| Often times
I get coverage assignments from insurers and am asked for
a coverage opinion on the coverage for their trailer involved
in an accident in California. They assume, based on normal
policy language, that coverage for the trailer is excess
to the coverage for the tractor until faced with a subrogation
and recovery lawsuit for fees and indemnity from the tractor
insurer after the claim has been paid and defended. This
is where regulation CA 11580.9 can be a silent killer. I
say silent because some insurers have never heard of it
and others are befuddled at the result of its application.
CA 11580.9 applies to disputes involving tractor-trailer
vehicles and essentially requires that both the insurer
for the tractor and trailer share equally in the coverage
obligations and ultimately the defense fees regardless of
any underlying contract or the language in the respective
policies. The unfairness in the legislation is even
discussed by the judges in the case of Wilshire
Insurance v. Sentry Insurance where the Court held that
the insurer for a trailer owed co-primary obligations for
an accident when its policy clearly expressed that it would
be excess if pulled by a non-owned tractor, a typical occurrence
in the industry. The Court was even quoted as saying "We
recognize the seeming inequity of this result. Wilshire
agreed to provide primary coverage. Sentry agreed to provide
only excess coverage. Wilshire will suffer only half
the loss it promised to bear and Sentry will pay half of
a loss it never promised to bear. Yet the Legislature believed
a bright-line rule in these circumstances was beneficial.
The inequity, if any, lies in the operation of a statute
we are powerless to rewrite." Wilshire,
124 Cal. App. 4th 27; 21 Cal. Rptr. 3d 60; 2004 Cal. App.
LEXIS 1909; 2004 Daily Journal DAR 10189
To be clear, the inequity
arises from the standpoint that an insurer has provided
coverage under its policy believed to excess, collected
premiums suitable for excess coverage, was not involved
in the initial investigation, adjustment or defense of the
claim and then are being asked to pay attorneys fees for
lawyers they never hired and contribute to settlements they
never agreed to in the first place. Often, the regulation
11580.9 first rears its ugly head when an insurer is faced
with a subrogation lawsuit or DJ action for claim for indemnity
and attorneys fees after the underlying case is long over.
By the time the underlying case is settled, attorneys fees
are paid and counsel is paid to defend the subrogation or
DJ action, the relative costs associated with the application
of this regulation are exorbitant, and unexpected.
The nuts and bolts of
the regulation require insurers of the tractor and the trailer
to contribute pro rata (equally if policy limits are equal)
if both carriers schedule or specifically rate the respective
vehicles on their policies. There is currently some debate
going on among the appellate districts about what constitutes
"scheduled" and "rated", but suffice
it to say that if your policy specifically describes the
auto involved in the accident, whether it is a tractor or
trailer, that policy will presumably be considered at least
co-primary if not entirely primary to the other policies
involved.
There are some limited
exceptions and circumstances under which a carrier will
be able to successfully argue that its coverage is excess
to other policies involved, but those exceptions are narrowly
construed and the circumstances are very rare. One such
example is when the tractor is scheduled and rated on its
policy under a symbol 46, but the trailer is covered under
a non-scheduled symbol, such as leased, hired, borrowed
or non-owned, the policy with the scheduled tractor will
be considered primary over the policy of the trailer. Clarendon
v. ICW, (2000) 2000 U.S. Dist. LEXIS 13920 citing Travelers
Indemnity Co. v. Maryland Casualty Co., (2d Dist. 1996)
41 Cal.App.4th 1538, 1547-1548. In addition, if both vehicles
are scheduled on the respective policy, but the trailer
was leased for more than 6 months and the trailer insured
is exclusively in the business of leasing trailers without
drivers, the trailer policy will be considered excess to
the tractor's policy. General Security Ins. Co., v. Old
Republic Ins. Co., 2004 Cal.Unpub. LEXIS 4604 (2d App. Dist.
2004. However, it is the general rule that when a general
subhauler not exclusively in the business of leasing the
trailers without a driver would be considered co-primary
without the requisite showing that the insured was in the
exclusive business of leasing trailers. Travelers Indemnity
Co. of Illinois v. Maryland Casualty Co., 41 Cal. App.4th
1538, 49 Cal.Reptr.2d 271 (Cal.App. 2nd Dist. 1996).
Lastly, one Court held
that when both policies schedule the tractor and the trailer,
respectively, and the tractor policy also schedules "unidentified
trailers", the tractor policy would be considered primary
to the trailer policy on the theory that with the addition
of the "unidentified trailer" the insurer intended
to cover the entire rig on a primary basis, despite the
fact that the trailer was scheduled on its own policy. Transport
Indemnity Co. v. Royal Ins. Co. (1987) 189 Cal.App.3d 250,
253 [234 Cal.Rptr. 516]. However, there was a strong dissenting
opinion from Judge Poche that claimed the opinion conflicted
with another decision on similar facts, Mission Ins. Co.
v. Hartford Ins. Co. (1984) 155 Cal.App.3d 1199, 1213 [202
Cal.Rptr. 635].)
The case law to
date has made it clear that insurers and insureds who do
not agree with the effect of this legislation can overcome
the statutory presumption of shared coverage by signing
an agreement at the outsetof the relationship. Under Section
11580.9(f), the agreement must be written and signed by
all insurers who have issued policies for a loss and all
named insureds to override the effect of the law. This of
course is a very cumbersome process and would not likely
occur in the real world as we know it in the industry.
Despite the exceptions to the rule and the limited circumstances
that will allow an insurer to retain its position as an
excess insurer, this regulation is no doubt unfair to the
unsuspecting insurer as the judges pointed out in the landmark
case of Wilshire v. Sentry. If you insure either tractors
or trailers in California, be aware of CA Regulation 11580.9
and its effects, and look closer when placed on notice of
an underlying action, which may trigger its application.
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