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RSUI Indemnity Company v. New Horizon Kids Quest, Inc.

Citation: 933 F.3d 960Docket: 17-3567

Court: Court of Appeals for the Eighth Circuit; August 12, 2019; Federal Appellate Court

Original Court Document: View Document

Narrative Opinion Summary

This case involves a dispute between RSUI Indemnity Company and New Horizon Kids Quest, Inc. over liability coverage for damages awarded to J.K., a child abused while under New Horizon's care. Initially, the jury awarded over $13 million, reduced to $6,032,585 after a new trial. New Horizon, having conceded liability, sought indemnity from RSUI under its excess liability policy, which included a Sexual Abuse or Molestation Exclusion. RSUI filed for declaratory judgment, asserting that the exclusion barred coverage for amounts exceeding Travelers Property Casualty Company's primary insurance limits. The district court ruled in favor of New Horizon, stating RSUI failed to prove the jury's award was for sexual abuse. On appeal, the Eighth Circuit reversed the decision, emphasizing the need for RSUI to demonstrate whether the jury's unallocated damages included uncovered claims. The court remanded the case for further proceedings, directing that the unallocated jury award be divided between covered and uncovered claims to determine RSUI's indemnity obligations. The decision highlights the procedural intricacies in insurance coverage disputes, particularly concerning the allocation of damages when exclusions are asserted by excess insurers.

Legal Issues Addressed

Allocation of Unallocated Jury Awards

Application: When a jury award includes both covered and uncovered claims, the total amount must be allocated to determine the extent of coverage.

Reasoning: If an award includes both covered and uncovered claims, the total amount must be allocated, potentially requiring judicial intervention.

Burden of Proof in Insurance Coverage Disputes

Application: The insured must initially prove coverage, after which the burden shifts to the insurer to demonstrate that an exclusion applies.

Reasoning: The insured must initially prove coverage, after which the burden shifts to the insurer to show an exclusion applies.

Excess Insurer's Right to Contest Coverage

Application: An excess insurer, which did not control the defense of third-party claims, retains the right to contest its coverage in a post-award lawsuit.

Reasoning: RSUI, as an excess insurer, should have the opportunity to prove that the jury’s award included damages for both covered and uncovered claims.

Judicial Role in Allocation

Application: The court is tasked with determining how a jury might have allocated an award between covered and uncovered claims in post-award proceedings.

Reasoning: The trial judge is tasked with determining how the jury might have allocated the award had they been given the chance.

Post-Award Coverage Litigation

Application: The insurer can litigate coverage issues in post-award proceedings if the award was not properly allocated during trial.

Reasoning: RSUI retains the right to litigate whether J.K. proved an uncovered claim in this context.