General Accident Insurance Co. of America v. Gastineau

990 F. Supp. 631, 1998 U.S. Dist. LEXIS 277, 1998 WL 13758
CourtDistrict Court, S.D. Indiana
DecidedJanuary 7, 1998
DocketIP 96-999-C B/S
StatusPublished
Cited by4 cases

This text of 990 F. Supp. 631 (General Accident Insurance Co. of America v. Gastineau) is published on Counsel Stack Legal Research, covering District Court, S.D. Indiana primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
General Accident Insurance Co. of America v. Gastineau, 990 F. Supp. 631, 1998 U.S. Dist. LEXIS 277, 1998 WL 13758 (S.D. Ind. 1998).

Opinion

ENTRY GRANTING DEFENDANT’S MOTION FOR PARTIAL SUMMARY JUDGMENT AND DENYING PLAINTIFF’S MOTION FOR SUMMARY JUDGMENT

BARKER, Chief Judge.

Plaintiff General Accident Insurance Company of America moves for summary judg *632 ment on its claim that it has no .obligation to indemnify or defend Defendant Fleet Mortgage Corporation in a suit brought by an employee alleging claims of sex discrimination. Defendant Fleet moves for partial summary judgment on the ground that Plaintiff owes it both a duty to indemnify and to defend. For the reasons discussed herein, we find that Plaintiff’s motion for summary judgment must be denied and Defendant’s motion for partial. summary judgment must be granted.

Statement of Facts

Defendant Fleet Mortgage Corporation (Fleet) purchased an insurance policy from Plaintiff General Accident Insurance Company of America (GAIC). That policy was in effect from April 1,1991 to April 1,1992, and was renewed in April 1992. On May 27, 1994, Kim Gastineau (Gastineau), a Fleet employee, filed a Complaint against Fleet and three Fleet employees: Katrina Johnson, Julie Trimble and Dan Negele. Gastineau alleged that he had been discriminated against on the basis of sex by Katrina Johnson while he was a loan officer at Fleet. Gastineau’s case was tried to a jury and a verdict was entered for Fleet on July 29, 1996.

On July 16,1996, GAIC filed a declaratory action alleging that it owed neither a duty to insure nor a duty to defend Fleet in the Gastineau action. 1 Fleet counterclaims that, pursuant to its insurance policy, GAIC owes it a duty to insure and a duty to defend in the Gastineau suit.

GAIC moves for summary judgment on three main grounds: first, Gastineau’s claims against Fleet were precluded from coverage by a “co-employee exclusion” provision in the insurance policy; second, Gastineau did not allege a “bodily injury” as defined by the policy and Indiana law; and third, even if Gastineau did allege bodily injury, it did not “arise out of an occurrence” as required by the policy. Fleet, of course, opposes these arguments and moves for partial summary judgment on the same grounds. 2

Discussion

A. Co-Employee Exclusion

GAIC first argues that it was not obligated to indemnify or defend Fleet in the Gastineau action because the Fleet policy contained a “co-employee exclusion” which precluded sex discrimination claims from coverage. GAIC maintains that the applicable exclusion provides as follows:

2. Exclusions.
This insurance does not apply to:
e. “Bodily injury” to:
(1) An employee of the insured arising out of and in the course of employment by the insured; ....

Policy at 2 (Attached .to Complaint).

GAIC argues that because Gastineau’s complaint alleged sex discrimination in his employment, it necessarily arose out of and in the course of his employment by Fleet and, thus, Gastineau’s claims were expressly excluded from the policy’s scope of coverage.

Fleet maintains that this exclusionary language was not in effect at the time of the alleged harassment. Fleet references an Endorsement to the policy, entitled “Stopgap Coverage Endorsement,” which states:

Exclusion e. of Coverage A (Section 1) is deleted and replaced by the following:

In consideration of the premium herein provided, it is agreed that if under any circumstances it is determined that any employee of yours who is reported and declared under the Workers’ Compensation Law or Laws in a state designated in the schedule is injured in the course of *633 their employment but is not entitled to receive (or elects not to accept) the benefits provided by the aforementioned Law, then this policy shall cover your legal liability for such bodily injury, disease, or death.

Policy Endorsement. Fleet contends that this provision superseded the language cited by GAIC and, therefore, Gastineau’s claims are not precluded from coverage. 3

GAIC did not respond to Fleet’s contention that the Stop Gap Endorsement eliminated the “arising out of and in the course of employment” exclusionary provision, notwithstanding that' GAIC submitted an “Omnibus Response” to Fleet’s arguments. After examining the policy, we can only conclude that GAIC’s lack of response reflected its decision not to contest the incontestable: the “arising out of and in the course of employment” section was expressly deleted by the Stop Gap Endorsement to the Policy. There is no question that Fleet paid premiums for coverage at its Indiana locations. See Douglas Shapiro Aff. ¶¶4-5. And GAIC does not contend that any of the exclusions outlined in the Stopgap Coverage Endorsement apply to Gastineau’s claims against Fleet. Accordingly, GAIC’s motion for summary judgment on the ground that Gastineau’s claims against Fleet were expressly excluded from the scope of the insurance policy must be denied.

B. “Bodily Injury”

GAIC next argues that Gastineau’s complaint did not allege bodily injury as defined by the policy. The policy defines “bodily injury” as “bodily injury, sickness or disease sustained by a person, including death resulting from any of these at any time.” Policy at 9. GAIC contends that it had no duty to investigate Gastineau’s claims beyond the face of the complaint and that because Gasti-neau alleged only “emotional and psychological damage” resulting from his alleged sexual discrimination, there was no bodily injury and, thus, no duty to Fleet.

We disagree. Under Indiana law, an insurance company’s duty to defend its insured is broader than its duty to indemnify. Trisler v. Indiana Ins. Co., 575 N.E.2d 1021, 1023 (Ind.App.1991). In Transamerica Insurance Services v.'Kopko, the Indiana Supreme Court stated that “[t]he duty to defend is determined solely by the nature of the complaint.” 570 N.E.2d 1283, 1285 (Ind. 1991). This ruling in Kopko has been, described. as a “dramatic departure” from prior Indiana case law, which had consistently directed that the duty to defend is not determined solely by the nature of the complaint, but also by reasonable investigation. See Fidelity & Guaranty Ins. Underwriters, Inc. v. Brown Co., 25 F.3d 484, 489-90 (7th Cir.1994) (discussing Kopko and its problematic characterization of the holding in Cincinnati Ins. Co. v. Mallon, 409 N.E.2d 1100 (Ind.App.1980)); see also Mallon, 409 N.E.2d at 1101 (holding that “traditional view” of limiting duty to defend to allegations in a complaint “does not fit well modern concept of notice pleading”).

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Bluebook (online)
990 F. Supp. 631, 1998 U.S. Dist. LEXIS 277, 1998 WL 13758, Counsel Stack Legal Research, https://law.counselstack.com/opinion/general-accident-insurance-co-of-america-v-gastineau-insd-1998.