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Third Circuit Court Ruling on Insurance Liability in Trahey Wrongful Death Case

The document is a court opinion regarding insurance coverage in a wrongful death case. It summarizes that: 1) A security guard killed a coworker while both were on the job. The jury found the killing was for personal reasons not related to employment. 2) Two insurance companies, Forum and Liberty Mutual, disputed which policy provided coverage. Forum insured the security company for liability, while Liberty Mutual provided workers' compensation. 3) The court analyzed the language of the policies and relevant case law. It determined that under Pennsylvania law, the death arose from employment because it occurred while the men were working, even if the attack was personal. Therefore, Liberty Mutual's workers' compensation policy provided
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0% found this document useful (0 votes)
44 views13 pages

Third Circuit Court Ruling on Insurance Liability in Trahey Wrongful Death Case

The document is a court opinion regarding insurance coverage in a wrongful death case. It summarizes that: 1) A security guard killed a coworker while both were on the job. The jury found the killing was for personal reasons not related to employment. 2) Two insurance companies, Forum and Liberty Mutual, disputed which policy provided coverage. Forum insured the security company for liability, while Liberty Mutual provided workers' compensation. 3) The court analyzed the language of the policies and relevant case law. It determined that under Pennsylvania law, the death arose from employment because it occurred while the men were working, even if the attack was personal. Therefore, Liberty Mutual's workers' compensation policy provided
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866 F.

2d 80

FORUM INSURANCE CO., an Illinois Corporation


v.
ALLIED SECURITY, INC., a Pennsylvania corporation;
Liberty
Mutual Insurance Company, a Massachusetts
corporation, and Norman F. Trahey,
Administrator of the Estate of
Ronald F. Trahey, Deceased.
Appeal of ALLIED SECURITY, INC., Appellant in No. 881583.
Appeal of LIBERTY MUTUAL INSURANCE COMPANY,
Appellant in No. 88-1596.
Nos. 88-1583, 88-1596.

United States Court of Appeals,


Third Circuit.
Argued Dec. 5, 1988.
Decided Jan. 24, 1989.
Rehearing and Rehearing In Banc Denied Feb. 15, 1989.

William Pietragallo, II (argued), Pietragallo, Bosick & Gordon, Pittsburgh,


Pa., for Allied Security, Inc.
Lawrence L. Robinson (argued), Thompson & Pennell, Philadelphia, Pa.,
for Liberty Mut. Ins. Co.
Stephen W. Trout (argued), Murphy, Taylor & Adams, Philadelphia, Pa.,
for Forum Ins. Co.
Before SLOVITER and BECKER, Circuit Judges and BARRY, District
Judge.*
OPINION OF THE COURT
SLOVITER, Circuit Judge.

I.
1

Vito Vinciguerra, a security guard, attacked and killed Ronald F. Trahey, his
fellow employee, while both were on assignment for their employer, Allied
Security, Inc. (Allied). In a wrongful death action brought by the estate of
Trahey against Allied in the Philadelphia County Court of Common Pleas, the
jury found that Vinciguerra killed Ronald Trahey "because of reasons personal
to him and not directed against the victim as an employee or because of his
employment." App. at 278. The parties agree that this finding established that
the killing was not covered by the Pennsylvania Workmen's Compensation Act,
which provides that "an injury caused by an act of a third person intended to
injure the employe because of reasons personal to him, and not directed against
him as an employe or because of his employment" does not qualify as an
"injury arising in the course of employment" for purposes of the Act.
Pa.Stat.Ann. tit. 77, Sec. 411(1) (Purdon Supp.1988). The jury found that
negligence on the part of Allied "in the hiring, retention, placement,
supervision or control" of Vinciguerra was a substantial factor in Trahey's
death, and assessed $800,000 in damages against the company. App. at 278-79.

Forum Insurance Company (Forum) insured Allied under a Security Guard


Policy which covered its obligation to pay damages for personal injury or
property damage arising out of its security guard services and by reason of any
negligence or dishonesty committed by its employees while providing security
guard services. Forum assumed defense of Allied in the Trahey estate suit under
a reservation of rights. It then brought a diversity suit for a declaratory
judgment against Allied, the Trahey estate, and Liberty Mutual Insurance
Company (Liberty), which had issued a "Workers' Compensation and
Employers' Liability" policy to Allied. Forum asked the court to declare that
Forum had no obligation to provide a defense or coverage of the estate's claim,
arguing that the wrongful death suit came within the coverage of Liberty's
policy and was expressly excluded from coverage under the Forum policy. The
district court agreed with Forum's contentions and granted summary judgment
in its favor, holding Forum had no obligation to provide a defense or coverage
to Allied and that Liberty is liable for the reasonable costs and expenses that
have been or will be incurred in connection with the defense of the Trahey
action. 690 F.Supp. 390.

This appeal by Allied and Liberty requires us to conduct a plenary review of


the district court's construction of the Liberty and Forum insurance policies.1
Under Pennsylvania law, we must initially look at the policies and determine,
as a matter of law, whether the language is unambiguous. Commercial Union
Ins. Co. v. Pittsburgh Corning Corp., 789 F.2d 214, 217 (3d Cir.1986). If the

language of the insurance policies is unambiguous, then we must construe the


language as a matter of law. Id.
II.
4

The insurance policy issued by Forum to Allied on September 1, 1981 provides


coverage, inter alia, for "all sums for which the insured shall become legally
obligated to pay as damages ... by reason of any negligent act, error or omission
committed by the Named Insured in the conduct of Security Guard Services, or
any act of dishonesty committed by an employee of the Named Insured while in
the course of employment providing Security Guard Services." App. at 9. The
policy excludes claims "arising out of ... (2) Any obligation for which the
Named Insured or any carrier as his insurer may be held liable under any
workers compensation, unemployment compensation or disability benefits law,
or under any similar law; (3) Bodily injury, sickness or disease, including death
or disability at any time resulting therefrom to any employee of the Named
Insured arising out of and in the course of his employment by the Named
Insured or to any obligation of the Named Insured to indemnify another
because of damages arising out of such injury." App. at 10 (emphasis added).
The policy limit of the Forum insurance is $1,000,000.

The insurance policy issued by Liberty provides for two types of coverage.
Under Coverage A, "Workers' Compensation," Liberty agreed to cover all
compensation required by "the workers' compensation law." App. at 46. Under
Coverage B, "Employers' Liability," Liberty agreed "[t]o pay on behalf of the
insured all sums which the insured shall become legally obligated to pay as
damages because of bodily injury by accident or disease, including death at any
time resulting therefrom, (a) sustained ... by any employee of the insured
arising out of and in the course of his employment by the insured...." Id.
Coverage B contains a $100,000 cap.

The district court concluded that the death of Trahey arose "out of and in the
course of his employment" and therefore that his estate's wrongful death claim
fell within Coverage B of the Liberty policy, and was excluded by exclusion (3)
from the Forum policy. The court, applying the canon of contract construction
that contracts should be read to give effect to all provisions, reasoned that
exclusion (3) of the Forum policy was intended to reach injuries other than
those covered by workers' compensation; otherwise, exclusions (2) and (3)
would be synonymous, and clause (3) would be a superfluity. Finding the
allegations contained in the complaint filed in the wrongful death suit to be
covered by Liberty's and not Forum's policy, the district court held that Liberty
was obligated to indemnify Allied to the extent of its policy limit, and to pay

the costs and expenses that had been or would be incurred in defending Allied
against the Trahey suit.
III.
7

We consider first Allied's argument that the district court erred in holding that
the injury to and subsequent death of Trahey was one "arising in the course of
his employment." We must apply Pennsylvania law. Fortunately, there is a
Pennsylvania Supreme Court decision directly interpreting the meaning of the
clause "arising out of and in the course of employment." In McCabe v. Old
Republic Insurance Co., 425 Pa. 221, 228 A.2d 901 (1967), McCabe, the
employer, sought to recover from the insurer part of the judgment McCabe was
required to pay when one of its employees was injured in the construction of a
trench. The policy excluded from coverage liability on the part of McCabe for
injuries or death of an employee "arising out of and in the course of his
employment by the insured."

McCabe, as Allied here, attempted to argue that this term was ambiguous. The
Supreme Court rejected that contention, holding instead that "[w]e cannot agree
that any ambiguity exists." Id. 228 A.2d at 903. The Court held that " 'arising
out of means causally connected with, not promixately caused by. 'But for'
causation, i.e., a cause and result relationship, is enough to satisfy this provision
of the policy." 425 Pa. at 224, 228 A.2d at 903 (emphasis deleted) (quoting
Manufacturers Casualty Ins. Co. v. Goodville Mut. Casualty Co., 403 Pa. 603,
607-08, 170 A.2d 571, 573 (1961)).

The dissent's suggestion that the "but for" test enunciated in McCabe is not the
law of Pennsylvania is simply wrong. In the first place, the McCabe court's
adoption of a "but for" test is no less precedential because it enters that opinion
through a quotation of another case. We must assume, particularly in a diversity
case, that the Pennsylvania Supreme Court meticulously chose the language it
adopted.

10

In the second place, even one of the Superior Court cases on which the dissent
relies (all of which dealt with automobile insurance rather than employment
insurance) recognizes the viability of the "but for" test. In Erie Insurance
Exchange v. Eisenhuth, 305 Pa.Super. 571, 574, 451 A.2d 1024, 1025 (1982),
the Superior Court cited Manufacturers Casualty for the same proposition for
which it was cited in McCabe, referring expressly to the "but for" standard.

11

Finally, we find no basis in Pennsylvania employment law for the restrictive

approach the dissent's analysis would apply to injuries "arising out of and in the
course of employment." In contrast, under our construction of the relevant
language, Trahey's injury would have been covered as arising out of his
employment for purposes of workers' compensation were it not for a
specifically applicable exclusion.
12

Allied concedes that both Trahey and his assailant were at work at the time of
the incident. Thus, although the jury found that Vinciguerra's attack was not
directed to Trahey "as an employee," this does not mean that the injury did not
arise out of Trahey's employment in the sense used by Pennsylvania. Trahey's
death clearly arose out of his employment under Pennsylvania law, since he
was killed by a fellow employee while both were on assignment as security
guards for their employer. The district court did not err in so holding.

IV.
13

It follows from our holding that Trahey's death arose out of and in the course of
his employment that the estate's claim falls within exclusion (3) of Forum's
policy expressly excluding coverage for Allied's obligations to an employee
"arising out of and in the course of his employment," and the district court so
held. Appellants argue, however, that exclusion (3) is no more extensive than
the Pennsylvania Workmen's Compensation Act, so that it excludes from the
policy only those injuries which are covered under the Workmen's
Compensation statute. They rely on Federal Rice Drug Co. v. Queen Insurance
Co., 463 F.2d 626 (3d Cir.1972).

14

In Federal Rice, the estate of an employee who had committed suicide settled
its suit against the employer for intentional or negligent infliction of emotional
distress. The employer's insurance company had declined coverage under its
Comprehensive Business Policy on the basis of two exclusion provisions, (f)
and (g), the language of which were substantially similar to exclusions (2) and
(3) of the Forum policy. We held that the insurance policy covered the claim
because neither of the exclusions applied.

15

We reasoned as follows: Exclusions (f) and (g) in the Comprehensive Business


Policy were the substantial equivalents of Coverages A and B of the standard
Workmen's Compensation and Employer's Liability Policy. Id. at 629.
Coverage A insured against liability under the workmen's compensation law,
and exclusion (f) excluded claims covered by the workmen's compensation
law. However, at the time Federal Rice was decided, employees in
Pennsylvania were permitted to elect for or against workmen's compensation
coverage. Thus, we construed Coverage B in the Workmen's Compensation and

Employer's Liability Policy as insuring employers' liability to employees who


would be covered by workmen's compensation except for the fact that they
elected against coverage, and we construed exclusion (g) in the Comprehensive
Business Policy (comparable to exclusion (3) here) as excluding that same
liability.
16

The claim in Federal Rice was covered by the Comprehensive Business Policy
because neither exclusion applied. The employee had elected coverage under
workmen's compensation, thereby rendering Coverage B in one policy and
exclusion (g) in the other irrelevant. Id. at 631. Coverage A did not apply
because an employee's suicide was not covered by workmen's compensation as
a result of a specific statutory exclusion. Since exclusion (f) only excluded that
which was included in Coverage A, exclusion (f) did not operate to relieve the
insurer from its obligation to cover Federal Rice's claim. Id.

17

In 1974, the Pennsylvania workmen's compensation statute was amended to


make coverage mandatory, so that employees no longer could elect against
coverage. Act of December 5, 1974, P.L. 782, No. 263, Sec. 3, codified at
Pa.Stat.Ann. tit. 77, Sec. 431 (Purdon Supp.1988). Liberty's policy coverage
and Forum's equivalent policy exclusions must be given meaning in the legal
context in which they were written. See Twin City Fire Ins. Co. v. Home
Indem. Co., 650 F.Supp. 785, 790-91 (E.D.Pa.1986). As Federal Rice instructs
us, we must interpret Forum's exclusions as correlative to Coverages A and B
of the Liberty policy.

18

The Trahey estate's claim was not covered by the workers' compensation law
and thus is not within Coverage A of Liberty Mutual's policy, nor can Forum
disclaim coverage under exclusion (2) of its policy (excluding any obligation
for which the insured may be held liable under any workers' compensation
law). On the other hand, Coverage B of the Liberty Mutual policy expressly
undertakes "[t]o pay on behalf of the insured [Allied Security, Inc.] all sums
which the insured shall become legally obligated to pay as damages because of
bodily injury ... including death at any time resulting therefrom, (a) sustained ...
by any employee of the insured arising out of and in the course of his
employment by the insured...." In light of our holding that Trahey's death arose
out of and in the course of his employment, this language would appear to
cover precisely the Trahey estate's claim against Allied. Consequently, that
claim is excluded under the correlative language in exclusion (3) of Forum's
Comprehensive Business policy. Surprisingly, the dissent offers no persuasive
reason why, accepting arguendo our construction of "in the course of his
employment," the Liberty language is inapplicable.

19

Because exclusion (2) of Forum's policy now suffices to exclude from the
policy claims for injuries that fall within the Pennsylvania's Workmen's
Compensation Act, exclusion (3) would have no meaning if it is also limited to
injuries that fall within the same statute, as the appellants argue. See
Restatement (Second) of Contracts Sec. 203(a) & comment b (1981). Allied
argues that the language of Forum's policy was designed with jurisdictions
other than Pennsylvania in mind, and that exclusion (3) would not be subsumed
under exclusion (2) in jurisdictions in which workers' compensation statutes do
not provide the exclusive remedy for employees. It notes that in some states,
notwithstanding the exclusivity of the workers' compensation remedy, an
employer might be liable for a derivative claim by a wife for loss of consortium
or for contributions by third parties for injuries to workers. Allied thus argues
that Forum's exclusion (3) is designed to preclude coverage for such claims.
This argument does not help Allied in this case because the Trahey estate's
claim also falls within that category since the Pennsylvania Workmen's
Compensation Act excludes from coverage third-party injuries to employees for
personal reasons, such as that inflicted here. Thus, even though Trahey's
injuries would otherwise be deemed to arise out of and have been incurred in
the course of employment, they were not covered by workers' compensation.

20

Our interpretation gives effect to all of the clauses and all the language in the
Liberty and Forum policies. Liberty, the workers' compensation carrier through
Coverage A, also expressly covers employers' liability through Coverage B for
claims that the workers' compensation law excludes although the injuries arose
in the course of employment. Forum's policy, the business policy, using
substantially the same language, excludes those items expressly covered in the
Liberty policy. Indeed, were it not for the happenstance that Forum's policy has
a higher coverage amount, it is unlikely that Allied would have invoked
Forum's rather than Liberty's policy.

21

The district court's construction of the two insurance policies was therefore
correct, and its order in that respect will be affirmed.

V.
22

Appellants argue that the district court erred in holding that Forum was not
responsible for the costs and expenses incurred by Forum in defending Allied
in the Trahey estate suit. Although the district court's opinion does not discuss
the issue, it appears that the district court believed that the costs of defense
would follow the policy coverage, so that the insurer which must indemnify
must also bear the costs of defense. For the reasons that follow, we cannot
accept this logic.

23

Under Pennsylvania law, "[i]t is settled ... that an insurer's obligation to defend
an action against the insured is not necessarily coextensive with its obligation to
indemnify the insured." C.H. Heist Caribe Corp. v. American Home Assurance
Co., 640 F.2d 479, 481 (3d Cir.1981). Rather, the insurer's duty to defend is
broader than its duty to indemnify, and requires the insurer to provide a defense
against a claim that " 'might or might not' fall within the coverage of the policy
... 'until it c[an] confine the claim to a recovery that the policy d[oes] not cover.'
" Cadwallader v. New Amsterdam Casualty Co., 396 Pa. 582, 589-90, 152
A.2d 484, 488 (1959) (quoting Lee v. Aetna Casualty & Surety Co., 178 F.2d
750, 752 (2d Cir.1949)).

24

A component of the duty to defend necessarily includes bearing the costs and
expenses of the defense. Otherwise, an insurer with a policy ultimately held not
to cover the claim against its insured would be able to recover its costs of
defense from its insured, which would eviscerate the duty to defend.

25

We have found very little reported case law on the issue of defense costs when
two insurers arguably have a duty to defend. In this case, Liberty was also
potentially liable for the claims alleged in the Trahey estate complaint. The fact
that Allied chose to tender the defense of the suit to Forum, the insurer with the
highest limit on its liability coverage, cannot absolve Liberty from its
coextensive duty to defend.

26

In Pacific Indemnity Co. v. Linn, 766 F.2d 754, 768 (3d Cir.1985), where more
than one policy potentially covered the claims, we held that the district court
properly allocated the defense costs among various insurers. Although the
situation here is somewhat different, in that we have found that only Liberty's
policy covers the claim, we nonetheless hold that because both Forum and
Liberty had an obligation to defend, the costs of the defense Forum undertook
should be apportioned between them. See also Twin City Fire Ins. Co. v. Home
Indemnity Co., 650 F.Supp. 785, 792 (E.D.Pa.1986); 1A R. Long, The Law of
Liability Insurance, Sec. 5.23, at 5-161 (1987). Indeed, Forum agreed at oral
argument that this would be an appropriate solution.

VI.
27

We will affirm the district court's order holding that Forum's policy does not
cover the claim asserted by the Trahey estate. We will vacate that portion of the
district court's order that requires Liberty to bear liability for the entire cost of
defense and will remand so that the district court can apportion the defense
costs between both insurers.

28

BECKER, Circuit Judge, dissenting in part.

29

It is not often that a worker who suffers bodily injury (or death) as the result of
an incident that takes place while he is on the job is not entitled to worker's
compensation. However, as the parties stipulate, this is such a case. Under
these circumstances, I simply cannot agree that appellee Forum, which
furnished appellant Allied Security with a liability policy that covers Allied for
the very kind of liability that the Common Pleas jury here found, should escape
responsibility on the basis of a workers compensation-based exclusion in its
policy. In my view, none of the grounds assigned by the majority for Forum's
exculpation passes muster.

I.
30

The first prop of the majority's opinion is its reliance on McCabe v. Old
Republic Insurance Co., 425 Pa. 221, 228 A.2d 901 (1967), a reliance I find
misplaced. In McCabe, the Pennsylvania Supreme Court was faced with a
situation where an employee, Sixto Quinones, was killed while engaged in the
construction of a sewer when the trench in which he was digging collapsed due
to the absence of shoring. The employer, McCabe, paid worker's compensation.
Failure to shore constituted a violation of state regulations imposed upon the
employer.1 Quinones' administratix sued the township which had contracted for
the building of the sewer. The township impleaded the employer, seeking
indemnification. The employer then requested its insurance company to defend.
It refused and, after a judgment was awarded in the administratix's action
against the township and in the township's indemnity action against the
employer, the employer brought suit against the insurance company.

31

The employer's insurance company argued that its policy, which, like Forum's,
disclaimed liability for injury or death to an employee "arising out of and in the
course of his employment," did not cover Quinones' death. The employer
argued that Quinones' death did not "arise out of his employment" but "out of
the absence of shoring in the trench." The Pennsylvania Supreme Court
disagreed, arguably suggesting that, in construing the disclaimer term "arising
out of employment," a "but for" test was all that had to be satisfied, and that no
element of proximate cause had to be shown.

32

If this proposition constitutes the holding of McCabe, and McCabe is still good
law, it would appear that a "but for" test should be used here and that Forum's
exclusion should apply and it should not be liable. That is because "but for"
Trahey's employment his death would not have occurred. I have considerable

doubt, however, that this proposition constitutes a holding since Quinones'


death was so clearly proximately caused by his employment. Furthermore,
while McCabe may be read as adopting a "but for" test, the opinion does not
clearly adopt this test. The phrase "but for" enters the opinion only through a
quotation from Manufacturers Casualty Insurance Co. v. Goodville Mutual
Casualty Co., 403 Pa. 603, 170 A.2d 571 (1961) (highway accident in which
automobile crashed into a horse trailer was one arising out of the ownership,
maintenance or use of the horse trailer). Immediately after quoting from
Goodville, the McCabe Court ended the opinion with the following sentence:
"Thus the interpretation given to the phrase in Goodville, supra, is completely
contra McCabe's position herein, since there is an obvious casual connection
between Quinones' employment and his death." 425 Pa. at 224, 228 A.2d at
903. If one were to choose a catch phrase to summarize McCabe, "obvious
causal connection" would therefore seem to be more accurate than "but for."
33

In the instant case, the causal connection between Vinciguerra's murder of


Trahey and Trahey's employment does not seem "obvious," since the jury in
Trahey's estate's lawsuit in the Philadelphia County Court of Common Pleas
found that Vinciguerra killed Trahey "because of reasons personal to him and
not directed against the victim as an employee or because of his employment."
Additionally, applying solely a "but for" test with no proximate cause
requirement in construing the term "arising out of employment" could lead to
untoward results. To take a simple example, suppose that an employee is killed
in an automobile collision while driving to work. "But for" his employment he
would not have had occasion to be on the road driving to work and the collision
would not have occurred. It would seem that under a "but for" construction of
the Pennsylvania Supreme Court's holding in McCabe, an insurance company
with a policy covering damages for injuries "arising out of employment" could
be liable for the resulting damages.

34

I also note that there are post-McCabe Pennsylvania cases finding no causation
for purposes of an insurance policy, and while none of them involved employee
insurance, they do seem to require that a degree of proximate causation be
shown. See Day v. State Farm Mutual Insurance Co., 261 Pa.Super. 216, 396
A.2d 3 (1978) (damages incurred in a fistfight after an automobile collision did
not arise out of the ownership, maintenance or use of a motor vehicle); Erie
Insurance Exchange v. Eisenhuth, 305 Pa.Super. 571, 451 A.2d 1024 (1982)
(injuries occasioned by bullets fired by a police officer whom the plaintiff was
trying to run down with his car did not arise out of the ownership, maintenance
or use of a motor vehicle). Therefore, it seems that the Pennsylvania courts
themselves have failed to construe McCabe as adopting a strict "but for" test in
cases involving other types of insurance.II.

35

At all events, I believe that we are bound by the post-McCabe decision of this
court in Federal Rice Drug Co. v. Queen Insurance Co. of America, 463 F.2d
626 (3d Cir.1972). In Federal Rice, as the majority notes, this court construed
two exclusion clauses in a comprehensive business insurance policy whose
language was essentially the same as exclusion clauses (2) and (3) of the Forum
policy. At the time Federal Rice was decided, Pennsylvania law allowed an
injured employee to elect between being covered by the worker's compensation
statute or rejecting worker's compensation coverage and retaining the right to
bring suit at common law. We concluded that the first exclusion clause
(equivalent to Forum's exclusion (2)) was intended to disclaim coverage for any
liability under the worker's compensation statute; and that the second exclusion
clause (equivalent to Forum's exclusion (3)) was intended to disclaim coverage
for any liability for injuries for which damages were sought at common law,
but for which damages could have been sought under the worker's
compensation law. We thus held that the policy's exclusions (equivalent to
Forum's here) were intended solely to disclaim liability for damages arising
from injuries for which claims could be brought under worker's compensation
law, and that, because of the limited scope of the exclusions, the insurance
carrier could not escape liability.

36

The majority attempts to distinguish Federal Rice by reasoning that because the
Pennsylvania worker's compensation statute was amended in 1974 to make
worker's compensation the exclusive remedy for injuries that it covers, Forum's
exclusion (2) now suffices to exclude claims for damages that could be brought
under the Pennsylvania's Worker's Compensation Act from coverage. The
majority then reasons that Forum's exclusion (3) would have no independent
meaning if its exclusionary meaning were limited to claims for injuries that
could be brought under the same statute.

37

The majority's reasoning, in my view, is flawed because, as Allied argues, the


language of Forum's policy was apparently not designed solely for use in
Pennsylvania but, rather, for use nationwide. Therefore, while the language of
Forum's exclusion (3) would just be repetitive of the language of Forum's
exclusion (2) in Pennsylvania, it would have an independent meaning in states
which still allow employees to elect between being covered by worker's
compensation or retaining the right to bring suit at common law.2

38

The majority attempts to counter this argument by asserting that Forum's policy
exclusions "must be given meaning in the legal context in which they were
written." However, "a standard form may include provisions appropriate only
to some of the transactions in which the form is to be used...." Restatement
(Second) of Contracts at Sec. 203(a) & comment b (1981). I believe this to be

such a case, for the legal context for which Forum's policy was written exists in
several states. See supra n. 2.
39

As a result, I believe that Federal Rice is indistinguishable from the present


case. Since I believe that we are bound by Federal Rice, I would apply its
holding and conclude that the clauses relied on by Forum only exclude claims
that are, or could have been, brought under worker's compensation law.
Trahey's claims, of course, could not be. Accordingly, I would find Forum to be
liable to Allied for the amount of the damages awarded to Trahey's estate.
Conversely, since Liberty's policy uses essentially the same language to define
its coverage which Forum's policy uses in creating its exclusions, I would apply
Federal Rice to conclude that Liberty should not be held liable for the damages
awarded to Trahey's estate. Therefore, I would reverse the judgment of the
district court insofar as it concluded that Forum's policy does not cover the
damages awarded in the verdict obtained by Trahey's estate against Allied, and
that Liberty's policy does.3

40

I respectfully dissent.

Hon. Maryanne Trump Barry, United States District Court for the District of
New Jersey, sitting by designation

The Trahey estate was originally an appellant but has since settled the
underlying litigation and withdrawn its appeal

See Quinones v. Township of Upper Moreland, 187 F.Supp. 260, 262


(E.D.Pa.1960), modified, 293 F.2d 237 (3d Cir.1961)

See, e.g., N.J.Stat.Ann. Sec. 34:15-7 (1988). Currently five states allow
election out of workmen's compensation coverage. In New Jersey, South
Carolina and Texas, either the employee or the employer may elect out of
coverage. In Arizona and Kentucky only the employee may elect out of
coverage. See A. Larson, 2A Workmen's Compensation Law, Sec. 67.10 at 1295--12-97 (1988)

I also have difficulty with Part V of the majority opinion which vacates that
portion of the district court's decision requiring Liberty to bear liability for the
costs of defense and remanding for apportionment between both insurers. The
basis of the majority's ruling is its apparent conclusion that insurance
companies have a duty to defend an insured even in a case in which the
complaint against the insured does not state a cause of action that is the type

covered by the insured's policy, as long as the insured's policy could (albeit
incorrectly) be construed to cover that type of action. Pennsylvania law may
well be inconsistent with the majority's position. See generally Cadwallader v.
New Amsterdam Casualty Co., 396 Pa. 582, 589, 152 A.2d 484, 489 (1959) ("
'It was the duty of the defendant to undertake the defen[s]e until it could
confine the claim to a recovery that the policy did not cover.' " (citation
omitted)); Wilson v. Maryland Casualty Co., 377 Pa. 588, 594, 105 A.2d 304,
307 (1954) ("[T]he obligation of a casualty insurance company to defend an
action brought against the insured is to be determined solely by the allegations
of the complaint in the action, and ... the [insurance] company is not required to
defend if it would not be bound to indemnify the insured even though the claim
against him should prevail in that action."); Acands Inc. v. Aetna Cas. and Sur.
Co., 764 F.2d 968, 975 (3d Cir.1985) ("[T]he insurer 'is not required to defend
if it would not be bound to indemnify the insured even though the claim against
[the insured] should prevail.' " (quoting Wilson, 377 Pa. at 594, 105 A.2d at
307)); State Auto Ins. Ass'n v. Kuhfahl, 364 Pa.Super. 230, 234, 527 A.2d
1039, 1040-41 (1987) ("In analyzing whether the insurer has a duty to defend,
we must first look to the complaint filed against the insureds.... 'After
discerning the facts alleged in the complaint, we must then decide whether, if
those facts were found to be true, the policy would provide coverage. If it
would, then there is a duty to defend.' " (citations omitted)). It may also be that
the broader duty to defend attaches under Pennsylvania law only when it is not
entirely clear as a matter of law at the outset of the case whether there is a duty
to indemnify. If so, the majority may have reached the correct result. Under
these circumstances, and in light of the paucity of Pennsylvania law directly
addressing this point and the failure of the parties adequately to brief this issue,
I will not dissent from Part V of the majority's opinion

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