General Analytics Corporation v. Cna Insurance Companies, D/B/A Valley Force Insurance Company, D/B/A Continental Casualty Company

86 F.3d 51, 1996 U.S. App. LEXIS 13573, 1996 WL 317055
CourtCourt of Appeals for the Fourth Circuit
DecidedJune 7, 1996
Docket95-1899
StatusPublished
Cited by23 cases

This text of 86 F.3d 51 (General Analytics Corporation v. Cna Insurance Companies, D/B/A Valley Force Insurance Company, D/B/A Continental Casualty Company) is published on Counsel Stack Legal Research, covering Court of Appeals for the Fourth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
General Analytics Corporation v. Cna Insurance Companies, D/B/A Valley Force Insurance Company, D/B/A Continental Casualty Company, 86 F.3d 51, 1996 U.S. App. LEXIS 13573, 1996 WL 317055 (4th Cir. 1996).

Opinion

OPINION

NIEMEYER, Circuit Judge:

When an unidentified employee of General Analytics Corporation altered purchase orders that the company had received from the Internal Revenue Service (IRS) for computer equipment, General Analytics purchased and shipped products to the IRS that it had not ordered. As a result, the IRS refused to accept delivery, and General Analytics incurred a loss of over $94,000.

General Analytics made a claim for the loss under an employee dishonesty insurance policy that had been issued to it by CNA Insurance Companies. When CNA Insurance denied coverage, General Analytics filed this action, and the district court granted General Analytics’ motion for summary judgment. Because the question of whether the employee conduct in this case constituted “employee dishonesty” within the meaning of the insurance policy may be answered only by resolving disputed facts, we vacate the district court’s judgment and remand the case for further proceedings.

I

General Analytics, a computer and telecommunications company engaged in the business of providing equipment and related services to the federal government, regularly sells computer equipment to the IRS. On four separate occasions in 1993, however, the IRS refused to accept delivery of products shipped by General Analytics because the products were different from those that the IRS had ordered.

After investigating the discrepancies, General Analytics discovered that in each instance, after it had received the purchase order from the IRS, an unidentified employee at General Analytics had altered it, “whiting-out” product, quantity, and price information on the government form and inserting different product, quantity, and price information. Accordingly, when filling these altered IRS orders, a General Analytics employee ordered products from Pioneer Research Corporation, a supplier, that the IRS had not ordered. When General Analytics shipped the products to the IRS, the IRS refused to accept delivery. Because Pioneer refused return of the products and General Analytics could not sell them to other customers, General Analytics sustained a loss of $94,419.62. Patricia Trenery, a General Analytics employee, acknowledged that she had processed the four altered IRS orders and prepared the General Analytics purchase orders to Pioneer, but she denied altering any IRS purchase orders.

*53 General Analytics presented a claim for the loss to CNA Insurance under an employee dishonesty policy that CNA Insurance has issued to General Analytics. CNA Insurance denied the claim, explaining that General Analytics had failed to demonstrate that an employee had acted with the intent of benefiting himself or some third person, as required by the insurance policy. 1 CNA noted that Trenery, who was the prime suspect for the IRS purchase order alterations, might have acted dishonestly merely “to retaliate against [General Analytics] for re-assigning her to a new job she did not like.”

General Analytics filed suit against CNA Insurance for breach of the insurance policy. The parties filed cross-motions for summary judgment, together with a joint stipulation of facts. According to both parties, the sole legal issue presented to the district court was “whether there is sufficient evidence to establish that [General Analytics’] losses were caused by an employee acting with the ‘manifest intent’ to obtain financial benefit for the employee or a third party ... within the meaning of the policy provision.”

The district court concluded that there were no genuine issues of material fact and entered summary judgment for General Analytics in the amount of $94,695.12, together with prejudgment interest from April 14, 1994, the date that General Analytics submitted its written claim to CNA Insurance. 2 In entering judgment in favor of General Analytics, the court reasoned:

The language of the policy is clear and unambiguous. The requirement of “manifest intent” to benefit a third party is satisfied when the intent of the employee is apparent or obvious. Such intent can be objectively determined from the acts of the employee and the surrounding circumstances. United States Fidelity & Guar. v. Citizens Bank of Tazewell, 718 F.Supp. 471 (W.D.Va.1989). The absence of any requirement in the policy that the dishonest employee be identified would indicate that direct proof of the subjective intent or motive of the employee is not a necessary component of a claim. The court finds that the stipulated facts are sufficient to establish the manifest intent of an employee of [General Analytics] to benefit a third party at the expense of [General Analytics].

This appeal followed.

II

Because this case invokes diversity jurisdiction, we look to Virginia law in construing the CNA Insurance policy. While we have been unable to find any Virginia ease interpreting the specific policy language involved here, Virginia courts construe insurance policies in accordance with traditional principles of contract law. See Allstate Ins. Co. v. Eaton, 248 Va. 426, 448 S.E.2d 652, 655 (1994); see also S.F. v. West Am. Ins. Co., 250 Va. 461, 463 S.E.2d 450, 452 (1995).

Establishing intent is central to proving coverage under employee dishonesty policies. Such policies are designed to provide coverage for a specific type of loss characterized by embezzlement, which involves the direct theft of money. See Michael Keeley, Employee Dishonesty Claims: Discerning the Employee’s Manifest Intent, 30 Tort & Ins. L.J. 915, 919 (1995). To limit coverage to that type of loss, CNA Insurance’s employee dishonesty policy at issue here covers dishonest employee conduct only when it is *54 accompanied by (1) an intent to cause General Analytics to sustain a loss and (2) an intent to benefit the employee or some third person. The policy requires both intents and demands that they be “manifest,” i.e., readily perceived or obvious. See First Fed'l Sav. & Loan Ass’n v. Transamerica Ins. Co., 935 F.2d 1164, 1166-67 n. 3 (10th Cir.1991).

Because employee dishonesty policies like CNA Insurance’s require proof that the employee have acted to accomplish a particular purpose, they require that the insured establish a specific intent, analogous to that required by the criminal law. Thus, if a dishonest act has the ^intended effect of causing a loss to the employer or providing a benefit to the employee, the act is not covered by the policy. See id. at 1166-67 (holding that unintended benefit to third party does not satisfy policy requiring that employee have acted with manifest intent to benefit himself or third party). Stated succinctly, employee dishonesty coverage insures against “loss caused by a thief,” as opposed to a fool or a saboteur, “who happens to be an employee of the insured.” Robin V. Weldy,

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Bluebook (online)
86 F.3d 51, 1996 U.S. App. LEXIS 13573, 1996 WL 317055, Counsel Stack Legal Research, https://law.counselstack.com/opinion/general-analytics-corporation-v-cna-insurance-companies-dba-valley-ca4-1996.