Find Court Cases > Co-operative Insurance Companies v. Denise Woodward, James Bennett, Individually, and as Administrator for the Estate of Brooke Bennett (2011-158)

Co-operative Insurance Companies v. Denise Woodward, James Bennett, Individually, and as Administrator for the Estate of Brooke Bennett (2011-158)

Case Date: 03/30/2012
Docket No: none

Co-operative Insurance Companies v. Denise Woodward, James Bennett, Individually, and as Administrator for the Estate of Brooke Bennett (2011-158)

 

2012 VT 22

 

[Filed 30-Mar-2012]

 

NOTICE:  This opinion is subject to motions for reargument under V.R.A.P. 40 as well as formal revision before publication in the Vermont Reports.  Readers are requested to notify the Reporter of Decisions, Vermont Supreme Court, 109 State Street, Montpelier, Vermont 05609-0801 of any errors in order that corrections may be made before this opinion goes to press. 

 

 

2012 VT 22

 

No. 2011-158

 

Co-operative Insurance Companies

Supreme Court

 

 

 

On Appeal from

     v.

Superior Court, Orange Unit,

 

Civil Division

 

 

Denise Woodward, James Bennett, Individually, and as Administrator for the Estate of Brooke Bennett

October Term, 2011

 

 

 

 

Harold E. Eaton, Jr., J.

 

Robin Ober Cooley of Pierson Wadhams Quinn Yates & Coffrin, Burlington, for

  Plaintiff-Appellee.

 

Paul J. Perkins of Plante & Hanley, P.C., White River Junction, for Defendant-Appellant

  James Bennett.

 

 

PRESENT:  Reiber, C.J., Dooley, Johnson, Skoglund and Burgess, JJ.

 

 

1.             REIBER, C.J.   James Bennett, the father of Brooke Bennett and the administrator of her estate, appeals the trial courts declaration of no coverage for the claims made in the lawsuit filed against homeowner Denise Woodward for negligent supervision and damages arising out of the abduction, assault, and death of his daughter, Brooke.  Homeowner was formerly married to Brookes uncle, Michael Jacques, who is alleged to have kidnapped, sexually assaulted, and murdered Brooke.  Homeowners insurer brought a declaratory judgment action asking the trial court to hold that its policy does not cover these claims.  The trial court decided the case on summary judgment, holding that the insurance policy excludes coverage and father now appeals.  We affirm.

2.             On June 25, 2008, uncle allegedly kidnapped, sexually assaulted, and murdered Brooke Bennett.  Fathers complaint against homeowner alleges uncle acted with the intention to commit violent and devious harm, personal injury, and criminal acts to said minor child.  The complaint alleges that uncle had a propensity for acting in a depraved, predatory, and harmful manner towards women and that homeowner knew or should have known that her husband had a history of predatory behavior towards minor children and women, and was a threat to Brooke. 

3.             At the time of Brookes death, uncle was married to homeowner.  Both uncle and homeowner were the named insureds on a homeowners insurance policy issued by insurer for the period August 2007 to August 2008.  The policys personal liability coverage provision is as follows:

  Coverage LPersonal Liability.  We pay, up to our limit, all sums for which an insured is liable by law because of bodily injury or property damage caused by an occurrence to which this coverage applies.  We will defend a suit seeking damages if the suit resulted from bodily injury or property damage not excluded under this coverage.

 

4.             The policy defined bodily injury as bodily harm to a person and includes sickness, disease, or death.  The policy specifically excluded from the definition bodily harm, sickness, disease, or death that arises out of . . . sexual molestation of any person.   Occurrence was defined as an accident, including repeated exposures to similar conditions, that results in bodily injury or property damage during the policy period.  The definition of insured included the following sentence: Each of the above is a separate insured, but this does not increase our limit. 

5.             The policy also contained the following intentional-acts exclusion provision that applied to personal liability coverage:

1.      Exclusions that Apply to Coverages L and MThis policy does not apply to: . . . 

i.        bodily injury or property damage:

(1)   which is expected by, directed by, or intended by an insured;

(2)   that is the result of a criminal act of an insured; or

(3)   that is the result of an intentional and malicious act by or at the direction of an insured.

 

6.             The trial court granted summary judgment for insurer, concluding that insurer owed no duty of defense or indemnification in the underlying suit in part because the policy bars coverage for intentional acts by an insured that are not occurrences.  The court rejected fathers argument that the separate insureds, or severability, clause provides coverage for homeowner because the complaint alleges that uncle committed intentional acts. 

7.             On appeal, father reiterates his argument that uncles alleged intentional acts do not preclude coverage for homeowner because the policy contains a severability clause.  He first contends that there was an occurrence because, under the purported severability language, father focuses on homeowners negligent actions exclusive of uncles intentional ones.  His principal argument is that the clause creates ambiguity when read together with the intentional-acts exclusion, and he invites the Court to construe ambiguity against the drafter-insurer and create coverage.  Insurer contends that uncles alleged intentional acts caused Brookes death, there was no occurrence, and the intentional-acts exclusion bars coverage.  Insurer also claims that the policy does not contain a severability clause, and that even if it does, the clause does not create ambiguity. 

8.             We review a grant of summary judgment de novo and apply the same standard as the trial court.  Bradford Oil Co., Inc. v. Stonington Ins. Co., 2011 VT 108, 5, ___ Vt. ___, ___ A.3d ___.  The trial courts judgment will be upheld if there are no genuine issues of material fact and the moving party is entitled to judgment as a matter of law.  Id.; see also V.R.C.P. 56(c)(3).  Furthermore, interpretation of an insurance policy, like other contracts, is a question of law.  N. Sec. Ins. Co., Inc. v. Doherty, 2009 VT 27, 7, 186 Vt. 598, 987 A.2d 253.  Our review is therefore nondeferential and plenary.  Id.

9.             We give effect to the plain meaning of the terms of the policy.  Id.  8.  Disputed terms are to be read according to their plain, ordinary and popular meaning.  Id. (quotation omitted).  If we find ambiguity, we construe the language in favor of coverage, which promotes the protective purpose of effectuating the parties intent that the insured be, in fact, insured.  Id.  Our guiding principle requires us to review the language of an insurance contract from the perspective of what a reasonably prudent person applying for insurance would have understood it to mean.  Towns v. Vt. Mut. Ins. Co., 169 Vt. 545, 546, 726 A.2d 65, 67 (1999) (mem.). 

10.         Insurers have a duty to defend when the claim against the insured might be of the type covered by the policy.  Garneau v. Curtis & Bedell, Inc., 158 Vt. 363, 366, 610 A.2d 132, 134 (1992).  In determining whether there is a duty to defend, we compare the language of the policy to the language of the complaint.  Id. at 366, 610 A.2d at 133-34.  The most expansive duty under insurance liability policies is the insurers duty to defend, but there is no duty to defend when there is no possible factual or legal basis on which the insurer might be required to indemnify.  Id. at 366, 610 A.2d at 134.  Thus, fathers claims in the complaint control the analysis.[1]

11.         If a claim is made or a suit is brought against an insured for damages because of bodily injury that is caused by an occurrence, there is coverage under the policy, unless an exclusion applies.  N. Sec. Ins. Co. v. Perron, 172 Vt. 204, 210, 777 A.2d 151, 155 (2001).  Because the definition of occurrence and the intentional-acts exclusion are so interrelated, we consider those issues collectively.  See id. at 210 n.4, 777 A.2d at 155 n.4 (stating that, in this case, we believe the better approach is to infuse the definition of occurrence with the policys specific exclusion of intentional acts to determine if there is coverage under the policy).

12.         The policy provides that an occurrence is an accident, including repeated exposures to similar conditions, that results in bodily injury or property damage during the policy period.  The policy does not define accident, but we have previously explained that its plain meaning is an event that is undesigned and unforeseen or an unexpected happening.  Serecky v. Natl Grange Mut. Ins., 2004 VT 63,  17, 177 Vt. 58, 857 A.2d 775 (quotations omitted).  The central question in determining whether an act constitutes an occurrence is whether the actor intended or expected harm to result from the alleged intentional acts.  Id. 19.  This is typically a factual question, though [s]ome actions . . . are so likely to result in injury that, as a matter of law, the court will find that the injury did not result from an accident regardless of the actors subjective intent or expectations.  Perron, 172 at 214, 777 A.2d at 158.  Indeed, we may conclusively presume intent to harm as a matter of law based on the nature and character of the insureds alleged acts.  Id.  In such cases, the intent to act is the equivalent of the intent to harm.  Serecky, 2004 VT 63,  24.  We have applied this rule in a number of different factual scenarios, including cases of an adults sexual abuse of a minor.  See Allstate Ins. Co. v. Vose, 2004 VT 121, 19, 177 Vt. 412, 869 A.2d 97 (collecting cases).

13.         We look to the underlying complaint to determine whether there was an accident and therefore an occurrence.  Id. 15.[2]   The complaint alleges that uncle lured Brooke to his residence with the intention to commit violent and devious harm, personal injury, and criminal acts.  Uncle then allegedly drugged, sexually assaulted, and murdered Brooke. We presume intent to harm based on uncles alleged actskidnapping, drugging, sexually assaulting, and killing Brooke.  These alleged acts are inherently harmful and so certain to cause injury that we must conclude as a matter of law that uncle had intent to harm.  It would fl[y] in the face of all reason, common sense and experience to hold otherwise.  Serecky, 2004 VT 63,  24 (quotation omitted).  Because we conclude that the harm that resulted from uncles actions was intended, there was no accident and therefore no occurrence as defined in the policy.

14.         Where an insureds tortious acts are intentional, a policy exclusion for intentional acts by an insured generally bars coverage for claims made by any insured under the same policy.  Perron, 172 Vt. at 220, 777 A.2d at 163.  If the exclusion precludes coverage for certain acts by the insured, noncoverage of one insured does not affect coverage for claims against other insureds.  Id. at 221-22, 777 A.2d at 163.  To illustrate, the insurance contract in Perron contained an intentional-acts exclusion that precluded coverage for certain acts by the insured.  Id. at 220, 777 A.2d at 162-63.  We held that when an exclusion uses the article the, the provision applies only to claims brought against the particular insured named in the claim.  Id. at 220, 777 A.2d at 162.  Had it used an insured, we noted in dicta, the relevant act would have been the intentional tortfeasors abuse, and if no coverage was found for those actions, the other insureds were similarly uncovered.  Id. at 221-22, 777 A.2d at 163-64.  We stated that where a policy excludes coverage when an insured commits an intentional act, the exclusion applies to all claims which arise from the intentional acts of any one insured, even though the claims are stated against another insured.  Id. at 220, 777 A.2d at 163 (noting courts have uniformly concluded the same).  We later pointed out that there is no meaningful difference between the terms an insured and any insured.  Vose, 2004 VT 121, 22.  In other words, such language has a collective effect and bars all insureds from coverage.  Having already concluded that uncles actions were intentional under the terms of the policy, homeowner would also normally be barred from coverage because the policy at issue uses the collective term an insured.

15.         Despite this result, father contends that the policy contains a severability clause which would allow homeowner to be covered since uncle, not homeowner, committed an intentional act.  There is a division among the jurisdictions that have considered whether a severability clause conflicts with an intentional-acts exclusion, creating ambiguity and thus, coverage.  One  court notes that [c]ourts nationwide are split on the general issue whether a severability-of-interests provision in a policy covering multiple insureds alters the otherwise collective effect of an exclusion for the acts of an or any insured.  Minkler v. Safeco Ins. Co. of Am., 232 P.3d 612, 615 (Cal. 2010).  In Minkler, the Supreme Court of California held that an intentional-acts exclusion barring coverage for acts by an insured precluded coverage only for the intentional tortfeasor, and not the coinsured who did not commit the acts causing injury.  Id. at 624.  The court reasoned that a severability clause can be read to apply the policys coverage and exclusions individually to each insured, creating ambiguity.  Id.  Ambiguity was resolved in favor of the insured in Minkler, whom the court concluded would have had a reasonable expectation that the policies would cover her so long as her own conduct did not fall within the intentional acts exclusion.  Id.

16.         Assuming, without deciding, that the provision at issue is a severability clause, we conclude that this clause has no effect onand cannot overridethe intentional-acts exclusion for certain acts committed by an insured.  The exclusion here bars coverage for  bodily injury . . . (1) which is expected by, directed by, or intended by an insured; (2) that is the result of a criminal act of an insured; or (3) that is the result of an intentional and malicious act by or at the direction of an insured.   Even if each insuredin this case, uncle and homeowneris treated as having separate coverage, the exclusionary language remains unambiguous because an is collective.  Fathers contention that the two provisions simply cannot be reconciled is therefore without merit.  A majority of courts reach the same result.  See, e.g., SECURA Supreme Ins. Co. v. M.S.M., 755 N.W.2d 320, 329 (Minn. Ct. App. 2008) (Use of the phrase any insured in [insurers] severability clause does not create ambiguity when applying the exclusion.); J.G. v. Wangard, 2008 WI 99,  46-49, 753 N.W.2d 475 (holding severability clause did not render any insured exclusion ambiguous); Mut. of Enumclaw Ins. Co. v. Cross, 10 P.3d 440, 444-45 (Wash. Ct. App. 2000) (holding that an insured exclusion was clear and specific language [that] prevail[ed] over a severability clause, i.e., that an exclusion is not negated by or rendered ambiguous by a severability clause); Johnson v. Allstate Ins. Co., 1997 ME 3,  8-9, 687 A.2d 642 (1997) (An unambiguous exclusion is not negated by a severability clause.); see also Safeco Ins. of Am. v. White, 2009-Ohio-3718, 913 N.E.2d 426, 71, (ODonnell, J., concurring and dissenting) (collecting cases with majority view).  Because exclusions for an insured serve to collectively bar all insureds, and because of the weight of decisional authority, we conclude that the clause at issue does not create ambiguity when read in conjunction with an intentional-acts exclusion referring to an insured.[3]

Affirmed.

 

 

 

FOR THE COURT:

 

 

 

 

 

 

 

 

 

 

 

Chief Justice

 

[1]  Importantly, the complaint claims fault against homeowner for negligent supervision of her now ex-husband, but father does not allege injuries that are distinct from those associated with [uncles] . . . intentional and criminal conduct.  Korhonen v. Allstate Ins. Co., 2003 ME 77,  15, 827 A.2d 833.  Public policy weighs against coverage for such damages where the parties likely did not contemplate that the insurance policy would cover sexual abuse of children.  See id.  14 (noting that, conversely, public policy might not prohibit coverage for an insured whose negligence caused injuries to child distinct from those caused by a coinsureds sexual abuse of child).

[2]  The parties disagree about whose alleged actshomeowners negligence or uncles abusewe look to in determining coverage.  The relevant acts are those claimed in fathers complaint, which alleges uncles abuse and murder of Brooke.  There are no independent injuries claimed against homeowner.  The negligence claim against homeowner arises from, and is dependent on, the intentional acts of uncle.  Id.  23.

[3]  Because we conclude that language of this clause does not turn an unambiguous exclusion ambiguous, and therefore that uncles intentional acts bar homeowner from coverage, we do not address insurers alternative argument that coverage is barred because homeowner expected Brookes injuries to occur.  Similarly, having concluded that coverage is barred based on the definition of occurrence and the intentional-acts exclusion, we do not reach fathers argument that coverage may be found based on the definition of bodily injury.