Mitroff v. United Services Automobile Ass'n

72 Cal. App. 4th 1230, 85 Cal. Rptr. 2d 759, 99 Daily Journal DAR 5937, 99 Cal. Daily Op. Serv. 4666, 1999 Cal. App. LEXIS 574
CourtCalifornia Court of Appeal
DecidedJune 11, 1999
DocketNo. A082952
StatusPublished
Cited by4 cases

This text of 72 Cal. App. 4th 1230 (Mitroff v. United Services Automobile Ass'n) 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
Mitroff v. United Services Automobile Ass'n, 72 Cal. App. 4th 1230, 85 Cal. Rptr. 2d 759, 99 Daily Journal DAR 5937, 99 Cal. Daily Op. Serv. 4666, 1999 Cal. App. LEXIS 574 (Cal. Ct. App. 1999).

Opinion

Opinion

MARCHIANO, J.

George B. Mitroff appeals from a summary judgment in favor of his insurance carrier, United Services Automobile Association (USAA), in an action for damages for breach of USAA’s duty to defend him against a complaint for assault and battery filed by Mitroff s wife, Sherry Lamb. We affirm because appellant’s wife was a resident of his household, thereby precluding liability coverage for bodily injury to her as an insured under the policy’s household exclusion.

[1234]*1234Background

Mitroff and Lamb were married for the first time in May of 1982, and lived in Mitroff’s house at 1440 Enchanted Way.1 Within two months,.they had separated and were divorced in 1984. Mitroff and Lamb remarried on the 4th of July in 1985. Mitroff again moved into the Enchanted Way residence in 1987. The second marriage was longer than the first, but by July 17, 1993, due to marital discord Mitroff and Lamb agreed to a date of separation. As a part of their agreement, they continued to live at Enchanted Way. Lamb and her mother, Elsie Butts, lived in the downstairs portion of the house, while Mitroff lived upstairs. Mitroff and Lamb shared the living room and kitchen areas of the house. Mitroff and Lamb did not socialize or eat meals together after the agreed date of their separation, but Mitroff gave Lamb money to buy food. Mitroff continued to pay the mortgage and utilities for the residence on Enchanted Way. Following altercations on October 29 and 31, 1993, Mitroff told Lamb to leave. A final judgment of dissolution was filed on December 29, 1995.

On September 16, 1994, Lamb filed a complaint against Mitroff alleging that he assaulted her during the October 29 and 31 altercations. Specifically, the complaint alleged four causes of action: assault, battery, intentional infliction of emotional distress, and negligent infliction of emotional distress. The factual allegations of the complaint set out the dates of the two marriages, and alleged generally: “[tjhroughout the twelve (12) year relationship between plaintiff and defendant, defendant has been both physically and verbally abusive to plaintiff.” More specifically, the complaint referenced the time period from October 29 through October 31, 1993. Regarding that period, the complaint alleged that Mitroff “assaulted and battered plaintiff and hit her in and around the face and head, pushing her and pulling her hair and arms.” The complaint contained detailed allegations about an event on October 31, alleging that Mitroff picked Lamb up and threw her across the room, choked her, hit her around the face and head, and told her “If I could get away with it, I’d kill you,” and “The next time you decide to breathe, you’d better ask me first.”2 Lamb’s complaint alleged that she sought medical treatment after this assault. The complaint sought general damages, medical expenses and punitive damages.

On October 11, 1994, Mitroff tendered defense of Lamb’s complaint to USAA. During all relevant times, the Enchanted Way residence and Mitroff [1235]*1235were covered by USAA homeowners insurance policies issued to Mitroff. The liability coverage in the policies provided: “If a claim is made or a suit is brought against an insured for damages because of bodily injury . . . caused by an occurrence to which this coverage applies, we will: 1. pay up to our limit of liability for the damages . . . and 2. provide a defense . . . even if the suit is groundless, false or fraudulent.” The word “occurrence” was defined as: “an accident, including continuous or repeated exposure to substantially the same general harmful conditions, which results, during the policy period, in . . . bodily injury . . . .” Directly under the section of the policy which outlined the personal liability coverage, was a section entitled “exclusions.” One of the exclusions from the liability coverage was: “bodily injury to you or an insured within the meaning of part a. or b. of ‘insured’ as defined.” The term “insured” was defined as: “you and residents of your household who are: a. your relatives . . . .” The term “you” was defined as: “the ‘named insured’ shown in the declarations [Mitroff] and the spouse if a resident of the same household.”

On January 25, 1995, USAA field claims representative, Wendy Fierro, interviewed Mitroff regarding the allegations of Lamb’s complaint. In a letter to Mitroff’s counsel, Fierro outlined the information that had been made available to USAA in addition to Mitroff’s statements. In addition to Lamb’s complaint, Fierro had reviewed a police report filed by Lamb on November 1, 1993, which referred to spousal abuse beginning October 29, 1993, and through the 31st, and a medical report. Fierro’s letter outlined Mitroff’s version of the events. Mitroff contended that on October 29 he was on the second floor of the residence eating dinner when Lamb approached him. Because he would not respond, she threw a large jar of marinated vegetables at him, missing him by inches. Mitroff ran down the hallway after Lamb, and restrained her by holding her forearms with his hands for about 15 seconds. She returned to the downstairs level and Mitroff cleaned up the vegetables. On October 31, Lamb came upstairs to complain because Mitroff had told her to shut off a battery-operated Halloween witch. Mitroff said he did not wish to speak to her, and told her to move out of the house by the next week. Approximately 15 seconds later, Mitroff heard a loud crash and heard Lamb running down the hallway. He ran downstairs and caught her by the forearms to restrain her. He again told Lamb that he wanted her and her mother out of the house by next week. Mitroff’s attorney responded to USAA’s letter, stating that the medical reports regarding the October 29 and 31 incidents showed minimal physical symptoms and no contusions. Counsel also noted that the police report furnished to USAA indicated that the police officer observed that Lamb was bruised only on her hands, wrists and [1236]*1236forearms.3 Counsel clarified Mitroff s position that he restrained Lamb in self-defense because she was trying to injure him and his property. Mitroff said that he did not feel that Lamb was a threat to him if he restrained her by grabbing her forearms. When she was restrained, she ceased struggling.

On March 17, 1995, senior property claims examiner Douglas D. Dunkly notified Mitroff that USAA was declining to defend the matter based on three reasons. The first reason stated was that Mitroff admitted he intentionally grabbed Lamb, and that purposeful action could not be an “accident,” under the policy’s coverage provisions. The second reason was exclusion 2f, which disallowed coverage for claims between two “insureds.” Because Lamb was married to Mitroff and lived in the same household at the time of the incident, she was an “insured” under the policy definitions. The third reason given was the exclusion for injury caused by acts which are intended or expected by the insured.

On January 27, 1997, Mitroff filed a complaint against USAA, for failure to defend him against his spouse’s complaint, alleging breach of contract and tortious breach of the implied covenant of good faith and fair dealing. On March 6, 1988, USAA filed a motion for summary judgment, arguing that the Lamb complaint did not present an “occurrence,” that the acts alleged in the complaint fell within the exclusion for claims of bodily injury to an insured, and that the acts alleged fell within the exclusion for acts expected or intended by the insured.

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72 Cal. App. 4th 1230, 85 Cal. Rptr. 2d 759, 99 Daily Journal DAR 5937, 99 Cal. Daily Op. Serv. 4666, 1999 Cal. App. LEXIS 574, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mitroff-v-united-services-automobile-assn-calctapp-1999.