Hartford Mutual Ins. v. Grimm

17 Va. Cir. 543, 1980 Va. Cir. LEXIS 60
CourtAlexandria County Circuit Court
DecidedJuly 2, 1980
DocketCase No. (Law) 5678
StatusPublished

This text of 17 Va. Cir. 543 (Hartford Mutual Ins. v. Grimm) is published on Counsel Stack Legal Research, covering Alexandria County Circuit Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Hartford Mutual Ins. v. Grimm, 17 Va. Cir. 543, 1980 Va. Cir. LEXIS 60 (Va. Super. Ct. 1980).

Opinion

By JUDGE ALBERT H. GRENADIER

The Hartford Mutual Insurance Company brings this action for declaratory judgment to determine its obligation to defend Barbara L. Grimm or to pay any judgment which may be rendered against her in a suit filed in this court by Leonard C. Grimm, designated at law no. 5490. A copy of the subject insurance policy is filed with the motion for declaratory judgment, as well as a copy of the underlying motion for judgment in law no. 5490. The parties have agreed to submit this case for determination on the pleadings and oral argument.

The obligation on the insurer to defend, as distinguished from its obligation to pay a judgment, is, by the overwhelming weight of authority, determined solely by the allegations of the complaint against the insured and is not affected by facts ascertained before suit or developed in the process of litigation or ultimate outcome of the suit. If the allegations state a cause of action which may be within the coverage of the policy, the insurer must defend and may also be liable to pay [544]*544any judgment rendered on those allegations. On the other hand, the insurer has no duty to defend under its contract of insurance if it clearly appears that it would not be liable for any judgment based upon those allegations. Travelers Indemnity Company v. Obenshain, 219 Va. 46 (1978).

In case of doubt as to coverage, that doubt should be resolved in the insured’s favor. In Lerner et al. v. General Insurance Company of America, 219 Va. 101 (1978), the court said:

While the duty to defend is, in the first instance, to be determined by the allegations of the notice of motion, yet if those allegations leave it in doubt whether the case alleged is covered by the policy, the refusal of the insurance company to defend is at its own risk. . . .

See also Battisti v. Continental Casualty Company, 406 F.2d 1318 (5th Cir. 1969), and 7A Appleman, Insurance Law and Practice, § 4683. The above rule is applicable whether the insurer is invoking a general liability provision or an exclusionary provision.

The duty to defend is broader than the duty to pay and arises whenever the complaint alleges facts and circumstances, some of which, if proved, fall within the risk covered by the policy. Nevertheless, the cases do not hold that the insurer is bound to defend a cause of action entirely foreign to the risk insured against or clearly beyond the coverage of the policy. Lerner et al. v. General Insurance Company of America, supra; Donnelly v. Transportation Insurance Company, 589 F.2d 761 (4th Cir. 1978); Boyle v. National Casualty Company, 84 A.2d 614 (D.C. 1951).

An insurer is only required to undertake the defense of those claims which fall within the coverage of the policy, and where the allegations of the complaint against the insured, albeit ambiguous, state a claim which is potentially or arguably within the policy’s coverage, the insurer must accept the defense of the claim. Where there is doubt as to the insurer’s duty to defend, that doubt ought to be resolved in favor of the insured. Babcock [545]*545and Wilcox Company v. Parsons Corp., 430 F.2d 531, 536 (8th Cir. 1970).

Having set forth the above general principles, we must now look to the allegations of the underlying suit to see if they fall within the risks covered by the policy. Is there an "occurrence" under the subject insurance policy which triggers the obligation of Hartford to defend Mrs. Grimm or to pay any judgment which may be rendered against her?

"Occurrence," as defined on page 4 of the subject insurance policy, "means an accident. . . which results, during the policy term, in bodily injury or property damage." On page 3 of the policy there is an exclusion which clearly states that the policy does not apply "to bodily injury or property damage which is either expected or intended from the standpoint of the insured." The language used in the subject policy appears to be standard in homeowner’s insurance contracts.

In City of Virginia Beach v. Aetna Casualty and Surety Company, 426 F. Supp. 821 (E.D. Va. 1976), the court combined the general liability provisions and the exclusionary provisions when it defined "occurrence" as "an accident. . . which results, during the policy period, in injury to persons or tangible property which is neither expected nor intended from the standpoint of the insured."

An "accident" is an unexpected happening causing loss or injury which is not due to any fault or misconduct on the part of the person injured but from the consequences of which he may be entitled to some legal relief. Webster’s New Collegiate Dictionary, 1979 Edition.

An accident is usually defined as an event that takes place without one’s foresight or expectation; an event that proceeds from an unknown cause or is an unusual effect of a known cause and therefore not expected. American National Insurance Company v. Dozier, 172 Va. 376 (1939). An accident is a befalling; an event which takes place without one’s foresight or expectation; an undesigned, sudden and unexpected event; a mishap resulting in injury to a person or thing. It is an event which creates an effect which is not the natural or probable consequence of the means employed and is not intended, designed or [546]*546reasonably anticipated. Lynchburg Foundry Company v. Irvin, 178 Va. 265 (1941).

In Norman v. Insurance Company of North America, 218 Va. 718 (1978), the Virginia Supreme Court considered a homeowner’s policy which contained language similar to the policy in this case. In Norman the underlying suit alleged that the policyholder wilfully and maliciously shot the plaintiff. The underlying suit resulted in a verdict for $45,000.00 in compensatory damages and $5,000.00 in punitive damages. The insurer defended under a reservation of rights, contending that the suit was not based on negligence but upon a deliberate, intentional, malicious tort. The Court equated "occurrence" with "accident" and stated that an intentional act cannot be converted into an accident because the person making the assault did not intend the act or its consequences.

The motion for judgment in the underlying case alleges in general terms the following:

1. That on July 30, 1978, the defendant swore out a warrant charging the plaintiff with kidnapping under Section 18.2-47 of the Virginia Code;

2. That the warrant was issued without probable cause;

3. That the plaintiff was arrested, fingerprinted, booked, etc.;

4. That the plaintiff was required to retain counsel to defend him;

5. That the charge was dismissed in the Juvenile and Domestic Relations Court;

6. That the plaintiff was required to file a suit to expunge the record of the arrest;

7.

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Related

Charles W. Battisti v. Continental Casualty Company
406 F.2d 1318 (Fifth Circuit, 1969)
Travelers Indemnity Co. v. Obenshain
245 S.E.2d 247 (Supreme Court of Virginia, 1978)
Lerner v. General Ins. Co. of America
245 S.E.2d 249 (Supreme Court of Virginia, 1978)
Yeatts v. Minton
177 S.E.2d 646 (Supreme Court of Virginia, 1970)
Norman v. Insurance Co. of North America
239 S.E.2d 902 (Supreme Court of Virginia, 1978)
City of Virginia Beach v. Aetna Casualty & Surety Co.
426 F. Supp. 821 (E.D. Virginia, 1976)
Boyle v. National Cas. Co.
84 A.2d 614 (District of Columbia Court of Appeals, 1951)
Sands & Co. v. Norvell
101 S.E. 569 (Supreme Court of Virginia, 1919)
S. H. Kress & Co. v. Roberts
129 S.E. 244 (Supreme Court of Virginia, 1925)
American National Insurance v. Dozier
2 S.E.2d 282 (Supreme Court of Virginia, 1939)
Lynchburg Foundry Co. v. Irvin
16 S.E.2d 646 (Supreme Court of Virginia, 1941)
Montgomery Ward & Co. v. Wickline
50 S.E.2d 387 (Supreme Court of Virginia, 1948)

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Bluebook (online)
17 Va. Cir. 543, 1980 Va. Cir. LEXIS 60, Counsel Stack Legal Research, https://law.counselstack.com/opinion/hartford-mutual-ins-v-grimm-vaccalexandria-1980.