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First Investors Corporation, First Investors Management Company, Inc., First Investors Consolidated Corporation, First Investors High Yield Fund, Inc., and First Investors Fund for Income, Inc., Plaintiffs-Appellants-Cross-Appellees v. Liberty Mutual Insurance Company, Defendant-Appellee-Cross-Appellant

Citations: 152 F.3d 162; 1998 U.S. App. LEXIS 18227Docket: 97-9407

Court: Court of Appeals for the First Circuit; August 6, 1998; Federal Appellate Court

Narrative Opinion Summary

In the legal dispute between First Investors Corporation and Liberty Mutual Insurance Company, First Investors sought insurance coverage for claims stemming from economic losses incurred by investors, accompanied by emotional distress. The U.S. District Court for the Southern District of New York initially granted summary judgment to Liberty Mutual, dismissing First Investors' complaint, while later ruling in favor of First Investors on Liberty Mutual's counterclaim for breach of contract. The case centered around whether Liberty Mutual's comprehensive general liability (CGL) and excess liability policies covered emotional distress claims linked to economic losses. The court, applying New York law, determined that such claims do not qualify as 'bodily injury' under the CGL policies, as they do not arise from an 'occurrence' or accident. Additionally, First Investors was classified as a financial institution, which further excluded coverage under the excess policies. The court also ruled that First Investors did not breach the settlement agreement with Liberty Mutual, as settlement payments were not used as evidence. Consequently, the court affirmed the dismissal of First Investors' complaint and the ruling that Liberty Mutual had no duty to defend under the CGL policies, while also affirming the dismissal of Liberty Mutual's counterclaim.

Legal Issues Addressed

Breach of Settlement Agreement Claims

Application: The court found no breach of the settlement agreement by First Investors, as the settlements were not used as evidence, fulfilling the agreement's conditions.

Reasoning: Liberty Mutual argued that First Investors breached the settlement agreement. However, the court found that there was no breach, as the settlement information was not admitted into evidence.

Coverage Exclusions for Financial Institutions

Application: First Investors was deemed a financial institution, and thus, the excess liability policies' exclusions apply, negating Liberty Mutual's duty to defend.

Reasoning: The district court affirmed that Liberty Mutual has no duty to defend First Investors against emotional distress claims under excess policies, citing an exclusion for financial institutions.

Definition of 'Occurrence' in Insurance Policies

Application: The court concluded that the economic losses claimed do not constitute an 'occurrence' as defined in the policy, which requires an accident, thus excluding coverage.

Reasoning: The CGL policy requires that injuries be caused by an 'occurrence,' defined as an accident, which New York courts interpret as an unintended event.

Duty to Defend under CGL Policies

Application: The court ruled that Liberty Mutual has no duty to defend First Investors against emotional distress claims, as such claims arising from economic losses are not covered under the CGL policies.

Reasoning: The determination of Liberty Mutual's duty to defend First Investors against emotional distress claims hinges on whether the CGL and excess policies cover such claims.

Interpretation of Insurance Policy Terms

Application: Insurance policy terms were interpreted using ordinary meanings, leading to the conclusion that First Investors is a financial institution under the policy terms.

Reasoning: The interpretation of insurance policy terms is grounded in how an average person would understand them, favoring ordinary meanings over technical definitions.