Plaintiff Nationwide Mutual Fire Insurance Co. (“Nationwide” or “Company”) appeals the district court judgment, entered upon a jury verdict, finding Nationwide liable under the terms of a Homeowners Insurance Policy to defendant John T. May Jr., Administrator of the Estate of Charles-etta May (“Estate”), for fire damage at the insured premises. Nationwide reiterates on appeal the arguments made to the district court in a post-judgment motion: that the jury’s verdict should be set aside because it was unsupported by the evidence; and that the court erred in awarding the Estate a recovery “to the full extent of the policy limits” because the damage issue was not pleaded or litigated. We conclude that the district court did not err in refusing to override the jury’s verdict, but we agree with Nationwide that the court’s damage award was premature. Accordingly, we affirm the district court judgment finding Nationwide liable on its insurance policy, but remand for further proceedings.
I.
Shortly after noon on January 31, 1986, the Louisville Fire Department responded to an emergency call reporting a fire at 7019 Woodhaven Road. Inside the burning home, firefighters found the dead bodies of the owner of the residence, Charlesetta May, and her twenty-two year old son, Daniel. Charlesetta did not die as a result of the fire, however; she had been killed by a shotgun blast, evidently at the hands of her son. Daniel then died of smoke inhalation in the ensuing fire.
A review of the events leading to the fire reveals that Daniel May had a history of mental illness. During the summer and
Toward the end of 1985, Charlesetta May became quite concerned with her son’s changing behavior. He talked about suicide more frequently and did not like to be left alone. Charlesetta’s concern ultimately turned to fear, so she asked Daniel’s father, from whom she had been divorced for two years, if he would take Daniel into his home. John May Sr. agreed, and around Christmas of 1985, Daniel began sleeping at his father’s apartment. To avoid leaving Daniel alone during the day, however, John Sr. would often drop Daniel off at Charlesеtta’s Woodhaven home in the morning and then pick him up after work.
Daniel’s behavior continued to deteriorate. John Sr. testified that Daniel became increasingly withdrawn and often refused to shave or change his clothes. Daniel’s parents became so alarmed during the week before the fire that they were prepared to take legal action to have Daniel involuntarily committed to a mental hospital.
On the morning of January 31, 1986, John Sr. dropped Daniel off as usual at Charlesetta’s house. Charlesetta and another son, David, were also at home that day. At about noon David left the house, telling Daniel that he would not be gone long.
At 12:18 p.m. the Louisville police received a “911” emergency call from “John” May reporting a fire at 7019 Woodhaven. The voice was later identified from a tape recording as Daniel's. The fire department responded, found the house in flames, and began fighting the fire. David May returned shortly thereafter and alerted firefighters that his mother and brother were probably inside.
Firefighters found the body of Charleset-ta May in the family room. The shotgun used to kill her was lying near her body. The police later learned that Daniel had borrowed the gun on the previous evening from a neighbor on Woodhaven under the pretense that he was going hunting. The fire was set in a rear bedroom with the aid of an accelerant, such as gasoline. Daniel’s body was found in a third room; his clothes were also soaked with the acceler-ant, which suggested an attempt to set himself on fire. It was further determined that Daniel’s clothes had caught fire before he collapsed. These circumstances led the authorities to conclude that Daniel May killed his mother and then died in the fire he had started.
The fire also inflicted extensive damage on the Mays’ home, including damage from smoke, heat and water. Plaintiff Nationwide had insured the property since 1974 under a Homeowners Policy issued to Char-lesetta May. The Administrator for Char-lesetta’s Estate, her son John May Jr., made a claim under the policy for damage to the structure and for personal property destroyed in the fire. Nationwide initially made payments discharging the mortgages on the house and also made advance payments of $4,500 to the May family. Before the claim was settled, however, the Company denied coverage relying on the following policy provisions:
“Insured” means you and the following who live in your household: a. Your relatives.
We do not cover loss resulting directly or indirectly from:
(7) intentional acts meaning a loss resulting from an act committed by or at the direction of an insured if there is intent to cause a fire.
Nationwide denied the claim on the theory that the fire was intentionally set by Daniel
Nationwide then brought this declaratory judgment action in federal court. The Estate defended against the suit on two grounds: it claimed that at the time of the fire Daniel was not an “insured” under the policy, since he was “living” with his father, not his mother; and alternatively, the Estate argued that a serious mental illness precluded Daniel from formulating the “intent” necessary to invoke the “intentional act” exclusion. In response to the district court’s interrogatories, the jury found: (1) that Daniel May did not “live” in his mother’s household; (2) that Daniel did not understand the physical nature of the consequences of his act and did not “intend” to set the fire; and (3) that he did not “intend” to cause damage to the house. The district court entered judgment on the jury verdict in favоr of the Estate, ordering Nationwide to “pay the full loss sustained ... to the full extent of the policy limits.” Nationwide objected to both the jury verdict and the damage award in a motion for judgment n.o.v. or a new trial, which the district court denied, and this timely appeal ensued.
II.
Nationwide’s primary contention on appeal challenges the jury’s verdict rejecting Nationwide’s reliance on the “intentional act” exclusion in the Homeowners Insurance Policy. The district court submitted to the jury the following interrogatories:
Question No. 1
Do you find from a preponderance of the evidence that Daniel May lived in the household of Charlesetta May on or about the date of the fire?
Question No. 2
Do you believe from the evidence, without regard to whether he was capable of distinguishing right from wrong, both that:
(a) He understood the physical nature of the consequences of his act, and
(b) He intended to set the fire[?]
Question No. 3
Do you find from a preponderance of the evidence that Daniel May intended to cause damage to the house on January 31, 1986?
The jury answered “No” to each question, and the district court entered judgment against Nationwide.
Nationwide bears a heavy burden in trying to upset the judgment based upon the jury verdict. To obtain reversal, Nationwide must show that the jury’s answers to all three interrogatories were incorrect, for a proper “No” answеr to any one of the three would defeat Nationwide’s reliance on the intentional act exclusion. Moreover, the Company must achieve this result in the face of our limited review of the jury’s conclusions. In a diversity case such as this, we look to state law for the standard with which to review a denial of a j.n.o.v. motion.
See Calhoun v. Honda Motor Co.,
The single controlling question on a motion for a directed verdict, either at the close of [a party’s] evidence or at the close of all the evidence, is whether or not [that party] has sustained the burden of proof by more than a scintilla of evidence. “More than a scintilla” may be defined as evidence of probative value having fitness to induce conviction in the minds of reasonable men.
Initially, we note that Kentucky law provides little guidance on the question of where Daniel “lived,” as that term is used in a Homeowners Insurance Policy. 1 We find ample evidence in the record from which the jury cоuld conclude that Daniel “lived” with his father, at least insofar as he spent nights at his father’s apartment from Christmas, 1985, until the night before the fire. The more substantial question is whether Daniel nonetheless “lived” in his mother’s “household,” especially considering that he regularly returned to the house during the day while his father was at work and that he stored his personal property there. We have found no Kentucky case, however, construing the phrase “live in your household,” and we are not persuaded that the cases cited by Nationwide provide a conclusive answer in this case. 2 In view of these uncertainties, and in view of our conclusion that the jury’s verdict is sustainable on Daniel’s inability to “intend” the fire and loss, we decline to address this novel question of Kentucky law.
“Intentional act” exclusions in the insurance policy context, on the other hand, have often been reviewed and approved by the Kentucky courts.
See, e.g., Colonial Life & Accident Ins. Co. v. Wagner,
Nationwide argues that Daniel’s intent must be inferred from the nature of his acts leading up to the fire. The Company particularly points to Daniel’s decisions to borrow the shotgun and smuggle it into the
Two older cases interpreting Kentucky law suggest that insanity is a complete defense to an intentional act exclusion. In
Bindell v. Kenton County Assessment Fire Ins. Co.,
If [the insured], while insane, destroyed the insured property, the company cannot under the conditions of this policy escapе liability for the loss upon this ground. Unless [the insured’s] act in destroying the property was fraudulent, voluntary, or intentional, the company is bound____ Accepting this doctrine as sound, it necessarily follows that if the insured did not at the time have mind enough to know the nature or quality of his act, and was laboring under such a defect of reason as not to be responsible for his conduct, or as a result of mental unsoundness he did not have sufficient will power to know right from wrong or govern his actions, that the destruction of the property by him would not relieve the company. Under the conditions stated, the act of the insured '... could not be voluntary or intentional because he did not have sufficient mind and memory to do a voluntary or intentional act.
Id.
at 326 (emphasis added). Prior to
Bin-dell,
this court had also given a broad interpretation to the insanity defense in a Kentucky case.
See Corley v. Travelers’ Protective Ass’n,
We think it is the true rule that if the [insured] was killed by one incapable of distinguishing right and wrong, or forming a rational intent to do the act, then the death would not be intentional, any more than it would be if it happened through some unforeseen accident.
Id. at 862. Bindell and Corley thus held that an act is not “intentional” under an insurance policy if the actor suffers from a mental defect that renders him unablе to understand the nature or quality of his acts, unable to tell right from wrong, or unable to control his conduct. 3
Nationwide argues, however, that this expansive view of the insanity defense in
Bindell
and
Corley
has been rejected by the more recent Kentucky decision in
Colonial Life & Accident Ins. Co. v. Wagner,
We agree with Nationwide that
Wagner
substantially narrowed the insanity defense approved by
Bindell
and
Cor-ley.
The
Wagner
court specifically concluded that whether an act is intentional is a question distinct from whether the actor is legally responsible for his act.
See Wagner,
The district court instructed the jury in accordance with these principles. The court expressly required the jury to determine whether Daniel, “without regard to whether he was capable of distinguishing right from wrong, ... understood the physical nature of the consequences of his act,” as well as whether he intended to set the fire and damage the house. We now review the jury’s “No” answers to these questions.
Viewing the evidence adduced at trial in the light most favorable to the Estate, as we must,
see Calhoun,
Dr. Darryl Franks, a board-certified psychiatrist, examined Daniel once in June or July of 1985. Daniel complained of a nonexistent growth on the back of his neck, which he believed caused others to ridicule him. He further admitted to feeling suicidal and having auditory hallucinations (i.e., he heard voices). Dr. Franks diagnosed Daniel as “overtly psychotic,” which he described as “out of touch with reality” and “misinterpreting reality,” and he recommended immediate hospitalization because such an “individual is a high risk danger to himself.” Dr. Franks testified that Daniel did not have sufficient mental capacity to know the physical consequences of his acts, and that he could not formulate a rational decision to cause an injury. On cross-examination, Dr. Franks admitted that he could not say precisely what went through Daniel’s mind in January when the fire occurred, but he testified that without proper treatment, the cоndition diagnosed in July would continue to exist and get worse. Based on the lack of treatment in the intervening months, Dr. Franks concluded that the January 31 killing and fire were the result of Daniel’s delusional thinking, and thus unrelated to reality or rational thought processes.
The Mays rejected Dr. Franks’ recommendation to hospitalize Daniel, and as the doctor predicted, Daniel’s condition failed to improve. Hoping that a change of scenery might benefit Daniel, his parents tried to send him on a vacation by bus to California, where his brother was stationed with the Air Force. During a layover in Denver, however, Daniel reportedly caused a disturbance and threatened to kill himself. He was taken into custody and hospitalized at Denver General Hospital for five to seven days until his return home could be arranged. Daniel was heavily sedated and flown by commercial airline to Cincinnati, where his father met him. They returned to Louisville, and Daniel was admitted to Central State Hospital.
The second expert to testify was Daniel’s treating psychiatrist at Central State, Dr. Ennu Surrender, who saw Daniel three times in early September, 1985. Dr. Surrender diagnosed Daniel’s illness as “atypical psychosis,” one of the symptoms of which is that the person is “not in touch with reality.” He testified that further observation was required and that Daniel should have remained hоspitalized. Dr. Surrender stated that Daniel did not have sufficient mental capacity to understand the physical consequences of his acts or to formulate a rational decision. Moreover, he stated that without proper care and medication, Daniel’s condition would deteriorate. On cross-examination, however, Dr. Surrender equivocated. He stated that as of September of 1985, Daniel “probably knew” that throwing a lit match on gasoline would start a fire, and that taking medication would help him get well. Both statements were inconsistent with his direct testimony. On redirect, Dr. Surrender repeated his direct testimony that Daniel “did not understand the needs tо take medication and the need to get well.”
Dr. Lovanda McClure Kynhoff was the third psychiatrist to testify. She saw Daniel once in September, 1985, and diagnosed him as having “some kind of psychotic disorder, meaning he was out of touch with reality.” During the examination, Daniel repeated his delusional belief that he had a sore on the back of his neck which caused others to stare and laugh at him. Daniel denied having hallucinations, but from his behavior during their interview, Dr. Kyn-hoff concluded that Daniel was experiencing hallucinations. Dr. Kynhoff also observed that Daniel was experiencing much anxiety, and Daniel complained of an inability to sleep and recent memоry loss. Dr. Kynhoff stated that at the time of their interview, Daniel probably had sufficient mental capacity to know what he was doing. However, she agreed with the other psychiatrists that Daniel’s psychotic condition could not resolve itself without medi
Considering the evidence in its entirety, we agree with the district court that whether Daniel was able to form the requisite intent to justify Nationwide’s reliance on the intentional act exclusion raised a question for the jury to decide. In view of Daniel’s unstable mental state, the jury could clearly conclude that his acts of killing his mother and setting the house and himself on fire were the products of a deranged mind. The psychiatric testimony, although not entirely consistent, supported the jury’s further conclusion that Daniel was so deranged that he was unable to intend the fire or cause the loss. It cannot be doubted that Daniel was afflicted with a serious mental illness in September, 1985, which, the jury could believe based on the psychiatric evidence, deprived Daniel of the ability to understand the physical nature of the consequences of his acts. The experts also testified that Daniel’s condition would not improve without treatment, and would probably get worse. By all accounts, the psychiatrists’ prediction came true: the Denver incident and Daniel’s behavior in late 1985 and early 1986 showed that his condition did deteriorate without the recommended treatment. Under these circumstancеs, the jury was justified in concluding that Daniel’s bizarre acts on January 31 were not the products of a rational or aware mind, but were instead prompted by his mental disease. Accordingly, we hold that the jury’s conclusions that Daniel did not have sufficient mental capacity to understand the physical nature of the consequences of his acts or to intend the fire and loss were based on “evidence of probative value having fitness to induce conviction in the minds of reasonable men.”
Wadkins’,
III.
The district court’s judgment also awarded the Estate “the total amount due under ... the policy of insurance.” The court ordered Nationwide to “immediately pay the full loss sustained ... to the full extent of the policy limits.” Nationwide claims on appeal that this damage award was improper because the Estate failed to counterclaim for the proceeds of the policy, or alternatively, because the damage issue was not fully pursued at trial. Because we agree that insufficient evidence was taken on the damage issue to support the district court’s judgment, we reverse and remand for further proceedings.
Nationwide argues that the Estate failed to counterclaim for the policy proceeds, so that the issue was never properly raised. We conclude, however, that the Estate’s Answer and Counterclaim, when “so construed as to do substantial justice,” Fed.R.Civ.P. 8(f), were sufficient to satisfy the pleading requirements under Rule 8(a), Fed.R.Civ.P.
The Estate’s Answer admitted the existence of the insurance policy and the occurrence of the fire, as set forth in Nationwide’s Complaint. The Answer went on, however, to deny the applicability of the intentional act exclusion, and it specifically set forth the Estate’s contentions that Daniel was not an “insured” under the policy аnd that he could not “intend” to set the fire or cause the loss. Having detailed its positions, the Estate then “demanded]” that the district court
immediately declare that the policy of fire insurance of CHARLESETTA MAY, was in full force and effect on the date and time of the alleged loss, and that [Nationwide] is required to immediately pay the full loss sustained by said Insured to her personal representative, to the full extent of the policy limits.
Although these allegations and the affirmative demand for relief were not explicitly repeated in the Estate’s “Counterclaim,” the Counterclaim did request relief “[a]s in [the] Answer to the Compalint (sic),” thus incorporating the demand for the policy proceeds. Under these circumstances, we conclude that the Estate’s claim for the policy proceeds satisfied the requirements of “a short and plain statement of the claim showing that the pleader is entitled to relief, and ... a demand for judgment for the relief the pleader seeks.” Fed.R.Civ.P. 8(a)(2) & (3). Accordingly, we hold that the Estate’s Answer and Counterclaim were sufficient under the Federal Rules to raise the damage issue.
Furthermore, actions of the parties and the district court at trial confirm that the Estate’s responsive pleading was sufficient to notify Nationwide that the proceeds of the policy were in issue.
See Colonial Refrigerated Transp., Inc. v. Worsham,
At the same time, however, we are troubled by the district court’s decision to take the damage issue away from the jury. In effect, the court directed a verdict in favor of the Estate “tо the full extent of the policy limits,” thus concluding that the Estate’s damages exceeded the policy limits. Upon reviewing the evidence adduced at trial, however, we are constrained to conclude that such an action was unjustified.
As stated above, the parties did present some limited evidence regarding damages. It was established, for example, that the policy limit for a loss on the house was $79,580. The Estate introduced two estimates to restore the house, one of $105,000 and the other of $120,000; a Nationwide claims adjustor testified, however, that the damage was estimated at $78,601, a figure slightly below the policy limit. On this limited record, the divergent estimates appear to raise a genuine issue of fact as to the extent of damage to the house. Moreover, the insurance policy provided that the Company could elect to pay for the lesser of repairing or replacing the damaged structure, and testimony indicated that completely rebuilding may be less expensive. No evidence was taken, however, concerning the relative cost of rebuilding the Mays’ home. In our view, these factual issues must be addressed before awarding a recovery “to the full extent of the policy limits.”
The evidence was likewise insufficient to support a directed verdict for damage to рersonal property. The applicable policy limit was set at $43,768. The policy, however, covered losses to personal property only to the extent of actual cash value, which required reduction for depreciation. The Mays filed a “content loss” form purporting to detail over $62,000 in personal property lost in the fire, but no evidence was introduced concerning the effect of depreciation on the value of the covered property. Without such evidence, we again
In view of these factual voids, we conclude that the district court erred in directing a verdict to the Estate “to the full extent of the policy limits.” The truncated record before us does not support the court’s conclusion that the Estate’s losses exceeded the applicable policy limits. Accordingly, we reverse the district court’s judgment insofar as it awarded damages to the Estate, and remand the case to the district court so that the issue of the policy proceeds may be fully aired.
IV.
The district court judgment finding Nationwide liable to the Estate under the insurance policy is AFFIRMED; however, the court’s damage award is REVERSED and that issue is REMANDED to the district court for further proceedings.
Notes
. The district court also found no guidance in Kentucky law for the meaning of the term “lived” in this context. In its instructions to the jury, therefore, the court refused to define “lived,” opting instead to allow the jury to render its decision under the jury’s understanding of the everyday meaning of the word.
. Nationwide relies on a Kentucky decision,
Old Reliable Ins. Co.
v.
Brown,
. Although we conclude below that this broad understanding of the insanity defense to an intentional act exclusion is no longer the law in Kentucky, we note that it does find support in cases from other jurisdictions.
See, e.g., Globe American Casualty Co. v. Lyons,
. This more limited view of the insanity defense also is supported by the case law from other jurisdictions. See,
e.g., Johnson v. Insurance Co. of North America,
