2009 WI 13
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Supreme Court of |
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For the defendant-appellant-cross-appellee there were
briefs by Michael J. Cohen, Pamela J.
Tillman, and Meissner Tierney Fisher
& Nichols S.C.,
For the plaintiff-appellee-cross-appellant there were
briefs by Jeffrey O. Davis, Keith A.
Bruett, William H. Harbeck, David A. Strifling, and Quarles & Brady LLP,
An amicus curiae brief was filed by Heidi L. Vogt and von Briesen
& Roper, S.C.,
An amicus curiae brief was filed by Thomas R. Schrimpf and Hinshaw
& Culbertson LLP,
An amicus curiae brief was filed by Susan R. Tyndall and CMT
Legal Group, Ltd.,
Amicus curiae briefs were filed by Henry J. Handzel, Todd Palmer and DeWitt Ross & Stevens S.C., Madison; Randy Paar and Dickstein
Shapiro LLP,
An amicus curiae brief was filed by Karen M. Schapiro, Betsy Lawton, Madison, on behalf of Midwest Environmental Advocates, Inc.
An amicus curiae brief was filed by Paul G. Kent, Alan G. B. Kim, Jr., and Anderson & Kent, S.C., Madison, and Amy Back,
An amicus curiae brief was filed by Sarah C. Walkenhorst and Heller
Ehrman LLP, Madison, and Mark J.
Plumer and Heller Ehrman LLP,
An amicus curiae brief was filed by William J. Mulligan, James E. Braza, Susan G. Schellinger, and
An amicus curiae brief was filed by Todd A. Becker and Coyne,
Schultz,
2009
WI 13
notice
This opinion is subject to further editing and modification. The final version will appear in the bound volume of the official reports.
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STATE OF |
IN SUPREME COURT |
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Plastics Engineering Company, Plaintiff-Appellee-Cross-Appellant, v. Liberty Mutual Insurance Company, Defendant-Appellant-Cross-Appellee. |
FILED JAN 29, 2009 David R. Schanker Clerk of Supreme Court |
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CERTIFICATION of questions of law from the United States Court of Appeals for the Seventh Circuit. Certified questions answered and cause remanded.
¶1 ANNETTE KINGSLAND ZIEGLER, J. This is a certification of questions of law from the United States Court of Appeals for the Seventh Circuit, pursuant to Wis. Stat. § 821.01 (2005-06).[1] The questions certified for determination are: "(1) what constitutes an 'occurrence' in an insurance contract when exposure injuries are sustained by numerous individuals, at varying geographical locations, over many years; (2) whether Wisconsin Statute § 631.43(1) applies to successive insurance policies; and (3) whether Wisconsin courts would adopt an 'all sums' or pro rata allocation approach to determining liability when an injury spans multiple, successive insurance policies."
¶2 At the outset, we recognize that a certification usually, and
appropriately so, contains questions of law that cannot be answered by
controlling precedent from the Wisconsin Supreme Court or Court of Appeals. See
¶3 The
certification noted that "[h]ow these [policy] provisions are interpreted
in the context of long-tailed exposure claims under
¶4 We answer the three certified questions by concluding that under the language in this policy and the facts of this case, each claimant's repeated exposure is one occurrence; Wis. Stat. § 631.43(1) (1975-current)[4] does not apply to successive insurance policies; and once this policy is triggered, Liberty Mutual must fully defend the lawsuit in its entirety and pay for all sums up to the policy limits that Plastics Engineering Company (Plenco) is obligated to pay because of the injury. The policy language here does not support a pro rata allocation of damages.
I. FACTS
¶5 Prior to filing motions for summary judgment at the United States District Court for the Eastern District of Wisconsin, the parties stipulated to the following facts:
¶6 From approximately 1950 until 1983, Plenco manufactured and sold certain compounds that incorporated asbestos. Plenco has now been named a defendant in a number of lawsuits because of bodily injury or wrongful death that are allegedly related to or have arisen from exposure to asbestos-containing products sold by Plenco. In general, the claimants allege that they were injured by their first exposure to asbestos, but their asbestos-related injuries did not manifest until long after their exposure to the asbestos. The claimants' exposures allegedly occurred at different times and at different geographical locations.
¶7 During periods of the alleged exposure and resulting injury, Liberty Mutual provided various insurance policies to Plenco. The policies relevant to this litigation are the primary policies from February 9, 1968, through January 1, 1989, and the umbrella excess coverage policies from May 8, 1970, through January 1, 1984, and January 1, 1986, through January 1, 1988. In each of these years, Liberty Mutual was the insurer who issued the primary and excess policies.[5] Primary policies beginning January 1, 1989, and excess policies beginning January 1, 1988, contain an asbestos exclusion.
¶8 The policies at issue contained the following coverage limits: From February 9, 1968, through January 1, 1986, Liberty Mutual insured Plenco under a primary policy with coverage limits of $500,000 per occurrence and $500,000 annual aggregate. From January 1, 1986, through January 1, 1989, Liberty Mutual insured Plenco under a primary policy with coverage limits of $1,000,000 per occurrence and $1,000,000 annual aggregate.
¶9 From May 8, 1970, through January 1, 1984, Liberty Mutual also insured Plenco under umbrella excess liability policies. From May 8, 1970, through December 19, 1972, the coverage limits under each excess policy were $1,000,000 per occurrence and $1,000,000 annual aggregate. From December 19, 1972, through January 1, 1982, the coverage limits under each excess policy were $5,000,000 per occurrence and $5,000,000 annual aggregate. From January 1, 1982, through January 1, 1984, the coverage limits under each excess policy were $1,000,000 per occurrence and $1,000,000 annual aggregate. From January 1, 1984, through January 1, 1986, Liberty Mutual did not provide Plenco with umbrella excess liability coverage. From January 1, 1986, through January 1, 1988, the coverage limits for each policy were $10,000,000 per occurrence and annual aggregate.
¶10 The primary policies issued by Liberty Mutual to Plenco from January 1, 1967, through January 1, 1989, contained the following or similar insuring clause:
The company will pay on behalf of the insured all sums which the insured shall become legally obligated to pay as damages because of
Coverage A. bodily injury or
Coverage B. property damage
to which this policy applies, caused by an occurrence, and the company shall have the right and duty to defend any suit against the insured seeking damages on account of such bodily injury or property damage, even if any of the allegations of the suit are groundless, false or fraudulent, and may make such investigation and settlement of any claim or suit as it deems expedient, but the company shall not be obligated to pay any claim or judgment or to defend any suit after the applicable limit of the company's liability has been exhausted by payment of judgments or settlements.
¶11 The primary policies provided the following definition for "bodily injury": From January 1, 1967, through January 1, 1973, the policies defined "bodily injury" as "bodily injury, sickness or disease sustained by any person." From January 1, 1973, through January 1, 1989, the primary policies defined "bodily injury" as "bodily injury, sickness or disease sustained by any person which occurs during the policy period, including death at any time resulting therefrom."
¶12 The primary policies provided the following definition of "occurrence": From January 1, 1967, through January 1, 1973, the primary policies defined "occurrence" as "an accident, including injurious exposure to conditions, which results, during the policy period, in bodily injury or property damage neither expected nor intended from the standpoint of the insured." From January 1, 1973, through January 1, 1989, the primary policies defined "occurrence" using the following or similar language, "an accident, including continuous or repeated exposure to conditions, which results in bodily injury or property damage neither expected nor intended from the standpoint of the insured."
¶13 The primary policies from January 1, 1967, through January 1, 1973, provided the following Limits of Liability provision:
Regardless of the number of (1) insureds under this policy, (2) persons or organizations who sustain bodily injury or property damage or (3) claims made or suits brought on account of bodily injury or property damage, the company's liability is limited as follows:
Coverage A——The limit of bodily injury liability stated in the declarations as applicable to "each person" is the limit of the company's liability for all damages because of bodily injury sustained by one person as the result of any one occurrence; but subject to the above provision respecting "each person", the total liability of the company for all damages because of bodily injury sustained by two or more persons as the result of any one occurrence shall not exceed the limit of bodily injury liability stated in the declarations as applicable to "each occurrence".
. . .
Coverages A and B——For purposes of determining the limit of the company's liability, all bodily injury and property damage arising out of continuous or repeated exposure to substantially the same general conditions shall be considered as arising out of one occurrence.
¶14 From January 1, 1973, through January 1, 1977, the Limits of Liability provision was substantially the same as the January 1, 1967, through January 1, 1973, provision.
¶15 The primary policies issued by Liberty Mutual from January 1, 1977, through January 1, 1984, contained a Combined Single Aggregate Limit of Liability Endorsement, and those policies used the following or similar language:
COMBINED SINGLE AGGREGATE LIMIT OF LIABILITY
Regardless of the number of (1) insureds, under this policy, (2) persons or organizations who sustain bodily injury or property damage or (3) claims made or suits brought on account of bodily injury or property damage, the company's liability is limited as follows:
Coverage A and B——The total liability of the company for all damages because of all bodily injury and property damage to which this policy applies shall not exceed [$]500,000.
Subject to the above provision respecting the total liability of the company for all Bodily Injury and Property Damage to which this policy applies, if an occurrence gives rise to Bodily Injury or Property Damage which occurs partly before and partly within the policy period the liability of the company under this policy for such occurrence shall not exceed $500,000 minus the total of all payments made with respect to such occurrence under a previous policy or policies of which this policy is a replacement.
For the purpose of determining the limit of the company's liability (1) all bodily injury and property damage arising out of the continuous or repeated exposure to substantially the same general conditions shall be considered as arising out of one occurrence[.]
¶16 The primary policies issued by Liberty Mutual to Plenco from January 1, 1984, through January 1, 1989, contained a Limits of Liability provision that differed from the above stated provisions, but neither party asserts any meaningful difference exists.
¶17 The excess policies issued by Liberty Mutual to Plenco from May 8, 1970, through January 1, 1984, and from January 1, 1986, to January 1, 1988, included the following or similar language:
COVERAGE——EXCESS LIABILITY
The company will pay on behalf of the insured all sums in excess of the retained limit which the insured shall become legally obligated to pay, or with the consent of the company, agrees to pay, as damages, direct or consequential, because of:
(a) personal injury, . . .
with respect to which this policy applies and caused by an occurrence.
¶18 The excess policies issued by Liberty Mutual to Plenco from May 8, 1970, through January 1, 1984, and from January 1, 1986, to January 1, 1988, defined "personal injury" using the following or similar language: "'personal injury' means personal injury or bodily injury which occurs during the policy period sustained by a natural person . . . ."
¶19 The excess policies issued by Liberty Mutual to Plenco from May 8, 1970, through January 1, 1984, and from January 1, 1986, to January 1, 1988, defined "occurrence" using the following or similar language: "'occurrence' means injurious exposure to conditions, which results in personal injury . . . neither expected nor intended from the standpoint of the insured."
¶20 The excess policies issued by Liberty Mutual to Plenco from May 8, 1970, through January 1, 1984, and from January 1, 1986, to January 1, 1988, contained a Limits of Liability provision using the following or similar language:
Regardless of the number of insureds, under this policy or the number of persons or organizations who sustain personal injury, property damage or advertising injury or damage, the company's liability is limited as follows:
Each Occurrence——The limit of liability stated in the declarations as applicable to "each occurrence" is the limit of the company's liability for all damages, direct and consequential, because of all personal injury, property damage, or advertising injury or damage sustained by one or more persons or organizations as the result of any one occurrence.
. . .
For the purpose of determining the limits of the company's liability:
(1) all personal injury and property damage arising out
of continuous or repeated exposure to substantially the same general conditions . . .
shall be considered as the result of one and the same occurrence.
¶21 The excess policies issued by Liberty Mutual to Plenco from May 8, 1970, through January 1, 1984, and from January 1, 1986, to January 1, 1988, included the following or similar language:
Non-Cumulation of Liability-Same Occurrence-If the same occurrence gives rise to personal injury, property damage or advertising injury or damage which occurs partly before and partly within any annual period of this policy, the each occurrence limit and the applicable aggregate limit or limits of this policy shall be reduced by the amount of each payment made by the company with respect to such occurrence, either under a previous policy or policies of which this is a replacement, or under this policy with respect to previous annual periods thereof.
¶22 Liberty Mutual has been paying all of Plenco's defense costs, settlements and judgments, and Liberty Mutual advised Plenco that through December 15, 2005, Liberty Mutual has paid approximately $14.3 million in asbestos claims on Plenco's behalf. Liberty Mutual defended Plenco and paid settlements and judgments under a reservation of rights as set forth in correspondence sent to Plenco on or about January 6, 2004, (incorrectly dated January 6, 2003) and June 15, 2004.
II. PROCEDURAL HISTORY
¶23 On September 1, 2004, Plenco filed a complaint against Liberty Mutual seeking declaratory judgment regarding Liberty Mutual's obligation to defend and indemnify Plenco for lawsuits that arose out of the claimants' alleged exposure to Plenco's asbestos-containing products. Liberty Mutual sought declaratory judgment absolving it from the responsibility to pay certain defense and indemnification expenses. On December 15, 2005, the parties stipulated to the pertinent facts regarding their respective summary judgment motions.
¶24 On October 27, 2006, the United States District Court for the Eastern District of Wisconsin, Aaron E. Goodstein, United States Magistrate Judge, issued a written decision and order.[6] The district court granted in part and denied in part each party's motion for summary judgment. The district court issued a final declaratory judgment on December 6, 2006, and, in part, concluded the following:
¶25 First, each person's injury resulting from exposure to
asbestos-containing products constitutes a separate occurrence under Liberty
Mutual's policies issued to Plenco.
Second, the non-cumulation provisions limit an individual claimant's
recovery. Third, Liberty Mutual is
obligated to pay all sums arising from an occurrence and is not entitled to a
pro rata contribution from Plenco.
¶26 Liberty Mutual appealed the district court's first and third
conclusions, and Plenco appealed the district court's second conclusion. The United States Court of Appeals for the
Seventh Circuit reasoned that the three conclusions present important questions
of unresolved
III. STANDARD OF REVIEW
¶27 The interpretation of an insurance contract is a question of law,
which this court reviews de novo. Danbeck
v. Am. Family Mut. Ins. Co., 2001 WI 91, ¶10, 245
IV. ANALYSIS
¶28 As stated above, this case presents three questions for
review. We conclude that under the
language in this policy and the facts of this case, each claimant's repeated
exposure is one occurrence; Wis. Stat. § 631.43(1)
does not apply to successive insurance policies; and once this policy is triggered, Liberty
Mutual must fully defend the lawsuit in its entirety and pay for all sums up to
the policy limits that Plenco is obligated to pay because of the injury. The policy language here does not support a
pro rata allocation of damages.
A. Occurrence
¶29 First, under this policy and the facts of this case, we must determine what constitutes an occurrence and how many occurrences have taken place. Liberty Mutual argues that Plenco's manufacture and sale of asbestos-containing products without warning constitutes one occurrence regardless of the number of people injured. Plenco, on the other hand, argues that each individual's exposure to asbestos, which results in injury, constitutes a single occurrence. Under Plenco's argument, several occurrences have taken place because many people have been exposed over the span of many years. Given the policy language, we agree with Plenco and conclude that each individual's repeated exposure constitutes an occurrence.
¶30 At the outset we recognize that the determination of what constitutes
an occurrence in asbestos-related claims has produced varying results
throughout the country. See
1. What Constitutes an Occurrence
¶31 The policy here defines "occurrence" as "an accident,
including continuous or repeated exposure to conditions, which results in
bodily injury or property damage neither expected nor intended from the
standpoint of the insured."[11] In this case, the claimants were allegedly
injured by continuous and repeated exposure to asbestos fibers from Plenco's
asbestos-containing products. Without
exposure, no bodily injury takes place.
Our conclusion that exposure to asbestos falls within an exposure to conditions,
as referenced in this policy, is the most reasonable, unstrained approach. Furthermore, even if we were to conclude that
there is more than one reasonable interpretation of this policy language, the
policy is still construed in favor of affording coverage to the insured. See Danbeck, 245
¶32 Liberty Mutual urges us to adopt the conclusion that it is the manufacture and sale of asbestos-containing products without warning that is the occurrence. When looking at the plain language of the policy and applying that policy language to the facts of this case, we are not persuaded by Liberty Mutual's argument.
¶33 Liberty Mutual attempts to support its argument that the manufacture and sale without warning is the occurrence by relying on the Limits of Liability provision, which is found in all of the policies with some variation. In forwarding its "sale without warning" occurrence argument, Liberty Mutual asserts that the policy contemplates a single occurrence theory. Liberty Mutual argues that the number of people injured does not dictate the number of occurrences. Liberty Mutual cites to the Limits of Liability provision, which provides, "all bodily injury and property damage arising out of continuous or repeated exposure to substantially the same general conditions shall be considered as arising out of one occurrence."
¶34 We disagree with Liberty Mutual's application of the Limits of Liability provision. The Limits of Liability provision in this case functions to limit an individual claimant's repeated and continuous exposure to asbestos-containing products as being just one occurrence. In other words, this provision precludes a claimant from asserting that each time he or she was exposed to an asbestos-containing product, a new occurrence arose.
2. Number of Occurrences
¶35 When called upon to determine the number of occurrences, we
conclude that when we apply
the policy language to the facts of this case, each individual's repeated and
continuous exposure constitutes an occurrence.
¶36 Under the cause theory, "where a single, uninterrupted cause
results in all of the injuries and damage, there is but one 'accident' or
'occurrence.'" Welter v. Singer,
126
¶37 In Welter, Bruce Welter was riding his bicycle when he was
struck by a car. Welter, 126
¶38 The court of appeals concluded that under the cause theory, only
one occurrence took place because the cause and result were "so
simultaneous or so closely linked in time and space as to be considered by the
average person as one event," and therefore, only a single occurrence had
taken place.
The general rule is that an occurrence is determined by the cause or causes of the resulting injury. . . .
The fact that there were
multiple injuries and that they were of different magnitudes and that injuries
extended over a period of time does not alter our conclusion that there was a
single occurrence. As long as the
injuries stem from one proximate cause there is a single occurrence.
¶39 In the case at hand, each individual claimant's injuries stem from the continued and repeated exposure to asbestos-containing products. Thus, under the policy language and the cause theory, each claimant's repeated exposure is one occurrence.
¶40 Liberty Mutual argues that the number of occurrences is not dictated by the numerous individuals who sustained injuries at varying geographical locations over many years. In addition, it argues that inserting an identity-of-location requirement would rewrite the policies. We, however, inject no such "requirement." The occurrence in this case is the repeated exposure to asbestos-containing products because the policy states that an occurrence is the "continuous or repeated exposure" to conditions. Multiple occurrences arise because each individual's injury stems from his or her repeated exposure to asbestos-containing products.
¶41 Liberty
Mutual also argues that it is inconsistent with Society Insurance v. Town of
Franklin, 2000 WI App 35, 233 Wis. 2d 207, 607 N.W.2d 342, to
conclude that more than one occurrence has taken place in the case at
hand. However, the number of occurrences
was not at issue in Society.
¶42 Lastly,
Liberty Mutual argues that occurrence should be interpreted from the standpoint
of the insured, and as a result, it is the sale without warning that is the
occurrence. Again, we turn to the
language of the policy, which defines "occurrence" as the
"continuous or repeated exposure to conditions." The exposure must, quite obviously, be
exposure to the injured person and not exposure to Plenco.
¶43 Accordingly,
when we apply the policy language to the facts of this case, we conclude that
each individual's repeated and continuous exposure constitutes an
occurrence.
B. Non-cumulation provision
¶44 Next,
we must determine whether Wis. Stat. § 631.43(1) applies to successive insurance policies.
Section 631.43(1), "General," provides:
When 2 or more policies promise to indemnify an insured against the same loss, no "other insurance" provisions of the policy may reduce the aggregate protection of the insured below the lesser of the actual insured loss suffered by the insured or the total indemnification promised by the policies if there were no "other insurance" provisions. The policies may by their terms define the extent to which each is primary and each excess, but if the policies contain inconsistent terms on that point, the insurers shall be jointly and severally liable to the insured on any coverage where the terms are inconsistent, each to the full amount of coverage it provided. Settlement among the insurers shall not alter any rights of the insured.
¶45 Plenco asserts that by adopting Wis. Stat. § 631.43 the legislature sought to prohibit insurers from attempting to reduce their coverage obligations below the aggregate limits of their policies. Plenco accordingly argues that Liberty Mutual's non-cumulation provision does exactly what this statute was meant to prohibit. Liberty Mutual, on the other hand, argues that Wis. Stat. § 631.43(1) is not applicable in the case at hand because the statute applies to concurrent insurance policies. We agree with Liberty Mutual and conclude that Wis. Stat. § 631.43(1) does not apply to successive insurance policies.
¶46 This statute applies when two conditions are met: First, the policies must indemnify an insured
against the same loss. See Martin
v. Am. Family Mut. Ins. Co., 2002 WI 40, ¶¶13-15, 19, 23, 252
¶47 Second, this statute applies to "other insurance"
provisions. Section 631.43(1) refers
specifically to "'other insurance' provisions" by placing quotes
around "other insurance." When
the legislature created Wis. Stat. § 631.43,
it included, in part, the following note in the Laws of Wisconsin:
NOTE: This section is adapted from s. 203.11,[13] but extended to all indemnity coverage, including the indemnity coverages in disability insurance. . . . The most important objective of the law is to give the insured full protection with minimum difficulty and joint and several liability does that. The insurers may then settle accounts among themselves. They will usually be able to do so by agreement. If they cannot, a court can do so first by interpreting the terms of the policies and, where they are inconsistent, applying restitutionary principles. . . .
Section 41, ch. 375, Laws of 1975 (footnote added).
¶48 The accepted meaning of "other insurance" provisions does
not include application to successive insurance policies. In Progressive Northern Insurance Co. v.
Hall, 2006 WI 13, 288
The purpose of an "other insurance" clause is to define which coverage is primary and which coverage is excess between policies. Wis. Stat. § 631.43(1); Remiszewski v. American Family Ins. Co., 2004 WI App 175, ¶ 29, 276 Wis. 2d 167, 687 N.W.2d 809 (citing § 631.43(1)). "'Other insurance' clauses govern the relationship between insurers, they do not affect the right of the insured to recover under each concurrent policy." 15 Couch on Insurance, § 219.1, at 219-8 (3d ed. 1999).
¶49 In this case, neither of the requisite conditions are met, and therefore, Wis. Stat. § 631.43(1) does not apply. The issue is not which of two or more policies pays first because the Liberty Mutual policies are not concurrent policies between competing insurers that apply to the same time period. Therefore, the insured's right to recover is not affected and Wis. Stat. § 631.43 does not apply.
¶50 In an attempt to limit the scope of Wis. Stat. § 631.43,
C. Allocation
¶51 Lastly,
we must decide the extent of Liberty Mutual's duty to defend and indemnify when
the claimant's alleged injury does not occur entirely within a policy
period. Plenco argues that Liberty
Mutual must fully defend the lawsuits and that Liberty Mutual is obligated to
indemnify all sums, up to the policy limits.
Liberty Mutual, on the other hand, argues that it need not defend nor
indemnify for injury that takes place outside the policy period. We conclude that once this policy is
triggered, Liberty Mutual must fully defend the lawsuit in its entirety and
that under its policy, Liberty Mutual is responsible for "all sums,"
up to policy limits, whether the compensation is for damage that occurs
"partly before and partly within the policy period."
¶52 Again,
we acknowledge that courts across the country have largely taken one of two
approaches. Some courts have adopted a
pro rata approach to allocating damages.[14] Under a pro rata approach, the insurer
is responsible for only a pro rata share of the damages based upon the
years that it provided coverage relative to years when no coverage was
purchased. Thus, an insurer is liable
for only the damages that accrue during a policy period. Other courts have adopted an "all
sums" approach.[15] Under an all sums approach, the insurer is
required to pay all sums that result from bodily injury that has triggered a
policy.
¶53 To
determine which policies are triggered,
¶54 Once
a policy is triggered, the policy requires Liberty Mutual to "pay on
behalf of the insured all sums which the insured shall become legally obligated
to pay as damages because of Coverage A. bodily injury or Coverage B. property
damage to which this policy applies, caused by an occurrence . . . ." However, in the
years where no policy existed, there are no policy limits to be paid.
¶55 In our analysis, we are again driven by the policy
language. Liberty Mutual's policy
contains no language that limits its obligation to a pro rata share. In fact, the policy obligates Liberty Mutual
to pay for injury that occurs "partly before and partly within the policy
period." "[I]f an occurrence
gives rise to Bodily Injury or Property Damage which occurs partly before and
partly within the policy period the liability of the company under this policy
for such occurrence shall not exceed $500,000 . . . ." In addition, even if there is arguably some
language to support a pro rata allocation, that too is susceptible to more
than one reasonable interpretation, and as a result, we must construe the
policy language in favor of coverage. See
Danbeck, 245
¶56 Given
Liberty Mutual's definition of "occurrence," which includes
"continuous or repeated exposure," Liberty Mutual contemplated a
long-lasting occurrence that could give rise to bodily injury over an extended
period of time; nonetheless, it failed to specifically include a pro rata
clause. Moreover, the language of the
aggregate liability section also reflects that Liberty Mutual contemplated
coverage for damages that fall outside the policy period.
¶57 Liberty
Mutual argues that the definition of "bodily injury" supports its
pro rata argument. "Bodily
injury" is defined as "bodily injury, sickness or disease sustained
by any person which occurs during the policy period, including death at any
time resulting therefrom." As a
result, Liberty Mutual argues that the policy only covers bodily injury that
occurs during a policy period. However,
bodily injury during the policy period is what triggers the policy; the
definition of "bodily injury" is not a limitation of liability
clause.
¶58 Liberty
Mutual also argues that if Plenco did not purchase a policy for specific
periods of time, Plenco should not be awarded coverage for those times that it
did not pay for coverage. Under the
language of this policy——once a policy is triggered by bodily injury, Liberty
Mutual is responsible for "all sums" that arise out of the injury, up
to that policy's limits.
¶59 Liberty
Mutual lastly argues that by adopting an all sums approach, we are rewriting
the contract. This argument is puzzling
given that no pro rata language or clause exists in the contract, and in
fact, the phrase "all sums" is in the body of the policy. Thus, to insert the pro rata language,
we would have to rewrite the insurance policy.
¶60 In
addition to our conclusion that a pro rata approach does not apply to
allocating damages here, we also conclude that there can be no pro rata
approach to the duty to defend. Under
V. CONCLUSION
¶61 We conclude that under the language in this policy and the facts of this case, each claimant's repeated exposure is one occurrence; Wis. Stat. § 631.43(1) does not apply to successive insurance policies; and once this policy is triggered, Liberty Mutual must fully defend the lawsuit in its entirety and pay for all sums up to the policy limits that Plenco is obligated to pay because of the injury. The policy language here does not support a pro rata allocation of damages.
By the Court.—Certified questions of law answered and cause remanded to the United States Court of Appeals for the Seventh Circuit.
¶62 SHIRLEY S. ABRAHAMSON, C.J. (concurring). The Seventh Circuit Court of Appeals certified to this court the following three questions of law that, according to the certification memorandum of the federal court of appeals, are "unresolved by Wisconsin appellate courts and are likely to recur in future lawsuits:"
(1) What constitutes an "occurrence" in an insurance contract when exposure injuries are sustained by numerous individuals, at varying geographical locations, over many years;
(2) Whether Wisconsin Statute § 631.43(1) applies to successive insurance policies; and
(3) Whether
¶63 This court agreed to respond to the three questions of law pursuant
to Wis. Stat. § 821.01.[16] This court's function under certification is
not to decide the case but to respond to questions of Wisconsin law so that the
federal court may apply the
¶64 As the federal court of appeals reminds us in its certification memorandum, certification is not appropriate when resolution of the issues has limited precedential effect. Certification is appropriate, according to the federal court of appeals, when resolution of contract questions "will be useful beyond the parameters of the instant dispute."
¶65 The majority opinion correctly states that in an insurance coverage
dispute such as this one, a court begins its analysis by turning to the
language of the policy. Majority op., ¶30. If the common and ordinary meaning of the
policy language yields a result, there is no occasion to turn to principles
derived from the case law. Majority op.,
¶27. The majority opinion also observes that
"the terms of the insurance policy are not always sufficient, standing
alone, to permit a definitive determination[.]" Majority op., ¶35 (citing Nicor, Inc. v. Associated Elec. & Gas
Ins. Servs. Ltd., 860 N.E.2d 280, 287 (
¶66 Because the majority tries so hard to limit its opinion to the language of the insurance policies at issue and the particularized facts of the instant case, I am concerned that the majority opinion has not responded to the certified questions of law but has instead decided the merits of the instant case. I do not agree with this approach toward the certified questions.
¶67 The majority, in my opinion, does what Liberty Mutual feared: Certification
has allowed Plenco to get a decision on the merits of the case from this court
instead of from the federal court in which Plenco brought its suit. Liberty Mutual objected to certification,
urging the federal court to bind Plenco to its chosen federal forum.[17] By the majority's decision, Plenco has
succeeded, in effect, in "removing" its federal case to the state
court for a decision. This is not the
purpose of a federal court's certifying questions of law to this court. If the certified questions cannot be answered
by setting forth
¶68 The parties briefed the first and third issues discussing
separately the language of the insurance policies and relevant
¶69 Because I write a concurrence, not a majority opinion, my analysis
of Wisconsin law in responding to the certified questions is brief, citing to
an explanation of
I
¶70 I conclude as a matter of Wisconsin law, as does the majority opinion, that because each claimant's injury-causing exposure to asbestos occurred at different times, different locations, and under a variety of circumstances, involving different products over a 33-year period, each claimant's exposure must be viewed as a separate occurrence.[19]
¶71 Liberty Mutual argues that thousands of disparate claims involving
thousands of claimants alleging exposure to different asbestos-containing
Plenco products, occurring over many decades and at numerous locations across
the country, constitute one occurrence and that Plenco's insurance coverage for
asbestos claims is limited to a single primary policy ($500,000) for 1977-1984
and one excess policy ($10 million) for 1971-1988. Liberty Mutual asserts that the focus in
¶72 I agree with Liberty Mutual that an occurrence under Wisconsin law
can be ongoing and span a substantial amount of time but still be one
occurrence within
¶73
¶74 Our court has explained the "cause" test in Olsen v.
If viewed from the point of view of a cause, it would appear that a single, uninterrupted cause which results in a number of injuries or separate instances of property damage is yet one "accident" or "occurrence." If, however, that cause is interrupted or replaced by another cause the chain of causation is broken and more than one accident or occurrence has taken place.
¶75 The instant case does not present one uninterrupted and continuing
cause under
II
¶76 I conclude, as matter of law, as does the majority opinion, that
Wis. Stat. § 631.43(1)
does not apply to successive insurance policies. See majority op., ¶¶44-50.
III
¶77 I agree with the majority opinion that Wisconsin courts would adopt an "all sums" approach to allocating damages and the duty to defend when an injury spans multiple, successive insurance policies. See majority op., ¶¶51-54, 60.
¶78 For the reasons set forth I write separately.
¶79 MICHAEL J. GABLEMAN, J. (concurring in part, dissenting in part).
¶80 I concur in the majority opinion to the extent it holds that each exposed claimant constitutes a separate occurrence and that the non-cumulation clause is not violative of Wis. Stat. § 631.43(1). However, the policies issued to Plenco by Liberty Mutual, by their plain language, do not apply to those portions of bodily injury which occurred during the time periods in which Plenco elected to not purchase insurance coverage from Liberty Mutual. The reason the policies do not so apply is that no such policies were in existence during those periods. Therefore, I respectfully dissent in part from the decision of the majority, authored by my learned and respected colleague.
I. THE POLICY LANGUAGE
¶81 To construe the language of the policy at issue so as to require Liberty Mutual to indemnify for "all sums" is to effectuate by judicial fiat policy coverage where none has been purchased and none has been provided. It is, in effect, to reward the uninsured corporation for its failure to purchase insurance coverage by requiring its uncompensated provision, a condition neither supported by a fair and comprehensive reading of the entire policy nor contemplated by the parties.[22]
¶82 This court should decline to grant coverage for periods in which none was bargained for by applying a time-on-the-risk pro rata allocation of a loss between successive insurers and the insured when an occurrence takes place partly outside policy periods. Under the time-on-the-risk pro rata approach, each insurer is liable only for the portion of occurrence taking place while that insurer is on the risk. A corollary to this approach is that the insured retains the risk during any period for which it did not purchase insurance.
A. Pro rata Allocation
¶83 The
majority states that the pro rata approach is contrary to the policies'
plain language, partly because the words "all sums" appear in the
policies and the words "pro rata" do not. However, courts in several jurisdictions have
interpreted policy language essentially identical to the "all sums"
language at issue in the present case[23]
and have determined that language to require a pro rata method of
allocation. Those jurisdictions include the United States Courts of Appeals for
the Second, Third, Fourth, Sixth, Seventh, and Eighth Circuits, Colorado, Connecticut,
Delaware, Illinois, Kansas, Louisiana, Maryland, Michigan, Minnesota, New
Hampshire, New Jersey, New York, and Vermont.[24]
Many of those courts applied pro rata allocation in conjunction with the
continuous trigger approach as followed in
¶84 Plenco uses the "all sums" label to great effect in a bootstrapping argument by pointing to the "all sums" language in the policy as justification for adopting what it calls the "all sums" allocation method.[28]
¶85 The
plain language of the policy relieves Liberty Mutual from indemnifying Plenco
for any portion of an occurrence taking place in part outside the period of a
Liberty Mutual policy. The Comprehensive
General Liability ("CGL") policy at issue here, like almost every
other standardized CGL policy, provides that the insurer "will pay on
behalf of the insured all sums which the insured shall become obligated to pay
as damages because of . . . bodily injury or . . . property
damage to which the policy applies, caused by an
occurrence . . . ."
The policy definitions of both "bodily injury" and
"property damage" are limited to that "which occurs during the
policy period . . . ."
Thus, the plain language of the policy makes clear that Plenco has
purchased coverage only for bodily injury and property damage taking place during
the policy period, and that there is no provision of coverage for periods
for which no insurance has been purchased.
¶86 The majority claims that the policy's limitation of coverage to bodily injury or property damage "which occurs during the policy period" is actually only a description of the trigger for the policy, and that it does not determine the scope of liability once triggered. Majority op., ¶57. The primary fault with this claim is its silence as to what then serves as the trigger for coverage for injuries and damages that indisputably took place during a time when Plenco chose to proceed self-insured and Liberty Mutual therefore issued no policies. The phrase "which occurs during the policy period" cannot be merely trigger language because, under that logic, during any period for which there was no policy there would, by definition, be no such trigger phrase and, therefore, no coverage, yet the majority urges exactly the opposite result. I maintain that injuries taking place when no policy is in effect cannot trigger an expired previous policy, a non-existent policy for the current period, or any future policy that may be purchased. This position is in harmony with the continuous trigger approach, as illustrated by the previously cited cases from ten jurisdictions applying a continuous trigger analysis while also applying pro rata allocation to allow insurance coverage only for those periods for which the insured purchased such coverage. See cases cited supra note 4.
¶87 The
majority incompletely quotes a portion of the policy's Combined Single
Aggregate Limit of Liability Endorsement in order to claim that the policy's
plain language supports imposition of coverage that was never requested or paid
for. Majority op., ¶55. The majority offers as its basis this first
portion: "[I]f an
occurrence gives rise to Bodily Injury or Property Damage which occurs partly
before and partly within the policy period the liability of [Liberty Mutual]
under this policy for such occurrence shall not exceed $500,000 . . . ."
If an occurrence gives rise to Bodily Injury or Property Damage before this policy goes into effect and during a time when Liberty Mutual did not provide any other coverage, Liberty Mutual will fully defend and indemnify the insured anyway, up to the full amount of the loss, even for periods when no coverage was in place.
To the contrary, the non-cumulation clause only means that Plenco cannot horizontally stack the per occurrence liability limits of successive policies. Put another way, this clause merely restricts the coverage to the limit associated with the policy or policies in effect at the time of the occurrence. The clause precludes the insured from "stacking" successive per occurrence limits to obtain a coverage amount which is greater than the coverage amount which it has purchased. It is unreasonable to read into this language anything more.
1. Pro rata
Allocation of Defense Costs
¶88 I
also acknowledge an insurer's duty in
¶89 While
the court of appeals has held that "apportionment of responsibility for
the defense is neither practical nor desirable,"[30]
a time-on-the-risk pro rata allocation of defense costs is practical,
desirable, and reasonable. It provides the insured with a full and seamless
defense, but also adheres to the plain language of the policies that shifts the
risk of defense costs to the insurer only for bodily injury occurring
"during the policy period." If
this court determines in the present case that indemnity liability should be
allocated pro rata based on each policy’s time on the risk, then the court
will have already laid the clear, certain, and consistent framework by which
notoriously indivisible defense costs could be reliably and transparently
allocated. This approach is both
reasonable and capable of efficient administration by mathematical calculation
of the insurer's time on the risk, and has been adopted by several
jurisdictions. See, e.g., Gulf
Chem. and Metallurgical Corp. v. Associated Metals & Minerals Corp., 1
F.3d 365 (5th Cir. 1993); Ins. Co. of N. Am. v. Forty-Eight Insulations,
Inc., 633 F.2d 1212 (6th Cir. 1980); Sec. Ins. Co. of
An insurer on the risk during the period of alleged exposure is liable for the policyholders' defense in the proportion that the period it was on the risk bears to the total period of alleged exposure. . . . The policyholders must bear their own pro rata share of costs for any period during which they had no coverage or cannot identify the insurer.
B. Joint and Several Allocation of Indemnity
¶90 This case does not present the proper factual basis for the majority to apply joint and several allocation because, unlike many of the cases on which the majority relies,[31] there are no successive insurers from which Liberty Mutual can seek contribution. Typically the joint and several approach is utilized for the convenience and protection of the insured, who can choose one solvent insurer from which to seek payment quickly and with a minimum of litigation complexity.[32] That chosen insurer then later seeks contribution, either through litigation or negotiation, from other insurers on the risk during portions of the occurrence.[33] Therefore, joint and several allocation is really just a two-step version of the pro rata allocation method because under joint and several allocation the insured gets paid in the first step and the insurers fight over contribution in the second step. The biggest difference in the present case, however, is that the majority is imposing coverage for periods when the insured bargained for none, whereas a pro rata allocation would allocate the loss among all insurers, including self-insurers, for the time each was on the risk.
¶91 In the present case, Liberty Mutual is the only insurer at issue, unless we treat Plenco, as we rightfully should, as a self-insurer for the periods during which it purchased no insurance. If, during any given period, Plenco failed to purchase an insurance policy, thereby shifting the risk to an insurer, then it follows that Plenco retained that risk for that period. It follows there from that Plenco should be held to account for damages springing from that risk during the uninsured period. Under a strict application of the joint and several approach applied today by the majority, Liberty Mutual should be entitled to bring suit against Plenco for contribution, thereby effectuating an allocation of loss that precisely mirrors the allocation of risk that Plenco made when it chose to purchase insurance for some periods but at other times chose to retain the premiums and remain self-insured.[34] Such a contribution action would result in exactly the same outcome as if the court today applied the time-on-the-risk pro rata approach, but only after the filing and litigation of a secondary and utterly inefficient suit that could much more efficiently and justly be determined by applying a time-on-the-risk pro rata allocation when the dispute centers on periods for which the insured purchased no coverage.
II. ILLUSTRATIVE HYPOTHETICALS
¶92 Two
hypothetical scenarios, set forth below, may best illustrate the inequitable
result of the majority's holding. In the
first scenario, after years of exposure to other firms' asbestos, Worker 1 was
exposed to Plenco's asbestos-containing molding compounds for one day in 1972
while a Liberty Mutual CGL policy was in effect for Plenco. If Worker 1 died of an asbestos-related
illness ten years later and his estate were to sue Plenco, under the joint and
several allocation method applied today by the majority, Liberty Mutual would
be liable for all of the worker's damages for the entire period from 1972 to
1982, including those stemming from his death, even if Plenco only purchased
insurance coverage for one of those years.
This would constitute a windfall for Plenco, which purchased only one
year of coverage but received ten years of indemnity. From Liberty Mutual's perspective, it
received only one year of premiums——which
were set based upon the assumption of only one year of risk——but would be forced to pay for ten
years of coverage.
¶93 In
the second scenario, Worker 2 was exposed to asbestos every day for 30 years
during which Plenco's CGL policies from Liberty Mutual contained a valid
exclusion for product hazards coverage.
If the policy containing the exclusion expired the day before Worker 2
retired (never to be exposed to asbestos again) and the new policy omitted the
product hazards exclusion, then under the majority's decision Plenco would
receive full indemnity and defense for all of the worker's damages when he or his
estate sues years later. Under the
majority's approach, it would not matter that the worker was exposed during
only one day of coverage, that he had been exposed for the previous 29 years
and 364 days with no coverage, or that Plenco promptly cancelled the policy
after the worker retired and never paid Liberty Mutual another premium. This result is inequitable, yet unavoidable
under the majority's approach. The more
reasonable approach under this second scenario would be to require the insured
to pay for damages and defense costs for occurrences, bodily injury, or
property damage taking place outside the period for which it purchased
coverage.
III. CONCLUSION
¶94 In summary, I am not opposed to holding one insurer liable for an occurrence's entire loss under a joint and several liability theory and then permitting that insurer to seek contribution from other insurers on the risk during the occurrence, including self-insurers. However, I am opposed to forcing an insurer to pay for the entirety of a loss occurring partly or even primarily during a period for which the insured did not bargain to shift the risk of that loss from the insured to the insurer. The illogical result of the majority's decision is that the insured not only keeps the insurance premiums that it did not pay, but also receives coverage under the insurance policies that it did not purchase. In a situation such as the present case where the insured was self-insured for significant periods and thereafter purchased insurance from only one insurer——leaving no other insurer from which Liberty Mutual may seek contribution——the joint and several allocation approach would make sense only if we were to allow contribution from Plenco via a setoff for the periods of the occurrences during which Plenco was self-insured. I would support application of such a modified or hybrid joint and several allocation method, but cannot support the provision of insurance coverage where the insured may have made a strategic business calculation to not purchase insurance coverage, and then, after a loss occurred, sought judicial imposition of the very indemnity and defense coverage that the insured previously rejected and for which it did not bargain or pay a premium.
¶95 For
the foregoing reasons I respectfully concur in part and dissent in part.
[1] All subsequent references to the Wisconsin Statutes are to the 2005-06 version unless otherwise indicated.
[2] Furthermore, when arguing before the Seventh Circuit Court of Appeals, the parties made nearly identical arguments.
[3] See Plastics
Eng'g Co. v.
[4] The language contained in Wis. Stat. § 631.43(1) has not been revised since its creation in 1975. Therefore, all subsequent references to this statute are to the 1975-current version unless otherwise indicated.
[5] While, according to the stipulated facts, Plenco purchased excess or umbrella excess policies from other insurers at times when it sold asbestos-containing products, those policies are not at issue in this litigation.
[6] Plastics Eng'g Co. v.
[7] See, e.g.,
[8] See, e.g., Fina,
Inc. v. Travelers Indem. Co., 184 F. Supp. 2d 547, 549-53 (N.D.
[9] See, e.g., In re Prudential Lines Inc., 158 F.3d 65, 79-83 (2d Cir. 1998); Stonewall Ins. Co. v. Asbestos Claims Mgmt. Corp., 73 F.3d 1178, 1212-14 (2d Cir. 1995); Commercial Union Ins. Co. v. Porter Hayden Co., 698 A.2d 1167, 1210-11 (Md. Ct. Spec. App. 1997); Cole v. Celotex Corp., 588 So. 2d 376, 390-91 (La. Ct. App. 1991).
[10] The London Market court
criticizes a number of the courts cited above for their failure to examine the
relevant policy language.
[11] This definition, which was used in the primary policy from January 1, 1973, through January 1, 1989, and the following two definitions of "occurrence" are taken from the stipulated facts in this case. The parties do not assert that the differences between these three definitions change the meaning of "occurrence"; we agree. As stated in ¶12, the primary policy from January 1, 1967, through January 1, 1973, used the following definition of "occurrence": "an accident, including injurious exposure to conditions, which results, during the policy period, in bodily injury or property damage neither expected nor intended from the standpoint of the insured." As stated in ¶19, the excess policies used the following definition of "occurrence": "'occurrence' means injurious exposure to conditions, which results in personal injury . . . neither expected nor intended from the standpoint of the insured."
[12] In Society, the parties
agreed that only one occurrence had taken place and the court of appeals concluded
that "Society must make good on each [triggered] policy." Society Ins. v. Town of
[13] Wisconsin Stat. § 203.11 (1973-74), "Effect of other policies on same risk," provided in part:
[T]he insuring company shall not be liable for loss or damage occurring while the insured shall have any other contract of insurance, . . . such other or additional insurance, . . . shall nevertheless not operate to relieve the insuring company from liability for loss or damage occurring while the insured shall have such other contract of insurance . . . . Subject to all other terms and conditions of its policy, each insuring company shall be liable for its proportionate share of any such loss or damage . . . .
[14] See, e.g., Sec.
Ins. Co. of
[15] See,
e.g., Hercules, Inc. v. AIU Ins. Co., 784 A.2d 481, 490-94 (Del.
Super.
[16]
The supreme court may answer questions of law certified to it by the supreme court of the United States, a court of appeals of the United States or the highest appellate court of any other state when requested by the certifying court if there are involved in any proceeding before it questions of law of this state which may be determinative of the cause then pending in the certifying court and as to which it appears to the certifying court there is no controlling precedent in the decisions of the supreme court and the court of appeals of this state.
Under this statute, the certifying court (here the
federal court of appeals) retains jurisdiction of the case. This certification process is entirely
distinct from the process used when we accept certification from our own
[17] Seventh Circuit Court of Appeals, certification memorandum.
[18] Majority op., ¶¶4, 29, 43, 51, 55, 59, 61.
[19] Majority op., ¶¶36-38, 41.
[20] See, e.g., Society Ins. v. Town of Franklin, 2000 WI App 35, ¶7, 233 Wis. 2d 207, 607 N.W.2d 342 (parties do not dispute one continuous occurrence when damage was from pollution at one geographical site).
[21] For similar analysis, see, e.g.,
Stonewall Ins.
Other courts have concluded that placing a product in the stream of commerce is one occurrence. See cases cited in majority opinion at note 7.
[22] See Pub. Serv. Co.
of
[23] The phrases "all sums" and "during the policy period" are common to the policy of all of these cases, with only slight variations as to whether the quoted portion of the policy refers to occurrences taking place during the policy period or instead mentions the bodily injury or property damage taking place during the policy period.
[24] Nationwide Ins. Co. v.
Cent.
[25] Chem. Leaman Tank Lines,
Inc. v.
[26]
[27] Gulf Chem. and
Metallurgical Corp. v. Associated Metals & Minerals Corp., 1 F.3d 365
(5th Cir. 1993)(applying
[28] The name assigned to
the allocation method cannot drive our analysis because there is no limit to
the labels that could be applied to any particular allocation method. For instance, one court, in rejecting joint
and several allocation, referred to it as the "pick-and-choose"
allocation method which allows insureds to consider an occurrence taking place
over many years, during some of which there was no coverage, pick a year for
which there was coverage, and then choose to assign the entirety of damages to
that year. See Pub. Serv. Co.
of
[29] In fact, this is the exact non-cumulation clause that resolves the second certified question regarding stacking of coverage limits, but it has no bearing on what allocation method should be applied in the present case.
[30] Grube v. Daun,
173
[31] See, e.g.,
ACandS, Inc. v.
[32] In the situation of several insurers on the risk during an occurrence, the joint and several approach best protects the insured by insulating it from the complex, costly, and time-consuming litigation and negotiation that the insurers will engage in to determine their respective contribution. Long before the contribution matters will be resolved among the insurers, the insured will have been made whole with minimal disruption. These benefits of the joint and several allocation approach, however, do not justify imposing coverage when such coverage was not purchased or was expressly rejected.
[33] See Keene
Corp. v. Ins. Co. of N. Am., 667 F.2d 1034, 1051-52 (D.C. Cir. 1981), cert.
denied, 455
The possibility of additional coverage can be determined consensually among insurers, or it can be adjudicated among insurers in a subsequent lawsuit. At that point the insurance obligations can be reallocated among all the insurers whose policies are found to cover a particular injury. . . . [I]f a suit arises to resolve the allocation of insurance liability, any insurance company can try to prove that there was no inhalation of [the insured's] asbestos during or before its policy period. If an insurance company does so, then that company will be free of liability.
[34] See, e.g., Uniroyal, Inc. v. Home Ins. Co., 707 F. Supp. 1368, 1392 (E.D.N.Y. 1988)("Self-insurance is called 'going bare' for a reason.").