X

Thank you for sharing!

Your article was successfully shared with the contacts you provided.

Hines, Chief Justice.This appeal is before this Court on a certified question from the United States District Court for the Northern District of Georgia[1] in this insurance coverage dispute between plaintiff National Casualty Company (“National”), a commercial insurer, and defendant Georgia School Boards Association – Risk Management Fund (“Risk Fund”), an interlocal risk management agency created pursuant to Article 29 of Chapter 2 of Title 20 of the Georgia Code, OCGA § 20-2-2001 et seq.[2] The gravamen of the question certified[3] is whether   Georgia law or public policy precludes a commercial insurance policy that is excess to coverage provided under OCGA § 20-2-2002.[4] For the reasons whichfollow, we conclude that there is no such prohibition.Factual Background The facts as found by the District Court are the following. National and Risk Fund provide overlapping liability coverage to members of the Professional Association of Georgia Educators (“PAGE”), a professional association of teachers and administrators. National issued insurance policies to PAGE for the periods July 1, 2012, to July 1, 2013, and July 1, 2013, to July 1, 2014 (collectively the “Policies”). The Policies provide liability coverage to PAGE members:Coverage A-Liability CoverageThe Company will pay on behalf of the insured all sums which theInsured shall become obligated to pay by reason of liability imposed by law or for monetary damages resulting from any CLAIM made against the insured arising out of an OCCURRENCE in the course of the activities of the insured in his/her professional capacity and caused by any acts or omissions of the insured or any other person for whose acts the insured is legally liable. The Company shall defend any suit seeking monetary damages which are payable under the terms of the policy, even if such suit be groundless, false or fraudulent; but the Company may make such investigation, negotiation and settlement of any CLAIM or suit as it may deem expedient.The Policies also contain a provision limiting coverage for liabilities covered by “other insurance” (“Other Coverage Provision”): Other InsuranceThis policy is specifically excess if the insured has other insurance of any kind whatsoever, whether primary or excess, or if the insured is entitled to defense or indemnification from any other source whatsoever, including by way of example only, such sources as state statutory entitlements or provisions. Other insurance includes, but is not limited to, insurance policies, state pools, and programs of self-insurance, purchased or established by or on behalf of any EDUCATIONAL UNIT, to insure against CLAIMS arising from activities of the EDUCATIONAL UNIT or its employees, regardless of whether or not the policy or program provides primary, excess, umbrella or contingent coverage.In addition, Coverage A [Liability Coverage] is specifically excess – over coverage provided by any EDUCATIONAL UNIT’S or school board’s errors and omissions or general liability policies, purchased by the insured’s employer or former employers, or self-insurance program or state pools, whether collectible or not, and it is specificallyexcess over coverage provided by any policy of insurance which purports to be excess to a policy issued to the insured.Risk Fund’s risk-sharing arrangement is set forth in coverage agreements entered into by Risk Fund and its members (“Coverage Agreements”). Under the Coverage Agreements, Risk Fund provides liability coverage to members and their employees, including PAGE members. The coverage periods are July 1, 2012, to July 1, 2013, and July 1, 2013, to July 1, 2014. Risk Fund’s coverage includes liability coverage for personal injury, bodily injury, property damage, negligent acts, wrongful acts, and sexual abuse. Risk Fund is required to “pay [amounts a] Member becomes legally obligated to pay as damages” and to “defend … Member[s] against any ‘suit’ seeking those damages.” Risk Fund’s members are jointly and severally liable “for all legal obligations” arising under the Coverage Agreements.The Coverage Agreements contain a provision limiting coverage where insurance is available from another source: 4. Insurance.If valid and collectible insurance is available to the Member for a loss covered by [Risk Fund] under any coverage parts within this Coverage Document, the obligations of [Risk Fund] are excess overthe available and collectible insurance. From 2014 to 2016, several lawsuits were filed against PAGE members covered under the Policies and the Coverage Agreements (“Covered Members”). National refused to defend or indemnify these Covered Members until coverage under the Coverage Agreements was exhausted. National contended that the Other Coverage Provision in the Policies made it only an excess insurer. Risk Fund contended that National is the primary insurer and that Risk Fund is required only to provide excess coverage. Because of National’s refusal to provide primary coverage, Risk Fund defended, indemnified and paid settlement amounts on behalf of the Covered Members, pending resolution of the present amended complaint for declaratory judgment filed by National.Procedural History The amended complaint sought a declaration that Risk Fund has “the primary duty to defend and indemnify” Covered Members against whom suits have been filed. Risk Fund filed a counterclaim for breach of contract, contribution, unjust enrichment, and declaratory judgment. National moved forsummary judgment on its claim for declaratory relief and on Risk Fund’scounterclaim for declaratory relief. Risk Fund moved for partial summary judgment, seeking a declaration that (1) “coverage owed to jointly covered persons under [National's Policies] is primary to coverage provided under” Risk Fund’s Coverage Agreements, or (2) the parties “must share coverage owed to jointly covered individuals on a pro rata basis.” The District Court found that Risk Fund was entitled to summary judgment on its request for a declaration that National’s Other Coverage Provision is irreconcilable with Risk Fund’s Other Coverage Provision, and that the parties “must share defense and indemnity coverage on a pro rata basis.” Consequently, it denied National’s motion for summary judgment and granted Risk Fund’s motion for partial summary judgment. Both National and Risk Fund moved for reconsideration. Upon reconsideration, the District Court issued the present “opinion and order” certifying its question to this Court. It did so after finding that the irreconcilable provisions rule as set forth in State Farm Fire & Cas. Co. v. Holton, 131 Ga. App. 247 (205 SE2d 872) (1974), has developed only in cases involving conflicts between commercial insurance policy provisions, and so it questioned whether that rule applies to coverage provided by an entity entrusted with publicfunds, thereby implicating Georgia public policy and the interpretation ofDiscussionAs was explained in Holton, in the circumstances in which two insurance policies provide overlapping coverage, i.e., they insure the same risk during the same time frame, resolution of the issue of insurance liability requires examination of the policies’ “Other Insurance” provisions, which describe at which point each policy’s coverage attaches. And, if the two entities providing insurance,attempt to limit their liability to excess coverage if there is other insurance, then the clauses are irreconcilable, cancel each other out, and the liability is to be divided equally between them.Id. at 248-249 (3) (internal cites and quotation marks omitted).Of necessity, the initial inquiry is the meaning of the insurance policy provisions at issue. The interpretation of an insurance policy is subject to the relevant general rules of contract construction, the cardinal rule being to determine and carry out the intent of the parties. Bell v. Liberty Mut. Fire Ins. Co., 319 Ga. App. 302, 305 (1) (734 SE2d 894) (2012). In making the determination of intent, a court is to consider the insurance policy as a whole, and a preferred construction will give effect to each provision, attempt to harmonize the provisions with each other, and not render any of the policy provisions meaningless or mere surplusage. York Ins. Co. v. Williams Seafood of Albany, Inc., 273 Ga. 710, 712 (1) (544 SE2d 156) (2001). Furthermore, “[t]he policy should be read as a layman would read it. Additionally, exclusions will be strictly construed against the insurer and in favor of coverage.” Id. Finally, Georgia law provides that “insurance companies are generally free to set the terms of their policies as they see fit so long as they do not violate the law or judicially cognizable public policy.” Reed v. Auto-Owners Ins. Co., 284 Ga. 286, 287 (2) (667 SE2d 90) (2008).As noted, the District Court has already determined that National’s OtherCoverage Provision is in direct conflict with Risk Fund’s Other CoverageProvision, and the correctness of that determination is not now at issue beforethis Court. The question becomes whether there is any Georgia law or publicpolicy justifying a departure from the basic rules of insurance contractconstruction and abandonment of the analysis set forth in Holton. Risk Fundhas argued that the traditional analysis is not applicable when an interlocal riskmanagement fund is involved because public policy dictates that, irrespective of the documents’ bargained-for contractual terms, commercial insurance always should exhaust before any publicly funded risk management monies are spent. But, there is no basis in Georgia law or public policy for such an approach. In fact, the law and public policy concerns dictate quite the contrary.As National notes, there is no state law violated by a commercial insurer accepting a risk at a certain premium rate in reliance upon a contractual term that any coverage it affords is specifically made excess above any other source of insurance or indemnity, expressly including any “state pools and programs of self-insurance,” available to its insured. Nor is such a provision void as against any recognized public policy. Indeed, “it is the paramount public policy of this State that courts will not lightly interfere with the freedom of parties to contract on any subject matter, on any terms, unless prohibited by statute or public policy, and injury to the public interest clearly appears.” Bryan v. MBC Partners, L.P., 246 Ga. App. 549, 552 (3) (541 SE2d 124) (2000).Certainly, as Risk Fund urges, there is also a long standing public policyof protecting the public purse; however, its reliance on Googe v. Fla. Int’lIndem. Co., 262 Ga. 546 (422 SE2d 552) (1992), and Martin v. Georgia Dep’tof Pub. Safety, 257 Ga. 300 (357 SE2d 569) (1987), to demonstrate how expecting it to equally participate in the excess coverage violates such public policy is misplaced.[5] Googe and Martin were decided under a former version of Article I, Section II, Paragraph IX, of the 1983 Constitution, which waived sovereign immunity for the State or its agencies when there was liability insurance covering the subject claims. While the opinions plainly highlighted the need for protection and preservation of public monies, they did so in the context of compensation for injured members of the public in light of the broad sovereign immunity then enjoyed by state actors. The Georgia Tort Claims Act, OCGA § 50-21-20 et seq., limited such immunity. The immunity provided under the Act “is limited to torts committed by a ‘state officer or employee’ who was acting within the scope of his or her official duties or employment on behalf of a specific ‘state government entity.’” Hartley v. Agnes Scott Coll., 295 Ga. 458, 463-464 (2) (b) (759 SE2d 857) (2014). More significantly, most of the public policy concerns underlying the doctrine of sovereign immunity are inapposite to the consideration of how a school district may choose to protect itself from liability exposure. That issue implicates other public policy concerns.In enacting OCGA § 20-2-990, et seq., which requires public schools to protect themselves from liability exposure through the purchase of liability insurance and/or contracts of indemnity, the General Assembly sought to address what it termed the “urgent crisis” confronting public education in Georgia.[6] In order to address such crisis, boards of education are permitted to pool their general liability risks to form and become members of interlocal risk management agencies as an alternative to purchasing commercial liabilityinsurance. OCGA § 20-2-2002. As reflected in its findings, the GeneralAssembly recognized that the expenditure of public funds to protect againsteducation professionals’ liability, even as pooled in an interlocal riskmanagement fund, is “essential to quality education.” OCGA § 20-2-990. Thosefunds have been deemed to be “for educational purposes” and part of the publiccompensation paid to state education professionals. Id. There is no requirementthat either the insurance purchased or the risk management pool establishedapply only in excess of any available commercial insurance. Had that been theintent of the General Assembly, it had the opportunity to say so. The GeneralAssembly expressly authorized the use of public funds for the exact purpose forwhich interlocal risk management agencies like Risk Fund are formed. In fact,the fallacy of the contention that the sovereign immunity concerns of Googe andMartin in regard to the “public purse” govern the issue at bar is apparent by theexpress language of OCGA § 20-2-992, which states:Nothing in this article shall be construed as waiving any immunity or privilege now or hereafter enjoyed by the State Board of Education, by the board of control of any cooperative educational service agency, by any local board of education, by any member of any such board, or by any employee of the state board, school superintendent, principal, teacher, administrator, or other employee or as waiving any immunity or privilege of any state or other publicbody, board, agency, or political subdivision.Thus, the public policy concerns underlying Googe and Martin were already considered and addressed by the General Assembly in enacting OCGA § 20-2-990, et seq. The express preservation of immunities is the way in which the “public purse” is protected.Simply, there is no apparent public policy which would be furthered by the requirement that commercial insurance funds be exhausted before the legislatively mandated public funds set aside to protect education professionals against employment-related liability are used. In fact, the bedrock public policy of freedom of contract would be frustrated if there were such a requirement. In addition, insurance policies are not only a matter of contract, they are “also a matter of public concern because rulings in cases involving common policies obviously affect risk and associated insurance rates at a mass level.” Mass. Mut. Life Ins. Co. v. Woodall, 304 FSupp.2d 1364 (S.D. Ga. 2003). Rendering meaningless the bargained-for “other insurance” provisions contained in commercial insurance policies in favor of contemplated publicly funded sources of insurance based on a public policy requiring the exhaustion of all commercial funds would interfere not only with an insurance company’s freedom to contract with its insureds but also undoubtedly adversely affect the premiums paid for liability policies to protect the education professionals of this State.ConclusionInsurance contracts are properly construed and applied as written unless prohibited by law or public policy, and there is no law or public policy in Georgia which prohibits the found application of the “other insurance” policy provisions at issue and utilization of the priority of coverage analysis articulated in HoltonJQuestion answered. Melton, P. J., Benham, Hunstein, Nahmias, Blackwell, Boggs, and Peterson, JJ., concur.7I hope that in my 50-year legal career I have, in some small measure, helped burnish the rule of law. “FIAT JUSTITIA RUAT CAELUM.”When an insurance policy issued by a commercial company has a provision that states that the policy is excess to the liability of another insurer overlapping coverage and that provision conflicts with the excess coverage provision in an insurance agreement issued by an agency created under OCGA § 20-2-2002, does the irreconcilable provision rule as set forth in State Farm Fire & Cas. Co. v. Holton, 131 Ga. App. 247 (205 SE2d 872) (1974), require each insurer to pay a pro rata share of the loss?

 
Reprints & Licensing
Mentioned in a Law.com story?

License our industry-leading legal content to extend your thought leadership and build your brand.

More From ALM

With this subscription you will receive unlimited access to high quality, online, on-demand premium content from well-respected faculty in the legal industry. This is perfect for attorneys licensed in multiple jurisdictions or for attorneys that have fulfilled their CLE requirement but need to access resourceful information for their practice areas.
View Now
Our Team Account subscription service is for legal teams of four or more attorneys. Each attorney is granted unlimited access to high quality, on-demand premium content from well-respected faculty in the legal industry along with administrative access to easily manage CLE for the entire team.
View Now
Gain access to some of the most knowledgeable and experienced attorneys with our 2 bundle options! Our Compliance bundles are curated by CLE Counselors and include current legal topics and challenges within the industry. Our second option allows you to build your bundle and strategically select the content that pertains to your needs. Both options are priced the same.
View Now
June 20, 2024
Atlanta, GA

The Daily Report is honoring those attorneys and judges who have made a remarkable difference in the legal profession.


Learn More
April 25, 2024
Dubai

Law firms & in-house legal departments with a presence in the middle east celebrate outstanding achievement within the profession.


Learn More
April 29, 2024 - May 01, 2024
Aurora, CO

The premier educational and networking event for employee benefits brokers and agents.


Learn More

Atlanta s John Marshall Law School is seeking to hire one or more full-time, visiting Legal WritingInstructors to teach Legal Research, Anal...


Apply Now ›

Shipman is seeking an associate to join our Labor & Employment practice in our Hartford, New Haven, or Stamford office. Candidates shou...


Apply Now ›

Evergreen Trading is a media investment firm headquartered in NYC. We help brands achieve their goals by leveraging their unwanted assets to...


Apply Now ›
04/15/2024
Connecticut Law Tribune

MELICK & PORTER, LLP PROMOTES CONNECTICUT PARTNERS HOLLY ROGERS, STEVEN BANKS, and ALEXANDER AHRENS


View Announcement ›
04/11/2024
New Jersey Law Journal

Professional Announcement


View Announcement ›
04/08/2024
Daily Report

Daily Report 1/2 Page Professional Announcement 60 Days


View Announcement ›