Erie Insurance Exchange v. Muff
Opinion of the Court
The plaintiff, Erie Insurance Exchange, in this case of apparent first impression, appeals from the order requiring it to defend claims sounding in negligence against its insureds, the defendants, Tricia Kravchak Muff and Harry D. Muff, in the above-captioned declaratory judgment action arising from underlying Wrongful Death and Survival Act claims brought by the defendants, Jacob and Kelsey Bierling, charging the defendant, Tricia Muff with having “negligently, carelessly and/or recklessly” caused the death of their one-year-old daughter, Madison Bierling.
The civil complaint filed on their daughter’s behalf by the defendants Bierling, alleges that Mrs. Bierling delivered Madison to Mrs. Muff’s residence for babysitting purposes at approximately 6:15 a.m. on Tuesday morning, December 1,1998, and that from this time until Mrs. Bierling left the Muff residence at 6:45 a.m., the child had no physical injuries. (Civil action complaint, Bierling v. Muff, no. 99-11038, exhibit B to the declara-' tory judgment complaint, ¶¶5-8.) The Bierlings contended that at 9:30 a.m. that morning, Mrs. Muff took Madison and her own child to the backyard of the home. After witnessing Madison experience some- difficulty breathing due to asthma, Mrs. Muff picked up'both children and ran to the back door of the house, where she
Paragraph 16 of the Bierlings’ civil action complaint specifically avers that, “[a]s a direct and proximate result of the negligence, careless and reckless actions and/ or inactions of the defendant Muff as aforesaid, or otherwise described within this [Cjomplaint, Madison Bierling
“(A) Failing to take proper precautions by attempting to carry two infants at the same time.
“(B) Failing to follow basic standards of care, by running over hard surfaces and up stairs while attempting to carry two infants at the same time.
“(C) Failing to take proper precautions and prevent possible harm to plaintiff’s decedent Madison Bierling by running over ground that defendant Muff was aware was uneven.
“(D) Failing to take proper precautions and prevent possible harm to plaintiff’s decedent Madison Bierling by running up steps that defendant Muff was aware possessed a lip and presented a hazard.
“(E) Failing to take proper precautions and permitting the plaintiffs’ decedent Madison Bierling to fall from her grasp and strike the ground, while defendant Muff was running.
“(F) Failing to promptly notify the proper emergency medical services after plaintiff’s decedent, Madison Bierling, fell from her grasp and struck her head upon hard surfaces.
“(G) Failing to contact emergency medical services when plaintiff’s decedent, Madison Bierling, was in dis
“(H) Failing to obtain prdper training in medical procedures, including knowing when to call for trained medical assistance.
“(I) Failing to promptly ádvise the decedent Madison Bierling’s mother plaintiff Kelsey Bierling that decedent Mkdison Bierling had fallen and shuck her head. Defendant Muff waited several hours after the fall to advise plaintiff Kelsey Bierling of any problem with the child. Had Trida Muff sought immediate medical attention, the decedent, Madison Bierling, would have survived her injuries.
“(J) Negligently dropping Madison Bierling on the floor in an effort to clean the infant.
■ “(K) Failure to provide adequate care to plaintiff’s decedent, Madison'Bierling, by placing her in a crib after known trauma without adequate medical attention, while the child had reduced movement and continued breathing difficulties. -
“(L) Failure to provide adequate care to plaintiff’s decedent, Madison Bierling, by ignoring signs of distress exhibited by the child, when defendant Muff went to wake her up from her nap.
“(M) Failing to provide an accurate description of the days [sic] events regarding the trauma to Madison Bierling, to her mother and medical personnel in a timely manner so as to prevent further injury to the child.
“(N) Negligent care and supervision of the children and Madison Bierling.
“(O) Such other acts of negligence, carelessness and/ or recklessness as will be revealed during the course of discovery and throughout this litigation.” (Civil action
It is facially patent from the pleadings that the entirety of the Bierlings’ claims against Tricia Muff sound in negligence. To counter plaintiff’s contention that the pleadings were purposely intended to circumvent the intentional tort exclusion of the subject insurance policy, defendants allege that no claim has been made to recover for the intentional homicide, but that Tricia Muff’s negligent acts, for which the underlying policy provides coverage, include “running and dropping Madison Bierling on the outside steps [to Muff’s home], “dropping Madison Bierling to the floor inside the home when cleaning her,” and “failing to call for medical attention immediately, which was a contributing factor in her death.” (Pretrial statement of defendants Jacob and Kelsey Bierling, p. 2.)
Plaintiff filed this action seeking declarations that Tricia Muff expected and intended her acts to result in the death of Madison Bierling, thereby taking her conduct outside the coverage of the policy; that plaintiff thus has no duty to defend or indemnify Tricia Muff under the subject homeowners insurance policy or in the underlying action of Bierling v. Muff, Delaware Court of Common Pleas, civil action number 99-11038; that Tricia Muff is collaterally estopped from relitigating the issues of her intent to commit the acts which resulted in Madison Bierling’s death; and that Tricia Muff’s acts on December 1, 1998 do not constitute an “accident” or “occurrence” as defined in the subject insurance policy. (A copy of the subject policy is included in plaintiff’s hear
“Policy definitions:
“‘bodily injury’ means physical harm, sickness or disease, including mental anguish, and includes care, loss of services, or resulting death ....
“‘occurrence’ means an accident, including continuous or repeated exposure to the same generally harmful conditions.
“‘personal injury’ means injury arising out of:
“(1) bodily injury;..,
“Section II — Home and Family Liability Protection Personal Liability Coverage — Our Promise
“We will pay all sums up to the amount shown on the declarations, which anyone we protect becomes legally obligated to pay as damages because of personal injury or property damage resulting from an occurrence dur
“What We Do Not Cover — Exclusions
“Personal Liability Coverage
“Medical Payments and Other Coverage
“We do not cover under Personal Liability Coverage and Medical Payments to Others Coverage:
“(1) Personal injury or property damage expected or intended by anyone we protect,
“(9)... personal injury or property damage which arises out of [the] corporal punishment or physical or mental abuse by anyone we protect.
“(12) personal injury to you and if residents of your household, your relatives, and persons under the age of 21 in your care or in the care of your resident relatives.” (Policy provisions cited as grounds for relief in paragraph 14 of the declaratory judgment complaint.) (It is here noted that in listing the last three policy provisions, plaintiff failed to indicate that those numbered 1 and 9 relate to the exclusion of Personal Liability — Medical Payments to Others coverage, and that provision number 12 relates solely to the exclusion of Personal Liability Coverage. See pages 12 through 14 of the policy, appended as exhibit C to the declaratory judgment complaint.)
Plaintiff references in paragraph 15 of the complaint a “reservation of rights,” appended as exhibit D thereto
“Medical Payments to Others Coverage
“We do not cover under Personal Liability Coverage and Medical Payments to Others Coverage:
“(2) Personal injury or property damage arising out of business pursuits of anyone we protect.
“We do cover: .. .
“(d) incidental business activities of anyone we protect. These include, but are not limited to, baby-sitting, caddying, lawn care, newspaper delivery and other similar activities.” (See policy’s section on “Personal Liability Coverage — Medical Payments to Others,” p. 13.)
Miss Bell refers to an additional policy provision prohibiting coverage for injury caused by “willful violation of a law or ordinance” that is listed as item number 9 in a series of express exclusions from personal liability coverage on page 14 of the policy. However, that provision has never appeared in plaintiff’s pleadings nor in any other of its proffers in this action, nor is it an issue in
The Honorable George Pagano, on October 24, 2001, entered an order in this action denying a motion for summary judgment filed by the Bierling defendants in which it was contended that the plaintiff owed a continuing duty to defend and indemnify the Muff defendants for the acts of Tricia Muff occurring on December 1,1998. Thereafter, the plaintiff filed its own motion for summary judgment before this court alleging the contrary position, reiterating the allegations averred in the declaratory judgment complaint and claiming that Tricia Muff’s testimony in her criminal trial should not be taken into consideration in disposition of the instant action because to do so would allow collusion between convicted murderers and victims’ families to create negligence actions, and be contrary to public policy, pursuant to the case authority of State Farm Mutual Automobile Insurance Co. v. Martin, 442 Pa. Super. 442, 660 A.2d 66 (1995). (Plaintiff’s summary judgment motion, ¶15.) In an apparent effort to emphasize this point, plaintiff supplied, as exhibit E to its motion for summary judgment, a 247-page transcript of Tricia Muff’s criminal trial testimony and, at the hearing on the within motion, submitted the transcripts and records from her criminal trial as well as a request that the court take judicial notice of the entire record in the criminal matter. (5/17/02 N.T. 8-9.)
Plaintiff pleaded as alternate grounds for summary judgment in its favor a purported policy provision precluding coverage for injury to “a person under the age of 21 years in the care of the insured, here Tricia Muff.”
Plaintiff argued at the hearing on the within motion that, despite proffering the entire record in Tricia Muff’s criminal trial, that the court should not take into consideration any testimony or evidence contradicting the jury’s purported conclusion that each and every one of the acts leading to the death of Madison Bierling was intentional in nature. (N.T. 9-10.) Plaintiff alternately argued that Mrs. Muff should be denied coverage for having been engaged in an “ongoing” as opposed to a merely “incidental” babysitting business at the time of Madison Bierling’s death and that the section of the policy precluding coverage for persons under 21 years of age should be interpreted not as it appears, but in the “subjunctive,” by inserting imaginary commas in the first phrase thereof, to wit:
“[tjhere’s three classifications of people. You, which is the named insured. Resident relatives, who is [sic] a second class of people, and the third class of people are persons under the age of 21 in your care, or in the care of resident relatives ....” (N.T. 16-17.)
However, contrasting plaintiff’s self-serving interpretation of the policy’s exclusion of such coverage with the actual wording of that exclusion, to wit: for “personal injury to you and if residents of your household,
Regarding the issue of whether Tricia Muff’s babysitting activities were more than merely “incidental” so as to be precluded from coverage under that provision, plaintiff’s counsel urged the court to adopt his definition of the term “incidental” as connoting “activities of middle
The Bierling defendants proffered argument at the hearing on plaintiff’s motion that the actions of Tricia Muff on the day in question were discrete and that, with the exception of shaking the baby to cause her death, divisible into the individual acts of negligence pleaded in their complaint. (N.T. 35-39.) The Bierlings stated their agreement with the jury’s determination that, “at some time during that day, Tricia Muff committed a homicide,” along with their insistence that “the facts leading up to the homicide, [and some of the facts after the homicide] were not intentional acts.” (N.T. 39.) Defendants referred to the criminal trial testimony of Dr. Cindy Christian, a child abuse expert, that it was neglectful for Tricia Muff to place Madison in the crib and not to call 911 right away. (N.T. 40.) Defendants averred that each of the criminal trial experts testified that some of Madison Bierling’s injuries could have been explained by negligent conduct, and that such conduct was not decided by the jury. (N.T. 41-42.) Defendants insist that collateral estoppel would prevent them only from asserting that shaken impact syndrome was a negligent act. (N.T. 42.) Defendants countered plaintiff’s contention that Tricia
The parties then stipulated to the admission of a copy of Pennsylvania’s statute providing for the licensing of child day-care centers. (N.T. 45, 51.) Jacob Bierling testified to his knowledge of those provisions from performing inspections of township day-care centers in the line of duty and proffered his opinion that Tricia Muff’s activities in that regard did not have to be licensed by the state. (N.T. 49-51.) According to Mr. Bierling, “babysitting under five children is not required to be licensed by the state.” Madison’s grandfather, Jacob Bierling Sr., the chairman of the Upper Darby Township Zoning Board and the next-door neighbor of Tricia Muff, then testified that the township’s zoning code does not govern approval for baby-sitting arrangements for fewer than five children. (N.T. 57-58.)
The hearing on plaintiff’s motion concluded with plaintiff’s request for the court to review the entirety of Tricia Muff’s criminal trial testimony “in order to see the contradictions contained [therein] with regard to the statements she gave, the assertions she made” with regard to her opinion that Madison Bierling’s death was attributed to a fall, and the jury’s purported rejection thereof. (N.T. 67.) Subsequent to the hearing, the parties submitted proposed findings of fact and conclusions of
Plaintiff additionally averred that, “[i]t would violate public policy to require plaintiff, Erie Insurance Exchange, to defend in the underlying action that which has already been deemed to be criminal conduct,” with citation to the case of Germantown Insurance Company v. Martin, 407 Pa. Super. 326, 595 A.2d 1172 (1991), appeal denied, 531 Pa. 646, 612 A.2d 985 (1992). Finally, plaintiff argued in its trial memorandum that the court must read the policy in issue to avoid ambiguities, but did not mention that any ambiguities on the face of the policy must be resolved in the defendants’ favor under the law. Carpenter v. Federal Insurance Company, 432 Pa. Super. 111, 637 A.2d 1008 (1994). Conspicuously absent from plaintiff’s contentions are citations to any case authorities or legal argument pertinent to the issue as to whether the pleading of the several discrete activities on the part of Tricia Muff occurring over a period of hours on December 1, 1998, which contributed to the demise of Madison Bierling, as opposed to the single physical assaults and shootings addressed in the available case authorities, may be deemed to have al
The order of this court of May 28, 2002, denying plaintiff’s motion for summary judgment is recapitulated in its entirety below:
“And now, May 28, 2002, upon consideration of the record as established in this matter and after hearing thereon, it is hereby ordered and decreed that the relief requested by the plaintiff, Erie Insurance Exchange, in its complaint for declaratory judgment and motion for summary judgment is hereby Denied and Dismissed. This court finds that Erie Insurance Exchange has a duty to defend its insured, Trisha Muff, for the claims against her sounding in negligence in the matter of Bierling v. Tricia Muffin the Court of Common Pleas of Delaware County at no. 99-11038.
The filing of this order predated the holding in Chalkey v. Roush, 569 Pa. 462, 805 A.2d 491 (2002), in which the Pennsylvania Supreme Court deemed that, henceforth, where a trial court enters a declaratory order following a trial, the parties must file post-trial motions from that order. Plaintiff filed a post-trial motion in tandem with its direct appeal from the order in question, but the court rendered no decision on that motion.
Plaintiff submitted a lengthy and redundantly worded concise statement of matters complained of on appeal
It is here noted emphatically that this court did not find a duty on plaintiff’s part to indemnify the Muff defendants in the underlying action of Bierling v. Muff, Delaware County Court of Common Pleas, civil action no. 99-11038, nor does the order in question reflect such a ruling. Therefore, plaintiff’s contentions and sugges
With respect to the contentions set forth in paragraph 24 of the concise statement alleging error in the failure to find that Tricia Muff was engaged in more than “incidental” baby-sitting activities, the record hereinabove set forth clearly reflects that plaintiff’s evidence was simply insufficient to prove a policy exclusion on that ground. Similarly, allegations of error in the failure to find that coverage was excluded for injury occurring to a person under the age of 21 years in the care of Tricia Muff, are unsupported in light of the fact that even plaintiff’s evidence shows that the wording of this exclusion is ambiguous and must be construed against the plaintiff. The exclusion applies only to “residents” of the household under that age, and there has never been any averment or proof from the plaintiff that Madison Bierling lived with Harry and Tricia Muff. (Concise statement, ¶25.) In any event, Pennsylvania law reflects no licensure requirement for any such “business” involving the care of fewer than five children, further eliminating plaintiff’s claim of an exclusion for “business activities for which a person is required to be licensed by the state.” 62P.S. §1001.
The contention that the court violated the coordinate jurisdiction rule in deciding that plaintiff owed a duty to defend Tricia Muff in the underlying action, where an
A review of plaintiff’s issues on appeal, including the claim of error in failing to adopt plaintiff’s proposed findings of fact and conclusions of law, reflects mere dissatisfaction that the court came to a conclusion at odds with plaintiff’s view of its own evidence as to whether it owed a defense to Tricia Muff, and not with admission of the evidence itself. (Concise statement, ¶¶16 and 17.)
Plaintiff does not dispute that there were no cases submitted by either party that were on point with the unique factual scenario of this case or that touched on the pre
INSURER’S DUTY TO DEFEND
Plaintiff contends that the court erred in finding a duty to defend and in failing to find that Madison Bierling’s injuries and death were precluded from coverage under the subject policy because they were not the result of an occurrence, were expected or intended by Tricia Muff, or arose under corporal punishment or physical abuse. (Concise statement, ¶¶1,3,4,5, and 21.) Plaintiff claims error in the court’s not implementing an “inferred intent” rule allowing for the intentional nature of Tricia Muff’s conduct toward Madison Bierling on December 1, 1998, to be inferred from the results of her criminal trial on charges of first-degree murder, a rule not yet adopted in this Commonwealth. Those contentions arise in paragraphs 9,10,11,12,13, and 15 of plaintiff’s concise statement of matters complained of on appeal.
The question whether a loss is covered by an insurance policy and, in cases such as this, whether an insurer has a duty to defend its insured, is a question of law which may be decided by the court. Donegal Mutual Insurance Co. v. Ferrara, 380 Pa. Super. 588, 592, 552 A.2d 699, 700 (1989). Pennsylvania law on the question of an insurer’s duty to defend its insured is well settled. An insurer’s duty to defend is a distinct obligation, different from and broader than its duty to indemnify. Erie Insurance Exchange v. Transamerica Insurance Co., 516 Pa. 574, 533 A.2d 1363 (1987); D’Auria v. Zurich Insurance Co., 352 Pa. Super. 231, 507 A.2d 857 (1986). An
An insurer’s duty to defend and indemnify the insured may be resolved via declaratory judgment actions. Erie Insurance Exchange v. Claypoole, 449 Pa. Super. 142, 673 A.2d 348 (1996); Aetna Casualty and Surety Company v. Roe, 437 Pa. Super. 414, 650 A.2d 94 (1994); Harleysville Mutual Insuance Co. v. Madison, 415 Pa. Super. 361, 609 A.2d 564 (1992); Uguccioni v. United States Fidelity and Guaranty Company, 408 Pa. Super. 511, 597 A.2d 149 (1991). In such actions, the allegations raised in the underlying complaint alone fix the insurer’s duty to defend. Aetna Casualty and Surety Company v. Roe, supra, 437 Pa. Super, at 422, 650 A.2d at 98; Germantown Insuance Co. v. Martin, 407 Pa. Super. 326, 595 A.2d 1172 (1991), alloc. denied, 531 Pa. 646, 612 A.2d 985 (1992); United Services Automobile Association. v. Elitzky, 358 Pa. Super. 362, 517 A.2d 982 (1986), alloc. denied, 515 Pa. 600, 528 A.2d 957 (1987). The duty to defend, however, is not activated by every allegation raised against the insured. DAuria v. Zurich Insurance Co., supra. The nature of the allegations themselves, not the details surrounding the injuries suffered, are the basis upon which the insurer’s duty to defend the insured arises. D'Auria v. Zurich Insurance Co., supra, 352 Pa. Super, at 234, 507 A.2d at 859. Thus, only allegations contained within the underlying complaint pertaining to injuries which are either actually or potentially within the scope of the insurance policy obligate the insurer to defend the insured. Aetna Casualty and Surety Company v. Roe, supra, 437 Pa. Super, at 422-23, 650 A.2d at 99.
Since 1994, when Aetna Casualty and Surety Company v. Roe, supra, was decided, the inferred intent rule has not been applied to the conduct under consideration here, where child sexual abuse is not implicated. Indeed, the Third Circuit Court of Appeals cautioned in Wylie that, “[i]n cases that do not involve sexual child abuse, Pennsylvania has adopted a general liability standard for determining the existence of specific intent that looks to the insured’s actual subjective intent.” Wiley v. State Farm Fire and Casualty Co., supra, 995 F.2d at 460; Aetna Life and Casualty Co. v. Barthelmy, 33 F.3d 189 (3d Cir. 1994) (declining to extend the inferred intent rule to preclude coverage for an alleged date rape where insured subjectively believed he had the victim’s consent). The rationale of the Barthelmy court in reaching that conclusion is instructive on the issues before this court: “our entire discussion in Wiley was limited to sexual assault on a child. The fact that McSparran’s assertions might
It is arguable that in insisting that Tricia Muff’s first-degree murder conviction should result in automatic judgment in its favor on this motion, plaintiff desires for that result to obviate the need for consideration of contrary evidence as well as deliberation on the merits of this action and the other parties’ rights as well. However, in Stidham v. Millvale Sportsmen’s Club, supra, the Superior Court held that a guilty plea in criminal proceedings cannot substitute for a declaratory judgment action because all indispensable parties were not involved in that proceeding. Stidham v. Millvale Sportsmen’s Club, supra, 421 Pa. Super, at 565, 618 A.2d at 954. It is this court’s opinion that Tricia Muff’s criminal conviction of
Where a claim is potentially within the scope of an insurance policy, the insurer who refuses to defend at the outset does so at its own peril. Cadwallader v. New Amsterdam Casualty Co., supra; Stidham v. Millvale Sportsmen’s Club, supra. In Stidham, the Pennsylvania Superior Court held that a declaratory judgment action, though not specifically required by law, might resolve at the outset the question of an insurer’s duty to defend. Stidham v. Millvale Sportsmen’s Club, supra, 421 Pa. Super, at 565, 618 A.2d at 954. The purpose of a declaratory judgment procedure is to furnish an expeditious remedy for the settlement of claims which indicate imminent and inevitable litigation and to provide practical help in settling controversies which could be determined more advantageously if settled promptly rather than at some future time when they would require adjudication. Eureka Casualty Co. v. Henderson, 371 Pa. 587, 92 A.2d 551 (1952). In addition, a declaratory judgment action provides a forum for all persons asserting claims on the issue of coverage between the insured and the insurer. Stidham v. Millvale Sportsmen’s Club, supra; 41 Pa.C.S. §7540.
In order to determine whether plaintiff had a duty to defend Tricia Muff, it was necessary to compare the terms of the homeowner’s policy with the nature of the allegations of the underlying complaint to determine whether, if the allegations were true, plaintiff might be obligated to provide coverage. The declaration of coverage on this
In Aetna Casualty and Surety Company v. Roe, supra, a case involving child sexual abuse, the Superior Court did not reach the question of whether underlying allegations of negligent and reckless conduct in the complaint were coverable because those contentions had been made to support a claim for punitive damages for which the policy in question expressly precluded coverage. All other
Again, since Aetna Casualty and Surety Company v. Roe was decided, the inferred intent rule has been extended only to the sale of heroin. Minnesota Fire and Casualty Co. v. Greenfield, supra. There, the defendant,
“ ‘A[n] [insurance] carrier’s duties to defend and indemnify an insured in a suit brought by a third party depend upon a determination of whether the third party’s complaint triggers coverage.’ Mutual Benefit Insuance Co. v. Haver, 555 Pa. 534, 725 A.2d 743, 745 (1999). ‘[T]he particular cause of action that a complaint pleads is not determinative of whether coverage has been triggered. Instead it is necessary to look at the factual allegations contained in the complaint.’ Id. (citing Scopel v. Donegal Mutual Insuance Co., 698 A.2d 602 (Pa. Super. 1997); Aetna Casualty and Surety Co. v. Roe, 437 Pa. Super. 414, 650 A.2d 94, 98 (1994)).
“The Smiths claim the death of their daughter was not intended, and was therefore, the result of a negligent act. An intentional act is defined as one where the conse
“As noted, the notion of inferred intent is accepted in Pennsylvania. Our court recognized the principle of inferred intent in Aetna Casualty and Surety Co. v. Roe, 437 Pa. Super. 414, 650 A.2d 94 (1994). In Aetna, we adopted the reasoning employed by the United States Court of Appeals for the Third Circuit in its decision in Wiley v. State Farm, 995 F.2d 457 (3d Cir. 1993). The basic concept of inferred intent is familiar to the law. The intent of an actor can be inferred from the nature of the act...
“the court in Wiley noted that the inferred intent to harm is an irrebuttable presumption. The criminalization of child abuse additionally serves to place the insured on notice that the societal harm from such conduct is inseparable from its performance. Id. at 102. (citations omitted) The logic and rationale behind the adoption of the inferred intent rule to child abuse cases seems equally applicable here.
“Once it is determined, strictly by examining the nature and character of the act in question, that it is appropriate to apply the inferred intent rule, then the actor’s actual subjective intent becomes irrelevant. Wiley at 467.
“It is true that Smith’s complaint clearly sounds against Greenfield in negligence. See Fennell v. Nationwide Mutual Fire Ins. Co., 412 Pa. Super. 534, 603 A.2d 1064 (1992). Appellant’s homeowner’s policy provides Greenfield with coverage from claims that are for damages because of ‘bodily injury or property damage caused
The Greenfield court went on to discuss the illegality of the sale of heroin and the well-known personal and societal costs resulting therefrom as justification for allowing courts to infer intentionality from the commission of this dastardly and despicable crime. Minnesota Fire and Casualty Co. v. Greenfield, supra, 805 A.2d at 626-30. The court noted its disagreement with argument that Mr. Greenfield’s not checking the victim’s condition on the morning following the sale of heroin was a coverable negligent act and held that all consequences which flowed from the intentional original act of selling the drug to the victim were inseparable from it in nature. Minnesota Fire and Casualty Co. v. Greenfield, supra, 805 A.2d at 630.
It is clear from the wording of the Greenfield opinion that the extension of the inferred intent rule was solely to the sale of heroin, the defendant’s first act in the chain of events which led to the victim’s death. Here, it is unclear whether Tricia Muff’s first act in the chain of events which led to the death of Madison Bierling was inten
The United States District Court of the District of New Mexico dealt with a scenario that is factually similar to this action in the case of State Farm & Casualty Co. v. Ruiz, 36 F. Supp.2d 1308 (1999). There, the plaintiff homeowner’s insurer commenced a declaratory judgment action wherein the district court found a duty to defend an insured in an underlying wrongful death action arising from the death of a child where allegations in the underlying complaint were ambiguous as to whether the child had died as a result of accidental or intentional injuries inflicted by the insured. In the instant action, the wrongful death that led to Tricia Muff’s conviction for
The Ruiz case arose from events occurring at the child victim’s father’s home culminating in the child’s, Patrick Munoz’, death from traumatic closed head injuries. State Farm & Casualty Co. v. Ruiz, supra, 36 F. Supp.2d at 1310. The child’s father, Patrick Ruiz, was subsequently convicted of child abuse as a result of young Patrick’s death. The facts ascertained at Patrick Ruiz’ criminal trial were:
“Defendant was at home with Patrick [Munoz], who was his son by a previous marriage; Paul Corona, who is the son of defendant’s then current wife, Della, by her previous marriage; and Devonne Ruiz, who is defendant and Della’s child by their current marriage. According to defendant, Patrick was playing outside and had fallen. When Patrick came in from outside, he had a little blood on his lip. Defendant wiped off the blood, gave Patrick some water, and put him to bed. When defendant checked on Patrick a few minutes later, his lips were blue and he was cold. Defendant then took Patrick to the hospital. On the way to the hospital, defendant flagged down paramedics. Notwithstanding the efforts of the paramedics and others who arrived at the scene, Patrick was unable
The plaintiff insurer in Ruiz refused a defense ab initio to Patrick Ruiz in the underlying action alleging negligence for his actions on the day Patrick died, reportedly from a fall. State Farm Fire & Casualty Co. v. Ruiz, supra, 36 F. Supp.2d at 1314. As is the case here, nothing in the complaint connected the defendant’s criminal conviction with the death of the child, rendering it ambiguous as to whether the claim for wrongful death arose
While recognizing the potential for “artful if not deceptive pleading to bring a complaint within the coverage of an insurance policy,” the Ruiz court found a duty to defend based upon the conclusion that the statute under which Patrick Ruiz was convicted left room for the possibility that he acted with gross negligence and not with the intent to injure or kill his son, and that the allegations in the complaint did not clearly plead facts inconsistent with an accident or eliminating the possibility that the victim’s injuries were not intended. State Farm Fire & Casualty Co. v. Ruiz, supra, 36 F. Supp.2d at 1315. Both in Ruiz and in the action sub judice, for all of the foregoing reasons, the allegations pleaded in the underlying complaints are potentially within the liability insurance coverage of the subject policies.
An insurer is not required to defend a claim when it is apparent from the face of the complaint that none of the allegations potentially falls within the coverage of the policy. In cases in which the complaint alleges both conduct that potentially comes under the policy and conduct that does not, the insurer must defend the entire action. Cadwallader v. New Amsterdam Casualty Co., supra, 396 Pa. at 589, 152 A.2d at 489. The Bierlings’ complaint alleges only negligent conduct, which allegations in and of themselves would ordinarily require a defense to this action. The plaintiff, however, urges an inferred intent rule which has not yet been adopted in this Commonwealth. In cases not involving child sexual abuse and the sale of heroin, Pennsylvania’s general liability standard for determining the existence of intentionality looks to the insured’s actual subjective intent, which is the standard which should be implemented in determining in this case whether or not the policy requires a duty to defend. Titan Indemnity Company v. Cameron, 2002 WL1774059 (E.D. Pa. 2002) (interpreting Pennsylvania law). Although the multiplicity of events leading to the tragic death of Madison Bierling culminated in Trida Muff’s conviction of murder in the first degree, there has been no adoption of an inferred intent rule which would preclude a defense under the circumstances presented here. Trida Muff was convicted not only of first-degree murder, she was also convicted of charges which include elements of negligent conduct that the jury must have recognized as existing on the day in question, or it would not have found her guilty on those counts as well. Finally, it is not certain whether the
The principles governing the interpretation of a contract of insurance are familiar and well settled. The task of interpreting a contract is generally performed by a court rather than by a jury. Gonzalez v. United States Steel Corp., 484 Pa. 277, 398 A.2d 1378 (1979). The goal of that task is, of course, to ascertain the intent of the parties as manifested by the language of the written instrument. Mohn v. American Casualty Co., 458 Pa. 576, 326 A.2d 346 (1974). Where a provision of a policy is ambiguous, the policy provision is to be construed in favor of the insured and against the insurer, the drafter of the agreement. Mohn v. American Casualty Co., supra.
The well-settled scope of appellate review for a grant of summary judgment states that summary judgment is properly granted where the pleadings, depositions, answers to interrogatories, and admissions, together with affidavits demonstrate that no genuine, triable issue of fact exists and that the moving party is entitled to judg
With these standards in mind, it is respectfully submitted that the unique factual scenario of this case and the applicable law of the Commonwealth required this court to impose a duty to defend Tricia Muff upon the plaintiff, and that there was neither error nor abuse of discretion in that ruling.
. The underlying civil cause of action, Jacob and Kelsey Bierling, and Jacob Bierling, as the Administrator of the Estate of Madison
. Plaintiff inserted a further muddled reading of this policy provision in its trial memorandum submitted following the hearing on the summary judgment motion: “The policy provision excludes coverage for personal injury occurring to an insured, resident relative of an insured person under the age of 21 in the care of the insured or in the care of a resident relative of the insured. Here, Tricia Muff was the named insured. Madison Bierling was a person under the age of 21 in the care of Tricia Muff. Accordingly, there is no coverage for personal injury occurring to Madison Bierling under the policy of insurance issued by Erie Insurance Exchange to Tricia and Harry Muff.” (Plaintiff’s trial memorandum, p. 14.) Plaintiff went on in the memorandum to cite to a Missouri appeals court case, American Family Mutual Insurance Co. v. Wemhoff, 972 S.W.2d 402 (Mo. App. 1998), as supporting its definition of the word “care.” However, this case involved the question of coverage of a child who was injured during a court-ordered overnight visitation in the care of her own father. The policy provision in issue excluding personal injury and medical expenses to an “insured,” defined “insured” as the policy signatory’s spouse and “relatives if residents of your household.” An entirely separate sentence ensued, stating that, “[i]t [insured] also means any other person under the age of 21 in your care or in the care of your resident relatives.” American Family Mutual Insurance Co. v. Wemhoff, 972 S.W.2d at 404. The instant exclusion is not so clearly worded, and it is certain that Madison Bierling was not in any sense a resident of the Muff household.
. Judge Robert F. Kelly, of the United States District Court for the Eastern District of Pennsylvania, declared in Kline that the defendant’s guilty verdict on third-degree murder charges in a shooting incident barred his insurer’s duty to defend him in a subsequent civil suit. West American Insurance Company v. Kline, supra, 1998 WL 352576 at *3. Kline is, therefore, not on point with the complexity of conduct under consideration in this suit. Plaintiff’s reliance on Shaffer and Folino in this context is misplaced inasmuch as the defendants in those actions were estopped from relitigating the facts of their criminal convictions in subsequent civil actions, and not in declaratory judgment proceedings, rendering these authorities irrelevant on the issue of liability insurance coverage preclusion. Williams, a case involving claims of failure to pay insurance premiums, runs even further afield. This court has concluded, nevertheless, that the collateral estoppel theory espoused by the plaintiff would be more properly asserted in the un
Case-law data current through December 31, 2025. Source: CourtListener bulk data.