Dabney v. Augusta Mut. Ins. Co.

710 S.E.2d 726, 282 Va. 78, 2011 Va. LEXIS 127
CourtSupreme Court of Virginia
DecidedJune 9, 2011
Docket100841
StatusPublished
Cited by20 cases

This text of 710 S.E.2d 726 (Dabney v. Augusta Mut. Ins. Co.) is published on Counsel Stack Legal Research, covering Supreme Court of Virginia primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Dabney v. Augusta Mut. Ins. Co., 710 S.E.2d 726, 282 Va. 78, 2011 Va. LEXIS 127 (Va. 2011).

Opinion

710 S.E.2d 726 (2011)
282 Va. 78

Pauline DABNEY
v.
AUGUSTA MUTUAL INSURANCE COMPANY, et al.

Record No. 100841.

Supreme Court of Virginia.

June 9, 2011.

*727 Frank K. Friedman (Erin B. Ashwell; Michael A. Cleary; Woods Rogers, on brief), Roanoke, for appellant.

Humes J. Franklin, III (Daniel L. Fitch; Wharton Aldhizer & Weaver, on brief), Harrisonburg, for appellee Augusta Mutual Insurance Company.

No brief filed by appellee Thelma Jenkins, Administratix of the Estate of Elease Y. Otey.

Present: KINSER, C.J., LEMONS, GOODWYN, MILLETTE, and MIMS, JJ., and RUSSELL and LACY, S.JJ.

*728 Opinion by Justice LEROY F. MILLETTE, JR.

In this appeal, we consider two issues. First, whether the circuit court erred in barring the jury from considering whether an insurer discovered a claim under an insured's policy in early 2005 when the plaintiff's amended complaint only alleged that the insurer discovered the claim in 2004. Second, whether the circuit court erred in ruling as a matter of law that an insured's notice of a claim to its insurer was not made "as soon as is practical," as required by the insurance policy.

I. BACKGROUND

On April 9, 2002, Pauline Dabney was in her yard when she was approached by two pit bull dogs roaming freely through her neighborhood. The dogs lunged toward her, and she fell while attempting to escape from them. Her shoulder was "knocked . . . out of place" and her arm was broken in three places as a result of the fall.

Shortly after the attack, Dabney sought help from a friend, William D. Adams, who attempted to locate the owner of the dogs. After investigating for a few months, Adams finally discovered that the dogs lived at the home of Elease Otey. Otey, however, had died a few weeks earlier. In July 2002, Adams went to Otey's house and spoke with Dwight Reynolds, Otey's former boyfriend, who owned the dogs. Adams confirmed that Reynolds' dogs were the dogs that attacked Dabney.

In November 2002, Thelma Jenkins, Otey's mother and housemate, qualified as the administrator of Otey's estate. At the time of the attack, Otey held an insurance policy (the Augusta policy) issued by Augusta Mutual Insurance Company (Augusta). Jenkins did not discover the Augusta policy until March 2003, when she made a claim under the policy for damages resulting from a house fire. The Augusta policy was cancelled shortly thereafter.

The Augusta policy, which was in effect at the time of Dabney's injury, provides that, as a condition of coverage, "[i]n case of an accident or `occurrence,' the `insured'" must "[g]ive written notice to us or our agent as soon as is practical." The policy also requires that the insured "[p]romptly forward to us every notice, demand, summons or other process relating to the accident or `occurrence.'"[1]

In June 2003, Dabney filed a motion for judgment against Reynolds and Jenkins, as the administrator of Otey's estate, seeking damages for the injuries Dabney sustained in the attack. Jenkins was served in August 2003 and retained a lawyer, Lance Hale, to represent her. On May 5, 2004, Hale sent a letter to Augusta notifying Augusta of Dabney's lawsuit. Hale sent the letter to the address provided in the Augusta policy, but Augusta had moved before the letter was sent and had not notified Otey or Jenkins of its change of address. Hale received no response from Augusta, and the letter was not returned to his office.

On January 18, 2005, Dabney's friend Adams contacted Augusta on Dabney's behalf, and spoke with a representative in the claims department. Adams told the representative about the lawsuit and faxed the May 2004 letter sent by Hale, which the representative said Augusta had not received.

On April 6, 2005, Dabney's counsel, Randy Cargill, in an attempt to settle the claim, sent Augusta a letter, which included Dabney's medical records documenting her injuries. By April 15, Augusta had created an internal office memorandum that contained a narrative of the attack.

On May 13, 2005, Cargill sent Augusta copies of the pleadings in Dabney's personal injury action. On June 20, 2005, Augusta notified Cargill that it would not provide coverage based on the insured's (Jenkins') alleged failure to timely notify Augusta of the claim.

In March 2006, Dabney filed a separate action for declaratory relief against Augusta and Jenkins in her capacity as administrator of Otey's estate. Dabney sought a declaration *729 that Augusta had a duty to defend and indemnify Otey's estate against the claims alleged by Dabney in her motion for judgment. In 2008, the underlying personal injury action settled. Jenkins confessed judgment for $78,000 and assigned to Dabney the estate's claims against Augusta.

Before trial, Augusta filed a motion for summary judgment. Augusta argued that it had no duty to defend or indemnify Otey's estate because Jenkins breached the terms of the Augusta policy by failing to provide Augusta with timely written notice of Dabney's injury and subsequent claim. Dabney responded that whether Jenkins gave timely written notice of Dabney's claim to Augusta was a matter that must be determined by the trier of fact. Dabney also asserted that Augusta waived its right to deny Dabney's claim due to the insured's failure to provide timely notice. According to Dabney, when Augusta failed to provide her or her counsel timely notice of its intention to rely on a defense of Jenkins' alleged breach of the policy, as required by Code § 38.2-2226,[2] Augusta waived its defense based on that breach. The circuit court denied Augusta's motion.

Thereafter, the circuit court, over Augusta's objection, granted Dabney leave to file an amended complaint, which added the following language: "The June 2005 notice by defendant Augusta Mutual was untimely and its failure to timely determine the question of coverage for the Otey Estate acts as a waiver of any right it may have to deny coverage." The amended complaint also stated that Jenkins provided Augusta with the required timely notice of a claim through Hale's May 2004 letter to Augusta. The amended complaint did not allege any other act as constituting notice to Augusta of Dabney's injuries and subsequent claim.

At trial, Augusta made a motion to strike at the close of Dabney's evidence. Augusta first argued that the evidence showed that Jenkins did not notify Augusta of Dabney's claim until Hale's May 2004 letter—254 days after service of Dabney's personal injury action pleading was effected upon Jenkins, on August 26, 2003. Augusta asserted that this was a clear breach of the Augusta policy, which requires the insured to give written notice "as soon as [is] practical." Given the length of the delay, Augusta argued that Jenkins' notice was unreasonable as a matter of law.

Second, Augusta addressed Dabney's claim that Augusta waived its defense of lack of timely notice, pursuant to Code § 38.2-2226, by not notifying Dabney of its intent to rely on the defense of Jenkins' breach of the Augusta policy within 45 days of receiving the allegedly untimely notice of the claim from Jenkins. Although the evidence showed that Augusta received information regarding Dabney's personal injury action in January and April 2005, Augusta argued that the jury should not be allowed to consider this evidence because Dabney's amended complaint did not allege that Augusta received notice of Dabney's claim in 2005. According to Augusta, Dabney's amended complaint only alleged that Jenkins provided notice to Augusta in May 2004.

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Cite This Page — Counsel Stack

Bluebook (online)
710 S.E.2d 726, 282 Va. 78, 2011 Va. LEXIS 127, Counsel Stack Legal Research, https://law.counselstack.com/opinion/dabney-v-augusta-mut-ins-co-va-2011.