This case concerns questions of coverage under two homeowners insurance policies. In regard to the first policy we hold that the insured did not sustain a covered loss during the effective coverage period. In regard to the second homeowners policy we hold that questions of fact exist concerning whether the policy had taken effect at the time of loss and whether an insured peril was the efficient proximate cause of the loss. The trial court's grant of summary judgment for the insurer is reversed and the case remanded for further proceedings to be conducted in accordance with this opinion.
*808 Facts
In October 1979, Lawrence Villella purchased a new home on a hillside in Everett, Washington, from David A. Titus Construction. Villella borrowed $72,400 from Pioneer First Federal Savings and Loan Association to finance the purchase. Villella obtained a Public Employees Mutual Insurance Company (Perneo) homeowners policy, [¶] 094771 (policy No. 1), through Warnock Insurance on October 20, 1979.
In relevant part, policy No. 1 provided that Perneo would "insure for all risks of physical loss to the [insured dwelling] . . . except . . . losses excluded under Section 1— Exclusions ..." The exclusion provides that Perneo does "not cover losses resulting directly or indirectly from: . . . Earth Movement." Policy No. 1 further provides that that coverage applies only to property damage which occurs during the policy period.
Villella lived in the residence until 1982, when he moved to Texas. While in Texas, Villella leased the residence with the assistance of his mother. Villella claims that he wanted to delete the contents coverage of policy No. 1 while the house was leased, and that he had his mother contact the Warnock Insurance Agency for this purpose. The Warnocks and Perneo contend that Villella actually had his mother contact the agency in order to cancel the policy and substitute a less expensive fire policy. In any event, on August 26, 1982, policy No. 1 was terminated, and Perneo issued a policy providing coverage for loss by fire. (This policy is not involved in the present dispute.)
Villella's tenant moved out, and Villella did not succeed in leasing the house again. On November 5, 1983, Perneo sent notice to Villella that the fire policy would be canceled effective December 5, 1983, because there was no tenant in the house.
On November 20, 1983, Villella's house was damaged. Villella claims that Titus Construction had negligently failed to install a proper drainage system, and that this negligence set in motion a continuous process of soil desta *809 bilization which eventually resulted in the inability of the soil under his house to sustain the foundation or the house itself. The Warnocks and Pemco counter that the house was damaged by "earth movement." In either case, on November 20, 1983, the uphill side of the foundation dropped about 8 inches in relation to the downhill side, causing extensive damage to the residence.
On November 23, 1983, a Pemco insurance adjuster examined the house and told Villella that the loss was not covered by the fire policy then in effect. On December 5, 1983, that policy was canceled.
In the meantime, Villella claims, he contacted the War-nock Agency when he learned about the cancellation notice on the fire policy. He claims that the agency assured him that it would obtain a new homeowners policy from Pemco which would be effective November 11, 1983. The agency denies this claim, and asserts that the new policy (policy No. 2) went into effect on December 6, 1983. The agency notes that the application form provided that policy No. 2 would be placed in force as of December 6, 1983.
Policy No. 2 contained, in relevant part, the following "earth movement" exclusion (found in a policy endorsement):
We do not cover loss resulting directly or indirectly from:
2. Earth Movement. Meaning any loss caused by, resulting from, contributed to or aggravated by:
a. earthquake, landslide, mudflow, earth sinking, rising or shifting . . .
Supplemental Clerk's Papers, at 9; Second Supplemental Clerk's Papers, at 89.
Despite the damage to the house, Villella continued to live there until April 1984. He refused, however, to make payments to Pioneer; Pioneer therefore held a nonjudicial foreclosure sale on its deed of trust.
Villella brought this suit against Pemco, the Warnock Agency and its individual members, the estate of David A. *810 Titus, and the City of Everett. 1 Villella claimed, among other things, that policy No. 1 covered the loss because Titus' (alleged) negligence was, during the policy period, a covered act which set in motion a continuous sequence of events culminating in the damage to the house. He claimed that policy No. 2 also covered the loss due to the (alleged) representation by the Warnock Agency that the effective date of this policy was November 11,1983.
Perneo moved for summary judgment, arguing that there was no coverage under policy No. 1 because there was no loss during the policy period. Perneo further argued that there was no coverage under either policy because the "earth movement" exclusionary clauses in the policies validly excluded the loss from coverage. The Warnocks also moved for summary judgment, contending that, if neither Perneo policy covered the loss, any breach by the Warnocks of any duty owed to Villella could not have been the proximate cause of any loss to Villella. Villella filed a cross motion for summary judgment.
The trial court decided that policy No. 1 did not cover the loss because of the exclusionary clause, and that, even assuming that policy No. 2 was in effect on November 20, 1983, the "earth movement" exclusionary clause in policy No. 2 also precluded coverage. The trial court expressly did not reach the issue of whether there was a loss within the policy period covered by policy No. 1.
Policy No. 1: Time of Loss
Perneo contends that because policy No. 1 was in effect only between October 26, 1979 and August 26, 1982, the damage sustained by Villella's residence on November 20, 1983 was not a loss within the policy period. Villella argues that the alleged negligent installation of the drainage system and subsequent destabilization of the soil triggered insurance coverage during the effective period of policy No. 1 and thus provides coverage for the subsequently mani *811 fested damage to the residence.
The first homeowners policy provides coverage only for "losses" occurring during the policy period. The policy insures against loss or physical damage to the dwelling. Although Villella's retained experts believe that improper provisions for drainage in the original construction of the residence contributed to the damage, they confirm that the residence was not damaged prior to November 20, 1983. Nevertheless, Villella argues that the policy covers the loss. He contends that the events leading to the damage were an ongoing process, part of which occurred during the time the first homeowners policy was in effect. Because the alleged soil destabilization occurred during the policy period, Villella claims that the policy covers the subsequent damage to the house.
In support of the proposition that coverage is provided by the first homeowners policy, Villella relies on
Gruol Constr. Co. v. Insurance Co. of North Am., 11
Wn. App. 632,
The Gruol case is distinguishable from this case, both factually and legally. Gruol involved an undiscovered progressively worsening condition of dry rot. The actual damage to the building was initiated at the time of construction and continued throughout the time that each of the three insurers provided coverage. The damage to the structure was a continuous process which increased with time. Gruol, at 636. Moreover, the structure was damaged by dry rot during each policy period. If at any point the dry rot had been discovered, the insured could have forced the insurer to pay for the damages.
The facts in this case are different. There was no "continuing process" of damage to the plaintiff's residence. The residence itself sustained no damage prior to November 20, 1983. Consequently there was no damage to the house dur *812 ing the period of October 25,1979 to August 26,1982, when the homeowners policy was in effect. Mr. Villella could not have filed a claim during the policy period, as the Gruol plaintiff could have done, because there was no compensa-ble damage during the policy period.
The requirement that damage occur during the policy period is borne out by subsequent decisions construing
Gruol.
In
Swift v. American Home Assur. Co.,
The damage in Gruol began with the negligent act and continued to increase in seriousness until discovered. Here, however, the damage did not occur until the parsonage burned and the Church recovered against the plaintiff.
Swift,
at 780. More recently, in
Castle & Cook, Inc. v. Great Am. Ins. Co.,
Villella's reliance on
California Union Ins. Co. v. Landmark Ins. Co.,
Villella also relies on a "triple trigger" theory in support of his contention that an ongoing process, part of which
*813
occurred during policy coverage, provides coverage for a subsequent loss. The "triple trigger" theory was adopted in
Keene Corp. v. Insurance Co. of North Am.,
In Forty-Eight Insulations, the court referred to the similarities between the triple trigger theory and the Gruol continuing damage theory of property insurance:
There is yet another line of cases relating to property insurance. Under these cases, latent defects in property which later cause damage do not trigger insurance coverage. See Maples v. Aetna Casualty & Surety Co.,83 Cal.App.3d 641 ,148 Cal.Rptr. 80 (1978); Tijsseling v. Gen'l Accident Fire & Life Assur. Corp.,55 Cal.App.3d 623 ,127 Cal.Rptr. 681 (1976); Remmer v. Glens Falls Indemnity Co.,140 Cal.App.2d 84 ,295 P.2d 19 (1956). In these cases, insurance coverage did not begin until the *814 defect showed itself. However, in each of these cases, no damage or injury of any kind took place until manifestation.
However, when courts are dealing with property damage situations where damages slowly accumulate, courts have generally applied the exposure theory. So long as there is tangible damage, even if minute, courts have allowed coverage from that time. Gruol Constr. Co. v. Ins. Co. of N. America,11 Wash.App. 632 ,524 P.2d 427 (1974).
(Some citations omitted. Some italics ours.) Forty-Eight Insulations, at 1222 n.18.
All of the aforementioned decisions which address triggering of insurance coverage, under either the continuous damage theory or the triple trigger theory, require that the insured sustain a covered injury or loss, however minute, during the effective period of the policy. In the instant case, Villella simply did not sustain a covered loss during the coverage period of policy No. 1.
Policy No. 2: Earth Movement Exclusion
Villella contends that the second homeowners policy became effective prior to the date his residence sustained the damage. The Warnock Insurance Agency and Perneo contend that the policy did not become effective until December 6, 1983, after the loss had been sustained. The trial court, appropriately, did not resolve this factual question on motion for summary judgment. The trial court held however that, even assuming that policy No. 2 was in effect on November 20, 1983, the "earth movement" exclusionary clause precluded coverage. Villella contends that the earth movement exclusion clause does not exclude the loss because earth movement was not the predominant or efficient cause of the loss.
Recently, this court applied an "efficient proximate cause" analysis in determining coverage under all risk homeowners insurance policies which contained earth movement exclusion clauses.
Graham v. Public Employees Mut. Ins. Co.,
This court first agreed with the trial court that whether the movement of Mount St. Helens was an "explosion" within the terms of the policies was a factual issue to be decided by the jury. If the jury determined that the eruption was an explosion resulting from earth movement, then the question would he whether the loss to the properties was a direct result of the eruption. Graham, at 536. If so, then the explosion exception to the exclusion would apply and coverage would be provided.
In addressing whether the loss was a direct result of the eruption, this court held that
[w]here a peril specifically insured against sets other causes in motion which, in an unbroken sequence and connection between the act and final loss, produce the result for which recovery is sought, the insured peril is regarded as the "proximate cause" of the entire loss.
It is the efficient or predominant cause which sets into motion the chain of events producing the loss which is regarded as the proximate cause, not necessarily the last act in a chain of events.
(Citations omitted.)
Graham,
at 538. Stated in another fashion, where an insured risk itself sets into operation a chain of causation in which the last step may have been an excepted risk, the excepted risk will not defeat recovery. 5 J. Appleman,
Insurance
§ 3083, at 311 (1970); 18 R. Anderson,
Couch on Insurance
§ 74:711, at 1020-22 (2d ed. 1983). This established insurance law principle of proximate cause is the rule in a majority of jurisdictions.
See Standard Elec. Supply Co. v. Norfolk & Dedham Mut.
*816
Fire Ins. Co.,
1 Mass. App. 762, 765-66,
Like this court in
Graham,
the California courts have applied an "efficient proximate cause" analysis in determining coverage under insurance policies which contain clauses excluding certain risks or perils. The basis of these decisions is that where there is one cause which sets other causes in motion, there is coverage for the loss if the cause which set the others in motion is an included risk under the terms of the policy. This is so even though there might be an excluded risk which also contributed to the loss or damage.
Farmers Ins. Exch. v. Adams,
Similar to the instant action, Sabella concerned an action by property owners against their insurer for recovery under a policy insuring against all physical loss. Among other things, the policy excluded loss by settling, cracking and shrinkage. The home in Sabella had been built upon filled land. Although the builder was an experienced contractor, he failed to discover the filled nature of the ground or to have tests performed upon the land which might reveal the soil conditions. As a result of the builder's negligence, the sewer line developed a leak and waste water infiltrated the *817 unstable soil causing subsidence damage to the insureds' house. The trial court concluded that the insurer was exempt from liability because the cause of the loss was "settling," an excluded risk. The Supreme Court reversed, holding there was coverage because the rupture of the sewer line, attributable to the negligence of a third party, rather than settling, was the efficient proximate cause of the loss. Sabella, at 30-34.
Despite the fact that an insured peril may have been the efficient proximate cause of Villella's loss, Perneo contends that the earth movement exclusion contained in policy No. 2 precludes recovery. This argument is premised on the definition of earth movement exclusion as any loss contributed to or aggravated by earth sinking, rising, or shifting. Thus, Perneo argues that if earth movement contributed to the loss, regardless how slight in degree, coverage is precluded.
This same argument has been raised and rejected in those jurisdictions which have adopted the "efficient proximate cause" rule of insurance coverage. In
Sauer v. General Ins. Co. of Am., 225
Cal. App. 2d 275,
The insurer in
Premier Ins. Co. v. Welch,
Finally, in
Farmers Ins. Exch. v. Adams,
We find this authority persuasive. Here, Villella contends that the building contractor was negligent in failing to provide proper drainage around the house, and that this negligent act is the predominant or efficient proximate cause which set in motion the chain of events which produced the damage sustained by the house. This chain of events allegedly was initiated when the improperly constructed drainage system failed to channel rain and groundwater away from the residence. As a result, the soil around the foundation of the home became saturated and unstable and ultimately shifted causing the damage to the home. Although shifting of the soil (earth movement) contributed to or aggravated the loss, the alleged efficient proximate cause of the loss was the purported negligently constructed drainage system.
If the fact finder finds policy No. 2 was in effect at the time of the loss, factual questions remain as to whether an alleged negligently constructed drainage system (a covered peril) was the efficient proximate cause of the loss. If so, the earth movement exclusionary clause would not exclude coverage.
Attorney Fees
The final issue is whether Perneo violated the Consumer Protection Act, RCW 19.86, by denying coverage to Villella.
Villella alleges that Perneo, by denying coverage without conducting a reasonable investigation, engaged in unfair or deceptive conduct as defined in WAC 284-30-330. Villella seeks attorney fees under RCW 19.86.090, claiming that *820 Pemco's conduct in violation of WAC 284-30-330 is a per se violation of the Consumer Protection Act.
A per se unfair trade practice exists when a statute has been violated and such violation has been declared by the Legislature to constitute an unfair or deceptive act in trade or commerce.
Hangman Ridge Training Stables, Inc. v. Safeco Title Ins. Co.,
The following are hereby defined as unfair methods of competition and unfair or deceptive acts or practices in the business of insurance:
(4) Refusing to pay claims without conducting a reasonable investigation.
As indicated in Strong, however,
WAC 284-30-300 states that the purpose of the regulation is to define certain minimum standards which, if violated with such frequency as to indicate a general business practice, will be deemed to constitute unfair claims settlement practices. In light of WAC 284-30-300, it is unclear whether a single instance of the conduct defined in WAC 284-30-330 amounts to a violation of RCW 48.30.010(1), and thereby a per se violation of the CPA.
(Some italics ours.) Strong, at 676. We find it unnecessary to determine whether a single violation of WAC 284-30-330 amounts to a violation of RCW 48.30.010(1), and thereby a per se violation of the Consumer Protection Act.
WAC 284-30-330 states that it is an unfair practice to refuse to pay claims without conducting a reasonable *821 investigation. We find that Pemco conducted a reasonable investigation under the circumstances of this action.
On November 23, 1983, the Pemco insurance adjuster examined the house. He concluded that the loss was not covered by the fire policy then in effect. It is not contended that the investigation was unreasonable under the fire policy, but that the investigation was unreasonable under the provisions of the second homeowners policy.
As previously indicated, questions of fact exist as to whether the second homeowners policy was in effect at the time of loss. Although Villella asserts that he was assured that the second homeowners policy would be effective on November 11, 1983, the application form providing for the second policy indicates that coverage would be placed in force as of December 6, 1983.
An insurance company violates the Consumer Protection Act if it acts without reasonable justification in handling a claim by its insured.
Safeco Ins. Co. of Am. v. JMG Restaurants, Inc.,
It appears that the investigation conducted by the Pemco adjuster was done with reasonable justification that the claim was being pursued under the fire insurance policy. Under these circumstances we find no violation of the Consumer Protection Act which would support an award of attorneys' fees.
Conclusion
We affirm in part, reverse in part. In regard to the first homeowners policy we hold that the insured did not sustain a covered loss during the effective coverage period. In *822 regard to the second homeowners policy we hold that there exist questions of fact concerning whether coverage existed at the time of the loss and whether an insured peril was the efficient proximate cause of the loss.
We hold that the insured has failed to establish a violation of the Consumer Protection Act which would warrant an award of attorney fees.
The trial court's grant of summary judgment for the insurer is reversed and the case remanded for further proceedings to be conducted in accordance with the provisions of this opinion.
Dolliver, C.J., and Utter, Brachtenbach, Pearson, Callow, Goodloe, and Durham, JJ., concur.
Andersen, J., concurs in the result.
Notes
Villella filed a separate lawsuit against Pioneer.
