Dennis Probus v. Allstate Insurance Co. D/B/A Allstate Indemnity Co.
2020 CA 001067
| Ky. Ct. App. | Jul 1, 2021Background
- Dennis and Rebecca Probus owned a vacation residence insured by Allstate and visited in Sept. 2018; they left the water on (not running).
- On Nov. 7, 2018, Mr. Probus discovered extensive water and mold damage and traced the source to a cracked plastic nut on a toilet water-supply line that was spraying water.
- The Probuses reported the claim to Allstate in mid-November 2018; an Allstate adjuster inspected the property on Jan. 14, 2019 and denied coverage.
- The Probuses sued Allstate on Dec. 12, 2019, alleging breach of contract and improper investigation/handling.
- Allstate moved for summary judgment, arguing the policy excludes loss from continuous or repeated seepage/leakage "over a period of weeks, months, or years" and separately excludes mold unless it is the direct result of a covered water loss.
- The trial court granted summary judgment for Allstate; the Court of Appeals affirmed, concluding the record showed water intrusion for a period of weeks and therefore the water and attendant mold damages were excluded.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the timing of discovery (Nov. 1 v. Nov. 7) creates a material fact as to whether the water intrusion occurred "over a period of weeks." | Probus: billing record and discovery timing create a factual dispute that water intrusion may have been less than "weeks," so exclusion may not apply. | Allstate: deposition shows water had been present "four weeks or better," so timing dispute is immaterial. | Held: Immaterial — record shows water intrusion lasted weeks; exclusion applies. |
| Whether the efficient/proximate cause of damage was a discrete rupture (covered) or a "leak/seepage" (excluded). | Probus: damage resulted from a discrete rupture of a plastic nut releasing water, not ongoing seepage; therefore loss should be covered. | Allstate: the escape of water from the cracked nut produced continuous leakage that fits the policy's seepage/leakage exclusion; contract interpretation is legal. | Held: Court treats the event as a leak/seepage under ordinary meaning; exclusion applies as a matter of law. |
| Whether mold remediation is covered despite the mold exclusion. | Probus: mold was the direct and proximate result of the rupture and so should be covered. | Allstate: policy excludes mold generally and only covers mold remediation when it follows a covered water loss; here the underlying water loss is excluded. | Held: Mold remediation not covered because mold resulted from a non-covered water loss. |
Key Cases Cited
- Reynolds v. Travelers Indem. Co. of Am., 233 S.W.3d 197 (Ky. App. 2007) (interpreting "period of weeks, months, or years" exclusion for water leakage).
- Smith v. Higgins, 819 S.W.2d 710 (Ky. 1991) (cited by appellants but dealt with MVRA and was distinguished).
- Kemper Nat’l Ins. Cos. v. Heaven Hill Distilleries, Inc., 82 S.W.3d 869 (Ky. 2002) (ambiguities in coverage exclusions are construed against the insurer).
- Nelson v. Ecklar, 588 S.W.3d 872 (Ky. App. 2019) (contract construction reviewed de novo).
- Motorists Mut. Ins. Co. v. RSJ, Inc., 926 S.W.2d 679 (Ky. App. 1996) (ambiguous insurance exclusions resolved in favor of insured).
