INSURER OBLIGATED TO PAY ONLY ITS PRO-RATA SHARE UNDER "OTHER INSURANCE" PROVISION
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INSURER OBLIGATED TO PAY ONLY ITS PRO-RATA SHARE UNDER "OTHER INSURANCE" PROVISION

Commercial Automobile

Other Insurance Provision

 

Wal-Mart hired Pro-Carriers, Inc. (Pro) to transport a loaded trailer from Alabama to Florida in late March or early April 2001. In turn, Pro leased a tractor owned by Henry Williams to haul Wal-Mart's trailer, and Williams was hired to drive the tractor. While hauling the trailer through Georgia on the way to Florida, Williams was involved in a serious multi-vehicle accident. The injured parties filed tort claims against Pro, Wal-Mart and Williams, seeking substantial damages.

 

Pro had a primary insurance policy issued by Underwriters Insurance Company (Underwriters) with a $1 million limit per occurrence. It also had an excess policy with Lexington with a $1 million limit per occurrence. Wal-Mart had an American Home Assurance Company (American) policy with a $10 million limit subject to a $5 million deductible, which stated in part: "This endorsement applies solely between you (Wal-Mart) and us (American). It does not affect the rights of others under this policy." American's limit was subject to Wal-Mart reimbursing it for any deductible amounts. Williams was insured under a Northland Insurance Company (Northland) policy with a $1 million limit per occurrence. The "Other Insurance" clauses in the American and Northland policies were similar.

 

The three defendants and their insurers settled the injured parties' claims for $4,534,000 but reserved their respective rights to contribution, indemnity and/or subrogation against each other. Underwriters and Northland each paid $1,000,000 and Wal-Mart paid $2,534,000 since its share did not exceed the deductible. It then sued Lexington, Northland and American, seeking subrogation and contribution from Lexington, and a declaratory judgment concerning all parties' rights and obligations under the policies. All three filed answers, and Northland cross-claimed against American. Based on the language of the "Other Insurance" provisions in their respective policies, Northland and American both provided excess, as opposed to primary, coverage and each was obligated to contribute to the settlement on a pro-rata basis in the proportion of their limits to all limits. Since Northland's limit was $1 million and Americans was $10 million, their total limit as excess insurers was $11 million. Northland stated that it was obligated to contribute only one eleventh of the settlement ($321,273 of the $3,354,000 Northland and American paid) and that American owed ten elevenths, or $3,212,727. Since Northland contributed more than its pro-rata share, it claimed that American owed it the difference between the $1,000,000 that it paid and $321,273, or $678,727.

 

The trial court granted summary judgment in favor of Lexington as to Wal-Mart's claim that Lexington's coverage was primary rather than excess, and denied Wal-Mart's motion on that same issue. The court also denied Northland's motion for summary judgment but granted American's motion for summary judgment as to Northland's cross-claim that it was entitled to reimbursement from American. Northland's motion for reconsideration was denied and it appealed, contending that the trial court erred in granting American's motion for summary judgment as to its cross-claim for reimbursement. It argued that the language of the "Other Insurance" provisions in the Northland and American policies provided excess coverage and were required to contribute proportionally based on limits. American argued in its response that it had not provided "any other collectible insurance" as to trigger the pro-rata sharing of responsibility.

 

The appellate court disagreed with American, finding that its deductible endorsement applied only between it and Wal-Mart and required Wal-Mart to reimburse American up to the deductible amount for amounts it paid as damages. Despite Wal-Mart paying its share of the settlement directly, the American policy clearly required it to pay on a first-dollar basis and then be reimbursed for the deductible amount. It cited the general rule in insurance law that deductibles are relevant only between the insurer and the insured and do not affect proration. Applying this principle, it determined that the trial court erred in granting summary judgment in favor of American and reversed, stating that Northland was obligated to pay only its pro-rata share of settlement proceeds in proportion to the total limits under the "Other Insurance" provision.

 

Court of Appeals of Georgia. Northland Insurance Company, et al. v. American Home Assurance Company et al. No. A09A2203. Dec. 16, 2009. 301 GaApp. 726, 689 S.E.2d 87