Franklin Allen v. Atain Specialty Insurance Company

CourtMissouri Court of Appeals
DecidedSeptember 15, 2015
DocketWD77905
StatusPublished

This text of Franklin Allen v. Atain Specialty Insurance Company (Franklin Allen v. Atain Specialty Insurance Company) is published on Counsel Stack Legal Research, covering Missouri Court of Appeals primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Franklin Allen v. Atain Specialty Insurance Company, (Mo. Ct. App. 2015).

Opinion

IN THE MISSOURI COURT OF APPEALS WESTERN DISTRICT

FRANKLIN ALLEN, ) ) Respondent/Garnishor, ) ) v. ) ) WD77905 ) WAYNE BRYERS, ) OPINION FILED: Defendant, ) September 15, 2015 ) ) ATAIN SPECIALTY INSURANCE ) COMPANY, ) ) Appellant/Garnishee. )

Appeal from the Circuit Court of Jackson County, Missouri The Honorable John M. Torrence, Judge

Before Division II: Thomas H. Newton, Presiding Judge, and Victor C. Howard and Mark D. Pfeiffer, Judges

Atain Specialty Insurance Company (“Insurer”) appeals from the summary judgment

entered by the Circuit Court of Jackson County, Missouri (“trial court”), in a garnishment in aid

of execution proceeding. We affirm in part, reverse in part, and dismiss in part. Factual and Procedural Background

Insurer issued a commercial general liability policy to John Frank, d/b/a The Sheridan

Apartments, policy number CIP117483, with a policy period from October 4, 2011, to October 4,

2012 (“the insurance policy”). The declarations page of the insurance policy reflected policy

limits of $1 million for liability claims against an insured for personal injury. In pertinent part,

the insurance policy stated:

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. We will have the right and duty to defend the insured against any “suit” seeking those damages. However, we will have no duty to defend the insured against any “suit” seeking damages for “bodily injury” or “property damage” to which this insurance does not apply. . . .

An “insured” under the policy included “employees”—“but only for acts within the scope of

their employment by you or while performing duties related to the conduct of your business.”

The insurance applied only to an “occurrence,” which is defined as “an accident.” “Bodily

injury” is defined as “bodily injury, sickness or disease sustained by a person.” The policy also

stated:

2. Exclusions This insurance does not apply to: a. Expected Or Intended Injury “Bodily injury” or “property damage” expected or intended from the standpoint of the insured. This exclusion does not apply to “bodily injury” resulting from the use of reasonable force to protect persons or property.

The policy also contained an Assault and Battery Exclusion:

This insurance does not apply under COVERAGE A BODILY INJURY AND PROPERTY DAMAGE LIABILITY and COVERAGE B PERSONAL AND ADVERTISING INJURY LIABILITY arising from:

2 1. Assault and Battery committed by any Insured, any employee of any Insured or any other person[.]

On June 10, 2012, Franklin Allen (“Allen”) was on the premises of The Sheridan

Apartments when he was severely injured by the discharge of a weapon carried by Wayne Bryers

(“Bryers”), the property and security manager for the apartment complex, as Bryers was

removing Allen from the apartment property.

On August 27, 2012, Allen’s attorney sent a letter to John Frank, d/b/a The Sheridan

Apartments, advising Mr. Frank that Allen would assert a claim of negligence against

Mr. Frank’s employee, Bryers. Shortly thereafter, Allen’s attorney sent a similar letter to

Insurer, informing Insurer that “Allen was rendered a paraplegic as a result of a gunshot wound

to his spinal cord.” On September 12, 2012, Insurer sent Bryers a reservation of rights letter,

acknowledging receipt of Allen’s letter and confirming that Insurer had issued a commercial

general liability insurance policy to John Frank, d/b/a The Sheridan Apartments. Insurer stated

that it would continue to investigate the claim and would:

provide a defense on [Bryers’s] behalf under a full and complete reservation of all our rights and defenses if suit is filed. . . . We further reserve the right to deny coverage and withdraw from any further participation in this matter altogether, should the facts be developed that determine the . . . policy does not provide coverage for this loss. . . . By naming the specific grounds for this reservation of rights, we do not waive any of our rights or any of the other provisions or conditions of the insurance policy, and specifically reserve all our rights and remedies under the policy and under the statutes in common law. . . . Atain denies any and all coverage under the policy in connection with the claim described above and furthermore denies that it has any legal obligation to indemnify you [Bryers] in the event a lawsuit is filed and a judgment is entered against you.

On December 4, 2012, Allen filed a petition for damages in the Circuit Court of Jackson

County, Missouri, alleging a negligence action arising out of the unintentional and accidental

discharge of a weapon by Bryers while he was physically removing Allen from the premises of

3 The Sheridan Apartments (“Underlying Lawsuit”). Thereafter, Insurer’s attorney sent Bryers’s

counsel a letter dated December 14, 2012, supplementing Insurer’s September 12 reservation of

rights letter, stating that, based upon subsequent investigation, the alleged liability of Bryers for

the bodily injury of Allen appeared to Insurer to be excluded under the terms of the insurance

policy, expressly relying upon the Assault and Battery Exclusion and the Expected or Intended

Injury Exclusion.

Bryers refused to accept Insurer’s reservation of rights defense, 1 and at no time did

Insurer withdraw its reservation of rights, instead electing to file a declaratory judgment action. 2

Thus, the attorney hired by Insurer to represent Bryers in the Underlying Lawsuit was withdrawn

from the case, and Bryers proceeded with a section 537.065 agreement with Allen.3

1 “Insurers cannot force insureds to accept a reservation of rights defense.” Ballmer v. Ballmer, 923 S.W.2d 365, 369 (Mo. App. W.D. 1996). When an insured exercises his right to reject the defense, an insurer has three options: (1) represent the insured without a reservation of rights defense; (2) withdraw from representing the insured; or (3) file a declaratory judgment action to determine the scope of the policy’s coverage along with a request that the underlying tort suit be stayed until the declaratory judgment action is decided. Id. at 369-70. If the insured rejects the conditional defense and the insurer stands by its position of no coverage, the insurer forfeits its right to participate in the litigation and loses control of the lawsuit. Id. at 369. On appeal, one of Insurer’s arguments is that it offered to defend Bryers and Bryers wrongfully refused the defense. Clearly, here, the offer of defense was with a reservation of rights as to coverage, and undisputedly, Bryers rejected that defense, as was his right. Thus, the trial court properly rejected this argument by Insurer. 2 “The law treats [the decision of an insurer to seek a declaration of non-coverage in a declaratory judgment proceeding] as a refusal to defend.” Id. at 370. The record of this appeal does not reflect that Insurer ever obtained a final declaration of law as to coverage issues under its policy in a declaratory judgment proceeding. Rather, the record before us reflects that Insurer pursued its arguments relating to coverage and indemnity under the insurance policy as affirmative defenses to the garnishment exceptions filed by Allen in the underlying case. 3 Section 537.065 provides that a claimant and a tortfeasor may contract to limit recovery to specified assets or insurance contract:

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Franklin Allen v. Atain Specialty Insurance Company, Counsel Stack Legal Research, https://law.counselstack.com/opinion/franklin-allen-v-atain-specialty-insurance-company-moctapp-2015.