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Fire Ins Exchange v. Diehl

Supreme Court of Michigan
Mar 19, 1996
450 Mich. 678 (Mich. 1996)

Summary

holding that intent to injure should not be inferred as a matter of law where child is assailant

Summary of this case from West Virginia Fire Cas. Co. v. Stanley

Opinion

Docket No. 100985.

Argued November 9, 1995 (Calendar No. 10).

Decided March 19, 1996.

Harvey, Kruse, Westen Milan, P.C. (by Michael F. Schmidt, Evelyn C. Tombers, and Maurice A. Borden), for the plaintiff.

Campbell, Keenan, Harry, Cooney Karlstrom, P.C. (by C. Daniel Harry), for the defendants.



In this case we decide if a homeowner's insurance policy covers the injury resulting from a child actor's requests for the child victim to perform fellatio and the child victim's acquiescence. We find that the policy may cover the incidents if a jury finds that the injury resulting from the child actor's conduct was not reasonably foreseeable to a child of like age, ability, intelligence, and experience under like circumstances.

Reaching this conclusion, we find that if the policy excludes coverage for intentional acts where the result is "reasonably foreseeable," reasonable foreseeability for an insured child should be judged under a mixed objective-subjective standard.

As a separate holding, we also decline to infer, as a matter of law, that child actors intend the harm that results from their sexual assault of a victim. The inference is inappropriate because children, as a group, do not have the capacity to understand the consequences of their sexual acts.

We reserve for a future case, determination of the appropriate minimum age to infer as a matter of law that children intend the harm that results from their sexual acts.

FACTS

On two distinct occasions the male child actor requested the victim to perform fellatio and the victim complied. At the time of the first incident, the child actor was about six or seven years old. At the time of the second incident, the child actor was nine years old. The victim is younger than the actor. Neither party disputes that the child actor intended the act.

The child actor's deposition testimony emphasizes that, although the child actor intended his acts, he was unaware that the acts could hurt.

Q. Did you have any idea that you would be hurting [the victim]?
A. No.

Q. Did you ever mean to hurt [the victim]?

A. No.

Q. [The victim] was your friend, wasn't she?

A. Yes.

Q. Did you have any idea that you may be hurting [the victim] in her head?
A. No.

Q. Did you have any idea whether or not you were hurting [the victim] on her body?
A. No.

Testifying about the second incident the child actor still maintained that he did not know he was hurting the victim.

Q. All right. Did you know you were hurting [the victim] then?
A. No.

Q. Did you mean to hurt [the victim] in any way then?
A. No.

The victim's mother learned of the assaults and brought a civil action for physical and emotional damages against the child actor and his parents. Separately, Fire Insurance Exchange (plaintiff), who covered the actor and the actor's parents under a homeowner's policy, filed this action, seeking a declaratory judgment that the company was under no duty either to defend or indemnify the assailant or the assailant's parents in the action arising from the sexual assaults. Plaintiff based its summary judgment motion on the terms of the homeowner's policy.

Plaintiff asserted that the child actor's acts were not covered because the policy only covered injury that was "neither expected nor intended by the insured," and because the policy excluded coverage for intentional acts. The intentional-acts exclusion was based on the foreseeability of harm that resulted from such acts. Plaintiff also argued that, despite the child actor's assertions that he did not intend to hurt the child victim, the court must infer the child actor's intent to injure the victim as a matter of law. The trial court granted plaintiff's motion for summary disposition on the basis of the intentional-acts exclusion. The trial court ruled that the intentional-acts exclusion applied because a reasonable adult could have foreseen the harm that resulted from the acts.

The Court of Appeals reversed. It declined to impose on a minor the objective standard of foreseeability used by the trial court. Instead, it interpreted the intentional-acts exclusion to require a mixed objective-subjective standard of foreseeability. It announced this standard as being whether "a reasonable child of like age, ability, intelligence, and experience under like circumstances" would have foreseen the harm. Fire Ins Exchange v Diehl, 206 Mich. App. 108, 119; 520 N.W.2d 675 (1994). The Court arrived at this standard by adapting the negligence standard for minors to the concept of foreseeability. Id. It also refused to infer as a matter of law that the child actor intended to injure the victim. Id. at 118.

THE INSURANCE POLICY

This Court must now address plaintiff's motion for summary judgment by deciding if plaintiff's policy would cover sexual assaults by minors where a minor intends the act but is unaware that harm could result. An insurance policy is a contract between the parties. To decide whether a policy covers a particular act, the court must determine what the parties agreed to in the policy. Auto-Owners Ins Co v Churchman, 440 Mich. 560, 566; 489 N.W.2d 431 (1992). To determine what the parties agreed to, the court applies a two-part analysis. In the first part, the court must decide if the occurrence section of this policy includes a particular act. If so, the court then must decide if coverage is denied under one of the policy's exclusions. Heniser v Frankenmuth Mut Ins Co, 449 Mich. 155, 172; 534 N.W.2d 502 (1995).

We find that the occurrence section of this policy includes the assaults in this case. The policy states:

[Fire Insurance Exchange] shall pay all damages from an occurrence which the insured is legally liable to pay because of bodily injury or property damage covered by this policy. At our expense we shall defend an insured against any covered claim or suit. We may investigate and settle any claim or suit that we consider proper.

The policy also provides a definition of "occurrence."

[A] sudden event, including continuous or repeated exposure to the same conditions, resulting in bodily injury or property damage neither expected nor intended by the insured.

Therefore, the policy covers the present assaults if the injuries were "neither expected nor intended by the insured."

Because, in this case, the child actor intended the acts but did not intend the injuries, we must determine whether the phrase "neither expected nor intended by the insured" excludes broad policy coverage for all injuries if the injuries were objectively intended, or whether the phrase only excludes coverage for injuries subjectively intended by the insured. In Allstate Ins Co v Freeman, 432 Mich. 656, 709; 443 N.W.2d 734 (1989), a majority of this Court held that the following policy required the use of an objective standard:

We do not cover any bodily injury or property damage which may reasonably be expected to result from the intentional or criminal acts of an insured person or which is in fact intended by an insured person.

Comparatively, a majority of this Court held that the following policy exclusion required the use of a subjective standard:

[The policy excludes b]odily injury or property damage which is either expected or intended from the standpoint of the insured. [ Id. at 708. (See also opinions by ARCHER, CAVANAGH, and LEVIN, JJ.)]

Explaining the distinction, Justice BOYLE noted that the first policy required an objective standard because, of the two exclusionary phrases in the policy, the first exclusionary phrase applied to injury "reasonably" expected, and the policy counterpoised the first exclusionary phrase to the second phrase that applied if the injury was "in fact intended." Therefore, the first phrase must require application of an objective standard or the word "reasonably" loses its meaning and the second exclusionary phrase is redundant. Id. at 709. On the other hand, the policy exclusion from the second policy did not contain the word "reasonably," but instead employed the phrase "from the standpoint of the insured." This language required application of a subjective standard. Id.

The language of plaintiff's policy places the policy somewhere between the two policies at issue in Freeman. Although the policy does not employ the term "reasonably," the phrase "from the standpoint of the insured" is also absent. Yet, even without these aids we find that the definition of "occurrence" in plaintiff's policy also requires the application of a subjective standard. The policy states that it applies to "bodily injury . . . neither expected nor intended by the insured." (Emphasis added.) The manner in which the policy employs the phrase "by the insured" suggests that the emphasis of the policy is on whether the insured expected or intended the injury.

Additionally, in Auto-Owners Ins Co, supra at 567-568, a majority of this Court held that a policy exclusion for injury "`expected or intended by an insured person,' is unambiguous and requires a subjective intent. . . ." We find no substantial difference between the policy exclusion language in Churchman and the disputed phrase in plaintiff's policy's definition of "occurrence." Therefore, we hold that the definition of "occurrence" in plaintiff's policy requires the application of a subjective standard. Because there is no evidence at this stage in the trial that the child actor subjectively intended the harm that resulted from the assaults, summary judgment on the basis of the policy's definition of "occurrence" is denied.

INTENTIONAL-ACTS EXCLUSION

The Court must next consider whether the policy's intentional-acts exclusion denies coverage for the assaults at issue. The intentional-acts exclusion has two parts.

We do not cover bodily injury or property damage:

* * *

3. Either:

a. caused intentionally by or at the direction of an insured, or

b. resulting from any occurrence caused by an intentional act of an insured person where the results are reasonably foreseeable.

We will consider each part of the exclusion separately.

This Court has previously interpreted the language in part a of the exclusion. In Putman v Zeluff, 372 Mich. 553, 557; 127 N.W.2d 374 (1964), this Court held that an exclusion barring recovery for injury "caused intentionally by or at the direction of the insured" excluded coverage only when the insured caused the injury intentionally. Id. at 555. Because the first part of plaintiff's exclusion is the same as the exclusion in Putman, the first part of the intentional-acts exclusion only applies to the assailant if the assailant intended to cause the injury. Because there is no evidence showing that the assailant intended the injury, the first part of plaintiff's intentional acts exclusion does not bar coverage.

However, this Court has not yet interpreted part b of the exclusion. On the basis of part b's language, two elements are necessary before an act is excluded. First, the "occurrence" must result from an insured's intentional act. This element is satisfied in the present case in that the assailant intended the sexual assaults. Second, the results must be "reasonably foreseeable." The question we face is, By what standard should we measure reasonable foreseeability?

Answering this question, we are guided by three principles of insurance policy interpretation. First, although the court cannot create an ambiguity in an otherwise clear policy, if the policy contains an ambiguity, the ambiguity will be construed in favor of the insured. Arco Industries Corp v American Motorists Ins Co, 448 Mich. 395, 402-403; 531 N.W.2d 168 (1995). Second, this Court strictly construes against the insurer exemptions that preclude coverage for the general risk. Vanguard Ins Co v Clarke, 438 Mich. 463, 472; 475 N.W.2d 48 (1991). Finally, under the rule of reasonable expectation, the court grants coverage under the policy if "the policyholder, upon reading the contract language is led to a reasonable expectation of coverage." Powers v DAIIE, 427 Mich. 602, 632; 398 N.W.2d 411 (1986). These three principles of interpretation lead us to conclude that for a child the reasonable foreseeability of the result should be judged under a mixed objective-subjective standard.

We do not wish to imply that the interpretation of this exclusion in plaintiff's policy in any way impacts our decisions in Baker v Alt, 374 Mich. 492; 132 N.W.2d 614 (1965), Burhans v Witbeck, 375 Mich. 253; 134 N.W.2d 225 (1965), and Queen Ins Co v Hammond, 374 Mich. 655; 132 N.W.2d 792 (1965). Those cases address the incapacity of minors under age seven to commit negligence, intentional torts, or crimes. They apply regardless of the policy language interpreted.

We reach this conclusion because the phrase "reasonably foreseeable" is ambiguous when applied to a child. The policy could be read to apply either when the result is reasonably foreseeable to an objective adult, or when the result is reasonably foreseeable to a similar child. Because the phrase "reasonably foreseeable" is ambiguous and because it is contained in an exception, we will construe it in favor of the insured and apply a mixed objective-subjective standard.

This mixed standard is also required by the rule of reasonable expectation. We find it unlikely that a policyholder reading the intentional-acts exclusion would reasonably expect that a covered child's actions would be judged by an objective adult standard because of the unexpected results. The reasonable expectation is for a child to be held to a lesser standard of foreseeability than an adult.

Applying these principles, we agree with the Court of Appeals and choose to adapt the negligence standard for children to the concept of reasonable foreseeability under plaintiff's insurance policy. Whether a result is reasonably foreseeable to a child should be "a question of fact for the jury, which is to determine it on the basis of whether . . . a child of [like] age, ability, intelligence and experience would reasonably have been expected to [foresee the injury] under like circumstances." Burhans v Witbeck, 375 Mich. 253, 255; 134 N.W.2d 225 (1965). Therefore, under the terms of plaintiff's insurance policy, summary judgment is inappropriate because foreseeability is an issue for the jury.

INTENT TO INJURE AS A MATTER OF LAW

Finally, we address plaintiff's contention that the intent to injure must be inferred as a matter of law. For purposes of civil liability insurance, when an adult sexually assaults a child, the Court of Appeals has inferred the intent to injure as a matter of law. State Mut Ins Co v Russell, 185 Mich. App. 521, 526-527; 462 N.W.2d 785 (1990). The Court of Appeals decision is consistent with decisions in many other jurisdictions. We agree that courts should infer the intent to injure where an adult sexually assaults a child. However, we conclude that the intent to injure should not be inferred as a matter of law where a child is the assailant.

Our decision with respect to the applicability of the intent inference is not based on policy interpretation. The existence of the inference is a topic separate from the interpretation of any one insurance policy, but applicable to all insurance policies.

Apparently at this point thirty-six other jurisdictions have also adopted the inference when an adult sexually assaults a minor. Those states are Alaska, Arizona, Arkansas, California, Colorado, Delaware, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Minnesota, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, New York, Ohio, Oklahoma, Oregon, Pennsylvania, Rhode Island, South Dakota, Texas, Vermont, Virginia, Washington, West Virginia and Wisconsin. See cases listed in State Farm Fire Casualty Co v Davis, 612 So.2d 458, 463-464, n 4 (Ala, 1993), and the following more recent authority, Allen v Automobile Ins Co of Hartford Connecticut, 892 S.W.2d 198 (Tex App, 1994), Auto-Owners Ins Co v Brubaker, 93 Ohio App.3d 211; 638 N.E.2d 124 (1974), Nationwide Mut Fire Ins Co v Lajoie, ___ Vt ___; 661 A.2d 85 (1995), MAB v Nicely, 911 S.W.2d 313 (Mo App, 1995); Peerless Ins Co v Viegas, 667 A.2d 785 (RI, 1995), and Thompson v West American Ins Co, 839 S.W.2d 579 (Ky App, 1992).
Generally, these courts reason that the inference of the intent to injure should be applied because the act of child molestation is inherently harmful. B B v Continental Ins Co, 8 F.3d 1288, 1293 (CA 8, 1993).

"The [inferred-intent] approach . . . stands for the proposition that a person who sexually manipulates a minor cannot expect his insurer to cover his misconduct and cannot obtain such coverage simply by saying that he did not mean any harm. The courts following the majority approach have concluded that sexual misconduct with a minor is objectively so substantially certain to result in harm to the minor victim, that the perpetrator cannot be allowed to escape society's determination that he or she is expected to know that. Hence, these courts infer the intent to harm as a matter of law in sexual misconduct liability insurance cases involving minors." [ Id., quoting Whitt v DeLeu, 707 F. Supp. 1011, 1016 (WD Wis, 1989).]

We also note that other jurisdictions have reached contrary results. However, we find these cases unpersuasive. See, e.g., Allstate Ins Co v Bailey, 723 F. Supp. 665 (MD Fla, 1989), Allstate Ins Co v Roelfs, 698 F. Supp. 815 (D Alas, 1987), B B v Continental Ins Co, n 4 supra, and DWH v Steele, 512 N.W.2d 586 (Minn, 1994).

We find that inferring as a matter of law the intent to injure where a child sexually assaults another individual is inappropriate. Children, as a group, do not have the capability to understand the consequences of their sexual acts. Additionally, it defies the reasonable expectation of the insured parents to suggest that their insurance policies could not cover the harm from certain sexually motivated acts undertaken by their children. The present case is an example of a situation in which insured parents would expect coverage.

In a deposition, the child actor testified that he had stayed up late at night and watched "bad movie[s]" at his grandparent's house. In one movie he saw people "mating." But when the child actor saw the movie, he did not perceive that the people "mating" in the movie could be harming each other.

Q. I think you told us a minute ago that you've seen people mating on television, right?
A. Yes.

Q. Did it look like they were hurting each other? A. No.

Q. Did it look like they were having fun?

A. No.

Q. Did you ever think in watching that that they were hurting each other?
A. No.

The child actor also testified that his mother did not warn him that such conduct could injure the victim when his mother previously discovered that he had engaged in similar sexually experimental conduct with another boy. The child actor's mother only told him that he should not engage in such behavior "[b]ecause it's not nice."

Understanding that parents and television often have a major effect on children's lives, this child found himself in a position in which he was exposed to media images of sexual conduct, in which he was himself exploring sexual conduct, and yet in which he was uninformed of the potential consequences of such conduct. Because of a child's developmental status, it is likely that many minors may be exposed to aspects of sexual activity, attempt to experiment with such activity, and yet not have the capacity to understand the consequences of their sexual acts. This is the type of situation in which insured parents would expect they could obtain insurance to protect them. Therefore, the inference of an intent to injure as a matter of law when a child is sexually assaulted should not apply to child assailants.

REMEDY

In conclusion, we remand this case to the circuit court for entry of an order denying plaintiff's motion for summary judgment.

Remanded.

LEVIN, CAVANAGH, and MALLETT, JJ., concurred with BRICKLEY, C.J.


Because I believe that the insurance contract did not provide coverage for the injury caused by the insured child's intentional conduct, I respectfully dissent. Although the majority accepts the rule that this Court should infer an intent to injure as a matter of law for an adult who sexually assaults a child, it refuses to infer this intent for a child who sexually assaults another child. The majority concludes that the contract covered the injury in the present case because the insured child did not subjectively intend to harm the victim. Ante, p 687. I disagree with this reasoning. In this case, the male child was either seven or eight years old when he first forced the female child victim to perform fellatio on him, and was nine years old when he repeated this sexually abusive conduct against her. Because of the inherently harmful nature of his conduct, I would infer his intent to injure her as a matter of law. I would reverse the Court of Appeals decision and reinstate the circuit court's grant of summary disposition in favor of the insurer, plaintiff Fire Insurance Exchange.

The child victim was four or five years old when the first incident occurred, and was six years old when the second incident occurred.

The majority mistakenly states that the male child was only six or seven years old at the time of the first incident. Ante, p 681. The first amended complaint brought by the victim's parents alleged that the first incident occurred in either summer of 1988 or 1989 and that the second occurred in July 1990. Because the male child turned ten years old in November 1990, he would have been either seven or eight years old when the first incident occurred and nine years old when the second occurred. See Fire Ins Exchange v Diehl, 206 Mich. App. 108, 110; 520 N.W.2d 675 (1994).

I

As a general principle of insurance law, the burden of proof lies with the insured to show that the damage suffered was covered by the insurance policy. Williams v Detroit Fire Marine Ins Co, 280 Mich. 215, 218; 273 N.W. 452 (1937). In examining an insurance contract, this Court first determines if the insured was indemnified by the insurer. As this Court explained in Auto-Owners Ins Co v Churchman, 440 Mich. 560, 566-567; 489 N.W.2d 431 (1992):

An insurance policy is much the same as any other contract. It is an agreement between the parties in which a court will determine what the agreement was and effectuate the intent of the parties. Eghotz v Creech, 365 Mich. 527, 530; 113 N.W.2d 815 (1962). Accordingly, the court must look at the contract as a whole and give meaning to all terms. Fresard v Michigan Millers Mut Ins Co, 414 Mich. 686, 694; 327 N.W.2d 286 (1982).

The insurance contract between Fire Insurance and the insureds provided that it would cover personal liability arising from an "occurrence":

We shall pay all damages from an occurrence which the insured is legally liable to pay because of bodily injury or property damage covered by this policy.

At our expense we shall defend an insured against any covered claim or suit. We may investigate and settle any claim or suit that we consider proper.

The contract defined an "occurrence" as:

[A] sudden event, including continuous or repeated exposure to the same conditions, resulting in bodily injury or property damage neither expected nor intended by the insured.

As the majority correctly notes, this Court has held that an exclusionary insurance provision, containing similar language to the definition of "occurrence" in the present case, requires the application of a subjective standard. Churchman, supra at 567-568. However, in examining virtually the same "occurrence" provision as the present one, a plurality of this Court stated a more refined version of this standard by concluding that the subjective standard was "policy-blended," distinguishable from a purely subjective standard. See Frankenmuth Mut Ins Co v Piccard, 440 Mich. 539, 547, 549-550; 489 N.W.2d 422 (1992) (RILEY, J., joined by BRICKLEY and MALLETT, JJ.). I believe this description of the test is more accurate. Rather than merely attempting to determine whether the insured subjectively intended to injure the victim, this Court also reviews the intentional conduct and examines other considerations to determine whether we should infer intent as a matter of law. The majority employed this analysis in the present case, but decided that the parties' expectations and the child's incapacity made it "inappropriate" to infer an intent to harm as a matter of law. Ante, pp 689-691. There is no dispute that the male child denied that he intended to harm the victim even though he admitted to intending to commit the sexually abusive acts.

Ante, p 686.

See also Arco Industries Corp v American Motorists Ins Co, 448 Mich. 395, 404, 407-409; 531 N.W.2d 168 (1995) (holding that a similar definition of "occurrence" in an insurance contract created a subjective standard).

The insurance contract in Piccard, defined "occurrence" as "an accident, including continuous or repeated exposure to conditions, which results in bodily injury or property damage neither expected nor intended from the standpoint of the insured." (Emphasis added.)
See also Auto Club Group Ins Co v Marzonie, 447 Mich. 624, 640-641; 527 N.W.2d 760 (1994) (RILEY, J., joined by BOYLE and MALLETT, JJ.) (describing the policy-blended subjective test for a similar phrase in an exclusionary provision); Churchman, supra at 576-577 (RILEY, J., concurring) (describing the policy-blended subjective test for a similar phrase in an exclusionary provision); Allstate Ins Co v Freeman, 432 Mich. 656, 720; 443 N.W.2d 734 (1989) (BOYLE, J., joined by BRICKLEY, J.) (in interpreting a similar phrase in an exclusionary provision, Justice BOYLE approvingly cited cases in which an intent to injure was inferred from the harmful conduct as a matter of law: she concluded in that case that "I cannot say on the present facts that the denial of an intent to injure `flies in the face of all reason, common sense and experience' . . . .").

II A

I share the majority's view that when an adult sexually assaults a minor, this Court should infer an intent to harm as a matter of law regardless of whether the insured claims that he did not subjectively intend to harm the victim. Id., pp 689-690. However, the majority refuses to apply this rule to a child who sexually abuses another child on the grounds that children do not "have the capability to understand the consequences of their sexual acts" and because such an inference would "def[y] the reasonable expectation of the insured parents. . . ." Id., p 690.

See State Mut Ins Co v Russell, 185 Mich. App. 521; 462 N.W.2d 785 (1990); Auto-Owners Ins Co v Gardipey, 173 Mich. App. 711, 715; 434 N.W.2d 220 (1988); Linebaugh v Berdish, 144 Mich. App. 750, 762; 376 N.W.2d 400 (1985). See also Piccard, supra at 553 (RILEY, J., joined by BRICKLEY and MALLETT, JJ.) ("[W]e conclude that the unforeseen consequences of an insured's intentional criminal act will preclude coverage where the conduct is addressed directly at the innocent person . . ., or the criminal conduct constitutes the injury" [citations omitted]).

I disagree. The United States Court of Appeals for the Eighth Circuit explained that the rationale for inferring intent as a matter of law for this kind of sexual abuse "is based on the inherently harmful nature of child molestation." B B v Continental Ins Co, 8 F.3d 1288, 1293 (CA 8, 1993). Such conduct is inherently harmful regardless of the age of the person who inflicts the injury. Any person who could decide to force another to perform such a sexually intimate act must also have had the intent to cause harm because the harm inheres in the abusive act itself. In other words, where a person intends to commit this act, he also intends the harm. See id. at 1293. Here, there is no dispute that the male child intended to commit this act. Thus, I conclude that we may infer his intent to harm.

The parents of the victim, who are the appellees, also cite Connecticut Indemnity Co v Nestor, 4 Mich. App. 578; 145 N.W.2d 399 (1966). In Connecticut Indemnity, supra at 579-581, an eight and a half-year-old boy, Brad Nestor, intentionally started a fire that caused $6,851.91 of damage to another family's home, but he did not have the intent to cause any damage. The Nestor family insurance policy contained an exclusionary provision that "bodily injury or property damage caused intentionally" was not covered. The Court of Appeals concluded that the trial court properly found that Brad intended the act but not the result and, therefore, the Nestors were protected by their insurer. The present case is distinguishable because the minor's conduct here was inherently harmful. He forced a girl under six years old to perform fellatio on him. There is no distinction between intending to commit this act and intending to harm her.

See also Gardipey, n 6 supra at 713 (the Court of Appeals inferred an intent to harm where an eighteen-year-old man sexually abused a ten-year-old boy, even though the man was "borderline mentally retarded").
Other jurisdictions have reached similar results in examining a minor's sexual molestation of another minor. See, e.g., B B, supra at 1293-1294, 1296 (a minor was between fourteen and fifteen years old when he committed the sexually abusive acts: "[W]e hold that evidence of incapacity based on the age of the insured has no bearing on the application of the inferred-intent standard"); Allstate Ins Co v Roelfs, 698 F. Supp. 815, 820 (D Alas, 1987) (sixteen years old); Allstate Ins Co v Bailey, 723 F. Supp. 665, 669 (MD Fla, 1989) (fifteen years old); DWH v Steele, 512 N.W.2d 586, 589 (Minn, 1994) (eleven years old): "[W]e reject D.H.'s claim that, because he was but 11 or 12 years of age when the alleged assaults occurred, he could not form the requisite intent to injure and should be covered under the policy. [Citation omitted.] ([I]n cases involving nonconsensual sexual contact, the court infers intent to harm as a matter of law and without regard to the insured's subjective view)"; Illinois Farmers Ins Co v Judith G, 379 N.W.2d 638, 641-642 (Minn App, 1986) (between thirteen and sixteen years old). But see Allstate Ins Co v Jack S, 709 F. Supp. 963, 966 (D Nev, 1989) (fourteen years old).

The majority refuses to extend this inference because children do not have the "capacity to understand the consequences of their sexual acts." Ante, p 681. However, this statement contradicts the general rule in Michigan that allows a jury to find a child seven years or older capable of negligence or of committing an intentional tort. Burhans v Witbeck, 375 Mich. 253, 255; 134 N.W.2d 225 (1965). Only a child under the age of seven is incapable of negligence or of committing an intentional tort as a matter of law. Id., Queen Ins Co v Hammond, 374 Mich. 655, 658; 132 N.W.2d 792 (1965).

This Court requires the jury to determine as a question of fact whether a child had the capacity to commit a tort by comparing that child to what a child of the same age, ability, intelligence, and experience would reasonably have been expected to do under similar circumstances. Id. See also Serra v DeMaestri, 66 Mich. App. 171, 175; 238 N.W.2d 568 (1975) (the Court of Appeals noted that a child seven years or older is liable for his intentional torts as well as for ordinary negligence).

In this case, the parents of the victim sued the male child and his parents for the nonconsensual sexual conduct and sued the parents for negligent supervision. Because a person seven years or older may be capable of committing a tort under Michigan law, the male child must defend himself from the allegation that he forced the victim to perform fellatio on him. If the injury he intentionally caused is covered by the insurance contract, the insurer would be responsible for defending him in the suit.

Although not stated in the underlying complaint, plaintiff noted in this Court that the action against the male child was a negligence claim.

In fact, Fire Insurance Exchange did defend the insureds in the underlying action brought by the victim's family, reserving its rights pending the resolution of this case.

Moreover, I am unpersuaded that inferring the child's intent to harm would be inconsistent with the reasonable expectations of the parties. By entering this insurance contract, the parties agreed that only certain events would be covered by the insurer. Specifically, the insurance contract covers a "sudden event," including continuous or repeated exposure to the same conditions, that results in "bodily injury . . . neither expected nor intended by the insured." The male child's decision to commit these abusive acts cannot reasonably be described as a "sudden event." Also, the insureds could not have reasonably expected that their child's intentional and inherently harmful conduct would be protected by their insurer when this child was also subject to tort liability under Michigan law. See Burhans, supra at 255.

B

Furthermore, I believe that the majority's ruling is inconsistent with this Court's decision to conclude that there was an intent to harm in an analogous situation, where an adult intentionally committed an act injuring another, but claimed not to have had the subjective intent to harm the victim, either because of mental incompetence, see Churchman, supra, or diminished capacity, see Group Ins Co of Michigan v Czopek, 440 Mich. 590; 489 N.W.2d 444 (1992). The majority does not explain why these cases are distinguishable.

In Churchman, supra at 563-565, Henry Frost, an insured adult, murdered his girlfriend's former husband by shooting him four times, and then he killed himself. For the purposes of the appeal, the parties stipulated that Frost did not have the requisite mental capacity to form the criminal intent to commit murder at the time of the killing, apparently because he was a paranoid schizophrenic. See id. at 564, n 1. See also id. at 581 (LEVIN, J., dissenting). This Court reviewed the exclusionary provision of the insurance contract, which stated that the insurer did not provide coverage for a "bodily injury or property damage expected or intended by an insured person." Id. at 566. This Court concluded that an insane or mentally ill person can intend or expect the results within the meaning of the insurance policy's exclusionary clause and that the insured did intend to seriously injure the victim because he "was capable of foreseeing the consequences [of his acts] and understanding what he was doing. . . ." Id. at 568, 569-570. By analogy, if this Court will find an intent to harm from the intent to perform the act that caused the injury (shooting the victim) for an adult who is incompetent, i.e., cannot distinguish between right and wrong, surely this Court may also infer such an intent for a child who intentionally sexually abuses another.

In Czopek, supra at 592-595, Arthur Smith was drunk when he assaulted two police officers while resisting arrest. He admitted that he intended to resist arrest, but denied that he intended to bite or strike the officers, and he denied that he intended to harm them. This Court concluded that this assault was not an "occurrence" as defined by the insurance contract because it was not an accident. Id. at 598. Thus, this Court decided that insurance coverage was barred. Id. The Court also rejected the contention that Smith's intoxication vitiated his intent, but held that "[a]n intoxicated person is responsible for his actions" because otherwise it would create a "precedent of self-immunity." Id. at 601. Similarly, this Court should not immunize a family that fails to protect its children from the kinds of pernicious influences that cultivate such wrongful sexual conduct.

The insurance contract did not require that the bodily injury not be expected or intended but only that it be an "accident." Id. at 596.

The majority notes that the male child got this idea from apparently viewing pornography. Ante, pp 690-691. After the male child had made another young boy perform fellatio on him, the child's mother merely told him that such conduct was "not nice." The majority's decision to refuse to infer an intent to harm allows the possibility that these parents will be protected by their insurer despite their failure to be vigilant in teaching their son respect for himself and respect for the dignity of others.

The majority reasons that "it is likely that many minors may be exposed to aspects of sexual activity, attempt to experiment with such activity, and yet not have the capacity to understand the consequences of their sexual acts." Ante, p 691 (emphasis added). The majority overstates the likelihood that this kind of sexually abusive conduct will occur and undervalues the significance of the parent's duty to protect their children from exposure to immoral or irresponsible sexual images. Moreover, I fear that the majority trivializes the harm inflicted by the child in this case by describing his conduct as a sexual "experiment," rather than stating the sad reality that it was a sexual assault.

CONCLUSION

The majority's result fails to integrate the inherently harmful nature of this sexual abuse, does not comport with the reasonable expectations of the parties in entering this contract, and is not consistent with this Court's previous treatment of similar issues. I would conclude that the insurance policy does not cover the child's intentional conduct as an "occurrence" because his intent to harm may be inferred from the nature of his acts. I would reverse the Court of Appeals decision and would reinstate the trial court's grant of summary disposition in favor of plaintiff Fire Insurance Exchange.

BOYLE and WEAVER, JJ., concurred with RILEY, J.


Summaries of

Fire Ins Exchange v. Diehl

Supreme Court of Michigan
Mar 19, 1996
450 Mich. 678 (Mich. 1996)

holding that intent to injure should not be inferred as a matter of law where child is assailant

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applying Michigan's rules of construction governing insurance contracts and exclusions from coverage

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In Fire Ins Exch v Diehl, 450 Mich 678, 684; 545 NW2d 602 (1996), this Court addressed an insurance policy provision excluding "`[a] sudden event, including continuous or repeated exposure to the same conditions, resulting in bodily injury or property damage neither expected nor intended by the insured. '"

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In Fire Ins Exchange v. Diehl, 450 Mich. 678, 685; 545 N.W.2d 602 (1996), the Court held that injury "`neither expected nor intended by the insured'" required a subjective standard of expectation where the policy language did " not employ the term ` reasonably.'"

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In Diehl, 450 Mich. at 681, 545 N.W.2d 602, a boy committed sexual misconduct when he was between seven and nine years old against a girl who was younger than he.

Summary of this case from Home-Owners Ins. Co. v. Smith

refusing to infer intent of perpetrator who was 7 to 9 years old at the time of the abusive acts

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Case details for

Fire Ins Exchange v. Diehl

Case Details

Full title:FIRE INSURANCE EXCHANGE v DIEHL

Court:Supreme Court of Michigan

Date published: Mar 19, 1996

Citations

450 Mich. 678 (Mich. 1996)
545 N.W.2d 602

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