261 Conn. 784 | Conn. | 2002
Lead Opinion
Opinion
The defendants, Robert Namerow and Barbara Namerow, appealed from the judgments of the trial court for the plaintiff, Travelers Insurance Company, rendered after a jury trial, in this consolidated action to determine the liability of the parties pursuant to a homeowners insurance policy.
Thereafter, the defendants filed a motion for reconsideration or reconsideration en banc, addressed solely to the issue of whether the pleadings, in conjunction with the insurance policy at issue, had raised sufficiently the civil arson defense and whether motive was an element of the defense that the insurer was required to prove in order to prevail at trial. We granted the motion for reconsideration en banc and added to the panel Justices Borden and Zarella, who read the briefs and the record, and listened to the tape recording of the oral arguments. Following reconsideration, we now conclude that the civil arson defense did apply but that, because motive is not an element of that defense, the trial court’s instructions were not improper.
Following the fire, the plaintiff brought the first of these two actions against the defendants to recover certain cash advances, totaling $50,000, that it had paid to the defendants pursuant to the policy, alleging that the defendants were not covered under the policy because the loss had been caused by an act committed by or at the direction of the defendants with the intent to cause such loss. Thereafter, the plaintiff amended its complaint to seek the amount paid to Prudential Home Mortgage Company* **
After the fire, the defendants at all times maintained that the fire had begun accidentally in their Mercedes-Benz automobile that had been parked in their garage. Barbara Namerow, who was home alone when the fire started, testified that she heard “exploding noises” coming from the garage. She then looked into the garage and noticed dark smoke coming from the Mercedes-Benz. She first telephoned her husband, then called the police and exited the house. Police and fire personnel arrived at the house soon afterward, followed by Robert Namerow.
Also on February 3,1995, the day of the fire, Sergeant James Wolfe and Detective William Flanagan of the state fire marshal’s office investigated the fire at the defendants’ house. They determined that the fire had originated in the garage where the defendants’ automobiles had been parked. Thereafter, they removed the defendants’ destroyed Mercedes-Benz and Subaru automobiles from the garage and towed them to a facility for further investigation. On February 6,1995, investigators for the plaintiff and state fire marshal personnel went to the facility and examined the Mercedes-Benz. Upon completion of their inspection, they concluded that an overheating problem in the Mercedes-Benz’ catalytic converter was a possible cause of the fire.
On February 10, 1995, the plaintiff’s investigators returned to the facility to examine the Mercedes-Benz a second time and to take samples. The samples that the plaintiff had removed from the interior of the automobile tested positive for the presence of gasoline. These results indicated, essentially, that the gasoline was fresh and, because of its unweathered condition, could not have come from the gas tank of the Mercedes-Benz. The plaintiffs investigators also examined the defendants’ garage on February 17, 1995. During that visit, the investigators noticed the smell of gasoline emanating from the drains in the garage floor. On Febru
At trial, the parties disputed the origin of the fire and whether the defendants’ damages were covered under the policy. The plaintiff contended that the defendants had caused the fire either by igniting accelerants that had been spread throughout the garage or by directing someone else to ignite the accelerants. The defendants, however, maintained that the fire had started accidentally in the engine of the Mercedes-Benz while it was parked in the garage. In addition to the defendants’ testimony and the testimony of the fire and police department personnel that had arrived at the scene of the fire and investigated the fire, both sides presented expert testimony regarding the timing of events surrounding the fire and its progression, the bum patterns of the fire, and whether the fire was incendiary in origin. The jury returned verdicts for the plaintiff in both actions and the trial court rendered judgments in accordance with those verdicts. This appeal followed.
The defendants claim that the trial court improperly failed to instruct the jury, in accordance with their request to charge, and pursuant to Supreme and Appellate Court precedent, as to the civil arson defense,
The following additional procedural history is relevant to our resolution of this claim. In the trial court, the defendants moved for a directed verdict at the close of the plaintiffs case, claiming that the plaintiff had failed to establish the elements of the civil arson defense. Specifically, the defendants claimed that the plaintiff had not presented any evidence that the defendants had a motive to set fire to their house, as is required in a civil arson case. The plaintiff countered
The trial court denied the defendants’ motion for a directed verdict, concluding that there was sufficient evidence from which the jury could infer that the defendants had a motive to set the fire that damaged their house, and that evidence of motive was not required because the plaintiff had not invoked the civil arson defense but, rather, had denied the defendants’ claim pursuant to the intentional loss exclusion contained in the policy.
The trial court denied the defendants’ request to charge and subsequently instructed the jury, with regard to the issue of the plaintiffs burden of proof, as follows: “On [the issue of the plaintiffs denial of the defendants’ claims under the policy] the burden of proof is on the [plaintiff] to prove that the exclusion applies. In other words, the burden of proof is on the [plaintiff] to prove that the [defendants] originated or set the fire or it was set at their direction and it was done
The jury returned its verdicts on the special verdict form. In both actions, the jury found for the plaintiff on its claim that the damage to the defendants’ house arose out of an act committed by or at the direction of the defendants with the intent to cause a loss. Thereafter, the defendants moved to set aside the verdict and for judgment notwithstanding the verdict, claiming that the trial court improperly had refused to instruct the jury on the civil arson defense and its element of motive.
On appeal, the defendants claim that the trial court improperly denied their request to charge the jury with respect to the civil arson defense and its element of motive. They make three arguments in support of their claim. First, they contend that the language of the plaintiffs policy and its second special defense raised the civil arson defense. See footnote 6 of this opinion. Second, they maintain that the arson defense applies because the policy’s language comports with the traditional definition of arson. Finally, the defendants assert that the plaintiff tried its case on the theory of arson and repeatedly referred to the case as an arson case.
I
We begin with our jurisprudence regarding the law of pleadings, followed by our jurisprudence regarding insurance policies. “[T]he interpretation of pleadings is always a question of law for the court .... Cahill v. Board of Education, 198 Conn. 229, 236, 502 A.2d 410 (1985). The modem trend, which is followed in Connecticut, is to construe pleadings broadly and realistically, rather than narrowly and technically. . . . Beaudoin v. Town Oil Co., 207 Conn. 575, 587-88, 542 A.2d 1124 (1988), and cases cited therein. Although essential allegations may not be supplied by conjecture or remote implication; Cahill v. Board of Education, supra, 236; the complaint must be read in its entirety in such a way as to give effect to the pleading with reference to the general theory upon which it proceeded, and do substantial justice between the parties. Price v. Bouteiller, 79 Conn. 255, 257, 64 A. 227 (1906). As long as the pleadings provide sufficient notice of the facts claimed and the issues to be tried and do not surprise or prejudice the opposing party, we will not conclude that the complaint is insufficient to allow recovery. Tedesco v.
“Under our law, the terms of an insurance policy are to be construed according to the general rules of contract construction. . . . The determinative question is the intent of the parties, that is, what coverage the . . . [plaintiff] expected to receive and what the defendant was to provide, as disclosed by the provisions of the policy. ... If the terms of the policy are clear and unambiguous, then the language, from which the intention of the parties is to be deduced, must be accorded its natural and ordinary meaning. . . . However, [w]hen the words of an insurance contract are, without violence, susceptible of two [equally reasonable] interpretations, that which will sustain the claim and cover the loss must, in preference, be adopted.” (Citations omitted; internal quotation marks omitted.) Hertz Corp. v. Federal Ins. Co., 245 Conn. 374, 381-82, 713 A.2d 820 (1998). “[T]his rule of construction favorable to the insured extends to exclusion clauses.” (Internal quotation marks omitted.) Heyman Associates No. 1 v. Ins. Co. of Pennsylvania, 231 Conn. 756, 770, 653 A.2d 122 (1995).
Application of these principles to the facts of the present case compels us to conclude that the civil arson
In examining that complaint, it is apparent that the language employed by the plaintiff cannot be distinguished from that used by the insurance companies in Verrastro v. Middlesex Ins. Co., supra, 207 Conn. 179, Corosa Realty v. Covenant Ins. Co., supra, 16 Conn. App. 684, and Souper Spud, Inc. v. Aetna Casualty & Surety Co., supra, 5 Conn. App. 579, cases in which this court and the Appellate Court concluded that the civil arson defense had been raised.
Similarly, the record in Corosa Realty reveals that the defendant insurer alleged in its special defense that the plaintiff insured had “set or caused to be set the
Finally, in Souper Spud, Inc. v. Aetna Casualty & Surety Co., supra, 5 Conn. App. 585, the Appellate Court specifically noted that the defendant insurer’s special defenses “mirrored certain exclusionary provisions contained in the insurance policy. ” (Emphasis added.) The Appellate Court, nevertheless, recognized that the insurer had raised the civil arson defense.
In summary, we recognize that the plaintiff did not use the term “arson” in its second special defense. The plaintiff did, however, note in its complaint that its “investigation revealed that the fire was incendiary in origin” and that the loss at issue was the result of the defendants’ intentional act. Arson is defined under General Statutes §§ 53a-lll (a) and 53a-112 (a) as starting a fire “with intent to destroy or damage a building.” “Incendiary” is defined as “one who deliberately and unlawfully sets fire to property.” Black’s Law Dictionary
II
Having concluded that the civil arson defense was raised in this case, we next determine whether motive is a required element of that defense. We conclude that motive is not an essential element of the defense and that, accordingly, the trial court was not required to instruct the jury on motive.
The case from which the defendants draw support for the principle that motive is a required element of proof when insurance coverage is denied because of civil arson is Souper Spud, Inc. v. Aetna Casualty & Surety Co., supra, 5 Conn. App. 585. See also Aetna Casualty & Surety Co. v. Pizza Connection, Inc., 55 Conn. App. 488, 492, 740 A.2d 408 (1999); Corosa Realty v. Covenant Ins. Co., supra, 16 Conn. App. 684. The Appellate Court explained in Souper Spud, Inc. v. Aetna Casualty & Surely Co., supra, 585, that “in order to establish a prima facie case of arson for purposes of denying coverage under an insurance policy, the insurer must establish that the fire was incendiary, that the insured, its agents or officers had an opportunity to cause the fire, and that such individuals had a motive for setting the fire.” These elements are in accord with the leading treatises on insurance. See 21B J. Appleman & J. Appleman, Insurance Law and Practice
A closer review of the Couch treatise, however, reveals an inconsistency. Although § 149:46 clearly articulates the three elements of the arson defense as including motive, in a different section specifically addressing motive, the treatise retreats from that stance: “In an action by an insured seeking compensation under a fire policy, where the insurer defends on the basis that [the] insured caused the fire, motive need not be proven as a separate element, although it may form part of the circumstances from which it is inferred that the insured caused the fire.” (Emphasis added.) 10 G. Couch, supra, § 149:59, pp. 149-85 through 149-86. As authority for this proposition, the treatise cites one case: Giambra v. Aetna Casualty & Surety Co., 315 Pa. Super. 231, 232, 461 A.2d 1256 (1983) (rejecting notion that motive must be proved as separate element in civil case). 10 G. Couch, supra, § 149:59, p. 149-85. Our review indicates that a minority of states follow this rule and do not require motive as a separate element of the civil arson defense. See, e.g., O-So Detroit, Inc. v. Home Ins. Co., 973 F.2d 498, 501-502 (6th Cir. 1992) (applying Michigan law).
Although many jurisdictions do, however, require motive as a separate element; see 10 G. Couch, supra,
As a final point, it is noteworthy that motive plays no role in arson cases in the criminal arena. See General Statutes § 53a-215.
The judgments are affirmed.
Travelers Insurance Company (Travelers) first filed an action against the Namerows on grounds that are set forth in the text of this opinion. The Namerows thereafter filed an action against Travelers alleging various claims that are also set forth in the text of this opinion. Subsequently, the trial court consolidated these actions. For purposes of clarity, we refer to Travelers as the plaintiff and the Namerows as the defendants.
In the event that the defendants were awarded a new trial, the plaintiff presented an adverse ruling of the trial court for our consideration pursuant to Practice Book § 63-4 (a) (1) (B). Specifically, the plaintiff claimed that the trial court improperly instructed the jury that, if the defendants had elected not to repair or replace their house and accepted only cash value under the homeowners insurance policy, their maximum recovery would have been the policy limit of $485,500. Because we affirmed the trial court’s judgments, we did not reach this issue.
Because the defendants’ motion for reconsideration en banc did not address the second issue raised on appeal by the defendants, namely, whether the trial court improperly admitted into evidence a document under the business records exception to the hearsay rule, we do not reconsider
The plaintiff had paid $374,577.83 to Prudential Home Mortgage Company, the defendants’ first mortgagee on the property at the time of the fire, in accordance with the policy’s mortgage clause. That clause required the plaintiff to pay the defendants’ mortgage holder for any loss to the house, to the extent of the mortgage holder’s interest in the property, regardless of whether the plaintiff had denied the defendants’ claim under the policy.
The amended complaint also sought to recover $8625 for a chain-link fence that, following the fire, the plaintiff had erected around the defendants’ house. The plaintiff, however, offered no evidence pertaining to the chain-link fence at trial.
The plaintiffs second special defense provided: “The . . . policy does not provide coverage for acts or events resulting in property damage either expected or intended by the [defendants]. The [defendants’] claim is not covered to the extent that said claim is based on damage expected or intended by the [defendants].”
The defendants appealed from the trial court’s judgments to the Appellate Court. We then transferred the consolidated appeal from the Appellate Court to this court pursuant to General Statutes § 51-199 (c) and Practice Book § 65-1.
In ruling on the defendants’ motion for a directed verdict, the trial court stated: “I find . . . [t]hat technically the [plaintiff did not accuse] the defendants of committing arson. In the [court’s] review of the complaint, [the] plaintiff claims that the exclusion to the policy applies because it was an intentional loss. Intentional loss is defined in the policy [as loss] ... by or at the direction of the insured. ... It doesn’t say motive, it says intent. The fact that it was not accidental means it was done with intent. That [however] doesn’t necessarily mean that there was a motive. . . .
“The [plaintiff] simply has to prove that the fire was caused by the defendants or their agents and [that] it was intentional. . . . [Corosa Realty v. Covenant Ins. Co., 16 Conn. App. 684, 548 A.2d 473 (1988), and Souper Spud, Inc. v. Aetna Casualty & Surety Co., 5 Conn. App. 579, 501 A.2d 1214 (1985), cert. denied, 198 Conn. 803, 503 A.2d 172 (1986)], are not applicable [in this case] for two reasons. One, [those cases discuss] arson and [two, those cases discuss] arson where motive has been proven .... I don’t think the word arson has ever been mentioned by any of the plaintiffs
Before the trial court instructed the jury, plaintiffs counsel in his closing argument highlighted what he believed was evidence of the defendants’ poor financial condition. Thereafter, he stated to the jury: “That’s something I want you to consider. But motive is not something that I have to prove. I don’t have to prove to you why they did it. I [only] have to prove it’s an incendiary fire, and I have to prove that they had opportunity and they had the only opportunity.”
It is important to note that in Verrastro, Corosa Realty and Souper Spud, Inc., the insurance companies therein had refused to pay the insured under the policies and, therefore, were sued by the policyholders on that basis. Accordingly, civil arson was referred to in those cases as a defense to recovery under the policies. As we have noted previously, however, the present case is a consolidated action in which the plaintiff insurer first brought a claim against the defendant insureds to recover moneys already paid under the policy. Therefore, in order to prevail, the civil arson defense need not be raised as a defense. The elements required to prove civil arson are the same no matter whether they are pleaded by an insurer in a complaint, or asserted by an insurer as a defense. See Aetna Casualty & Surety Co. v. Pizza Connection, Inc., 55 Conn. App. 488, 492, 740 A.2d 408 (1999) (reciting factors of proof of incendiary fire, opportunity and motive for declaratory judgment action by insurer). Indeed, under either scenario, the insurer is trying to avoid liability under the policy based on alleged arson on the part of the insured.
We note that the language in the special defense in Corosa Realty is nearly identical to the language in the plaintiffs complaint in the present case, in which the plaintiff alleged “that the fire was incendiary in origin and that the losses claimed by the defendants . . . [were] caused by acts either committed by the defendants or at their direction, with the intern,t to cause a loss." (Emphasis added.)
“In many policies, arson is expressly stated to be an excluded cause of loss, and under others, it is deemed to fall within a clause excluding coverage for loss deliberately caused by the insured. Some policies do not specifically exclude loss caused by arson of the insured.” 10 G. Couch, Insurance (L. Russ & T. Segalla eds., 3d Ed. 1998) § 149:45, p. 149-53. Accordingly, the differences in the precise language of the allegations in Verrastro, Corosa, Realty, Souper Spud, Inc., and the present case are likely due to the differences in the actual language of the policy exclusions involved in each case.
General Statutes § 53a-215 provides: “(a) A person is guilty of insurance fraud when the person, with the intent to injure, defraud or deceive any insurance company: (1) Presents or causes to be presented to any insurance company, any written or oral statement including computer-generated documents as part of, or in support of, any application for any policy of insurance or a claim for payment or other benefit pursuant to such policy of insurance, knowing that such statement contains any false, incomplete, or misleading information concerning any fact or thing material to such application or claim; or (2) assists, abets, solicits, or conspires with another to prepare or make any written or oral statement that is intended to be presented to any insurance company in connection with, or in support of, any application for any policy of insurance or any claim for payment or other benefit pursuant to such policy of insurance, knowing that such statement contains any false, incomplete, or misleading information concerning any fact or thing material to such application or claim for the purposes of defrauding such insurance company.
“(b) For the purposes of this section, ‘statement’ includes, but is not limited to, any notice, statement, invoice, account, estimate of property damages, bill for services, test result, or other evidence of loss, injury, or expense.
“(c) For the purposes of this section, ‘insurance company’ means ‘insurance company’ as defined in section 38a-l.
“(d) Insurance fraud is a class D felony.”
Concurrence Opinion
joins, concurring. I agree with the result reached by the majority. I further agree with the majority that motive is not a required element of the civil arson defense. I write separately, however, because I would affirm the judgments of the trial court based on the terms of the insurance policy in question, without further refinement of the common-law civil arson defense. I would do so for the reasons detailed in my majority opinion in Travelers Ins. Co. v. Namerow, 257 Conn. 812, 778 A.2d 168 (2001).
Additionally, I write to emphasize the importance of giving deference to the trial court in its interpretation of the pleadings in a case such as the present one. After the lengthy presentation of the plaintiffs case, the trial court determined that the civil arson defense was not necessarily implicated by the plaintiffs complaint or by the evidence presented by the plaintiff. Id., 820 n.6. Further, the trial court apparently did not find the civil arson defense in the plaintiffs special defense in the second action, which had been initiated by the defendants. The majority would conclude that the civil arson defense can be found in these pleadings by implication alone. I respectfully disagree with the majority that such an analysis was overly narrow and technical. See, e.g., Traveler’s Ins. Co. v. Namerow, 261 Conn. 784, 795, 797, 807 A.2d 467 (2002).
To hold, as the majority does today, that the civil arson defense can be found in pleadings where it arguably is absent both overemphasizes the importance of this common-law doctrine and needlessly complicates the resolution of cases of alleged intentional loss. The contractual dispute between the defendant insureds and the plaintiff, their insurer, should be resolved, if
I concur with the majority that the judgments of the trial court should be affirmed.