Allstate Ins. Co. v. Simansky

738 A.2d 231, 45 Conn. Super. Ct. 623, 45 Conn. Supp. 623, 1998 Conn. Super. LEXIS 2926
CourtConnecticut Superior Court
DecidedOctober 7, 1998
DocketFile No. CV970570750S
StatusPublished
Cited by16 cases

This text of 738 A.2d 231 (Allstate Ins. Co. v. Simansky) is published on Counsel Stack Legal Research, covering Connecticut Superior Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Allstate Ins. Co. v. Simansky, 738 A.2d 231, 45 Conn. Super. Ct. 623, 45 Conn. Supp. 623, 1998 Conn. Super. LEXIS 2926 (Colo. Ct. App. 1998).

Opinion

This matter arises on the motion for summary judgment filed by the plaintiff, Allstate Insurance Company (Allstate), in its declaratory judgment action against the named defendant Paul Simansky (Simansky), and the intervening defendant, Brendan Smith (Smith). Allstate seeks a ruling that pursuant to a policy coverage exclusion, it owes no duty to indemnify Simansky, its insured, with respect to a claim made against Simansky for personal injuries incurred by Smith. The injuries were incurred during an altercation when Smith was stabbed in the throat with a knife by Simansky. That claim is the subject of a lawsuit brought by Smith against Simansky *Page 624 pending in this court.1 The altercation occurred at the University of Hartford, where both defendant were students.

The relevant underlying facts are not in dispute. Simansky is a person insured under a homeowner's policy of insurance in effect at the time of the subject altercation issued by Allstate in New Jersey to Simansky's parents, who resided in New Jersey. Among other things, the policy provides coverage for accidental loss which an insured person becomes legally obligated to pay as damages resulting from a covered bodily injury or property loss. In the criminal proceeding brought against him for the stabbing, Simansky was convicted of a violation of General Statutes § 53a-59 (a) (3), criminal assault in the first degree, following his plea of nolo contendere.

The issues before this court concern the applicability of a specific policy exclusion. That exclusion, set forth in section II of the policy dealing with "Family Liability Protection," reads: "Losses We Do Not Cover:

"1. We do not cover any bodily injury or property damage which may reasonably be expected to result from the intentional or criminal acts of an insured per son or which are in fact intended by an insured person. "

"It is the function of the court to construe the provisions of the contract of insurance." Gottesman v. Aetna Ins. Co., 177 Conn. 631, 634,418 A.2d 944 (1979). Such interpretation presents a question of law for the court. Aetna Life Casualty Co. v. Bulaong, 218 Conn. 51, 58,588 A.2d 138 (1991). Where the terms of the policy *Page 625 are clear and unambiguous, there is no room for construction. Flint v.Universal Machine Co., 238 Conn. 637, 642, 679 A.2d 929 (1996).

The parties have cited no Connecticut rulings directly on point on the issues incident to this policy exclusion. The court may look for guidance to other jurisdictions, however, where there are a number of relevant cases. These cases, all enforcing this policy exclusion, include the following: Allstate Ins. Co. v. Brown, 16 F.3d 222 (7th Cir. 1994) (Indiana law); Allstate Ins. Co. v. Burrough, 914 F. Sup. 308 (W.D.Ark. 1996); Allstate Ins. Co. v. Dillard, 859 F. Sup. 1501 (M.D.Ga. 1994); and Allstate Ins. Co. v. Schmitt, 238 N.J. Super. 619,570 A.2d 488 (1990).

The terms of the exclusion are clear and unambiguous. The exclusionary conditions are stated in the disjunctive. A distinction is made between (1) bodily injury and property damage which may reasonably be expected to result from an insured's intentional or criminal acts, and (2) such injuries or damage which are in fact intended by the insured. While the condition "or . . . which are in fact intended" requires the subjective or conscious desire of the insured to inflict harm, the condition "which may reasonably be expected" does not. To so require a subjective intent for this condition would render this clause "wholly redundant." AllstateIns. Co. v. Schmitt, supra, 238 N.J. Super. 627. Instead, the standard for this clause is objective, the only requirement being that the resulting harm is a foreseeable consequence of the intentional or (in the present case) criminal act. Allstate Ins. Co. v. Brown, supra, 16 F.3d 225.

Brown applied the exclusion to a conviction for recklessly inflicting serious bodily harm while armed with a handgun. Id., 226. Barnett applied the exclusion to a conviction for criminal recklessness with a deadly *Page 626 weapon. Allstate Ins. Co. v. Barnett, supra, 816 F. Sup. 497. It is not necessary that the insured be criminally charged or convicted, or that he even be susceptible to being so charged or convicted. Burrough andDillard involved criminal acts of insured minors, one (Dillard) being only thirteen years of age. The exclusion is triggered by the commission of a criminal act inflicting foreseeable harm, whether or not the insured is or legally can be charged or convicted therefor.

The basic rule on the effect of a conviction is set forth in Schmitt, as follows: "A judgment of conviction is conclusive evidence of the insured's guilt. No independent examination of the underlying fact should be undertaken in order to ascertain his guilt of the crime. Although a conviction may or may not be conclusive evidence of the underlying facts, it is to be accorded preclusive effect with respect to the insured's commission of the crime." Allstate Ins. Co. v. Schmitt, supra,238 N.J. Super. 633. Schmitt applied the exclusion to a conviction for aggravated assault by "`recklessly caus[ing] bodily injury to another with a deadly weapon. '"2 Id., 621.

In his memorandum in opposition to the plaintiff's motion for summary judgment, Smith contends that this exclusion is void as against public policy on the ground that it denies coverage for criminal acts without regard to mental state. The gist of this proposition is that only crimes which are intentionally committed should qualify for a valid exclusion, for otherwise "victims of unintentional crimes might oppose prosecution for fear of *Page 627 a loss of compensation." Neither defendant has cited any authority in support of this proposition, whether it be case law, statute or regulation, as it may relate to this or any similar policy exclusion. There apparently is none.

Connecticut law has long upheld policy exclusions that have the effect of depriving an innocent victim of the benefit of the tortfeasor's liability insurance. See, e.g., Flint v. Universal Machine Co., supra,238 Conn. 637. Courts in other jurisdictions have considered and rejected this or similar public policy objections to the operation of this policy exclusion. See, e.g., Allstate Ins. Co. v. Brown, supra, 16 F.3d 225;Allstate Ins. Co. v. Burrough,

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Bluebook (online)
738 A.2d 231, 45 Conn. Super. Ct. 623, 45 Conn. Supp. 623, 1998 Conn. Super. LEXIS 2926, Counsel Stack Legal Research, https://law.counselstack.com/opinion/allstate-ins-co-v-simansky-connsuperct-1998.