Jacobs v. Fire Insurance Exchange

36 Cal. App. 4th 1258, 42 Cal. Rptr. 2d 906
CourtCalifornia Court of Appeal
DecidedJuly 20, 1995
DocketC018768
StatusPublished
Cited by25 cases

This text of 36 Cal. App. 4th 1258 (Jacobs v. Fire Insurance Exchange) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Jacobs v. Fire Insurance Exchange, 36 Cal. App. 4th 1258, 42 Cal. Rptr. 2d 906 (Cal. Ct. App. 1995).

Opinion

*1261 Opinion

SIMS, J.

In separate actions, plaintiffs Susanna Jacobs and Bruce W. Busch, as administrator of the estate of Jesse Aguilar (deceased), filed suit against Aguilar’s insurer, defendant Fire Insurance Exchange (FIE), under Aguilar’s homeowners policy, due to FIE’s refusal to pay a civil judgment Jacobs obtained against Aguilar’s estate for gunshot injuries inflicted by Aguilar. The trial court granted FIE’s motion for summary judgment on the basis the shooting was willful and therefore excluded from coverage under Insurance Code section 533 (hereafter section 533 1 ) and under an express exclusionary clause in the insurance contract.

The critical issue in this appeal by plaintiffs is their contention that a triable issue of material fact exists as to whether Aguilar’s conduct was not willful but rather the product of a mental disorder which rendered him unable to control his conduct, a circumstance which assertedly would allow coverage. We shall conclude volitional incapacity, or an “irresistible impulse,” does not negate a “willful act” under section 533 where the insured retains cognitive capacity. Finding no triable issue regarding Aguilar’s cognitive capacity to understand the nature, consequences and wrongfulness of his conduct, we shall affirm the judgment.

Factual and Procedural Background

Jacobs was 16 years old when Aguilar shot her on August 8, 1989. Aguilar, in his 40’s at the time of the shooting, had been sexually molesting Jacobs since she was 12 years old when he coached her Little League team. She did not report the molestation because he repeatedly threatened to kill her and her family if she told anyone.

Aguilar maintained the relationship through the years and also tried to dominate Jacobs’s life by controlling her activities and contact with others.

Shortly before the shooting, in response to Aguilar’s persistent accusations, Jacobs falsely told him she was having a lesbian relationship with a friend. Aguilar told her to end that involvement or he would kill her. Jacobs tried to break off her relationship with Aguilar. He became more obsessed, following her and calling her at work and at home, apparently unconcerned with publicizing his fixation.

Several days before the shooting, Aguilar asked a friend if he could borrow a handgun to go hunting. The friend pointed out a handgun is not *1262 used for hunting. Aguilar later returned to his friend and said he was going camping and wanted to take along a handgun for protection. The friend agreed to lend Aguilar a handgun.

On the day of the shooting Aguilar picked up the gun and ammunition from his friend and received instruction on how to load and use the weapon. Aguilar then sought out Jacobs late in the afternoon and asked her to accompany him to a softball game. She declined but relented when Aguilar threatened to kill her.

Aguilar drove Jacobs onto the freeway, telling her he did not want her seeing her female friend, and he was going to take care of that situation. He showed her the gun and told her he intended to take her to the woods, kill her, bury her body, and hide out in Los Angeles.

Jacobs jumped out of the truck, though it was traveling more than 65 miles per hour.

Aguilar drove back to the site where Jacobs was sitting by the side of the road, speaking with passersby who had stopped to assist her, including a deputy sheriff and highway patrol officer. Aguilar concealed the gun under a jacket too heavy for the hot August day. He walked toward Jacobs, who began jscreaming. When witnesses asked him if he was involved with the injured girl, Aguilar shook his head “no.” Aguilar stopped a few feet from Jacobs, aimed the gun at her with both hands and pulled the trigger. She received a gunshot wound to the head, leaving her severely and permanently injured. Aguilar then shot and killed himself.

Autopsy toxicology reports disclosed Aguilar did not have alcohol or drugs in his system when he died.

At the time of the shooting, Aguilar had a homeowners insurance policy with FIE.

Jacobs sued Aguilar’s estate for negligent infliction of damages for her injuries. Apparently, the molestation was originally alleged but was dismissed before trial, and the case proceeded on the shooting incident only. FIE defended the estate under a reservation of rights, denying coverage *1263 under both section 533 and a policy exclusion. The jury awarded Jacobs $5.2 million. FIE refused to pay the judgment. 2

On March 8, 1993, the administrator of Aguilar’s estate filed a complaint against FIE for breach of contract and breach of the implied covenant of good faith and fair dealing, based on FIE’s refusal to settle with Jacobs or pay the judgment. This complaint alleged Aguilar shot Jacobs “while acting in a fit of rage and unable to control his actions; and while operating under an irresistible impulse as a result of mental disorder and illness which prevented [Aguilar] from forming a preconceived intent to harm; and because of diminished mental capacity making him unable to understand the consequences of his actions or to contemplate the moral and legal propriety of his actions.” The complaint also alleged Aguilar suffered from medical conditions which affected his ability to control his actions.

On March 16, 1993, Jacobs filed a “Complaint (Action by Judgment Creditor Against Insurer for Damages for Breach of Contract-Liability Insurance, Refusal of Insurer to Pay Judgment Against Insured).” This complaint alleged that at the time of the shooting Aguilar was “acting under an irresistible impulse and/or mental, physical or emotional condition which prevented him from understanding the nature and consequences of his actions” and shot Jacobs in the head “negligently, without intent, or the ability to understand the nature and consequences of his actions.”

The two complaints against FIE were consolidated for all pretrial purposes.

On October 15, 1993, FIE filed its motion for summary judgment as to both complaints, on the ground that Aguilar’s conduct was willful and therefore coverage was barred by policy terms and by section 533. In support of the motion HE submitted evidence reflecting an intentional shooting intended to harm, in that Aguilar (1) obtained a handgun under false pretenses, (2) coerced Jacobs to accompany him in his truck and told her he was going to kill her, (3) sought her out by returning to the site where she jumped from the truck, (4) denied involvement with her when questioned by witnesses as he approached her on foot, (5) concealed his weapon with a coat, and (6) aimed at her with both hands and pulled the trigger.

FIE also submitted a declaration of licensed psychologist Herbert N. Weissman, Ph.D., who reviewed (1) medical records and deposition testimony from Aguilar’s physicians, (2) testimony of witnesses, family members, and friends, (3) investigative reports from law enforcement agencies, *1264 and (4) Aguilar’s employment records. Based on his review, Dr.

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Cite This Page — Counsel Stack

Bluebook (online)
36 Cal. App. 4th 1258, 42 Cal. Rptr. 2d 906, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jacobs-v-fire-insurance-exchange-calctapp-1995.