Lead Opinion
OPINION
This case requires us to decide whether an insurer must provide a defense, pursuant to a personal liability policy, to an insured against whom a defamation action has been filed. The policy expressly provides coverage for defamation, but excludes coverage for acts committed with intent to cause personal injury and for acts arising out of the insured’s business. In light of these exclusions, the district court held that the insurer had no duty to defend or indemnify the insured and so granted summary judgment to the insurer. We conclude that neither policy exclusion is clearly applicable to the claims made in the underlying complaint that was filed against the insured. Accordingly, as to indemnification, we vacate the judgment; as to the duty to defend, we reverse and remand with direction that the district court award summary judgment to the insured.
I.
The relevant facts are undisputed. Selective Insurance Company of America (Selective) sold to Dr. Richard A. Fuisz two identical Personal Catastrophe Liability Policies— the first policy was effective from February 20, 1991, to February 20, 1992, and the second from February 20, 1992, to February 20, 1993. Both policies provide:
If a suit is brought against an insured for damages because of bodily injury, personal injury, or property damage caused by an occurrence1 to which this policy applies, we [Selective] will provide a defense at our expense by counsel of our choice.
(Emphasis added.) The policies define “personal injury” to include “injury arising out of ... [l]ibel, slander or defamation of character....”
The policies also contain numerous exclusions from coverage, including two material to this case. The first states that Selective will not provide coverage for “any act committed by or at the direction of an insured with intent to cause ... personal injury....” The other relevant exclusion provides:
We [Selective] do not cover bodily injury, personal injury or property damage arising out of or in connection with a business engaged in by an insured- This exclusion applies but is not limited to an act or omission, regardless of its nature or circumstance, involving a service or duty rendered, promised, owed, or implied to be provided because of the nature of the business.
(Emphasis added.) Under the policies, “[b]usiness includes trade, profession, occupation or the continuing of an activity with monetary gain or the hope or expectation of monetary gain.”
On April 17, 1992, Terex Corporation, Te-rex Equipment Limited and KCS Industries (collectively “Terex”), filed a complaint against Fuisz and Seymour M. Hersh in United States District Court for the District of Columbia alleging claims of libel and slander against both defendants. In its complaint, Terex alleges that Fuisz “embarked on a scheme and plan to injure plaintiffs by publicly disseminating false accusations designed to tarnish their good name and reputation in the business community.” Terex further alleges that “[i]n or about 1987,” Fuisz and Terex entered into negotiations whereby Fuisz would act as a Terex representative in Saudi Arabia. Fuisz and Terex were unable to reach any agreement, however. Thus, negotiations between the two ceased and, according to the complaint, Fuisz launched a personal “vendetta” in order “to retaliate against [Terex] for the loss of a business opportunity Fuisz believed to be extremely lucrative.”
Terex goes on to state that Fuisz, with the aid of Hersh, in late 1991 and early 1992, published several defamatory statements accusing Terex of violating federal law by supplying military equipment to Sadaam Hus
On May 17, 1992, Fuisz notified Selective of the pending Terex complaint and requested that Selective provide him with a defense to the suit pursuant to the terms of the personal liability policy it had issued to him. Selective denied coverage solely on the basis of the intentional acts exclusion. Fuisz again requested coverage and Selective responded by again denying coverage — this time listing the business exclusion as an additional basis for the denial.
Fuisz subsequently filed this action, seeking a declaratory judgment that Selective must defend and indemnify him in the Terex lawsuit. Fuisz moved for summary judgment with regard to Selective’s duty to defend, and the district court denied the motion. Selective then moved for summary judgment with regard to both its duty to defend and its duty to indemnify, relying on the intentional acts exclusion and the business exclusion. Fuisz responded by filing another motion for summary judgment with respect to the duty to defend. Ruling from the bench, the district court denied Fuisz’s motion and granted Selective’s motion, reasoning:
I find there are no issues of fact in dispute that this issue is to determined by looking at the four corners of this policy. And there is an exclusion for libel and slander that arises out of or in connection with a business engaged in by the insured. And the solicitation of the discussions of this contract certainly is a business that he was engaged in. And that these statements that are alleged to have been made were made, did arise out of that business that he was engaged in. And the fact that it didn’t result in a contract which was fruitful to him, it was still a business that he was involved in.
I also find that the allegations in this complaint allege an intentional personal injury that was done with the intent to harm, and that exclusion applies as well.
Fuisz timely appealed the district court’s decision to this Court.
II.
We review a grant of summary judgment de novo. United States v. Jefferson-Pilot Life Ins. Co.,
In addition, we must resolve this diversity action pursuant to Virginia law because the case was filed in federal court in the Eastern District of Virginia. Nguyen v. CNA Corp.,
As in many other states, the duty of an insurer to defend an insured in Virginia “is broader than its obligation to pay” or to indemnify its insured. Brenner v. Lawyers Title Ins. Corp.,
With regard to the policy terms, because insurers almost invariably author the policies they issue, ambiguous language in those policies is construed in favor of an insured. Thus, if there is any ambiguity regarding potential coverage, the insurer must provide a defense. Smith v. Allstate Ins. Co.,
In summary, as we have previously explained:
If a complaint, however ambiguous, may be read as premising liability on alternative grounds, and either ground states liability potentially or arguably covered by the policy, the insured is entitled to a defense.
Donnelly v. Transp. Ins. Co.,
With these principles in mind, we turn to the case at hand to determine whether the two exclusions on which Selective relies “clearly and unambiguously,” Floyd,
III.
The first of these exclusions is the intentional acts exclusion, which eliminates coverage for “any act committed by or at the direction of an insured with intent to cause ... personal injury_” This exclusionary language is common to many personal liability policies; what distinguishes the Selective policies from many others is that they also specifically provide coverage for injuries arising from defamation. Thus, while excluding coverage for any act by the insured done with “intent to cause ... personal injury,” at the same time the policies provide the insured coverage for “personal injury,” including “injury arising out of ... [l]ibel, slander or defamation of character.... ”
At first glance, Selective’s coverage of personal injuries arising out of defamation and
Thus, Selective argues that its intentional acts exclusion must be read to exclude coverage of all claims for injury arising out of defamation when the insured is alleged to have specifically intended to cause injury to the plaintiffs reputation. By contrast, Fuisz asserts that the intentional acts exclusion only bars coverage of defamation claims when the insured is alleged to have intended to defame the plaintiff. Returning to the precise language of Selective’s policy, the intentional acts exclusion provides, “[w]e do not cover any act committed by ... an insured with intent to cause ... personal injury....” “Personal injury” is defined in the policy as “injury arising out of ... defamation. ...” Accordingly, if one substitutes the policy definition of “personal injury” for the term “personal injury” within the intentional acts exclusion, the exclusion eliminates coverage for “any act committed by ... an insured with intent to cause ... injury arising out of defamation.” We believe that the most reasonable interpretation of this clause is the one Selective champions: coverage for injuries arising from defamation claims is excluded when the insured intends to cause that injury. Accordingly, if the Terex complaint only permits Terex to recover upon proof that Fuisz specifically intended to cause the company injury, then Selective has no duty to defend Fuisz. In other words, because the Selective policies do not cover an insured’s acts done with intent to cause injury, Selective has no duty to defend Fuisz if all of Terex’s claims require Terex to prove that Fuisz intentionally caused injury.
For this reason, as Selective properly conceded at oral argument, its case with regard to the intentional acts exclusion rises or falls on whether the Terex complaint alleges only causes of action based on common-law malice or whether the complaint also alleges causes of action based on “actual malice” under New York Times v. Sullivan,
Examination of the Terex complaint reveals that it is permeated with allegations that Fuisz acted intentionally — with personal spite and ill-will — to defame Terex. For example, the complaint alleges that Fuisz “embarked on a scheme,” conducted a “smear campaign,” pursued a “vendetta,” engaged in “malicious conduct” and made “repeated” false statements, all with the intent to injure Terex. In each of the four causes of action against Fuisz, Terex specifically reiterates that Fuisz “falsely,” “knowingly” and “maliciously” defamed Terex. Thus, there is no question that Terex has alleged defamation claims based on common-law malice — claims that are not covered by the Selective policies because of the intentional acts exclusion.
The remaining question is whether the Terex complaint also alleges claims of actual or New York Times malice. It clearly does. Although not as prevalent as the allegations of common-law malice, Terex also repeatedly alleges throughout the complaint that “Fuisz knew [his statements] were false or failed to take the proper steps to ascertain their accuracy and instead published the statements with reckless disregard as to whether they were true or false, demonstrating actual malice.” (Emphasis added.) Additionally, in each of the four causes of action directed at Fuisz, Terex specifically reiterates that Fuisz “was motivated by actual malice ” and “published the statements with reckless disregard as to whether they were true or false.” (Emphasis added.) In sum, although Terex clearly has alleged causes of action based on a knowing falsehood with an intent to injure, or common-law malice, Te-rex has alternatively alleged that Fuisz acted with actual malice by recklessly disregarding the falsehood of his statements.
Notwithstanding Terex’s repeated allegations that Fuisz “willfully intended to injure,” by also pleading that Fuisz acted with actual malice Terex has left open the possibility of another avenue of recovery if it is unable to establish Fuisz’s intent to harm Terex’s reputation. If the evidence at trial fails to establish that Fuisz intentionally harmed Terex, the complaint permits Terex nonetheless to prevail on its claims by proving that Fuisz intended no harm, but acted with reckless disregard for the falsity of his statements.
Our conclusion is consistent with that of most courts considering similar questions.
At this stage in the proceedings, we need simply inquire whether the complaint states a cause of action that could potentially result in liability based on a less culpable state of mind than specific intent to harm reputation. Obenshain,
IV.
The other exclusion that Selective relies on is the business exclusion. The policies pro
Terex’s only express allegation within its four causes of action against Fuisz that even indirectly references Fuisz’s businesses states:
Fuisz’s statements ... falsely claim that plaintiffs supplied military equipment to Iraq, including mobile scud missile launchers, and portray plaintiffs as criminals who flagrantly violated the laws of the United States.
Only a strained reading of this language would suggest that Fuisz’s statements arose out of or were related to a business relationship between Fuisz and Terex. Moreover, there is nothing in the allegation quoted above, nor in any other portion of Terex’s claims, to indicate that the statements were made in “hope or expectation of monetary gain.” In any event, Terex’s four claims against Fuisz — none of which reference Fuisz Technologies or Folkon — certainly do not “clearly and unambiguously” indicate that Fuisz’s statements were related to his businesses or to monetary gain. Floyd,
If we expand our inquiry to the entire Terex complaint and all 134 allegations contained therein — which are incorporated by reference into the four causes of action — our conclusion is no different. It is difficult to see how Fuisz’s allegedly vindictive behavior can be construed as involving any existing professional relationship or any possible monetary gain. At the time Fuisz allegedly slandered Terex, Terex had long since ended any business relationship it might have had with Fuisz, and had made it clear that it would not do business with Fuisz. In fact, it is this refusal to conduct business with Fuisz that the Terex complaint alleges was the motive behind Fuisz’s retaliatory statements. As characterized in the Terex complaint, Fuisz made the allegedly defamatory statements as part of a personal “vendetta” brought about “[a]s a result of, and in retaliation for Terex’s determination not to enter into a business arrangement with him....” If anything, Fuisz’s actions made certain that Terex would absolutely never do business with him, thus negating any possibility of monetary gain.
V.
In conclusion, neither the intentional acts exception nor the business exclusion clearly bars coverage for all claims made against Fuisz in the Terex complaint. Accordingly, with respect to Selective’s duty to defend, we reverse the district court’s order and remand
REVERSED IN PART, VACATED IN PART, AND REMANDED.
Notes
. The policies define "occurrence” as "[a]n offense, including a series of related offenses, committed during the policy period, which results in personal injury.”
. The distinction between “intent to injure” and “intent to defame” is the source of much controversy between the parties in this case. Why they regard it as so critical is unclear. No published opinion appears to have discussed this distinction and it seems to us to be largely a question of semantics. It is difficult to imagine how an individual could intend to defame someone without also intending to cause that person injury. Conversely, if the defamation itself is unintentional, so too must the resulting injury be unintentional.
. There also exists the possibility that the complaint could be read to state a claim of negligent defamation despite the fact that Terex does not specifically allege that Fuisz acted negligently. On several occasions, the Supreme Court of Virginia has held that negligent defamation is subsumed in proof of intentional defamation. See, e.g., Lipscomb,
. Indeed, in the only case that Selective relies on that is clearly contrary, the court seems to have simply misread the complaint, not recognizing that it alleged the insured made defamatory statements not only in "bad faith, with malice” but also "with reckless and wanton disregard" for the plaintiff’s rights. See Federal Ins. Co. v. Applestein,
. Selective also maintains that the public policy of Virginia, which assertedly prohibits individuals from obtaining insurance for actions taken “with the specific intent to cause harm," Atlantic Permanent Fed. Sav. and Loan Ass’n v. American Casualty Co. of Reading, Pa.,
. We note that this language is somewhat different from the more common business exclusion, which eliminates coverage for "injury ... arising out of business pursuits of any insured” without providing any definition of "business.” See, e.g., Virginia Mut. Ins. Co. v. Hagy,
Dissenting Opinion
dissenting:
In determining whether Selective Insurance Company of America is required under its insurance policy to provide a defense to a law suit filed against Richard Fuisz, its insured, we are obliged to read the law suit and determine whether the conduct alleged there is of the kind that Selective Insurance agreed to cover. Under Virginia law, if the complaint alleges “facts and circumstances, some of which would, if proved, fall within the risk covered by the policy,” the insurance company must provide a defense. Parker v. Hartford Fire Ins. Co.,
The insurance policy issued to Fuisz by Selective Insurance excludes coverage for any liability which arises from intentional acts. The policy states that Selective Insurance will “not cover any act committed by ... an insured with intent to cause ... injury” (emphasis added). Thus, irrespective of how the complaint frames its causes of action, coverage is determined by scrutinizing the nature of the conduct alleged, and if the alleged conduct consists solely of acts committed by the insured with the intent to cause injury to another, coverage is not provided. This form of exclusion draws on universal principles of public policy against insuring deliberate conduct which is undertaken with the intent to injure another. See Atlantic Permanent Fed. Sav. & Loan Ass’n v. American Casualty Co. of Reading, Pa.,
In this case, the only possible reading of the underlying complaint against Fuisz is that it alleges deliberate conduct intended to injure Terex Corporation. Specifically, Te-rex Corporation demands that Fuisz answer for conduct deliberately aimed at damaging Terex’s business reputation by accusing it of illegal and unpatriotic connections with Iraq. The action, denominated as a common law claim for libel and slander, summarizes the alleged conduct as “a scheme and plan to injure [Terex] by publicly disseminating false accusations designed to tarnish [its] good name and reputation in the business community” (emphasis added). A “scheme and plan” must, by definition, be intentional.
The historical facts in the complaint describe the development of Fuisz’s “scheme and plan” in detail. First, the complaint relates how Fuisz endeavored, unsuccessfully, to act as Terex’s sales representative in Saudi Arabia. It alleges that Fuisz thereupon “determined to retaliate against [Terex] for the loss of a business opportunity” and engaged in a “vendetta” against Terex. In furtherance of his scheme, Fuisz is alleged to have contacted journalists to spread false information as part of a “smear campaign” against Terex, “falsely linking [Terex] to the sale of military equipment, including scud missile launching equipment, to Iraq,” and implying that Terex aided Saddam Hussein in firing dozens of scud missiles at Israel and Saudi Arabia. The complaint chronicles Fuisz’s initial efforts to contact congressional committees and “responsible and ethical
The conduct which is described in the complaint can only be characterized as deliberate. There is not a single series of “facts and circumstances” in the complaint which, if true, could have been pursued accidentally or recklessly.
In concluding that the complaint also alleges “reckless” conduct — which Selective Insurance’s policy would not exclude — the majority opinion relies on the single allegation made with respect to each defamatory publication that “Fuisz knew that the statements were false, or published the statements with reckless disregard as to whether they were true or false ” (emphasis added). From this the majority concludes that even if “the evidence at trial fails to establish that Fuisz intentionally harmed Terex, the complaint permits Terex nonetheless to prevail on its claims by proving that Fuisz intended no harm, but acted with reckless disregard for the falsity of his statements.” Op. at 244. But even if Terex could theoretically recover if Fuisz had acted without intent to injure Terex, the complaint never suggests such a possibility. Indeed, if the facts alleged are true, which we must assume in this analysis, it is impossible that Fuisz acted without intent to injure Terex. Moreover, whether Fuisz spread information knowing it to be false or spread it while recklessly indifferent to its truth is irrelevant to the question of whether the injury caused was deliberately inflicted. On that question, the complaint is not ambiguous. Terex alleges that Fuisz purposely spread false information and that Fuisz did so with the single-minded intent of injuring Terex as a “vendetta” for failing to enter into a business relationship with him. The complaint alleges only one type of conduct — a vendetta pursued intentionally to injure — and it never wavers from the accusation that Fuisz’s activities were precalculat-ed, planned, and deliberate, and thus that Fuisz “wrongfully and willfully intended” to injure Terex. If the entire course of conduct imputed to Fuisz was motivated by vendetta and pursued over a long period in conspiracy with others, it cannot follow that the injury Fuisz caused was unintended.
It is just such intentional conduct that is excluded from coverage in Selective Insurance’s policy issued to Fuisz, and must be excluded from any insurance policy in Virginia. Insurance cannot assume responsibility for covering the adverse effects of a person who carries out a vendetta against a company in retaliation for failing to award him a business contract. Because the conduct alleged by Terex in the underlying complaint in this case can only be characterized as acts committed by Fuisz with the intent to cause injury, I would affirm the judgment of the district court. I therefore dissent.
