Canal Insurance Company v. Underwriters at Lloyd's London, 435 F.3d 431, 3rd Cir. (2006)
Canal Insurance Company v. Underwriters at Lloyd's London, 435 F.3d 431, 3rd Cir. (2006)
Canal Insurance Company v. Underwriters at Lloyd's London, 435 F.3d 431, 3rd Cir. (2006)
3d 431
The material facts are undisputed. At all times relevant to this litigation, Singh
was an independent trucker, or "owner operator," who leased his tractor trailers
to interstate motor carriers for the purpose of hauling freight. Singh enjoyed a
business relationship with BIR Transport Company (BIR), an interstate trucking
outfit and Department of Transportation authorized motor carrier, based upon a
long-term lease agreement. According to the agreement, Singh leased a
Kenworth Tractor to BIR when BIR required a tractor truck to haul freight.
As of the date of the accident, two relevant insurance policies were in effect.
Canal Insurance Company (Canal) insured BIR through a "Commercial
Trucking Liability" policy, providing indemnity and defense to BIR for
liabilities arising from the operation of vehicles specifically noted in the Canal
policy and used for BIR business purposes. BIR identified the Tractor as an
insured vehicle subject to the terms of the Canal commercial trucking liability
policy. In addition, Singh was covered by a "Non-Trucking Liability" policy
with Underwriters that also identified the Tractor as an insured vehicle. Under
the terms of that policy, certain uses of the Tractor, including "business uses,"
were excluded from coverage.
On April 20, 2000, Singh completed an interstate hauling operation for BIR
with his Tractor. Four days later, on April 24, 2000, he hired a third party to
drive the Tractor and its empty trailer from Harrisburg, Pennsylvania, to a
Kenworth truck dealership in Chester, Pennsylvania, in order to attempt a sale
or trade-in for a new tractor. Although BIR was made aware of the plan to go to
the dealership, it is undisputed BIR did not dispatch the Tractor. In the event a
hauling load from BIR became available in the Chester area, however, Singh
directed his driver to make the trip with an empty trailer attached.
En route to the dealership, Singh's truck collided with a vehicle owned and
driven by Espenshade. As a result of the accident, Espenshade filed a lawsuit in
Philadelphia, Pennsylvania, against all potential tortfeasors. Underwriters
expressly refused either to defend the defendants or to indemnify Canal in the
state action on the ground that the use of the Tractor on the day of the accident
did not fall under the provisions of its non-trucking liability policy. Canal, on
the other hand, defended and indemnified Singh, his driver, and BIR in the
lawsuit. Ultimately, Canal settled the Espenshade suit, agreeing to pay $58,500
compensation in exchange for full liability releases for all three defendants. It is
undisputed that Canal incurred an additional $27,459 in litigation expenses to
resolve the matter, resulting in a total indemnification and defense cost of
$85,959.
III. Merits
9
10
11
It is uncontested Underwriters' policy names Singh as the insured and lists the
Tractor as a covered vehicle. The policy, however, excludes from coverage
certain "business uses." Exclusion 8 specifically provides that the policy does
not insure
12
13
The policy also excludes insurance for "a covered automobile while used in the
course and scope of the commercial business of the insured, i.e. Business Use."
Under the policy, that
14
includes, but is not limited to[,] any use of the covered auto that promotes the
business purposes of the Insured or the purposes of a written, permanent lease
that the Insured has signed with a motor carrier such as hauling a load for the
motor carrier, being under the request, direction, control and/or dispatch to haul
a load for the motor carrier with a pick up of a load, laying over on the road on
the way to pick up a load or traveling for the purposes of repairing or
maintaining the covered auto. The foregoing examples of "Business Use" are
illustrative and non-exhaustive.
15
(Emphasis added.) Thus, if at the time of the accident, Singh's Tractor was
engaged in an activity "promot[ing] [Singh's] business purposes," Underwriters'
business uses exclusion applies and coverage could be denied.
16
The legal axioms governing insurance policy interpretation are well settled in
Pennsylvania. "Where an insurer relies on a policy exclusion as the basis for its
denial of coverage and refusal to defend, the insurer has asserted an affirmative
defense and, accordingly, bears the burden of proving such defense." Madison
Constr. Co. v. Harleysville Mut. Ins. Co., 557 Pa. 595, 735 A.2d 100, 106 (Pa.
1999). The goal of interpreting an insurance policy, like the goal of interpreting
any other contract, is to determine the intent of the parties as manifested by the
language of the policy.
17
18
Gene & Harvey Builders v. Pennsylvania Mfrs. Ass'n, 512 Pa. 420, 517 A.2d
910, 913 (Pa. 1986) (quoting Standard Venetian Blind Co. v. Am. Empire Ins.
Co., 503 Pa. 300, 469 A.2d 563, 566 (Pa. 1983)) (additional citations omitted).
This rule of strict construction against the insurer is especially true should the
ambiguity exist as an exception to general liability. Celley v. Mut. Benefit &
Health Ass'n, 229 Pa.Super. 475, 324 A.2d 430, 435 (Pa. Super. Ct. 1974).
19
20
As stated above, this controversy turns on whether the phrase "any use of the
covered auto that promotes the business purposes of the [i]nsured" applies
unambiguously to Singh's use of the Tractor at the time of the accident.
Underwriters' policy does not provide specific examples of activities that would
promote Singh's business purposes. Where critical terms are left undefined in a
policy, Pennsylvania case law instructs that
21
natural, plain, and ordinary sense, Easton v. Washington County Ins. Co., 391
Pa. 28, 137 A.2d 332, 335 (1957); Blue Anchor Overall Co. v. Pennsylvania
Lumbermens Mut. Ins. Co., 385 Pa. 394, 123 A.2d 413, 415 (1956), and we
may inform our understanding of these terms by considering their dictionary
definitions.
22
Madison Constr. Co., 735 A.2d at 108. The District Court heeded this
guidance, reasoning that
23
24
Since Mr. Singh is the insured, engaged in the business of leasing tractors, and
further since the act of traveling from Harrisburg to Chester "contribute[d] to
the growth or prosperity of" or "futher[ed][,]" i.e., "promote[d][,]" the business
purposes of Mr. Singh's leasing business, the losses resulting from the accident
fall within the exclusion of the Underwriters policy.
25
Canal Ins. Co., 333 F. Supp. 2d at 355. We agree. See Standard Venetian Blind
Co., 469 A.2d at 567 (stating exclusions from coverage effective against
insured if clearly worded and conspicuously displayed, irrespective of whether
the insured read limitations or understood their effect); cf. Ayers v. Kidney, 333
F.2d 812, 813 (6th Cir. 1964) (ruling exclusion "while the automobile or any
trailer attached thereto is used to carry property in any business" clear and
unambiguous); Wenkosky v. Protective Ins. Co., 698 F. Supp. 1227, 1230-31
(M.D. Pa. 1988) (holding exclusion "[w]hile the automobile or any trailer
attached thereto is used to carry property in any business" is unambiguous)
(emphasis in text).
26
Canal, however, does not contend it was unreasonable for the District Court to
interpret the plain meaning of "business purposes" to include Singh's desire to
trade or sell the Tractor. See Aplt. Br. at 19. Rather, it maintains that
Underwriters' business use exception relating to acts promoting the business
purposes of the insured is overly broad and ambiguous. This is because the
exception can be reasonably construed to mean that only acts related to or
furthering the business of a commercial carrier (such as BIR) are subject to
exclusion; not acts merely related to selling or trading the Tractor. Id. In other
words, "traveling to negotiate a possible sale or trade of a vehicle is not
`business use' since it does not relate to a carrier-directed activity and is not
maintenance or repair of the vehicle." Aplt. Rep. Br. at 4. Thus, the question we
must resolve is whether Canal's alternative interpretation of Underwriters'
business use exclusion renders the exception ambiguous with regard to the facts
of this case. Complicating this determination is the absence of controlling state
precedent.
27
28
Canal contends that Mr. Singh is an independent interstate truck driver; his
business is driving a commercial tractor-trailer to transport the goods of thirdparties on behalf of a commercial carrier. Mr. Singh does not make his living
leasing vehicles as a dealership or rental agency might. Also, rather than
functioning as a salaried employee of BIR and using a BIR-owned tractor, Mr.
Singh chose to purchase his own tractor and enter into a leasing arrangement
with BIR whereby Mr. Singh would be responsible for his own vehicle
presumably in return for a greater share of the profit.
29
30
The weight of relevant authority does not support Canal's reasoning. "Business
use" and "business pursuits" exclusions are standard clauses in many insurance
policies, including homeowners', personal umbrella, and other general liability
policies. See generally Construction and Application of "Business Pursuits"
Exclusion Provision in General Liability Policy, 48 A.L.R. 3d 1096 2 (West
2005). In a typical policy, the insurer states that personal liability coverage
shall not apply "to bodily injury or property damage arising out of business
pursuits of any insured except activities therein which are ordinarily incident to
nonbusiness pursuits." See, e.g., Bullock v. Pariser, 311 Pa. Super. 487, 457
A.2d 1287, 1288 (1983). "The purpose of a `business pursuits' exclusion is to
help the insurer keep premiums at a reasonable level by eliminating a type of
coverage that (1) normally requires specialized underwriting and rating, (2) is
not essential to most purchasers of the policy, and (3) is provided by other
insurance contracts a business owner is likely to have." Avoiding the "Business
Pursuits" Exclusion Insured's Activity as Not Business Pursuit, 15 Am. Jur.
Proof of Facts 3d 515 1 (West 2005); see also Rykill v. Franklin Fire Ins.
Co., 80 Pa. Super. Ct. 492, 494 (1923) (stating "[i]t is a matter of common
knowledge that the premium rate of insurance upon automobiles used for
commercial purposes is higher than on cars used for pleasure. The obvious
reason for this is the increased hazard.").
31
32
The Court expressly rejected PIGA's argument that, "because the [child care]
business can operate profitably with or without a guard dog, . . . the purchase
and maintenance of a guard dog is not, itself, a business pursuit," stating that
[w]e find this argument to be entirely unconvincing. The fact that a business
might continue to make a profit in the absence of any number of activities
conducted in furtherance of its interests does not prevent such activities from
being "business pursuits." For example, a retail store may make a profit while
employing only one salesperson, yet the hiring of a second salesperson is
clearly a "business pursuit."
33
Id. at 1289. On the basis of this reasoning, the Court held that the defendants
need not be in the "security dog" business in order for the business pursuits
exclusion of their homeowner's policies to apply.
34
Here Canal contends that, because Singh is neither in the truck leasing business
(though in fact he undoubtedly is) nor the truck sales business (which he
undoubtedly is not), the business uses exception cannot apply to his attempt to
In this case, these criteria are satisfied. The alleged liability arose from an
endeavor the possible trade or sale of a commercial vehicle that was an
exclusively business-related activity. Singh himself testified that the sole
purpose of the trade or sale of the Tractor was to further or promote his
business interests.2 See Sun Alliance Ins. Co. of Puerto Rico v. Soto, 836 F.2d
834 (3d Cir. 1988) (relying on the testimony of an insured in order to determine
the coverage question against him).
36
37
38
Sun Alliance Ins. Co., 836 F.2d at 836. The Travelers Court concluded that the
continuity element was clearly satisfied: "The [defendant parents] took care of
[the victim child] on a daily basis over the course of more than four years.
Thus, the time of the babysitting services was neither irregular nor of limited
duration." Travelers Indem. Co., 825 F. Supp. at 85. Because "the [defendant
parents] agreed to babysit on a full-time basis as a means of gaining temporary
income while [the defendant dad] was laid off from his customary job" and
there was "no dispute that the [defendants] were motivated by a desire for
compensation," the Court further held that the babysitting services satisfied the
profit motive element of the "business pursuits" exclusion. Id. As a result, the
non-commercial homeowner's policy did not provide coverage for claims made
by the victim child's family in the underlying tort action.
39
40
41
Canal Ins. Co., 333 F. Supp. 2d at 356-57 (internal citations omitted). The
Court expressly declined Canal's invitation to look beyond the "plain and
unambiguous language of the policy in order to scrutinize what Mr. Singh's
expectations may have been regarding coverage" because Canal "advanced no
argument that Underwriters' policy terms were not readily apparent or that there
was deception by the insurance agents." Id. at 357.
43
44
Pennsylvania case law . . . dictates that the proper focus for determining issues
of Insurance coverage is the reasonable expectations of the insured. In most
cases, the language of the insurance policy will provide the best indication of
the content of the parties' reasonable expectations. Courts, however, must
examine the totality of the insurance transaction involved to ascertain the
reasonable expectations of the insured. As a result, even the most clearly
written exclusion will not bind the insured where the insurer or its agent has
created in the insured a reasonable expectation of coverage. However, this
aspect of the doctrine is only applied "in very limited circumstances" to protect
non-commercial insureds from policy terms not readily apparent and from
insurer deception. Absent sufficient justification, however, an insured may not
complain that his or her reasonable expectations were frustrated by policy
limitations that are clear and unambiguous.
45
Liberty Mut. Ins. Co. v. Treesdale, Inc., 418 F.3d 330, 344 (3d Cir. 2005)
(internal citations and quotations omitted). In this context, the District Court's
refusal to look beyond the plain meaning of the unambiguous exclusionary
language to Singh's reasonable expectations is consistent with the interpretation
of Pennsylvania case law in our Circuit.
C. Public Policy Considerations
46
48
49
Id. at n.7.
50
The same analysis necessarily applies here. Canal advances no argument that
Underwriters' exclusion is unconscionable. Therefore, the question is not
whether the insurance industry should be allowed to issue non-trucking liability
policies containing extremely broad business use exclusion clauses. Rather, it is
whether the business use exclusionary clause by its terms operated to relieve
Underwriters of its obligation to indemnify Singh in the Espenshade suit.
51
The District Court did not address whether Canal's public policy arguments
[Canal] also argues that public policy supports its argument that the phrase is
ambiguous. For this proposition, [Canal] cites Lincoln General Ins. v. Liberty
Mut. Ins. Co., 804 A.2d 661 (Pa. Super. Ct. 2002) and Connecticut Indemnity
Co. v. Stringfellow, 956 F. Supp. 553 (M.D. Pa. 1997). The Court will assume
that indeed there is a public policy to ensure a source of compensation for
injured parties when a lease agreement, common in the trucking industry, might
create confusion over who would be responsible for accidents. However, there
are statutory and regulatory mandates, such as those discussed in Prestige
Casualty, 99 F.3d at 1342[,] and Carolina Casualty Ins. Co. v. Ins. Co. Of
North America, 595 F.2d 128, 134-35 (3d Cir. 1979)[,] in place in recognition
of this policy. Moreover, given that the injured parties in this case have already
been compensated, the public policy favoring compensation has been
vindicated.
53
333 F. Supp. 2d at 357 n.5. The Court is correct that public policy ensures a
source of compensation for injured parties when a lease agreement might lead
to a gap in coverage and statutory and regulatory mandates are in place that
demand the provision of such compensation. Pursuant to 49 U.S.C. 13906(a)
(1), 31139(b)(2) and 49 C.F.R. 387 (the federal statutory and regulatory
provisions discussed in Prestige Casualty and Carolina Casualty), an MCS-90
endorsement must accompany any liability policy issued to a registered motor
carrier.4 Indeed, Canal concedes that the mandatory MCS-90 endorsement
accompanying its policy with BIR required it to indemnify and defend BIR in
the Espenshade suit. Moreover, the undisputed fact that the parties injured in
this case have been compensated counsels against any argument that a ruling in
favor of no coverage on the basis of a business use exclusion in a non-trucking
policy severely undermines the long-standing public policy favoring victim
compensation. Canal is correct, however, that if its insurance policy does not
apply to Singh's trucking activity at the time of the Espenshade suit, there is a
broad gap of coverage here because, under those circumstances, neither Canal
nor Underwriters was obligated to defend or indemnify Singh. The question
then becomes whether such a gap in coverage offends Pennsylvania public
policy.
54
56
[t]he repeal of the No-Fault Act . . . and the enactment of the MVFRL reflected
a legislative concern for the spiraling consumer cost of automobile insurance
and the resultant increase in the number of uninsured motorists driving on
public highways. The legislative concern for the increasing cost of insurance is
the public policy that is to be advanced by statutory interpretation of the
MVFRL. This reflects the General Assembly's departure from the principle of
"maximum feasible restoration" embodied in the now defunct No-Fault Act.
57
Burstein v. Prudential Property and Cas. Ins. Co., 570 Pa. 177, 809 A.2d 204,
207 (Pa. 2002). The Court went on to say that "[i]ndeed, the Legislature's
concern for the increasing cost of automobile insurance and the parallel aim of
cost containment are easily gleaned from the legislative history of the
MVFRL." Id. While the Court recognized "that other public policies may
underlie the MVFRL, the legislative concern for the spiraling consumer cost of
automobile insurance is its dominant and overarching public policy." Id. at 207
n. 4. Because Pennsylvania's Supreme Court points out that the purpose of
MVFRL is to control the cost of consumer auto insurance, not "maximum
feasible restoration" to accident victims, Canal's submission that any gap in
insurance coverage created by Underwriters' business use exclusion conflicts
with MVFRL is unpersuasive. This is because
58
59
Id. at 207 (quoting Eichelman v. Nationwide Ins. Co., 551 Pa. 558, 711 A.2d
1006, 1008 (Pa. 1998)) (emphases added); see also Hall v. Amica Mut. Ins. Co.,
538 Pa. 337, 648 A.2d 755, 760 (Pa. 1994). Given that (1) controlling state case
law indicates that public policy considerations do not apply here because this is
a case of contract interpretation, Madison, 735 A.2d at 108 n.7, (2) there are no
uncompensated victims here, cf. Paylor v. Hartford Ins. Co., 536 Pa. 583, 640
A.2d 1234, 1240 (Pa. 1994) (stating application of public policy concerns in
determining the validity of an insurance exclusion depends on the factual
circumstances presented in each case), and (3) Canal has pointed to no state or
federal statute that is offended by the potential gap in coverage due to
Underwriters' exclusion, the gap created by Underwriters' broad exclusionary
language is a matter for the Pennsylvania legislature.
*****
60
61
For the reasons explained above, we affirm the District Court's ruling that
Underwriters' broad "business use" exclusionary language, which prohibits
"any use of the covered auto that promotes the business purpose of the
[i]nsured," unambiguously denies coverage to Singh for liability arising from
the Espenshade accident. We also affirm the District Court's determinations
that neither the doctrine of reasonable expectations nor Pennsylvania public
policy make Underwriters liable for the accident.
Notes:
*
Honorable Alan D. Lourie, Circuit Judge for the United States Court of
Appeals for the Federal Circuit, sitting by designation
The parties are diverse and the amount in controversy exceeds the jurisdictional
requirement. Thus, the District Court properly asserted subject matter
jurisdiction pursuant to 28 U.S.C. 1332. We have jurisdiction pursuant to 28
U.S.C. 1291
2
that would require less maintenance than it was to have the 1996 truck that
required a lot of maintenance.
[A] Yeah.
(Emphases added.)
3
BothMatcon Diamond and Reliance Ins. Co. cite Madison at footnote 8 for the
proposition that when the question is one of contract interpretation, public
policy arguments are irrelevant. Language to this effect in Madison is actually
found in footnote 7 of the opinion. See Madison, 735 A.2d at 108 n.7.
final judgment recovered against the insured as provided herein, the judgment
creditor may maintain an action in any court of competent jurisdiction against
the company to compel such payment.
Id. The MCS-90 endorsement is, in effect, suretyship by the insurance carrier to
protect the public a.k.a. a safety net. T.H.E. Ins. Co. v. Larsen Intermodal
Servs., Inc., 242 F.3d 667, 672 (5th Cir. 2001) (noting that "[t]he First Circuit
has aptly described the obligation placed upon the insurer by the MCS-90 as
one of suretyship"). Thus, an insurer's responsibilities under the endorsement
are triggered when the policy to which it is attached does not provide coverage
to the insured. The peculiar nature of the MCS-90 endorsement grants the
judgment creditor the right to demand payment directly from the insurer, and
simultaneously grants the insurer the right to demand reimbursement from the
insured.