STATE FARM FIRE AND CASUALTY COMPANY v. MARK TULLY ET AL.
SC 19600
Supreme Court of Connecticut
August 23, 2016
Rogers, C. J., and Palmer, Zarella, Eveleigh, McDonald, Espinosa and Robinson, Js.
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Argued March 28—officially released August 23, 2016
Kirk D. Tavtigian, Jr., for the appellant-appellee (defendant Child Doe).
Ron Murphy, for the appellee-appellant (named defendant).
Jack G. Steigelfest, for the appellee in both appeals (plaintiff).
Opinion
ROBINSON, J. The
The record reveals the following undisputed facts and procedural history. On July 2, 2012, Doe and two other girls were in the shower area of Winding Trails Park in Farmington. At that time, Doe was fourteen years old and the two other girls were, respectively, thirteen and eight years old. Tully, who was fifty-six years old and “under the influence of intoxicating liquor,” approached the three girls and offered to buy them ice cream. After the girls refused, Tully grabbed Doe‘s breast, nearly removing her bathing suit top. Tully then fondled the buttocks of the eight year old girl in Doe‘s view.3
Doe, by and through her parent as next friend, subsequently filed a civil action against Tully alleging, inter alia, that he “negligen[tly]” sexually assaulted her while he was intoxicated.4 The plaintiff had previously issued the policy, which provided that the plaintiff would defend Tully against claims resulting from an “occurrence,” which is defined in the policy as an “accident,” but not from claims resulting from his intentional actions. Tully claimed coverage under the policy, based on his intoxicated state, and requested that the plaintiff defend him in the action.5 The plaintiff denied coverage, however, on the ground that Doe‘s claim fell within the intentional act exclusion of the policy.
In response to this complaint, the plaintiff initiated the present action seeking a declaratory judgment with regard to its duty to defend Tully. The plaintiff moved for summary judgment on the ground that the complaint in the underlying action alleged an intentional act, which fell within the policy‘s intentional act exclusion of coverage. In response, Tully submitted two affidavits, one from a physician and one from a psychologist, which opined that he was an alcoholic and so intoxicated on the day of the incident that he could not have formed the requisite intent to harm Doe, as well as his own affidavit attesting that he did—and still does—struggle with alcoholism.6 The defendants argued that this evidence raised a genuine issue of material fact as to whether Tully‘s actions were intentional. The trial court rendered
On appeal, the defendants reiterate their claim that evidence of Tully‘s voluntary intoxication raises a genuine issue of material fact as to whether his actions were intentional and, thus, fall within the intentional act exclusion of the policy. The defendants first claim that the trial court improperly applied the presumption established in Marburg because this court overruled that presumption in Allstate Ins. Co. v. Barron, 269 Conn. 394, 409, 848 A.2d 1165 (2004), which held that the standard for determining whether an insured‘s intent may be negated for the purposes of an intentional act exclusion is whether the insured was able to understand the wrongfulness of his conduct. Thus, the defendants claim that there was a genuine issue of material fact as to whether Tully was able to understand the wrongfulness of his conduct as a result of his intoxication. Alternatively, should this court apply the Marburg presumption, the defendants argue that this court should, as a policy
In response, the plaintiff contends that the trial court properly applied the Marburg presumption and, thus, there is no genuine issue of material fact that Tully‘s acts fell within the intentional acts exclusion. The plaintiff also argues that Barron clarified the Marburg pre-sumption, rather than overruled it, given that the two cases are factually distinguishable. Finally, the plaintiff argues that this court should not allow evidence of Tully‘s voluntary intoxication to rebut the Marburg presumption, as it would be against public policy to allow evidence of voluntary intoxication to negate intent for the purposes of an intentional exclusion act in an insurance policy.8
We agree with the plaintiff and conclude that: (1) the Marburg presumption of intentional conduct based on an insured‘s sexual misconduct with a minor remains good law after Barron; (2) the trial court properly applied the Marburg presumption in the present case; and (3) evidence of voluntary intoxication may not be used to negate intent in duty to defend cases in which the insured‘s intent is inferred from the underlying complaint that alleges that the insured committed sexual misconduct with a minor. We, therefore, conclude that the plaintiff satisfied its burden of demonstrating that no genuine issue of material fact exists insofar as the complaint in the underlying civil action alleges intentional acts and, thus, the plaintiff has no duty to defend Tully.
“In seeking summary judgment, it is the movant who has the burden of showing the nonexistence of any issue of fact. The courts are in entire agreement that the moving party for summary judgment has the burden of showing the absence of any genuine issue as to all the material facts, which, under applicable principles of substantive law, entitle him to a judgment as a matter of law. The courts hold the movant to a strict standard. To satisfy his burden the movant must make a showing that it is quite clear what the truth is, and that excludes any real doubt as to the existence of any genuine issue of material fact. ... As the burden of proof is on the movant, the evidence must be viewed in the light most favorable to the opponent. ... When documents submitted in support of a motion for summary judgment fail to establish that there is no genuine issue of material fact, the nonmoving party has no obligation to submit documents establishing the existence of such an issue. ... Once the moving party has met its burden, however, the opposing party must present evidence that demonstrates the existence of some disputed factual issue. It is not enough, however, for the opposing party merely to assert the existence of such a disputed issue. Mere assertions of fact ... are insufficient to establish the existence of a material fact and, therefore, cannot refute evidence properly presented to the court under Practice Book [§ 17-45] ... Our review of the trial court‘s decision to grant [a] motion for summary judgment is plenary.” (Citations omitted; footnote omitted; internal quotation marks omitted.) Allstate Ins. Co. v. Barron, supra, 269 Conn. 405-406.
“The principles governing our determination of [whether an insurer has a duty to defend] are well settled. [A]n insurer‘s duty to defend ... is determined by reference to the allegations contained in the [underlying] complaint. ... The obligation of the insurer to defend does not
Specifically, “[w]here ... the policy excludes coverage for damages resulting from intentional acts, the court examines the factual allegations to decide whether both intentional acts and intended results are present.” Middlesex Ins. Co. v. Mara, 699 F. Supp. 2d 439, 449 (D. Conn. 2010). “Moreover ... Connecticut courts have long eschewed the notion that pleadings should be read in a hypertechnical manner. ... They thus read the complaint in a manner that advances substantial justice, construing it reasonably to contain all that it may fairly mean.” (Citation omitted; internal quotation marks omitted.) Id., 450. “The result is that even when an action is [pleaded] as an unintentional tort [such as negligence], the court examines the alleged activities in the complaint to determine whether the insured intended to commit both the acts and the injuries that resulted. If so, regardless of the title of the action, the court holds the action to be outside the coverage of the policy.” Id.
“Furthermore, harmful intent may be inferred at law in circumstances where the alleged behavior in the underlying action is so inherently harmful that the resulting damage is unarguably foreseeable.” Id. “Case law is clear that where the provisions in the insurance policy expressly exempt intentional acts of an insured from coverage, the court will grant summary judgment in favor of the insurer who relies upon such exemption.” Id., 450-51; see also United Services Automobile Assn. v. Marburg, supra, 46 Conn. App. 104. When an insurer relies on an exclusionary clause to deny coverage, the initial burden is on the insurer to demonstrate that all the allegations within the complaint fall completely within the exclusion. Community Action for Greater Middlesex County, Inc. v. American Alliance Ins. Co., supra, 254 Conn. 398–99. If the complaint alleges liability that falls completely within the exclusion, the insurer is not required to defend. Id., 399.
The plaintiff argues that Tully‘s intent may be presumed in this case as a matter of law under Marburg because the complaint in the underlying civil action alleged sexual misconduct with a minor. This requires us to consider the defendants’ argument that intent may not be presumed because Allstate Ins. Co. v. Barron, supra, 269 Conn. 394, overruled the Marburg presumption.9
In United Services Automobile Assn. v. Marburg, supra, 46 Conn. App. 100–101, our Appellate Court considered whether an insurer had a duty to defend the defendant, Bonita Marburg, a woman accused of sexually abusing a minor during tutoring sessions. In its motion for summary judgment, the insurer argued that no genuine issue of material
Applying this presumption and relying on the standard set out in Home Ins. Co. v. Aetna Life & Casualty Co., 35 Conn. App. 94, 644 A.2d 933 (1994), rev‘d on other grounds, 235 Conn. 185, 663 A.2d 1001 (1995), the Appellate Court then reasoned that, “[a]n insured‘s conduct can be considered unintentional in situations such as those here only if the insured can produce evidence to show that she did not intend to cause the damage. ... If the insured cannot show that her behavior was unintentional, the presumption of intent remains intact, and the exclusion of the homeowners policy precludes coverage.” (Citation omitted.) United Services Automobile Assn. v. Marburg, supra, 46 Conn. App. 104-105. The Appellate Court then analyzed the evidence that Marburg provided to rebut the presumption—namely, an affidavit and letter from two physicians describing her mental condition—to determine whether a material issue of fact was in dispute regarding Marburg‘s ability to form intent. Id., 106-107. Ultimately, the Appellate Court held that the affidavits demonstrated that no genuine issue of material fact existed and, thus, summary judgment was appropriate. Id., 110-11.
Several years later, we decided Allstate Ins. Co. v. Barron, supra, 269 Conn. 407, a case in which the underlying complaint leading to the insurance coverage dispute alleged, inter alia, that a mother stabbed her husband and one of her children, poured gasoline on herself and the child, and then set fire to the house. The underlying complaint also alleged that, “at the time of these events, [the mother] was suffering from a mental illness or impairment that rendered her incapable either of appreciating the nature, consequences and wrongfulness of her conduct or controlling her actions or both.” Id., 411. Specifically, the mother had been diagnosed with postpartum depression, recurrent major depression, and bipolar disorder. Id.
In Barron, this court adopted the holding from Home Ins. Co. v. Aetna Life & Casualty Co., supra, 35 Conn. App. 94, which was also applied in United Services Automobile Assn. v. Marburg, supra, 46 Conn. App. 104-107, namely, that “an insured‘s intent to commit an act may be negated for purposes of an intentional conduct exclusion clause when the insured did not understand the nature or wrongfulness of his conduct, or was deprived of the capacity to control his actions regardless of his understanding of the nature or wrongfulness of his action.” (Internal quotation marks omitted.) Allstate Ins. Co. v. Barron, supra, 269 Conn. 407. We, therefore, determined that the dispositive issue was “not whether [the mother‘s] actions were intentional in the narrow sense that they were deliberate, but whether her intent was negated by her inability to understand the wrongfulness of her conduct or to control her conduct.” Id., 409. Ultimately, this court concluded that, “[t]he documents submitted by the plaintiff in support of its motion for summary judgment simply did not address that issue.” Id.
We conclude that Barron is inapposite to the present case and does not affect the continuing vitality of the Marburg presumption. First, the allegations in the underlying complaint in Barron did not concern sexual misconduct with a minor child. Second, the legal propriety of the Marburg presumption was not at question in Barron. Rather, Marburg and Barron are both cases in which our courts have adopted and applied the standard set forth in Home Ins. Co. v. Aetna Life & Casualty Co., supra, 35 Conn. App. 94, to determine whether an insured adduced evidence sufficient to defeat summary judgment as to whether mental incapacity rendered the relevant actions unintentional under the intentional acts exclusion clause of an insurance policy. Barron cited to Marburg as a situation in which an insurer had satisfied its burden of demonstrating that no genuine issue of material fact existed with regard to whether the underlying allegations fell completely within the insurance policy‘s intentional acts exclusion clause, and the insured subsequently failed to proffer sufficient evidence to allow for an inference that the insured was incapable of forming the intent necessary to result in her acts being intentional. Allstate Ins. Co. v. Barron, supra, 269 Conn. 412. In Barron, because there was no claim that the allegations gave rise to a presumption of intent as a matter of law, the insurer had an initially greater burden to demonstrate that there was no genuine issue of material fact on summary judgment than in cases, such as the present one, in which an insurer may rely on a presumption of intent to satisfy its burden on summary judgment. The insurer in Barron ultimately had to demonstrate that, despite the allegations within the complaint that the mother suffered from mental disease at the time of the incident, she nevertheless formed the requisite intent to commit the acts, that her acts were intentional, and that the allegations fell completely within the intentional acts exclusion of the policy. Thus, Barron did not overrule the Marburg presumption; rather, Barron clarified the standard for determining whether an insured sufficiently has negated intent in order to defeat summary judgment in favor of the insurer.
Tully also argues in his brief that the Marburg presumption should not apply in the present case because the underlying facts in that case are too dissimilar, insofar as Marburg concerned allegations of sexual assault, including penetrative intercourse, on at least seventy-three occasions. See United Services Automobile Assn. v. Marburg, supra, 46 Conn. App. 101. We disagree. In Marburg, our Appellate Court, in presuming intent to harm as a matter of law when an insured has engaged in sexual misconduct with a minor, did not consider any restrictions on the type or manner of sexual assault of a minor by an adult. Id., 104-106.
Construing the relevant pleadings ‘‘broadly,’’ ‘‘realistically’’ and ‘‘reasonably, to contain all that it fairly means,’’ but not ‘‘contorted in such a way so as to strain the bounds of rational comprehension’’; Deming v. Nationwide Mutual Ins. Co., 279 Conn. 745, 778, 905 A.2d 623 (2006); we conclude that the complaint in the underlying civil action alleged that Tully engaged in sexual misconduct with a minor. That complaint, therefore, alleges presumptively intentional conduct on the part of Tully. First, the complaint alleges that Tully attempted to lure the minor girls by offering to buy them ice cream. The complaint then alleges that Tully grabbed Doe’s breast, almost removing her bathing suit top, and fondled the buttocks of an eight year girl. Marburg aside, to read these allegations as anything other than sexual misconduct with a minor would be to ‘‘strain the bounds of rational comprehension.’’ Id.
Although the defendants contend that the allegations arise from negligence, rather than deliberate sexual misconduct with a minor, we are not persuaded. ‘‘[E]ven when an action is [pleaded] as an unintentional tort [such as negligence], the court examines the alleged activities in the complaint to determine whether the insured intended to commit both the acts and the injuries that resulted. If so, regardless of the title of the action, the court holds the action to be outside the coverage of the policy.’’ (Internal quotations marks omitted.) Middlesex Ins. Co. v. Mara, supra, 699 F. Supp. 2d 450. Nothing about the allegations in the underlying civil action involve a negligent act. That complaint does not, for example, allege that Tully was so intoxicated that he drunkenly fell down and accidentally touched Doe’s breast. Rather, the complaint alleges that Tully ‘‘proceeded to grab [Doe’s] breast, almost completely removing her bathing suit in the process’’ and ‘‘then proceeded to fondle the buttocks of the [eight] year old girl . . . .’’ Because the complaint in the underlying civil action alleges deliberate sexual misconduct with a minor, we, therefore, conclude that the trial court properly allowed the plaintiff to rely on the Marburg presumption of intent in satisfying its initial burden on summary judgment.10
This court has not considered previously whether evidence of voluntary intoxication may negate intent in the context of insurance claims arising from sexual misconduct with a minor. This also is a relatively novel issue for the country as a whole. In Wiley v. State Farm Fire & Casualty Co., 995 F.2d 457, 465–66 (3d Cir. 1993), the United States Court of Appeals for the Third Circuit described, generally, the three approaches courts across the country have taken to resolve this policy issue.
Under the first approach, intent is inferred based on the nature and character of the act, and the insured‘s subjective intent to harm is “wholly irrelevant.” Id., 465. Under this approach, “any question of the inability to form the intent to harm, whether it arises out of alleged mental disease or defect or voluntary intoxication, is immaterial in resolving the insurer‘s obligation to provide coverage.” (Emphasis added.) Id. Put another way, in cases in which intent is inferred, the inference is conclusive, and an insured may not rebut that presumption with evidence of lack of capacity to form the requisite intent for the acts to be considered “intentional.” See, e.g., State Farm Fire & Casualty Co. v. Estate of Jenner, 874 F.2d 604, 606–607 (9th Cir. 1989); Mutual Fire Ins. Co. v. Hancock, 634 A.2d 1312, 1313 (Me. 1993); American Family Mutual Ins. Co. v. Peterson, 405 N.W.2d 418, 422 (Minn. 1987); Public Employees Mutual Ins. Co. v. Rash, 48 Wn. App. 701, 705, 740 P.2d 370 (1987); N.N. v. Moraine Mutual Ins. Co., 153 Wis. 2d 84, 96, 450 N.W.2d 445 (1990).
Under the second approach, regardless of the character of the act, an insured is precluded entirely from asserting voluntary intoxication as a defense to an intentional acts exclusion in an insurance policy in any duty to defend case. Wiley v. State Farm Fire & Casualty Co., supra, 995 F.2d 465–66. The reasoning is that “evidence establishing that the insured was under the influence of intoxicants is of no consequence, for the law must not permit the use of such stimuli to become a defense for one‘s actions.” (Internal quotation marks omitted.) Id., 465 Essentially, voluntarily becoming intoxicated should not excuse poor behavior or judgment
The third approach deems it appropriate for only a fact finder to consider and determine the insured‘s intent when an insured claims incapacity to form the requisite intent. Wiley v. State Farm Fire & Casualty Co., supra, 995 F.2d 466. Importantly, under this approach, even in situations in which intent is otherwise presumed, “this factual inquiry in effect supersedes scrutiny of the nature and character of the act committed and renders application of the inferred intent rule inappropriate.” Id.; see, e.g., Globe American Casualty Co. v. Lyons, 131 Ariz. 337, 339–40, 641 P.2d 251 (App. 1981); State Farm Fire & Casualty Co. v. Morgan, 258 Ga. 276, 276-77, 368 S.E.2d 509 (1988); Hanover Ins. Co. v. Talhouni, 413 Mass. 781, 785–86, 604 N.E.2d 689 (1992); Burd v. Sussex, 56 N.J. 383, 398–99, 267 A.2d 7 (1970).
We adopt the second approach, and conclude that, as a matter of law, evidence of voluntary intoxication11 may not be used to negate intent for the purposes of determining whether an insurer owes a duty to defend an insured in cases in which the insured‘s intent is presumed because the conduct in question involved sexual misconduct with a minor. Under the second approach, evidence of voluntary intoxication may never, in any case, serve to negate intent for insurance purposes. Wiley v. State Farm Fire & Casualty Co., supra, 995 F.2d 465. For a variety of public policy considerations, we conclude the second approach is persuasive in the context of sexual misconduct with a minor, even without considering whether it extends to other acts.
The first policy consideration for holding that voluntary intoxication should
Another policy consideration in support of our conclusion that evidence of voluntary intoxication may not negate intent is that, even though a person is intoxicated at the time, the conduct is such that a reasonable insured would not expect it to fall within his policy coverage. See American Family Mutual Ins. Co. v. Peterson, supra, 405 N.W.2d 422 (voluntary intoxication did not negate intent when man struck woman on head with hammer because reasonable insured would not expect that type of assault to be covered); see also Dolan v. State Farm Fire & Casualty Co., supra, 573 N.W.2d 257 (insured cannot claim that intentional assault was unexpected or unintended for purpose of insurance coverage).
Finally, in determining whether evidence of voluntary intoxication should negate intent, some state courts have looked to their state‘s criminal statutes to determine, as an expression of public policy, whether the legislature would have intended for evidence of voluntary intoxication to negate intent in duty to defend cases. For example, in Michigan, the state‘s legislators had “distinguishe[d] between a lack of mental capacity due to mental illness and that which results from acute voluntary alcohol or drug intoxication. In the latter situation, even though a criminal defendant‘s freedom and liberty [were] at stake, a defense of voluntary intoxication [could] not be tendered. To allow such a defense would create an intolerable precedent of self-immunity.” Allstate Ins. Co. v. Sherrill, supra, 566 F. Supp. 1288. The court then applied that distinction to the insurance context, holding that, “where an insured voluntarily ingests alcohol or drugs he may not assert a defense to an exclusionary clause ... based on his lack of capacity to form the intent to act or harm, where that defense is based solely on the effects of the alcohol and/or drugs.”12 Id.
We find further legislative support for precluding evidence of voluntary intoxication from negating intent in the insurance context in situations involving the insured‘s sexual misconduct with a minor within
Finally, the second approach set forth in Wiley is consistent with our holding and
The defendants, however, claim that precluding voluntary intoxication from negating intent would undermine the ability of victims to receive compensation from
Here, however, Tully voluntarily consumed alcohol, went to a local park, attempted to lure children, grabbed one child‘s breast, and fondled the buttocks of another. The act of sexual molestation of minors was not unintentional or accidental. The situation at hand is more similar to a scenario in which a driver voluntarily consumes alcohol, gets behind the wheel of a car, sees a pedestrian in the road and then intentionally hits the person with his vehicle. In that situation, the driver‘s act of injuring the pedestrian was intentional, despite the driver‘s voluntary intoxication, which lowered his inhibition.
Accordingly, we conclude that evidence of voluntary intoxication may not negate intent in duty to defend cases in which the insured‘s intent is inferred from an underlying complaint that alleges the insured committed sexual misconduct with a minor.16 Applying this rule to the present case, the trial court properly granted the plaintiff‘s motion for summary judgment because the defendants failed, as a matter of law, to rebut the presumption of intent based on Tully‘s sexual misconduct with a minor.17
The judgment is affirmed.
In this opinion the other justices concurred.
