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Country Mut. Ins. Co. v. Spencer

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON AT TACOMA
Nov 6, 2012
CASE NO. C12-5044 BHS (W.D. Wash. Nov. 6, 2012)

Summary

distinguishing Woo based on its subjective policy language; finding allegations against defendant all necessarily required intentional conduct, and that the harm alleged was a “naturally and reasonably foreseeable product” of that conduct; also factually distinguishing Woo as involving a “prank”

Summary of this case from State Farm Fire & Cas. Co. v. El-Moslimany

Opinion

CASE NO. C12-5044 BHS

11-06-2012

COUNTRY MUTUAL INSURANCE COMPANY, Plaintiff, v. SHIRLEY J. SPENCER, Defendant.


ORDER GRANTING SUMMARY

JUDGMENT

This matter comes before the Court on Plaintiff Country Mutual's motion for summary judgment (Dkt. 14). The Court has considered the pleadings filed in support of and in opposition to the motion and the remainder of the file and hereby grants the motion for the reasons stated herein.

I. PROCEDURAL HISTORY

On January 1, 2012, Country Mutual Insurance ("Country Mutual) filed a complaint for declaratory judgment (Dkt. 1) against Shirley Spencer ("Ms. Spencer") involving the issue of its duty to defend Ms. Spencer in a civil lawsuit for damages that had been filed against her. Dkt. 1. On March 22, 2012, Country Mutual filed a summary judgment motion arguing it has no duty to defend Ms. Spencer in the underlying action, Clyde Ray Spencer, et at. v. Peters et al, No. 3:11-cv-0524-BHS, (W.D. Wash. October 2,2012). Dkt. 14. On August 8, 2012, Ms. Spencer filed a response. Dkt. 21. On September 28, 2012, Country Mutual filed a reply. Dkt. 24.

II. FACTUAL BACKGROUND

Ms. Spencer is a named defendant in Spencer, et al, No., which involves allegations against her related to her former husband's, Mr. Spencer, 1985 convictions and incarceration for child sex abuse of his two children and step child. Dkt. 91 at 1. In June 2011, Mr. Spencer and his two children Kathryn (Spencer) Tetz and Matthew Spencer, filed the aforementioned lawsuit alleging state tort claims and violations of federal civil rights. Dkt. 91 at 2. Mr. Spencer alleges seven causes of action under 42 U.S.C. § 1983 (" § 1983"), plus four state law claims. Id. His federal claims are for malicious prosecution, deprivation of due process, "destruction or concealment of exculpatory evidence," conspiracy, "failure to intervene, false arrest, and false imprisonment." Id. His state law claims are for malicious prosecution, intentional infliction of emotional distress ("IIED"), conspiracy, and defamation. Id. These federal and state claims are alleged against all defendants except Shirley, who is a named defendant only as to Mr. Spencer's § 1983 conspiracy claim and his state law claims for IIED and conspiracy. Id.

The claims alleged against Ms. Spencer, IIED, the state law conspiracy claim and the § 1983 conspiracy claim, necessarily accuse her of intentional conduct. See id. at 11, 15 and 39 (explaining the elements of each cause of action and demonstrating they all involve intentional conduct). On March 23, 2012, Ms. Spencer filed a motion for summary judgment seeking dismissal of all claims against her. Id. at 2. On October 2, 2012, the Court granted summary judgment in favor of Ms. Spencer and dismissed all the claims against her. Id. at 45.

Beginning in 2004, Country Mutual began to insure Ms. Spencer under a tenant or renter's policy. Dkts. 1 & 9. That policy was renewed, until coverage ceased on May 31, 2012. Id. Beginning on April 13, 2010, Country Mutual began to insure Ms. Spencer under a homeowners' policy. Id. That coverage remains in effect. Id. The two policies basic liability coverage are identical.

Ms. Spencer tendered her defense in the damages lawsuit to Country Mutual. Id. Subject to a complete reservation of rights to deny any and all coverage to Ms. Spencer for all claims asserted against her in the damages suit, Country Mutual has retained counsel to defend her. Id. As a part of this reservation, Country Mutual advised Ms. Spencer that it would reserve the right to file a lawsuit such as this, seeking a declaration that it has no duty to defend her. Id.

III. DISCUSSION

The narrow question raised by this motion is whether Country Mutual has a duty to defend Ms. Spencer for claims alleged against her in the damages lawsuit. A. Summary Judgment Standard

The Court should grant summary judgment if no genuine issue of material fact exists and the moving party is entitled to judgment as a matter of law. Fed.R.Civ.P. 56(c). The moving party bears the initial burden of demonstrating the absence of a genuine issue of material fact. Celotex Corp. v. Catrett,477U.S. 317, 323 (1986). A fact is material if it might affect the outcome of the suit under the governing law. Anderson v. Liberty Lobby, Inc., 477U.S. 242, 248 (1986). When a properly supported motion for summary judgment has been presented, the adverse party "may not rely merely on allegations or denials in its own pleading." Fed.R.Civ.P. 56(e). Rather, the non-moving party must set forth "specific facts" demonstrating the existence of a genuine issue for trial. Id.; Anderson, 477U.S. at 256.

B. Summary Judgment on Duty to Defend

Summary judgment is appropriate on the issue of whether Country Mutual has a duty to defend because "the interpretation of language in an insurance policy is a matter of law." Allstate Ins. Co. v. Peasley, 131 Wash.2d 420, 423-24 (1997); see also Woo v. Fireman's Fund Ins. Co., 161 Wash.2d 43, 52 (2007) ("Interpretation of an insurance contract is a question of law"). A court is to "construe the language of an insurance policy ... [by] giv[ing] it the same construction that an 'average person purchasing insurance' would give the contract." Woo, 161 Wash.2d at 52 (quoting Roller v. Stonewall Ins. Co., 115 Wash.2d 679, 682 (1990)).

1. Duty to Defend

The duty to defend "is broader than the duty to indemnify." Woo, 161 Wash.2d at 52, 164 P.3d 454. The duty to defend "arises at the time an action is first brought, and is based on the potential for liability." Id. (quoting Truck Ins. Exch. v. VanPort Homes Inc., 147 Wash.2d 751, 760(2002)). "An insurer has a duty to defend 'when a complaint against the insured, construed liberally, alleges facts which could, if proven, impose liability upon the insured within the policy's coverage.' " Woo, 161 Wash.2d at 52-53 (quoting Truck Ins., 147 Wash.2d at 760). An insurer is not relieved of its duty to defend unless the claim alleged in the complaint is "clearly not covered by the policy." Id. (citing Kirk v. Mt. Airy Ins. Co., 134 Wash.2d 558, 561(1998)). Moreover, if a complaint is ambiguous, a court will construe it liberally in favor of "triggering the insurer's duty to defend." Id. (citing R.A. Hanson Co. v. Aetna Ins. Co., 26 Wash.App. 290, 295 (1980)). In contrast, the duty to indemnify "hinges on the insured's actual liability to the claimant and actual coverage under the policy." Hoyden, 141 Wash.2d at 64. In sum, the duty to defend is triggered if the insurance policy conceivably covers the allegations in the complaint, whereas the duty to indemnify exists only if the policy actually covers the insured's liability.

The insurer must investigate the claim, that is, consider facts outside the complaint, if (1) coverage is not clear from the face of the complaint but may nonetheless exist, or (2) the allegations are in conflict with facts known to or readily ascertainable by the insurer, or the allegations of the complaint are ambiguous or inadequate. Truck Ins., at 276.

In Washington, evaluating coverage is a two-step process: "The insured must first establish that the loss falls within the 'scope of the policy's insured losses.' Then, to avoid responsibility for the loss, the insurer must show that the loss is excluded by specific language in the policy." Diamaco, Inc. v. Aetna Cas. & Sur., 97 Wash.App. 335, 337, 983 P.2d 707(1999).

2. Application of Duty to Defend Standard

Country Mutual argues that the conduct alleged against Ms. Spencer clearly falls within exclusions, thus coverage is not triggered. Dkt. 14 at 13. Country Mutual has a number of bases on which it challenges Ms. Spencer's claim to coverage. However, the Court addresses only two: (1) the policy's exclusion of intentional conduct, and (2) its limitations on what is covered under "bodily injury" both of which demonstrate that Country Mutual has no duty to defend Ms. Spencer,

a. Intentional Conduct

The relevant language from Country Mutual's policies which define the type of "occurrence" covered read as follows:

DEFINITIONS (INCLUDES LIMITATIONS)
***
10. "Occurrence" means:
a. Under SECTION 1, an accident, including continuous or repeated exposure to substantially the same general harmful conditions, which results, during the policy period, in:
(1) "Bodily injury", or
(2) "Property damage."
Dkts. 16-1 at 7-8 & 16-2 at 8-9.
E. Liability Coverage A and Medical Payments, Coverage B do not apply to the following:
1. Expected or Intended Injury. "Bodily injury" or "property damage" which may reasonably be expected or intended to result from the intentional acts of an "insured" even if the resulting "bodily injury" or "properly damage":
a. Is of a different kind, quality or degree than initially expected or intended; or
b. Is sustained by a different person, entity, real property or personal property, than initially expected or intended. This exclusion
applies regardless of whether any "insured" personally participated in or committed the alleged act and regardless of whether any "insured" subjectively intended the "bodily injury" or "property damage" for which a claim is made. However, this exclusion E. 1, does not apply to "bodily injury resulting from the use of reasonable force by an "insured" to protect persons or property;
Dkts. 16-1 at 10 & 16-2 at 11.

Country Mutual argues that the three claims asserted against Ms. Spencer do not fall within the policies definition of "occurrence." Dkt. 14 at 7. Country Mutual contends that the claims against Ms. Spencer in the damages suit are all grounded upon core factual allegations against her, which is that she engaged in a conspiracy with some or all other defendants to falsely accuse Mr. Spencer of child sex abuse, which led to his wrongful arrest, prosecution, conviction and imprisonment. Id.

Ms. Spencer maintains that Country Mutual has a duty to investigate because the allegations against her could involve consequences that were unforeseeable to her at the time of her alleged conduct. Dkt. 21 at 3. According to Ms. Spencer, under a scenario where Ms. Spencer could simply have had an affair with the detective on Mr. Spencer's case, she could have done so without expecting that "her paramour" would "frame her husband." Id. In support of her argument that her conduct could have lead to unintended consequences and therefore fall under actions covered by the policy, she relies mainly on Woo, 161 Wn.2d 43 (2007).

Ms. Spencer argues:

The famous, or infamous, case of Woo v. Fireman's Fund Ins. Co, 161 Wn.2d 43, 164 P.3d 454 (Wash. 2007) illustrates the difference between conduct which is intentional and conduct which has unintended consequence. In that case the dentist fitted the patient with boar's fangs
instead of human teeth and as a joke took pictures. The patient was not amused, and sued him. The court held that his insurer had a duty to defend the suit because it covered the prank. The court found that because the dentist had not intended her reaction to be so negative, the conduct was not intentional.
Dkt. 21 at 2. Ms. Spencer argues that Country Mutual is required by law to look beyond the allegations in the complaint in determining whether it has a duty to defend essentially because her alleged conduct could have been unforeseeable and thus not intentional. Id. at 3-4.

Country Mutual argues that Woo is both factually and legally distinquishable from the instant case. Dkt. 24 at 2-3. Country Mutual contends:

Woo's policy covers bodily injury that is caused by an "accident," which is defined as a "fortuitous circumstance, event or happening that takes place and is neither expected nor intended from the standpoint of the insured."... The Court of Appeals limited its analysis of the bodily injury coverage to whether Alberts' complaint alleged exclusively intentional conduct. However, based on the language of Woo's policy, he had to have "expected or intended" the specific "event or happening" alleged in the complaint. Thus, he would have to have intended not only the "event or happening" of photographing her with the boar tusk flippers in her mouth but also the "event or happening" that Alberts would sustain the specific injuries she alleged in her complaint. Although Woo's conduct was likely intentional, it is conceivable that Woo did not intend Chat conduct to result in Alberts' injuries.
Id. (citing Woo, 161 Wn.2d at 64).

The relevant language of the policy in Woo is indeed different from that of Country Mutual's policies. Country Mutual's policy specifically excludes conduct that is "[e]xpected or [i]ntended" even if it "is of a different kind, quality or degree than initially expected or intended." See Dkts. 16-1 at 10 & 16-2 at 11. In the complaint, no ambiguity exists as to whether the claims involve intentional conduct: the allegations against Ms. Spencer all necessarily require intentional conduct on the part of Ms. Spencer. Additionally, unlike the plaintiff in Woo who was sued because of a prank, Ms. Spencer is alleged to have participated in a conspiracy to frame Mr. Spencer for child sex abuse, which led to his wrongful arrest, prosecution and conviction and emotional distress. See Western Protectors Ins. Co. v. Shaffer, 624 F.Supp.2d 1292,1298 (W.D.Wash.2009) (under Washington law, a victim's claims against an insured for intentional infliction of emotional distress did not arise from accident, and thus do not fall within scope of coverage under homeowner's insurance policies that cover only accidental occurrences). Simply put, the relevant facts in Woo are clearly distinguishable from the factual allegations in Ms. Spencer's case. Mr. Spencer's alleged harm was a naturally and reasonably foreseeable product of the alleged conspiracy. See State Farm Fire & Cas. v. Ham & Rye, L.L.C., 142 Wn. App. 6, 17 (2007) (where the insured acts intentionally but claims that the result was unintended, the incident is not an accident if the insured knew or should have known facts from which a prudent person would have concluded that the harm was reasonably foreseeable). Ms. Spencer's alleged conduct is not covered by the clear and explicit language of the Country Mutual's policy, as her behavior does not constitute an "occurrence" within the meaning of the policy,

b. Bodily Injury

The claims by Mr. Spencer in his suit against Ms. Spencer are subject to Country Mutual's policy regarding what constitutes "bodily injury." Country Mutual's definition of "bodily injury," including limitations, reads as follows:

DEFINITIONS (INCLUDES LIMITATIONS)
***
3. "Bodily injury" means physical injury to a person. Sickness, disease, or emotional distress that is not caused by physical injury is not "bodily injury".
Dkts. 16-1 at 6 & 16-2 at 8.

Ms. Spencer contends that the alleged claim for intentional infliction of emotional distress could include accidental conduct. She argues that she could be found guilty of inadvertently causing Ms. Spencer emotional distress by having been involved in a conspiracy which may qualify as an occurrence covered by the policy. See Dkt. 21 at 4.

Country Mutual argues that Ms. Spencer argument misses the point, as she fails to focus on the policies definition of "bodily injury." Dkt. 24 at 3. Country Mutual contends that the question is whether these alleged emotional distress claims and damages meet the policies' unique definition of "bodily injury." Id. The Court agrees. As the policy above makes clear, "bodily injury" excludes "emotional distress that is not caused by physical injury." Dkts. 16-1 at 6 & 16-2 at 8. Additionally, Washington courts have interpreted "bodily injury" in insurance policies to include claims for physical injury but to exclude claims for purely non-physical or emotional harm. Daley v. Allstate Ins. Co., Wn.2d 777, 786-789 (1998). As Country Mutual observes "nowhere in the complaint in the Damages Lawsuit is it alleged that Ms. Spencer caused physical injury to plaintiff Clyde Spencer." Dkt. 14 at 10. Nor does the complaint allege negligent infliction of emotional distress, and such a claim is not in "the nature of the tort of intentional[] infliction of emotional distress," as Ms. Spencer asserts (Dkt. 21 at 4). Therefore, the Court finds that Country Mutual has no duty to defend based on the policies' definition and exclusions regarding "bodily injury."

IV. ORDER

Therefore, it is hereby ORDERED that Country Mutual's motion for summary judgment (Dkt. 14) is GRANTED.

________

BENJAMIN H. SETTLE

United States District Judge


Summaries of

Country Mut. Ins. Co. v. Spencer

UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON AT TACOMA
Nov 6, 2012
CASE NO. C12-5044 BHS (W.D. Wash. Nov. 6, 2012)

distinguishing Woo based on its subjective policy language; finding allegations against defendant all necessarily required intentional conduct, and that the harm alleged was a “naturally and reasonably foreseeable product” of that conduct; also factually distinguishing Woo as involving a “prank”

Summary of this case from State Farm Fire & Cas. Co. v. El-Moslimany
Case details for

Country Mut. Ins. Co. v. Spencer

Case Details

Full title:COUNTRY MUTUAL INSURANCE COMPANY, Plaintiff, v. SHIRLEY J. SPENCER…

Court:UNITED STATES DISTRICT COURT WESTERN DISTRICT OF WASHINGTON AT TACOMA

Date published: Nov 6, 2012

Citations

CASE NO. C12-5044 BHS (W.D. Wash. Nov. 6, 2012)

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