Opinion
INTRODUCTION
If an insured throws someone into a swimming pool intending to get the other person wet, but by mistake does not throw hard enough and so the latter lands on the pool’s cement step and suffers injuries, is the incident an “accident” within the meaning of insurance law? We conclude it is.
FACTUAL AND PROCEDURAL BACKGROUND
The following facts are stipulated: Lint, then 21 years old, resided with his parents. Wright was 23 years old. Lint was bigger than Wright.
Both men attended a party. During the evening, the two began to argue. After an exchange of words, Wright went outside. Lint followed Wright, grabbed him, picked him up, and threw him into the shallow end of the swimming pool. Wright landed on the pool’s concrete step, which was not covered by water. Wright sustained a fractured right clavicle and was hospitalized for approximately four days.
Lint apologized to Wright. Wright reported that, after the incident, Lint told him that Lint had not meant to hurt him. Wright characterized the incident as “horse-playing around.”
Lint was arrested for the swimming pool incident and entered a nolo contendere plea to a charge of misdemeanor battery (Pen. Code, § 242).
Lint’s parents had a valid homeowners insurance policy issued by State Farm (policy No. 71-NE-1108-6). Lint was an insured under this policy. The policy covered “damages because of bodily injury . . . caused by an occurrence . . . .” An “occurrence” was defined in the policy as “an accident, including exposure to conditions, which results in: [f] a. bodily injury; or [f] b. property damage . . . .” The policy excluded from coverage, “[B]odily injury . . . fit] (1) which is either expected or intended by the insured; or [][] (2) which is the result of willful and malicious acts of the insured.” 1
State Farm notified the Lints that it was reserving its right to deny a defense and indemnity. In November 2002, State Farm informed Lint that it was denying a defense and indemnity on several grounds, among which was that “The claim against you does not meet the insuring agreement in the policy, as the actions do not arise out of an accident. Also, the policy specifically excludes damages which are either expected or intended by the insured or the result of willful and malicious conduct.”
Wright filed his complaint against Lint, alleging negligence among other things. In his deposition, Lint testified that, when he followed Wright outside, he did not plan to “kick his ass” and did not intend to hurt Wright. Lint intended only to talk to Wright. Lint threw Wright in the pool “[j]ust to get him wet,” “[jjust a party joke,” or “horseplaying,” “something to laugh about.”
The Lints again tendered the defense to Wright’s lawsuit to State Farm and included a copy of Lint’s deposition transcript. State Farm again denied a defense and indemnity on the ground that Wright’s injuries were not caused by an occurrence or an accident.
Lint filed a declaratory relief action against State Farm (Lint v. State Farm Fire & Casualty Co. (Super. Ct. L.A. County, 2004, No. VC040632 (cause dism.)); hereinafter the declaratory relief action). Therein, Lint sought a declaration that the State Farm policy covered his acts in that his acts “were either negligent, less than willful, or, if found to be willful, were not done with a pre-conceived design to inflict injury, or [were] not intended or expected to cause bodily harm, and/or that [he] did not know or believe that his conduct was substantially certain or highly likely to result in the kind of damage that occurred.”
Lint and Wright stipulated to entry of judgment in Lint’s declaratory relief action. Thereunder, Lint agreed to pay Wright and his attorneys $60,000 and assigned all of his rights against State Farm to Wright.
Wright then amended his complaint to delete all his causes of action against Lint except for one sounding in negligence, and to allege causes of action against State Farm for declaratory relief and breach of contract. In particular, Wright’s complaint alleged that “On or about December 27, 2001,
The trial court consolidated Wright’s action with the declaratory relief action and trifurcated the issues. First, the court would resolve the question of whether State Farm owed a duty to defend Lint. At the close of trial of phase one, the court ruled that State Farm owed a duty to defend. The court recited the rule that when an injury is an unexpected or unintended consequence of the insured’s conduct, it may be characterized as an accident for which coverage exists.
(Interinsurance Exchange v. Flores
(1996)
DISCUSSION
1. Standard of review
The facts are undisputed. Thus, the interpretation of the State Farm insurance policy is a question of law, which we review de novo.
(Bluehawk
v.
Continental Ins. Co.
(1996)
Under the rules of policy interpretation, we look to the language of the contract to ascertain its plain meaning “or the meaning a layperson would ordinarily attach to it. [Citations.]”
(Waller v. Truck Ins. Exchange, Inc.
(1995)
“[C]overage clauses are broadly construed in favor of the insured and express exclusions are strictly construed against the insurer . . . .”
(Flores, supra,
“It has long been a fundamental rule of law that an insurer has a duty to defend an insured if it becomes aware of, or if the third party lawsuit pleads, facts giving rise to the potential for coverage under the insuring agreement. [Citations.] This duty ... is separate from and broader than the insurer’s duty to indemnify. [Citation.]”
(Waller v. Truck Ins. Exchange, Inc., supra,
By contrast, “ ‘ “where there is no possibility of coverage, there is no duty to defend ....”’ [Citation.] ...[][]... [Wjhere the extrinsic facts eliminate the potential for coverage, the insurer may decline to defend even when the bare allegations in the complaint suggest potential liability. [Citations.] This is because the duty to defend, although broad, is not unlimited; it is measured by the nature and kinds of risks covered by the policy. [Citations.]”
(Waller v. Truck Ins. Exchange, Inc., supra,
“[T]he determination whether the insurer owes a duty to defend usually is made in the first instance by comparing the allegations of the complaint with the terms of the policy. Facts extrinsic to the complaint give rise to a duty to defend when they reveal a possibility that the claim may be covered by the policy. [Citations.]”
(Waller
v.
Truck Ins. Exchange, Inc., supra,
As observed, the policy here provides liability coverage for “damages because of bodily injury . . . caused by an occurrence . . . .” An “occurrence” is “an accident, including exposure to conditions, which results in: [f] a. bodily injury . . . .” The policy thus provides coverage to Lint only if Wright’s injury was the result of an accident. The State Farm policy at issue here does not define the word “accident.”
The meaning of the term “accident” in insurance law is not settled. Our Supreme Court has observed on more than one occasion that “ ‘No all-inclusive definition of the word “accident” can be given ....’”
(Hogan v. Midland National Ins. Co.
(1970)
State Farm points to numerous cases that stand for the proposition that where the conduct is deliberate or volitional, the incident is not an “accident” for the purposes of insurance law.
(Royal Globe Ins. Co. v. Whitaker
(1986)
However, the term “accident” has also been used to refer to the unintended or unexpected
consequence
of the act. “When an injury is an unexpected or unintended consequence of the insured’s conduct, it may be characterized as an accident for which coverage exists. When the injury suffered is
expected
or
intended,
coverage is denied. When one expects or intends an injury to occur, there is no ‘accident.’ ”
(Flores, supra,
In
Flores,
relied on by the trial court, Sanders was the driver of an insured automobile in which Perez was the passenger with a gun. The two agreed to drive into Santa Barbara to seek retribution against Flores for an earlier assault on Sanders. As Sanders drove by, Perez intentionally shot at Flores, who was standing on the street, injuring him.
(Flores, supra,
National American Ins. Co. v. Insurance Co. of North America, supra,
Similarly, in
Hogan v. Midland National Ins. Co., supra,
As summarized by
Merced Mutual Ins. Co. v. Mendez
(1989)
The following paradigms are illustrative: During a pickup baseball game, a batter hits the ball with the intention of sending it into deep right field for a home run. But, because of the batter’s stance and the angle of contact with the ball, the batter sends the baseball in a trajectory that breaks a window in foul territory. The batter deliberately hit the ball and intended that it move far and fast. It cannot be said that this batter intended to cause the property damage, i.e., to hit a foul ball and break the window. This was an accident because one aspect in the causal series of events—too much force at an inadvertent angle leading to the broken window—was unintended by the batter, and as such was fortuitous. In the second example, an intentionally speeding driver negligently hits another car. The speeding was an intentional act; but, “the act directly responsible for the injury—hitting the other car—was not intended by the driver and was fortuitous. Accordingly, the occurrence resulting in injury would be deemed an accident.”
(Merced Mutual Ins. Co. v. Mendez, supra,
The circumstances here, based on the complaint and the undisputed facts discovered by State Farm, parallel the baseball batter, the egging in
National American Ins. Co.,
the speeding driver posited by
Merced Mutual Ins. Co.,
and the drilling company in
Meyer.
Although he deliberately picked Wright up and threw him at the pool, Lint did not intend or expect the consequence, namely, that Wright would land on a step. Lint miscalculated one aspect in the causal series of events leading to Wright’s injury, namely, the force necessary to throw Wright far enough out into the pool so that he would land in the water. It is undisputed that Lint did not intend to hurt Wright; he merely intended that Wright land farther out into the water and “get . . . wet.” No doubt Lint acted recklessly. But, just as the teenagers
Alternatively, the policy here excluded from coverage, “[B]odily injury . . . [1] (1) which is either expected or intended by the insured; or [f] (2) which is the result of willful and malicious acts of the insured.” 3 (Italics added.) Based on the complaint and the undisputed facts discovered by State Farm, Wright’s injury was neither (1) expected nor intended by Lint, nor (2) the result of a malicious act of the insured.
The cases on which State Farm relies are distinguishable. Many involve sexual harassment or sexual assault.
(Northland Ins. Co.
v.
Briones
(2000)
In other cases relied on by State Farm the insured intended
all of the acts in the causal chain, including the injury. (Stellar v. State Farm General Ins. Co.
(2007)
Taken to its logical conclusion, State Farm’s argument that we should apply “fortuity” solely to the act causing the injury without reference to the injury, would result in no coverage at all. State Farm proffers an accident as one where Lint inadvertently bumps into Wright, knocking him into the pool. Yet, in State Farm’s analysis, there could never be a covered event because all batters deliberately seek to hit baseballs and therefore engage in intentional acts, regardless of whether the property damage, namely, breaking windows, was intended. Likewise, there would never be a covered occurrence when an injury is occasioned by a negligent driver, who obeys the laws of the road, nevertheless miscalculates a lane change and hits another car. (Cf.
Meyer v. Pacific Employers Ins. Co., supra,
Finally, the parties disagree about the effect of Lint’s nolo contendere plea to misdemeanor battery. Lint stipulated that he intended to pick Wright up in a bear hug, the elements of misdemeanor battery. (Pen. Code, § 242.) Regardless of whether this plea may be considered by State Farm (cf.
Flores, supra,
45 Cal.App.4th at pp. 673-674), the result remains the same because intent to commit bodily injury is not an element of misdemeanor battery. (Pen. Code, § 242;
Allstate Ins. Co. v. Overton
(1984)
Based on the above analysis, the allegations of the instant complaint along with the stipulated facts asserted a claim that was a potentially covered occurrence under State Farm’s insurance policy. Therefore, the trial court properly ruled that State Farm owed a duty to defend Lint.
The order to show cause is discharged. The petition for writ of mandate is denied. Petitioners are to bear the costs of this writ proceeding.
Klein, P. J., and Kitching, J., concurred.
A petition for a rehearing was denied July 15, 2008, and on July 9, 2008, the opinion was modified to read as printed above. Petitioners’ petition for review by the Supreme Court was denied October 16, 2008, S165938.
Notes
Cf. Insurance Code section 533, which reads in relevant part: “[a]n insurer is not liable for a loss caused by the wilful act of the insured . . . .”
State Farm argues that this statement in
Flores, supra,
The dictum argument is also unpersuasive. State Farm acknowledges that the statement in
Flores,
to wit, “[w]hen an injury is an unexpected
or
unintended consequence of the insured’s
See footnote 1, ante.
