Beaufort County School District (Beaufort) filed this action against Appellants South Carolina School Boards Insurance Trust, South Carolina School Boards Insurance Trust — Property/Casualty Trust Fund (collectively, the Trust), and United National Insurance Company (United). Beaufort alleged breach of contract and bad faith, and sought compensatory and punitive damages, and a declaratory judgment regarding insurance coverage. The trial court granted Beaufort’s motion for partial summary judgment on the issue of coverage. We affirm.
FACTS
Beaufort and a number of other South Carolina school districts formed the Trust to pool their resources to obtain insurance coverage. The Trust purchased a comprehensive general liability insurance policy (the policy) to cover its district members, including Beaufort, for the year beginning July 1, 2003, and ending July 1, 2004. The terms of the policy provide that United will cover losses in excess of $150,000 in a
In April and May 2004, seven students filed two lawsuits against Beaufort, alleging sexual molestation by an elementary school music teacher. 1 Beaufort settled the claims for $4.75 million and sought coverage under the endorsements.
The sexual abuse endorsement provides:
[Coverage is extended to include the following:
Coverage is provided for CLAIMS (as defined within this endorsement) ... arising out of SEXUAL ABUSE (as defined within this endorsement) by any employee or any volunteer worker of the NAMED ASSURED. This coverage is subject to ... the following special conditions and limitations:
2. This coverage applies only if a CLAIM for damages, because of SEXUAL ABUSE, is “first made” against the ASSURED during the PERIOD OF INSURANCE.... All CLAIMS based on or arising out of one SEXUAL ABUSE shall be considered “first made” when the first of such CLAIMS is made to the ASSURED, regardless of:
a. The number of persons SEXUALLY ABUSED;
4. Limits: $500,000/$3,000,000 Annual Aggregate not to exceed $500,000 per member excess of $150,000 SELF INSURED RETENTION each CLAIM....
8. The coverage extension under this endorsement does not apply to SEXUAL HARASSMENT, or to any CLAIMS arising from actual or alleged physical abuse arising out of SEXUAL HARASSMENT.CLAIM: For the purposes of this endorsement only, CLAIM means ail notices or SUITS demanding payment of money based on, or arising out of the same SEXUAL ABUSE or series of SEXUAL ABUSES by one or more employees or volunteer workers.
NAMED ASSURED: For the purposes of this endorsement only, NAMED ASSURED means the South Carolina School Board Insurance Trust Property/Casualty Trust Fund. NAMED ASSURED does not include any employee or volunteer worker.
SEXUAL ABUSE means any actual, attempted or alleged criminal sexual conduct of a person by another person, or persons acting in concert ... which causes physical and/or mental injuries. SEXUAL ABUSE also includes actual, attempted or alleged criminal sexual molestation, sexual assault, sexual exploitation or sexual injury.
But SEXUAL ABUSE does not include SEXUAL HARRASSMENT.
All CLAIMS based on or arising out of the same SEXUAL ABUSE or a series of related SEXUAL ABUSES by one or more employees or volunteer workers shall be deemed one SEXUAL ABUSE.
Only one policy issued by the Company, one SELF INSURED RETENTION, and one EXCESS LIMIT OF INSURANCE is applicable to any one SEXUAL ABUSE. SEXUAL HARASSMENT means any actual, attempted or alleged unwelcome sexual advances....
But SEXUAL HARASSMENT does not include SEXUAL ABUSE.
(Capitalization in original; bold added.) 2 The sexual harassment endorsement, using substantially the same language, provides limits of $850,000/$2,550,000.
The Trust paid $150,000 to Beaufort and United paid $500,000. The Trust and United deny further liability, arguing, inter alia, the seven settlements constitute one claim. The parties filed cross-motions for summary judgment. After
ISSUES ON APPEAL
I. Did the trial court err in holding Beaufort’s settlements gave rise to seven claims?
II. Did the trial court err in holding Beaufort may access the entire aggregate annual limits?
III. Did the trial court err in holding Beaufort’s settlements were covered by both the sexual abuse and sexual harassment endorsements?
IV. Did the trial court err in holding the Trust is liable to Beaufort for more than one self-insured retention?
STANDARD OF REVIEW
When reviewing the grant of a summary judgment motion, appellate courts apply the same standard that governs the trial court under Rule 56(c), SCRCP, which provides that summary judgment is proper when there is no genuine issue as to any material fact and the moving party is entitled to judgment as a matter of law. Rule 56(c), SCRCP;
Fleming v. Rose,
LAW/ANALYSIS
I. Seven Claims
Appellants argue the trial court erred in holding Beaufort’s settlements gave rise to seven claims, contending the only
Insurance policies are subject to the general rules of contract construction.
Century Indem. Co. v. Golden Hills Builders, Inc.,
A. Definitions of the Terms of the Policy
Appellants argue the trial court’s holding is not a reasonable interpretation of the policy’s definition of “claim,” or of the undefined terms “series” and “related.” We disagree.
The policy’s sexual abuse endorsement defines “sexual abuse” as “any actual, attempted or alleged criminal sexual conduct of a person by another person, or persons acting in concert....” The sexual abuse endorsement defines “claim” as “all notices or suits ... based on, or arising out of the same sexual abuse or series of sexual abuses by one or more
The trial court relied on the incorporation of the definition of “sexual abuse” in the definition of the term “claim” and in the “related sexual abuses” clause to find seven claims. The court found that because the definition of “claim” incorporates the definition of “sexual abuse,” the use of the singular “person” in reference to the victim in the definition of sexual abuse controls. Thus, according to the trial court, when the definition of “claim” refers to a series of sexual abuses, it is referring to a series of abuses against “a person.” Likewise, the court concluded the “related sexual abuses” clause also incorporates the definition of “sexual abuse.” The trial court found it significant that United used, in the definition of “sexual abuse,” the singular “person” when referring to a victim, compared to its use of the singular and plural “person, or persons” when referring to the perpetrator(s). The court found the parties’ intent, by the use of the singular “person” to describe the victim, distinguished the policy from the general rule that “the use of the singular in an insurance policy includes the plural unless it is clear that [the] parties intended otherwise.” (quoting 2
Couch on Insurance
§ 22:5 (3d ed.2007)). The court found that United demonstrated clear understanding of how to articulate the concept of the plural when it wanted to in the endorsements, compelling its conclusion that the “difference has meaning.” The trial court finally noted the close proximity of the singular and plural uses of the term “person” in the endorsement, and determined
The term “series” is not defined in the endorsements, so it must be defined according to the usual understanding of the ordinary person. See
Golden Hills Builders, Inc.,
The term “related” also is not defined in the endorsements, so it must be defined according to the usual understanding of the ordinary person.
See Golden Hills Builders, Inc.,
The trial court found the appropriate reading of “a series of related sexual abuses” refers to a series of related abuses “of a person.” It again relied on the language’s incorporation of the definition of “sexual abuse,” which expressly states that a sexual abuse is committed on “a person.” The court read the language as limiting each victim to one claim, even if they were subjected to abuse multiple times, and finding one claim per victim. It concluded: “[TJhis reading is at very least a reasonable interpretation of the provision that must be adopted because it favors coverage.”
We find no error by the trial court in its interpretation of the policy’s definition of “claim,” or the terms “series” and “related.” A clause in an insurance policy will not be read in isolation.
Stewart v. State Farm Mut. Auto. Ins. Co.,
B. The Deemer Clause
Appellants next argue the trial court erred in finding the deemer clause was not relevant to the issue of the number of claims arising from Beaufort’s settlement agreements. We disagree.
A deemer clause in an insurance contract deems a particular date in the progression of an injury as the triggering date for when the injury takes place for purposes of insurance coverage. Scott M. Seaman & Jason R. Schulze, Allocation of Losses in Complex Insurance Coverage Claims § 3:4 (2010), available at WL, ALCICC § 3:4. The deemer clause in the sexual abuse endorsement 4 provides: “All claims based on or arising out of one sexual abuse shall be considered ‘first made’ when the first of such claims is made to the assured, regardless of ... [t]he number of persons sexually abused .... ” The trial court found “[t]he deemer clause addresses only the issue of when [c]laims are deemed to have arisen for purposes of triggering coverage in a given policy year, not what conduct constitutes a [c]laim.” Therefore, the court found the deemer clause has no bearing on the separate question of how many claims are presented.
In
Western World Insurance Co. v. Lula Belle Stewart Center, Inc.,
the United States District Court concluded a deemer clause in a sexual molestation endorsement had no bearing on the issue of whether a series of related acts of molestation constituted more than one occurrence.
As the courts have recognized, this coverage-triggering inquiry is analytically distinct from the question whether a policy treats a series of related acts or incidents as one or multiple occurrences. In TIG Insurance [Co. v. Smart School,401 F.Supp.2d 1334 (S.D.Fla.2005) ], for instance,the court noted that “numerous cases involving occurrence policies” had “ma[d]e a distinction between the issue of whether and under what policy particular claims are covered versus the issue of whether, if there is coverage, the claims amount to more than one occurrence.” 401 F.Supp.2d at 1347 (collecting cases). Similarly, in a case “present[ing] the question of what constitutes a separate ‘occurrence’ ” under the policies at issue, the Sixth Circuit repeatedly emphasized that the portions of the policies addressing coverage-triggering issues — i.e., that specified “when and where an occurrence must take place for ... coverage to exist” — had no bearing on the distinct question of “the number of occurrences.” Michigan Chemical Corp. v. American Home Assurance Co.,728 F.2d 374 , 378, 381-82 (6th Cir.1984).... Consistent with this distinction, the Court concludes that the “first occurs” policy language in this case is intended to address the trigger-of-coverage issue, and has no bearing upon the separate question whether a series of related acts of molestation should be treated as one or multiple occurrences.
Id.; see also TIG Ins. Co. v. Smart School,
C. Foreign Jurisdictions
Appellants maintain the trial court erred in relying on cases from foreign jurisdictions. We disagree.
Both parties cite decisions of other jurisdictions in support of their arguments. We do not regard any of the authorities cited as controlling because the policies involved in the cited decisions contain language different from the policy in this case.
The cases cited by Appellants primarily contain language defining “occurrences” or “sexual abuse occurrences” and find
Contrarily, the cases cited by Beaufort generally contain language defining “claims” or “occurrences,” and find sexual molestations of multiple victims, or multiple molestations of one victim, by one perpetrator, constitute multiple occurrences.
See Essex Ins. Co. v. Doe,
We find guidance in the discussion by the Fifth Circuit Court of Appeals in
H.E. Butt Grocery Co. v. National Union Fire Insurance Co.,
We recognize that courts have not been uniform in their interpretation of “occurrence” under similar circumstances. The Virginia Supreme Court, without much analysis, found that “occurrence” was ambiguous with regard to the molestation of multiple children, but then concluded that the molestation of each child was a separate occurrence becausethat was the interpretation favorable to the insured in that case. See S.F. v. West Am. Ins. Co., 250 Va. 461 , [464-65,]463 S.E.2d 450 , 452 (1995). The Nevada Supreme Court recently reached the opposite conclusion: it did not find “occurrence” to be ambiguous, yet the court concluded that the molestation of different children constituted only one occurrence when premised on the county’s underlying negligence. See Washoe County v. Transcontinental Ins. Co.,110 Nev. 798 , [802-04,]878 P.2d 306 , 308-10 (1994). Even though the court recognized that “the actions of the individual wrongdoers are the most direct causes of harm for the victims,” it “conclude[d] that the County’s negligence in the licensing process and in its attendant duties to investigate and monitor [the day-care center] constitutes a single occurrence for purposes of liability.” Id. We find, however, that the Nevada court’s approach conflicts with the greater weight of authority....
Id.
at 534;
see Interstate Fire & Cas. Co. v. Archdiocese of Portland,
We also find persuasive the reasoning employed by the court in the recent case of
Lantana Insurance, Ltd. v. Ritchie,
Our review of the cases cited by the parties, and other cases, does not change our conclusion that, under the terms of this policy, the molestation of seven victims gives rise to seven claims.
See S.S. Newell & Co. v. Am. Mut. Liab. Ins. Co.,
199
II. Annual Aggregate in the Limits Clause
Appellants argue the trial court erred in holding Beaufort could access the annual aggregate limits in the sexual abuse and sexual harassment endorsements. We disagree.
The sexual abuse endorsement includes a limits clause providing coverage limits of “$500,000/$3,000,000 Annual Aggregate not to exceed $500,000 per member excess of $150,000 self-insured retention each claim.” The sexual harassment endorsement provides limits of $850,000/$2,550,000.
A. One Claim
Appellants initially argue the trial court erred in reaching the issue of whether Beaufort could access the annual aggregate limits of the endorsements because there is only one claim. This issue is decided in our discussion in the foregoing section, in which we find seven claims arose from the seven settlements.
B. Construction of the Limits Clause
Appellants next assert the trial court erred in construing the limits clause by failing to give separate meaning to the “per member” language in the clause. We disagree.
Appellants argue the annual aggregate limits are “pool” limits intended for all members of the Trust collectively, and that Beaufort, as one member of the Trust, is entitled only to the “sub-limits” in the endorsements. Appellants argue the trial court ignored the phrase “per member,” and the aggregate limits are the amounts available to all members of the Trust per policy period.
The trial court found Appellants’ construction of the limits clause ignored the phrase “per claim.” It determined the endorsements employed “the familiar ‘per-claim limit/aggregate limit’ formulation routinely found in insurance policies.” The court concluded restricting Beaufort to the “per-claim
We find the trial court’s interpretation of the limits clause is reasonable. A party “may not, by pointing out a single sentence or clause, create an ambiguity.”
Yarborough v. Phoenix Mut Life Ins. Co.,
C. Patent or Latent Ambiguity
Appellants maintain the language of the limits clause unambiguously limits Beaufort to $500,000 in coverage, but that if an ambiguity exists, the trial court erred in refusing to permit extrinsic evidence to resolve the ambiguity. We disagree.
“When a contract is unambiguous, clear and explicit, it must be construed according to the terms the parties have used, to be taken and understood in their plain, ordinary and popular sense.”
C.A.N. Enters., Inc. v. S.C. Health & Human Servs. Fin. Comm’n,
A patent ambiguity is one that arises upon the words of a will, deed, or contract.
Smith,
Appellants proffered numerous items in support of their interpretation of the limits clause. Appellants first proffered the affidavit of Randy Plyler, the Director of Risk Management for the Trust. Plyler stated he was involved in the negotiation and purchase of the insurance policy, and the sublimit was the maximum available coverage for all sexual abuse claims for a member in a given year. Plyler stated the aggregate is the maximum coverage available to all members combined. Plyler relied in part on the Trust Fund Agreement and the Coverage Agreement.
Article VI of the Trust Fund Agreement provides the trustees of the Trust with the authority to determine coverage
The trial court refused to consider Appellants’ extrinsic evidence, finding Appellants relied on extrinsic evidence essentially to buttress their interpretation of the policy, which is not an appropriate use of extrinsic evidence. The court concluded its interpretation of the limits language was reasonable, and must be adopted as a matter of law because it favored coverage.
We find even if the policy contains an ambiguity, it is a patent ambiguity as it arises from the language of the policy itself. Therefore, we conclude the trial court did not err in refusing to consider the extrinsic evidence proffered by Appellants.
III. Sexual Harassment Endorsement
Appellants argue the trial court erred in finding the settlements were covered by both the sexual abuse and sexual harassment endorsements. We disagree.
The rules of contract construction require exclusionary clauses to be narrowly interpreted.
Buddin v. Nationwide Mut. Ins. Co.,
The sexual abuse endorsement defines sexual abuse as “any actual, attempted or alleged criminal sexual conduct of a person by another person, or persons acting in concert ... which causes physical and/or mental injuries____Sexual abuse
Appellants argue even if the victims were the target of acts of misconduct that meet the definition of sexual harassment, their claims would always arise from sexual abuse. They argue the definition of “claim” is broader than a single act of misconduct, as it is defined as “all notices or suits demanding payment of money based on, or arising out of the same sexual abuse or series of sexual abuses.... ” Beaufort concedes it may not receive double recovery by coverage under both the sexual abuse and sexual harassment endorsements, but argues recovery under the sexual abuse endorsement does not preclude recovery under the sexual harassment endorsement for acts of sexual harassment.
The trial court agreed with Beaufort, finding to accept Appellants’ interpretation of the endorsements would lead to the absurd result of no coverage any time a claim arose from conduct that meets the definitions of both sexual abuse and sexual harassment. Appellants disagree with this finding and maintain they never argued the two endorsements cancel each other out. Rather, they assert the trial court focused on whether an act of sexual abuse could meet the definition of sexual harassment, instead of the language in the sexual harassment endorsement excluding coverage for a “claim” arising directly or indirectly from sexual abuse.
We find no error by the trial court. The complaint in this case alleges the victims suffered both sexual abuse and sexual harassment. As the trial court found, if interpreted as argued by Appellants, the endorsements would cancel each other out any time a claim arose from conduct that meets the definitions of both sexual abuse and sexual harassment. Thus, no coverage would be available at all for conduct that plainly meets both definitions.
The coverage extension under this endorsement does not apply to any claim arising from actual or alleged physical abuse arising out of sexual harassment of any kind or to any claim seeking damages, including defense of same, arising directly or indirectly from any actual or alleged participation in any act of sexual abuse of any person by any assured.
Appellants argue the trial court erred in refusing to interpret this provision as an “anti-stacking” provision. “Stacking is defined as the insured’s recovery of damages under more than one policy until all of his damages are satisfied or the limits of all available policies are met.”
Giles v. Whitaker,
We find the law governing “anti-stacking” provisions does not apply because there is no attempt in this case to apply multiple policies to one event. Rather, the issue is one of applying coverage to multiple events. In this case, there is one policy with two endorsements providing coverage for different risks.
We affirm the trial court’s finding that recovery under the sexual abuse endorsement does not preclude recovery under the sexual harassment endorsement for acts of sexual harassment. Construing the policy in this manner does not provide double recovery, as conceded by Beaufort. The victims have alleged acts of sexual abuse and sexual harassment. Whether the claims asserted by the victims constitute sexual abuse or sexual harassment under the terms of the endorsements remains to be determined at trial.
IY. Self-Insured Retentions
Appellants finally argue the trial court erred in holding the Trust is required to pay the self-insured retention for
In its Answer, the Trust admits “it is obligated under the Trust agreements to indemnify members or assume from trust funds the self-insured retention under the Policy” and that “the insurance program established by the Trust agreements provides for only those coverages/limits provided for by the Policy and one Self-Insured Retention per occurrence/claim....” Beaufort raised the issue in its Memorandum in Support of Beaufort’s Motion for Partial Summary Judgment. Beaufort argued: “The Trust ... pays any self-insured retention (“SIR”) applicable to its members under coverage obtained by the Trust.” Beaufort also maintained: “The Trust is obligated to pay the $150,000 Self-Insured Retention for each of the seven Claims, or a total of $1,050,000.”
The issue was also raised to the trial court in the Trust’s “Supplemental Memorandum in Support of Defendants’ Motion for Summary Judgment and in Opposition to Plaintiffs Motion for Summary Judgment.” In its Memorandum, the Trust argued the issue of its obligation under the policy is limited to payment of a single self-insured retention of $150,000.
Finally, the issue was again raised at the hearing on the cross-motions for summary judgment. When arguing for the trial court to consider extrinsic evidence, the Trust acknowledged Beaufort’s contention the Trust is “the entity responsible for multiple [self-insured retentions.]” Beaufort argued if the trial court found seven claims, the Trust would not have the power to change the language in the policy. The Trust
The first thing that I want the Court to understand under the policy provisions is that [the Trust’s] obligations under the policy are only to pay $150,000 after the self-insured retention has been paid. That is, if you take a look at the policy and look at the sexual abuse endorsement ... [w]hat that is saying is that [the Trust] doesn’t have to pay more than one self-insured retention.
Now, [Beaufort’s] interpretation would suggest that now [the Trust] has to pay a self-insured retention of $150,000 for each claim, each individual victim, and that is simply not the case.
In concluding the Trust was liable for seven self-insured retentions, the trial court relied on the endorsements and pleadings. The clauses containing the coverage limits in each endorsement provide that the limits are in “excess of $150,000 self insured retention each claim.” The court found the clause “each claim” entails a $150,000 self-insured retention, and there were seven claims. Thus, the Trust was responsible for seven retentions. The court discounted the Trust’s reliance on the clause in each endorsement, which provides: “The coverage extension under this endorsement does not increase the Self Insured Retention nor the Excess Limit of Insurance of this policy,” finding the clause did not contradict the plain language in the endorsements providing for limits of $150,000 for each claim.
We find the Trust’s issues were fully raised, within the scope of the cross-motions for summary judgment, and correctly interpreted by the trial court.
8
See generally
Rule 15(b), SCRCP (stating issues not raised by the pleadings but tried by consent of the parties shall be treated as if they had been raised in the pleadings);
Staubes v. City of Folly Beach,
CONCLUSION
For the foregoing reasons, the trial court’s order granting partial summary judgment to Beaufort County is
AFFIRMED.
Notes
. The teacher pled guilty to ten counts of indecent exposure, seven counts of lewd act on a minor, and one count of assault and battery of a high and aggravated nature. He is currently serving a twenty-five year prison sentence.
. Hereinafter, quotations of the policy omit capitalization, and bold is added for emphasis.
. The corresponding clauses of the sexual harassment endorsement are substantively identical, and the analysis for the sexual abuse endorsement applies to the sexual harassment endorsement for purposes of Appellants' "one claim” argument.
. The corresponding clause of the sexual harassment endorsement is substantively identical.
. In their Reply Brief, Appellants argue the phrase "each claim” does not modify the phrase "per member,” but instead modifies the phrase "self-insured retention.” An appellant may not raise additional arguments in the reply brief that were not raised in the initial brief.
Glasscock, Inc. v. United States Fid. & Guar. Co.,
. At the hearing on the cross-motions for summary judgment, Beaufort argued the Coverage Agreement submitted to the court covered the year following the policy year at issue in this case. The Coverage Agreement in the record states “05 07 04,” and explains the policy provides coverage for sexual abuse in the policy, rather than the coverage at issue here, which is provided for in the endorsements.
. The Trust also argues it views the claim of negligent hiring, retention, or supervision of the perpetrator as constituting a single claim with only a single self-insured retention. This is essentially another argument regarding the number of claims, discussed in Section I.
See Soc'y of the Roman Catholic Church of the Diocese of Lafayette & Lake Charles, Inc. v. Interstate Fire & Cas. Co.,
. Beaufort argues the issues raised by the Trust are not preserved for appellate review because although raised at the Rule 59(e) hearing, the issues were not included in the Rule 59(e) motion. In the Rule 59(e), SCRCP, motion to reconsider, Appellants argued: "The Court erroneously found that [the Trust] must pay more than one self insured retention in that under the plain language of the Policy and Trust