; the minimum annual premium for the Lexington
excess policy was $198,000.
Sonoco instituted this declaratory judgment action during
the pendency of the underlying Perez suit, seeking a declaration
that it was an additional insured under the FCICC and U.S. Fire
policies issued to Blue Diamond, and that the FCICC policy was
required to provide primary coverage to Sonoco and defend it in
the Perez suit, since Sonoco's liability arose out of the use of
the Blue Diamond vehicle. Both FCICC and U.S. Fire denied any
obligation to defend or indemnify Sonoco regarding the Perez
suit.
The Perez suit ultimately settled for $4.25 million. FCICC
paid its limit of $1,000,000; Home paid its limit of $2,000,000;
and Lexington contributed $1.25 million. U.S. Fire did not
contribute to the settlement. Following the settlement,
Lexington intervened as a co-plaintiff in the declaratory
judgment action against FCICC and U.S. Fire, seeking recovery of
its $1.25 million contribution to the settlement. U.S. Fire then
filed a third-party complaint to join Home.
In granting summary judgment to U.S. Fire, the trial judge
declared that U.S. Fire need not contribute to the Perez
settlement until the FCICC, Home, and Lexington polices were
first exhausted. In so ruling, the court found that U.S. Fire's
"other insurance provision" did not violate public policy, and
that it was a valid excess clause.
I.
On appeal, Lexington argues that U.S. Fire is obligated to
contribute to the Perez settlement. U.S. Fire responds that its
"Automobile Limitation," which confined excess coverage "to the
coverage provided ... in the 'Underlying Insurance,'" relieved it
of any obligation to provide coverage for the Perez settlement,
since the underlying FCICC insurance policy contained a provision
that purported to bar coverage for "'Bodily Injury' or 'Property
Damage' resulting from the movement of property by a mechanical
device." U.S. Fire contends that this exclusion in the FCICC
underlying policy "squarely precludes coverage for the Perez
claim which beyond question involved the movement of property
(pallets) by a mechanical device (a forklift)." Therefore,
argues U.S. Fire, "since the FCICC policy by its terms excludes
coverage for claims such as the Perez claim, the U.S. Fire policy
likewise excludes coverage for such claims."
Judge Stroumtsos held that the FCICC policy was required by
statute to provide coverage for the Perez claim, thereby
invalidating the aforementioned exclusionary language contained
in the FCICC policy. See N.J.S.A. 39:6B-1. However, U.S. Fire
points out that Judge Stroumtsos made no ruling as to whether
this invalidation would also affect the scope of coverage
contained in the U.S. Fire umbrella policy. Thus, argues U.S.
Fire, the exclusion contained in the FCICC policy, although
invalidated by Judge Stroumtsos, "must be given effect and
enforced as written, as respects U.S. Fire."
It is well established in this state that "[w]henever an
insurance policy and a governing statute are in conflict, the
statute controls, and the policy is automatically amended by
operation of law to conform to the statutory standard." Allstate
Ins. Co. v. Malec,
104 N.J. 1, 6 (1986); see Selected Risks Ins.
Co. v. Zullo,
48 N.J. 362, 373 (1966) (amending the insurance
policies at issue to contain coverage "no less broad than that of
the statute"); Fiscor v. Atlantic County Board of Chosen
Freeholders,
293 N.J. Super. 19, 30 (App. Div.), certif. denied,
147 N.J. 263 (1996) (explaining that "even if the County had
obtained an insurance policy at odds with the statutory
standards, the court would, by operation of law, amend the policy
to conform to the statutory requirements"); Kattoura v. Patel,
262 N.J. Super. 34, 42, n.4 (App. Div. 1993) (explaining that
"even if the AMI policy failed to include the coverage required
by N.J.S.A. 45:21-1 et seq., we would deem the policy amended to
provide the minimum coverage required by the statute and to
conform to the parties' agreement that the coverage provided by
Excelsior would be primary"); American Home Assurance Co. v.
Hartford Ins. Co.,
190 N.J. Super. 477, 485-86 (App. Div. 1983);
accord Appleman, 12 Insurance Law and Practice § 7041, at 166
(1981) ("The statutory law in force and effect at the time of the
issuance of a policy becomes a part of the contract as though
expressly written therein, and a policy must be considered to
contain those requirements").
The underlying FCICC policy was "automatically amended by
operation of law to conform to the statutory standard," which
obligated it to provide coverage for the precise type of 'bodily
injury' it purported to exclude. Allstate, supra, 104 N.J. at 6.
The "Automobile Limitation" contained in the U.S. Fire excess
policy clearly stated that the scope of excess coverage was
"limited to the coverage provided ... in the 'Underlying
Insurance," and that "[i]f coverage is not provided by such
[underlying insurance] policies, coverage is excluded from this
policy." By tying its coverage to that provided by the
underlying FCICC policy, U.S. Fire became obligated to provide
coverage. Because coverage was in fact provided by the
underlying FCICC policy, which was automatically amended to
conform to New Jersey law, U.S. Fire became bound by its own
policy language to provide excess coverage for the Perez
settlement.
The result here is not at odds with our decision in Weitz v.
Allstate Insurance Co.,
273 N.J. Super. 548 (App. Div. 1994).
There, the umbrella insurance policy issued by defendant to
plaintiff's husband (Mr. Weitz) clearly stated that coverage
would not extend to a claim for personal injury by "an insured,"
which the policy defined to include members of Mr. Weitz's
household. Id. at 550. Plaintiff was a member of Mr. Weitz's
household. Ibid. Therefore, "perceiv[ing] nothing ambiguous
about the policy's exclusion provision," we enforced the
exclusion as written in the policy. Ibid.
In discussing the umbrella policy in Weitz, we explained
that "[a]s its coverages depart from auto and homeowners'
policies, it should not be a surprise that its exclusions are
also different." Id. at 551. This is readily distinguishable
from the language contained in the U.S. Fire policy, which
purported to exclude coverage "if coverage is not provided by
such [underlying insurance] policies." Therefore, the fact that
U.S. Fire's policy contemplated providing coverage to the same
extent as provided in the underlying policy, rather than
departing from the underlying coverage as in Weitz, distinguishes
the present situation from Weitz.
In Electric Ins. Co. v. Rubin,
32 F.3d 814, 816 (3d Cir.
1994), the Third Circuit, applying Pennsylvania law, affirmed the
District Court's grant of summary judgment in favor of plaintiff
Electric Insurance Company ("Electric"), declaring that Electric
was not obligated to provide coverage under a personal excess
liability insurance policy issued by Electric to defendant Nathan
Rubin for claims made by Patricia Rubin, defendant's wife,
arising from an automobile accident. Mrs. Rubin's medical bills
totaled $746,489.78, but the primary automobile insurance policy
on the Rubin's vehicle contained a limit of only $100,000. Ibid.
The excess policy at issue contained the following
provision: "we do not provide Liability Coverage for any insured
... for personal injury to you or your relative." Id. at 815.
The District Court found that "it was undisputed that the excess
policy excluded coverage for Patricia Rubin's claim." Ibid. The
District Court, while acknowledging that Pennsylvania law
invalidates family exclusions in primary automobile insurance
policies, held that this "interdiction was immaterial because
excess liability insurance is not governed by the [Motor Vehicle
Financial Responsibility Law] MVFRL." Id. at 816. The Third
Circuit found no instance in which a Pennsylvania court held that
an excess policy was subject to the MVFRL, and opined that the
Pennsylvania Supreme Court would not subject an excess policy to
the requirements of the MVFRL. Id. at 818. Therefore, the Court
enforced the exclusion contained in the excess policy as written.
Id. at 820. Again, this case involved a clear exclusion
provision in the excess policy that did not purport to coordinate
coverage with the underlying insurance policy, as U.S. Fire's
policy does.
In this regard, Doto v. Russo,
140 N.J. 544 (1995), is
instructive. Doto involved the issue of whether an umbrella
insurance policy should provide uninsured motorist (UM/UIM)
coverage to the same extent as the primary liability insurance
policy. Id. at 552. The Court reasoned that "[i]n the absence
of a requirement pursuant to a UM statute that UM/UIM coverage be
equal to liability coverage, the general rule appears to be that
umbrella policies should not be understood to provide UM/UIM
coverage." Id. at 555.
The Court noted that "[a]n insurance policy is a contract,"
which is "often unilaterally 'prepared by the company's experts,
(persons) learned in the law of insurance who serve its interest
in exercising their draftsmanship art.'" Ibid. (quoting Mazzilli
v. Accident & Cas. Ins. Co.,
35 N.J. 1, 7-8 (1961)). The Court
considered whether "more precise language by the insurer, if
chosen, 'would have put the matter beyond reasonable question.'"
Id. at 557 (quoting Mazzilli, supra, 35 N.J. at 7). Ultimately,
the Court concluded that both the insured and insurer "acted on
the assumption and expectation that the umbrella policy provided
UM/UIM coverage." Id. at 558. The Court therefore found that
the insurer was estopped from denying coverage. Id. at 560.
In the final analysis, "more precise language by [U.S.
Fire], if chosen, 'would have put the matter beyond reasonable
question.'" Id. at 557 (quoting Mazzilli, supra, 35 N.J. at 7).
The language contained in U.S. Fire's "Automobile Limitation" was
simply insufficient.
We wish to make it indelibly clear that we are not extending
the statutory requirements of primary automobile insurance to
excess or umbrella policies, an argument rejected by both the
Weitz and Rubin Courts. Rather, we are simply requiring that
U.S. Fire be held to the terms of its policy purporting to limit
coverage to the coverage provided through the underlying policy,
which was amended by operation of law in this particular case.
Doto, supra, 140 N.J. at 556.
II.
Lexington argues that the "other insurance" provision in the
U.S. Fire excess policy constitutes an illegal "escape clause,"
whereas its "other insurance" provision contained a legitimate
"excess clause." Therefore, argues Lexington, because U.S.
Fire's escape clause, which attempts to avoid all liability, is
void as against public policy, it should be given no effect, and
U.S. Fire should bear liability for the entire $1.25 million
remaining after the two primary carriers contributed to the Perez
settlement. The "Other Insurance" clause contained in the U.S.
Fire policy provided:
If there is any other collectible insurance
available to the "Insured" (whether such
insurance is stated to be primary,
contributing, excess or contingent) that
covers a loss that is also covered by this
policy, the insurance provided by this policy
will apply in excess of, and shall not
contribute with, such insurance. This
Condition ... does not apply to any insurance
policy purchased specifically (and which is so
specified in such insurance policy) to apply
in excess of this policy.
The Lexington policy's "Other Insurance" clause provided:
If other valid and collectible insurance with
any other insurer is available to the Insured
covering a loss also covered hereunder, this
insurance shall be excess of, and shall not
contribute with such other insurance. Excess
insurance over the limits of liability
expressed in this policy is permitted without
prejudice to this insurance, and the existence
of such insurance shall not reduce any
liability under this policy.
The only apparent difference between these two policies is
that the U.S. Fire policy contained a parenthetical, in which
"other collectible insurance" was defined to encompass "primary,
contributing, excess or contingent [insurance,]" whereas no
similar parenthetical or definition attempting to enlarge the
scope of the phrase "other valid and collectible insurance" was
contained in the Lexington policy. For all intents and purposes,
the policies are identical in all other respects.
Lexington is therefore relegated to the tenuous position of
arguing that the parenthetical phrase defining the scope of
"other collectible insurance" transformed U.S. Fire's excess
clause into an escape clause, since to take issue with any other
aspect of U.S. Fire's provision would be to argue that its own
clause was invalid as well.
This court has previously dealt with situations in which two
insurance contracts covered the same loss, "but each reject[ed]
primary responsibility because of the existence of the other
contract." Starks v. Hospital Serv. Plan of N.J., Inc.,
182 N.J.
Super. 342, 352 (App. Div. 1981), aff'd,
91 N.J. 433 (1982). In
Starks, we explained that our Supreme Court has rejected the
approach taken by many courts of reconciling conflicting "Other
Insurance" provisions so "that one, but not both, of such
provisions must yield in order to establish one policy as the
'primary' insurance upon which the 'other insurance' provision of
the 'secondary' policy might operate. Id. at 352-53 (quoting
Cosmopolitan Mut. Ins. Co. v. Continental Cas. Co.,
28 N.J. 554,
559 (1959)). Such "mutually repugnant" provisions become
inoperative, and the general coverage of each policy applies,
such that "each company is obligated to share in the cost of the
settlement and expenses." Id. at 353 (quoting Cosmopolitan,
supra, 28 N.J. at 562).
In Starks, we reasoned that the "existence in each of the
clauses of language which establishes precisely the same order of
payment for each coverage" is the "predicate of mutual
repugnancy." Ibid. However, if either policy "clearly
expressed" an intention to provide coverage "prior to or
subsequent to the other, that intention will ordinarily be
enforced by the courts." Ibid. In this case, U.S. Fire would,
therefore, have this court adopt, as the trial court evidently
did, that this "clearly expressed" requirement was satisfied by
the parenthetical included in its policy but absent from the
Lexington policy. Not so.
Because the two "Other Insurance" provisions are virtually
identical in every respect (aside from the parenthetical), they
should be deemed mutually repugnant, such that each insurer "is
obligated to share in the cost of the settlement and expenses."
Id. at 353 (quoting Cosmopolitan, supra, 28 N.J. at 562). Such
was the result in American Nurses Ass'n v. Passaic Gen. Hosp.,
98 N.J. 83, 91 (1984), where the Court reiterated that "the loss
should be equally apportioned" in cases involving competing
"Other Insurance" provisions contained in excess insurance
policies. See Ambrosio v. Affordable Auto Rental, Inc.,
307 N.J.
Super. 114, 127 (App. Div. 1998) (apportioning coverage among the
four insurers involved, each of which purported to provide excess
coverage over all other collectible insurance).
As our Supreme Court explained in Cosmopolitan, supra:
Both policies evidence the same intent with
respect to insuring the risk and also with
respect to avoiding liability in the event of
adequate coverage by another carrier. Where
the intent is clear, the fact that one of the
insurers stated its intent more specifically
than the other is not significant.
[Id. at 561.]
This applies with equal force to the competing "Other
Insurance" provisions here. Therefore, U.S. Fire will receive no
benefit from including the parenthetical phrase in its provision,
and its policy will not be elevated to a position of a super-
excess insurer as a result of that parenthetical. Equal
apportionment of the loss between U.S. Fire and Lexington is
appropriate. As the Cosmopolitan Court stated, "We think that
such a conclusion affords the only rational solution of the
present dispute." Id. at 562.
The judgment is reversed and Lexington and U.S. Fire are
ordered to contribute $625,000 each toward the Perez settlement.