Lancia v. State National Insurance
134 Conn. App. 682
| Conn. App. Ct. | 2012Background
- Lancia's law firm, Law Office of Maurizio D. Lancia, P.C., was the named insured under a professional liability policy issued by State National; First Mercury served as the claims adjuster.
- In 2007, Lancia was sued in four underlying actions (Sommers, Reynoso, McClardy, Zayas) arising from alleged fraudulent real estate transactions, with State National/First Mercury refusing to defend.
- Lancia sued for breach of contract on April 8, 2008, alleging the defendants failed to defend and indemnify in the four actions; defendants counterclaimed for declaratory judgment of no duty to defend.
- The underlying complaints allege Lancia, as owner of Royal Financial Services, LLC (a mortgage broker), was involved in real estate loans and transactions, with fiduciary, misrepresentation, and related claims; plaintiffs argue he acted as their attorney/agent in various ways.
- The policy includes an exclusion purporting to bar coverage for any claim arising out of the insured's activities as an officer/partner/etc of any entity other than the named insured or prior law firm, with narrow bar association carve-out.
- The trial court granted partial summary judgment to Lancia, then the matter was fully appealed; the appellate court ultimately reversed, holding the exclusion unambiguously defeats coverage and directing judgment for the defendants.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Duty to defend under the policy | Lancia argues some underlying claims arise from his legal practice for the firm and thus are within coverage. | State National/First Mercury contend all underlying claims arise from Royal, a non-firm business, and are excluded. | No duty to defend; exclusion defeats coverage for all underlying actions. |
| Application of the exclusion to the underlying claims | Some claims might be grounded in legal services for the named insured and could escape the exclusion. | All claims arise from Lancia's activities as Royal's owner/mortgage broker, clearly within the exclusion. | Exclusion unambiguously applies to all claims; no duty to defend. |
| Scope of the insured versus exclusion language guidance | Policy should be construed in favor of insured when ambiguity exists; some allegations could fall outside the exclusion. | Exclusion language is clear and unambiguous; coverage is defeated. | Policy language is unambiguous; exclusion controls. |
Key Cases Cited
- Hartford Cas. Ins. Co. v. Litchfield Mut. Fire Ins. Co., 274 Conn. 457 (2005) (duty to defend measured by allegations, even if meritless)
- Schilberg Integrated Metals Corp. v. Continental Casualty Co., 263 Conn. 245 (2003) (exclusion construction and insured-friendly approach)
- Connecticut Medical Ins. Co. v. Kulikowski, 286 Conn. 1 (2008) (ambiguous policy terms construed in favor of insured)
- Community Action for Greater Middlesex County, Inc. v. American Alliance Ins. Co., 254 Conn. 387 (2000) (duty to defend based on allegations of covered occurrence)
- Schwartz v. Stevenson, 37 Conn. App. 581 (1995) (insurer must defend unless exclusion clearly applies)
- Brooks v. Sweeney, 299 Conn. 196 (2010) (summary judgment standard and burden allocation)
