Atlantic Mutual Insurance v. Roffe, Inc.

872 P.2d 536, 73 Wash. App. 858, 4 Am. Disabilities Cas. (BNA) 1411, 1994 Wash. App. LEXIS 182
CourtCourt of Appeals of Washington
DecidedApril 4, 1994
Docket32927-8-I
StatusPublished
Cited by17 cases

This text of 872 P.2d 536 (Atlantic Mutual Insurance v. Roffe, Inc.) is published on Counsel Stack Legal Research, covering Court of Appeals of Washington primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Atlantic Mutual Insurance v. Roffe, Inc., 872 P.2d 536, 73 Wash. App. 858, 4 Am. Disabilities Cas. (BNA) 1411, 1994 Wash. App. LEXIS 182 (Wash. Ct. App. 1994).

Opinion

Coleman, J.

— Roffe, Inc., appeals the trial court’s order of summary judgment, arguing that under the parties’ insurance agreement, Atlantic Mutual Insurance Company was required to defend and indemnify Roffe against a former employee’s claims of employment discrimination. We affirm.

Donald Ragsdale began working for Roffe, Inc., as a sewing machine mechanic in July 1987. In April 1991, Roffe terminated Ragsdale’s employment. On May 7,1992, Ragsdale filed a complaint against Roffe, alleging that Roffe (1) failed or refused to accommodate his handicap, (2) wrongfully terminated his employment in retaliation for his physicians’ *860 requests that he be relocated, (3) wrongfully terminated him because of his handicap, and (4) committed the tort of outrage by deliberately refusing to accommodate his handicap.

Shortly after the complaint was filed, RofFe tendered the suit to its insurer, Atlantic Mutual, claiming that Atlantic Mutual was obligated to provide for Roffe’s defense and pay any judgment entered in the action. The relevant parts of Roffe’s insurance policy with Atlantic Mutual provided as follows:

COMMERCIAL GENERAL LIABILITY COVERAGE FORM

SECTION I — COVERAGES

COVERAGE A. BODILY INJURY AND PROPERTY DAMAGE LIABILITY

1. Insuring Agreement

a. We will pay those sums that the insured becomes legally obligated to pay as damages because of "bodily injury” or "property damage” to which this insurance applies. No other obligation or liability to pay sums or perform acts or services is covered unless explicitly provided for under SUPPLEMEN-' TARY PAYMENTS — COVERAGES A AND B. This insurance applies only to "bodily injury” and "property damage” which occurs during the policy period. The "bodily injury” or "property damage” must be caused by an "occurrence.” The' "occurrence” must take place in the "coverage territory.” We will have the right and duty to defend any "suit” seeking those damages.

b. Damages because of "bodily injury” include damages claimed by any person or organization for care, loss of services, or death resulting at any time from the "bodily injury.”

2. Exclusions . . .

This insurance does not apply to:

a. "Bodily injury” or "property damage” expected or intended from the standpoint of the insured. . . .

e. [see stop gap endorsement below]

In addition to these general provisions, Roffe’s policy had a "Stop Gap Employers Liability Endorsement”, which provided added coverage as follows:

*861 1. INSURING AGREEMENT.

A. WE WILL PAY THOSE SUMS THAT YOU BECOME LEGALLY OBLIGATED TO PAY AS DAMAGES BECAUSE OF "BODILY INJURY” OF ANY EMPLOYEE OF YOURS WHO SUSTAINS AN INJURY WHICH ARISES OUT OF AND IN THE COURSE OF HIS EMPLOYMENT[.] THIS INSURANCE APPLIES ONLY TO "BODILY INJURY” WHICH OCCURS DURING THE POLICY PERIOD. THE "BODILY INJURY” MUST BE CAUSED BY AN "OCCURRENCE.” THE "OCCURRENCE” MUST TAKE PLACE IN THE "COVERAGE TERRITORY.” WE WILL HAVE THE RIGHT AND DUTY TO DEFEND ANY "SUIT” SEEKING THOSE DAMAGES. . . .

2. EXCLUSIONS

EXCLUSION 2.E. OF THE COMMERCIAL GENERAL LIABILITY COVERAGE FORM IS REPLACED BY THE FOLLOWING EXCLUSIONS. THIS INSURANCE DOES NOT APPLY TO:

H. ANY INJURY SUSTAINED BECAUSE OF ANY ACT COMMITTED INTENTIONALLY BY YOU OR AT YOUR DIRECTION AND, IF YOU ARE DESIGNATED IN THE DECLARATIONS AS A PARTNERSHIP OR AN ORGANIZATION OTHER THAN A PARTNERSHIP OR JOINT VENTURE, BY ANY EXECUTIVE OFFICER, DIRECTOR, STOCKHOLDER OR PARTNER THEREOF.

EXCLUSION H. SHALL NOT EXCLUDE COVERAGE FOR YOUR LEGAL LIABILITY OTHER THAN BENEFITS OR COMPENSATION PROVIDED FOR UNDER ANY WORKERS’ COMPENSATION ACT, RESULTING FROM THE DELIBERATE, INTENTIONAL ACT OF AN EMPLOYEE OR AGENT (OTHER THAN AN EXECUTIVE OFFICER, DIRECTOR, STOCKHOLDER OR PARTNER) THAT PRODUCE INJURY OR DEATH TO ANOTHER EMPLOYEE WHEN SUCH ACT IS COMMITTED WITHIN THE SCOPE OF EMPLOYMENT.

Atlantic Mutual denied Roffe’s tender of defense, claiming that under the policy it was not obligated to defend Roffe against Ragsdale’s claims. Both Roffe and Atlantic Mutual moved for summary judgment on this issue, and the trial court found in favor of Atlantic Mutual. Roffe appeals.

The sole issue on appeal is whether Atlantic Mutual has a duty to defend Roffe, Inc., against claims of employment discrimination.

In reviewing an order for summary judgment, the appellate court engages in the same inquiry as the lower court. All inferences must be drawn in favor of the nonmov- *862 ing party, and if reasonable minds could differ as to the conclusions to be drawn from the evidence, the judgment was improperly granted. Hontz v. State, 105 Wn.2d 302, 311, 714 P.2d 1176 (1986).

An insurer has a duty to defend when a complaint against its insured alleges facts which, if proved, would render the insurer liable for indemnification of the insured. Viking Ins. Co. v. Hill, 57 Wn. App. 341, 346, 787 P.2d 1385 (1990) (citing Greer v. Northwestern Nat’l Ins. Co., 109 Wn.2d 191, 197, 743 P.2d 1244 (1987)). The complaint should be liberally construed, and if it is subject to an interpretation creating a duty to defend, the insurer must comply with that duty. Prudential Property & Cas. Ins. Co. v. Lawrence, 45 Wn. App. 111, 115, 724 P.2d 418 (1986) (citing Travelers Ins. Cos. v. North Seattle Christian & Missionary Alliance, 32 Wn. App. 836, 840, 650 P.2d 250 (1982)). An insurance company must look beyond the allegations in the complaint only if: "(a) the allegations are in conflict with facts known to or readily ascertainable by the insurer or (b) the allegations of the complaint are ambiguous or inadequate.” E-Z Loader Boat Trailers, Inc. v. Travelers Indem. Co., 106 Wn.2d 901, 908, 726 P.2d 439 (1986).

The insurance policy in the present case states that Atlantic Mutual will pay those sums that Roffe becomes legally obligated to pay as damages because of bodily injury of any employee who sustains an injury which arises out of and in the course of his or her employment. Roffe claims that Atlantic Mutual has a duty to defend because Ragsdale’s complaint alleges bodily injury and emotional distress.

We disagree. Under the policy, the mere fact that injury occurred does not create a duty to defend. The plaintiff’s damages must be "because of’ the bodily injury. Here, however, the complaint alleges damages "because of’ Roffe’s alleged discriminatory actions in response to his bodily injury.

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Cite This Page — Counsel Stack

Bluebook (online)
872 P.2d 536, 73 Wash. App. 858, 4 Am. Disabilities Cas. (BNA) 1411, 1994 Wash. App. LEXIS 182, Counsel Stack Legal Research, https://law.counselstack.com/opinion/atlantic-mutual-insurance-v-roffe-inc-washctapp-1994.