Académique Documents
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By
Cassandra C. Shivers
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INTRODUCTION
As a result, over the last twenty-plus years courts have been asked to take on the
complex task of determining the proper method or methods of apportioning the available
insurance coverage. These ongoing determinations have lead to two general allocation
approaches utilized by different jurisdictions: all sums and pro rata. Additionally, there
are two allocation methods within the pro rata approach: allocation by time-on-the-risk
and allocation by percentage of coverage.
The all sums approach is considered the majority rule of allocation.1 It has been
adopted by the appellate courts of nine states and one federal appellate court.2 The all
sums approach, also known as a vertical, joint and several, or “pick and choose”
allocation approach, is the allocation method most favored by policyholders. That is
because it allows the policyholder to collapse all of its losses into a single policy year of
triggered coverage. That policy year’s insurers must reimburse the entire loss, up to the
limits of each policy. The insurers that the policyholder chooses, however, are not
arbitrarily forced to pay the entire loss while the policyholder’s other insurers walk away
with no liability. Instead, the selected insurers can pursue their contribution rights
against insurers providing coverage in other policy years triggered by the loss. In
1
See Goodyear Tire & Rubber Co. v. Aetna Cas. & Sur. Co., 769 N.E.2d 835, 841 (Ohio 2002).
2
See Keene Corp. v. Ins. Co. of N. Am., 667 F.2d 1034 (D.C. Cir. 1981), cert. denied, 455 U.S. 1007
(1982), reh’g denied, 456 U.S. 951 (1982) (multiple states); Aerojet-General Corp. v. Transp. Indem. Co.,
948 P.2d 909, 919-20 n.10 (Cal. 1997); Armstrong World Ind. v. Aetna Cas. & Sur. Co., 52 Cal. Rptr.2d
690, 705-10, 742-43 (Cal. Ct. App. 1996); Hercules, Inc. v. AIU Ins. Co., 784 A.2d 481, 492 (Del. 2001);
Monsanto Co. v. C.E. Heath Comp. & Liab. Ins. Co., 652 A.2d 30, 35 (Del. 1994) (applying Missouri law);
Allstate Ins. Co. v. Dana Corp., 759 N.E.2d 1049, 1057-58 (Ind. 2001); Rubenstein v. Royal Ins. Co., 694
N.E.2d 381, 388 (Mass. App. Ct.), aff’d in part, 707 N.E.2d 367 (Mass. 1998); Goodyear Tire., 769 N.E.2d
at 841; J.H. France Refractories Co. v. Allstate Ins. Co., 626 A.2d 502, 507-07 (Pa. 1993); Tex. Prop. &
Cas. Ins. Guar. Ass’n v. Southwest Aggregates, Inc., 982 S.W.2d 600, 607 (Tex. App. 1998); Am. Nat’l
Fire Ins. Co. v. B&L Trucking & Const. Co., 951 P.2d 250, 251 (Wash. 1998).
2
Rubenstein, the appeals court of Massachusetts succinctly summarizes the approach as
follows:
Some courts adopting the all sums approach have cited equitable concerns, such
as honoring the “objectively reasonable expectations of applicants and intended
beneficiaries regarding the terms of the insurance contracts.” See Keene, 667 F.2d at
1042. The Keene court started its interpretation of the insurance policies by looking at
“the insurers’ promises of certainty to Keene,” finding:
Id. at 1047-48. Other courts have focused on contract interpretation principles, finding
under the rule of contra proferentem, because the policy language is ambiguous, it should
be construed against the insurer and in favor of coverage. See, e.g., Hercules, 784 A.2d
at 489-94 & 492 n.30. Additionally, many courts focus on the lack of policy provisions
or limitations in the coverage grant that limit the insurers’ indemnification liability only
to damages taking place within their policy periods. See, e.g., Allstate, 759 N.E. 2d at
1057-58 (“there is no language in the coverage grant . . . that limits Allstate’s
responsibility to indemnification for liability derived solely for that portion of damages
taking place within the policy period.”); Hercules, 784 A.2d at 491 (following majority
rule of not prorating liability “where the policy does not contain a proration provision.”);
B&L Trucking, 951 P. 2d at 256 (“If the insurer wished to limit its liability through a pro
rata allocation of damages once a policy is triggered, the insurer could have included that
language in the policy.”).
3
The all sums approach is favored by policyholders for a number of reasons. First,
it maximizes their coverage. The policyholder can select the policy period with the most
promising coverage and avoid more problematic coverage, such as insolvent insurers,
uninsured periods, or exclusions that might preclude coverage. Second, the approach
minimizes the policyholder’s costs of obtaining coverage by shifting a large amount of
the transaction costs to the selected insurers, who will subsequently pursue contribution
actions to spread the costs among other liable insurers.
Insurers generally believe that the all sums allocation method provides a windfall
to policyholders by holding insurers liable for damages occurring outside of their policy
periods and may allow policyholders to receive coverage for which they did not bargain
(such as when they purposely established high self-insured retentions or purchase low—
or no—limits of coverage).
Under the minority pro rata or horizontal allocation approach, the policyholder’s
loss is divided proportionally among all liable insurance companies based on the portion
of the loss that occurred during the time each insurer’s policy was in place. Six state
appellate courts and four federal appellate courts have adopted the pro rata allocation
approach.3 Insurers prefer the pro rata approach because it often reduces their overall
liability in that it typically includes periods of “missing coverage” in which the
policyholder did not purchase coverage or has lost its policies and most often assigns that
liability to the policyholder.4 Additionally, the policyholder bears the burden of the
transaction costs because it must recover separately from each insurer itself.
3
See Jones v. Liberty Mut. Ins. Co. (In re Wallace & Gale Co.), 385 F.3d 820, 835 (4th Cir. 2004) (applying
Maryland law, time-on-the-risk), reh’g denied and corrected by 2004 U.S. App. LEXIS 23828 (4th Cir.
Nov. 15, 2004); Spartan Petroleum Co. v. Federated Mut. Ins. Co., 162 F.3d 805, 812 (4th Cir. 1998)
(applying South Carolina law, time-on-the-risk); Ins. Co. of N. Am. v. Forty-Eight Insulations, Inc., 633
F.2d 1212, 1225-26 (6th Cir. 1980), clarified by 657 F.2d 814 (6th Cir. 1981), cert. denied 455 U.S. 1007
(1982) (applying Illinois and New Jersey law, time-on-the-risk); Commercial Union Ins. Co. v. Sepco
Corp., 918 F.2d 920, 922-25 (11th Cir. 1990) (holding Alabama Insurance Guaranty Association liable for
insolvent insurer’s proportionate share based on approval of district court’s time-on-the-risk allocation);
Porter v. Am. Optical Corp., 641 F.2d 1128, 1145 (5th Cir. 1981) (applying Louisiana law, time-on-the-
risk); Pub. Serv. Co. v. Wallis & Cos., 986 P.2d 924, 935-37 (Colo. 1999) (time-on-the-risk); Sentinel Ins.
Co. v. First Ins. Co., 875 P.2d 894, 918-19 (Haw.), amended in part by 879 P.2d 558 (Haw. 1994) (time-
on-the-risk); Domtar, Inc. v. Niagra Falls Ins. Co., 563 N.W.2d 724, 732 (Minn. 1997) (time-on-the-risk);
Carter-Wallace, Inc. v. Admiral Ins. Co., 712 A.2d 1116, 1124 (N.J. 1998) (mixed time-on-the-risk and
percentage of coverage); Owens-Illinois, Inc. v. United Ins. Co., 650 A.2d 974, 993 (N.J. 1194) (mixed
time-on-the-risk and percentage of coverage); Consol. Edison Co. v. Allstate Ins. Co., 774 N.E.2d 687, 695
(N.Y. 2002) (adopting pro rata, but not deciding which pro rata scheme applies); Sharon Steel Corp. v.
Aetna Cas. & Sur. Co., 931 P.2d 127, 140-41 (Utah 1997) (time-on-the-risk and percentage of coverage).
4
See, e.g., Spartan, 162 F.3d at 812 (pro rata allocation to insured during periods of self-insurance);
Stonewall Ins. Co. v. Asbestos Claims Management Corp., 73 F.3d 1178, 1203-04 (2nd Cir. 1995)
(allocation to insured for years where policyholder did not purchase coverage is appropriate, proration to
policyholder where coverage excluded is not), reh’g denied, 85 F.3d 49, 50-51 (1996); Commercial Union,
918 F.2d at 923-24 (approving district court’s assignment of pro rate responsibility of defense costs to
insured during period of self-insurance); Owens-Illinois, 650A.2d at 995 (“When periods of no insurance
4
Allocation By Time-On-The-Risk
Most courts adopting the pro rata approach allocate the loss among liable insurers
based on the proportional time that each insurer covered the risk. The Public Service
court summarized its ruling as follows:
986 P.2d at 940. Courts adopting this approach often focus on policy provisions limiting
coverage to “occurrences” taking place during the policy period and find that the “all
sums” language in the policy is not to the contrary. See, e.g., id.; Porter, 641 F.2d at
1145 ; Public Serv., 986 P.2d at 939. In Consolidated Edison, the court looked at the “all
sums” and “occurrence” policy provision and concluded:
774 N.E.2d at 695 [Citations omitted]. Other courts state that equity demands allocation
among insurers based on time periods their policies covered. See Sentinel, 875 P.2d at
919 (“Equity, under the circumstances of this case, dictates that the court allocate
contribution among liable insurers in proportion to the time periods their policies
covered.”); Public Serv., 986 P.2d at 941 (“In our view, the most equitable method of
allocation is a system of time-on-the-risk that also takes into account the degree of the
risk assumed.”).
Indeed, insurers maintain that the pro rata, time-on-the-risk approach is the most
equitable method of allocating a loss by limiting their exposure only to the proportional
share of coverage sold by each triggered insurer. However, policyholders maintain that
reflect a decision by an actor to assume or retain a risk, as opposed to periods when coverage for a risk is
not available, to expect the risk-bearer to share in the allocation is reasonable.”).
5
the time-on-the-risk allocation method leaves a substantial risk that some portion of their
liability may go unreimbursed. That is because each policy period’s share of the loss is
fixed and does not allow for reallocation or additional contribution of available coverage
even though there may be some coverage within triggered years available after the
proportional allocation.
A few courts that have adopted the pro rata allocation approach have developed
an alternative approach to apportionment.5 Instead of allocating based on each insurer’s
time-on-the-risk, these courts divide the liability into shares across the triggered period
with heavier weighting for years in which the policyholder purchased more coverage.
This version of pro rata allocation was first adopted in Owens-Illinois, Inc. v.
United Ins. Co., 650 A.2d 974 (N.J. 1994), and, thus, is often called the Owens-Illinois
approach. The decision grew out of the New Jersey Supreme Court’s dissatisfaction with
the extremes imposed by both the all sums and pro rata approaches. Id. at 986-89.
Accordingly, the court determined that because “[t]he language of the policies does not
itself yield either result and the usual rules of [contract] interpretation are less helpful in
this context,” it would be guided by public interest factors. Id. at 992. It then
enumerated the following public interest factors that it should consider:
• “the extent to which our decision will make the most efficient use of the
resources available to cope with environmental disease or damage”;
• “the relative bargaining power of the parties and the allocation of the loss
to the better risk-bearer in a modern marketing system”;
Id. Applying these public policy principles, the court concluded allocation of coverage
for a longtail loss should be spread horizontally among triggered insurers in proportion to
the amount of coverage available in each policy period. Id. at 993-95. The New Jersey
Supreme Court has subsequently clarified that
5
These courts include: Owens-Illinois, 650 A.2d at 993-95; Carter-Wallace, 712 A.2d at 1123-25; see also
Sharon Steel, 931 P.2d at 140 (Unlike the time-on-the-risk approach adopted by many courts, “we think the
more equitable approach, and the one that better reflects what each insurer contracted to provide is one that
not only looks at the years that each insurer was on the risk, but also takes into account the respective
policy limits.”).
6
that this measure of allocation is more consistent with the
economic realities of risk retention and risk transfer.”
Carter-Wallace, 712 A.2d at 1123 (quoting Chem. Leaman Tank Lines, Inc. v. Aetna Cas.
& Sur. Co., 978 F. Supp. 589, 605 (D.N.J. 1997)). The court concluded that although this
percentage of the limits approach is admittedly imperfect (Owens-Illinois, 650 A.2d at
985), it is the most fair and efficient approach.
CONCLUSION
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