Attack on America: The Insurance Coverage Issues
Part 1: War Risk Exclusions
September 2001
In part 1 of this article, IRMI research analysts
conclude that most property and casualty war risk exclusions do not apply to
claims arising from the September 11 terrorist attacks on America. In part 2
they explore how other policy provisions are likely to be applied to these claims.
by Jack P. Gibson, W. Jeffrey Woodward, Linda Robinson, Maureen McLendon, Robin Olson, Christine Fuge
IRMI
"America is at war!" The entire world reacted with shock and horror in response
to the September 11 terrorist attacks. However, risk and insurance professionals
reacted with added trepidation not felt by the general public when they heard
President George W. Bush utter these words and Colin Powell echo them during
interviews by similarly describing the events as an act of war. This fear deepened
with speculation that Congress might actually declare war against the perpetrators.
If the attack really could be classified as "an act of war" in the traditional
sense, insurers could legitimately deny coverage for many types of claims.
The immediate off-the-cuff reaction of most knowledgeable insurance professionals
was that the attack was not an event intended to be excluded by war risk insurance
exclusions. But only a detailed review of the actual language could confirm
or deny this conclusion.
The research analysts of IRMI have undertaken just such a review and concluded
that the standard insurance industry exclusions should not preclude coverage
for most claims expected to arise from the attacks. This article briefly reviews
the apparent industry position on the war risk exclusion issue and then discusses
some of the insurance coverage implications of the unprecedented events of September
11.
Industry Leaders Respond
Whenever disaster strikes, insurers must determine how to apply coverage
under their policies. This may seem a simple case of following the terms and
conditions contained in the policies, however, substantial public policy and
public relations implications can come into play, particularly following a major
disaster.
In the wake of the recent attacks, it was obvious that any denial of claims
based on the war risk exclusion would come with a hefty public relations price
tag. Plus, there existed the possibility that governmental mandates would override
such a decision in any case. At best, such a claim denial would be viewed as
un-American. But the financial implications of accepting what may ultimately
amount to $40+ billion in covered insurance claims could force some insurers
to take that chance and deny coverage.
Fearing this, Representative Michael Oxley, chairman of the Financial Services
Committee of the U.S. House of Representatives, sent a letter to the National
Association of Insurance Commissioners (NAIC) on September 17 asking the insurance
industry to confirm that it would not invoke
war risk exclusions to deny coverage for pending claims. In pertinent part,
the letter stated:
…there has been some concern that companies may deny coverage to victims
of this tragedy based on exclusions for "acts of war." While news releases
from individual companies lead us to believe that this is unlikely, it would
be completely unacceptable if it were to occur. Any attempt to evade coverage
obligations by either primary insurers or reinsurers based on such legal
maneuvering would not only be unsupportable and unpatriotic—it would tear
at the faith of the American people in the insurance industry.
As mentioned in Chairman Oxley's letter, a number of insurance industry leaders
had already taken a definitive pro-coverage position on the issue. Douglass
W. Leatherdale of the St. Paul Companies may have said it best, "But our task
now, as a part of the insurance industry, is to help our clients recover from
this horrific event... We are not going to hide behind the war exclusion for
these acts of terrorism." Other industry leaders, such as AIG's chairman, Maurice
Greenberg, also took this position in the financial press.
Then, on September 19, two major insurer trade associations affirmed the
industry's position. In a press release, the National Association of Independent
Insurers (NAII) stated, "In reference to concerns expressed in Chairman Oxley's
letter, NAII wishes to confirm that insurers have strongly indicated that they
do not intend to invoke the 'act of war' exclusion. This is a non-issue and
all insurers we have heard from are treating the losses as covered claims."
Similarly, the National Association of Mutual Insurance Companies (NAMIC)
made a statement of its own "that its member companies will honor their contracts
and will proceed to adjust and pay claims in a responsible manner just as they
have done when other disasters have struck this country."
Our analysis below shows that these insurers are not just doing the right
thing from a public policy perspective. Most of the policies they write probably
obligate them to respond in any case.
Pertinent Case Law
When considering insurance coverage for the events of September 11, by far
the most important question is the applicability of war exclusions in the various
property and liability policies that might be called on to respond. Most insurance
contracts contain war exclusions. Although the language varies from one standard
form to another—and may vary even more among nonstandard contracts—many of the
same terms occur again and again:
- war (declared or undeclared)
- civil war
- military action
- insurrection
- rebellion
- revolution
- usurped power
- governmental action to hinder or defend against a military attack
Not surprisingly, the interpretation of insurance policy war exclusions has
not been extensively litigated. But the terms employed in such exclusions have
acquired more or less settled meanings over the years. An instructive exercise
in establishing the meaning of war exclusion language—especially as it applies
to the World Trade Center and Pentagon attacks—is the decision by the U. S.
Second Circuit Court of Appeals in Pan American
World Airways v Aetna Casualty and Surety Co., 505 F2d 989 (1974).
The case involved a dispute between an aircraft hull insurer and a war risk
insurer over coverage for the hijacking and destruction of a commercial aircraft.
If the actions of the hijackers (members of the Popular Front for the Liberation
of Palestine or PFLP) were considered acts of "war" or "insurrection," then
the war risk insurer would pay. If not, then the hull insurer could not invoke
its policy's war exclusion and would have to pay the loss.
While the insurance at the center of Pan American
v Aetna was a property policy, the language of the exclusion being invoked
is mirrored in other lines as well: property and liability, commercial and personal.
The exclusions considered by the court are shown in Figure 1.
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Figure 1
War Exclusions Litigated in Pan American v Aetna
This policy does not cover: …
- capture, seizure, arrest, restraint or detention or the consequences
thereof or of any attempt thereat, or any taking of the property
insured or damage to or destruction thereof by any Government or
governmental authority or agent (whether secret or otherwise) or
by any military, naval or usurped power, whether any of the foregoing
be done by way of requisition or otherwise and whether in time of
peace or war and whether lawful or unlawful (this subdivision 1.
shall not apply, however, to any such action by a foreign government
or foreign governmental authority following the forceful diversion
to a foreign country by any person not in lawful possession or custody
of such insured aircraft and who is not an agent or representative,
secret or otherwise, of any foreign government or governmental authority);
- war, invasion, civil war, revolution, rebellion, insurrection
or warlike operations, whether there be a declaration of war or
not.
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The hull insurer's argument presented the war exclusion language as an attempt
to rule out coverage for an entire spectrum of concerted violent acts. Given
the nature of the hijacking and destruction of the plane, the insurer maintained
that such an act had to fall somewhere along the spectrum that began with "riot
and civil commotion [also excluded in the policy]," moved on to "insurrection"
and "warlike operations," and ending with "war." The circuit court rejected
this argument:
Each of the exclusionary terms has dimensions besides the level of violence.
For example, for there to be a "riot" three or more actors must gather in
the same place; for there to be an "insurrection" there must be an intent
to overthrow a lawfully constituted regime; for there to be a "war" a sovereign
or quasi-sovereign must engage in hostilities.
One by one, the Second Circuit rejected the applicability of the war exclusion
terms to a terrorist attack. It pointed out that:
English and American cases dealing with the insurance meaning of "war"
have defined it in accordance with the ancient international law definition:
war refers to and includes only hostilities carried on by entities that
constitute governments at least de facto in character.
The court similarly declined to follow the insurer's argument that terrorist
acts constitute a kind of "guerilla war" that falls in practical terms within
the language of the exclusion:
The [insurer's] alternate theory that the loss resulted from a guerrilla
war between the PFLP and the United States is wholly untenable. The only
evidence that the PFLP and the United States were at war consists of the
PFLP's self-serving propaganda, propaganda claiming that the PFLP was effectively
at war with the entire Western World. Such radical rhetoric cannot affect
the outcome of this insurance case.
There is no warrant in the general understanding of English, in history,
or in precedent for reading the phrase "warlike operations" to encompass
(1) the infliction of intentional violence by political groups (neither
employed by nor representing governments) (2) upon civilian citizens of
non-belligerent powers and their property (3) at places far removed from
the locale or the subject of any warfare. (4) This conclusion is merely
reinforced when the evident and avowed purpose of the destructive action
is not coercion or conquest in any sense, but the striking of spectacular
blows for propaganda effects.
The circuit court justices also pointed out that language specifically excluding
acts of terrorism, in general, or hijacking, in particular, have been employed
in insurance policies for some time. Since such specific and unambiguous language
was available to the insurer, the court said, the insurer should bear the burden
of failing to use it.
Not only does it appear from the record that various clauses which would
have excluded the present loss were in common use, but it appears that the
General Policy Committee of the USAIG, which supplied the forms for the
present all risk insurance, realized by May, 1970, that "current war risk
exclusions do not appear to be effective against intentional damage such
as might be caused by hijackings, by bombs placed in aircraft by political
activists, by riotous acts, etc." See 368 F Supp at 1119. When the all risk
insurers failed to exclude "political risks in words descriptive of today's
world events," they acted at their own peril.
In summary, the Second Circuit justices upheld the judgment of the federal
district court that the policy's war risk exclusion did "not describe a violent
and senseless intercontinental hijacking carried out by an isolated band of
political terrorists." That judgment seems equally relevant to the death and
destruction inflicted by another band of political terrorists on September 11,
2001.
The Standard Policy War Risk Exclusions
The remainder of this article examines the issues involved with the various
property and casualty insurance policies that are likely to be called on to
cover losses stemming from the recent terrorist attacks. These include:
- Commercial property insurance policies
- Commercial general liability insurance policies
- Commercial auto insurance policies
- Personal auto insurance policies
- Homeowners insurance policies
- Workers compensation insurance policies
Many of these policies are either written on standard policy forms drafted
for industry use by industry rating organizations—such as Insurance Services
Office, Inc. (ISO), or National Council on Compensation Insurance (NCCI)—or
on nonstandard forms that are patterned after the standard forms. This analysis
focuses on the standard language since it is so prevalent. Nonstandard language
would require specific analysis to determine how it differs from the standard
language. In particular, the analyst would need to look for specific inclusion
of "acts of terrorism" or similar language within the list of excluded perils
of a war exclusion.
All the standard policies listed above contain war risk exclusions except
for the NCCI workers compensation policy. While the exclusions in the various
forms vary slightly from each other, they are extremely similar.
One important commonality they contain, along with most nonstandard forms,
is that they do not specifically exclude damage or loss resulting from terrorist
acts. Instead, they exclude only loss or damage from perils like war, warlike
action, and insurrection—the same perils considered in Pan American v Aetna. This makes any such war
risk exclusion inapplicable to damage resulting from terrorism for the same
reasons enumerated in Pan American v Aetna.
To illustrate, consider the war exclusion found in the three ISO commercial
property causes of loss forms, shown in Figure 2.
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Figure 2
ISO Commercial Property War Exclusion
f. War and Military Action
- War, including undeclared or civil war;
- Warlike action by a military force, including action in hindering
or defending against an actual or expected attack, by any government,
sovereign or other authority using military personnel or other agents;
or
- Insurrection, rebellion, revolution, usurped power, or action
taken by governmental authority in hindering or defending against
any of these.
Source: Forms CP 10 10 10 00,
CP 10 20 10 00, and CP 10 30 10 00, Copyright, Insurance Services Office,
Inc., 1999
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The first thing to note about the ISO commercial property form war exclusion
is the conspicuous absence of any mention of terrorism or terrorist acts. The
question then becomes, "Would such acts be contemplated within the plain meaning
of the language that is used?"
The exclusion is made up of three parts.
- Item (1) is simply an exclusion of damage by war. Terrorism is clearly
not war in the conventional sense, in that it is not carried out by large
groups of armed military personnel who are being directed by a governing
authority.
- Item (2) excludes damage caused by "warlike action by a military force...."
Terrorism would not qualify under this portion of the exclusion either.
Terrorism involves isolated destructive actions taken by a relative few
individuals, rather than a military attack by an army.
- Item (3) is an exclusion of damage in connection with rebellion, revolution,
or civil war. These are actions taken by armed groups of citizens in order
to take control of the government away from those currently in power. This
portion of the exclusion, too, is clearly inapplicable to terrorist action.
While terrorists acts can be committed by a nation's own citizens, they
are committed by a few individuals, rather than by a large armed force.
The usual aim of these destructive acts is to frighten or discourage, and
perhaps to influence public opinion for a given cause, rather than to gain
control of the government.
The structure of the exclusions contained in the standard ISO commercial
auto, commercial general liability, homeowners, and personal auto policies varies
slightly from the commercial property form exclusion shown above, but they are
so similar that a detailed analysis of the provisions yields the same conclusion.
These war risk exclusions cannot be reasonably applied to preclude coverage
for claims arising from the events of September 11. We also examined a handful
of war exclusions in nonstandard forms and came to the same conclusion.
Conclusion
In the vast majority of cases, there is no war risk or terrorist act exclusion
in property and casualty insurance policies that would apply to deny coverage
for claims arising from the recent terrorist attacks. In the aftermath of this
tragedy, the question is whether, in the future, insurers will modify their
insurance policies to specifically exclude or limit coverage for loss arising
from terrorist acts. Given the public policy and public relations implications
of such a move, however, this may be difficult to achieve or enforce. Time will
tell.
While determining that the war risk exclusion does not apply is a major step
toward finding coverage in any policy, other policy provisions must also be
considered. In Attack on America: The Insurance Coverage
Issues, Part 2, we examine some of these other coverage issues.
Note: See other terrorism articles
on IRMI.com.
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