28 N.Y.3d 652 (2017)
An “occurrence” in an insurance policy is defined by the specific language of the policy, and in the absence of ambiguity, the court will enforce the policy’s plain meaning. Each instance of harm to an individual constitutes a separate occurrence unless the policy explicitly dictates otherwise.
Summary
The County of Rensselaer had an insurance policy with Selective Insurance. The County was sued in a class action civil rights suit alleging that the County had a policy of strip-searching all persons admitted to jail. Selective, defending the County, argued that all claims arising from the strip search policy constituted a single occurrence. Selective sought to allocate the attorney’s fees and deductibles based on the number of individual class members, claiming each strip search was a separate occurrence. The New York Court of Appeals found that, based on the policy’s language, each strip search constituted a separate occurrence, and the policy’s definition of occurrence was unambiguous. Thus, each class member’s injury resulted in separate deductible payments. The court also found that Selective had not acted in bad faith in the settlement of the class action suit. The court further held that attorney’s fees were properly allocated to the named plaintiff.
Facts
The County of Rensselaer implemented a policy of strip-searching all people admitted to its jail. In 2002, Nathaniel Bruce and other named arrestees initiated a class action in federal court against the County, alleging the strip-search policy violated their civil rights. The County invoked Selective Insurance Company’s duty to provide a defense. Selective had provided liability insurance to the County, renewing the policy annually from 1999 to 2002. Each policy defined personal injury as including violations of civil rights. The deductible was $10,000 per claim under the 1999, 2000, and 2001 policies and $15,000 under the 2002 policy, applying to each “occurrence.” “Occurrence” was defined as an event resulting in personal injury, and it did not include the grouping of multiple individuals harmed by the same condition. Selective agreed to defend the County, retaining counsel. Selective’s counsel settled the case for $1,000 per plaintiff, settling with over 800 individuals. Selective sought to apply the deductible for each class member. The County refused to pay more than a single deductible. Selective commenced an action for money damages, arguing for a separate deductible for each class member and the allocation of legal fees. The Supreme Court ruled in favor of Selective, and the Appellate Division affirmed.
Procedural History
A class-action suit was filed in federal court against the County of Rensselaer. Selective provided a defense based on its insurance policy with the County. The Supreme Court ruled in favor of Selective, holding that each strip search was a separate occurrence. The Appellate Division affirmed the Supreme Court’s ruling. The New York Court of Appeals granted leave to appeal to both parties.
Issue(s)
1. Whether the improper strip searches of class members constituted a single occurrence under the insurance policies.
2. Whether Selective Insurance exhibited bad faith by settling the underlying action without challenging class certification.
3. Whether the legal fees should be allocated to each class member or to the named plaintiff only.
Holding
1. Yes, because the insurance policies’ plain language defined “occurrence” as an event resulting in injury to an individual, and the policies did not permit the grouping of multiple individuals. Each strip search was a separate occurrence.
2. No, because the County failed to prove that Selective acted in bad faith. Selective’s conduct did not constitute a gross disregard of the County’s interests.
3. Yes, because the policies’ silence on how to allocate attorney’s fees in a class action creates ambiguity as both Selective’s and the County’s contentions are reasonable. Therefore, fees were properly charged to the named plaintiff, Bruce.
Court’s Reasoning
The Court of Appeals focused on interpreting the insurance policies. The court stated that, “In determining a dispute over insurance coverage, we first look to the language of the policy.” It emphasized that unambiguous provisions must be given their plain and ordinary meaning. The policies defined “occurrence” as “an event, including continuous or repeated exposure to substantially the same general harmful conditions, which results in . . . ‘personal injury’… by any person or organization and arising out of the insured’s law enforcement duties.” The court determined that this language was not ambiguous and that each strip search constituted a distinct occurrence. The court noted that if a contract “on its face is reasonably susceptible of only one meaning, a court is not free to alter the contract to reflect its personal notions of fairness and equity.” The court further addressed the issue of bad faith, stating that to prove bad faith, the insured must show the insurer’s conduct constituted a “gross disregard” of the insured’s interests. The court found that the County failed to meet this burden. As such, based on the policies’ definition of occurrence, the injuries sustained by the class members do not constitute one occurrence but multiple occurrences. The Court further held that the policies’ silence on how to allocate attorney’s fees in a class action created ambiguity, and therefore they should be allocated to the named plaintiff.
Practical Implications
This case underscores the importance of clear and precise language in insurance contracts, especially regarding the definition of key terms such as “occurrence.” Insurance companies and insured entities should carefully review the language of their policies to understand the scope of coverage. It also clarifies the potential for multiple deductibles and the allocation of attorney’s fees in class action scenarios where the policy language is not specific. Attorneys handling insurance disputes should carefully analyze the specific policy language and determine whether the language is ambiguous. This case also emphasizes the high threshold for proving an insurer’s bad faith.