Erie Ins., Aplt. v. Moore, T.

Supreme Court of Pennsylvania·Decided April 22, 2020·No. 20 WAP 2018·Published

Opinion

[J-31-2019]

IN THE SUPREME COURT OF PENNSYLVANIA WESTERN DISTRICT

SAYLOR, C.J., BAER, TODD, DONOHUE, DOUGHERTY, WECHT, MUNDY, JJ.

ERIE INSURANCE EXCHANGE, : No. 20 WAP 2018 :

Appellant : Appeal from the Order of the : Superior Court entered November : 22, 2017 at No. 869 WDA 2016, v. : vacating the Judgment of the Court : of Common Pleas of Washington : County entered June 15, 2016 at TRACY L. MOORE AND HAROLD E. : No. 2014-4931 and remanding.

MCCUTCHEON, III, INDIVIDUALLY AND :

AS ADMINISTRATORS OF THE ESTATE : ARGUED: April 11, 2019 OF HAROLD EUGENE MCCUTCHEON, :

JR., AND RICHARD A. CARLY, :

:

Appellees :

OPINION

JUSTICE DOUGHERTY1 DECIDED: APRIL 22, 2020 We consider whether the alleged conduct of an insured, Harold Eugene

McCutcheon, Jr. (McCutcheon), as described in a personal injury lawsuit filed against his estate by Richard A. Carly (Carly), obligates McCutcheon’s insurer, appellant Erie Insurance Exchange (Erie) to defend the estate against Carly’s complaint. We hold Carly’s allegations were sufficient to trigger Erie’s duty to defend and accordingly affirm the order of the Superior Court.

1 The matter was reassigned to this author.

I.

The following material facts are alleged in Carly’s complaint. On the evening of September 26, 2013, McCutcheon broke into the home of his ex-wife, Terry McCutcheon, in order to shoot and kill her, and then kill himself. He communicated these intentions in a note he left for his adult children. McCutcheon succeeded in executing this plan, first shooting and killing Terry and, eventually, shooting and killing himself. However, after McCutcheon killed Terry but before he killed himself, Carly arrived on the scene. Carly, who had been dating Terry, approached the front door of her home, rang the doorbell and received no answer. Carly became concerned, placed his hand on the doorknob “in order to enter and the door was suddenly pulled inward by [McCutcheon] who grabbed [Carly] by his shirt and pulled him into the home.” McCutcheon was “screaming, swearing, incoherent, and acting ‘crazy.’” Then, “a fight ensued between the two and at the time, [McCutcheon] continued to have the gun in his hand” which he apparently had used to kill Terry. During this “struggle” between the two men, McCutcheon was “knocking things around, and in the process [he] negligently, carelessly, and recklessly caused the weapon to be fired which struck [Carly] in the face,” causing severe injuries. In addition, “other shots were carelessly, negligently and recklessly fired” by McCutcheon, “striking various parts of the interior of the residence and exiting therefrom.” Carly Complaint, 2/20/2014 at ¶¶5-21.

Carly filed suit against McCutcheon’s estate, and the estate — administered by McCutcheon’s adult children — sought coverage of the lawsuit under two insurance policies issued by Erie to McCutcheon: the Erie Insurance Home Protector Policy (homeowner’s policy) and the Erie Insurance Personal Catastrophe Liability Policy (personal catastrophe policy).

McCutcheon’s homeowner’s policy states, in relevant part:

We will pay all sums up to the amount shown on the Declarations which anyone we protect becomes legally obligated to pay as damages because of bodily injury or property damage caused by an occurrence during the policy period. We will pay for only bodily injury or property damage covered by this policy.

Homeowner’s Policy at 14. The homeowner’s policy defines an “occurrence” as “an accident, including continuous or repeated exposure to the same general harmful conditions.” Id. at 5. Similarly, McCutcheon’s personal catastrophe policy provides coverage for amounts an insured becomes legally obligated to pay due to personal injury resulting from an “occurrence,” and defines a covered “occurrence” as “an accident, including continuous or repeated exposure to conditions, which results in personal injury or property damage which is neither expected nor intended.” Personal Catastrophe Policy at 3-4. Finally, both policies expressly exclude from coverage “bodily injury, property damage or personal injury expected or intended by anyone we protect.” Homeowner’s Policy at 15; Personal Catastrophe Policy at 4 (excluding “personal injury or property damage expected or intended by anyone we protect”). The homeowner’s policy further provides expected or intended injury is excluded even if “the degree, kind or quality of the injury or damage is different than what was expected or intended,” or “a different person, entity, real or personal property sustained the injury or damage than was expected or intended.” Homeowners Policy at 15. Based on these provisions, Erie concluded it owed no coverage to the estate because Carly’s injuries were not caused by an accidental “occurrence,” but rather were “expected or intended” by McCutcheon. As a result, Erie filed the present declaratory judgment action.

The parties engaged in discovery and eventually filed cross-motions for summary judgment. The trial court agreed with Erie and granted summary judgment in its favor,

holding Erie had no duty to defend the estate against Carly’s complaint. The court reasoned “[t]he shooting of Carly plainly resulted from human agency. Moreover, the prospect of injury from a gun firing during a physical struggle over that gun was no less plainly and reasonably anticipated.” Erie Ins. Exch. v. Moore, No. CR 2014 – 4931, unpublished order at 7 (Wash. Co. filed May 31, 2016), citing United Serv. Auto. Ass’n v. Elitzky, 517 A.2d 982, 989 (Pa. Super. 1986) (“An insured intends an injury if he desired to cause the consequences of his act or if he acted knowing that such consequences were substantially certain to result.”). The court stated the shooting “cannot fall within the definition of an accident,” and “the deliberate conduct of [McCutcheon] did not constitute an ‘occurrence’ that would trigger coverage[.]” Id. The court further opined the use of the terms “negligently, carelessly, and recklessly” in Carly’s complaint did not result in a duty to defend; instead, the court found “no evidence that the shooting was accidental or negligent.” Id. at 8. Specifically, the court noted McCutcheon “forcibly pulled Carly inside,” and after Carly was shot, McCutcheon “did not verbally indicate that he did not mean to injure Carly nor did he attempt to assist Carly in any way.” Id. The court concluded McCutcheon thus “intended to cause serious harm to Carly.” Id.2

2 It appears the trial court may have relied at least in part upon additional facts adduced through Carly’s deposition testimony. See, e.g., Erie Ins. Exch. v. Moore, No. CR 2014 – 4931, unpublished order at 3, 8 (Wash. Co. filed May 31, 2016). The Superior Court also referred to some of this additional evidence in its own opinion. See Erie Ins. Exch. v. Moore, 175 A.3d 999, 1006-07, 1012 n.14 (Pa. Super. 2017). However, in deciding the issue before us, i.e., whether Erie has a duty to defend the estate against Carly’s complaint, we focus only on the allegations of the complaint, and compare them to the four corners of the applicable insurance contracts. American & Foreign Ins. Co. v. Jerry’s Sport Ctr., Inc., 2 A.3d 526, 541 (Pa. 2010) (question of coverage depends on “comparing the four corners of the insurance contract to the four corners of the complaint”).

On appeal, the Superior Court reversed in a published opinion. Erie Ins. Exch. v.

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