Lead Opinion
The issue presented in this case is the application of a provision in a contract of insurance excluding coverage for injuries expected or intended by the insured. We begin our analysis by reviewing the language of the two provisions involved.
The PICO insurance policy issued to appellants contains the following:
“Part I, Exclusions to Part G and Part H
“1. Part G, Personal Liability Coverage and Part H, Medical Payments to Others does [sic] not apply to bodily injury or properly damage:
“a) which is expected or intended by the insured[.]”
Appellants’ policy with Cincinnati states as follows:
“PART I—DEFINITIONS
“1. Personal Injury means:
“A. bodily harm * * * to others caused by an accident;
*191 “3. Accident means an event or series of unrelated events that unexpectedly, unintentionally and suddenly causes personal injury or property damage during the policy period.
“PART IV—WHAT IS NOT COVERED-EXCLUSIONS
“8. We will not cover Personal Injury or Property Damage caused intentionally.”
I
While the insurance policy issued by Cincinnati contains language different from that in the PICO policy, both policies are the same in effect: neither policy provides coverage for intentional or expected personal injuries caused by the insured. The difference is that one policy achieves this result by way of an express exclusion for such injuries (PICO), whereas the other policy does so by way of definition and an exclusion (Cincinnati). Since the effect of both policies is the same, we will treat the respective policy provisions in like manner.
Relying heavily on our decision in Gill, supra, the court of appeals concluded that both policies excluded coverage for the injury suffered by Todd Baker. When construing these policy provisions, the appellate court read Gill as focusing on the intentional nature of the act, rather than the result of the act, i.e., the injury. The court of appeals went on to note that the trial court specifically found that Bill intentionally fired the gun in the direction of Todd and the others at the picnic table. Thus, applying the above standard to the trial comb’s findings of fact and conclusions of law, the court of appeals held that the exclusions applied because the insured had acted intentionally.
In Gill, we held that “the insurer has no duty to defend or indemnify its insured where the insurer demonstrates in good faith in the declaratory judgment action that the act of the insured was intentional and therefore outside the policy coverage.” Id. at paragraph two of the syllabus. However, the fact pattern in Gill is markedly different from that of the present case. The insured in Gill had pleaded guilty to aggravated murder with specifications for killing an eleven-year-old girl. While applying a policy exclusion nearly identical to that in the PICO policy to that fact pattern, we stated, “* * * where the conduct which prompted the underlying wrongful death suit is so indisputably outside coverage, we discern no basis for requiring the insurance company to defend or indemnify its insured * * Id. at 113, 30 OBR at 428-429,
Thus, our holding that there was no coverage in Gill was premised on the facts that the insured intended to cause the injury of another person, and that this intent was conclusively established by the insured’s plea of guilty to aggravated murder. Stated otherwise, our decision was based on a finding that the insured intended to cause an injury, i.e., the death of an eleven-year-old girl. While Gill used language regarding the intentional act or conduct of the insured, Gill actually stands for the proposition that it is the resultant injury which must be intended for the exclusion to apply to deny coverage.
Provisions contained in an insurance policy excluding intentional or expected injuries have been the subject of an extensive body of case law. See 12 Couch, Insurance (2 Ed. 1981) 184-193, Section 44A:133; Annotation, Construction and Application of Provision of Liability Insurance Policy Expressly Excluding Injuries Intended or Expected By Insured (1984),
While interpreting an exclusion for “property damage caused intentionally by or at the direction of the insured,” the Supreme Court of Pennsylvania stated that “the vast majority of courts which have considered such a provision have reached the conclusion that before the insurer may disclaim liability, it must be shown that the insured intended by his act to produce the damage which did in fact occur. Annot.,
More recently, a federal court of appeals interpreting Florida law has stated that “* * * we believe the standard enunciated by the lower courts of Florida adheres to the majority rule with respect to ‘intentional injury’ exclusions. Under the majority rule the exclusion applies if the insured intended to do the particular act, and intended to do some harm ****** Qn the other hand, an ‘intentional injury’ exclusion will not apply if the insured intentionally does an act, but has no intent to commit harm, even if the act involves the foreseeable consequences of great harm or even amounts to gross or culpable negligence.” Allstate Ins. Co. v. Steinemer(C.A.11, 1984),
Likewise, in Farmers Ins. Group v. Sessions (1980),
“* * * Such an interpretation would radically alter the scope of insurance company liability. On an exclusion such as this one, the company would have no liability for the baseball intentionally thrown which accidentally breaks the neighbor’s window, the intentional lane change which forces another driver into the ditch, or the intentionally started trash fire which spreads to the adjacent lot. Countless other examples are imaginable, in all of which the insurance company could rely on such an exclusion to avoid liability because the course of conduct of the insured involved intentional acts. * * *” Id. at 917,607 P. 2d at 425 .
In Colonial Penn Ins. Co. v. Hart (1982),
The Supreme Judicial Court of Massachusetts “* * * consistently has stated that the resulting injury which ensues from the volitional act of an insured is still an ‘accident’ within the meaning of an insurance policy if the insured does not specifically intend to cause the resulting harm or is not substantially certain that such harm will occur.” Quincy Mut. Fire Ins. Co. v. Abernathy (1984),
From the above case law, it can be seen that other jurisdictions require that in order for an exclusion of this nature to apply, an insurer must demonstrate not only that the insured intended the act, but also that he intended to cause harm or injury. The rationale for this rule of law is twofold. First, the plain language of the policy is in terms of an intentional or expected injury, not an intentional or expected act. Were we to allow the argument that only an intentional act is required, we would in effect be rewriting the policy. Second, as the courts above have noted, many injuries result from intentional acts, although the injuries themselves are wholly unintentional. See State Farm Mut. Ins. Co. v. Worthington, supra, and Farmers Ins. Group v. Sessions, supra.
Ill
In the case at bar, the trial court found that while the insured intentionally fired a BB gun in the direction of the injured person, the injury itself was neither intended nor substantially certain to occur. Rather, the finder of fact conclusively found that the injury was accidental. Based on our interpretation of Gill, supra, and the persuasive reasoning of the courts in other jurisdictions, we find the court of appeals erred by requiring that only the act of the insured need be shown to have been intentional.
Therefore, we hold that in order to avoid coverage on the basis of an exclusion for expected or intentional injuries, the insurer must demonstrate that the injury itself was expected or intended. It is not sufficient to show merely that the act was intentional. In this case the exclusion is inapplicable because the trial court’s determination
Judgment reversed.
Notes
The court of appeals specifically rejected the insurance companies’ argument that the trial court’s findings were against the manifest weight of the evidence.
Dissenting Opinion
dissenting. I must respectfully but vigorously dissent from today’s majority opinion, which holds that an insurer cannot deny coverage to its insured who commits an intentional tort intended or expected to cause injury, yet who merely underestimates the precise extent of harm that results from the tortfeasor’s intentional conduct. It is clear to me that this holding misconstrues the plain language of the pertinent insurance policies in this case. It is also clear that this holding flies in the face of long-stated public policy which precludes insuring against intentional torts. See State Farm Mut. Ins. Co. v. Blevins (1990),
I
In order to properly review the court of appeals’ analysis, it is illustrative to first examine several noteworthy facts and circumstances which surrounded Todd Baker’s unfortunate injury and which were before the trial court. There was extensive trial testimony to indicate that the tortfeasor, Bill Swanson, had considerable experience in using the gun in question and had a keen awareness of its destructive potential. Swanson admitted on the stand that he had been shooting with his father numerous times and that his father had warned him that the gun was dangerous and could inflict injury. The tortfeasor admitted that he knew the gun could inflict' injury and confirmed that he had previously used the gun to kill a squirrel. He also stated that he had used the gun to hit tin cans twenty to thirty feet away.
Additionally, the court heard testimony indicating that Bill Swanson aimed and shot at a group of four teenagers who were in proximity to one another around a picnic table. Shawna Wagler, whom Swanson shot in the thigh immediately prior to shooting Todd Baker in the eye, testified that she was within a foot or two of Todd Baker during the course of these tragic events. Further testimony from Wagler and from Robert Will indicated that Swanson deliberately and directly aimed at this group of young people.
Testimony also revealed that there
From these facts and circumstances the trial court reasonably found that “* * * William Swanson * * * intentionally shot * * * [and] intentionally fired in the direction of Todd C. Baker and three of his teenage friends * *
II
It was to these facts and circumstances and to this finding of fact that the court of appeals, correctly I believe, applied our holding in Preferred Risk Ins. Co. v. Gill (1987),
Ill
It is within this context that the majority declares, incredibly, “[w]hile Gill used language regarding the in
I find it more reasonable to state that Gill stands for the proposition clearly enunciated in the opinion that where an insurance policy employs such intentional tort coverage exclusions, the court construing the terms of the policy may infer intent to harm as a matter of law, when the insured could reasonably expect that his or her conduct would result in bodily injuries which are a natural and probable result of that conduct. See, also, Harasyn v. Normandy Metals, Inc., supra; Wedge Products, Inc. v. Hartford Equity Sales Co., supra; Preferred Mut. Ins. Co. v. Thompson, supra.
It troubles me that the majority implies that only a few states follow such a position. By my count, at least seventeen states follow such a viewpoint. See Annotation, Construction and Application of Provision of Liability Insurance Policy Expressly Excluding Injuries Intended or Expected by Insured (1984 & Supp. 1989),
Keeping in mind then that the trial court specifically found that the tortfeasor, Swanson, intentionally shot his rifle and intentionally aimed at the unfortunate group of teenagers, I will now conduct a brief review of some pertinent holdings and analyses from other jurisdictions construing policy language similar to that in this case.
In Transamerica Ins. Group v. Meere (Ariz. 1984),
Federal courts construing California law have also subscribed to this viewpoint. For instance, the United States Court of Appeals for the Ninth Circuit found, in construing California law in a sexual molestation case, that “* * * there is an irrebuttable presumption of an intent to harm in child molestation cases, regardless of whether the defendant was convicted
When reviewing the intent of a tortfeasor who kicked his victim in the face, an Illinois appellate court implicitly endorsed determinations from other jurisdictions “* * * that a similar policy exclusion applies regardless of whether the tort defendant intended the specific injury as long as that defendant intended to injure the particular victim. * * *” Mid America Fire, supra, at 1123,
Indiana appeals courts have consistently followed the position I advocate herein. The court in Heshelman v. Nationwide Mut. Fire Ins. Co., supra, at 302, quoting Home Ins. Co. v. Nielsen (1975),
An appeals court in Kansas conducted an analysis quite similar to that of the court of appeals in this case in Cas. Reciprocal Exchange v. Thomas (1982),
In Auto-Owners Ins. Co. v. Gardipey, supra, a Michigan appellate court, construing an exclusionary provision as applied to assault with intent to commit criminal sexual conduct, held “* * * [t]he intent to injure or harm can be inferred as a matter of law from the alleged sexual penetration * * *.” Id. at 715,
The Minnesota Supreme Court, in Continental Western Ins. Co. v. Toal (Minn. 1976),
The Nebraska Supreme Court had before it in State Farm Fire & Cas. Co. v. Victor (1989),
“ ‘* * * [A]n injury is “expected or intended” from the standpoint of the insured if a reason for an insured’s act is to inflict bodily injury or if the character of the act is such that an intention to inflict an injury can be inferred as a matter of law.’ ” (Emphasis sic; citations omitted.) Id. at 945,442 N.W. 2d at 882-883 , quoting Jones v. Norval (1979),203 Neb. 549 , 554,279 N.W. 2d 388 , 391.
The court went on to state:
“ ‘To hold that under such circumstances the testimony of the insured that he did not intend to injure the plaintiff is sufficient to permit the fact finder to find that no harm to the injured party was intended, simply ignores reality. Any reasonable analysis requires the conclusion that from the very nature of the act harm must have been intended.’ ” Id. at 946,442 N.E. 2d at 883 , quoting Jones, supra.
In Snyder v. Nelson (1977),
The Vermont Supreme Court reviewed a case in which a sheriff mistakenly sold a mobile home at a sheriff’s sale. State v. Glens Falls Ins. Co. (1979),
A Washington appellate court availed itself of the opportunity to determine the applicability of insurance exclusionary language in a case involving non-consensual intercourse in Western Natl. Assur. Co. v. Hecker (1986),
Finally, a Wisconsin appellate court recently held in a case involving sexual molestation of a minor that certain acts “* * * are so certain to result
IV
I close by constructing a scenario which I believe might actually be forthcoming under the analysis and holding the majority presents today. Imagine, if you will, an arsonist who “unintentionally” kills a tenant in an apartment building that the arsonist intentionally sets on fire. Thereafter, the estate of the victim brings a wrongful death suit against the arsonist tortfeasor seeking to recover for the tenant’s death. Under today’s holding, the insurance company, whose policy provides coverage for personal injuries caused by the arsonist, would be responsible for paying the wrongful death claim. For the insurance company to avoid paying the claim, it would have to show that the arsonist specifically intended to kill the victim when he burned the building.
Lest I be accused of taking today’s holding to an illogical extreme, I point to the holding of the New Jersey Supreme Court in Ambassador Ins. Co. v. Montes (1978),
Accordingly, and for the reasons stated above, I would affirm the judgment of the court of appeals and exclude this tortfeasor from the protection of the coverage in question, which by the deliberate and intentional nature of his conduct he does not deserve.
I must respectfully take exception to the majority’s assertion in its footnote one that “[t]he court of appeals specifically rejected the insurance companies’ argument that the trial court’s findings were against the manifest weight of the evidence.” I find this statement to be incomplete and somewhat misleading. It is true that the court of appeals rejected the insurance companies’ assignment of error asserting that the trial court’s findings were against the manifest weight of the evidence. However, the court of appeals held that the trial court had improperly applied our analysis in Gill, supra, to the critical factual findings that Swanson intentionally shot the rifle and intentionally aimed at the group of teenagers.
