Glickman, Inc. v. Home Insurance Co

                                                PUBLISH

                          UNITED STATES COURT OF APPEALS
Filed 6/17/96
                                         TENTH CIRCUIT



 GLICKMAN, INC.,

                 Plaintiff - Appellant,
         v.                                                  No. 95-3221
 THE HOME INSURANCE COMPANY,

                 Defendant - Appellee,

 --------------------------------------------

 KANSAS INSURANCE DEPARTMENT,

                 Amicus Curiae.


              APPEAL FROM THE UNITED STATES DISTRICT COURT
                       FOR THE DISTRICT OF KANSAS
                            (D.C. No. 93-CV-1421)


Jerold Oshinsky, Anderson, Kill, Olick & Oshinsky, Washington, D.C. (Robert L. Carter,
Anderson, Kill, Olick & Oshinsky, Washington, D.C.; and Jeff Kennedy and Michael G.
Jones, Martin, Pringle, Oliver, Wallace & Swartz, L.L.P., Wichita, Kansas, with him on
the briefs), for Plaintiff-Appellant.

Alan K. Goldstein, Goldstein and Price, L.C., St. Louis, Missouri (Douglas E. Gossow,
Goldstein and Price, L.C., St. Louis, Missouri; and Joseph W. Kennedy, Morris, Laing,
Evans, Brock & Kennedy, Wichita, Kansas, with him on the brief), for Defendant-
Appellee.

Brian J. Moline, General Counsel, Special Assistant Attorney General, and Kathleen
Sebelius, Commissioner of Insurance, Kansas Insurance Department, Topeka, Kansas,
filed an amicus curiae brief for the Kansas Insurance Department.
Before PORFILIO, ANDERSON, and TACHA, Circuit Judges.


ANDERSON, Circuit Judge.




       Glickman, Inc. appeals from a denial of attorney’s fees under Kan. Stat. Ann.

§ 40-256, in this insurance coverage diversity case. This appeal calls upon us to interpret

§ 256. That statute punishes insurance companies that refuse, without just cause or

excuse, to pay the full amount of an insured loss, by requiring them to pay the plaintiff’s

attorney’s fees incurred in a coverage action against the insurer. As pertinent, § 256

provides:

       Attorney fees in actions on insurance polies; exception. That in all
       actions hereafter commenced, in which judgment is rendered against any
       insurance company . . . if it appear from the evidence that such company . . .
       has refused without just cause or excuse to pay the full amount of such loss,
       the court in rendering such judgment shall allow the plaintiff a reasonable
       sum as an attorney’s fee for services in such action, including proceeding
       upon appeal, to be recovered and collected as part of the costs. . . .

(Emphasis added). The parties agree that this statute, which refers only to refusals to pay,

has been judicially extended to cover refusals to defend. We, therefore, do not address

that proposition. The central question before us is whether the statutory qualifier

“without just cause or excuse” embodies one legal standard for refusals to indemnify and

a stricter standard for refusals to defend. The appellant, Glickman, Inc., and the Kansas

Insurance Department, as amicus curiae, contend that if there is a mere possibility of

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coverage, there is no just cause or excuse for failing to defend, while the existence of a

bona fide dispute over coverage constitutes just cause or excuse for failing to indemnify.

We hold that the plain language of the statute does not support different tests for refusals

to defend and refusals to indemnify, nor does it support the proposition -- however

desirable -- that “just cause or excuse” for refusing to defend exists only when there is no

possibility of coverage. The plain wording of the statute does not translate refusal

“without just cause or excuse to pay the full amount of . . . loss” into refusal to defend

where there is a possibility of coverage. To hold otherwise would be a judicial

amendment, not an interpretation, of this state statute. Contrary to the appellant’s

argument, no Kansas appellate court has held otherwise in a case constituting binding

precedent. Accordingly, the district court did not apply an improper standard in

determining that Glickman is not entitled to attorney’s fees pursuant to § 256.

       As for the numerous other assignments of error raised by Glickman, we conclude

that the district court did not err, either in procedure or substance, in granting summary

judgment denying Glickman an award of attorney’s fees against the defendant, The Home

Insurance Company. Therefore, we affirm the judgment of the district court.



                                     BACKGROUND

       The chronology leading to this lawsuit is not disputed, although the parties

characterize the facts differently. In August 1992, Glickman was named as a third party


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defendant in an environmental response costs action, Barton Solvents, Inc. v. Southwest

Petro-Chem, Inc., No. 91-2382-V (D. Kan.) (“Barton Solvents” action), brought pursuant

to the Comprehensive Environmental Response, Compensation and Liability Act, 42

U.S.C. §§ 9601-9675 (“CERCLA”). More than five months later, on January 28, 1993,

Glickman’s attorneys wrote Glickman’s insurance agent, William H. Cohen of Insurance

Management Associates in Wichita, Kansas, asking him to “review insurance policies that

may have been in effect” in 1971 and “several years thereafter” and “determine whether

the insurers may be obligated to assist our client in the defense of this matter.”

Appellant’s App., Tab 22, at 239-40. The letter then stated that it should be regarded as a

claim.

         Insurance Management Associates responded that it did not have copies of any

such policy or policies, and forwarded the inquiry to the defendant/appellee in this case,

The Home Insurance Company. Home responded to Glickman’s counsel on February 12,

1993, with a three-page letter. The letter, among other things, asked questions relating to

the merits of the Barton Solvents action, and asked for copies of the twenty-year-old

policies, the existence or terms of which had not been verified. Glickman’s counsel

responded promptly, demanding a defense, among other things, and advising Home that

Glickman had no copies of insurance policies because of a fire. Home did not reply for

more than five months, during which time Glickman’s counsel repeatedly demanded

Home’s attention to the matter and threatened suit, including a claim for bad faith.


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       On July 23, 1993, Home wrote a five-page letter to Glickman’s counsel still

questioning the existence of all but one policy of insurance. As to that policy, Home set

out the terms of coverage, stating, among other things, that remediation costs are not

covered damages under the policy. The letter also raised a variety of other potential

defenses, but closed by saying that Home was willing to discuss with Glickman, and all

other potential carriers, Glickman’s defense in the Barton Solvents action.

       Home wrote again on August 3, 1993, supplying a copy of the one policy it had

found, again asking for information regarding other potential carriers, and again stating

that when it had the necessary information, it would be in a position to discuss a possible

defense. Glickman’s counsel wrote back on August 23 and August 31, 1993, furnishing

information and threatening suit if Home did not pay prior litigation expenses and

undertake Glickman’s defense from that time forward. Home did not respond, and on

September 14, 1993, Glickman filed this action against Home seeking a declaratory

judgment that Home was liable for Glickman’s defense costs and any damages assessed

against it in the Barton Solvents action. It also sought a judgment for costs and attorney’s

fees in this action pursuant to § 256.

       In the district court, Home contested coverage, among other things, on the ground

that environmental response costs are not damages within the terms of the policy.

Ultimately this defense proved unsuccessful.




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       On June 28, 1994, the district court granted Glickman’s motion for partial

summary judgment, ruling that response costs are damages within the meaning of a

liability policy and that Home was obligated to defend Glickman in the Barton Solvents

action and reimburse it for defense costs already incurred. Home did so, paying $85,000

for Glickman’s legal expenses incurred in the Barton Solvents action. Subsequently,

Home paid $45,000 to settle claims against Glickman in that action.

       On March 31, 1995, Home moved for summary judgment on Glickman’s claim

under § 256 that Home must pay Glickman’s attorney’s fees in this case as a penalty for

refusing a defense in the Barton Solvents action. The district court granted Home’s

motion, ruling that Glickman was not entitled to fees under § 256. It stated, in part:

               The court finds that an award of attorney fees in the present case
       cannot be justified under K.S.A. 40-256. As the court noted in its previous
       order, in reference to the controlling question of whether response costs
       could be considered damages for purposes of insurance coverage, “there is
       an extensive line of authority supporting both positions.” (June 29, 1994
       Order, p. 7.) At the time, there were no relevant Kansas appellate court
       decisions; two decisions in the Kansas federal court had reached opposing
       conclusions. Indeed, as Glickman, in its separate motion to compel
       discovery has admitted, Home’s position was “arguable given the split
       amongst the circuits on that issue.” (Pltf.’s Memo. in Supp. of Motion to
       Compel, at 5.) In the present case, the validity of Home’s response costs
       defense was not clearly determined until the court’s ruling on June 29,
       1994.

              The main thrust of Glickman’s argument in opposition to Home’s
       motion is directed at the need for additional discovery. Glickman contends
       that additional discovery is needed for a variety of purposes, including that
       of Home’s general patterns and practices involving customer claims.
       Glickman asserts that Home’s denial of coverage may have been based


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       upon other, alternative rationales beyond its defense that response costs
       were not “damages” within the meaning of the policy.

              The court finds that additional discovery is neither required nor
       beneficial. The court finds explicitly that Home’s response costs defense
       was not frivolous or unjustified. Whether additional considerations or
       potential defenses may have been contemplated by Home is therefore
       irrelevant. There is no basis in the evidentiary materials before the court to
       say that Home’s response costs defense did not play a consistent role in the
       company’s decisions relating to Glickman’s claim.

(Appellant’s App., Tab 16, at. 213-14). Glickman moved for reconsideration and that

was denied.

       On appeal, Glickman presents a barrage of arguments and subarguments as to why

the district court erred, including reliance on incorrect legal standards and the existence of

genuine issues of material facts on critical points, outlined below. It contends that

Home’s denial of coverage was without just cause or excuse because the defense that

response costs are not damages under the policy was an afterthought, unsupported by case

law nationally, inconsistent with Home’s publicly announced position, and because Home

failed to investigate the allegations in the Barton Solvents action. With respect to Home’s

alleged refusal to defend, Glickman argues, as indicated above, that refusals to defend

where there is any possibility of coverage constitute refusals without just cause or excuse

under § 256 and that the district court erred as a matter of law in failing to apply this

standard.




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       Glickman further contends that public policy considerations dictate reversal of the

district court’s judgment. And, finally, Glickman contends that the district court abused

its discretion by cutting off discovery by Glickman.

       The standard for applying § 256 to refusals to defend is the most prominent legal

point in this appeal, and the single issue addressed by amicus curiae, the Kansas

Insurance Department. Accordingly, we turn to it first, applying to that and other issues

the usual de novo standard for reviewing a summary judgment, Wolf v. Prudential Ins.

Co., 50 F.3d 793, 796 (10th Cir. 1995), and the standard applicable to a court sitting in

diversity. See Koch v. Shell Oil Co., 52 F.3d 878, 880 (10th Cir. 1995).



                                       DISCUSSION

A.     Refusal to Defend.

       Section 256 is a punitive measure that requires insurance companies to pay the

plaintiff’s attorneys fees incurred in an action on an insurance policy, if the evidence

shows that the insurance company “has refused without just cause or excuse to pay the

full amount of [the insured] loss.” In full, the statute provides:

              40-256. Attorney fees in actions on insurance policies; exception.
       That in all actions hereafter commenced, in which judgment is rendered
       against any insurance company as defined in K.S.A. 40-201, and including
       in addition thereto any fraternal benefit society and any reciprocal or
       interinsurance exchange on any policy or certificate of any type or kind of
       insurance, if it appear from the evidence that such company, society or
       exchange has refused without just cause or excuse to pay the full amount of
       such loss, the court in rendering such judgment shall allow the plaintiff a

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         reasonable sum as an attorney’s fee for services in such action, including
         proceeding upon appeal, to be recovered and collected as a part of the costs:
         Provided, however, That when a tender is made by such insurance
         company, society or exchange before the commencement of the action in
         which judgment is rendered and the amount recovered is not in excess of
         such tender no such costs shall be allowed.

         Glickman and the Kansas Insurance Department contend that the statute applies

differently to refusals to pay and refusals to defend. They assert that there is just cause or

excuse for a refusal to pay if a bona fide dispute over policy coverage exists; but, there

can be no just cause or excuse for refusing to defend an insured if there is any possibility

of coverage, however remote. See Glickman’s Mem. in Supp. of Mo. to Reconsider,

Appellant’s App., Tab 18, at 220-21; Appellant’s Br. at 18-20; Appellant’s Reply Br. at 6,

11-13.

         The idea is that § 256 should force insurance companies to defend virtually every

case, even when the possibility of coverage is remote, while allowing them some leeway

to argue about coverage. This interpretation is justified by sound public policy, according

to Glickman and amicus, because it prevents insurance companies from sitting back and

forcing “the prohibitive cost of defending . . . claims” upon insureds, Amicus Curiae Br.

at 2; and, it avoids a chilling effect upon consumers forced to sue insurance companies to

establish rights to defense and coverage. Id. The interpretation is also compelled, they

contend, by existing case law.

         On the latter point, Glickman and amicus first recite settled insurance contract law

in this circuit and Kansas to the effect that an insurer’s duty to defend is broader than its

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duty to indemnify, and the duty to defend is triggered when there is a potential of liability.

Bankwest v. Fidelity & Deposit Co., 63 F.3d 974, 981 (10th Cir. 1995); Western Heritage

Ins. Co. v. Chava Trucking, Inc., 991 F.2d 651, 656 (10th Cir. 1993); American Motorists

Ins. Co. v. General Host Corp., 946 F.2d 1489, 1490 (10th Cir. 1991); Hocker v. New

Hampshire Ins. Co., 922 F.2d 1476, 1484 (10th Cir. 1991); Spivey v. Safeco Ins. Co., 855

P.2d 182, 188 (Kan. 1993); MGM, Inc. v. Liberty Mut. Ins. Co., 855 P.2d 77, 79 (Kan.

1993); Spruill Motors, Inc. v. Universal Underwriters Ins. Co., 512 P.2d 403, 407 (Kan.

1973).

         However, we are dealing here with a statute, not contract law. As the Kansas

Insurance Department acknowledges, after reciting to the contract rule, the issue still

remains: “whether K.S.A. 40-256 applies to an insurer’s duty to defend and, if so,

whether [Home] failed to defend [Glickman] without just cause or excuse.” Amicus

Curiae Br. at 5. On the specific issue of whether the penalty under § 256 applies to a

refusal to defend where the mere possibility of coverage exists, Glickman cites the

following Kansas state cases: Missouri Medical Ins. Co. v. Wong, 676 P.2d 113, 123

(Kan. 1984); Upland Mut. Ins. v. Noel, 519 P.2d 737, 742-43 (Kan. 1974); and Bowlus

School Supply v. Swartz, 1988 Kan. App. LEXIS 816, at *6-7 (Kan. Ct. App. Dec. 2,




                                            - 10 -
1988) (not designated for publication).1 The Kansas Insurance Department, cites only the

unpublished decision of the Kansas Court of Appeals in Bowlus.

       None of these cases hold that an insurance company is liable for attorney’s fees

under § 256 if it refuses to defend when there is a possibility of coverage. In fact, each of

the cases is decided on whether or not a bona fide dispute existed over coverage.

References to duty to defend are both dicta and ultimately melded into the coverage

question.

       In Missouri Medical Ins. Co. v. Wong, the Kansas Supreme Court combined a

requirement of coverage with a duty to defend, as did the court in Noel, upon which the

court relied in Wong. Wong, 676 P.2d at 122-23. Indeed, one commentator questioned

whether Wong even stands for the proposition that a duty to defend is within the meaning

of § 256 at all. Robert H. Jerry II, New Developments in Kansas Insurance Law, 37 U.

Kan. L. Rev. 841, 846 (1989) (“[T]he decision provides some support for allowing the

insured to recover as damages the attorney’s fees incurred in bringing the action against

the insurer for breach of the duty to defend. Such a result, however, gives section 40-256

a broader construction than its plain language seems to allow.”)



       1
        Glickman also cites a federal district court case for its proposition, Container
Supply Co. v. Fireman’s Fund Ins. Co., 715 F. Supp. 326, 327-28 (D. Kan. 1989). That
case does not support Glickman’s argument either. It recognized that “[w]hen there exists
a bona fide dispute regarding the insured’s claim, refusal to pay is not without just cause
or excuse,” and awarded attorneys’ fees only because it found the insurance company’s
refusal to defend was not supported by common sense. Id. at 327.

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       In Bowlus, the Kansas Court of Appeals reviewed findings which intermingled the

insurer’s duty to defend with the question of coverage, noting that no defense of the

insured was undertaken until long after the court ruled that there was coverage. The court

then concluded its opinion with reasoning based on standards relating to coverage cases,

i.e., whether a good faith controversy existed, and held only that the trial court had not

abused its discretion in awarding attorney fees under § 256. The trial court’s decision to

award fees was described as follows: “The court ultimately found that Allied had been

without just cause or excuse in denying the claim and denying representation and awarded

Swartz attorney fees.” Bowlus, 1988 Kan. App. LEXIS 816, at *3 (emphasis added).

       In short, no Kansas state authority stands for the proposition advanced by

Glickman. Thus, contrary to assertions by the Kansas Insurance Department, consistent

application of Kansas law is scarcely placed in jeopardy by the standard employed by the

district court in this case. It should go without saying that the public policy arguments of

Glickman and amicus, outlined above, should be addressed to the Kansas Legislature.

We are confined to the plain words of the statute.

       We conclude that under the plain language of § 256 there is no separate and

stricter standard for refusals to defend, and the district court did not err in refusing to

apply such a standard. Rather, in determining the existence of “just cause or excuse,” the

standards for refusals to pay apply. We turn to that issue next.




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B.     Just Cause or Excuse under the Bona Fide Controversy Standard.

       There can be no dispute that under Kansas law the accepted test for determining

the existence of “just cause or excuse” for purposes of § 256 is whether the insurance

company’s refusal is based on a bona fide controversy over policy coverage. See Allied

Mut. Ins. Co. v. Gordon, 811 P.2d 1112, 1125 (Kan. 1991); Crawford v. Prudential Ins.

Co. of America, 783 P.2d 900, 909 (Kan. 1989) (citing Forrester v. State Farm Mut. Auto

Ins. Co., 517 P.2d 173 (Kan. 1974), modified on other grounds on reh’g., 518 P.2d 548

(Kan. 1974)); Clark Equip. Co. v. Hartford Acc. & Indem. Co., 608 P.2d 903, 907 (Kan.

1980). Bona fide controversy has been further defined to mean a position which is not

frivolous or patently without reasonable foundation. Clark, 608 P.2d at 907. See Brown

v. Combined Ins. Co. of America, 597 P.2d 1080, 1084 (Kan. 1979).

       The district court found that a bona fide controversy existed between Home and

Glickman as to whether or not response costs under CERCLA are damages within the

meaning of the standard policy issued by Home. Glickman has admitted that Home’s

position was arguable “given the split amongst the circuits on that issue.” Mem. in Supp.

of Pl.’s Mo. to Compel, Appellant’s App., Tab 11, p. 129. The Kansas Insurance

Department concedes the point as well: “The District Court correctly identified a division

of authority on the validity of the legal defense asserted by [Home], thereby arguably

making [Home’s] refusal to indemnify a good faith denial.” Amicus Curiae Br. at 1.




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       These concessions are essentially foregone conclusions considering the undoubted

seriousness and nationwide scope of the controversy over insurers’ liability for claims

under CERCLA. The long list of cases on the subject cited by both parties attests to the

pervasiveness and longevity of the dispute. Thus, while each case under § 256 must be

decided on its own facts, it is futile to assert that Home was disconnected from one of the

industry’s greatest preoccupations and not prepared to dispute coverage for Glickman’s

response costs. In fact, it raised that defense in its July 23, 1993, reservation of rights

letter -- predictably along with every other defense it could think of.

       It was legitimately entitled to raise the defense. While Glickman strenuously

argues the weight of the law elsewhere, it acknowledges that the Kansas Supreme Court

had not as yet decided whether, under Kansas insurance contract law, response costs

would be considered as damages under a standard liability policy. And, contrary to

Glickman’s argument, the dispute was alive and ongoing nationally, albeit not with

overwhelming success. Home had every right to test the law in Kansas on this important

subject and would not be estopped from doing so by its positions in other jurisdictions.

       We have considered and find unpersuasive all of Glickman’s arguments, including

those related to discovery. The district court’s findings and reasoning in its May 12,

1995, Memorandum and Order, in part set out above, are not in error, and neither is its

decision to deny fees.




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                                   CONCLUSION

      For the reasons stated above, the judgment of the district court is AFFIRMED.

Glickman’s Motion to Supplement the record is DENIED.




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