Society of Roman Catholic Church of Diocese of Lafayette and Lake Charles, Inc. v. , 26 F.3d 1359 ( 1994 )


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  •          IN THE UNITED STATES COURT OF APPEALS
    FOR THE FIFTH CIRCUIT
    _____________________
    No. 93-4068
    _____________________
    THE SOCIETY OF THE ROMAN CATHOLIC CHURCH OF THE
    DIOCESE OF LAFAYETTE AND LAKE CHARLES, INC.,
    Plaintiff-Appellee-Cross
    Appellant-Appellant and
    Cross-Appellee,
    versus
    INTERSTATE FIRE & CASUALTY CO., ET AL.,
    Defendants,
    ARTHUR J. GALLAGHER & COMPANY AND GALLAGHER
    BASSETT SERVICES, INC.,
    Defendants-Appellees-Cross
    Appellants,
    versus
    INTERSTATE FIRE & CASUALTY COMPANY,
    Defendant-Appellee-Cross
    Appellee and Cross-
    Appellant,
    versus
    ALLEN GODFREY LEE AND LLOYD'S OF LONDON,
    Defendants-Appellees-Cross
    Appellees,
    versus
    PACIFIC EMPLOYERS INSURANCE COMPANY,
    Defendant-Third Party
    Plaintiff-Appellee-Appellant
    and Cross-Appellee,
    and
    FIREMAN'S FUND INSURANCE,
    Defendant-Appellee-Appellant
    and Cross-Appellee,
    and
    PREFERRED RISK MUTUAL INSURANCE COMPANY,
    Defendant-Appellee-Appellant
    and Cross-Appellee,
    and
    CENTENNIAL INSURANCE COMPANY,
    Defendant-Appellee,
    versus
    HOUSTON GENERAL INSURANCE COMPANY,
    Defendant-Appellant-Cross-
    Appellee and Appellee,
    LOUISIANA COMPANIES, INC.,
    Third Party Defendant-
    Appellee.
    _______________________________________________________
    Appeal from the United States District Court for
    the Western District of Louisiana
    _______________________________________________________
    (July 15, 1994)
    Before REAVLEY, GARWOOD and HIGGINBOTHAM, Circuit Judges.
    REAVLEY, Circuit Judge:
    Two pedophilic priests of the Diocese of Lafayette1 molested
    thirty-one children over a period of seven years, prompting a
    1
    The Society of the Roman Catholic Church of the Diocese of Lafayette, Inc. and the Diocese of
    Lake Charles, Inc. are both appellants in this appeal. At oral argument the parties indicated that one Diocese is the
    successor of the other, so we will refer to the appellants as "the Diocese."
    2
    spate of claims from the children and their parents.                                            The Diocese
    and its insurance carriers, unable to compromise on the
    allocation of loss under the "occurrence" policies, settled the
    claims against the Diocese with contributions on a pro rata basis
    (using years of coverage as a benchmark) and agreed to let a
    court decide their coverage dispute.                               The Diocese filed a
    declaratory judgment action in state court, which was removed
    upon diversity jurisdiction to federal court.                                       The parties then
    submitted motions for summary judgment, and the court granted
    summary judgment on all claims.                            We affirm in part, reverse in
    part, and remand.
    I. Background
    The sordid picture underlying this insurance coverage
    dispute is that of two miscreant priests who subjected thirty-one
    children to extended periods of sexual molestation.                                           These
    molestations began in August of 1976 and ended in June of 1983.
    The record on appeal does not show how many times each child was
    molested, nor the extent of damage resulting from each encounter.
    The parties, however, have stipulated to the dates when the
    molestations began and ended for each child (the "grid").2                                                And
    2
    Represented as uncontested facts, Lloyd's of London presented a grid, along with its motion for
    summary judgment, listing when each child's molestation began and ended. On appeal, Houston General
    Insurance Company does not contest its accuracy, though it once did. See Cinel v. Connick, 
    15 F.3d 1338
    , 1345
    (5th Cir. 1994) ("An appellant abandons all issues not raised and argued in its initial brief on appeal.") (emphasis
    omitted). Pacific Employers' Insurance Company argues that the dates of child molestation are disputed fact
    questions. But because Pacific failed to contest the grid under the district court's local rules, it has waived any
    objection it may have had to the grid. Local Rule 2.10 ("Opposition to Summary Judgment. ... All material facts set
    forth in the statement required to be served by the moving party will be deemed admitted, for purposes of the
    motion, unless controverted as required by this rule.").
    3
    during oral argument, the parties further agreed that each child
    was molested at least once during each stipulated year of
    molestation.
    A.     The Insurance Policies
    The complexity of this case arises from the different
    periods of the Diocese's insurance coverage, primary and excess.
    Fireman's Fund Insurance Company was the primary carrier from
    1975 to 1978, and Preferred Risk Mutual Insurance Company covered
    the Diocese from 1978 through July 1981.                                     Houston General
    Insurance Company was the excess carrier from 1975 to 1979, and
    Pacific Employers' Insurance Company was the succeeding excess
    carrier through July 1981.
    In July 1981, the Diocese switched its coverage to a form of
    limited self-insurance.                       Under this self-insurance plan, the
    Diocese presented the first layer of coverage by contributing
    $400,000 to a yearly loss fund, from which the Diocese was
    responsible for the first $100,000 of each occurrence.                                                 Lloyd's
    of London's excess aggregate policy, with a $450,000 aggregate
    limit, offered the next layer of coverage.3                                       And Interstate Fire
    & Casualty's $5 million umbrella policy provided the excess
    coverage.4
    3
    Centennial Insurance Company, also a party to this appeal, participated in 20% of the Lloyd's
    policy. It did not issue a separate policy insuring the Diocese.
    4
    From the parties' appellate briefs, we are unable to determine exactly how the loss fund, the
    excess aggregate policy, and the excess policy interact. While this does not affect our analysis, the district court
    will have to determine the structure of this self-insurance plan before it can enter a final judgment.
    4
    All insurance policies are "occurrence" based policies,
    meaning their limits of coverage are capped on a per occurrence
    basis.   Under such a policy, it is the date of the occurrence,
    and not the date of the claim, that determines coverage.       When
    bodily injury results from an occurrence during a policy period,
    coverage is triggered.   This coverage extends to all resulting
    damages – both present and future – emanating from the injury.
    The policy does not, however, cover bodily injury occurring
    outside the policy period.
    Because the insurance companies and the Diocese could not
    agree on the proper definition of "occurrence," they opted to
    settle the molestation claims among themselves on a pro rata
    basis and leave the proper allocation of loss to the court.
    Accordingly, the Diocese filed a declaratory judgment action in
    state court, which was removed to federal court on diversity
    grounds.   Decision of the issues affect either the allocation of
    loss between successive primary carriers and the Diocese or
    between primary and excess carriers.
    B.   The District Court's Opinion
    1. Occurrence and First Encounter
    The district court relied on Interstate Fire & Casualty Co.
    v. Archdiocese of Portland, 
    747 F. Supp. 618
    (D. Or. 1990) to
    conclude that "occurrence" should be defined on a per child
    basis, with all subsequent molestation treated as injury
    resulting from that "occurrence."       With thirty-one children
    5
    molested, the court reasoned that there were thirty-one
    occurrences.             It also considered the parents' claims as arising
    from the same "occurrences," meaning that the parents' injuries
    did not constitute separate occurrences under the policies. The
    court allocated the loss using the "first encounter rule": the
    insurance carrier covering the Diocese during the occurrence of
    the first molestation of each child was responsible for all
    resulting damages to that child (and his parents), including
    damages from molestations occurring after the expiration of that
    carrier's policy.5
    Depending upon their interests, all parties appeal from the
    court's judgment.                 Some disagree with the court's definition of
    "occurrence"; others contest the court's use of the first
    encounter rule.
    2. The Diocese's Claim Against Gallagher and Bassett
    The Diocese sued Arthur J. Gallagher & Company, the
    insurance agent that procured the self-insurance program,
    alleging that Gallagher failed to provide full coverage above the
    loss fund as warranted.                      The court granted Gallagher's motion for
    summary judgment, and the Diocese appeals.
    The Diocese also sued Gallagher Bassett Services Inc., the
    administrator of the self-insurance plan, claiming that Bassett
    breached its obligation to properly administer the plan by
    5
    The parties submitted nine other molestation claims to arbitration, and the district court held the
    arbitration binding. No party contests this ruling on appeal.
    6
    refusing to contribute money from the loss fund toward the
    settlement of molestation claims arising before 1981.    The court
    granted Bassett's motion for summary judgment, and the Diocese
    appeals.
    3. Pacific's Claim Against Louisiana Companies
    Pacific, an excess carrier, sued its insurance agent,
    Louisiana Companies, alleging that Louisiana Companies
    misrepresented the Diocese's underlying primary coverage as
    $500,000 per year, when it was actually a three-year policy with
    a $500,000 per occurrence limit (Preferred's policy).    With
    "occurrence" defined on a per child basis and with liability
    allocated under the first encounter rule, the court concluded
    that Pacific suffered no prejudice from the alleged
    misrepresentation and granted Louisiana Companies' motion for
    summary judgment.   Pacific appeals.
    II. Analysis
    A.   Allocation of Loss Under the Insurance Policies
    With the claims by the children and their parents settled,
    we must determine the proper allocation of loss among the
    insurance companies and the Diocese.   Because this declaratory
    judgment action is based upon diversity jurisdiction, we apply
    Louisiana law in interpreting the insurance policies.
    1. Defining "Occurrence"
    7
    a. The Children's Claims
    What constitutes an "occurrence" is central to this appeal
    because each policy's limits of liability are on a per occurrence
    basis; the larger the number of "occurrences," the greater the
    loss borne by the primary insurers and the Diocese.   The Lloyd's
    policy is representative of the other policies involved in both
    its scope of coverage and its definition of "occurrence":
    Underwriters hereby agree ... to indemnify the Insured
    for all sums which the Insured shall be obligated to pay
    by reason of the liability imposed upon the Insured by
    law ... for damages ... on account of personal injuries
    ... arising out of any occurrence happening during the
    period of the Insurance.
    The term "occurrence" wherever used herein shall mean an
    accident or a happening or event or a continuous or
    repeated exposure to conditions which unexpectedly and
    unintentionally result in personal injury, or damage to
    property during the policy period. All such exposure to
    substantially the same general conditions existing at or
    emanating from one location shall be deemed one
    occurrence. (emphasis added).
    The definition of "occurrence" affords little assistance because
    "a continuous or repeated exposure to conditions" and
    "substantially the same general conditions" are malleable.   An
    "occurrence" could be the church's continuous negligent
    supervision of a priest, the negligent supervision of a priest
    with respect to each child, the negligent supervision of a priest
    with respect to each molestation, or each time the Diocese became
    aware of a fact which should have led it to intervene, just to
    8
    name a few possibilities.6                       The meaning of "occurrence," as used
    in the insurance policies, can be perplexing in application. Cf.
    Insurance Co. of N. Am. v. Forty-Eight Insulations, Inc., 
    633 F.2d 1212
    , 1222 (6th Cir. 1980), cert. denied, 
    454 U.S. 1109
    (1981).           When a term in an insurance policy has uncertain
    application, Louisiana courts interpret the policy in favor of
    the insured. See Hebert v. First Am. Ins. Co., 
    461 So. 2d 1141
    ,
    1143 (La. Ct. App. 1984), writ denied, 
    462 So. 2d 1265
    (La.
    1985).
    While there are many possible applications of the term
    "occurrence," we are not without guidance.                                     In Lombard v.
    Sewerage & Water Bd. of New Orleans, 
    284 So. 2d 905
    (La. 1973),
    where the ongoing construction of a drainage canal damaged many
    adjacent property owners, the Louisiana Supreme Court discussed
    the proper method for determining an "occurrence" when the cause
    of harm continues to injure different persons:
    The word "occurrence" as used in the policy must be
    construed from the point of view of the many persons
    whose property was damaged. As to each of these
    plaintiffs, the cumulated activities causing damage
    should be considered as one occurrence, though the
    circumstances causing damage consist of a continuous or
    repeated exposure to conditions resulting in damage
    arising out of such exposure. Thus, when the separate
    property of each plaintiff was damaged by a series of
    events, one occurrence was involved insofar as each
    property owner was concerned. Notwithstanding, therefore,
    6
    We have couched the underlying tort in language of negligent supervision, assuming that the
    Louisiana Supreme Court would not consider the priests' actions to be within the scope of their employment, nor
    would it consider the molestations a "risk of harm fairly attributable to the employer's business." See Roberts v.
    Benoit, 
    605 So. 2d 1032
    , 1040-41 (La. 1991); McClain v. Holmes, 
    460 So. 2d 681
    , 683-84 (La. Ct. App. 1984),
    writ denied, 
    463 So. 2d 1321
    (La. 1985). But even if the Diocese is liable for the priests' intentional acts under a
    respondeat superior theory, see Miller v. Keating, 
    349 So. 2d 265
    , 268-69 (La. 1977), such liability does not affect
    our decision on what constitutes an "occurrence" or the number of occurrences suffered by each child.
    9
    that the same causes may have operated upon several
    properties at the same time resulting in varying degrees
    of damage, it cannot be regarded as one occurrence, but
    the damage to each plaintiff is a separate occurrence.
    
    Id. at 915-16.
      Following Lombard, "the damage to each [child] is
    a separate occurrence."   See also 
    Interstate, 747 F. Supp. at 624
    ("Each time this negligent supervision presented Father Laughlin
    with the opportunity to molest a different child, the Archdiocese
    was exposed to new liability," which constitutes an "occurrence"
    under the policy language.); Murice Pincoffs Co. v. St. Paul Fire
    & Marine Ins. Co., 
    447 F.2d 204
    , 206 (5th Cir. 1971) (holding
    that the liability creating event constitutes an "occurrence").
    b. The Parents' Claims
    Interstate argues that the injuries suffered by the
    children's parents are separate "occurrences" under the policies.
    In its brief, Interstate launches a flotilla of Louisiana cases
    showing that the parents have a direct cause of action against
    the church for their injuries, but Interstate misses the mark.
    Whether the parents' claims are direct under Louisiana law is not
    relevant.   The issue is whether, under the policy language, the
    parents' injuries are derivative of an "occurrence."   If the
    children had not been molested, the parents would have gone
    unharmed.   Thus, the parents' injuries do not amount to separate
    "occurrences" under the policies. See Crabtree v. State Farm Ins.
    Co., 
    632 So. 2d 736
    , 738 (La. 1994) (finding that while the
    wife's claim for mental anguish constituted "bodily injury"
    10
    separate from that suffered by her husband, entitling her to a
    separate "per person" limit of coverage, her claim was
    nevertheless subject to the "per accident" limit in the policy);
    Lantier v. Aetna Casualty & Sur. Co., 
    614 So. 2d 1346
    , 1357 (La.
    Ct. App. 1993) (concluding that spouses' wrongful death suits
    were derivative of a single "occurrence"); Geico v. Fetisoff, 
    958 F.2d 1137
    , 1143 (D.C. Cir. 1992) (holding that while a spouse may
    have a legally independent claim for loss of consortium, it is
    nevertheless derivative of the "occurrence" under the policy
    language).
    2.     The Number of "Occurrences" Per Child
    While Lombard instructs that the molestation of each child
    is a separate occurrence, it does not answer the question of how
    many "occurrences" each child suffered, because the issue of
    multiple occurrences during successive policy terms never arose.
    The court's opinion in Davis v. Poelman, 
    319 So. 2d 351
    (La.
    1975) is equally unhelpful because it dealt with a single injury
    resulting in continuing damage over a period of time.                                             It did not
    address a situation where an individual was repeatedly injured
    during multiple policy terms.
    The most applicable line of Louisiana cases dealing with
    multiple injuries during successive years are the asbestosis
    cases.7 See e.g., Cole v. Celotex Corp., 
    599 So. 2d 1058
    (La.
    7
    The district court refused to follow the asbestos cases because under these stipulated facts, the
    time of injury is certain. True, the courts dealing with the asbestos cases wrestled with the issue of when bodily
    injury occurred: was the employee injured when he inhaled asbestos fibers (the exposure rule), or was the employee
    11
    1992); Houston v. Avondale Shipyards, Inc., 
    506 So. 2d 149
    (La.
    Ct. App.), writ denied, 
    512 So. 2d 460
    (La. 1987); Ducre v. Mine
    Safety Appliances Co., 
    645 F. Supp. 708
    (E.D. La. 1986) (applying
    Louisiana law), approved, 
    833 F.2d 588
    (5th Cir. 1987); Porter v.
    American Optical Corp., 
    641 F.2d 1128
    (5th Cir.) (applying
    Louisiana law), cert. denied, 
    454 U.S. 1109
    (1981).                                            In Cole, the
    most recent Louisiana Supreme Court decision in this area, the
    court answered the question of how to determine the number of
    occurrences when the victim is repeatedly injured during multiple
    policy years.              Adopting the exposure rule, the court concluded
    that the inhalation of asbestos fibers causes bodily injury as
    defined in the "occurrence" policies.                                 The court held that an
    employee suffered bodily injury from an occurrence when the
    employee inhaled asbestos fibers during a policy year and all
    subsequent inhalation during that year arose out of the same
    occurrence.            When the employee inhaled asbestos during the next
    policy year, again, the employee suffered bodily injury from an
    occurrence.            Thus, each employee suffered injury from an
    occurrence during each year in which he inhaled asbestos. 
    Cole, 599 So. 2d at 1075-80
    .
    We believe the Louisiana Supreme Court would apply the same
    analysis to the stipulated facts of this case.                                        When a priest
    molested a child during a policy year, there was both bodily
    injury and an occurrence, triggering policy coverage.                                              All
    injured once asbestosis manifested itself (the manifestation rule)? But the court overlooked the similarity, based
    upon this record, concerning the indivisibility of the injury. The asbestos cases provide significant direction
    regarding the number of occurrences when a victim suffers repeated injuries during multiple policy years.
    12
    further molestations of that child during the policy period arose
    out of the same occurrence.                        When the priest molested the same
    child during the succeeding policy year, again there was both
    bodily injury and an occurrence.                             Thus, each child suffered an
    "occurrence" in each policy period in which he was molested. See
    Diocese of Winona v. Interstate Fire & Casualty Co., 
    841 F. Supp. 894
    , 898-99 (D. Minn. 1992) (accepting that the church's
    negligent supervision of a priest can constitute an occurrence
    during each policy period in which a child was molested); 
    Cole, 599 So. 2d at 1075-80
    (holding that policy coverage is triggered
    in each year that the plaintiff inhaled asbestos); 
    Houston, 506 So. 2d at 150
    ("It is reasonable to conclude that each year
    during which plaintiff was exposed, he suffered additional injury
    for which there may be liability which triggers [the insurer's]
    risk exposure under each of its policies in effect during
    plaintiff's exposure."); 
    Ducre, 645 F. Supp. at 713
    ("Thus, this
    Court concludes that liability under the [insurer's] insurance
    policies shall be determined on a yearly basis, and that [the
    insurer] is on the risk for each plaintiff asserting a claim, for
    each policy period during which the plaintiff was exposed to
    silica dust."); 
    Porter, 641 F.2d at 1145
    ; Forty-Eight
    
    Insulations, 633 F.2d at 1226
    .
    In the case of Preferred and Fireman's Fund, both of which
    issued a three-year occurrence policy, the analysis is the same.8
    8
    This is an issue of first impression in Louisiana. While the courts have dealt with multi-injury,
    multi-policy cases, they have never addressed a situation where some of the policies last for more than one year.
    See e.g., 
    Cole, 599 So. 2d at 1074
    n.47 (involving thirty-three one-year policies); 
    Houston, 506 So. 2d at 150
    , 154
    13
    For each child who was molested while either of these carriers
    was on the risk, coverage was triggered.                           All subsequent
    molestations during the policy period constitute "repeated
    exposure to conditions which unexpectedly ... result in personal
    injury." (The "condition" is the Diocese's negligent supervision
    of the priest during the policy period).                           Houston General argues
    that the carriers issuing three-year policies should bear the
    same burden as if they had issued three one-year policies, thus
    allocating the loss on a per year basis.                           Not only does this
    ignore policy language, but it is also inconsistent with the
    intent of the parties.                     Clearly, a three-year "occurrence" policy
    provides less coverage than three one-year policies, because an
    occurrence could last longer than one year.                           While an insurance
    policy should be interpreted in favor of the insured, we see no
    justification for providing more insurance coverage than the
    insured bargained for. Pareti v. Sentry Indem. Co., 
    536 So. 2d 417
    , 420 (La. 1988) ("[C]ourts have no authority to alter the
    terms of policies under the guise of contractual interpretation
    when the policy provisions are couched in unambiguous
    language.").
    We reject the district court's use of the first encounter
    rule for the following reasons.                            First, and foremost, it flouts
    the policy language.                   The insurance policies all excluded bodily
    injury occurring outside of the policy period.                           The district
    court, and Lloyd's in oral argument, failed to recognize the
    (involving one-year policies, except for one six-month policy).
    14
    distinction between the future damages resulting from a
    molestation and the subsequent injurious acts of molestation.
    All the policies cover consequential damages resulting from a
    molestation.   However, a subsequent molestation, occurring
    outside the policy period, is not a consequential damage of the
    previous molestation; it is a new injury, with its own resulting
    damages.   Second, under these facts, the first encounter rule
    would prevent insurance companies from limiting their coverage to
    damages emanating from molestations taking place during their
    policy period.   And third, the first encounter rule is an
    inequitable administrative rule.     The first encounter rule would
    deny coverage to a child who was molested a day before the
    Diocese procured insurance coverage, even though separate
    molestations continued through the policy year and beyond.
    By allocating the loss according to the language of the
    insurance policies, we avoid the shortcomings of the reductive
    first encounter rule.   Each carrier is responsible, up to its
    occurrence limits, for all damages emanating from molestations
    that occur during the insurer's policy period.    All molestations
    occurring outside a carrier's policy are covered by the insurer
    on the risk at the time of the molestation.    This approach
    maximizes coverage for the insured and allocates the loss
    according to the policy language.
    If the number of molestations were known and the damages
    from each molestation proved, we could allocate the loss
    according to the actual injury suffered by each child during each
    15
    policy period.              It may be that a child's psychological injury
    wrought by prolonged molestations during Preferred's three years
    of coverage dwarfs the injury emanating from later molestations
    during the time the Diocese was self-insured.                                      If that were the
    case, Preferred would bear a significantly larger amount of the
    loss than would the Diocese, Lloyd's and Interstate.
    Unfortunately, there is no measure of the amount of damage caused
    by the molestations during any given policy period.                                           This leaves
    us with only one avenue under the policies' language, which is to
    allocate the loss based upon the policy periods.                                         Thus, the loss
    is apportioned according to the percentage of the time or period
    of each child's molestation occurring during each carrier's
    policy period.
    B.     Diocese v. Gallagher & Diocese v. Bassett
    1. Diocese v. Gallagher
    In Gallagher's self-insurance proposal, it stated that the
    Diocese would be "fully insured" for all losses above the loss
    fund.       Gallagher, however, failed to mention that once Lloyd's
    reached its excess aggregate limit of $450,000, the Diocese would
    again be obligated to make payments toward the occurrence claims
    before Interstate's excess policy kicked in.9 The Diocese,
    stunned by this gap in coverage, filed suit against Gallagher.
    While the Diocese filed within the ten-year prescriptive period
    for a contractual claim, it missed the one-year period for a
    9
    Again, the amount of the Diocese's exposure after the exhaustion of Lloyd's excess aggregate
    policy is unclear. The district court can resolve this issue on remand.
    16
    delictual claim.   Thus, the Diocese's suit against Gallagher will
    rise or fall on the nature of its claim.
    An insured's claim against its insurance agent is
    contractual only when the agent expressly warrants a specific
    result; otherwise, it is delictual. Roger v. Dufrene, 
    613 So. 2d 947
    , 949 (La. 1993).   In Roger, the insured, Crewboats, Inc.,
    told its agent "to provide full coverage for Crewboats, Inc.
    under all circumstances." 
    Id. at 950.
       But when a Crewboats'
    employee, using his own vehicle for business purposes, injured
    another motorist in a collision, Crewboats found a gaping hole in
    its "full coverage ... under all circumstances."   To its chagrin,
    Crewboats discovered that it was on the hook for the motorist's
    claim because its automobile policy did not include an
    endorsement covering employee-owned vehicles used for business
    purposes.   In an attempt to lessen the sting, Crewboats filed a
    third-party claim against its agent, but because the prescriptive
    period for a delictual claim had passed, it was forced to argue
    that its claim was contractual.    On appeal, the Louisiana Supreme
    Court dismissed Crewboats' third-party claim, holding that the
    claim was delictual because the insurance agent did not
    specifically warrant that insurance coverage for employee-owned
    vehicles would be obtained. 
    Id. The Diocese
    argues that Gallagher warranted a specific
    result when it told the Diocese: "If the [Loss] Fund is
    exhausted, the Diocese[] becomes fully insured."   Following
    Roger's lead, the issue is whether Gallagher specifically
    17
    warranted the amount of the Diocese's coverage, and we conclude
    that it did.   Indeed, we find it difficult to see how Gallagher
    could have been more specific.   The Diocese's claim is
    contractual because Gallagher specifically stated that the loss
    fund capped the Diocese's potential yearly exposure, which it
    certainly did not.
    2. Diocese v. Bassett
    The Diocese alleges that Bassett, the administrator of the
    self-insurance plan, breached its obligation to properly
    administer the plan by refusing to contribute money from the loss
    fund toward the settlement of molestation claims arising before
    July 1981, when the self-insurance program began.   The Diocese
    has offered no summary judgment evidence supporting any breach of
    duty.   Bassett refused to allocate loss fund monies toward
    molestation claims arising before 1981 because those claims were
    not covered by the insurance policies it was administering.
    C.   Pacific v. Louisiana Companies
    Pacific, an excess carrier, sued its insurance agent,
    Louisiana Companies, alleging that the agent failed to inform
    Pacific that Preferred's policy (the underlying primary insurance
    policy) was a three-year policy instead of a one-year policy.
    Because of the alleged omission, Pacific believed Preferred's
    coverage to be $500,000 per year, instead of $500,000 per
    occurrence for three years.   Based upon our analysis above,
    18
    Preferred's coverage is $500,000 per occurrence per policy
    period.   Thus, the court erred when it granted Louisiana
    Companies' motion for summary judgment.
    D.   Interest
    The district court awarded interest, but failed to state
    when it should begin to run.   Some parties argue that only post-
    judgment interest should be awarded, but because we reverse and
    remand for reallocation of the loss, there is no post-judgment
    interest. The only other contention on interest charge is
    Interstate's argument that Pacific should be responsible for
    prejudgment interest to the extent that it failed to fully
    participate in the settlement of the molestation claims, and we
    agree. See Trustees of the Univ. of Pa. v. Lexington Ins. Co.,
    
    815 F.2d 890
    , 908-09 (3d Cir. 1987); Mini Togs Products, Inc. v.
    Wallace, 
    513 So. 2d 867
    , 872-75 (La. Ct. App.), writ denied, 
    515 So. 2d 447
    (La. 1987).
    19
    III. Conclusion
    When a child was first molested during a policy period,
    there was an occurrence triggering coverage.    All subsequent
    molestations of that child during the policy period, as well as
    the resulting injury to the child's parents, arose out of that
    same occurrence.   Damages are attributed equally to the
    occurrence of molestations within the respective policy periods,
    and the loss is allocated according to the percentage of the time
    or period of each child's molestation occurring during each
    insurer's policy period.
    We AFFIRM the court's judgment in favor of Bassett; the
    judgment is otherwise REVERSED.    We REMAND the case to the
    district court for further proceedings consistent with this
    opinion.
    AFFIRMED in Part; REVERSED in Part and REMANDED.
    20
    

Document Info

Docket Number: 93-04068

Citation Numbers: 26 F.3d 1359

Judges: Reavley, Garwood, Higginbotham

Filed Date: 7/15/1994

Precedential Status: Precedential

Modified Date: 10/19/2024

Authorities (23)

McClain v. Holmes , 463 So. 2d 1321 ( 1985 )

McClain v. Holmes , 460 So. 2d 681 ( 1984 )

charles-j-porter-v-american-optical-corp-and-hartford-accident , 641 F.2d 1128 ( 1981 )

julius-ducre-underwriters-at-lloyds-london-cross-appellant-v-mine , 833 F.2d 588 ( 1987 )

the-trustees-of-the-university-of-pennsylvania-v-lexington-insurance , 815 F.2d 890 ( 1987 )

Davis v. Poelman , 319 So. 2d 351 ( 1975 )

Mini Togs Products Inc. v. Wallace , 515 So. 2d 447 ( 1987 )

Cole v. Celotex Corp. , 1992 La. LEXIS 1815 ( 1992 )

Lombard v. Sewerage & Water Board of New Orleans , 284 So. 2d 905 ( 1973 )

insurance-co-of-north-america-v-forty-eight-insulations-inc , 633 F.2d 1212 ( 1980 )

Hebert v. First American Ins. Co. , 461 So. 2d 1141 ( 1984 )

Lantier v. Aetna Cas. & Sur. Co. , 1993 La. App. LEXIS 899 ( 1993 )

Diocese of Winona v. Interstate Fire & Casualty Co. , 841 F. Supp. 894 ( 1992 )

Houston v. Avondale Shipyards, Inc. , 1987 La. App. LEXIS 9285 ( 1987 )

Miller v. Keating , 349 So. 2d 265 ( 1977 )

Ducre v. Mine Safety Appliances Co. , 645 F. Supp. 708 ( 1986 )

Pareti v. Sentry Indem. Co. , 1988 La. LEXIS 2433 ( 1988 )

Mini Togs Products, Inc. v. Wallace , 513 So. 2d 867 ( 1987 )

Houston v. Avondale Shipyards, Inc. , 512 So. 2d 460 ( 1987 )

Dino Cinel v. Harry F. Connick, Individually and as ... , 15 F.3d 1338 ( 1994 )

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