Universal North America Insurance Company v. Bower
2:16-cv-00693
D.S.C.Aug 18, 2017Background
- On Nov. 28, 2015, Danielle Bower drove a golf cart that tipped over, injuring passengers; the Bowers were insured under a homeowner’s policy covering Jan. 12, 2015–Jan. 12, 2016.
- Universal North America (Plaintiff) seeks a declaratory judgment that it has no duty to defend or indemnify the Bowers because the golf cart was used on a public road and was not registered, invoking a motor-vehicle exclusion in the homeowners policy.
- Defendants (Responding Defendants) contend the accident occurred off the public road—between two sidewalks or on the golf course—so the motor-vehicle exclusion does not apply and coverage may exist (including a golf-cart-specific coverage exception for use on golfing facilities or allowed recreational activity).
- Evidence is disputed: a plat and Kijanka’s affidavit initially supported a non-road landing, but Kijanka’s deposition undermined that certainty; police videos and several witnesses place the cart where responders found it (after it had been moved); passenger Aimee Spencer, an eyewitness, testified the cart rested between the two sidewalks.
- The policy’s Coverage E (personal liability) and Coverage F (medical payments) apply for injury caused by an “occurrence” unless excluded; Section II.A excludes “[m]otor vehicle liability” when registration is required but absent; Section II.A.2.e provides a possible coverage carve-out for insured-owned golf carts used within golfing facility bounds or for allowed recreational activity.
- Magistrate Judge recommended denying Plaintiff’s second motion for summary judgment because genuine disputes of material fact remain about where the accident/ final resting place occurred and whether the golfing-facility exception applies.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the motor-vehicle exclusion bars coverage because the accident occurred on a public road/right-of-way | Accident began and ended on the roadway/right-of-way; cart was unregistered and thus excluded | The cart’s final resting place (and thus the occurrence) was off the public right-of-way (between sidewalks/on golf course), so exclusion doesn’t apply | Denied summary judgment — disputed fact whether occurrence was on public right-of-way; jury/trier must decide |
| Whether eyewitness and physical evidence conclusively place the accident on the road | Police videos, some witness testimony, and accident reconstruction show cart on road/right-of-way | Eyewitness passenger (Spencer) and plat (from spray outline) indicate cart between sidewalks/on golf course; other witness testimony is equivocal | Evidence is mixed and not definitive; credibility/resolution for factfinder — no summary judgment |
| Whether the golf-cart exception to the motor-vehicle exclusion applies | Exception inapplicable because defendants were not playing golf or accessing golf facilities; cart use was not authorized recreational activity | Use may qualify as “other recreational or leisure activity allowed by the facility,” so the carve-out could apply | Insurer bears burden to prove exclusion; ambiguity resolves against insurer — triable issue remains |
| Whether summary judgment is appropriate for insurer where exclusions are asserted | Plaintiff argues evidence now establishes exclusion applies as a matter of law | Defendants argue factual disputes preclude summary judgment | Court recommends denial of Plaintiff’s second summary judgment motion due to genuine disputes of material fact |
Key Cases Cited
- Jessco, Inc. v. Builders Mut. Ins. Co., 472 Fed. Appx. 225 (4th Cir.) (duty to defend exists where possibility of coverage; insurer must prove exclusions)
- Muhammad v. Klotz, 36 F. Supp. 2d 240 (E.D. Pa. 1999) (summary judgment inquiry focuses on whether evidence presents a genuine disagreement for trial)
- Anderson v. Liberty Lobby, Inc., 477 U.S. 242 (1986) (summary judgment standard and weighing of inferences are for the trier of fact)
- Diamond v. Colonial Life & Acc. Ins. Co., 416 F.3d 310 (4th Cir.) (district court need not de novo review R&R absent timely objections)
- Thomas v. Arn, 474 U.S. 140 (1985) (failure to timely object to magistrate judge’s recommendation may waive appellate review)
