Insurance Co. of North America v. Continental Casualty Company, 575 F.2d 1070, 3rd Cir. (1978)
Insurance Co. of North America v. Continental Casualty Company, 575 F.2d 1070, 3rd Cir. (1978)
Insurance Co. of North America v. Continental Casualty Company, 575 F.2d 1070, 3rd Cir. (1978)
2d 1070
Restaurateurs are familiar with the good-natured struggles which often ensue
when guests attempt to pick up the tab for their dinner companions. It may be
fanciful to assume that it was to avoid similar unseemly displays when the time
came to pay a casualty loss that insurance companies incorporated "other
insurance clauses" in their policies. Certainly, there is one dramatic difference
between those generous diners, would-be hosts, and the insurers the diner
pleads for the opportunity to pay the bill; the insurer's use of the "other
insurance" clause is designed to confer that honor on the other company. When
all insurance policies use the same approach, obviously some accommodation
must be reached. In this case, the district court determined that two insurance
carriers should share the loss prorata, a kind of "Dutch treat" arrangement.
However, in our view, state law requires the appellee to assume the entire loss.
Accordingly we reverse, and direct entry of judgment for appellant.
The facts, though not simple, are not contested. A tractor-trailer, owned by
Rebel Truck Rentals, Inc. and leased on a long-term basis to Tifton Aluminum
Company, struck and killed Kenneth Toney on a highway in Pennsylvania. The
wrongful death action brought by Toney's administratrix was settled for
$375,000. The first $100,000 was paid by the primary insurance carrier,
reaching the limits of its coverage. That insurer is not a party to this litigation
since its payment was conceded to be due. The second $150,000 was paid by
the Continental Casualty Company under the terms of the settlement agreement
and is not disputed. What is controverted here is the proper source of the
remaining $125,000.
6 other collectible insurance with any other insurer is available to the insured
"If
covering a loss also covered hereunder (except insurance purchased to apply in
excess of the limit of liability hereunder), the insurance hereunder shall be in excess
of, and not contribute with, such other insurance."
7
8 with respect to loss and ultimate net loss covered hereunder, the insured has other
"If
insurance, whether on a primary, excess or contingent basis, there shall be no
insurance afforded hereunder as respects loss and ultimate net loss; provided, that if
the limit of liability of this policy is greater than the limit of liability provided by the
other insurance, this policy shall afford excess insurance over and above such other
10
11
12
"Other insurance" clauses generally fall into three categories prorata, escape,
and excess; the latter two varieties are material here. An "excess" clause
purports to provide protection to the insured in addition to other coverage which
might be available to him. Since it does not provide that supplemental
protection until the other policy has been exhausted, it is "excess" to the other
coverage. An "escape" clause provides that the company invoking it is relieved
from any obligation to the insured if other coverage is available. Because the
company may "escape" responsibility under its policy if that clause is given
effect, not unexpectedly, "escape" clauses are generally in disfavor with the
courts.1 It becomes important therefore, to determine in which category the
clauses in the case sub judice belong.
13
The INA clause clearly falls into the "excess" classification, but the same
cannot be said for the Continental provision. The first part of the Continental
language is of the "escape" variety. The company claims to grant no coverage
if the insured has other protection. The second part of the clause following
"provided," however, is not so draconian. Excess coverage will be provided,
says Continental, but only if the limits of its policy are greater than the "other
insurance" available, and not otherwise. As applied to the facts here, the second
part of the clause excludes all coverage because Continental's $2 million limit
is not greater than INA's $8.5 million. The Continental clause, therefore, in the
context of the dispute at bar must be labeled "escape."2 In so concluding we
find ourselves in disagreement with the "excess" characterization adopted by
the district court.
14
"15'If any other person, firm or corporation insured hereunder . . . is covered by other
valid insurance against a claim otherwise covered by this Policy, no insurance under
the policy shall be applicable to such claim.' " 335 Pa. at 495, 6 A.2d at 926
(emphasis supplied).
16
The Continental policy, in contrast, uses the phraseology "if . . . the insured has
other insurance whether on a primary, excess or contingent basis . . . ." This
terminology has sometimes been described as a "super-escape" clause,4 and in
some states has been given a construction distinguishable from the usual escape
clause. Some give it effect not because of its difference from the standard
clause but, rather, because they choose not to follow the rule enunciated in
Grasberger, e. g., Continental Casualty Co. v. Weekes, 74 So.2d 367
(Fla.1954). Others differentiate between the two versions, e. g., Government
Employees Insurance Co. v. Globe Indemnity Co., 415 S.W.2d 581 (Ky.1967);
and still others continue to deny effect to escape clauses, garden variety or
super, e. g., Automobile Underwriters, Inc. v. Hardware Mutual Casualty Co.,
49 Ill.2d 108, 273 N.E.2d 360 (1971).5 The Pennsylvania courts, however, have
not yet ruled whether they would differentiate between the two versions.
Interpretation of the clauses, therefore, is not free from doubt, and in the
exercise of our diversity jurisdiction, we must predict which road the
Pennsylvania courts will travel.
17
In United States Fidelity & Guaranty Co. v. Liberty Mutual Insurance Co., 327
F.Supp. 462, 465 (M.D.Pa.1971), the District Court for the Middle District of
Pennsylvania distinguished a super-escape clause from the usual escape clause
and declined to follow Grasberger because of the difference in language. The
court did not give full effect to the super-escape clause by allowing one
company to avoid liability, but finding the clauses repugnant, ordered proration
between the companies. By way of contrast, in Jamestown Mutual Insurance
Co. v. Erie Insurance Exchange, 357 F.Supp. 933 (W.D.Pa.1972) aff'd, 474
F.2d 1339 (3d Cir. 1973), the District Court for Western Pennsylvania applied
Grasberger even though a super-escape clause was present. In that instance,
however, the court did not discuss language differences in the excess clauses.
18
19
20
The judgment of the district court will be reversed. Because a pure question of
law is involved and no further facts need to be developed in the district court,
we will direct the district court to enter judgment in favor of the appellant
Insurance Company of North America.
On some occasions, the term "modified excess" is used. Since INA's limits are
larger, the Continental clause is not "excess" and we consider it inaccurate to
adopt that terminology here
The large coverages available under both policies here tend to obscure the very
real interest of the insured in most situations to secure the benefit of both
policies. The issue may become clearer by assuming hypothetically that INA's
limit is $75,000 (without a deductible) and Continental's is $50,000. If both
policies are in effect, then the full $125,000 obligation here would be satisfied
by the two companies. If, however, the Continental escape clause is given
effect, only INA's $75,000 would be available and the insured would be liable
for the remainder