midpage
Projects
Sign in to see your projects.
228 A.3d 258
Pa.
2020
Read the full case

Background

  • Erie insured Harold E. McCutcheon, Jr. under a Homeowner’s Policy and a Personal Catastrophe Liability Policy; both cover bodily injury from an “occurrence” defined as an "accident" and exclude injury "expected or intended."
  • Richard Carly sued McCutcheon’s estate alleging McCutcheon broke into his ex-wife Terry’s home, shot and killed her, then in a struggle with Carly (after pulling him into the home) the firearm discharged and Carly was injured. Carly pleaded negligent, careless and reckless conduct as the proximate cause of his injury.
  • Erie refused to defend the estate; the duty-to-defend issue was framed by the four-corners rule (compare the complaint to the policy language).
  • The opinion excerpt is a dissent (Justice Mundy) arguing the complaint, read as a whole, does not allege an "occurrence" (accident) and that policy exclusions for expected/intended injury bar coverage.
  • The dissent emphasizes precedents defining "accident" as "unexpected" and requiring fortuity; it treats the alleged facts (breaking in, pulling Carly in, struggle while holding a gun) as intentional/foreseeable, not accidental.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether the complaint alleges an "occurrence" (an "accident") triggering Erie’s duty to defend Carly: the gun discharged negligently/recklessly during a struggle, so injury was accidental and covered Erie/Mundy dissent: the factual allegations show intentional, foreseeable violent conduct; the shooting was not unexpected or fortuitous Dissent: No occurrence; complaint does not plausibly allege an accident
Whether the policy exclusion for "expected or intended" injury bars coverage Carly: even if McCutcheon acted intentionally, the specific injury to Carly was unintended and thus may be covered Erie/Mundy dissent: the context (breaking in, pulling Carly into struggle while armed) shows the injury was expected/foreseeable; exclusion applies Dissent: Exclusion applies; coverage barred
Standard for determining duty to defend (four-corners / pleadings) Carly: liberal reading of complaint supports potential coverage Erie/Mundy dissent: must read the complaint as a whole; labels ("negligent") do not control when facts show intentional violent conduct Dissent: Four-corners comparison yields no duty to defend

Key Cases Cited

  • Kvaerner Metals Div. of Kvaerner U.S., Inc. v. Commercial Union Ins. Co., 908 A.2d 888 (Pa. 2006) (defines "accident"/"occurrence" as unexpected; fortuity requirement)
  • Donegal Mut. Ins. Co. v. Baumhammers, 938 A.2d 286 (Pa. 2007) (reiterates that "accident" means unexpected/unintended event)
  • Wilson v. Maryland Casualty Co., 105 A.2d 304 (Pa. 1954) (insurer’s duty to defend is determined solely by the complaint’s allegations)
  • American & Foreign Ins. Co. v. Jerry’s Sport Center, Inc., 2 A.3d 526 (Pa. 2010) (compare four corners of policy and complaint to assess potential coverage)
  • Mutual Ben. Ins. Co. v. Haver, 725 A.2d 743 (Pa. 1999) (legal characterizations in pleadings are not dispositive; examine factual allegations)
  • Gene’s Restaurant, Inc. v. Nationwide Mut. Ins. Co., 548 A.2d 246 (Pa. 1988) (willful and malicious assault is intentional, not an accident, and not covered)
  • United Servs. Auto. Ass’n v. Elitzky, 517 A.2d 982 (Pa. Super. 1986) (coverage excluded only if insured intended the resultant damage)
  • American Nat'l Prop. & Cas. Co. v. Hearn, 93 A.3d 880 (Pa. Super. 2014) (exclusion can bar coverage for intentional acts even when the actual harm is greater or different than intended)
Read the full case

Case Details

Case Name: Erie Ins., Aplt. v. Moore, T.
Court Name: Supreme Court of Pennsylvania
Date Published: Apr 22, 2020
Citations: 228 A.3d 258; 20 WAP 2018
Docket Number: 20 WAP 2018
Court Abbreviation: Pa.
Log In