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778 S.E.2d 677
W. Va.
2015
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Background

  • Nationwide insured Hlad under a commercial general liability (CGL) policy; Nelsons sued Hlad for breach of contract, torts, and negligent construction.
  • Nelsons allege Hlad withdrew $257,200 from their construction loan, failed to pay subs, lied about funds, and performed defective workmanship.
  • Underlying amended complaint includes nine counts: breach of contract, breach of good faith, defamation, unfair/deceptive acts, fraud, conversion, unconscionability, injunctive relief, and negligence (defective workmanship).
  • Circuit court held defective workmanship could be an occurrence and Nationwide had a duty to defend and indemnify for all damages; Nationwide sought writ of prohibition.
  • This Court held Nationwide has no duty to defend or indemnify; only two counts triggered policy coverage (defective workmanship and defamation), and both were precluded by exclusions; writ granted.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Does defective workmanship constitute an occurrence under Coverage A? Nationwide: defective workmanship is an occurrence; insurer must indemnify for damages arising from it. Hlad: only certain claims may trigger coverage, and eight non-defective-work claims do not. Only defective-work claim is an occurrence; exclusions bar coverage
Does defamation trigger Coverage B for personal and advertising injury? Nationwide: defamation can be covered under Coverage B. Hlad: defamation claims should be excluded if based on knowing falsity. Defamation claim is precluded by exclusion for publication with knowledge of falsity
Do exclusions preclude coverage for the two triggering counts? Nationwide: exclusions may preclude coverage depending on the facts. Hlad: exclusions apply to bar coverage for the asserted damages. Both triggering counts are precluded by clear exclusions; no duty to defend or indemnify

Key Cases Cited

  • Keffer v. Prudential Ins. Co., 153 W.Va. 813, 172 S.E.2d 714 (1970) (plain meaning controls when policy terms are clear)
  • Columbia Cas. Co. v. Westfield Ins. Co., 217 W.Va. 250, 617 S.E.2d 797 (2005) (perspective of insured governs accident determination)
  • Cherrington v. Erie Ins. Prop. & Cas. Co., 231 W.Va. 470, 745 S.E.2d 508 (2013) (defective workmanship can be an occurrence; pure workers excluded)
  • Bruceton Bank v. U.S. Fid. & Guar. Ins. Co., 199 W.Va. 548, 486 S.E.2d 19 (1997) (duty to defend depends on allegations reasonably susceptible to coverage)
  • State Auto Mut. Ins. Co. v. Alpha Eng’g Serv., Inc., 208 W.Va. 713, 542 S.E.2d 876 (2000) (selection of claims determines exclusions applicability)
  • Butts v. Royal Vendors, Inc., 202 W.Va. 448, 504 S.E.2d 911 (1998) (defamation insulation under policy)
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Case Details

Case Name: SER Nationwide Mutual Insurance v. Hon. Ronald E. Wilson
Court Name: West Virginia Supreme Court
Date Published: Oct 7, 2015
Citations: 778 S.E.2d 677; 2015 W. Va. LEXIS 963; 236 W. Va. 228; 15-0424
Docket Number: 15-0424
Court Abbreviation: W. Va.
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    SER Nationwide Mutual Insurance v. Hon. Ronald E. Wilson, 778 S.E.2d 677