829 N.W.2d 474
S.D.2013Background
- Hanson Farm Mutual Insurance Co. seeks a declaratory judgment that it has no obligation to indemnify or defend Marcus Degen in a wrongful death action arising from Adrianna Sellers’ death.
- Marcus, Tina Sellers as personal representative, and Adrianna’s family were involved in a domestic living arrangement with shared finances and caregiving duties.
- Marcus was the named insured under a homeowners policy with an immunizing household exclusion that bars coverage for bodily injury to you, your relatives, and persons under your care.
- Adrianna, six years old, lived in the home; Marcus assisted with care, supervision, and financial support; Adrianna treated Marcus as a parental figure.
- On October 27, 2007, Adrianna was killed by Marcus while operating a skid loader; the couple continued living together for about a year afterward before separating.
- The trial court held Adrianna was “in Marcus’s care” under the eight-factor test and thus excluded from coverage; the appeal follows the declaratory-judgment trial.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Is the phrase 'in your care' ambiguous in homeowners coverage? | Degen and Sellers contend it is ambiguous due to multiple dictionary meanings of 'care'. | HFMIC argues the phrase has a plain meaning and is unambiguous. | Unambiguous; interpreted as 'under the insured’s charge or supervision'. |
| Did Adrianna fall within the 'in your care' exclusion under the eight-factor test? | Adrianna was not in Marcus’s care; factors do not support care status. | Adrianna was in Marcus’s care per the eight-factor test, given supervision and support. | Adrianna was in Marcus’s care; exclusion applies. |
Key Cases Cited
- Oliva v. Vt. Mut. Ins. Co., 842 A.2d 92 (N.H. 2004) (eight-factor test for whether within 'care')
- Henderson v. State Farm Fire & Cas. Co., 596 N.W.2d 190 (Mich. 1999) (eight-factor approach to 'in care' analysis)
- Mitsock v. Erie Ins. Exch., 909 A.2d 828 (Pa. Super. Ct. 2006) (uses eight-factor framework)
- Priest v. Roncone, 851 A.2d 751 (N.J. Super. Ct. App. Div. 2004) (defines 'care' as supervision; eight-factor approach)
- Cierzan ex rel. Weis v. Kriegel, 655 N.W.2d 221 (Wis. Ct. App. 2002) (unambiguous interpretation of 'in your care')
- State Farm Fire & Cas. Co. v. Odom, 799 F.2d 247 (6th Cir. 1986) (principles on insurance coverage interpretation)
- Ass Kickin Ranch, LLC v. N. Star Mut. Ins. Co., 2012 SD 73 (S.D. 2012) (declaratory judgment and insurer's burden to prove exclusion)
- Mid-Century Ins. Co. v. Lyon, 1997 S.D. 50 (S.D. 1997) (standard of review for declaratory judgments)
