Summary
holding "an insured" unambiguously bars coverage to an innocent coinsured
Summary of this case from Am. Nat'l Prop. & Cas. Co. v. ClendenenOpinion
No. 89-122
Submitted October 17, 1989
Decided January 10, 1990
Appeal from the District Court of Ravalli County. Fourth Judicial District. Hon. Ed McLean, Judge Presiding.
Donald L. Ostrem argued, Graybill, Ostrem, Warner Crotty, Great Falls, for defendant and appellant
Howard F. Recht argued, Recht Greef, Hamilton, for plaintiff and respondent
This is an appeal from the District Court of the Fourth Judicial District, Ravalli County. Plaintiff Patricia Woodhouse brought suit, seeking a declaratory judgment that the loss of her personal property by fire be covered by her insurer, Farmers Union Mutual Insurance Co. Defendant (hereinafter "Farmers") counterclaimed, seeking a declaratory judgment excluding coverage for the loss. The District Court found in plaintiffs (hereinafter "Woodhouse") favor on a motion for summary judgment. Farmers appeals from that order. We reverse
The issue raised by appellant Farmers is:
Whether the District Court erred in its determination that Farmers is obligated to provide coverage for an insured whose co-insured destroyed the property by arson
Patricia and Alan Woodhouse were divorced on September 24, 1986. Alan Woodhouse was awarded the trailer house the parties had acquired during the marriage. The trailer house and its contents were insured by Farmers, with Patricia and Alan named as the insureds on the policy
Following the divorce, Patricia Woodhouse left many items of personal property in the dwelling due to lack of storage space elsewhere
On January 5, 1987, Alan Woodhouse intentionally set fire to the trailer house, and committed suicide within the burning dwelling. The dwelling was totally consumed by the fire
Patricia Woodhouse submitted a claim to Farmers Insurance for the value of her personal goods lost in the fire. Farmers denied the claim on the basis that coverage was excluded because the loss was intentionally caused by an insured party
Farmers maintains that this is a clear contract case. They submit that the "intentional loss" exclusion of the Woodhouse insurance policy acts to deny coverage in this situation. The provision reads as follows:
"We do not insure for loss caused directly or indirectly by any of the following . . . h. Intentional Loss, meaning any loss arising out of any act committed: (1) by or at the direction of an insured; and (2) with the intent to cause a loss."
Arson by an insured, Farmers maintains, is not, therefore, an insured risk. Alan Woodhouse was an insured party who clearly committed an intentional loss. Patricia Woodhouse is a named coinsured party and is therefore bound to the contractual provisions of the policy
Farmers cites several cases for the premise that clear and unambiguous language of the contract controls. In Amick v. State Farm Fire and Casualty Company (8th Circuit 1988), 862 F.2d 704, the court stated:
"The court sees no injustice in requiring the company to pay only those risks it insured, where, as here, the coverages are spelled out in clear and unambiguous language. Bryan v Employers National Insurance (Ark. 1988), [ 294 Ark. 219,] 742 S.W.2d 557, 577. An innocent co-partner [can] not recover under a policy where arson was committed by a partner because the language of the policy specifically barred recovery. West Bend Mutual Insurance Co. v. Salemi (Ill. 1987), [ 158 Ill. App.3d 241, 110 Ill.Dec. 608,] 511 N.E.2d 785
". .
"The key factor is whether the policy provision barring recovery by an innocent co-insured is clear and unambiguous."
Farmers cites the exclusion clause contained in the policy noted in Spezialetti v. Pacific Employers Insurance Co. (3rd Cir. 1985), 759 F.2d 1139, which reads:
"[The] insurance shall not apply to loss or damage . . [resulting from] any dishonest act or omission by any insured. . ."
The court in Spezialetti denied the innocent spouse's claim for insurance proceeds, based on the exclusionary language
Finally, Farmers takes issue with the District Court's reliance on Kulubis v. Texas Farm Bureau Underwriters Insurance Co. (Tex. 1986), 706 S.W.2d 953, for the proposition that an insurer's obligations under such insurance policies are "several and not joint, the wrongful acts of one coinsured cannot be imputed to another as a basis for denying coverage." This, Farmers states, unfairly places the burden of proving the innocence of the non-acting spouse on the insurer. Farmers contends that Kulubis is bad policy, stating that:
"The law should assiduously seek . . . to avoid holding out any incentive to such actions [as arson] and should be diligent to assure that it permits no benefits to be derived from them by their perpetrators. We conclude that it would be a strange rule indeed that guaranteed the would-be arsonist a minimum of one-half of the insured value of his building . . . even were he found guilty of the act, as long as he arranged matters so that the insurance company could not prove that he had let his spouse in on the scheme."
In summary, Farmers contends that the lower court erred by not ruling that the language of the exclusionary clause barred coverage. They maintain that the "clear and unambiguous" policy language of not covering intentional loss applies in the case of arson. All insured parties are thereby denied coverage. To hold otherwise would negate clear contractual provisions and create potentially harmful precedent
Woodhouse contends that of the several jurisdictions that have considered this same question, the majority have ruled that the innocent coinsured should recover. Woodhouse states that equity and public policy considerations, the basis of many of these rulings, should also apply in the case at bar. Woodhouse cites Hoyt v. New Hampshire Fire Insurance Co. (N.H. 1942), 92 N.H. 242, 29 A.2d 121, as one of the first such cases tending to allow the co-insured to recover. In Hoyt, the court reasoned that an ordinary person "not versed in the nice distinctions of insurance law" would naturally assume their individual interests covered by the insurance policy. The insurer argued in that case, as in the present, that the policy was a contract and the terms were clear and enforceable. The court in Hoyt ruled that as a matter of equity and of public policy, the wrongs of one individual should not be imputed to another. The test, the court stated, was not how the insurer construed the policy language, but what a reasonable person in the position of the insured would have understood it to mean
Some courts have focused on the language of the policy to make their determination. Woodhouse cites Hildebrand v. Holyoke Mutual Fire Insurance (Me. 1978), 386 A.2d 329, where the court scrutinized the term "insured." The insurer argued, as does Farmers, that the word "insured" included all named insureds. The policy excluded coverage if the loss was caused by an "insured." The court determined that the definition of "insured," when a claim is denied, must be limited to include only the insureds who intentionally cause the loss
Although the results are undeniably harsh for Patricia Woodhouse, the clear meaning of the contract must govern here. We concur with Farmers that this is, plainly and simply, a contract case. The provision clearly and unequivocally states that a loss caused by an intentional act of an insured party bars coverage Alan Woodhouse was clearly an "insured," and his act was clearly intentional. Accordingly, we find that the loss was not covered, and reverse the decision of the District Court
CHIEF JUSTICE TURNAGE and JUSTICES HARRISON, McDONOUGH, HUNT, WEBER and BARZ concur