UNITED SERVICES AUTOMOBILE ASSOCIATION, Aрpellant and Cross-Appellee, v. Mary E. NEARY and Patrick T. Neary, individually, and on behalf of their deceased son, Aidan Neary, and Charles J. Schneider, II, and Dareen Puhlick, both individually and on behalf of their minor son, Charles J. Schneider, III, Appellees and Cross-Appellants.
Nos. S-14580, S-14600
Supreme Court of Alaska
Aug. 16, 2013
Rehearing Denied Sept. 16, 2013
307 P.3d 907
IV. CONCLUSION
We AFFIRM the superior court‘s order granting summary judgment and all other rulings encompassed in its final judgment except the award of attorney‘s fees pertaining to Maness‘s § 1983 claim. We VACATE that fee award and REMAND for further proceedings on attorney‘s fees consistent with this opinion.
Deborah A. Holbrook, Law Offices of Deborah A. Holbrook, Juneau, for Appellees/Cross-Appellants Neary.
Daniel G. Bruce and Megan A. Wallace, Baxter Bruce & Sullivan P.C., Anchorage, for Appellees/Cross-Appellants Schneider and Puhlick.
Before: FABE, Chief Justice, STOWERS, MAASSEN, and BOLGER, Justices.
OPINION
MAASSEN, Justice.
I. INTRODUCTION
Fifteen-year-old Kevin Michaud fired a single shot from a revolver belonging to his parents, killing one friend and seriously
II. FACTS AND PROCEEDINGS
On December 10, 2008, Kevin Michaud was visiting with some friends in his home after school. He took a revolver from his father‘s gun cabinet, handled it for awhile, then put a bullet in one chamber of the cylinder. He aimed the revolver at himself and pulled the trigger, then aimed at his friend, 14-year-old Aidan Neary, and pulled the trigger again. The gun fired on the second pull of the trigger. The shot passed through Aidan‘s body, fatally wounding him, then struck 14-year-old Charles J. Schneider III (Chase) in the spine, where the bullet still remains.
Chase and his parents, Charlеs J. Schneider II and Dareen Puhlick, sued Kevin and his parents, Michael K. and Michele M. Michaud. They alleged several theories of liability, including negligence and negligent infliction of emotional distress (NIED). Aidan‘s estate and Aidan‘s parents, Mary E. and Patrick T. Neary, also sued the three Michauds on theories including negligence and NIED. The NIED claims were based on the emotional trauma the parents experienced upon witnessing the harm caused to their children.1 Both the Neary and the Schneider/Puhlick families also sued the Michauds’ insurer, USAA, seeking a declаratory judgment as to USAA‘s liability under its policy. USAA counterclaimed for a declaratory judgment limiting coverage.
For ease of reference we refer to the parents of Aidan and Chase as “the parents” and to Kevin‘s parents as “the Michauds.”
The Declarations Page of the Michauds’ insurance policy, under the heading “COVERAGES AND LIMITS OF LIABILITY,” provides: “SECTION II. E. Personal Liability—Each Occurrence $300,000.” The definitions section of the policy defines the word “occurrence” as meaning “an accident, including continuous or repeated exposure to substantially the same general harmful conditions, which results, during the policy period, in: a. bodily injury; or b. property damage.”
Section II, Coverage E, to which the Declarations Page refers, describes more specifically the grant of coverage for “Personal Liability” and provides, in pertinent part:
If a claim is made or a suit is brought against an insured for damages because of bodily injury or property damage caused by an occurrence to which this coverage applies, we will:
- pay up to our limit of liability for the damages for which the insured is legally liable....
Section II also contains several pages of “Conditions,” two of which are relevant to our discussion here:
- Limit of Liability. Our total liability under Coverage E for all damages resulting from any one occurrence will not be more than the limit of liability for Coverage E as shown in the Declarations. This limit is the same regardless of the number of insureds, claims made or persons injured. All bodily injury and property damage resulting from any one accident or from continuous or repeated exposure to substan-
tially the same genеral harmful conditions shall be considered to be the result of one occurrence. - Severability of Insurance. This insurance applies separately to each insured. This condition will not increase our limit of liability for any one occurrence.
USAA moved for summary judgment in the superior court, arguing that it could be liable under its policy for no more than $300,000, a single per-occurrence policy limit, for all claims against its three insureds. The parents opposed the motion, arguing that there was a genuine issue of material fact as to the number of occurrences and thus as to the amount of USAA‘s possible liability. The Michauds opposed USAA‘s motion as well and cross-moved for summary judgment themselves, arguing that they were each entitled to a separate coverage limit of $300,000 and that there were multiple occurrences.
The superior court held that (1) each of the three Michauds was entitled to a separate coverage limit of $300,000 per occurrence, and (2) there was one occurrence, meaning that the available limits under the policy were $900,000. USAA appеals the first ruling, arguing that the policy‘s per-occurrence limit of $300,000 does not vary depending on the number of insureds. The parents appeal the second ruling, arguing that the facts of this case gave rise to multiple occurrences: the bodily injury to the two shooting victims and the emotional distress suffered by the victims’ four parents. They argue in the alternative that each negligent act or omission by Kevin and his parents that led up to the shooting was a separate occurrence.
III. STANDARD OF REVIEW
“We review the grant of a summary judgment motion de novo, affirming if thе record presents no genuine issue of material fact and if the movant is entitled to judgment as a matter of law.”2 In making this assessment, we draw all reasonable inferences in favor of the non-moving party.3 A superior court‘s interpretation of insurance policy language is a matter of law reviewed de novo.4 In this case, the victims’ parents and USAA all moved for summary judgment. We will make all reasonable inferences in favor of the opposing party when evaluating each party‘s arguments in support of summary judgment.
IV. DISCUSSION
A. The Michauds’ Liability Insurance Policy Provided A Single Per-Occurrence Limit Of $300,000.
When interpreting insurance policies, we look to the language of the disputed provisions, other provisions in the policy, extrinsic evidence, and case law interpreting similar provisions.5 Insurance policies are construed in such a way as to honor the reasonable expectations of a layperson seeking coverage.6 Ambiguities will be construed most favorably to the insured.7 Policy language is ambiguous when it is susceptible to two or more reasonable interprеtations.8 Absent ambiguity, we will still rule in favor of coverage if that is the only way to effectuate the insureds’ objectively reasonable expectations, even though “painstaking study of the policy provisions would have negated those expectations.”9
This unambiguous language plainly precludes the result the parents seek here: a multiplication of the limit of liability by “the number of insureds.” We have found no case in which a court faced with the same policy language applied a separate per-occurrence policy limit to each insured, though courts have declined to do so. In a case involving an automobile policy, Folkman v. Quamme, 264 Wis. 2d 617, 665 N.W.2d 857, 870-72 (2003), the Supreme Court of Wisconsin rejected the argument that an “each occurrence” limit applied to each insured.10 It observed that the liability provision at issue was not ambiguous—the insureds “must add the words ‘for each insured’ to the endorsement for it to acquire the meaning they offer“—and that under the insureds’ analysis the insurer “could never be certain what its total liability would be,” giving as an example
The parents argue that USAA‘s reading of the policy is contradicted, or аt least made ambiguous, by three of the policy‘s provisions. First, they rely on the “Personal Liability” provision of the Liability Coverages section, arguing that the word “personal” implies that the coverage limit applies separately to each individual insured rather than to the insureds as a group. But the phrase “Personal Liability” simply describes the type of coverage that the liability section provides—for damages in tort for which an insured can be held personally liable;12 it does not purport to expand that coverage or to define its dollar limits.
Second, the parents rely on the sentence in the coverage provision that commits USAA to “pay up to [its] limit of liability for the damages for which the insured is legally liable.” The parents contend that this sentence, with its use of “the insured” in the singular, again implies that the full limit of liability is available for the damages assessed against each individual insured. We find this argument unconvincing given that the commitment to “pay” in this sentence is expressly qualified by the limit of liability, plainly stated elsewhere in the policy to be a single, per-occurrencе limit.
Finally, the parents argue that the policy‘s severability clause supports their reading. Captioned “Severability of Insurance,” the clause provides: “This insurance applies separately to each insured. This condition will not increase our limit of liability for any one occurrence.” (Emphasis added.) Severability clauses are generally interpreted to mean that a policy‘s exclusions and conditions apply separately to each insured;13 for example, the activity of one
As for extrinsic evidence, the parents do not point to any that could support a finding
B. There Was A Single Occurrence.
The parties also disagree on the number of occurrences: USAA claims there was one because there was a single gunshot, and the parents assert that there were at least six because there were six injured victims (the two children and their four parents). The Michauds’ insurance policy de-
The parents present two separate theories in support of a finding of multiple occurrences. First they argue that each act of negligence that enabled Kevin to shoot his friends should be counted as a separate occurrence; this would include not only his own negligent handling of the gun but also each negligent act of his parents in failing to secure their firearms and supervise their son‘s activities. But under our case law it is the unforeseen event, not every act of negligence preceding it, that constitutes the accident or occurrence for purposes of insurance coverage. In Fejes v. Alaska Insurance Co., a contractor sought indemnity from his general liability insurer for damages caused by a subcontractor‘s negligent installation of a septic system.18 The insurer arguеd that there had been no “occurrence” because the negligent installation was not an accident.19 The contractor focused instead on the results, arguing that there was an “occurrence” when the septic system was destroyed.20 We found that the contractor had the better of the argument and held that the accident was
In Makarka ex rel. Makarka v. Great American Insurance Co., a driver ran a red light and struck another car, killing three passengers and injuring two.22 The victims and their survivors sued the mechаnic who had earlier worked on the driver‘s brakes and allegedly failed to repair them.23 The mechanic‘s insurer contended that there was no coverage because its policy had been cancelled before the driver ran the red light and killed the victims; the plaintiffs countered that coverage was triggered when the mechanic performed his negligent work, which was during the policy period.24
Noting that the policy at issue was an “occurrence” policy, we observed that “[s]uch policies provide coveragе that is based on accidents or events that happen while the policy is in force.”25 We referred approvingly to a statement of the California Court of Appeal that “the time of the occurrence of an accident within the meaning of an indemnity policy is not the time the wrongful act was committed, but the time when the complaining party was actually damaged.”26 While this is sometimes referred to as a “general rule,” we noted in Makarka that it is actually “a restatement of the terms of most occurrence-based liability insurance рolicies,” which are “triggered by bodily injury or property damage for which legal damages are due.”27 We concluded that “the proper moment to measure whether coverage is in force is the moment the person seeking damages was injured.”28 The USAA policy at issue here, while worded somewhat differently than the policy at issue in Makarka, is also an occurrence-based policy that is triggered by injury occurring during the policy period;
In accord is an insurance treatise we have cited before for its definition of the term “accident:”30 “The word ‘accident’ implies a misfortune with concomitant damage to a victim, and not the negligence which eventually results in that misfortune.”31 The rule was applied by the Floridа Supreme Court in a gunshot case with similarities to this one. In Koikos v. Travelers Insurance Co., 849 So. 2d 263, 265 (Fla. 2003), two shooting victims sued the owner of a restaurant, Koikos, alleging a negligent failure of security.32 The gunman had fired two bullets, each one hitting a different victim.33 Although a single negligent omission was alleged on the part of the restaurant—the failure to maintain adequate security—the court ruled that there were two occurrences, one for each gunshot causing injury.34 The court explained:
It is the act that causes the damage, which is neither expected nor intended from the standpoint of the insured, that constitutes the “occurrence.” The insured‘s alleged negligence is not the “occurrence“; the insured‘s alleged negligence is the basis upon which the insured is being sued by the injured party....
... The accident—the event that was neither expected nor intended from Koikos‘s standpoint—was the shooting incident and not Koikos‘s own failure to provide security. Although Koikos‘s alleged negligence
in failing to provide security is the basis for which liability is sought to be imposed, it was the shooting that gave rise to the injuries that were neither expected nor intended from the insured‘s standpoint.35
Here, similarly, it was not the Michauds’ alleged failure to secure their firearms, nor their alleged failure to supervise their son, that constituted the event that was “unforeseen and unexpected”36 from their standpoint as insureds; rather, it was “the shooting that gave rise to the injuries” that was “unforeseen and unexpected” and therefore, from their perspective, was the accident. The analysis is the same as it was in Koikos, though the mathematics are different. Here there may have been multiple acts of negligence, but it was a single gunshot that caused the plaintiffs’ damages. The single gunshot was the one occurrence for purposes of liability coverage.
The parents argue separately that there were six occurrences because there were six discrete injuries: the single bullet struck both Chase and Aidan, which in turn caused emotional distress to all four parents. The parents urge us to adopt what is sometimes called the “effects” test, under which the number of occurrences is determined by the number of injuries caused. This test, however, is inconsistent with the plain languаge of the USAA policy, which, as discussed above, states that the limit of liability “as shown in the Declarations ... is the same regardless of the number of insureds, claims made or persons injured.”
In any event, a majority of courts that have considered the effects test as a way to determine the number of occurrences have rejected it as unworkable for that purpose.37
Courts have correctly observed that the test renders insurers’ liability both unpredictable and limitless, since any one event can cause many injuries to many peoplе.38 A negligently caused explosion, for example, can injure one person or kill a hundred; it can damage one home or devastate a city block. The insurer attempting to underwrite the risk posed by the many potential effects of a single negligent act has no way to estimate its exposure and responsibly calculate its premiums. In Koikos, the court rejected the effects test under facts similar to those here, holding that the proper measure of occurrences was the number of gunshots, not the number of victims.39 We reject the effects test here as a basis for calculating the number of occurrences, and we therefore reject the parents’ argument that this single gunshot constitutes as many as six different occurrences.
Finally, we believe that the rules we apply above conform to the reasonable expectations of an insured who is reading an occurrence-based policy like the one at issue here, in which “occurrence” is defined as an “accident” resulting in “bodily injury.” We consider it unlikely that the ordinary insured who hears of an accident in the home, in the workplace, or on the highway will mentally convert that single event into some other number of accidents depending on the number of negligent acts and omissions that led up to it, or on the number of persons who were injured as a result. There was a single accident in this case—the unforeseen and unexpected firing of the single gunshot that caused all of the plaintiffs’ injuries—and therefore a single occurrence for purposes of liability coverage under the USAA policy.
V. CONCLUSION
We REVERSE the superior court‘s summary judgment ordеr and REMAND for proceedings consistent with this opinion.
WINFREE, Justice, not participating.
