Cambridge Mutual Fire Insurance v. Perry

1997 ME 94, 692 A.2d 1388, 1997 Me. LEXIS 93
Supreme Judicial Court of Maine·Decided May 5, 1997·Published·Cited by 17 cases

Opinion

CLIFFORD, Justice.

[¶ 1] Virginia Dee Hall appeals from the summary judgment entered in the Superior Court (Lincoln County, McKinley, AR.J.) in favor of Cambridge Mutual Fire Insurance Company (Cambridge). Cambridge’s complaint requested a declaration that it has no obligation to defend or indemnify Joan Perry in connection with a civil action brought by Virginia against Joan and David Perry. (Hall lawsuit). Because we agree with Virginia’s contention that the court erred by finding that Cambridge had no duty to defend or indemnify Joan with respect to the Hall lawsuit, we vacate the judgment.

[¶ 2] Cambridge issued a homeowner’s policy to David and Joan for the period from November 14, 1979, through November 14, 1984. Virginia, age 27, is the natural daughter of Joan and the adopted daughter of *1390 David and has filed a complaint in the Superior Court (Lincoln County) alleging that David sexually abused her between August 1980 and 1984. (Virginia Dee Hall v. Joan Perry and David Perry, CV-93-44). As against Joan, the complaint alleges conduct her part that amounts to negligent failure to protect Virginia from the sexual violations committed by David.

[¶ 3] Joan requested Cambridge to defend her with respect to Virginia’s civil action. Cambridge originally provided defense counsel to Joan but then refused to provide a defense to her. On April 4, 1994, Joan assigned her rights in her insurance contract issued by Cambridge to Virginia. 1 On June 24, 1994, a judgment was entered in the Superior Court by stipulation in the amount of $75,000 against Joan only. 2

[¶ 4] Cambridge filed the within complaint for a declaratory judgment on March 23, 1995, requesting a declaration that it had no duty to defend or indemnify Joan. The parties filed cross-motions for a summary judgment and, following a hearing on September 11, 1996, the court granted a summary judgment in favor of Cambridge. The court concluded that Cambridge had no duty to defend Joan Perry in the Hall lawsuit and had no duty to indemnify Joan Perry with respect to the stipulated judgment. This appeal by Virginia, the assignee of Joan, followed.

I.

[¶ 5] In eases involving the construction of the language of an insurance contract, the meaning of unambiguous language is a question of law. Globe Indem. Co. v. Jordan, 634 A.2d 1279, 1282 (Me.1993). The homeowner’s policy issued to the Perrys provides coverage for personal liability as follows:

If a claim is made or suit is brought against any insured for damages because of bodily injury or property damage to which this coverage applies we will:
a. pay up to our limit of liability for the damage for which the insured is legally hable; and
b. provide a defense at our expense by counsel of your choice.

[¶ 6] Section II — EXCLUSIONS of the policy contains a clause denying coverage for “bodily injury or property damage ... which is expected or intended by the insured.” Virginia contends that Cambridge breached its duty to defend because the complaint alleges negligent conduct on Joan’s part that was not intentional within the policy exclusion for “bodily injury which is expected or intended by the insured.” We agree.

[¶ 7] In Hanover Ins. Co. v. Crocker, 688 A.2d 928 (Me.1997), we addressed whether a policy term excluding personal liability coverage for injuries “either expected or intended from the standpoint of the insured,” barred coverage for the wife of a husband who sexually abused his daughter. In that case, we joined a majority of jurisdictions in noting that “[bjecause injury from negligent acts are considered accidental, ... such injury is not injury expected or intended from the standpoint of [the insured].” Id. at 931 (citation omitted). We also noted that “[p]ublic policy does not prohibit insurance coverage for an insured whose negligence contributed to an injury from sexual abuse.” Id. Nei *1391 ther the policy exclusion nor public policy relieved Hanover of its duty to defend the insured.

[¶ 8] The complaint in this case also alleges conduct that must be characterized as negligent in Joan’s failure to protect Virginia. Because injury from negligent acts is considered accidental, such injury is not injury expected or intended from the standpoint of Joan, who is one of the insured’s pursuant to Cambridge’s policy. Accordingly, the trial court erred in concluding that Cambridge had no duty to defend Joan in the Hall lawsuit.

II.

[¶ 9] Virginia also contends hat the court erred in regard to Cambridge’s duty to indemnify Joan with respect to the stipulated judgment. 3 Virginia argues that because Cambridge breached its duty to defend, Joan was entitled to settle without jeopardizing her right to insurance otherwise available to her. Cambridge contends that it has no duty to indemnify Joan because, in entering into a stipulation for a judgment without its knowledge or consent, she breached a condition of the insurance contract. 4 Even assuming Joan was justified in entering into the stipulated judgment, Cambridge contends that it has no duty to indemnify until the settlement is proven to be reasonable.

[¶ 10] If an insurer refuses to defend an action based on a claim actually within the coverage of the policy on the ground that it is outside the policy’s coverage, such a refusal, even though based on an honest mistake by the insurer, constitutes an unjustified refusal and renders the insurer liable for a breach of the insurance contract. Gates Formed Fibre v. Imperial Casualty & Indem. Co., 702 F.Supp. 343, 346 (D.Me.1988) (citations omitted). Once an insurer breaches its duty to defend, the insured is free to proceed to protect her interests. Id. (citing Ideal Mut. Ins. Co. v. Myers, 789 F.2d 1196, 1200 (5th Cir.1986)). Thus, if an insurer wrongfully refuses to defend an action against the insured, as required by the policy, the insured is entitled to settle without jeopardizing her right to coverage otherwise available to her. Id.

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Cambridge Mutual Fire Insurance v. Perry, 1997 ME 94, 692 A.2d 1388, 1997 Me. LEXIS 93 (Me. 1997).

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