Vol. 70, No. 6, June 1997
The Supreme Court Revisits
the Meaning of Damages
in a CGL Insurance Policy
By Jon G. Furlow
It is the hallmark of insurance litigation to quibble over the meaning
of words and phrases which to most seem at first glance to be quite clear.
But look hard enough (and glance at the size of the policyholder's claim)
and words can assume many meanings. Nowhere is this more common than in
insurance disputes over environmental claims.
In Hills and WPS the Wisconsin Supreme Court
revisits the School District of Shorewood and City of Edgerton
decisions involving the meaning of the word "damages" in comprehensive
general liability insurance policies. |
The Wisconsin Supreme Court added another twist to the world of environmental
insurance in its recent decisions in General Casualty Co. v. Hills 1 (Hills) and Wisconsin Public Service Corporation
v. Heritage Mutual Insurance Co. 2 (WPS)
that refined the scope and meaning of the word "damages" in a
standard form comprehensive general liability (CGL) insurance policy. In
cases that call into question the continued vitality of the court's controversial
decisions in School District of Shorewood v. Wausau Insurance Companies
3 and City of Edgerton v. General Casualty
Co.,4 the court announced in unanimous decisions
that businesses which are liable to a nongovernment party for costs to investigate
and remediate contamination can look to their CGL insurance policies for
coverage to pay the losses. Along the way, Chief Justice Abrahamson made
it clear in her concurring opinion that it was time to overrule Shorewood
and recognize the limited application of the City of Edgerton decision.
Hills and WPS provide some clear guidance that will be
useful when handling future environmental claims. But first, a review of
the policy language and the Shorewood and City of Edgerton cases
will put the recent decisions into context.
History: Insurance policies, Shorewood and Edgerton
The decisions in Hills and WPS interpreted the scope and
meaning of the word "damages" - a word commonly used in the insuring
clause of standard form CGL insurance policies to describe what the insurance
company will pay. The typical CGL insuring clause reads:
"The company will pay on behalf of the insured all sums which the
insured shall become legally obligated to pay as damages because of
- "A. bodily injury or
- "B. property damage
- "to which this insurance applies, caused by an occurrence, and
the company shall have the right and duty to defend any suit seeking damages."
The meaning of the word "damages" is important in two respects:
1) in order for the insurance company to become obligated to pay for defending
the claim against the policyholder, there must be a "suit seeking damages";
and 2) regardless of whether there is a "suit seeking damages,"
the insurance company still must indemnify the policyholder for bodily injury
and property damage if the policyholder is obligated to pay "damages."
One would think that such an important word would have a clear meaning.
Not so.
In most cases, the word "damages" is not defined in insurance
policies. Thus, it is not surprising that insurance companies and policyholders
nationwide have bitterly disputed the meaning of this undefined word, particularly
in the context of environmental claims. Across the nation, courts regularly
decide disputes over the meaning of this word. Clarity is not a hallmark
of these decisions. And although the trend seems to be that environmental
costs are considered "damages," the courts are inconsistent: some
find that environmental investigation and response costs are "damages"5; others conclude the opposite.6
The distinction is important because the costs to defend environmental claims
can be enormous and the indemnity payments on them can reach into millions
of dollars in damages.
The Wisconsin Supreme Court joined the debate over the meaning of "damages"
in Shorewood, a case that did not involve an environmental claim.
In Shorewood a school district was sued for declaratory and injunctive
relief arising from racial segregation. The school district sought to recover
its costs of defense and indemnity under its CGL insurance policies because
the lawsuit against it was a "suit seeking damages." At first
the court agreed, issuing a four-three opinion authored by now Chief Justice
Abrahamson.7 Concluding that the word "damages"
should not have a technical meaning, but should be read broadly to accommodate
the reasonable expectations of a layperson who was purchasing the insurance,
the court determined that from "the viewpoint of the lay insured, the
term as thus defined could reasonably include all monetary relief necessary
to remedy a legal wrong."8
Put another way, so long as a claim is made against the policyholder
that requires it to pay money to remedy a legal wrong, there are "damages"
within the meaning of a CGL policy. This meant that the Shorewood school
district could recover its defense costs under its insurance CGL policy,
and the CGL policy would cover the costs of complying with the injunction
and paying the plaintiff's attorney fees, which were authorized by statute.
That decision, though, was short-lived as the court completely reversed
itself three months later on rehearing.
In an opinion authored by Justice Callow (one of the original dissenters),
and over the dissent by Justice Abrahamson, the court held on rehearing
in Shorewood that the scope of the term "damages" is more
limited. Rather than extend to all monetary relief necessary to remedy any
legal wrong, the court decided that the term "damages" is limited
to compensation for past wrongs, not the costs of complying with an injunctive
decree which is preventive in nature.9 The original
opinion by Justice Abrahamson was withdrawn and replaced by Justice Callow's
opinion.
As a result of Shorewood, the defense costs for a preventive injunction
action were not covered, nor were the prevailing party's attorney fees covered,
nor the costs of complying with the settlement agreement from the litigation,
such as costs for remedial education programs. The Shorewood court
also anticipated the problem of environmental costs. The school district
had argued that coverage for environmental cleanup costs (permitted at the
time by many courts outside of Wisconsin) was analogous to coverage for
remedying past racial segregation. The court declined to address that issue.
Noting that the issue had never been addressed by a Wisconsin court, the
Shorewood court decided that "such an important issue should
not be decided in a cursory fashion by this court."10
However, in 1995 that issue did come before the court in City of Edgerton.11
The policyholders in City of Edgerton owned a leaky landfill.
When the state and federal environmental agencies requested information
from the policyholders and requested, under threat of fines and penalties,
that the policyholders take remedial action at the landfill, the policyholders
looked to their insurance companies to provide a defense under form CGL
policies, claiming the letters from government agencies were "a suit
seeking damages." In a four-three opinion, the supreme court in City
of Edgerton reversed the court of appeals and held that no defense was
required because the policyholder was not sued but only received coercive
letters requiring cleanup.
Since the policyholder in City of Edgerton was only seeking a
defense under the insurance policies, this ruling as to "suit"
should have ended the case. After all, for purposes of a defense (remember,
no "suit" is required in a request for indemnification), if you
have no "suit" there cannot be a "suit seeking damages"
and, thus, whether "damages" are sought is beside the point. But
the City of Edgerton court forged ahead and picked up where Shorewood
left off with the definition of "damages" in the context of an
environmental claim. Relying on Shorewood, the court defined "damages"
as "legal compensation for past wrongs or injuries and ... generally
pecuniary in nature," which excludes the costs of complying with an
injunction. According to the court, this meant that environmental remediation
and response costs were not "damages" because such costs were
equitable in nature, not designed as compensation for past wrongs.12
In effect, this result in City of Edgerton applied the Shorewood
distinction between preventive injunctions and compensatory remedies.
In so doing, the only environmental costs that qualified as "damages"
were natural resource damages available under 42 U.S.C. section 9607(a)(4)(C),
and presumably, any state equivalent. Justice Abrahamson led the three dissenters,
pointing in particular to the court of appeals decision for analysis on
both the suit and damages issue.13 The result
of City of Edgerton was that insurance coverage was unavailable to
a landfill owner because the costs to investigate and remediate the landfill
were not "damages" but were injunctive relief. The practical implications
were sobering: insurance no longer was available to contribute to what have
become staggering costs of cleanup for contamination.
Then came Don Hills and Wisconsin Public Service.
Hills and WPS: The Practical Consequences of Shorewood
and City of Edgerton
Waste oil from Mr. Hills' business was sent for recycling to a site in
Minnesota known as the Arrowhead site. When the site became contaminated,
Arrowhead entered into a consent decree with the United States Environmental
Protection Agency (USEPA) to clean up the site. Arrowhead then sued Hills,
and hundreds of other parties, under state, federal and common law for recovery
of the response costs that Arrowhead had incurred to remediate the site.
Mr. Hills tendered the defense and indemnity of the lawsuit to his insurance
company, General Casualty Co., which had issued a series of "combination
service station" and "garage" insurance policies that covered
suits seeking "damages." General Casualty sued Hills, seeking
a declaration that it had no duty to defend or indemnify Hills because response
costs were not damages. The circuit court granted summary judgment for General
Casualty based upon City of Edgerton.
The context of WPS was different, but raised the same question
about the meaning of the term "damages" in an insurance policy.
The claim arose when Helmreich, an independent contractor working for WPS,
cut an underground fuel oil pipe while installing a gas service line to
a building owned by the Tomahawk School District. Under order by the Wisconsin
DNR, the contamination was investigated and remediated with WPS paying the
bills. WPS sued Helmreich's insurance company, Heritage Mutual Insurance
Co., for recovery of the costs it had paid to remediate the contamination.
Like General Casualty in Hills, Heritage Mutual filed a summary judgment
motion claiming that according to City of Edgerton, investigation
and remediation costs were not "damages." The circuit court agreed,
dismissing the WPS case.
The circuit court decisions in Hills and WPS were hardly
remarkable given the supreme court's fresh decision in City of Edgerton.
After all, the insurance industry was reading City of Edgerton to
mean that costs of investigation and remediation of contamination can never
be "damages" as that term is used (but not defined) in a CGL insurance
policy. Still, the City of Edgerton decision was not without its
critics, including Hills and WPS, which next stopped at the
court of appeals to attempt the impossible: distinguish this decision which
the insurance industry was convinced (and had convinced many) was indistinguishable.
After all, how could an unambiguous word like "damages" have multiple
meanings?
What followed was the first significant departure from the broad reading
of the City of Edgerton decision. In opinions released the same day,
the court of appeals reversed the circuit courts in both Hills and
WPS. 14 As to Hills, the court of
appeals noted that unlike the landfill in City of Edgerton, the contamination
was not on property owned or controlled by Hills. Although not explicitly
stated, this was important so as not to run afoul of the "owned property
exclusion" in the policy. The court of appeals then noted that Hills
was not being required to investigate or remediate, only to contribute
to the costs of that activity performed by the site owner. From this the
court of appeals concluded that the remedy sought was not injunctive and,
thus, falls outside of City of Edgerton.15
The reasoning in WPS was tied to different facts, but reached
the same coverage result. Unlike Hills, which sent waste oil to the
Arrowhead site, WPS was not a tortfeasor that had caused the contamination.
It simply was seeking reimbursement for investigation and remediation costs
it had paid as a result of the negligence of its independent contractor,
Helmreich, who cut the fuel line. This was an easy case not only distinguishable
from City of Edgerton but controlled by Nischke v. Farmers &
Merchants Bank & Trust, 16 a case decided
after City of Edgerton. Nischke held that a landowner can recover
the costs of investigation and remediation as an element of legal damages
from the tortfeasor that caused the contamination. In WPS the court
of appeals rejected the claim by Heritage that City of Edgerton automatically
foreclosed recovery of environmental investigation and remediation costs.
Instead, the court of appeals held (again noting that the policyholders
in City of Edgerton owned the land) that a landowner is entitled
to recover from the tortfeasor's insurer those costs incurred to repair
third party property "regardless of whether the government directed
the environmental cleanup."17
The Wisconsin Supreme Court:
Back to the Drawing Board
Apart from the results, the most remarkable part of the court of appeals'
decisions in Hills and WPS was the clear indication that City
of Edgerton should not be read to automatically foreclose recovery of
environmental investigation and response costs. But that raises a curious
dilemma: If City of Edgerton is to be believed, the word "damages"
is unambiguous. How could it mean environmental response costs in some cases,
but not others? Enter the Wisconsin Supreme Court. Consolidating both cases,
and hearing argument only on Hills, the Wisconsin Supreme Court affirmed
both cases in unanimous decisions. In Hills the supreme court held
that the suit against Hills seeks "damages" because Arrowhead
and others (parties other than the EPA or the DNR) were seeking monetary
relief for losses they incurred due to Hills' alleged past contamination
of their property.18 The Hills decision
was controlling in WPS where the court held that WPS had coverage
because WPS (not EPA or DNR) was seeking recovery for damages that the insured,
Helmreich, caused by contaminating property that he does not own or control.
Both decisions focused closely on the particular facts of the appeals,
and did not stray into related questions or visit the broader practical
implications of the decisions. Yet it cannot go without notice that the
thunder of City of Edgerton was quieted. Now it seems clear that
costs to clean up contaminated property can be "damages" for insurance
purposes:
"It has long been the law of this state that the cost of repairing
and restoring damaged property and water to its original condition is a
proper measure of compensatory damages."19
The court noted that the classification of the action as equitable or
legal is not relevant to the determination of whether the remedy sought
constitutes "damages." The court also emphasized that its interpretations
are in accord with the insured's reasonable expectations.
This seems simple enough, but maybe not. The court did not expressly
overrule City of Edgerton or Shorewood.. The court actually
restated the basic inquiry from those cases: "[W]e must consider the
nature of the relief being sought - whether it is remedial, substitutionary
relief that is intended to compensate for past wrongs, or preventive and
focusing on future conduct."20 The court
then pointed out how Hills and WPS were distinct from City
of Edgerton and Shorewood in three ways: 1) neither EPA nor DNR
ordered Hills to develop a remediation plan or incur remediation costs under
state or federal law; 2) the contamination was not on the Hills property
and, thus, not within the owned property exclusion; and 3) unlike Shorewood,
Hills was not sued to comply with an injunction. Yet, it is unclear how
these three distinctions could matter to the meaning of the term "damages."
The first distinction is factually correct; but does it make a legal
difference? Accepting the explicit statement in Hills that the focus
is on the interpretation of the insurance policy, not on environmental law,
it should not matter whether it is a public agency or private party that
requires a policyholder to incur the costs to clean up the contamination
and thereby restore the environment. This is particularly important in Wisconsin
where the DNR is entrusted by the Legislature to safeguard and protect the
environment by directing the parties responsible for the contamination to
restore the environment.21 It would be peculiar
indeed to tie the existence of coverage to the claimant's status. The only
time this should make a difference is when there is a specific policy exclusion
or term relating to claims by a government agency. This may well be the
reason for the court's distinction because, in the WPS case, there
was a pollution exclusion in the policy for directives from a government
agency.
The second distinction by the court, the owned property exclusion, distinguishes
City of Edgerton (recall the policyholder owned the landfill), but
it does not seem to impact upon the meaning of the term "damages"
in the CGL insuring clause. Rather, the owned property exclusion is a typical
policy exclusion that can in certain circumstances prevent a policyholder
from recovering under the CGL policy for damage to property owned or occupied
by the policyholder. Whether the claim involves property owned or occupied
by the policyholder should not affect whether the claim seeks "damages."
Accordingly, while this second distinction sets Hills and WPS
apart from City of Edgerton, it does not directly inform the "damages"
question.
The court's third distinction based upon the injunctive relief holding
in Shorewood is accurate, but also is curious. The court said in
Hills that the form of action should not matter so long as the nature
of the remedy seeks compensation for past losses. Yet, there can be little
doubt that money spent to investigate and remediate contamination (whether
paid directly by the policyholder or paid to a third party as reimbursement)
has as its primary goal to restore the soils and groundwater to their prior,
uncontaminated condition. Surely, this is a form of compensation for past
losses, whether the money spent is in response to an injunctive order or
otherwise. It would elevate form over substance to find there is coverage
when a policyholder like Mr. Hills is sued in a contribution case to fund
this cleanup, but then deny coverage when the policyholder pays the money
directly to put the same remedy in place at the direction of a government
agency.
The Remains of Shorewood and City of Edgerton
One could reasonably conclude that after WPS and Hills,
the City of Edgerton case means only that a letter from a government
agency is not a suit that entitles a policyholder to a defense, and that
a general liability policy with an owned property exclusion does not cover
investigation and remediation on the policyholder's own property (however
that might be defined).22 Any broader reading
would seem to conflict with the principles underlying Hills and
WPS. As Chief Justice Abrahamson suggested in her concurring opinion
in Hills, the "damages" discussion in City of Edgerton
was dictum anyway.
Deciding what remains of Shorewood is murky. Since it was not
overruled, Shorewood still would control in a suit for declaratory
and injunctive relief for racial segregation, where plaintiffs requested
attorney fees. But what if the school district had filed a third party suit
against another tortfeasor seeking monetary contribution for the remedy?
Without an injunction facing the tortfeasor, the Hills decision suggests
that the tortfeasor may have coverage because there is a "suit seeking
damages"; for example, the defendants would be seeking pecuniary compensation
(that is, contribution to the pool of funds) to remedy the tortfeasor's
past wrongs. In fact, the tortfeasor might look to Hills and point
out that the absence of the injunction demonstrates that Shorewood
does not apply to the tortfeasor's case. Suddenly, the form of the action
would make a difference. This seems difficult to justify.
Perhaps these problems are what led to Chief Justice Abrahamson's observation
in her concurring opinion that she would not leave Shorewood and
Edgerton to be overruled "in small measures by debatable judicial
distinctions," but would "embrace the inevitable now by expressly
overruling Shorewood and thereby recognizing the limited application
of the Edgerton decision on damages."23
Clear Answers Given in Hills and WPS
So long as there are lawyers and insurance companies, questions will
continue over the application of insurance coverage to environmental costs.
There are, though, some reasonably clear answers when confronting a question
of whether a standard CGL policy provides coverage for environmental costs:
- Receipt of a letter from the EPA or DNR requesting a party to propose
a remediation plan does not constitute a "suit." 24
- Claims for natural resource damages are covered as "damages"
under City of Edgerton. 25
- Claims for defense (and maybe indemnity) in private party lawsuits
seeking recovery for investigation and cleanup costs under state and federal
statute probably are covered. 26
- Claims by a private party against a tortfeasor's insurance company
for recovery of costs incurred by the private party to investigate and
remediate contamination caused by that tortfeasor likely are covered. 27
- Claims by a policyholder for coverage of claims by neighboring landowners
for loss of land value due to contamination should be a "suit seeking
damages."
The Future
There is little doubt that Hills and WPS provide some clear
guidance about the application of CGL policies to at least some types of
environmental claims. But judging by the discussion in the opinions, and
the concurring opinion of Chief Justice Abrahamson, questions remain unanswered.
It appears that there continue to be differences among court members over
the proper application of the word "damages" to situations other
than those presented by the facts of Hills and WPS. Yet, through
all of this, one well-worn principle may guide the way in future cases:
deciding the policy interpretation in accord with the expectations of a
reasonable person in the position of the insured.
|
Jon G. Furlow is a partner in the litigation group at the Madison office
of Michael Best & Friedrich. The firm was involved in submitting amicus
curiae briefs in both the City of Edgerton and Hills cases.
Furlow's practice involves complex commercial disputes, with a focus on
environmental litigation. He thanks his colleagues Don Best and Cindy Smith
for their assistance in preparing this article.
|
This fundamental insurance principle was emphasized explicitly by the
court in Hills and WPS, and appears to have controlled the
results of the decisions. One is left to wonder, though, if this principle
will be swallowed up as courts in later cases work to apply the fine distinctions
made in Hills and WPS between "preventive injunctions,"
"compensatory monetary relief," "pecuniary losses,"
"remedial substitutionary relief" and so on. That would be the
type of mistake it appears Chief Justice Abrahamson wanted to avoid when
she called to overrule Shorewood and limit City of Edgerton.
It also is a mistake that takes a step away from the focus on the reasonable
policyholder. Policyholders do not carefully weigh these legal distinctions
when they have lunch with their insurance representatives and purchase a
CGL policy. They think they are buying a comprehensive general liability
policy. Nor is it reasonable to believe that insurance executives contemplated
and understood these fine differences when they decided not to define the
word "damages." After all, if it was so clear that the word "damages"
in the insuring clause was not intended to cover costs associated with pollution
claims, why did the insurance industry add a separate pollution exclusion
to the CGL policy?
This does not mean that the words of a policy should not be given meaning.
But it does mean that the proper focus should be on how the reasonable insured
looks at those words, not what the insurer chooses them to mean. The Wisconsin
Supreme Court has reminded us of that in Hills and WPS.
Endnotes
1 General Cas. Co. v. Hills, No. 95-2261
(Wis. Apr. 22, 1997).
2 Wisconsin Pub. Serv. Corp. v. Heritage
Mut. Ins. Co., No. 95-2109 (Wis. Apr. 22, 1997).
3 School Dist. of Shorewood v. Wausau Ins.
Co., 170 Wis. 2d 347, 488 N.W.2d 82 (1992).
4 City of Edgerton v. General Cas. Co.,
184 Wis. 2d 750, 517 N.W.2d 463 (1994), cert. denied, 115 S. Ct. 1360, 2615
(1995).
5 E.g., Independent Petrochemical Corp.
v. Aetna Cas. & Sur. Co., 944 F.2d 940 (D.C. Cir. 1991), cert. denied,
112 S. Ct. 1777 (1992).
6 E.g., Continental Ins. v. Northeastern
Pharm. & Chem. Co., 842 F.2d 977 (8th Cir. 1988), cert. denied sub
nom, 488 U.S. 821 (1988).
7 School Dist. of Shorewood v. Wausau Ins.
Co., 168 Wis. 2d 390, 484 N.W.2d 314 (1992), withdrawn on motion for
reconsideration, 170 Wis. 2d 347, 488 N.W.2d 82 (1992).
8 Id. at 414, 484 N.W.2d at 322.
9 School Dist. of Shorewood v. Wausau Ins.
Co., 170 Wis. 2d 347, 368, 488 N.W.2d 82 (1992).
10 Id. at 374.
11 Edgerton v. General Cas. Co., 184
Wis. 2d 750, 517 N.W.2d 463 (1994).
12 Id. at 782-86.
13 Edgerton v. General Cas. Co., 172
Wis. 2d 518, 493 N.W.2d 768 (Ct. App. 1992).
14 General Cas. Co. v. Hills, 201
Wis. 2d 1, 548 N.W.2d 100 (Ct. App. 1996); Wisconsin Pub. Serv. Corp.
v. Heritage Mut. Ins. Co., 200 Wis. 2d 821, 548 N.W.2d 544 (Ct. App.
1996).
15 Hills, 201 Wis. 2d at 10-12, 548
N.W.2d at 103-04.
16 Nischke v. Farmers & Merchants
Bank & Trust, 187 Wis. 2d 96, 522 N.W.2d 542 (Ct.App. 1994).
17 Wisconsin Pub. Serv. Corp., 200
Wis. 2d at 833, 548 N.W.2d at 548-49.
18 Hills, No. 95-2261, slip op. at
17-18.
19 Id., slip op. at 13.
20 Id., slip op. at 12.
21 State v. Mauthe, 123 Wis. 2d 288,
302, 366 N.W.2d 871 (1985); Wisconsin's Env'l Decade v. DNR., 115 Wis. 2d
381, 414, 340 N.W.2d 722 (1983).
22 See e.g. Robert E. Lee & Assoc.
Inc. v. Peters, 206 Wis. 2d 508, 526, 557 N.W.2d 457, 464 (Ct. App.
1996) (damages to groundwater under property not excluded under owned property
exclusion).
23 Hills, No. 95-2261 (Abrahamson,
S., concurring).
24 Hills, No. 95-2261, slip op. at
15.
25 Edgerton, 184 Wis. 2d at 784-85,
517 N.W.2d at 478.
26 Hills, No. 95-2261.
27 Wisconsin Pub. Serv., No. 95-2109. |