Carter v. Cincinnati Ins. Co.
Carter v. Cincinnati Ins. Co.
Opinion
This is an appeal from a final order granting Appellee Cincinnati Insurance Company's motion for summary judgment in a declaratory judgment action seeking determination as to what obligations, if any, Cincinnati (Insurer) owed Appellants Zeke Carter and Carter Realty Company, Inc. (Insureds), in a separate action for damages brought by a third party.1 We affirm.
Count I of the complaint is grounded upon fraud. Ms. Stewart alleges that, after learning of her injuries, the Insureds fraudulently represented to her that they would give her a job and pay her medical bills if she would agree not to file suit against them; that she relied on these representations and did not file suit; that she incurred medical expenses; that she was not given a job; and that, as a proximate result of her reliance on these representations, she incurred medical expenses, was left without a job, and received no workman's compensation benefits.
In Count II, Plaintiff alleges loss of workmen's compensation benefits as a result of the Insureds' alleged failure to provide workmen's compensation insurance coverage as required by the laws of this State.
Count III of the complaint is brought under the Employer's Liability Act, with Plaintiff alleging that the Insureds failed to provide her with a safe place to work. *Page 44
Count IV of the complaint is based on contract. Plaintiff alleges that the Insureds agreed to pay her medical expenses and give her a job in consideration for her agreement not to file suit against them, and that they breached the alleged contract.
Count V is also based upon contract. Plaintiff alleges that the Insureds and Hidden Forest were under an implied contractual duty to furnish her with a safe place to work, and that they breached this duty.
Although Hidden Forest is the named insured under Insurer's comprehensive general liability insurance coverage (an apartment package policy), the Insurer concedes that Zeke Carter and Carter Realty are insureds under the policy. The Insureds have called upon the Insurer to defend them in the suit brought by Bonnie Kay Stewart.
Pertinent portions of the policy, entitled "Coverage and Exclusions," are set forth as follows:
"1. COVERAGE A — BODILY INJURY LIABILITY
COVERAGE B — PROPERTY DAMAGE LIABILITY
"The company will pay on behalf of the insured all sums which the insured shall become legally obligated to pay as damages because of
"Coverage A. bodily injury or
"Coverage B. property damages
to which this insurance applies, caused by an occurrence, and the company shall have the right and duty to defend any suit against the insured seeking damages on account of such bodily injury or property damage, even if any of the allegations of the suit are groundless, false or fraudulent, and may make such investigation and settlement of any claim or suit as it deems expedient, but the company shall not be obligated to pay any claim or judgment or to defend any suit after the applicable limit of the company's liability has been exhausted by payment of judgments or settlements.
"Exclusions
"This insurance does not apply:
"(a) to liability assumed by the insured under any contract or agreement except an incidental contract; but this exclusion does not apply to a warranty of fitness or quality of the named insured's products or a warranty that work performed by or on behalf of the named insured will be done in a workmanlike manner;"
". . . .
"(i) to any obligation for which the insured or any carrier as his insurer may be held liable under any workmen's compensation unemployment compensation or disability benefits law, or under any similar law;
"(j) to bodily injury to any employee of the insured arising out of and in the course of his employment by the insured or to any obligation of the insured to indemnify another because of damages arising out of such injury; but this exclusion does not apply to liability assumed by the insured under an incidental contract;"
We answer both inquiries in the negative. *Page 45
This posture of the claim, then, compels our conclusion that Plaintiff's respective statement of her claim in Counts I through IV are either not covered by the initial insuring provisions, or they are excluded by the clear and unequivocal language of the policy. Our summary holding with regard to Counts I and IV requires no discussion beyond the mere observation that claims by an employee for personal injuries arising out of and in the course of employment, which are clearly excluded if timely filed, cannot be enhanced for coverage purposes by claiming fraud or breach of contract as here asserted.
Certainly, no citation of authority is necessary for this proposition: Where the underlying claim — claim for personal injuries based upon the employer/employee relationship — is explicitly enumerated within the exclusionary language of the policy, subsequent claims, whether sounding in contract or in tort, seeking to enforce the original obligations, are likewise excluded from coverage, both as to duty to defend and as to the duty to assume any obligation of payment.
The fifth statement of the claim, however, seeks to recover on an original, implied contract which is not based on any underlying prior legal obligations. In essence, Court V alleges that the defendant Insureds and Hidden Forest breached an implied contractual duty to furnish Plaintiff a safe place in which to live. Because the gravamen of this claim is not based necessarily upon the Plaintiff's employee status, the fact question as to whether her injuries arose out of her employment is not one to be dealt with on consideration of the Insurer's motion to dismiss.
Thus, Count V invokes an altogether different analysis with respect to the "exclusion" defense from the summary disposition accorded the first four counts. We must look beyond the "employee" exclusion to the "obligations of contract" provision in order to test the validity of the trial court's order of dismissal. Again, we quote this exclusionary language from the policy: "This insurance does not apply: (a) to liability assumed by the insured under any contract or agreement. . . ."
This Court recently interpreted identical language in the case of U.S. Fidelity Guaranty Co. v. National Tank MachineWorks, Inc.,
Finding that the trial court correctly construed each of Plaintiff's statements of her claim as being excluded from the coverage of the insurance policy, we affirm the order of dismissal.
AFFIRMED.
MADDOX, FAULKNER, SHORES and BEATTY, JJ., concur.
Reference
- Full Case Name
- Zeke Carter and Carter Realty Company, Inc. v. the Cincinnati Insurance Company.
- Cited By
- 5 cases
- Status
- Published