Vermont Mutual Insurance v. Zamsky
732 F.3d 37
1st Cir.2013Background
- On Nov. 27, 2008, Andrew Zamsky and friends used a portable fire pit stored in a shed at a house in Falmouth (owned by Zamsky's parents) and gasoline was poured on it, causing severe burns to Renata Ivnitskaya.
- The Falmouth house was not an "insured location" under three homeowners policies issued by Vermont Mutual to Zamsky's parents; the policies included an exclusion for injuries "arising out of a premises" owned by an insured but not an insured location (the "UL exclusion").
- Ivnitskaya sued Zamsky in Massachusetts state court for negligence; Vermont Mutual defended under a reservation of rights and filed this federal declaratory judgment action seeking a ruling that the UL exclusion excused any duty to defend or indemnify.
- The district court granted summary judgment to the defendants, holding the UL exclusion did not apply and Vermont Mutual had a duty to defend Zamsky; Vermont Mutual appealed.
- The First Circuit reviewed only the duty-to-defend question (Vermont Mutual had not obtained a cross-appeal to contest the limited scope), applying Massachusetts law on duty to defend and insurance-policy interpretation.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the UL exclusion bars Vermont Mutual's duty to defend because the injury "arose out of" the insured-owned, uninsured premises | UL exclusion applies because the occurrence happened at the insured-owned premises; thus no duty to defend | Exclusion requires the occurrence to arise out of a condition of the premises; the fire pit was portable personal property, not a condition of the premises, so exclusion does not apply | The UL exclusion does not apply; Vermont Mutual owes a duty to defend |
| Whether the federal court may resolve duty to indemnify as well as duty to defend | Vermont Mutual sought declaration of no duty to indemnify or defend | Appellees limited relief to duty to defend; no cross-appeal seeking broader relief | Court limited review to duty to defend only (no indemnity ruling on appeal) |
Key Cases Cited
- B & T Masonry Constr. Co. v. Pub. Serv. Mut. Ins. Co., 382 F.3d 36 (1st Cir.) (insurer's duty to defend is broader than duty to indemnify)
- Bos. Symph. Orch., Inc. v. Commercial Union Ins. Co., 545 N.E.2d 1156 (Mass.) (duty to defend arises when complaint allegations and known facts show a possibility of coverage)
- Callahan v. Quincy Mutual Fire Ins. Co., 736 N.E.2d 857 (Mass. App. Ct.) (UL exclusion inapplicable where injury did not arise from a condition of the premises)
- Commerce Ins. Co. v. Theodore, 841 N.E.2d 281 (Mass. App. Ct.) (UL exclusion applies where injury is sufficiently connected to a condition of the premises)
- Bagley v. Monticello Ins. Co., 720 N.E.2d 813 (Mass.) ("arising out of" language is construed broadly)
- Hakim v. Mass. Insurers' Insolvency Fund, 675 N.E.2d 1161 (Mass.) (ambiguities in insurance policies construed in favor of coverage)
- Langill v. Vt. Mut. Ins. Co., 268 F.3d 46 (1st Cir.) (predictability is important in insurance interpretation)
