A.W. CHESTERTON
COMPANY vs. MASSACHUSETTS INSURERS INSOLVENCY FUND. SJC-09498 SUPREME JUDICIAL COURT
OF MASSACHUSETTS 445 Mass. 502; 838 N.E.2d 1237; 2005 Mass. LEXIS
587 October 6, 2005,
Argued December 12, 2005,
Decided PRIOR HISTORY: [*1]
Middlesex. Civil action commenced in the Superior Court Department on
August 14, 1996. Motions for partial summary judgment were heard by David A.
McLaughlin, J., the case was tried before him, and a motion to amend the
judgment was also heard by him. The Supreme Judicial Court granted an application
for direct appellate review. COUNSEL: Martin F. Gaynor, III (Nicholas D. Stellakis with
him) for the plaintiff. Joseph C. Tanski & Gregory P. Deschenes (Gregg A. Rubenstein
& Christine Vargas Suthoff with them) for the defendant. The following submitted briefs for amici curiae: Laura A. Foggan
& Alicia C. Ritter, of the District of Columbia, & Michael R. Coppock
for Complex Insurance Claims Litigation Association. David L. Elkind, Elizabeth A. Sherwin, & John A. Gibbons, of
New York, Martin C. Pentz, Karen L. Crocker, Michael P. Angelini, & Vincent
F. O Rourke, Jr., for Massachusetts Electric Company & another. JUDGES: Present: Marshall, C.J., Greaney, Ireland, Spina,
Cowin, & Cordy, JJ. OPINION BY: GREANEY OPINION: GREANEY, J. This case (here on direct appellate
review) concerns the liability of the Massachusetts Insurers Insolvency Fund
(Fund) on excess indemnity policies issued by Midland [*2] Insurance Company
(Midland) to A.W. Chesterton Company (Chesterton) covering asbestos-related
liability claims involving Chesterton products. Although other insurers were
involved in the case, the only parties to this appeal are Chesterton and the
Fund. We confine ourselves to the issues raised by these parties, which concern
conclusions of a judge in the Superior Court that: (1) The Fund is not barred by laches in
raising the issue of misrepresentation by Chesterton in its applications for
four Midland policies; (2) Chesterton had not made misrepresentations
(as defined by G. L. c. 175, § 186) in its applications for three of
the Midland policies, but had made misrepresentations on the application for
the fourth policy that voided the policy; (3) the trigger of coverage on the valid
Midland policies is bodily injury occurring during the policy period; (4) the Fund has no obligation to indemnify
Chesterton until the limits of all solvent excess coverage providing for
indemnification have been exhausted; and (5) applicable law does not require that
Chesterton exhaust all ultimate net loss coverages before
the Fund is obligated to defend Chesterton. [*3] We agree with the judge on the misrepresentation and laches
issues. We also agree with the judges conclusions with respect to the
extent of the Funds obligations to defend or indemnify Chesterton on
Midlands covered claims. In our view, however, plain language
contained in two of the valid Midland policies requires that coverage under
those policies be triggered by asbestos exposure or inhalation, and not by
bodily injury, during the policy period. We modify that part of the judgment to
read accordingly. 1. We first summarize the general background of the case.
Chesterton, a company with headquarters in Stoneham, manufactures and
distributes products that for many decades contained asbestos. During the years
relevant to this appeal, Chesterton maintained primary comprehensive general
liability insurance policies and multiple layers of excess indemnity policies
with coverage for asbestos-related liabilities. In January, 1980, the first
claim alleging bodily injury caused by the inhalation of asbestos was asserted
against Chesterton. By the time of trial, over 300,000 such claims had been
asserted against Chesterton, alleging bodily injury, or death, due to exposure
to asbestos [*4] fibers. Chesterton initially sought to
have the claims defended, and, if necessary, indemnity paid, by its primary
general liability insurers. When Chesterton perceived that the indemnity limits
of its primary coverages had been exhausted, it demanded that insurers that had
issued it excess insurance coverage provide indemnity and defense in accordance
with the terms of those excess policies. A significant number of those insurers
declined to provide Chesterton with a defense to, or indemnification for,
remaining underlying claims against it. In August, 1996, Chesterton filed a
complaint in the Superior Court alleging breach of contract and seeking a
declaration of the scope of the obligations of certain of its excess carriers with
respect to their duties to defend and to indemnify the company on the
underlying claims against it. The Fund is a nonprofit unincorporated legal entity created by G.
L. c. 175D, § 3, to pay covered claims n1 against an insolvent insurer
(up to $ 300,000 a claim, see note 4, infra). n2 See Clark
Equip. Co. v. Massachusetts Insurers Insolvency Fund, 423 Mass. 165,
166-167, 666 N.E.2d 1304 (1996). It was named in Chestertons [*5]
complaint because four of the excess indemnity policies, covering the
time span between February 1, 1980, and February 1, 1984, had been issued by
Midland, an insurer that has become insolvent. Pursuant to G. L. c. 175D,
§ 5 (1), the Fund is liable to the extent of Midlands
obligation on the covered claims against Chesterton. See Norfolk &
Dedham Mut. Fire Ins. Co. v. Quane, 442 Mass. 704, 704-705 n.2, 816 N.E.2d 521
(2004). - - - - - - - - - - -
- - - Footnotes - - - - - - - - - - - - - - - n1 Section 1 (2) of G. L. c. 175D defines a covered
claim as an unpaid claim
which arises out of and
is within the coverage of an insurance policy
issued by an insurer,
if such insurer becomes an insolvent insurer and
the claimant or
insured is a resident of the commonwealth. n2 The Funds
obligations and expenses are assessed, with certain exceptions, to insurers
that write direct insurance to which G. L. c. 175D applies, see 1 (5), 5 (1)(c)
, and that recoup amounts paid into the Fund primarily by increasing their rates
and premiums. See G. L. c. 175D, § 13. The cost of paying
claims against insolvent insurers is thus ultimately passed on to the
insurance-buying public. Clark Equip. Co. v.
Massachusetts Insurers Insolvency Fund, 423 Mass. 165, 167, 666 N.E.2d 1304 (1996),
quoting Massachusetts Motor Vehicle Reinsurance Facility v. Commissioner of
Ins.,
379 Mass. 527, 530, 400 N.E.2d 221 (1980). - - - - - - - - - - -
- End Footnotes- - - - - - - - - - - - - - [*6] A trial was held to determine whether Chesterton had in fact
exhausted its primary policies. Prior to that trial, all of the parties (which,
as has been indicated, included excess carriers that are no longer part of this
appeal) stipulated to the nature of bodily injury caused by exposure to
asbestos as follows: The parties hereby stipulate that
with respect to each Underlying Claim at issue, bodily injury will be
considered to have taken place continuously from the time that each Underlying
Claimant was first exposed to asbestos until the date of diagnosis, death or
the filing of the Underlying Claim, whichever occurs earliest. Based on this stipulation, and on the language of the relevant
policies, the judge concluded that each of Chestertons primary
policies had been triggered by bodily injury during the policy period and that
the insurers that had issued the triggered policies were jointly and severally
liable for the entirety of each covered claim against Chesterton, up to the
policy limits. This ruling determined that the indemnity payments to the
underlying claimants were to be allocated to all relevant primary policies in
effect between (1) the time of a claimants [*7] first exposure and
(2) the date of diagnosis, death, or claim against Chesterton, whichever
happened first. Neither Chesterton nor the Fund challenged this ruling and,
therefore, the all sums method of allocation of liability
has become the law of this case. n3 See King v. Driscoll, 424 Mass. 1, 7-8,
673 N.E.2d 859 (1996). Based on the testimony of two expert witnesses, and
documentary evidence, the judge concluded that Chesterton had met its burden in
demonstrating that the limits of all relevant primary policies had been
exhausted. - - - - - - - - - - -
- - - Footnotes - - - - - - - - - - - - - - - n3 Other insurers in the case had argued for a pro
rata method of allocation, in which liability for claims involving a
continuous injury, or an extended period of time between the initial exposure
to injury and the date a claim is presented, such as the underlying claims in
this case, is spread over the entire period of injury and shared by the
insurers according to their time on the risk. The proper
allocation of so-called long tail claims has twice been
addressed by the Appeals Court and twice resolved in favor of the all
sums method. See Chicago Bridge & Iron Co. v. Certain
Underwriters at Lloyds, London, 59 Mass. App. Ct. 646, 653-655, 797 N.E.2d
434 (2003); Rubenstein v. Royal Ins. Co., 44 Mass. App. Ct. 842, 694 N.E.2d
381 (1998), S.C., 429 Mass. 355, 708 N.E.2d 639 (1999). We have not had
occasion to address the merits of an all sums versus a
pro rata method of allocation. Because neither party argues
the latter, analysis of the issue should wait for another day. - - - - - - - - - - -
- End Footnotes- - - - - - - - - - - - - - [*8] The judge then considered a series of motions for partial summary
judgment filed by the Fund seeking declarations with respect to six issues
regarding its duty to defend and indemnify Chesterton. The judge concluded that
partial summary judgment should enter declaring, in effect, that (1) the Fund
has no duty to defend actions against Chesterton, unless and until, Chesterton
establishes that it has exhausted the limits of duty to defend (but not the
ultimate net losses) coverages provided by solvent excess
carriers; (2) the Fund has no obligation to make indemnity payments to
Chesterton, unless and until, Chesterton establishes that it has exhausted the
limits of indemnity coverages provided by solvent carriers; (3) the
Funds duty to defend Chesterton is not limited to claims in which the
claimant alleges inhalation of asbestos fibers during the policy period, but
includes claims in which the claimant alleges that there was a Midland policy
in existence during the period between the dates of first inhalation of
asbestos fibers and the date of diagnosis, death, or claim; (4) the
Funds obligation to indemnify Chesterton is not limited to claims in
which the claimant alleges inhalation [*9] of asbestos fibers
during the policy period, but includes claims in which the claimant alleges
that there was a Midland policy in existence during the period between the
dates of first inhalation of asbestos fibers and the date of diagnosis, death,
or claim; (5) the Funds duty to defend Chesterton arises after
Chesterton has exhausted the limits of duty to defend coverages provided by
solvent carriers and is extinguished as to a specific underlying policy when
the indemnity limits of that policy have been exhausted; (6) the
Funds obligation to indemnify Chesterton as to claims covered by
valid Midland policies arises after Chesterton has exhausted the limits of the
indemnity coverages provided by solvent excess carriers applicable to such
claims and is extinguished as to a specific underlying policy when the
indemnity limits of such policy have been exhausted. The judge also allowed the
Funds motion for partial summary judgment for a declaration that any
obligation to indemnify Chesterton under the Midland policies is limited by G.
L. c. 175D to an aggregate amount of $ 299,999 for each bodily injury claim,
including consortium claims and derivative claims, and to $ 299,999 for [*10]
fees and costs incurred in the defense of each bodily injury claim. n4 - - - - - - - - - - -
- - - Footnotes - - - - - - - - - - - - - - - n4 Section 5 (1) (a) provides that the Funds obligations
under each covered claim, with certain exceptions, shall include only
that amount
less than three hundred thousand dollars. This
court has stated that a claimant under G. L. c. 175D
refers to the person now asserting the claim, either the underlying
tort claimant or the insured may be a [G. L.] c. 175D claimant. Clark
Equip. Co. v. Massachusetts Insurers Insolvency Fund, 423 Mass. 165, 168,
666 N.E.2d 1304 (1996). The judge reasoned that, if an insured is a claimant
within the meaning of G. L. c. 175D, then an insureds demand for
defense costs provided by the policy can be characterized as a covered claim.
Thus, the statutory limit of $ 299,999 applies independently to fees and costs
incurred in the defense of any one bodily injury claim. - - - - - - - - - - -
- End Footnotes- - - - - - - - - - - - - - 2. Against this background, the judge held a trial to decide
whether the Funds obligations to indemnify or to defend could [*11]
be avoided because of alleged misrepresentations made by Chesterton in
its applications for coverage for four Midland policies that were in effect
from February 1, 1980, to February 1, 1981 (first policy); February 1, 1981, to
February 1, 1982 (second policy); February 1, 1982, to February 1, 1983 (third
policy); and February 1, 1983, to February 1, 1984 (fourth policy). At trial,
the Fund claimed that the absence of any reference, in Chestertons
applications for coverage during the four policy years, to either
asbestos-containing products or to lawsuits claiming damages related to
asbestos, were factual misrepresentations. These misrepresentations, argued the
Fund, were made with actual intent to deceive or, alternatively, the
misrepresentations increased Midlands risk of loss and, thus, under
G. L. c. 175, § 186, were material and rendered the policies void.
Chesterton argued that the doctrine of laches n5 prevented the Fund from
asserting the affirmative defense of misrepresentation in order to avoid its
obligations under the policies. - - - - - - - - - - -
- - - Footnotes - - - - - - - - - - - - - - - n5 Chesterton also presented arguments at trial that the related
doctrines of estoppel or waiver barred the Funds attempts to avoid
its liability under Midlands policies. On appeal, Chesterton relies
solely on the doctrine of laches. - - - - - - - - - - -
- End Footnotes- - - - - - - - - - - - - - [*12] The judges findings, which are not disputed in any
material respect, may be summarized as follows. During the period of time
relevant to this appeal, Chesterton had retained the services of a retail
insurance agency, Fred S. James (James), to obtain insurance policies that
would provide Chesterton with indemnity coverage for personal liability claims,
including claims based on asbestos-related bodily injury, in excess of that
provided by its primary comprehensive general liability policies. James
submitted applications for the four policy years in question to Capacity
Managers International, Inc. (CMI), a corporate entity authorized to underwrite
risks and execute policies and other insurance documents on behalf of Midland.
Each application was prepared using the same standard excess liability
insurance form. The judge focused on three questions in the application form and
found that Chestertons responses were, essentially, the same in all
four years. Question 4 asked for a Complete description of all
operations. Chestertons response referred to an exhibit
attached to the application that included an entry, entitled
Operations, providing that Applicant
manufacturers and sells [*13] packs, seals and lubricants throughout
the United States, Canada and about [eighty] countries overseas.
Question 17 stated Past Losses: Enumerate below all losses paid or
now reserved in excess of $ 10,000 as respects accidents occurring during the
past five years. Chestertons response was
NONE. Question 25 was a declaration stating: We
know of no other relevant facts which might affect the companys
judgment when considering this application. Chesterton did not place
any information in that block. Below Question 25 was a line for the
applicants signature. In at least one of the years, the application
form submitted to CMI was signed by Chesterton and, in the remaining years, the
line below Question 25 was left blank. The application for the first policy was dated December 10, 1979,
and sent to CMI on December 18. CMI followed its customary practices with
respect to the issuance of any insurance policy. CMI would rely on the
application, an applicants loss experiences, brochures, and annual
reports, and, after a review of those materials, would make contact with the
broker and discuss the limits, pricing, and the risk involved. After receiving
Chestertons initial application, [*14] and before the
issuance of the first policy, CMI and James did in fact communicate regarding
Chesterton products. Midland issued the first policy. On January 2, 1980, Chesterton was served as one of twenty-three
defendants in an action commenced in Ohio by four plaintiffs claiming to have
been injured by asbestos and asbestos insulation materials
purchased by their employer, the Clark Asbestos Company. Chesterton responded
by notifying its primary insurer at that time, Liberty Mutual Insurance Company
(Liberty Mutual), and by initiating its own investigation into the claims.
Chesterton took the position that none of its products was involved in those
claims. Despite its sincere conviction that the claims against it were
meritless, Chesterton hired outside counsel to provide advice with respect to
the Ohio claims. In early 1980, Chesterton was served as a defendant in two
Illinois lawsuits, in which three claimants alleged that they had sustained
injuries when a pump containing a seal manufactured by Chesterton exploded.
Asbestos was not involved in any of these claims. In January, 1981, James sent an application for excess coverage
for the second policy year to CMI. The application [*15] appeared to be a
copy of the initial application, except that one or more of the exhibit pages
are missing, and the application was unsigned. Subsequent correspondence
reveals James asking CMI to review the application and to contact James to
discuss it. A CMI worksheet dated January 29, 1981, covering many subjects
ranging from exclusion endorsements to the reinsurance schedule, contained the
entry that brochures were not needed.
Midland issued the second policy. In early January, 1982, CMI advised James that the prior policy
was about to expire and solicited a renewal of the policy. CMI subsequently
requested a completed application and a five-year loss history containing aggregate
and excess losses over $ 25,000. James responded by sending CMI a renewal
application for the third policy. This application is missing from the record,
but correspondence between James and CMI substantiates its contents. CMI and
Midland both possessed at that time product brochures containing explicit
references to Chesterton products containing asbestos. Midland issued the third
policy. During the year in which the third policy was in effect,
Chesterton was named in at least three additional lawsuits [*16]
in which plaintiffs alleged that bodily injuries resulted from the
inhalation of asbestos fibers. As was the case with the earlier lawsuits,
however, Chesterton was convinced that the alleged injuries were not
attributable to any of Chestertons products. Chestertons
outside counsel advised that one case would probably settle for as little as $
2,000, should that amount be offered. In January, 1982, Liberty Mutual adopted new industry-wide
standards regarding coverage for manufacturers of products containing asbestos
that, among other matters, involved a retrospective rating adjustment. At some
point near this time, the reserves on the Illinois cases against Chesterton
involving the exploding pump (which did not involve asbestos), were set by
Liberty Mutual at $ 25,000 a claimant. Although Liberty Mutual previously had
assured Chesterton that its underlying primary coverage would be renewed for
the coming year, the company would agree only to renew Chestertons
policy for ninety days. As a consequence, Chesterton was forced to seek primary
coverage from another carrier. In January, 1983, CMI advised James that Chestertons
third policy with Midland would be expiring in February [*17] and requested full underwriting information.
James sent CMI an application, with supporting documentation, that was
substantially similar to that provided in the prior three years. The CMI
underwriting worksheet prepared with respect to Chestertons
application that year, significantly, contained less information than on any of
the worksheets prepared for the prior three years. Midland issued the fourth
policy. In January, 1984, James filed an application for excess indemnity
coverage for the policy year beginning on February 1, 1984. Accompanying that
application was a letter disclosing the existence of a total of thirteen claims
that had been asserted against Chesterton up until that time, alleging injuries
from asbestos. James characterized these claims as nuisance claims
and noted that Liberty Mutual had placed a very, very small
reserve on the claims. Documents attached to the application reported
that (a) one claim had been dismissed without any payment; (b) the four Ohio
claims served on Chesterton in January, 1980, had been dismissed with payments
totaling $ 7,463; (c) three were reserved for $ 5,000 each; (d) two were
reserved for $ 10,000 each; (e) no reserves were [*18] set for five of the
claims. Midland rejected Chestertons application for that year. Based
on these facts, the judge reached the following conclusions of law. There were
no misrepresentations associated with the Midland policies issued for the
first, second, and third years. The judge reasoned that, even assuming that
misrepresentations did exist, the Fund had not met its burden with respect to
showing that any misrepresentations were intentional or that they increased the
risk of loss to Midland. The judge concluded, however, that the fourth policy
was obtained based on misrepresentations by Chesterton that increased the risk
of loss and, therefore, that policy was void. The judge also concluded that
Chesterton may not rely on the doctrine of laches to bar that result. Judgment
entered declaring the judges conclusions, and the rights of the
parties in accordance with the judges rulings of law on the
Funds motions for partial summary judgment, as follows. The first, second, and third Midland policies provide coverage for
all claims in which it is alleged that bodily injury occurred during the policy
periods. The Funds duty to indemnify or to defend under the policies,
therefore, [*19] is not limited to those underlying
claims against Chesterton in which it is alleged that inhalation of asbestos
fibers occurred during the policy periods. The Fund has no obligations to make
indemnity payments because of bodily injury claims against Chesterton until the
limits of all indemnity coverages provided by solvent excess carriers
applicable to such claims have been exhausted. Once it is established that duty
to defend coverages on all other applicable excess policies issued by solvent
carriers have been exhausted, the Fund is obligated to defend Chesterton, up to
the limits of indemnity coverage, as to claims alleging bodily injury that
occurred during the policy periods. Chesterton does not, however, have to
establish that the ultimate net loss limits of other
applicable policies have been exhausted in order for the Fund to have a duty to
defend. The monetary limits of the Funds obligations are (a) $
299,999 for each asbestos-related bodily injury claim; and (b) $ 299,999 for
legal fees and costs incurred in the defense of each claim. Chesterton thereafter sought to amend the judgment to provide that
reasonable settlements made in good faith between Chesterton and a solvent [*20]
excess insurer sufficed to satisfy the exhaustion requirement, and that
actual exhaustion of the monetary limits of all excess indemnity policies need
not be shown before the Funds obligations to indemnify and defend on
the valid Midland policies. This motion was denied. Chestertons
appeal claims error in the judges denial of its motion to amend, as
well as in the judges rulings with respect to misrepresentations
concerning the fourth policy and the doctrine of laches. The Fund has
cross-appealed, raising claims of error in the judges rulings with
respect to misrepresentations concerning the first three policies in the first
three years, the proper trigger of coverage of the second and third policies,
and the judges ruling that Chesterton need not exhaust the
ultimate net loss coverage of its excess policies before
the Fund has any obligation to defend on the underlying claims against
Chesterton. 3. We turn first to the contentions made by Chesterton and the
Fund on the laches and misrepresentation claims, examining them under the
familiar principles that a reviewing court will not set aside a trial
judges findings of fact unless they are clearly
erroneous but will independently [*21] review the
judges legal conclusions. See Jancey v. School Comm. of Everett, 427 Mass. 603,
605-606, 695 N.E.2d 194 (1998), citing Kendall v. Selvaggio, 413 Mass. 619, 620-621,
602 N.E.2d 206 (1992). Under G. L. c. 175, § 186, a misrepresentation
in an application for insurance is material, and, thus, will enable the insurer
to avoid the policy, if it is made with actual intent or if it increases the
risk of loss. A material fact, measured by an objective standard, is one which
would naturally influence the judgment of [an] underwriter in making
the contract at all, or in estimating the degree and character of the risk, or
in fixing the rate of the premium. Employers Liab.
Assur. Corp. v. Vella, 366 Mass. 651, 655, 321 N.E.2d 910 (1975), quoting Daniels v.
Hudson River Fire Ins. Co., 66 Mass. 416, 12 Cush. 416, 425 (1853). See
Northwestern Mut. Life Ins. Co. v. Iannacchino, 950 F. Supp. 28, 31 (D. Mass. 1997)
(facts are material where disclosure of the truth would have influenced
judgment of underwriter). The Fund has the burden of proof on this issue. See Pahigian
v. Manufacturers Life Ins. Co., 349 Mass. 78, 85, 206 N.E.2d 660
(1965). [*22] We have reviewed the lengthy record
with care and conclude that the judges clear subsidiary findings
concerning a complicated situation were justified by the evidence and amply
support his conclusions that (a) no false statements or misrepresentations on the
part of Chesterton were made in connection with its application to Midland for
excess indemnity coverage for the first, second, and third policies; (b)
misrepresentations were made in its application for coverage for the fourth
policy; and (c) the doctrine of laches does not operate to bar the Fund from
relief. a. The Fund asserts that Chesterton made misrepresentations with
respect to the first, second, and third policies, when it failed to disclose to
Midland that it had been named in a number of asbestos-related lawsuits seeking
millions of dollars in damages as a result of exposure to Chestertons
asbestos-containing products. According to the Fund, these misrepresentations
were made with actual intent to deceive or, alternatively, that the misrepresentations
increased Midlands risk of loss and, thus, were material. We do not
agree. The judge made a clear finding that CMI, or Midland, was aware of
the nature of Chestertons
[*23] products, including the fact that
several of its products contained asbestos. The Fund has not challenged this
finding as erroneous, nor would any such challenge be successful. With respect
to Question 17, which required Chesterton to report any case reserved for an
amount in excess of $ 10,000, there was none so reserved prior to, or during,
the application process for the first three policies. The standard application
form was not created for a specific risk, n6 and, as the deposition testimony
of one former CMI agent confirmed, served only as a starting point in
CMIs underwriting process. The judge properly concluded that the Fund
had failed to sustain its burden of demonstrating, pursuant to G. L. c. 175,
§ 186, that Chesterton made a misrepresentation that would allow the
Fund to avoid Midlands obligations under the first, second, and third
policies. This conclusion was correct and obviates any need to dwell on the
Funds arguments with respect to the question of intent n7 or the
Funds contention that the judge erroneously concluded that the
omissions made on the applications did not have the effect of increasing
Midlands risk of loss. n8 - - - - - - - - - - -
- - - Footnotes - - - - - - - - - - - - - - - n6 The application asked: Are Radioactive Materials used
or handled?; Does Applicant Operate an Industrial
Railroad?; Does Applicant have any Storage of Explosives or
Inflammables?; and Does Applicant operate a Hospital or
First-aid facility?, but made no mention of asbestos. [*24] n7 One point bearing on the question of intent, however, warrants
mention. The record contains two memoranda, dated March 5, 1980, and October
22, 1982, from Richard Hoyle, who, at that time, handled all asbestos-related
claims made against Chesterton, to Chestertons insurance manager,
Frank Boccelli. The memoranda were admitted in evidence at trial but not
mentioned in the judges findings. The first informs Boccelli that
outside counsel had suggested that Chesterton put its insurance carriers,
including its excess carriers, on notice of the Ohio lawsuits. The second
reminds Boccelli of his responsibility to notify excess carriers of any future
lawsuits against Chesterton if there is any chance of exceeding the
primary coverage. The Fund suggests that these letters demonstrate
that, at least before the second and third policies issued, Chesterton knew
that Midland should be informed of the lawsuits against it at that time and
intentionally ignored its obligation to do so. We disagree. A fair reading of
the memoranda permits at most an inference that Chesterton was closely
monitoring the lawsuits against it and was taking steps to ensure that the
companys primary and excess insurance coverage was sufficient to cover
its future liability. The record supports a determination that Chesterton was a
cautious company that would not have risked losing coverage of its excess
indemnity policies by a purposeful failure to disclose material information.
The record also fully supports the judges determination that
Chesterton sincerely believed that its products were safe and that it had been
misnamed in the asbestos-related claims against it. [*25] n8 Contrary to the Funds assertion, the judge did not
base his conclusion with respect to risk of loss on Chestertons
subjective belief that it had been wrongfully sued. The judges
findings on this point (set forth in the event an appellate court might
disagree with his analysis of the law) are clear. A former agent for CMI
testified that Midland, at some point in time, began placing endorsements on
certain policies excluding coverage for asbestos-related claims and, later,
declined to write coverage for manufacturers of products containing asbestos.
The agent was, however, unable to provide dates with any specificity. Based on
his testimony that whether we would have
excluded the
asbestos or declined the risk would have depended on exactly what time and what
other information we had, the judge found that Midland did not have a
practice, in the relevant time period, of refusing to issue policies to
companies that manufactured, or sold, products containing asbestos. CMI or
Midland were in possession of brochures that described Chestertons
manufactured products containing asbestos, and could have sought further
information on the subject. Instead, the judge noted, Midland continued to
issue policies to Chesterton at the same or higher limits for the
same, or lower, premium charged before it had possession of the
brochures. - - - - - - - - - - -
- End Footnotes- - - - - - - - - - - - - - [*26] b. No one factor led to the judges determination that
misrepresentations had been made with respect to the fourth policy. The judge
was persuaded, however, by the totality of the
circumstances that an objective applicant for excess
coverage [would] have provided the information regarding the increase in the
number of asbestos related lawsuits to an insurer in an application. By the time that Chesterton applied for the fourth policy (1)
Liberty Mutuals primary coverage had been withdrawn due to that
companys decision not to write policies for manufacturers of products
containing asbestos; (2) Chesterton had been named in two lawsuits brought by
three claimants alleging injuries that occurred when a Chesterton pump
exploded; (3) Chesterton had been served as a defendant in nine additional
asbestos-related lawsuits; and (4) Chesterton was concerned that it would have
difficulty in obtaining insurance coverage at all levels due to its asbestos
exposure. The judge found that Chesterton knew, when it applied for coverage
from Midland for the fourth policy year, that Liberty Mutual had reserved the
Illinois lawsuits for an amount of $ 25,000 a claimant. Yet those lawsuits
had [*27]
not been listed in response to Question 17 on the application, which
sought enumeration of all losses paid or now reserved in excess of $
10,000 as respects accidents occurring during the past five years. In
making this finding, the judge relied, in part, on a letter dated September 22,
1982, in which an insurance advisor communicated with Chesterton regarding the
reserves of the above mentioned lawsuits. We reject Chestertons claim
that this letter constituted inadmissible hearsay. The letter was admitted in
evidence at trial for the limited purpose of proving knowledge and notice,
specifically, to demonstrate that Chesterton was, in fact, actively reviewing its
reserves at that time and knew what reserves had been assigned the exploding
pump claims. This is precisely the purpose for which the letter was used. See
P.J. Liacos, M.S. Brodin, & M. Avery, Massachusetts Evidence §
8.2.2., at 466-467 (7th ed. 1999). The judges findings with respect to Question 25 are
equally unassailable. In circumstances such as Chesterton found itself, any
commonsense interpretation of that statement would appear to require, at the
very least, a disclosure that it had been named as a defendant in [*28]
lawsuits seeking millions of dollars in damages for personal injury due
to exposure to asbestos. Chestertons response to the same inquiry in
its application for coverage for the following year, beginning February 1, 1984,
indicates that it did, in fact, clearly understand the import of Question 25.
We agree with the judge that the fourth application was inaccurate on its face. We need not address the question of Chestertons
subjective intent, for the judge made clear his conviction, based primarily on
his assessment of the credibility of Richard Hoyle, that Chesterton harbored no
actual intent to deceive Midland. We agree with the judge, however, that
Chestertons failure to disclose the number of other pending lawsuits
against it, or the fact that it had lost general commercial liability coverage
from Liberty Mutual, increased Midlands risk of loss and, therefore,
was material under G. L. c. 175, § 186. There can
be little doubt that, had Midland been informed of the growing number of
lawsuits against Chesterton, it would have demanded an asbestos exclusion from
the policy coverage or, at the very least, have raised its premium. The most
persuasive [*29] evidence of this fact is that, in
January, 1984, when Chesterton did in fact inform Midland of the existence of
the asbestos lawsuits in its application for a policy for the next year,
Midland refused to renew Chestertons coverage. c. Chesterton contends that it was denied the opportunity to
litigate this matter when memories were fresh and document files
intact and, therefore, the Funds misrepresentation claim
should be barred by the equitable doctrine of laches or unreasonable delay. We
disagree. The operation of laches generally is a question of fact for the
judge, and a judges finding as to laches will not be overturned
unless clearly erroneous. See West Broadway Task Force v. Boston Hous. Auth., 414 Mass. 394, 400,
608 N.E.2d 713 (1993), citing Tzitzon Realty Co. v. Mustonen, 352 Mass. 648, 650,
227 N.E.2d 493 (1967). It is true that thirteen years passed between 1984, the
time Midland was apprised of the facts forming the basis of the
misrepresentation claim and 1997, when the Fund asserted misrepresentation as
an affirmative defense in its answer to Chestertons amended
complaint. Laches is not mere delay, [however,] but delay that works
disadvantage to another.
[*30] Calkins v. Wire Hardware Co., 267 Mass. 52, 69,
165 N.E. 889 (1929). On the record before us, Chesterton has failed to
demonstrate that any delay was unjustified or unreasonable and that it had a
prejudicial effect on its ability to defend against the misrepresentation claim
with respect to the fourth policy. See G.E.B. v. S.R.W., 422 Mass. 158, 166,
661 N.E.2d 646 (1996), quoting Srebnick v. Lo-Law Transit Mgmt., Inc., 29 Mass. App. Ct.
45, 49, 557 N.E.2d 81 (1990). Within three days of receiving notice, in
November, 1987, of Chestertons asbestos-related claims under the
Midland policy, the Fund responded by expressly reserving its rights as to
whether the claims qualified as covered claims under G. L. c. 175D, and, if so,
the amount of coverage available. n9 See West Broadway Task Force v. Boston
Hous. Auth., supra at 400, citing Elm Farm Foods Co. v. Cifrino, 328 Mass. 549, 557,
105 N.E.2d 366 (1952) (It is well established in the Commonwealth
that laches does not operate to bar a claim simply because the events which
established rights in the plaintiff occurred long ago). While the
memories of witnesses may have faded by the time the misrepresentation [*31]
issues were litigated at trial, a substantial portion of the
judges evidentiary determinations were based on documents in the
record. While Midlands liquidation, understandably, may have resulted
in missing files, Chestertons own documentation of its insurance
coverage for that year should have been intact. Moreover, it is arguable that
the missing application for the fourth policy year harmed the Fund as much as
Chesterton. It was, after all, the Fund that bore the burden of proof on the
issue of misrepresentation. - - - - - - - - - - -
- - - Footnotes - - - - - - - - - - - - - - - n9 The above facts set this case distinctly apart from a case
decided by a judge in the Court of Common Pleas of Ohio, Owens-Corning
Fiberglas Corp. v. American Centennial Ins. Co., 74 Ohio Misc. 2d
183, 660 N.E.2d 770 (1995), relied on by Chesterton. In that case, a judge
concluded that the Ohio statute of limitations barred a claim seeking
rescission or reformation, and that the doctrine of laches barred the
affirmative defense of misrepresentation, asserted by an excess insurer against
its insured, like Chesterton, a manufacturer of asbestos products. Id. at 200. In the Ohio
case, the insureds underwriter testified that he knew of the alleged
fraud during the policy period in 1979, but did nothing about it (except
keep the premiums which were paid and keep quiet) until
over one decade had passed. Id. at 201. - - - - - - - - - - -
- End Footnotes- - - - - - - - - - - - - - [*32] 4. We next take up the trigger of coverage issue.
Trigger of coverage is a term of art whereby the court describes what must occur
during the policy period for potential coverage to commence under the specific
terms of an insurance policy. Rubenstein v. Royal Ins. Co., 44 Mass. App. Ct.
842, 850 n.6, 694 N.E.2d 381 (1998), S.C., 429 Mass. 355, 708 N.E.2d 639
(1999). The interpretation of policy language is a question of law for the
judge and for a reviewing court. We look to the policy as written; we neither
revise it or change the order of the words. Continental
Cas. Co. v. Gilbane Bldg. Co., 391 Mass. 143, 147, 461 N.E.2d 209 (1984).
See Somerset Sav. Bank v. Chicago Title Ins. Co., 420 Mass. 422,
427-428, 649 N.E.2d 1123 (1995). If in doubt, we consider what an
objectively reasonable insured, reading the relevant policy language, would
expect to be covered. Trustees of Tufts Univ. v. Commercial Union
Ins. Co.,
415 Mass. 844, 849, 616 N.E.2d 68 (1993), quoting Hazen Paper Co. v. United
States Fid. & Guar. Co., 407 Mass. 689, 700, 555 N.E.2d 576 (1990). Under the terms of the first policy, Midland promised to indemnify
Chesterton against such ultimate net [*33] loss in excess of
[Chestertons primary limit] as [Chesterton] sustains by reason of
liability
for damages because of personal injury
caused
by an occurrence anywhere in the world. Under the terms of the second and third policies, Midland promised To pay on behalf [of Chesterton]
such ultimate net loss in excess of [Chestertons primary limit] as
[Chesterton] sustains by reason of liability
for damages because of
personal injury, property damage or advertising liability to which this policy
applies, caused by an occurrence anywhere during the policy period
(emphasis added). The remaining relevant terms of all three policies are,
essentially, the same. Except for slight differences of no import, all define
an occurrence as: An accident, happening or event,
including continuous or repeated exposure to conditions, which results in
personal injury, property damage or advertising liability neither expected nor
intended from the standpoint of the insured. All such exposure arising out of
continuous or repeated exposure to substantially the same general conditions
shall be considered as arising out of one occurrence. Under the [*34] terms of all three policies, coverage
includes bodily injury, including death at any time resulting
therefrom, and, as explained above, the parties have stipulated that
the bodily injury alleged in each underlying claim is deemed to begin at the
time each claimant was first exposed to asbestos and to continue up until the
time of diagnosis, death, or the filing of the underlying claim. The Fund readily accepts that potential coverage under the first
policy is triggered by a claim alleging that a claimant suffered bodily injury
during the effective dates of the policy period, February 1, 1980, to February
1, 1981, so that the first policy covers any claim for bodily injury taking
place within those dates, even if the event that caused it (inhalation of
asbestos fibers) took place prior to the inception of the policy. The Fund
claims, however, that the addition of the words during the policy
period to the second and third policies must be interpreted to limit
coverage under those policies to claims alleging inhalation of asbestos within
the effective dates of those policies, February 1, 1981, to February 1, 1983.
The judge concluded that the policy language in question, read in [*35]
context, is ambiguous and so must be construed against the insurer and
in favor of an interpretation beneficial to the insured. See Hakim v.
Massachusetts Insurers Insolvency Fund, 424 Mass. 275, 281,
675 N.E.2d 1161 (1997), quoting Trustees of Tufts Univ. v. Commercial Union
Ins. Co., supra. We discern no such ambiguity. Were the language contained in the second and third policies with
respect to coverage the same as that in the first policy, we would have no
difficulty agreeing with the judge. n10 The language in question, however, is
distinct from that in the first policy and compels a different conclusion. The
words during the policy period immediately following the
word occurrence (and not, for example, after the words
bodily injury) suggest only that it is an occurrence, and
not bodily injury, that must take place during the policy period. A reasonable
policyholder would understand the policy definition of an
occurrence, in the context of asbestos-related claims, to
equate to exposure to, or inhalation of, asbestos (whether a one-time event or,
more likely, continuing or repeated exposure), and not the bodily injury (here,
beginning at the first [*36] exposure and continuing until diagnosis
or death, or until a claim is made) that follows. Cf. Ober v. National Cas.
Co.,
318 Mass. 27, 30, 60 N.E.2d 90 (1945). n11 - - - - - - - - - - -
- - - Footnotes - - - - - - - - - - - - - - - n10 Courts construing occurrence language
similar to that contained in the first policy (covering bodily injury caused by
an occurrence anywhere in the world) consistently (and
properly) have held that potential coverage is determined not by the time the
wrongful act was committed, but the time when the claimant was actually
damaged. See Lumbermens Mut. Cas. Co. v. Belleville Indus., Inc., 407 Mass. 675,
686-687 n.9, 555 N.E.2d 568 (1990); Continental Cas. Co. v. Gilbane Bldg. Co., 391 Mass. 143, 152,
461 N.E.2d 209 (1984). See also Eagle-Picher Indus., Inc. v. Liberty Mut.
Ins. Co.,
682 F.2d 12, 17, 23-25 (1st Cir. 1982), cert. denied, 460 U.S. 1028, 103 S. Ct.
1280, 75 L. Ed. 2d 500 (1983) (interpreting Massachusetts law in asbestos
exposure situation, holding that each occurrence is made up of two
components, the exposure and the resulting bodily injury; and it is the
resulting bodily injury, not the exposure, which must take place
during the policy period). [*37] n11 Because the injurious effects of asbestos may not be apparent,
or capable of medical diagnosis, for many years after initial exposure, the
questions what is bodily injury and when does it
occur often assume primary importance in insurance coverage disputes
involving asbestos. See generally 1 B.R. Ostrager & T.R. Newman, Insurance
Coverage Disputes § 9.03[a] & [b] (12th ed. 2004), and cases
cited. See also Note, The Calculus of Insurer Liability in Asbestos-Related
Disease Litigation: Manifestation + Injurious Exposure = Continuous Trigger, 23
B.C. L. Rev. 1141, 1148 (1982); Comment, Liability Insurance for Insidious
Disease: Who Picks Up the Tab?, 48 Fordham L. Rev. 657, 660 (1980). The
parties stipulation as to bodily injury resolves those questions for
purposes of this case. Under the stipulation, a claimant who demonstrates exposure
to asbestos during the policy period has, by necessity, demonstrated bodily
injury occurring at the same time. - - - - - - - - - - -
- End Footnotes- - - - - - - - - - - - - - In Matter of the Liquidation of Midland Ins. Co., 164 Misc. 2d 363,
623 N.Y.S.2d 689 (N.Y. Sup. Ct. 1994), a judge [*38] in the Supreme Court
of New York County construed language in an excess umbrella liability policy,
issued in 1975 by Midland, that provided coverage for asbestos-related injuries
resulting from accidents or occurrences happening between the
effective and expiration dates of the policy. See id. at 365. This policy
language is effectively the same as that we interpret today. The judge stated,
No reading of the [policy] language can lead to the conclusion that
coverage is to be triggered by bodily injury during the policy
period, as in the
numerous [commercial general liability] policy cases cited by [the
claimant]
. No ambiguity exists
as to the need for the
event, i.e., the exposure to
happen during
the policy period. Id. at 370. See In re Liquidation of Midland
Ins. Co.,
269 A.D.2d 50, 71, 709 N.Y.S.2d 24 (N.Y. 2000) (affirming lower
courts declaration that trigger of policy coverage is first, or
subsequent, exposure to asbestos). The judge reasoned that a trigger of
exposure to, and inhalation of, asbestos during the policy period (even though
in that case, as here, tantamount to bodily injury), differs significantly [*39]
from a trigger of bodily injury occurring during the policy period. We
think the judges reasoning is sound. In the final analysis, it is the
policy language that controls, and the language in this case is clear. We may
not invent ambiguity where none exists. See Citation Ins. Co. v. Gomez, 426 Mass. 379, 381,
688 N.E.2d 951 (1998); Lumbermens Mut. Cas. Co. v. Offices Unlimited, Inc., 419 Mass. 462, 466,
645 N.E.2d 1165 (1995). We conclude that the trigger event under the second and
third Midland policies is the exposure, or inhalation, to asbestos, which
results in the injury, and not the injury itself. In perceiving ambiguity in the policy language, the judge relied
in part on two Federal decisions addressing similar policy language in the context
of asbestos-related cases. See Stonewall Ins. Co. v. Asbestos Claims Mgt.
Corp.,
73 F.3d 1178, 1192 n.5 (2d Cir. 1995) (Stonewall), and Eagle-Picher Indus.,
Inc. v. Liberty Mut. Ins. Co., 682 F.2d 12, 24 (1st Cir. 1982), cert.
denied, 460 U.S. 1028, 103 S. Ct. 1280, 75 L. Ed. 2d 500 (1983) (Eagle-Picher).
Those cases are distinguishable. In Stonewall, the insurer itself had
interpreted its policy language, personal [*40] injury
caused by or arising out of an occurrence which takes place during the policy
period anywhere in the world, to require only that injury need occur
during the policy period. Id. The question of construction we face here,
therefore, was never at issue in that case. The Eagle-Picher case warrants further discussion. There, the
United States Court of Appeals for the First Circuit examined words defining
coverage under an American Motorists policy — personal
injury caused by
an occurrence which takes place during the policy
period — found them to be ambiguous, and, ultimately,
construed the policy to require only that bodily injury occur during the
effective period. See note 10, supra. The American Motorists policy, however,
defined an occurrence as an accident, including
continuous or repeated exposure to conditions, which results, during the policy
period, in bodily injury (emphasis added). It was this additional
temporal language (not present in this case) that initially suggested ambiguity
to the court. See Eagle-Picher, supra at 17, 23-24. Further, the Eagle-Picher
court was called to resolve, apparently for the [*41] first time in the
First Circuit, difficult issues not present in this case, regarding the nature
of bodily injury in the progressive disease context. See id. at 24 (holding
that asbestos-related disease becomes manifest at time disease is reasonably
capable of medical diagnosis). A final distinction of note is that Eagle-Picher
(unlike Chesterton) was uninsured during most of the time that it manufactured
asbestos products. The court recognized that the construction favored by
American Motorists (and here argued by the Fund) would severely limit the
companys available coverage and resolved its doubts for the benefit
of Eagle-Picher. We are not inclined to follow the construction adopted by the
court in Eagle-Picher in plainly different circumstances. We conclude that the
trigger event under the second and third Midland policies is the exposure to,
or inhalation of, asbestos, which results in the injury, and not the injury
itself. The continuing progression of the asbestos-related disease, without
some initial, or subsequent, exposure to asbestos during the effective dates of
those policies, will not trigger coverage under the second and third Midland
policies. [*42] n12 5. We now turn to the exhaustion issue as it relates to the duty
to indemnify. Both Chesterton and the Fund accept that G. L. c. 175D requires
the exhaustion of joint and severally solvent policies before a policyholder
may submit a covered claim to the Fund. They disagree,
however, on whether a policyholder must exhaust the limits of all applicable
solvent excess policies before the Funds duty, pursuant to G. L. c.
175D, § 5, to indemnify with respect to covered
claims arises. n13 This was the primary issue at oral argument, the
Fund contending that exhaustion requires the recovery of
the full limits of all available excess solvent policies, and Chesterton contending
that exhaustion can also be accomplished by a lesser recovery pursuant to a
good faith settlement. We conclude that where a policyholder chooses to enter
into a settlement agreement with a solvent carrier for less than the
policys stated limits, that settlement, even though made in good
faith, does not exhaust the policy for purposes of G. L. c. 175D. This
conclusion is consistent with the Legislative purpose behind the Fund, its
clear statutory design, and with case law interpreting [*43]
G. L. c. 175D. - - - - - - - - - - -
- - - Footnotes - - - - - - - - - - - - - - - n12 We reject Chestertons so-called
exposure-in-residence theory, which postulates that the
presence of asbestos fibers in the lungs equates to continued and repeated exposure
to asbestos under the Midland policy language. It is undoubtedly true that
asbestos fibers, once inhaled, remain in the lungs and cause a slowly
progressing disease that may not be capable of diagnosis for years. The leading
case for that proposition is Keene Corp. v. Insurance Co. of N. Am., 215 U.S. App. D.C.
156, 667 F.2d 1034, 1042 (D.C. Cir. 1981), cert. denied, 455 U.S. 1007, 102 S.
Ct. 1644, 102 S. Ct. 1645, 71 L. Ed. 2d 875 (1982). All four insurers in the
Keene case had provided coverage at various points in time when inhalation
actually occurred, but the insurers disagreed as to whether coverage should be
triggered by exposure to asbestos or by the manifestation of the
asbestos-related disease. In order to protect policyholders from future claims
arising out of past exposure, the Keene court held that coverage would be
triggered by manifestation of the disease, as well as by exposure. See id. at
1045-1046. The courts continuous trigger
approach, which defines bodily injury as occurring continually during
any part of the single injurious process that asbestos-related
diseases entail, id. at 1047, mirrors that stipulated to by the
parties in this case. Because the continuing progression of the disease is not
enough to trigger the second or third Midland policies, however, claimants who
were not exposed to asbestos during their effective dates will not be covered
under those policies. [*44] n13 The court solicited amicus briefs on this question, and we now
acknowledge briefs submitted by the Complex Insurance Claims Litigation
Association and by the Boston Gas Company and the Massachusetts Electric
Company. It came to this courts attention that an amicus brief
submitted by Certain Underwriters at Lloyds, London, and Certain
London Market Insurance Companies was authored, at least in part, by certain
London insurers who had been parties to this litigation, and still may be in
settlement discussions with Chesterton on other policy issues. Their brief presents
arguments concerning the merits of a pro rata method of
allocation, arguments that the London insurers have already presented to the
judges in connection with this case. We do not consider their brief. - - - - - - - - - - -
- End Footnotes- - - - - - - - - - - - - - The Fund was created to benefit the public by ensuring that all
holders of policies covered by the Fund will be paid for losses incurred. See Massachusetts
Motor Vehicle Reinsurance Facility v. Commissioner of Ins., 379 Mass. 527,
534-535, 400 N.E.2d 221 (1980). It was intended to be a source of last resort,
to avoid financial [*45] loss to claimants and to policyholders
in the event of the insolvency of an insurer. See Vokey v. Massachusetts
Insurers Insolvency Fund, 381 Mass. 386, 390, 409 N.E.2d 783 (1980) (interpreting
requirement in G. L. c. 175D, § 9, of exhaustion of insolvency
provisions of other policies before claim made to Fund). We have stated that
the statute clearly does not preclude recovery from the Fund where other
solvent insurers exist, see Norfolk & Dedham Mut. Fire Ins. Co. v. Quane, 442 Mass. 704,
709-711, 816 N.E.2d 521 (2004), but, just as clearly, the statute does not
contemplate that the Funds liability is coextensive with the
obligations of those solvent insurers. The statutory scheme discloses a primary legislative intent that
the Fund serve only claimants of insolvent insurers who have no other source of
recovery beyond the Fund. The Funds principal obligation is to pay
the covered claims of insolvent insurers. See G. L. c.
175D, § 5 (1). Section 1 (2) defines a covered
claim as an unpaid claim, subject to certain
limitations, made pursuant to a policy issued by an insurer that has become
insolvent, and excluding claims [*46] asserted by a reinsurer,
insurer, insurance pool or underwriting association. G. L. c. 175D,
§ 1 (2). See Norfolk & Dedham Mut. Fire Ins. Co. v. Quane, supra
at 704-705 n.2. To the extent that compensation remains available from another
source, such as other excess indemnity policies whose limits have not yet been
reached, a claim is not unpaid. By settling with solvent insurers for less than their full policy
limits, Chesterton has, in effect, absolved those insurers of amounts they
otherwise would owe and now seeks to impose such amounts on the Fund. Because
member insurance companies pay into the Fund, and then recoup payments in the
rates and premiums charged for insurance policies, it is the public that
ultimately will bear financial responsibility for such settlements. A company
that settles with his solvent excess insurers for less than the policy limits
should, in fairness, bear the risk of settling too conservatively. We conclude
that where a company fails to exhaust the limits of its solvent excess coverage
before turning to the Fund, the Fund will be entitled to a credit, against any
liability of the Fund to indemnity or
[*47] defend, in an amount equal to the full
limit of the solvent excess policies. This position mirrors, essentially, one taken by a substantial
number of State appellate courts that have considered this issue interpreting
exhaustion language of their respective insurance guarantee fund statutes in
the context of uninsured motorist policy limits. See, e.g., Hasemann v.
White,
177 Ill. 2d 414, 420, 686 N.E.2d 571, 226 Ill. Dec. 788 (1997) (reasoning that
limiting Illinois Insurance Guaranty Funds setoff to amount actually
received under settlement would invite collusion and provide little
incentive for a claimant to pursue a full and fair settlement with his own
carrier); California Ins. Guar. Ass n v. Liemsakul, 193 Cal. App. 3d
433, 440, 238 Cal. Rptr. 346 (1987); Colorado Ins. Guar. Assn v.
Harris,
827 P.2d 1139, 1142 (Colo. 1992); Robinson v. Gailno, 275 Conn. 290, 306,
880 A.2d 127 (2005); Hetzel v. Clarkin, 244 Kan. 698, 706, 772 P.2d 800
(1989); Kenny v. Hoschar, 675 So. 2d 807, 810 (La. Ct. App. 1996); Belongia v.
Wisconsin Ins. Sec. Fund, 195 Wis. 2d 835, 849, 537 N.W.2d 51 (1995). n14 See also
Jackson Brook Inst., Inc. v. Maine Ins. Guar. Assn, 2004 ME 140, 861
A.2d 652, 656-657 (Me. 2004) [*48] (holding that settlement for less than
uninsured motorist policy limits precludes claim on Maine Insurance Guaranty
Association); Prutzman v. Armstrong, 90 Wn.2d 118, 122, 579 P.2d 359 (1978)
(settlement for less than policy limits not exhaustion within meaning of
Washingtons guaranty statute). - - - - - - - - - - -
- - - Footnotes - - - - - - - - - - - - - - - n14 We reject Chestertons argument that slight
differences in the language of the Post-Assessment Property and Liability
Insurance Guaranty Model Act (Model Act), from which G. L. c. 175D derives, see
Vokey v. Massachusetts Insurers Insolvency Fund, 381 Mass. 386, 390,
409 N.E.2d 783 (1980), and § 9 of our statute, compel a different
result. - - - - - - - - - - -
- End Footnotes- - - - - - - - - - - - - - We need not address whether the limits of a particular excess
coverage have, in this case, been exhausted. Resolution of that factual issue
must wait until such time as Chesterton contends to the Fund that the limits of
all its excess carriers have been exhausted. The legal framework applicable to
that issue, including statutory requirement, has been thoroughly addressed
herein. [*49] 6. Finally, we address the exhaustion issue as it relates to duty
to defend coverage. Each of the valid Midland policies contains a provision
stating: If no other insurer has the right
and duty to do so, [Midland] shall have the right and duty to defend any suit
against [Chesterton] seeking damages on account of
personal injury
but [Midland] shall not be obligated to defend any suit after [its] liability
has been exhausted
. Chesterton and the Fund agree that, if any solvent insurer has a
duty to defend, then that defense obligation must be exhausted before reference
is made to the Fund. Their positions differ, however, on whether Chesterton must
also exhaust the indemnity limits of all solvent insurance coverage —
including payments for defense costs up to the ultimate net
loss — before the Fund is obligated to defend. The Fund
argues that there is, essentially, no distinction between another
insurers duty to defend and its obligation to indemnify for defense
costs up to the ultimate net loss limit of its policy. n15
The Fund may not be called to defend Chesterton, therefore, until other solvent
excess insurers have paid for Chestertons [*50] defense costs up to
the ultimate net loss limit of their respective policies.
Nothing in G. L. c. 175D requires that result. - - - - - - - - - - -
- - - Footnotes - - - - - - - - - - - - - - - n15 Excess insurance policies generally provide indemnification
coverage for ultimate net loss. The Midland policies define
ultimate net loss as the total sum which the
Insured, or any company as his insurer, or both, become obligated to pay as
damages
because of personal injury or property damage. - - - - - - - - - - -
- End Footnotes- - - - - - - - - - - - - - As has been discussed, the Fund was created as a safety net, for
the protection of claimants and policyholders, in the event of the insolvency
of an insurer. See Vokey v. Massachusetts Insurers Insolvency Fund, supra; Massachusetts
Motor Vehicle Reinsurance Facility v. Commissioner of Ins., supra. It is consistent
with the plain language ofG. L. c. 175D, § 5 (1), and with the
Funds broad purpose, as discussed above, that it be obligated to
provide a defense to any claim brought against Chesterton to the same
extent [*51] as Midland, had that company not become
insolvent. The Funds obligation to defend Chesterton is set forth in
the Midland policy language and arises if no other insurer has the
right and duty to do so. It is settled that an insurers duty to defend is
independent from, and broader than, its duty to indemnify. See Herbert A.
Sullivan, Inc. v. Utica Mut. Ins. Co., 439 Mass. 387, 394, 788 N.E.2d 522 (2003); Bagley
v. Monticello Ins. Co., 430 Mass. 454, 458-459, 720 N.E.2d 813 (1999); Boston
Symphony Orch., Inc. v. Commercial Union Ins. Co., 406 Mass. 7, 10-11,
545 N.E.2d 1156 (1989). The Funds obligation to defend, therefore,
cannot be treated as secondary to other insurers obligations to make
payments for indemnity obligations, and costs of defense, as part of its
ultimate net loss coverage. Were the Fund to prevail on the
position it urges, Chesterton would bear the loss, as payments by other
insurers for defense costs would reduce the amount of ultimate net
loss coverage otherwise available to indemnify Chesterton for its
liability on the underlying claims asserted against it. We conclude that the
Funds duty to defend claims against Chesterton is not set in motion
unless [*52] Chesterton establishes that no solvent
insurer has a duty to defend under other available policies, but that
Chesterton is not required, as a precondition to the Funds duty to
defend, to demonstrate exhaustion of any or all ultimate net
loss coverages within those policies. 7. The order denying Chestertons motion to amend is
affirmed. The third paragraph of the judgment of the Superior Court is modified
by striking the first sentence and adding to it a provision declaring that the
Midland policy for the period from February 1, 1980, until February 1, 1981,
provides coverage, subject to the terms and conditions of that policy and the
provisions of G. L. c. 175D, for all claims in which there was bodily injury
during that policy period, and that the Midland policies for the periods
February 1, 1981, until February 1, 1982, and February 1, 1982, until February
1, 1983, provide coverage, subject to the terms and conditions of those
policies and the provisions of G. L. c. 175D, for all claims in which there was
exposure to asbestos during one or both of those policy periods. With this
modification, the judgment is affirmed.
[*53] So ordered. |