FOR PUBLICATION
ATTORNEYS FOR APPELLANTS: ATTORNEYS FOR APPELLEE:
GEORGE M. PLEWS E. MICHAEL OOLEY
F. RONALDS WALKER SUZANNE ABRAM
AMY E. ROMIG Boehl Stopher & Graves, LLP
Plews Shadley Racher & Braun, LLP New Albany, Indiana
Indianapolis, Indiana
EDWARD P. GIBBONS
STAN B. HIRSCH CHRISTOPHER A. WADLEY
Indianapolis, Indiana Walker Wilcox Matousek, LLP
Chicago, Illinois
ROBERT J. EWBANK
Ewbank & Kramer
Lawrenceburg, Indiana Dec 05 2013, 9:59 am
IN THE
COURT OF APPEALS OF INDIANA
WILLIAM KLEPPER, on behalf of himself and )
all others similarly situated, )
)
Appellants-Plaintiffs/Cross Appellees, )
)
vs. ) No. 15A05-1212-CC-645
)
ACE AMERICAN INSURANCE COMPANY, )
)
Appellee-Defendant/Cross Appellant. )
APPEAL FROM THE DEARBORN CIRCUIT COURT
The Honorable Thomas K. Milligan, Judge
Cause No. 15C01-0502-CC-9
December 5, 2013
OPINION - FOR PUBLICATION
BARNES, Judge
Case Summary
William Klepper, on behalf of himself and all others similarly situated (“the
Class”), appeals the trial court’s order adopting the special master’s reports and entering
partial final judgment in favor of ACE American Insurance, Inc., (“ACE”). ACE cross-
appeals, challenging the special master’s resolution of some of the issues and the entry of
partial final judgment. This case also involves Pernod Ricard USA, LLC, d/b/a Seagram
Lawrenceburg Distillery (“Pernod”), who was insured by ACE and XL Insurance
America (“XL”). We affirm.
Issues
The Class and ACE raise several issues. We address the following dispositive
issues:
I. whether the special master properly concluded that
ACE was not bound by a settlement agreement
between the Class, Pernod, and XL because Pernod
breached its obligations under the ACE policy; and
II. whether ACE is entitled to final judgment on all
outstanding claims.
Facts
Pernod owned and operated a distillery in Lawrenceburg from January 2002 until
June 2007. With the exception of a major fire in 1933, the distillery has been operating
2
since 1847. During the distillation process, ethanol was released into the air, causing
mold to grow on the exterior of nearby buildings. Klepper owns property near the
distillery that was damaged by the emissions. Pernod was insured by XL from January 1,
2001, to January 1, 2003, and by ACE under a commercial general liability policy (“the
Policy”) from January 1, 2003, until January 1, 2004.
The Policy included a “legally obligated to pay” provision, which stated that ACE
“will pay those sums that the insured becomes legally obligated to pay as damages
because of ‘bodily injury’ or ‘property damage’ to which this insurance applies.” App. p.
394. The Policy also included a “voluntary payment” provision, which stated, “No
insured will, except at the insured’s own cost, voluntarily make a payment, assume any
obligation, or incur any expense, other than for first aid, without our consent.” Id. at 404.
In 2005, Klepper brought a class action lawsuit against Pernod on behalf of
similarly situated property owners. The second amended complaint alleged nuisance,
negligence, trespass, and illegal dumping. The costs of remediation varied from Pernod’s
estimate of approximately $115,000 to the Class’s estimate of $20,500,000.1
When Pernod tendered the claim to ACE in March 2005, “ACE mistakenly
classified the claim as an underage drinking matter and closed its file.” Id. at 663. In
October 2007, ACE was advised that it was not an underage drinking claim and that XL
had been providing Pernod with a defense. XL sought contribution from ACE for the
costs of the defense it had been providing. ACE agreed to contribute 49% of Pernod’s
defense costs under a full reservation of rights. In a May 2008 letter, Pernod’s deputy
1
The Class initially alleged damages at over $100,000,000.
3
general counsel recognized and acknowledged that ACE was agreeing to provide Pernod
with a defense.
ACE reimbursed XL $40,857.44 for its portion of the previously-incurred defense
costs. From the time ACE agreed to contribute to the defense until September 21, 2009,
ACE paid an additional $44,232.60 to cover its share of the defense. On September 21,
2009, ACE received an email from Pernod’s defense counsel explaining that ACE’s
billing system had unacceptably reduced the approved payment amounts. Defense
counsel totaled the amounts owed by ACE for immediate full payment. On September
23, 2009, ACE issued payment for the full amount owed, $58,974.89. On September 25,
2009, ACE received an email from defense counsel’s legal assistant thanking it for its
“quick response” to the bills sent earlier in the week.2 Id. at 677. ACE later paid another
$23,900.24 for its share of the defense. In total, ACE contributed $167,965.17 toward
Pernod’s defense.
The dispute was unsuccessfully mediated on August 19, 2008. In January 2009,
the trial court granted summary judgment for Pernod on the illegal dumping claim.
During settlement discussions, XL and Pernod asked ACE to contribute $1,000,000
toward a settlement agreement, but ACE refused and offered to contribute $250,000.
A second mediation was held on April 14, 2009. ACE attended the meditation but
left before it was over. The Class, XL, and Pernod reached a settlement agreement. They
agreed that judgment against Pernod would be entered in the amount of $5,200,000.
2
Although the Class asserts in its reply brief that ACE does not recognize the sarcasm in this statement,
the Class does not direct us to any factual support indicating that the comment was intended to be
sarcastic.
4
Specially, Pernod would contribute $1,200,000 and XL would contribute $1,000,000 to a
common fund for the immediate use and benefit of the Class. The remaining $3,000,000
was to be collected from ACE “to the extent the damages fall within the scope of ACE
Commercial General Liability Policy . . . .” Id. at 370. The settlement agreement
provided that the litigation costs and expenses incurred by the Class “shall be paid from
the Common Fund before any distributions to Class Members are made.” Id. at 371.
On May 11, 2009, the Class filed a third amended complaint, which included a
claim for declaratory judgment regarding coverage under the Policy for the damages
sought by the Class. In August 2009, the Class agreed to release Pernod and XL from
any claims and to dismiss its claims against Pernod with prejudice upon the receipt of the
$2,200,000 payment from Pernod and XL. The release specifically provided:
Effective upon the Class’s and its counsels’ receipt of the
$2,200,000.00 Payment from Pernod identified in Paragraph
C above, the Class for themselves individually and for their
respective members, release Pernod . . . and XL . . . from any
claims, demands, rights of actions or liabilities, known or
unknown, arising from Pernod’s acts or omissions during the
Claim Period that were asserted or could have been asserted
in this cause, except as required to effectuate the settlement.
The parties represent and agree that this Release is not
intended to, and does not, eliminate or compromise any
claims, demands, rights of action or liabilities between and
among the Class against [ACE] or any other insurer of Pernod
(with the sole exception of XL) which may implicate any
insurance policy or any other source of funds from which the
Agreed Judgment or any part of it might be paid.
5
Id. at 775-76. The Class also agreed that, upon the receipt of the $2,200,000, it would not
execute any unsatisfied portion of the agreed judgment against Pernod and XL.3 At some
point, Pernod assigned its claims to the Class.
In September 2009, after a hearing to determine the fairness of the settlement
agreement, the trial court approved it. The trial court also approved the payment of
$733,333.33 in attorney fees and $106,909.87 in expenses incurred by the Class from the
common fund.
On December 29, 2010, the Class filed a fourth amended complaint asking the
trial court to declare that up to $3,000,000 in damages, attorney fees, and post-judgment
interest may be collected from ACE under the Policy. The Class also made bad faith and
unfair claims handling allegations against ACE.
Eventually, the case was assigned to a special master. In an August 6, 2012 letter
to the special master, the parties identified the six issues to be presented to the special
master and laid out the agreed upon briefing process, which included the parties
simultaneously submitting opening briefs, statements of facts, and exhibits and then
simultaneously submitting responses. On September 27, 2012, in his twenty-seven page
report, the special master concluded that the “legally obligated to pay” and “voluntary
payment” defenses were available to ACE because ACE provided a defense under a
reservation of rights. The special master concluded, “ACE honored its obligation. As a
matter of law Pernod breached its obligation by entering the agreed judgment without the
3
The covenant not to execute also specified that it was not intended to eliminate or compromise any
claims, demands, rights of action, or liabilities between the Class and ACE.
6
consent of ACE and the Class, as its assignee, will have to live with the consequences of
Pernod’s breach.” Id. at 44. The special master also resolved the remaining five issues,
some favorably to the Class and some favorably to ACE.
The Class filed a motion to correct error, which the special master granted in part
as it related to a factual finding that did not affect his ultimate conclusion regarding
ACE’s liability under the Policy. The special master overruled the Class’s second
specification of error.
On October 9, 2012, ACE asked the trial court to adopt the special master’s report
and to enter final judgment in its favor. On December 17, 2012, the trial court entered an
order adopting the special master’s reports and declining to enter final judgment on all
issues. The trial court directed “entry of only the holdings on the six issues referred to
the Special Master as a partial final judgment pursuant to Trial Rule 54(B)” and stayed
the remaining issues. Id. at 78. The Class and ACE now appeal.
Analysis
I. Settlement Agreement
The parties agree that they presented questions of law for the special master’s
resolution. They also agree that the special master’s legal conclusions are subject to de
novo review. Siwinski v. Town of Ogden Dunes, 949 N.E.2d 825, 828 (Ind. 2011)
(“When the issue on appeal is a pure question of law, we review the matter de novo.”).4
“Insurance policies are contracts that are subject to the same rules of construction
as are other contracts.” Sheehan Const. Co., Inc. v. Cont’l Cas. Co., 935 N.E.2d 160, 169
4
The parties do not reference Indiana Trial Rule 53, which pertains to special masters.
7
(Ind. 2010), adhered to as modified on reh’g, 938 N.E.2d 685 (Ind. 2010). “When the
language of an insurance contract is clear and unambiguous, we will assign to the
language its plain and ordinary meaning.” Id. An insurance policy that is unambiguous
must be enforced according to its terms, even those terms that limit an insurer’s liability,
and we may not extend insurance coverage beyond that provided by the unambiguous
language in the contract. Id. “Also, insurers have the right to limit their coverage of risks
and, therefore, their liability by imposing exceptions, conditions, and exclusions.” Id.
ACE relies on the “legally obligated to pay” and “voluntary payment” provisions
to assert that it owes no coverage under the Policy. The first provides that ACE “will pay
those sums that the insured becomes legally obligated to pay as damages because of
‘bodily injury’ or ‘property damage’ to which this insurance applies.” App. p. 394. ACE
argues that because, pursuant to the settlement agreement Pernod was released of
liability, Pernod was not legally obligated to pay the $3,000,000 to the Class and,
therefore, ACE cannot be liable to pay the unpaid balance either. See U. S. Fire Ins. Co.
v. Lay, 577 F.2d 421, 423 (7th Cir. 1978) (holding that, where settlement agreement
released primary insurer of all liability in excess of $70,000, the obligation of the excess
carrier to indemnify the primary insurer never arose because the primary insurer “was not
and could not be liable for any amount in excess of $100,000 . . . .”).
The second provision is part of the “Duties In The Event Of Occurrence, Offense,
Claim or Suit” section of the Policy and provides, “No insured will, except at the
insured’s own cost, voluntarily make a payment, assume any obligation, or incur any
expense, other than for first aid, without our consent.” App. pp. 403, 404. ACE argues
8
that, because Pernod settled the Class’s claims without ACE’s consent, the “voluntary
payment” provision precludes coverage. ACE relies on the reasoning in American
Family Mutual Insurance Co. v. C.M.A. Mortgage, Inc., 682 F. Supp. 2d 879, 881 (S.D.
Ind. 2010).
On the other hand, the Class contends that, although other coverage defenses
apply, ACE “may not (1) use the settlement as a tool to avoid coverage by the ‘consent’
or ‘legally obligated to pay’ defenses, or (2) challenge Pernod’s liability on the damages
fixed in the settlement.” Appellant’s Br. p. 25. The Class frames the issue as how should
courts balance “(1) the need of a policyholder to protect itself where its insurer refuses to
commit to indemnity and leaves it facing a large potential liability; and (2) the right of an
insurer to protect itself against collusive or unreasonable settlement if it turns out to have
indemnity coverage obligations?” Appellant’s Reply Br. p. 11. The Class argues that
this is not a question of applying the various terms of the policy, “but a fair balancing of
the competing interests.” Id. at 12. In support of its argument, the Class relies on
Midwestern Indemnity Co. v. Laikin, 119 F. Supp. 2d 831, 833 (S.D. Ind. 2000), and
Cincinnati Insurance Co v. Young, 852 N.E.2d 8 (Ind. Ct. App. 2006), trans. denied.
A. Review of Relevant Cases
1. Laikin
The Laikin court addressed whether an insurer, Midwestern, was bound by a
consent judgment entered into by the insured, Laikin, and tort victims injured in a fire.
Notably, all of the pleadings were premised on the assumption that Midwestern breached
9
the contract by refusing to provide a defense and indemnity for the losses arising from the
fire. Laikin, 119 F. Supp. 2d at 835. In its analysis, the Laikin court acknowledged:
An insurer is normally treated as being in privity with its
insured for purposes of collateral estoppel or issue preclusion.
“The doctrine of collateral estoppel applies to insurance
contracts and an insurer is ordinarily bound by the result of
litigation to which its insured is a party, so long as the insurer
had notice and the opportunity to control the proceedings.”
Id. at 836 (quoting Liberty Mut. Ins. Co. v. Metzler, 586 N.E.2d 897, 900 (Ind. Ct. App.
1992), trans. denied). Laikin observed that collateral estoppel may not apply to issues
affecting coverage where an insurer either defends the insured under a reservation of
rights or files a declaratory judgment action. Id. (citing Metzler, 586 N.E.2d at 901); see
also Frankenmuth Mutual Ins. Co v. Williams, 690 N.E.2d 675, 679 (Ind. 1997) (citing
Metlzer for the proposition that an insurer may refuse to defend or refuse to clarify its
obligation by means of a declaratory judgment action but does so at its peril). Laikin
considered Metzler, Frankenmuth, and State Farm Mutual Auto Insurance Co. v.
Glasgow, 478 N.E.2d 918, 923 (Ind. Ct. App. 1985), as implying:
an insurer who files a declaratory judgment action may retain
the ability to litigate those issues that affect its coverage.
None of those cases suggests, however, that filing a
declaratory judgment action leaves the insurer free to litigate
(or relitigate) the issues of its insured’s liability or the amount
of damages.
Laikin, 119 F. Supp. 2d at 837.
10
The Laikin court concluded that these cases were generally consistent with the
Restatement (Second) of Judgments and decisions by the Supreme Court of Minnesota
and the Supreme Court of Arizona.5 Laikin summarized those courts as holding:
that where an insurer has defended under a reservation of
rights or has filed a declaratory judgment action, a consent
judgment between an insured and a tort plaintiff will bind the
insurer as to issues not related to coverage, at least so long as
the insured has acted reasonably and in good faith.
Id. at 838. The Laikin court predicted that:
Indiana courts would adopt an approach to this case in which
the consent judgment with a covenant not to execute would
bind the insurer on issues of its insured’s liability and the
extent of the injured parties’ damages, so long as (1) the
coverage is eventually shown, and so long as the consent
judgment (2) is not the product of bad faith or collusion and
(3) falls somewhere within a broad range of reasonable
resolutions of the underlying dispute.
Id. at 842. The court declined to predict precisely which approach Indiana would take
regarding the burdens of production and proof on the issues of bad faith, collusion, and
reasonableness because it found as a matter of law that the terms of the consent judgment
were not unreasonable and could not reasonably permit an inference of collusion or bad
faith. Id. at 850.
The Laikin court also addressed Midwestern’s “legally obligated to pay” defense,
which was based on policy language that Midwestern would “pay those sums that the
insured becomes legally obligated to pay as damages because of ‘bodily injury’ or
‘property damage’ to which this insurance applies.” Id. at 851. Midwestern asserted that
5
See Miller v. Shugart, 316 N.W.2d 729 (Minn. 1982); United Servs. Auto. Ass’n v. Morris, 154 Ariz.
113, 119, 741 P.2d 246, 252 (1987).
11
it had no duty to pay the consent judgment because the agreement did not impose any
legal obligation on the insured to satisfy the $1,600,000 judgment.
In rejecting this argument, the Laikin court relied on our decision in American
Family Mutual Insurance Co. v. Kivela, 408 N.E.2d 805 (Ind. Ct. App. 1980). In Kivela,
we addressed a similar argument after an insurer refused to assume “any responsibility”
under the insurance contract. Kivela, 408 N.E.2d at 806. We held that “an insurer may
not hide behind the ‘legally obligated to pay’ language of the policy after it abandons its
insured and the insured settles the claim against him by agreement . . . .” Id. at 813.
The Laikin court did not believe our supreme court would treat a coverage lawsuit
as a reason to distinguish Kivela because that “would, in effect, enable an insurer, by
breaching its contract, to lock its insured and injured victims into years of expensive and
unwanted litigation.” Laikin, 119 F. Supp. 2d at 852. The Laikin court reasoned:
Under Midwestern’s approach, an insured who has
been forced by his insurer to pay for his own defense and to
face huge personal liability would be in a no-win, or perhaps
a “no-settlement,” situation. If the covenant not to execute
lets the insurer off the hook completely, the insured and the
injured parties would not be able to allocate between
themselves the risks created by uncertainty over insurance
coverage. The injured parties would have no incentive to
settle their tort claims until after the coverage issue was
resolved, perhaps years later.
Id. at 854 (emphasis added). The court concluded that Midwestern was “precluded from
relying on the ‘legally obligated to pay’ language in the insurance policy.” Id.
2. Young
12
In Young, Tri-Etch was insured by Scottsdale and Cincinnati under three separate
polices. When Tri-Etch was sued by the estate of an injured party, Scottsdale elected to
defend Tri-Etch while Cincinnati denied coverage and filed a declaratory judgment action
in federal court. Eventually, Tri-Etch and the estate reached a settlement agreement, in
which Scottsdale agreed, among other things, to pay the estate $1,000,000 on behalf of
Tri-Etch in exchange for a release of any further claims, and the estate agreed not execute
the remainder of the judgment against any of Tri-Etch’s assets except the coverage under
the Cincinnati policy. Cincinnati moved to intervene for the purpose of appealing in its
own name only and reaffirmed that it would not provide coverage, and the trial court
permitted Cincinnati to intervene.
On appeal, the estate challenged Cincinnati’s intervention. In deciding the trial
court abused its discretion by allowing Cincinnati to intervene, we adopted Laikin as it
relates to an insurer’s ability to relitigate an insured’s liability and damages where an a
declaratory judgment action has been filed on the issue of coverage. Young, 852 N.E.2d
at 14. We concluded, “because Cincinnati contested its coverage at the same time it filed
its motion to intervene, its interest in the subject matter for purpose of Indiana Trial Rule
24(A)(2) was contingent and not direct.” Id. at 15.
We found “that the manner in which the lawsuit between Tri-Etch, Scottsdale, and
the Estate was resolved does not affect our preceding analysis.” Id. at 16. We reasoned:
If, as here, the insureds are offered a settlement that
effectively relieves them of any personal liability, at a time
when their insurance coverage is in doubt, surely it cannot be
said that it is not in their best interest to accept the offer. Nor,
do we think, can the insurer who is disputing coverage
13
compel the insureds to forego a settlement which is in their
best interest. See [Laikin], 119 F. Supp. 2d at 839. However,
we do recognize that there is a risk that the resulting
settlement was not the product of reasonableness or good
faith. Nevertheless, the proper place to raise these purported
issues of reasonableness and good faith is during an action to
determine whether the claim is covered by the policy or
during an action to enforce the judgment.
Id. at 16-17.
3. CMA
In CMA, CMA was sued for purported violations of the Fair Credit Reporting Act.
CMA sought a defense and coverage from its insurer, American Family, who denied
coverage but provided CMA with a defense under a reservation of rights and filed a
declaratory judgment action. When settlement negotiations began, American Family
informed CMA that it would regard any settlement to be a violation of CMA’s obligation
under the provisions of the policies that prohibited an insured from making a voluntary
payment, assuming any obligation, or incurring any costs without the insurer’s consent.
Nevertheless, CMA agreed to allow a stipulated judgment to be entered against it in the
amount of $2,990,000 with the express proviso that the judgment could only be satisfied
by the insurance proceeds of the American Family policies.
In determining the effect of the unconsented-to settlement on American Family’s
obligation to indemnify, the court began its analysis with Glasgow, Metzler,
Frankenmuth, Laikin, and Young. CMA also considered Morris v. Economy Fire &
Casualty Co., 848 N.E.2d 663, 666-67 (Ind. 2006), in which our supreme court ruled that
an insurance contract did not allow an insured to impose a prerequisite upon the insurer
14
before complying with agreed duties. The Morris court concluded that the Morrises
breached the insurance contract as a matter of law when they refused to provide an
examination under oath, as the policy required, until the insurer fulfilled additional
conditions prescribed by the Morrises. Morris, 848 N.E.2d at 666-67. CMA also
considered State Farm Fire & Casualty Co. v. T.B., 762 N.E.2d 1227, 1231 (Ind. 2002),
in which our supreme court, relying on Metzler and Glasgow, observed:
An insurer may avoid the effects of collateral estoppel by: (1)
defending the insured under a reservation of rights in the
underlying tort action, or (2) filing a declaratory judgment
action for a judicial determination of its obligations under the
policy. Either of these actions will preserve an insurer’s right
to later challenge a determination made in the prior action.
T.B., 762 N.E.2d at 1231 (citation omitted).
The CMA court determined that Young did not apply and concluded that our
supreme court “would not permit an insured unfettered discretion to enter into a
settlement that would bind the insurer without securing the prior consent of the insurer.”
CMA, 682 F. Supp. 2d at 886. CMA held, “American Family is not bound by the
settlement agreement and consent decree entered into by CMA . . . , nor is American
Family estopped or otherwise precluded from challenging CMA’s liability or the amount
of any damages payable to Plaintiffs . . . .” Id. at 890.
CMA explained that American’s Family’s position for denying coverage created a
conflict of interest requiring it to reimburse the insured’s independent counsel as part of
its duty to defend, which it did. Id. at 890-91. Further, by providing a defense and
seeking declaratory judgment, American Family “doubled down” on its obligation to act
15
in good faith, “protecting American Family against any collateral exposure on the issue
of coverage it might otherwise have faced from a judgment . . . .” Id. at 891. CMA
observed that “American Family had the right to reserve its defenses to coverage while
providing CMA with a defense and not be found in breach of its contractual obligations
in its policies.” Id. The court concluded, “[t]he policy language unambiguously
forecloses CMA’s freedom to enter into such a settlement, and American Family’s
actions neither breached the contract or relieved CMA of its own contractual
obligations.” Id.
CMA restated the following criticism of the out-of-state cases Laikin relied on:
“‘the reasoning of these cases is flawed because they permit an insured to breach his
duties under the policy without losing coverage, even though there has not been a breach
of the contract by the insurance company. Therefore, we decline to follow them.’” Id. at
892 (quoting Kelly v. Iowa Mutual Ins. Co., 620 N.W.2d 637, 642 (Iowa 2000)). The
CMA court went on to distinguish Laikin in part because of the premise in Laikin that a
judgment would be viewed from the standpoint of the insured at the time of the
agreement because the insurer breached its contract and left the insured hanging. The
CMA court stated:
[t]o the extent that Judge Hamilton’s conclusion reflects the
fact that the insurer did not cover the costs of the underlying
defense, we have no quarrel; but if his conclusion is based on
the assumption that the insurer’s providing a defense while
also seeking a declaratory judgment would be a breach of
contract, we respectfully disagree, as does the [Indiana]
Supreme Court, as we understand its rulings.
Id. at 893.
16
CMA also observed that Laikin was decided before our supreme court issued T.B,
Morris, and Dreaded, Inc. v. St. Paul Guardian Insurance, 904 N.E.2d 1267 (Ind. 2009),
in which our supreme court “reiterated its view first explicated in Morris, that prejudice
need not be shown when an insurer seeks to enforce policy provisions that are threshold
requirements, such as the obligation to give notice, supply records and documentation
and submit to an examination under oath.” Id. (citing Dreaded, 904 N.E.2d at 1271-72).
CMA speculated that, had Judge Hamilton had the benefit of these decisions, he might
have reached a different conclusion. Id.
According to CMA, because CMA assumed the obligations of the consent
judgment in violation of the insurance contract, American Family was “relieved of any
obligation to pay or satisfy, in whole or in part, the judgment entered against CMA . . . or
to satisfy any settlement between CMA and Wanek entered into without American
Family’s consent.” Id. at 894.
B. Resolution
In determining whether to follow the rationale of Laikin or CMA, we begin with
the fact that Laikin was premised on the assumption that the insurer had breached the
insurance contract. See Laikin, 119 F. Supp. 2d at 835. The insurer’s breach and
abandonment of the insured was clearly significant to the Laikin court’s analysis of
whether an insurer is collaterally estopped from relitigating the issues of liability and
damages.6 Unlike in Laikin, there is no presumption here that ACE breached the
6
For example, in determining how Indiana courts would approach this type of case, the Laikin court
described “an insurer who has breached its contract,” “the abandoned insured” who “is likely to be stuck
17
insurance contract. Rather, the parties vehemently dispute whether ACE breached the
insurance contract by abandoning Pernod.
We also take issue with the Class’s assertion that Laikin “establishes that an
insurer, even one which has defended under a reservation of rights or filed declaratory
judgment action, is bound by a reasonable, non-collusive settlement.” Appellant’s Br. p.
18. This assessment ignores the requirement that, for a settlement agreement to be
binding on an insurer, coverage must be shown. Id. at 838, 842. Thus, even under
Laikin, a determination of coverage is required in order for an insurer to be bound by a
settlement agreement’s assessment of liability and damages.
As we see it, the resolution of the coverage question includes the consideration of
ACE’s and Pernod’s rights, obligations, and breaches under the terms of the Policy. We
believe that such an approach is in keeping with our supreme court’s decisions in T.B.,
which explains that an insurer can preserve its rights by defending the insured under a
reservation of rights, and Morris, which concluded that the insureds breached their policy
by refusing to comply with the policy conditions. This approach is also consistent with
the longstanding principle that “[a] party first guilty of a material breach of contract may
not maintain an action against the other party or seek to enforce the contract against the
other party should that party subsequently breach the contract.” Illiana Surgery & Med.
Ctr., LLC. v. STG Funding, Inc., 824 N.E.2d 388, 403 (Ind. Ct. App. 2005).
for years in expensive litigation as a result of the insurer’s breach of the insurance contract[,]” and
“Indiana courts’ recognition of the needs of the insured and injured plaintiffs when the insured has been
abandoned by its insurer.” Laikin, 119 F. Supp. 2d at 842. The court stated, “A more direct approach to
that issue would suffice to protect the breaching insurer from outrageous efforts to overreach, while still
encouraging and allowing settlement of disputes between the abandoned insured and injured plaintiffs.”
Id.
18
Accordingly, we begin with ACE’s duty to defend. The Class contends that ACE
abandoned Pernod, at least in part, by not negotiating a settlement in good faith and not
providing a defense.7 We disagree. As for the settlement negotiations, during the 2009
negotiations, Pernod and XL offered to contribute $1,000,000 each and urged ACE to
contribute $1,000,000 toward a $3,000,000 settlement offer. ACE refused, agreeing only
to contribute only $250,000. ACE took the position that its indemnity obligations were
limited in large part by the $10,000 per claim deductible.8 ACE also relied on the
ongoing nature of the emissions compared to its limited coverage only from January 2003
to January 2004. Finally, ACE did not believe that there had been an “occurrence” as
defined by the Policy. Without more, we are not convinced ACE’s refusal to contribute
more toward the settlement agreement constituted abandonment.
As for the defense, the Class focuses on ACE’s initial wrongful closing of the case
and defense counsel’s difficulty getting paid by ACE. The Class asserts that Pernod was
prejudiced by ACE’s conduct because it could not confidently rely on ACE to provide a
defense. Although ACE did initially wrongfully close the case and failed to make timely
payments to defense counsel, as ACE also points out, Pernod was always represented by
counsel even if XL was initially paying for it and, at the end of the day, ACE ultimately
contributed $167,965.17 toward Pernod’s defense. Under these circumstances, we are
7
The Class focuses on abandonment and only refers to ACE breaching the insurance contract at the end
of the discussion of this issue in its reply brief. See Appellant’s Reply Br. p. 24 (“ACE was in breach of
its duty to defend since it had not paid the bills despite reminders.”).
8
There is no evidence that the XL policy contained the same $10,000 deductible.
19
not convinced that ACE breached the terms of the Policy or otherwise relieved Pernod of
its obligations under the Policy by abandoning Pernod.
Accordingly, ACE may rely on the Policy’s “voluntary payment” and “legally
obligated to pay” provisions, and those provisions preclude coverage under the Policy.9
To hold otherwise, would, effectively require us to write the “voluntary payment” and
“legally obligated to pay” provisions out of the Policy, which we cannot do. See Keckler
v. Meridian Sec. Ins. Co., 967 N.E.2d 18, 28 (Ind. Ct. App. 2012) (“The power to
interpret insurance policies does not extend to changing their terms.”), trans. denied. We
recognize and understand the dissent’s concerns. We simply believe that the rationale in
CMA, the fact that ACE did not abandon Pernod or breach the Policy, and the extended
analysis we have provided guide us to this result.
II. Entry of Final Judgment
ACE argues that, if we affirm the ruling that no coverage is owed, “it necessarily
disposes of all of Klepper’s claims.” Appellee’s Br. p. 55. Accordingly, ACE requests
that we remand for the entry of final judgment in its favor on all claims. In response, the
Class contends that multiple claims still exist, including whether ACE is liable to Pernod
9
The “voluntary payment” provision unambiguously foreclosed Pernod’s freedom to enter into the
settlement agreement, and doing so relieved ACE of any obligation to pay or satisfy the unpaid portion of
the settlement agreement. See CMA, 682 F. Supp. 2d at 891, 894; see also Travelers Ins. Companies v.
Maplehurst Farms, Inc., 953 N.E.2d 1153, 1161 (Ind. Ct. App. 2011) (“[I]t is apparent that where an
insured enters into a settlement agreement without the insurer’s consent in violation of a voluntary
payment provision, that obligation cannot be recovered from the insurer, and prejudice is irrelevant.”),
trans. denied. Further, as we have already determined, ACE did not abandon Pernod. Thus, the rationale
in Laikin and Kivela for prohibiting an insurer from relying on a “legally obligated to pay” provision does
not apply here.
20
for any of the $1,200,000 that Pernod paid to settle case and whether its bad faith claim is
actionable even if there is no coverage.10
As for the recovery of the $1,200,000 that Pernod contributed toward the
settlement, the Class refers to language from its fourth amended complaint to suggest that
it:
sought redress for all claims or cases of action that: “exist or
may exist relating to or arising from [ACE’s] handling and
adjustment of the insurance claim Pernod submitted to ACE
for defense and indemnity . . . including but not limited to
claims for bad faith and for the assertion of unreasonable and
unfounded defenses to Pernod’s coverage claim.”
Appellant’s Reply Br. p. 48.
Although the complaint does contain that language, it is in an introductory
paragraph quoting the assignment of claims from Pernod to the Class. In Count I, labeled
“Insurance Coverage,” the Class asks the trial court to declare that, “once applicable
deductibles are met, up to $3 million in damages awarded against Pernod and in favor of
the [sic] Klepper and the other Class Members, plus the attorney fees award to the Class
and postjudgment interest, may be collected from ACE under the Policy’s terms.” App.
p. 811. The complaint does not specifically reference the recovery of the $1,200,000
payment by Pernod. Further, given our conclusion that the “voluntary payment” and
“legally obligated to pay” provisions preclude coverage under the Policy, it is not clear
10
In describing the multiple claims that still exist, the Class also contends, “when the Special Master
found the policy defenses of ‘legally obligated to pay’ and ‘consent’ are available to ACE and that ACE is
not therefore bound by the settlement between the Class and Pernod, it is not clear that the holding defeats
all claims by the Class.” Appellant’s Reply Br. p. 49. It is not clear, however, what legal theory the Class
is asserting as an additional basis for recovering against ACE. Without more, we decline to further
address this assertion.
21
what legal basis would support the recovery of the $1,200,000 payment by Pernod.
Accordingly, the Class failed to establish that the recovery of the $1,200,000 paid by
Pernod is recoverable from ACE.
As for the bad faith claim, the Class asserts that, regardless of coverage, an insurer
may breach the covenant of good faith in other ways than the wrongful denial of
coverage, including, for example, its handling of the claim. See HemoCleanse, Inc. v.
Philadelphia Indem. Ins. Co., 831 N.E.2d 259, 264 n.2 (Ind. Ct. App. 2005) (noting that
“an insurer may exhibit bad faith in, for example, its handling of the claim such that even
if it engages in a good faith dispute over coverage it may still breach the covenant of
good faith and fair dealing.”), trans. denied. Indeed, in Monroe Guar. Ins. Co. v.
Magwerks Corp., 829 N.E.2d 968, 976 (Ind. 2005), our supreme court reaffirmed “that a
good faith dispute concerning insurance coverage cannot provide the basis for a claim in
tort that the insurer breached its duty to deal in good faith with its insured” and reiterated
that “an insurer’s duty to deal in good faith with its insured encompasses more than a bad
faith coverage claim.” The court acknowledged:
“The obligation of good faith and fair dealing with respect to
the discharge of the insurer’s contractual obligation includes
the obligation to refrain from (1) making an unfounded
refusal to pay policy proceeds; (2) causing an unfounded
delay in making payment; (3) deceiving the insured; and (4)
exercising any unfair advantage to pressure an insured into a
settlement of his claim.”
Magwerks, 829 N.E.2d at 976 (quoting Erie Ins. Co v. Hickman, 622 N.E.2d 515, 519
(Ind. 1993)).
22
In Magwerks, the insured’s bad faith claim was based on the insurer’s “manner of
handling the claim.” Id. (internal quotation omitted). However, because neither party
provided guidance on the issue, the Magwerks court declined to expand the extent of an
insurer’s duty beyond that expressed in Hickman.11 Id.
The court then determined whether, apart from the insurer’s denial of the insured’s
claim based on a good faith dispute over coverage, the insurer’s conduct leading up to
and including the issuance of the denial letter rose to the level of bad faith. The court
concluded that, because before the insured filed its complaint the insurer essentially
acknowledged that a collapse had occurred, which was arguably a covered loss, there was
evidence to support the jury’s conclusion that the insurer’s conduct “amounted to ‘an
unfounded refusal to pay policy proceeds.’” Id. at 977 (quoting Hickman, 622 N.E.2d at
519). Magwerks ultimately held “that a good faith dispute concerning insurance
coverage does not automatically preclude a punitive damages claim for bad faith when
coverage is denied.” Id. at 978.
This holding is consistent with the notion that “an insured who believes that an
insurance claim has been wrongly denied may have available two distinct legal theories,
one in contract and one in tort, each with separate, although often overlapping, elements,
defenses and recoveries.” Hickman, 622 N.E.2d at 520. Given the two distinct theories
upon which the Class seeks to recover and their separate elements and defenses, we
cannot conclude at this stage of the proceedings that the resolution of the contract dispute
11
Likewise, on appeal, the Class has not developed an argument for expanding the scope of an insurer’s
duty to deal in good faith beyond that described in Hickman and argues only that outstanding discovery
that was never completed.
23
necessarily disposes of the tort-based bad faith claim. Thus, the entry of final judgment
on the Class’s bad faith claim would be premature.
Conclusion
Because the “voluntary payment” and “legally obligated to pay” provisions
preclude coverage, the trial court properly entered partial judgment in favor of ACE on
this issue. Regarding the entry of final judgment on all claims, because of the distinct
legal theories at play, the entry of final judgment in favor of ACE on the Class’s bad faith
claim would be premature at the this stage of the proceedings. We affirm.
Affirmed.
PYLE, J., concurs.
CRONE, J., concurs in part and dissents in part.
24
IN THE
COURT OF APPEALS OF INDIANA
WILLIAM KLEPPER, on behalf of himself and )
all others similarly situated, )
)
Appellants-Plaintiffs/Cross Appellees, )
)
vs. ) No. 15A05-1212-CC-645
)
ACE AMERICAN INSURANCE COMPANY, )
)
Appellee-Defendant/Cross Appellant. )
CRONE, Judge, concurring in part and dissenting in part
I agree with the majority’s determination that ACE did not abandon Pernod or
breach the Policy. I also agree that entry of final judgment on the Class’s bad-faith claim
would be premature. I respectfully disagree, however, with the majority’s determination
that ACE may avoid the settlement agreement based on the Policy’s “voluntary payment”
and “legally obligated to pay” provisions. An insurer who defends an insured under a
reservation of rights should not be able to use those policy provisions as both a shield and
a sword.
Most relationships between insurers and insureds involve a substantial imbalance
in sophistication, financial resources, and settlement leverage. Consequently, few
25
insureds are in a position to effectuate a settlement without contribution from their
insurer. When an insurer reserves its rights under a policy, it takes a position adversarial
to its insured. Although the insurer may be funding the defense, the insured still faces the
very real possibility of economic ruin. As such, the insured has every incentive to
minimize its exposure, and unilaterally negotiating a settlement involving policy
proceeds and a release and/or a covenant not to execute may be the least expensive and
most expeditious means of doing so.12 If that settlement is reasonable and in good faith,
then the insurer will probably end up no worse off than if it had gone to trial and perhaps
much better off than if it had refused to defend and risked a bad-faith claim from its
insured. And when all is said and done, the insurer can still dispute reasonableness,
collusiveness, and coverage. To hold otherwise would simply allow the insurer to avoid
the coverage that was contracted and paid for.
Courts should not reward insurers for putting their insureds in a perilous position,
nor should they penalize insureds for trying to protect themselves. For that reason, I
believe that ACE should not be able to avoid Pernod’s settlement agreement based on the
“voluntary payment” and “legally obligated to pay” provisions of the Policy. I express
no opinion on the issues not addressed by the majority.
12
It bears mentioning that Pernod, like the insured in Laikin, paid a significant portion of the agreed
judgment and therefore had “skin in the game,” as the CMA court called it. 682 F. Supp. 2d at 893.
26