View Case

Cited Cases

Citing Cases

 Comment (0)

 

Loading

TRANSPORT INS. CO. v. TIG INS. CO.
202 Cal.App.4th 984 (2012)
Court of Appeals of California, First District, Division Two.
January 13, 2012.


 

 

Transport's reply on its own motion asserted that "The custom and practice of the industry confirm that the claims did not accrue until a final offer or denial was communicated. The only reinsurance case on point, Stronghold, confirms this. Further, California coverage law comes to the same result via the Prudential-LMI line of cases where the statute is tolled while the insurer investigates and negotiates the claim."
The four motions were heard on March 7, 2008, before the Honorable Charlotte Woolard, who began by announcing her rulings on the numerous evidentiary objections. She then turned to announcement of the "tentative rulings regarding the motions that bring us here today," and in connection with Transport's motions referred to "equitable tolling" and "equitable estoppel."6 After Judge Woolard completed her tentative rulings, counsel for TIG argued at length against the applicability of equitable tolling. Similarly, counsel for Seaton asked that Judge Woolard "take another look" at Prudential-LMI.
On April 4, 2008, Judge Woolard issued two orders, each addressing Transport's motion against the particular reinsurer and that reinsurer's motion
[ 202 Cal.App.4th 997 ]

against Transport, orders that were thorough indeed, with lengthy discussions of the law. The two orders were similar—in fact, in great part identical—and as relevant here, provided in pertinent part as follows: "The parties have not cited, and the court has not found, any reported California decision addressing the question of when a cause of action for breach of reinsurance contract accrues. A persuasive decision from the Second Circuit Court of Appeals is most directly on point. In Continental Cas. Co. v. Stronghold Ins. Co., Ltd.[, supra,] 77 F.3d 16, the Second Circuit held that, under New York law, a reinsurance cause of action accrues `when the loss insured against becomes due and payable under the policy.' [Citation.] Looking to the policy at issue, the court found that the reinsured was required to report its losses within a reasonable period of time. [Citation.] The onus was then on the reinsurer to decide, after a reasonable amount of time in which to make its coverage determination, whether it would pay the claim. [Citation.] Under these circumstances, the Second Circuit found that the plaintiff's causes of action accrued after the plaintiff submitted its claims to the defendant, and either: (1) the defendant denied the claim; or (2) a reasonable period of time elapsed without a decision from the defendant. [Citation.]"
From there, and addressing, for example, the Seaton-related motions, Judge Woolard went on to note that "[A]fter Transport submits a proof of loss, Seaton allegedly breaches the contract, and Transport's causes of action accrue, where (1) Seaton denies a covered claim; or (2) Seaton takes an unreasonable amount of time to communicate its coverage decision. From that point, Plaintiff has four years in which to file its action against Defendant." And from there, Judge Woolard went on to deny the motions on the ground that "triable issues exist as to whether Seaton ever formally denied Transport's claims reflected in the 1999 [proofs of loss] and when the causes of action nonetheless accrued after a reasonable amount of time passed for Seaton to have evaluated the claims." The analysis in the order as to the TIG-related motions was similar.

The Trial

The case proceeded to a jury trial, which began on May 12, 2008. As that trial is described by Transport: "The coverage dispute here included the defendant reinsurers' contentions that: (1) the facultative reinsurance certificates did not mean what they stated and are `excess of loss' certificates as opposed to pro rata; (2) Transport suffered no loss to be reinsured; and (3) Transport allegedly made a bad faith allocation to the reinsurers of the underlying settlement." And, of course, there was the issue of the statute of limitations.
The parties had submitted trial briefs, and as to the statute of limitations issue Transport's brief said this: "The Defendants' first stated defense focused
[ 202 Cal.App.4th 998 ]

primarily on statute of limitations which fails under the holding of Stronghold decision and pursuant to this Court's orders denying the motions for summary judgment. As this Court well knows, Continental Casualty Co. v. Stronghold Insurance Co.[, supra,] 77 F.3d 16 held that the statute of limitations does not start to accrue until the reinsurance claim is denied. In passing discussion, the Stronghold court also noted that an alternative time would be a reasonable time following submission of the final proofs of loss if the reinsurer did not act upon the final proofs. This Court referenced both accrual tests in the orders finding triable issues of fact and denying the summary judgment motions."


Click here for unpaginated view






Disclaimer     :::     Terms of Use     :::     Privacy Statement     :::     About Us     :::     Contact Us     :::     Copyright © 2010   Leagle, Inc.