Kramer, S. v. Nationwide Insurance, Aplt.

Supreme Court of Pennsylvania·Decided April 25, 2024·No. 103 MAP 2022·Published

Opinion

[J-39-2023] IN THE SUPREME COURT OF PENNSYLVANIA MIDDLE DISTRICT

TODD, C.J., DONOHUE, DOUGHERTY, WECHT, MUNDY, BROBSON, JJ.

STEWART KRAMER AND VALERIE : No. 103 MAP 2022 CONICELLO : : Appeal from the Order of the Superior : Court at No. 726 EDA 2021 dated v. : December 2, 2021, reconsideration : denied February 10, 2022, Affirming : the Order of the Montgomery County NATIONWIDE PROPERTY AND CASUALTY : Court of Common Pleas, Civil INSURANCE CO. AND LAURIE CRUZ, : Division at No. 2020-17901 dated ADMINISTRATOR FOR THE ESTATE OF : February 19, 2021 MICHAEL T. MURPHY, JR., DECEASED, : AND ADAM KRAMER : ARGUED: September 12, 2023 : : APPEAL OF: NATIONWIDE PROPERTY : AND CASUALTY INSURANCE COMPANY :

OPINION

JUSTICE DONOHUE DECIDED: April 25, 2024 The Court of Common Pleas of Montgomery County (“trial court”) granted

summary judgment in favor of Stewart Kramer and Valerie Concinello (“Parents”),

ordering Nationwide Property and Casualty Insurance Company (“Nationwide”) to

defend Parents under their homeowners insurance policy (“the Policy”) against wrongful

death and survival actions (together “Underlying Lawsuit”) involving the fatal drug

overdose of Michael T. Murray, Jr. (“Decedent”) at Parents’ home. The Superior Court

affirmed based on an interpretation of the Policy that was not espoused by the trial court. Because we conclude that its interpretation was erroneous as a matter of law, we

reverse the decision of the Superior Court.

I. Background

A. Pertinent Policy Provisions

The relevant provisions of the Policy are as follows:

Section II Liability Coverages

* * * * Coverage Agreements

COVERAGE E – PERSONAL LIABILITY

We will pay damages an insured is legally obligated to pay due to an occurrence resulting from negligent personal acts or negligence arising out of the ownership, maintenance or use of real or personal property. We will provide a defense at our expense by counsel of our choice. We may investigate and settle any claim or suit. Our duty to defend a claim or suit ends when the amount we pay for damages equals our limit of liability. The Policy, Section II, at G1 (emphasis in original) (hereinafter “Coverage E”).

The Policy defines “occurrence” for purposes Section II liability coverages as

follows:

“OCCURRENCE” means bodily injury or property damage resulting from an accident, including continuous or repeated exposure to the same general condition. The occurrence must be during the policy period. Id. (emphasis in original).

The Policy further defines “bodily injury” for purposes Section II liability

coverages as follows: “BODILY INJURY” means bodily harm, including resulting care, sickness or disease, loss of services or death. Bodily injury does not include emotional distress, mental anguish,

[J-39-2023] - 2 humiliation, mental distress or injury, or any similar injury unless the direct result of bodily harm. Id. (emphasis in original).

There are also several liability exclusions applicable to Coverage E set forth in

the Policy; pertinent here is 1.m), the controlled substance exclusion:

Liability Exclusions

1. Coverage E – Personal Liability and Coverage F – Medical Payments to Others do not apply to bodily injury or property damage: * * * * m) resulting from the use, sale, manufacture, delivery, transfer or possession by a person of a controlled substance(s) as defined by Federal Food and Drug Law (21 U.S.C.A. Sections 811 and 812). Controlled substances include but are not limited to: cocaine; LSD; marijuana; and all narcotic drugs.

This exclusion 1.m) does not apply to the legitimate use of prescription drugs by a person following orders of a licensed physician. The Policy, Section II, H1-H2 (emphasis in original) (hereinafter “controlled substance

exclusion”).

B. The Underlying Complaint

Decedent’s mother, Laurie Cruz (“Mother”), acting in her capacity as the

administrator of Decedent’s estate, sued Parents and their son, Adam Kramer

(“Kramer”), in the Underlying Lawsuit. Mother averred the following facts in the

complaint: While Parents were away, Decedent stayed with Kramer at Parents’ home

on the evening of September 4, 2018. Mother’s Complaint, 9/15/2020, ¶¶ 21-22, 26.

Mother and Decedent knew that Kramer used and distributed narcotics. Id. ¶ 23. In the

early morning hours of September 5, 2018, first responders discovered Decedent dead

upon their arrival at Parents’ home. Id. ¶ 23. The Montgomery County Coroner’s Office

[J-39-2023] - 3 ultimately determined that his cause of death was a drug overdose triggered by a

combination of fentanyl, heroin, and benzodiazepines. Id. ¶ 28.

Count I of Mother’s complaint in wrongful death contends that Parents entrusted

Kramer with their home when they knew or should have known that he used and

distributed narcotics. Id. ¶¶ 31-32. Mother asserted that Parents, with that knowledge,

breached a duty of care owed to all invitees, including Decedent, by entrusting their

property to Kramer, who permitted access to and use of controlled substances by

Decedent, while on Parents’ property. Id. ¶¶ 33-34. Mother averred that, but for

Kramer’s grant of access to the controlled substances to Decedent he would not have

died, and the harm to Decedent was foreseeable. Id. ¶¶ 35-36. Based on these

averments, Mother sought damages under Pennsylvania’s Wrongful Death Act 1 in

excess of fifty-thousand dollars.

Count II of Mother’s complaint asserted a survival action 2 against Parents and

Kramer. She alleged that Parents and Kramer owed a duty of care to Decedent within

their home and that they breached that duty when Decedent was afforded access to

controlled substances through Kramer. Id. ¶¶ 42-44. Mother again claimed that this

breach was the but-for cause of Decedent’s death, that his resulting death was

foreseeable, and that it constituted negligence per se because of the illegality of the

drugs. Id. ¶¶ 45-47. Mother alleged that as a result of the breach of Parents’ duty of

care, Decedent sustained pain and suffering before his death. Mother sought judgment

against Kramer and Parents in an amount exceeding fifty-thousand dollars. Id. ¶ 48.

1 42 Pa.C.S. § 8301 (“Death action”). 2 42 Pa.C.S. § 8302 (“Survival action”).

[J-39-2023] - 4 C. Declaratory Judgment Action

Parents tendered the complaint to Nationwide for coverage under the Policy.

Nationwide issued a denial of coverage letter to Parents, prompting them to file a

declaratory judgment action requesting the trial court to order Nationwide to defend

them against the Underlying Lawsuit. Declaratory Judgment Complaint (“DJC”),

11/2/2020, ¶ 16. In its denial of coverage letter, Nationwide relied on the controlled

substances exclusion. 3 Denial of Coverage Letter, 10/6/2020, at 3 (attached to the DJC

as Exhibit C). Parents alleged that Nationwide “breached its contractual and statutory

obligations … by failing to provide them a defense” to the Underlying Lawsuit. DJC,

¶ 24. Parents argued against the applicability of any exclusion in the Policy and

reiterated their request that the trial court declare that Nationwide had a duty to defend

Parents in the Underlying Lawsuit. 4

Nationwide filed an answer and new matter, maintaining that it properly denied

both a defense and indemnity under the Policy based on the controlled substance

exclusion. Answer, 11/20/2020, ¶ 16. Nationwide acknowledged that no Pennsylvania

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