O'Malley v. Continental Insurance

451 A.2d 542, 305 Pa. Super. 302, 1982 Pa. Super. LEXIS 5403
CourtSuperior Court of Pennsylvania
DecidedOctober 8, 1982
Docket351
StatusPublished
Cited by7 cases

This text of 451 A.2d 542 (O'Malley v. Continental Insurance) is published on Counsel Stack Legal Research, covering Superior Court of Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
O'Malley v. Continental Insurance, 451 A.2d 542, 305 Pa. Super. 302, 1982 Pa. Super. LEXIS 5403 (Pa. Ct. App. 1982).

Opinion

WIEAND, Judge:

This is an appeal from a judgment entered on the verdict of a jury which found that Continental Insurance Company, appellee, had not provided coverage for and was not required to defend the causes of action asserted against its assured by Thelma O’Malley, appellant herein. 1 We affirm.

William and Shirley Gavulic, together with sons Kevin and Brian, died in a fire at their residence which also made orphans of William, Kimberly and Michael. An action in trespass was instituted against C.J. Lazar & Sons Construction, which had installed a water heater in the Gavulic home a short time before the fire. Appellee was Lazar’s liability insurance carrier. Lazar, however, had not purchased “completed operations” coverage. Indeed, this risk was specifically excluded by the terms of the written policy. 2 Contend *305 ing that the fire had occurred after Lazar completed installation of the water heater, appellee refused to defend the several actions brought against Lazar by Mrs. O’Malley. In an ensuing trial, verdicts totalling $225,000.00 were returned against Lazar. Lazar subsequently assigned his rights under the policy to Mrs. O’Malley, who commenced the instant action against Continental. She sought recovery not only for the policy limits of $20,000.00 but also, based on alleged bad faith on the part of the insurer, the total amounts of the verdicts recovered as well as Lazar’s counsel fees. This second action resulted in a jury verdict for appellee.

Appellant contends that she is entitled to a new trial because of trial error occurring when the court refused to charge as requested in the following submitted point:

Even where a policy is written in unambiguous terms, the burden of establishing the applicability of an exclusion or limitation involves proof that the insured was aware of the exclusion or limitation and that the effect thereof was explained to him.

In Hionis v. Northern Mutual Insurance Co., 230 Pa.Super. 511, 327 A.2d 363 (1974), this Court held that an insurer has *306 the burden of establishing the insured’s awareness and understanding of an exclusion regardless of the clarity or ambiguity of the policy language. This decision was subsequently followed in Klischer v. Nationwide Life Insurance Co., 281 Pa. Super. 292, 422 A.2d 175 (1980) and Kelmo Enterprises, Inc. v. Commercial Union Insurance Co., 285 Pa.Super. 13, 426 A.2d 680 (1981). In those cases, the Court said:

The major premise upon which Hionis rests is the vast inequality of bargaining power between the insurer and the typical purchaser of insurance. As a direct result of that disparity, the insurer may dictate the terms and conditions of the policy. Whether the policy is clear and precise or whether it is oblique and ambiguous, the disparity between the parties remains the same. Moreover, the insured’s primary interest, which is obtaining the maximum coverage for his insurance dollar, is no less valid when the policy is unambiguous than it is when the policy is obscure. The policies served by Hionis are particularly pertinent when, as here, the insured buys insurance expecting to be covered for certain risks .... Insurers are not unduly burdened by a requirement that they explain the exclusions of their policies to insureds so that the insured can make an informed decision either to assume the excluded risks or to obtain additional insurance to protect against them.

Klischer v. Nationwide Life Insurance Co., supra 281 Pa.Super. at 299, 422 A.2d at 178; Kelmo Enterprises, Inc. v. Commercial Union Insurance Co., supra 285 Pa.Super. at 19, 426 A.2d at 683.

In the instant case, the insurer unequivocally met the burden which these decisions impose. Not only did Lazar intentionally purchase the least expensive coverage available, but he obtained the assistance of his attorney in doing so. His attorney reviewed the complete policy and the coverage afforded thereby and recommended that Lazar buy it. Moreover, Lazar testified regarding that which his insurance agent had told him as follows:

*307 He said while we are on the job it covers everything, but while we were off the job it didn’t.

And Lazar’s son, a partner in the business, gave the following testimony:

[M]y idea of our policy at the time was that we would be covered for full liability, that if anything would happen to anyone on the job while we were working there, you know, that we would have insurance.

When he was asked further, “you knew that if an accident occurred after you were off the job that your insurance would not apply,” he responded: “That’s right.”

In view of this evidence, there was no longer a disputed issue regarding the insured’s knowledge and understanding of the “completed operations” exclusion in the policy. The insured admittedly had been aware of the exclusion and its meaning. Thus, the insurer had met its burden, and there was no need to instruct the jury concerning the rule in Hionis. The jury could now focus more clearly on whether the insured’s operations had, in fact, been completed; and the trial court could adequately charge, as it did:

Now the burden of proving the . . . applicability of an exclusion under the facts is the burden of the defendant. In other words, the defendant raises as an affirmative defense . . . that we are not liable because the policy exclusions and the facts do not warrant recovery, and their burden of proving this to you is by the fair weight or the preponderance of the evidence.

Record, p. 702.

Even if erroneous, however, the omission of the instruction requested by appellant would not have warranted another trial. “Error in the abstract is not an adequate reason to award a new trial .... Before a court will order a new trial, it must conclude that the errors at trial led to an incorrect result.” Warren v. Mosites Construction Co., 253 Pa.Super. 395, 403, 385 A.2d 397, 401 (1978). In view of the testimony of the insureds in the instant case, it can be determined beyond peradventure of a doubt that the verdict *308 was not influenced by a failure of the trial court to charge on the insurer’s burden of proving the insured’s understanding of the policy exclusion.

Appellant next argues that the trial court erred when it refused to withdraw a juror following these remarks made by appellee’s counsel during closing argument:

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Bluebook (online)
451 A.2d 542, 305 Pa. Super. 302, 1982 Pa. Super. LEXIS 5403, Counsel Stack Legal Research, https://law.counselstack.com/opinion/omalley-v-continental-insurance-pasuperct-1982.