United States: All Sums, All Policies For Long-Tail Claims

Previously published in the Risk Management magazine (November 26, 2012)

A recent decision in the California Supreme Court clarifies the full extent to which policyholders facing environmental clean-up costs or other long tail claims can tap into their historic policies to help pay for those costs. California's highest court recognized that all insurance policies triggered by continuing damage must pay "all sums" of resulting liability. The decision is cause for all policy holders with liability for long-tail claims under California law, such environmental property damage, asbestos injury, toxic tort or construction defect, to reassess their coverage carefully. Even if you previously settled your insurance claim, you should check your settlements to see if coverage may be available now under rules recognized by this decision.

The new opinion, reported in State of California v. Continental Insurance Company, et al., eliminates two restrictions on coverage for long-tail claims that the insurance industry long has asserted. Insurance companies denied indemnification up to the limits of all the triggered policies, arguing that each triggered policy only should pay a pro-rata fraction of the liability, not" all sums." Many insurance companies also relied on a1998 intermediate appellate court decision involving FMC Corporation to argue that even if policies during several successive policies were triggered by continuing damage or injury, the policyholder only could recover from the insurance in a single period and could not "stack" the coverage purchased for other periods when the injury or damage also had occurred.

The California Supreme Court first affirmed that each insurance company had to pay up to its policy limit for all sums of liability because of damage during the policy period. Rejecting the insurance companies' "equitable" argument that each policy should be allocated only a pro rata fraction of the full amount of liability in proportion to the full time span of the loss, the court found that "the language of the applicable policies ...supports adoption of the all sums coverage principles."Like most "occurrence"-based comprehensive general liability (CGL) insurance policies, the state's policies promised to pay "all sums which the insured shall become obligated to pay ... for damages ... because of injury to or destruction of property...."

The California Supreme Court agreed with the State of California that this grant of coverage "does not limit the policies' promise to pay 'all sums' of the policyholder's liability solely to sums or damage 'during the policy period,'" as insurance companies have argued. The court noted that the "during the policy period" language on which the insurance companies relied does not appear in the policy's insuring agreement, and therefore is neither logically nor grammatically related to the "all sums" language in the insuring agreement.

The California Supreme Court ruled that "the policies at issue obligate the insurers to pay all sums for property damage attributable to the String fellow site, up to their policy limits, if applicable, as long as some of the continuous property damage occurred while each policy was 'on the loss.'" Once a policy is triggered by damage during its period, "[t]he coverage extends to the entirety of the ensuing damage or injury," which "best reflects the insurers' indemnity obligation under the respective policies, the insured's expectations, and the true character of the damages that flow from a long-tail injury." The court also observed that "a growing number of states have similarly adopted this interpretation of the all sums language," while acknowledging that other shave taken the pro-rata position .

Next, the California Supreme Court turned to the so called "stacking" issue, which arose because the State's liability exceeded the limits available during a single policy period, and it therefore sought to collect from more than a single period's insurance.

The California Supreme Court explained that "stacking" policy limits simply means that "when more than one policy is triggered by an occurrence, each policy can be called upon to respond to the claim up to the full limits of the policy." Emphasizing that this provides the benefit of the parties' bargain, he California Supreme Court explained that stacking gives the policyholder "immediate access to the insurance it purchased," while the anti-stacking decision in FMC had "put the insured in the position of receiving less coverage than it bought."The California Supreme Court expressly disapproved of the FMC decision, finding that it "disregarded the policy language" and resorted to unwarranted "judicial intervention."

The California Supreme Court noted several advantages to the all-sums-with-stacking indemnity rule. Requiring indemnification of all sums under all appliby cable policies is consistent with standard insurance policy language; it acknowledges the progressive nature of long-tail injuries that continue through multiple policy periods; and it provides an equitable resolution of the scope of coverage under each policy and the allocation of coverage between different policies. The rule comports with reasonable expectations, in that each insurance company reasonably expects to indemnify liability because of property damage occurring during a long-tail loss it covered, but only up to its policy limits, and the policy holder reasonably expects indemnification for all the periods in which it purchased insurance coverage. Thus, the court found "nothing unfair or unexpected in allowing stacking in a continuous long-tail loss."

Now that the California Supreme Court definitively has spoken on the right to all sums under all policies, any liability insurance policy that has not paid its full indemnity limit, and that has not been settled with a policy release or buy-back, remains a valuable asset for any policyholder with liability for long-tail claims under insurance policies to which California law may apply. Policyholders seeking to resolve environmental, asbestos, toxic tort or construction defect claims in California should expect to recover all limits under all available policies during the period of damage or injury, so that the policyholder's entire loss is covered. Such a recovery is neither unfair nor overreaching; it simply is the benefit of the bargain for which policyholders paid the premiums asked by their underwriters.

Robert M. Horkovich is managing partner and shareholder in the New York office of Anderson Kill & Olick, P.C. He is a trial lawyer who has obtaining more $5 billion in settlements and judgments for policyholders from insurance companies.

Edward J. ("Ted") Stein is a shareholder in Anderson Kill& Olick's New Jersey office. His practice concentrates on insurance recovery, exclusively on behalf of policy holders, in matters involving fidelity, environmental, directors and officers, professional liability and other insurance coverage cases against U.S. and London market insurers.

About Anderson Kill & Olick, P.C.

Anderson Kill practices law in the areas of Insurance Recovery, Commercial Litigation, Environmental Law, Estate, Trusts and Tax Services, Corporate and Securities, Antitrust, Bankruptcy, Real Estate and Construction, Anti-Counterfeiting, Employment and Labor Law, Captives, Intellectual Property, Corporate Tax, Health Reform and International Business. Recognized nationwide by Chambers USA for Client Service and Commercial Awareness, and best-known for its work in insurance recovery, the firm represents policyholders only in insurance coverage disputes – with no ties to insurance companies and has no conflicts of interest. Clients include Fortune 1000 companies, small and medium-sized businesses, governmental entities, and nonprofits as well as personal estates. Based in New York City, the firm also has offices in Ventura, CA, Stamford, CT, Washington, DC, Newark, NJ and Philadelphia, PA.

The content of this article is intended to provide a general guide to the subject matter. Specialist advice should be sought about your specific circumstances.

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