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.
|
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.
|
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.
|
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
|
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.
Opinions expressed in Expert Commentary articles are those of the author and are
not necessarily held by the author's employer or IRMI. Expert Commentary articles
and other IRMI Online content do not purport to provide legal, accounting, or other
professional advice or opinion. If such advice is needed, consult with your attorney,
accountant, or other qualified adviser.