Edelman v. Pacific Employers Insurance

728 A.2d 531, 53 Conn. App. 54, 1999 Conn. App. LEXIS 154
CourtConnecticut Appellate Court
DecidedApril 27, 1999
DocketAC 18011
StatusPublished
Cited by13 cases

This text of 728 A.2d 531 (Edelman v. Pacific Employers Insurance) is published on Counsel Stack Legal Research, covering Connecticut Appellate Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Edelman v. Pacific Employers Insurance, 728 A.2d 531, 53 Conn. App. 54, 1999 Conn. App. LEXIS 154 (Colo. Ct. App. 1999).

Opinion

Opinion

SCHALLER, J.

This appeal arises from the trial court’s order granting the motion for summary judgment filed by the defendant Pacific Employers Insurance Company, hereinafter referred to as the defendant, and the defendant Cigna Property and Casualty Companies1 with respect to a controversy between the defendant and the plaintiff, David W. Edelman, regarding insurance coverage to be provided by the defendant under a policy that it issued. The trial court held that, under the terms of the general commercial liability policy, the defendant owed no duty to defend the underlying lawsuit brought by the plaintiff against the defendant’s insured, Patrick R. Hibbits. On appeal, the plaintiff claims that the trial court improperly determined that Hibbits was not an insured under the policy.2 We affirm the judgment of the trial court.

The following facts and procedural history provide the background necessary to the disposition of this appeal. Hibbits and his wife, Janice B. France, operated [56]*56The Inn at Falls Village, Inc., and resided on the premises. On November 1, 1988, Hibbits became intoxicated on the inn’s premises and assaulted his wife who subsequently called the state police. The plaintiff, a state trooper, was dispatched to aid another trooper in dealing with Hibbits. By the time the troopers arrived, Hib-bits had gone to an upstairs room at the inn. As the troopers approached and told Hibbits that he was under arrest, Hibbits became combative, abusive and violent. Hibbits became increasingly combative as he was being taken to the police cruiser and began to assault the state troopers. Because he continued to be combative even after being placed in the cruiser, the plaintiff attempted to restrain Hibbits’ legs, at which time Hib-bits kicked the plaintiff twice in the head in rapid succession and with great force.

The plaintiff subsequently brought suit against the inn, Hibbits and Hibbits’ wife in three counts. Count one of the complaint alleged that the inn negligently exposed a known alcoholic to alcohol who, in turn, injured the plaintiff. Count two alleged that Hibbits negligently assaulted the plaintiff. The final count alleged that Hibbits and his wife acted negligently in their corporate capacities as officers of the corporation by exposing a known alcoholic to alcohol who, in turn, injured the plaintiff.

Prior to the incident, the defendant had issued a commercial general liability policy to Hibbits and his wife in connection with their conducting the business of the inn. They each demanded a defense pursuant to the policy. The defendant declined to defend on the basis that the acts alleged in the complaint were not covered by the policy because the coverage of the policy was limited to the “conduct of the business” that the insured owned.3 The defendant claimed that Hibbits’ assault on [57]*57the plaintiff was not part of Hibbits’ conducting the business of the inn.

On August 25, 1993, Hibbits and the inn stipulated to a judgment in favor of the plaintiff in the amount of $150,000. As part of the stipulated judgment, Hibbits and the inn agreed to assign whatever rights they might have against the defendant to the plaintiff in exchange for the plaintiff’s agreement not to enforce the stipulated judgment against Hibbits or the inn.

After the defendant failed to satisfy the judgment, the plaintiff brought the present action, pursuant to both General Statutes § 38a-321 and the common law, alleging breach of contract, bad faith, and violations of the Connecticut Unfair Insurance Practices Act, General Statutes § 38a-815 et seq., and the Connecticut Unfair Trade Practices Act, General Statutes § 42-110a et seq. The complaint asserted, inter alia, that the defendant breached its contract of insurance by failing to defend and indemnify Hibbits and the inn. After the pleadings were closed, the defendant moved for summary judgment on all counts of the complaint, claiming that it was not obligated to provide Hibbits or the inn with a defense in the underlying action nor was it obligated to indemnify Hibbits and the inn.

The trial court agreed with the defendant and concluded that (1) counts one and three of the underlying complaint were excluded from coverage under the liability policy’s liquor exclusion, (2) the corporation was not an insured under the policy, (3) count two of the underlying complaint did not state a claim for business related conduct in that Hibbits’ assault on the plaintiff was outside the scope of his business duties and (4) Hibbits’ acts were excluded from coverage under the [58]*58liability policy’s intentional acts exclusion. Because all of the counts of the complaint were derivative of the plaintiffs claim that the defendant breached its duty to defend and indemnify under the policy, the trial court rendered summary judgment in favor of the defendant.

In this appeal, the plaintiff argues that count two of the underlying complaint triggered coverage and the duty to defend and indemnify. Specifically, the plaintiff claims that summary judgment was improperly rendered because the trial court incorrectly determined that Hibbits was not an insured under the policy.4 The plaintiff does not argue with the trial court’s determination that Hibbits was not an insured under the basic policy because the assault on the plaintiff was outside the scope of Hibbits’ business duties.5 Rather, the plaintiff argues that Hibbits was an insured because an endorsement to the policy modified and expanded the policy’s basic coverage to include conduct outside the scope of Hibbits’ business duties.6 The defendant contends, conversely, that count two of the underlying complaint did not trigger a duty to defend because the plaintiffs injuries did not arise out of the ownership, maintenance or use of the premises. Because we conclude that Hibbits was not an insured under the endorsement, the defendant was not obligated to provide a defense or indemnify Hibbits with respect to the allegations contained in count two of the underlying complaint.

[59]*59“[A]n insurer’s duty to defend ... is determined by reference to the allegations contained in the [injured party’s] complaint. Flint v. Universal Machine Co., [238 Conn. 637, 646, 679 A.2d 929 (1996)]. The duty to defend an insured arises if the complaint states a cause of action which appears on its face to be within the terms of the policy coverage. . . . Hogle v. Hogle, 167 Conn. 572, 576, 356 A.2d 172 (1975). Because [t]he duty to defend has a broader aspect than the duty to indemnify and does not depend on whether the injured party will prevail against the insured; Missionaries of the Co. of Mary, Inc. v. Aetna Casualty & Surety Co., 155 Conn. 104, 110, 230 A.2d 21 (1967); [i]f an allegation of the complaint falls even possibly within the coverage, then the insurance company must defend the insured. . . . West Haven v. Commercial Union Ins. Co., 894 F.2d 540, 544 (2d Cir. 1990), quoting West Haven v.

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Nationwide Mutual Ins. Co. v. Pasiak
173 A.3d 888 (Supreme Court of Connecticut, 2017)
Misiti, LLC v. Travelers Property Casualty Co. of America
33 A.3d 783 (Connecticut Appellate Court, 2011)
Hartford Casualty Insurance v. Litchfield Mutual Fire Insurance
835 A.2d 91 (Connecticut Appellate Court, 2003)
Royal Indemnity Co. v. Soneco/Northeastern, Inc.
183 F. Supp. 2d 526 (D. Connecticut, 2002)
Grechika v. Liberty Mutual Fire Ins. Co., No. Cv 00 0159540 (Jul. 5, 2001)
2001 Conn. Super. Ct. 8931 (Connecticut Superior Court, 2001)
Berkowitz v. City of Stamford, No. Cv97 0158193 S (Jan. 22, 2001)
2001 Conn. Super. Ct. 1342 (Connecticut Superior Court, 2001)
Conway v. Travelers Casualty, No. Cv99-0588119 (Dec. 15, 2000)
2000 Conn. Super. Ct. 15602 (Connecticut Superior Court, 2000)
Enfield Pizza Palace, Inc. v. Insurance Co. of Greater New York
755 A.2d 931 (Connecticut Appellate Court, 2000)
Espinosa v. Atlantic Casualty Company
763 A.2d 691 (Connecticut Superior Court, 2000)
Espinosa v. Atlantic Casualty Company, No. Cv 99-0589368 S (Jun. 7, 2000)
2000 Conn. Super. Ct. 6987 (Connecticut Superior Court, 2000)
Decrecenzo v. Jakucenis, No. Cv95 0052689s (Mar. 24, 2000)
2000 Conn. Super. Ct. 3860 (Connecticut Superior Court, 2000)
Zero-Max v. Liberty Mutual, No. Cv 97 0059915s (Dec. 6, 1999)
1999 Conn. Super. Ct. 16751-I (Connecticut Superior Court, 1999)
Edelmen v. Pacific Employers Insurance
733 A.2d 229 (Supreme Court of Connecticut, 1999)

Cite This Page — Counsel Stack

Bluebook (online)
728 A.2d 531, 53 Conn. App. 54, 1999 Conn. App. LEXIS 154, Counsel Stack Legal Research, https://law.counselstack.com/opinion/edelman-v-pacific-employers-insurance-connappct-1999.