Bilbo for Basnaw v. Shelter Ins. Co.Bilbo for Basnaw v. Shelter Ins. Co.
Lori BILBO, as Tutrix for Minor, Jeremy BASNAW
v.
SHELTER INSURANCE COMPANY, Dоuglas Knippers, Linda Knippers and David Drago.
Court of Appeal of Louisiana, First Circuit.
*692 Timothy J. Martinez, Steven P. Monaghan, Baton Rouge, for Plaintiffs-Appellants Lori Bilbo, et al.
Amos H. Davis, Smith & Davis, Baton Rouge, for Defendant-Appellee Shelter Mutual Ins. Co.
Kenner O. Miller, Jr., Sweeney & Miller, Baton Rouge, for Defendants-Appellees Douglas and Linda Knippers.
Linda Knippers, Baton Rouge, Defendant-Appellee in proper person.
Before CARTER, LeBLANC and PARRO, JJ.
PARRO, Judge.
The plaintiffs in this tort action appeal the district court's granting of a defendant's motion for summary judgment. The court dismissed plaintiffs' claims against the defendants' homeowner's insurance comрany, concluding that there were no material facts in dispute and that, as a matter of law, because the policy excluded coverage for bodily injury to another that was intended or expected by an insured, the policy did not provide coverage for the damages suffered by the plaintiffs in this case.
FACTUAL AND PROCEDURAL BACKGROUND
About 5:30 p.m. on November 2, 1993, fourteen-year-old Jeremy Basnaw ("Jeremy") was standing in the front yard of his home talking to a friend, Tiffany Drago ("Tiffany"). As they talked, Vaughn Knippers ("Vaughn"), also fourteen years old, walked up to Jeremy and punched him in the nose. As a result of this single blow to his face, Jeremy suffered a broken nose.
Lori Bilbo ("Ms. Bilbo") is Jeremy's mother; she and Jeremy's father are divorced and she has sole custody of Jeremy. She filed suit to recover damages resulting from this incident, including medical expenses, Jeremy's physical and mental pain and suffering, permanent disfigurement, and loss of enjoyment of life. In an amended petition, she also claimed damages for her loss of consortium. Named defendants were Vaughn's parents, Douglas and Linda Knippers, and their homeowner's insurer, Shelter Mutual Insurance Company ("Shelter").[1] The petition claimed the injuries and damages were caused by Vaughn's striking Jeremy and were also directly attributable to Vaughn's parents' negligent supervision of him. All defendants filed a general denial, and Shelter later filed a motion for summary judgment, alleging its policy did not provide coverage for the damages claimed by the plaintiffs.
For purposes of its motion, Shelter admitted it was the homeowner's insurer of Vaughn's parents on the date of the attack, and that Vaughn was an insured under the policy. However, Shelter asserted that, because the bodily injury and damages suffered by Jeremy were intended by Vaughn, its policy did not cover those damages. The comprehensive personal liability protection afforded by the Shelter policy contained the following exclusion:
Under Personal Liability and Medical Payments to Others, we do not cover:
5. bodily injury or property damage expected or intended by an insured.
The evidence before the district court on the motion for summary judgment included the insurance policy and excerpts from depositions of Vaughn, Jeremy, and Tiffany. After reviewing this evidence and the oral and briefed arguments of counsel, the judge stated the following in his oral reasons for judgment:
I'm going to save everybody a lot of time by granting the motion for summary judgment, because if you tried this case on the meritsI'm trying to tell you something about the practice of law. If you try this case on the merits, you're going to get all your steam up in your locomotive engine, try this case, do a brilliant job. The jury is going to come in with a goose egg or with no coverage. I've seen it happen too many times.
*693 There's suсh a tenuous thread on the issue of the negligence of the parents, that it's not worth consideration at this point. The courts have been very broad in their permitting children, minors, to do anything they want to do without the parents being held accountable for it.
Based on this and similar observations about the likely outcome of a trial on the merits, the court granted the motion and dismissed all claims against Shelter.
APPLICABLE LAW
Motion for Summary Judgment
Appellate courts review summary judgments de novo under the same criteria that govern the district court's consideration of whether summary judgment is aрpropriate. Schroeder v. Board of Sup'rs of Louisiana State Univ.,
When the altercation forming the basis of this litigation occurred, Louisiana law discouraged summary judgments. See Robertson v. Our Lady of the Lake Regional Medical Ctr.,
The summary judgment procedure is designed to secure the just, speedy, and inexpensive determination of every action.... The procedure is favored and shall be construed to accomplish these ends.
Because the amended version is a procedural change, it is applied retroactively. Nail v. Germania Plantation, Inc., 96-1602 (La.App. 1st Cir. 5/9/97),
The effect of the amendment is to level the playing field between the parties in two ways: first, the supporting evidence submitted by the parties should be scrutinized equally, and second, the overriding presumption in favor of trial on the merits is removed. Jenson v. First Guaranty Bank, 96-0381 (La.App. 1st Cir. 5/9/97),
A summary judgment may be rendered on the issue of insurance coverage alone, although there is a genuine issue as to liability or the amount of damаges.[3] LSA-C.C.P. art. 966(E). Summary judgment declaring a lack of coverage under an insurance policy may not be rendered unless there is no reasonable interpretation of the policy, when applied to the undisputed material facts shown by the evidence supporting the motion, under which coverage could be afforded. Reynolds v. Select Properties, Ltd., 93-1480 (La. 4/11/94),
Interpretation of Insurance Contracts
An insurance policy is an аgreement between parties and should be interpreted using ordinary contract principles. Ledbetter v. Concord General Corp., 95-0809 (La. 1/8/96),
Intended Injury or Damage Exclusion
The exclusionary language used in the Shelter policy at issue in this case has often been determined to be ambiguous, and accordingly, has been construed in favor of coverage. Great American Ins. Co. v. Gaspard,
One of the first cases in which the Louisiana Supreme Court interpreted and applied a similar exclusion provision involved a police officer who was injured while attempting to arrest the insured. Pique,
Previously, this court, and others later, drew a distinction bеtween the intentional nature of the act, as opposed to the intention to cause the specific injury which resulted. In Kling v. Collins,
The Louisiana Supreme Court re-examined this issue in Breland,
This clause does not by its precise terms exclude coverage for bodily injury caused by the insured's intentional act. Rather, it excludes coverage for bodily injury "expected or intended from the standpoint of the Insured." The phrase "bodily injury ... which is expected or intended," emphasizes that an excluded injury is one which the insured intended, not one which the insured caused, however intentional the injury-producing act. The next phrase, "from the standpoint of the Insured," emphasizes again that it is the insured's subjective intention and expectation which delimit the scope of the exclusion. The subjective intention and expectation of the insured determine which injuries fall within and which fall beyond the scope of coverage under this policy.
Breland,
We hold, therefore, that when minor bodily injury is intended, and such results, the injury is barred from coverage. When serious bodily injury is intended, and such results, the injury is also barred from coverage. When a severe injury of a given sort is intended, and a severe injury of any sort occurs, then coverage is also barred. But when minor injury is intended, and a substantially greater оr more severe injury results, whether by chance, coincidence, accident, or whatever, coverage for the more severe injury is not barred. Whether a given resulting bodily injury was intended "from the standpoint of the insured" within these parameters is a question of fact. Such factual determinations are the particular province of the trier of fact....
Breland,
The insured's subjective intent or expectation must be determined not only from the insured's words before, at the time of, and after the pertinent conduct, but from all the facts and circumstances bearing on such intent or expectation.
*696 Breland,
Reversing a trial court's judgment in a similar case, the Louisiana Seсond Circuit Court of Appeal in Baugh,
However, the Louisiana Fifth Circuit Court of Appeal reached the opposite conclusion, affirming a trial court's granting of summary judgment in Cavalier,
Anyone would reasonably expect injury to result from Tim's acts; he tracked Lenny down, grabbed him and spun him around, and punched him in the face. Under the terms of the policy, which are clear and unambiguous, there is no factual issue to be resolved.
Cavalier,
In two more recent cases, the Louisiana Supreme Court has also excluded coverage, applying similar policy language. In one case, Great American,
[t]he test is whether at the time [the insured] set the fire he intended to damage the building and property of the other tenants or had a subjective belief that such a result was certain or substantially certain to follow. (emphasis added).
Great American,
The other case in which the Louisiana Supreme Court applied similar policy language to conclude there was no coverage for the insured's acts was Yount v. Maisano,
The injuries that [the victim] suffered were not unusual or "freak" as wеre the injuries in Breland.... We hold that where an insured sets out to commit a battery on another individual and repeatedly strikes him in the face with both fists and kicks him repeatedly in the face, the resulting broken facial bones and other facial injuries are either intended by the insured or the insured must know that such injuries are substantially certain to result. Therefore, the policy exclusion bars recovery against [the insurer].
Yount,
APPLICATION OF LAW TO THE FACTS
We observe first that the district court erred in granting the motion for summary judgment on the basis that the plaintiff was unlikely to prevail in a trial on the merits. While the court's рrognostication might very well be accurate, it is not grounds for summary judgment. Accordingly, we must determine whether, despite this error of law, summary judgment was properly granted because there were no material facts at issue and, as a matter of law, the plaintiffs' claims against Shelter must be dismissed because the insured expected or intended the bodily injury suffered by Jeremy.
As the developing line of jurisprudence interpreting similar policy exclusion language demonstrates, the inquiry is fact-intensive. This is evident in Pique, where the court focused on the intentional nature of the specific action, through Breland, where the court shifted to an examination of the subjective intent of the actor, to Great American and Yount, where that intent is determined by a more objective review of the totality of the facts and circumstances of the incident. The ultimate issue in each instance is: did the insured intend to inflict the extent of injury or damage which resulted from his action? If so, his policy does not provide coverage. If he did not intend the extent of those injuries or damages, his policy will provide coverage.
The Breland case makes this almost entirely a subjective factor, with Great American and Yount emphasizing that, despite the subjеctive nature of the inquiry, a person's intent can, to some extent, be determined from the objective facts and what common sense dictates that person must have known would happen as a result of his acts. Our task, therefore, is to examine the deposition testimony in the record to determine whether we can so clearly discern Vaughn's intent when he punched Jeremy, that reasonable minds could not differ concerning this fact. If there could be a difference of opinion, then this material fact is still at issue, and summary judgment is not appropriate.
Tiffany testified that she, her friend Melissa, and several other young people were together in a car, after leaving a fast-food restaurant where they had picked up Vaughn and another boy. They went to the neighborhood where Melissa lived to drop her off at her home. Tiffany and Melissa got out of the car, and the driver of the car, with Vaughn and the other male passenger, briefly left the scene. Tiffany knew that another friend of hers, Jeremy, lived directly across the street and she went to his house to talk to him. In response to her knock at the door, Jeremy came out into the front yard of his home and was standing there, talking to Tiffany. At this point, the car with the three teenage boys came back and parked across the street from where Tiffany and Jeremy were standing. Tiffany indicated that Vaughn and another boy got out of the car and approached Jeremy, who looked nervous and began backing away. Although Jeremy did not do or say anything to provoke him, Vaughn simply walked up to Jeremy and *698 punched him in the nose. When Jeremy's parents came out of thе house to help him, Tiffany and the other teenagers got back into the car and left.
Jeremy testified that he and Vaughn knew each other; they had attended the same middle school, but they were not friends and did not attend the same high school. Jeremy recounted two incidents, one in middle school and one recent event just two months earlier, when Vaughn had approached him and threatened to hit him. Although Jeremy could not recall whether he had ever said anything negative about Vaughn, he conjectured that other mutual acquaintances might have told Vaughn that Jeremy was saying bad things about him behind his back. Jeremy said that when Vaughn came across the street toward him, he said to Jeremy, "I heard you was talking stuff about me," and then hit Jeremy in the nose with his right hand. Jeremy insisted he did nothing to invite or provoke this attack, and he did not attempt to strike back. Jeremy's nose began bleeding immediately and he turned and went toward his house for help. Jeremy went to a hospital emergency room, where x-rays revealed his nose was broken. Jeremy said the injury was very painful for at least four months, and his nose is now permanently crooked. He indicated he intends to get surgery to straighten it out in the future.
Vaughn's recollection of the incident is somewhat different from Tiffany's and Jeremy's version. He stated that when he and the other boys drove back to Melissa's house and parked there, he saw Jeremy and Tiffany across the street. When he looked across the street at them, Jeremy lifted his arms into the air in a "touchdown" gesture. Vaughn said this meant Jeremy wanted to fight him. So he and the other passenger got out of the car, still carrying their food in their hands, to confront Jeremy аnd see what he wanted. Vaughn and the other boy were both football players; both were bigger and taller than Jeremy, who did not play football. Vaughn said he had been in at least ten fights before this incident, and had learned to box, "just like playing around," at a boxing gym in Baton Rouge. Vaughn stated when the two boys got to Jeremy, Jeremy "just like stuck his hand out and I just hit him. I wasn't giving him time to hit me or shake my hand or anything. I didn't know what he was going to do." Vaughn said he did not intend to break Jeremy's nose or cause any serious injury to him.
Our examination of these facts simply illustrates the problem involved in deciding an issue such as this on a motion for summary judgment. Shelter argues that given the size, weight, and experience advantage which Vaughn had over Jeremy, Vaughn must have known that a blow to Jeremy's face would break his nose. However, these same facts can be looked at another way. Because he played football, Vaughn may have experienced enough violence in the game so that he would discount the effect of a single blow. Additionally, we do not know from the deposition excerpts in the record whether any of Vaughn's othеr fights or boxing matches resulted in injuries to others. If Vaughn participated in more than ten such fights without inflicting injuries on others, he might be justified in not expecting the damage suffered by Jeremy.
The facts of this case are very similar to those in Breland, Baugh, and Cavalier. In all three cases, the insured punched the victim in the face. As a result, the victim in Breland had his jaw broken on both sides. The Baugh plaintiff suffered extensive damage to his teeth. The victim in Cavalier had broken facial bones. In the first two cases, the courts determined these injuries were more severe than would be expected from the degree of force used by the insured. The Cavalier court held the precise opposite.
Of the three cases, only Breland has direct precedential impact on this court. Hоwever, as we attempt to apply the Breland analysis, we find very little in this record to guide our decision. Breland held that if minor injury was intended, and minor injury resulted, there is no coverage; and if major injury was intended, and major injury resulted, there is no coverage. But if minor injury was intended, and major injury resulted, there is coverage. From whose viewpoint do we determine whether Jeremy's injuries were major? Certainly he believes they were, but there is no medical evidence in the record beyond *699 Jeremy's testimony that his nose was broken, took about four months to heal, and is now crоoked. Without medical reports of any kind, we cannot determine whether Jeremy's injury should be considered "serious." Nor can we be certain that the injury was so much more severe than one would expect from a single blow to the face that Vaughn could not have "expected or intended" this result when he punched Jeremy in the face. Certainly, applying the language used by the court in Yount, this injury does not seem unusual or "freak."
After a thorough review, the only thing clear about this issue is that reasonable minds could differ about whether Vaughn intended the degree of injury which he inflicted on Jeremy. This is a factual dispute. Therefore summary judgment on this issue is not appropriate.[4]
CONCLUSION
We conclude that the district court erred in granting the motion for summary judgment, dismissing plaintiffs' claims against Shelter. Accordingly, this case must be reversed and remanded. All costs of this appeal are to be paid by Shelter.
REVERSED AND REMANDED.
LeBLANC, J., concurs.
NOTES
Notes
[1] Tiffany's father, David Drago, was also named as a defendant, but all claims against him were dismissed by the plaintiffs.
[2] While this appeal was pending, the legislature amended and reenacted LSA-C.C.P. art. 966(C), and repealed LSA-C.C.P. art. 966(G), effective July 1, 1997. 1997 La. Acts No. 483. Formerly, paragraph (G) stated the burden of proof shall remain with the mover; that statement now introduces paragraph (C)(2). Like the 1996 amendment, this revision recognizes that there are circumstances when the issue before the court on the motion for summary judgment is not one on which the mover would have the burden of proof at trial, and it clarifies the mover's and the respondent's burdens of proof in that situation. However, the issue before this court is clearly one on which the mover alone would bear the burden of proof at trial.
[3] Act 483 of the 1997 legislativе session also repealed paragraph (F) of LSA-C.C.P. art. 966, which had specifically listed the insurance coverage issue as one which was appropriate for a partial summary judgment. That legal principle was incorporated in the more general provisions of amended and reenacted paragraph (E), which now states summary judgment may be rendered disposing of a particular issue or defense in favor of one or more parties, although its granting does not dispose of the entire case.
[4] Since we conclude summary judgment should not have been granted, we do not reach the negligent supervision claim against Vaughn's parents.