Barry Zalma | September 1, 2004
California insurers, especially those in the excess and surplus lines business, must immediately change the way they investigate and adjust claims involving pollution. Where injuries to persons or property claimed as a result of exposure to toxic substances were quickly and blithely denied, they must now be thoroughly investigated to determine if the effect of pollutants was an "ordinary act of negligence" or a widespread pollution of the environment.
The California Supreme Court has, unanimously, in John R. MacKinnon v Truck Insurance Exchange, 2003 DJDAR 9112; S104541 (August 14, 2003), concluded that the "pollution exclusion" of the commercial general liability (CGL) policy "does not plainly and clearly exclude ordinary acts of negligence involving toxic chemicals such as pesticides." Insurers doing business in California must, as a result, reevaluate denials of claims based on the pollution exclusion and should withdraw those denials and provide coverage for defense and indemnity in those cases that fall within the supreme court's definition.
The case arose when Truck Insurance Exchange issued a CGL insurance policy to MacKinnon, for the period of April 1996 to April 1997. That policy obligated the insurer to pay "all sums for which [the insured] become[s] legally obligated to pay as damages caused by bodily injury, property damage or personal injury." The insurer must "pay for damages up to the Limit of Liability when caused by an occurrence arising out of the business operations conducted at the insured location." Under "Exclusions" the policy states:
The terms "pollution or pollutants" are defined, in the definitions section at the beginning of the policy, as:
Jennifer Denzin was a tenant in MacKinnon's apartment building. She requested that MacKinnon spray to eradicate yellow jackets at the apartment building. MacKinnon hired a pest control company, Antimite Associates, Inc., to exterminate the yellow jackets. Antimite treated the apartment building for yellow jackets on several occasions in 1995 and 1996. On May 19, 1996, Denzin died in MacKinnon's apartment building.
Denzin's parents filed a wrongful death lawsuit against MacKinnon, Antimite, and other defendants. They alleged that on or about May 13, 1996, defendants negligently failed to inform Denzin that her apartment was to be sprayed with "dangerous chemicals," and failed to evacuate her, as a result of which she died from pesticide exposure. MacKinnon tendered his defense to Truck Insurance under the CGL insurance policy.
The trial court found that Denzin action alleged that:
The California Court of Appeal affirmed. It too found the clause unambiguous as applied to MacKinnon's claim, citing several cases from other jurisdictions giving the exclusion a broad reading.
The California Supreme Court recognized that there were two different methods, across the country, interpreting the pollution exclusion:
The court then conducted an extensive discussion of the historical background of the pollution exclusions. Truck Insurance contended that the pollution exclusion should be read literally. If read literally, the "pollution exclusion" plainly and clearly extends to virtually all acts of negligence involving substances that can be characterized as an irritant or contaminant. Specifically, Truck Insurance argued that pesticides are "chemicals" capable of causing irritation and can therefore be defined as an "irritant" and a "pollutant." The spraying of pesticides can also, Truck Insurance argued, be described as a "discharge" or "dispersal" sufficient to exclude coverage for its insured.
The California Supreme Court, taking the argument to its logical extreme, concluded:
The California Supreme Court recognized that virtually any substance can act under the proper circumstances as an "irritant or contaminant." A single aspirin, for instance, will help avoid heart attacks while thousands of aspirin in the soil will kill plants. Chlorine can irritate but is perfect for keeping a swimming pool clean and healthful to use. For a chemical to be a "pollutant," the analysis must include more than a dictionary definition. It must combine the definitions with the context of the claimed injury. The California Supreme Court said:
The California Supreme Court concluded that an interpretation limiting the exclusion to environmental pollution is reasonable in light of the purpose of CGL policies—which "is 'to provide the insured with the broadest spectrum of protection against liability for unintentional and unexpected personal injury or property damage arising out of the conduct of the insured's business.'[citations omitted]"
In AIU Insurance v Superior Court, 51 Cal 3d 807 (1990), the California Supreme Court applied statutory rules of contract interpretation to insurance contracts. The AIU court set up a three-part test that considered the "plain meaning" of the policy language, examined the "objectively reasonable expectations" of the insured and resolved any remaining dispute against the insurer.
Some courts have fused the parts, sometimes using "reasonable epectations" in evaluation "plain meaning." [Nissel v Certain Underwriters at Lloyd's of London, 62 Cal App 4th 1103 (1998). MacKinnon seems to have limited the three-part test of AIU and, as one commentator has opinied that the three-part test:
As a result of the decision in MacKinnon, insurers faced with a claim of injury to person or property by exposure to toxic substances commonly understood to be pollutants must now include:
To do so the insurer must, at a minimum, do the following:
If the insurer finds that the injury incurred by persons or property were due to "ordinary acts of negligence" it may conclude the exclusion does not apply and must provide a defense or indemnity to the insured. Similarly, if the substance was applied in a small or confined area, like the spraying of a single apartment, as in MacKinnon, it will be difficult to reject coverage for defense or indemnity. The decision will be more difficult when there is a dispersal of the substance into the soil or water but the California Supreme Court seems to indicate a need for a widespread dispersal. Dispersal of toxic substances less than 100 miles, or throughout the Los Angeles basin, or some less than a wide dispersal is not the type of "pollution" the California Supreme Court concludes is sufficient to allow an insurer to apply the "pollution exclusion."
Insurers in California can no longer deny every claim that alleges injury to person or property by a toxic substance as excluded by the CGL's pollution exclusion. The thorough investigation required by Egan v Mutual of Omaha Insurance, 24 Cal 3d 809, 620 P2d 141, 169 Cal Rptr 691 (Cal 1979), where the California Supreme Court concluded that "an insurer cannot reasonably and in good faith deny payments to its insured without thoroughly investigating the foundation for its denial."
The MacKinnon case provides guidelines for the investigation and sets limits on the exclusion. To comply with the requirement of a thorough investigation it is necessary that, before a claim is denied for pollution, that the insurer establishes that the spread of the substance was not due to "ordinary acts of negligence" and that the substance was dispersed over a wide area.
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.