369 F. Supp. 3d 1113
D. Nev.2019Background
- On March 3, 2013, plaintiff John David Hunt and non-party Thomas Harper had a road-rage encounter in Reno; after stopping, Harper punched Hunt and fled; Hunt fractured his ankle when restraining Harper and later developed a serious MRSA infection requiring additional surgeries.
- Hunt incurred at least $676,000 in medical expenses and submitted a claim to his AAA/CSAA auto policy seeking the $250,000 UIM per-person limit; CSAA denied coverage, asserting the injuries were not covered under the policy.
- The policy required bodily injury to be (1) "caused by an accident" and (2) "arising out of the ownership, maintenance, or use" of an underinsured motor vehicle; the policy defined "accident" to exclude intentional acts.
- Hunt sued CSAA for breach of contract, bad faith, breach of implied covenant of good faith and fair dealing, and tortious interference; parties stipulated material facts and filed cross-motions for summary judgment.
- The sole legal question was contract interpretation: whether Hunt’s injuries were (a) caused by an "accident" under the policy and (b) arose out of the "use" of a motor vehicle.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the fight was an "accident" under the policy | Hunt: definition is from insured's perspective; he did not expect to be punched, so it was sudden/unexpected and thus an accident | CSAA: policy unambiguously excludes intentional acts regardless of actor; Harper's intentional battery is not covered | Court: Intentional battery is excluded; not an "accident" under the unambiguous policy |
| Whether CSAA effectively conceded the incident was an "accident" | Hunt: CSAA email amounted to concession that the event fits policy "accident" definition | CSAA: email merely stated it had not yet denied coverage at that time; no concession | Court: No concession; email was noncommittal |
| Whether injuries "arose out of" the "use" of the vehicle | Hunt: road-rage originated while driving, so injuries arose out of vehicle use | CSAA: injuries resulted from an intervening, off-vehicle intentional assault; mere travel to location is insufficient to show "use" | Court: Off-vehicle intentional act broke causal connection; injuries did not arise out of vehicle "use" |
| Whether CSAA properly denied coverage and is entitled to summary judgment on all claims | Hunt: entitled to UIM benefits; denial breached contract and supports related claims | CSAA: denial consistent with policy language; no coverage so no breach or derivative claims | Court: Granted CSAA summary judgment; denied Hunt summary judgment; judgment for CSAA on all claims |
Key Cases Cited
- Fire Ins. Exchange v. Cornell, 120 Nev. 303, 90 P.3d 978 (Nev. 2004) (intentional acts are not "accidents" under standard insurance definitions)
- State Farm Mut. Auto. Ins. Co. v. Cramer, 857 P.2d 751 (Nev. 1993) (insurance policy interpretation is a question of law; courts apply plain meaning to unambiguous provisions)
- State Farm Mut. Auto. Ins. Co. v. Fernandez, 767 F.2d 1299 (9th Cir. 1985) (an intervening intentional act breaks causal connection between vehicle use and injury for coverage purposes)
- Yandle v. Hardware Mut. Ins. Co., 314 F.2d 435 (9th Cir. 1963) ("use" of a vehicle means making use of or enjoying the vehicle)
