Lewis v. Hayes

659 So. 2d 515, 1995 WL 441883
CourtLouisiana Court of Appeal
DecidedJuly 26, 1995
Docket94-CA-2511, 94-CA-2512
StatusPublished
Cited by1 cases

This text of 659 So. 2d 515 (Lewis v. Hayes) is published on Counsel Stack Legal Research, covering Louisiana Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Lewis v. Hayes, 659 So. 2d 515, 1995 WL 441883 (La. Ct. App. 1995).

Opinion

659 So.2d 515 (1995)

Myra B. LEWIS, et al.
v.
Alexander HAYES, Jr.,
Stephanie V. BUTLER, etc.
v.
AUDUBON INSURANCE COMPANY, et al.

Nos. 94-CA-2511, 94-CA-2512.

Court of Appeal of Louisiana, Fourth Circuit.

July 26, 1995.

*517 Sessions & Fishman, James Ryan, III, Peter S. Title, New Orleans, for appellant.

Sylvestri & Massicot, Frank A. Silvestri, John Paul Massicot, Anthony L. Marinaro, New Orleans, for appellees.

Before BARRY, CIACCIO and MURRAY, JJ.

CIACCIO, Judge.

In these consolidated suits for damages for wrongful death, appellant, USAA, appeals from a jury verdict rendered in favor of plaintiffs. For the following reasons, we reverse the trial court's judgment which incorporates the jury verdict, and we dismiss plaintiffs' suit.

FACTUAL BACKGROUND

These suits arise out of a shooting incident which occurred on January 24, 1990 in the kitchen of the premises located at 2544 Dumaine Street in New Orleans. On this date, Alexander N. Hayes, Jr. and his stepbrother Gregory Lewis became engaged in an argument about credit card charges, which resulted in Hayes fatally shooting Lewis in the chest and abdomen.

Alexander Hayes was charged at the scene with aggravated battery. However, that charge was subsequently upgraded after Lewis died a short time after the shooting. Hayes eventually pled guilty to the charge of manslaughter, and he was sentenced to eight years, suspended, five years active probation, and was ordered to pay restitution to Lewis' widow, Myra Lewis.

On September 6, 1990, Myra Lewis, individually and on behalf on her minor child, Gavin Lewis, filed suit against Alexander Hayes for the wrongful death of her husband, Gregory Lewis. The petition was subsequently amended to include as defendants Audubon Insurance Company, on the grounds that Audubon had in effect a homeowners' policy insuring Hayes and the Dumaine Street residence. Hayes answered this petition, and filed a cross-claim against United Services Automobile Association (USAA), alleging that USAA had issued a policy of homeowner's insurance which covered Hayes. The policy was issued to his wife, Dr. Cheryl LeBlanc, who resided at 5125 Perlita Street. Hayes was a named insured on the policy. The policy, which had a $300,000.00 limit of liability, excluded coverage for bodily injury or property damage "which is expected or intended by the insured." USAA denied liability based on this exclusion clause in the policy.

On November 14, 1990, Stephanie Butler filed suit individually and on behalf of her minor child Gregory J. Lewis, Jr., for the wrongful death of Gregory Lewis. Named as defendants in this suit were Alexander Hayes, Audubon Insurance Company, USAA, and Zeta Hayes as the administrator of and the Estate of Greta Hayes Richard, the owner of the residence at 2455 Dumaine Street. This suit was subsequently consolidated with the Lewis suit.

By order of the trial court dated May 24, 1993, plaintiffs dismissed their claims against Audubon Insurance Company, Alexander Hayes, the Estate of Greta Hayes Richard and Zeta Hayes as representative of the Estate with prejudice, reserving their rights to proceed against the remaining defendant, USAA. This matter proceeded to trial by jury solely against USAA on March 16-17, 1994. Following trial, the jury rendered a verdict in favor of plaintiffs and against USAA, specifically finding in answer to an interrogatory that the death of Lewis was not intended by Hayes.

The jury assessed damages in plaintiffs' favor in the amount of $557,000.00. The trial court subsequently rendered judgment against USAA in the amount of $300,000.00, the full limits of its policy. This amount was prorated by the court as follows:

Myra Lewis                   $142,440.00
Myra Lewis on behalf of
Gavin Lewis                  $ 94,410.00
Stephanie Butler on behalf
of Gregory Lewis, Jr.        $ 63,150.00

USAA filed a motion for judgment notwithstanding the verdict or alternatively for new trial, which was denied by the trial court. On motion of plaintiffs, the trial court amended the judgment to reflect the amounts of medical and funeral expenses of *518 the decedent, as well as the medical expenses incurred for the treatment of Gavin Lewis.

USAA now appeals from this judgment on the basis of several assignments of error. Because we find merit in the first issue raised by USAA, we do not reach appellant's remaining assignments of error.

DISCUSSION

Appellant's first assignment of error is two-fold: first, that the trial court's instruction to the jury on the issue of intent and the intentional exclusion in its policy was erroneous and secondly, that the jury finding that Hayes did not intend to seriously injure or kill Lewis was also manifestly erroneous. We agree.

The USAA homeowner's policy covering Alexander Hayes contains an exclusion clause which provides in pertinent part:

SECTION 11—EXCLUSIONS

1. Coverage E—Personal Liability and Coverage F—Medical Payments to Others do not apply to bodily injury or property damage:
a. which is expected or intended by the insured;

(Emphasis in the original).

Generally an insurer must establish that an exclusion for intentional injury is applicable in a particular situation. Yount v. Maisano, 627 So.2d 148, 151 (La.1993); Great American Ins. Co. v. Gaspard, 608 So.2d 981, 984 (La.1992). An exclusion must be narrowly construed and any ambiguity should be construed in favor of coverage. Great American Ins. Co. v. Gaspard, 608 So.2d at 984; Breland v. Schilling, 550 So.2d 609, 610 (La.1989).

The Louisiana Supreme Court in Breland considered the application of an exclusion in a homeowner's policy which is almost identical to the clause in the USAA policy, and stated as follows:

The purpose of the intentional injury exclusion is to restrict liability insurance coverage by denying coverage to an insured in circumstances where the insured acts deliberately and intends or expects bodily injury to another. The exclusion is designed to prevent an insured from acting wrongfully with the security of knowing that his insurance company will "pay the piper" for the damages.
The purpose of liability insurance, on the other hand, is to afford the insured protection from damage claims. Policies should be construed to effect, not deny, coverage. And an exclusion from coverage should be narrowly construed. (Citations omitted.)

In Breland, the court rejected the theory that "intentional" as used in an insurance policy has the same meaning as "intentional" in tort law, worker's compensation or criminal law. "The phrase `bodily injury... which is expected or intended,' emphasizes that an excluded injury is one which the insured intended, not one which the insured caused, however intentional the injury-producing act." Breland, 550 So.2d at 611. In seeking to determine the intent of the insured, not all injuries which flow from an intentional act will be construed to be intended by the insured. Rather, the Breland court found that the subjective intent of the insured must be examined to determine the application of the exclusion clause in the policy.

The subjective intent of the insured, as well as his reasonable expectations as to the scope of his insurance coverage, will determine whether an act is intentional. An act is intended if the perpetrator desires the results of his action or he believes that the results are substantially certain to occur. Breland, 550 So.2d at 613;

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Cite This Page — Counsel Stack

Bluebook (online)
659 So. 2d 515, 1995 WL 441883, Counsel Stack Legal Research, https://law.counselstack.com/opinion/lewis-v-hayes-lactapp-1995.