Smyth v. USAA Property & Casualty Insurance

5 Cal. App. 4th 1470, 92 Daily Journal DAR 5898, 7 Cal. Rptr. 2d 694, 92 Cal. Daily Op. Serv. 3755, 1992 Cal. App. LEXIS 578
CourtCalifornia Court of Appeal
DecidedApril 30, 1992
DocketNo. B057788
StatusPublished
Cited by1 cases

This text of 5 Cal. App. 4th 1470 (Smyth v. USAA Property & Casualty Insurance) 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
Smyth v. USAA Property & Casualty Insurance, 5 Cal. App. 4th 1470, 92 Daily Journal DAR 5898, 7 Cal. Rptr. 2d 694, 92 Cal. Daily Op. Serv. 3755, 1992 Cal. App. LEXIS 578 (Cal. Ct. App. 1992).

Opinion

Opinion

STONE (S. J.), P. J.

In this insurance coverage dispute, Theodore H. Smyth (Smyth) appeals from the order of the trial court dismissing his action [1473]*1473against respondents, USAA Property and Casualty Insurance Company and United Services Automobile Association (collectively, USAA), after the court sustained demurrers to his amended complaints without leave to amend. (See Code Civ. Proc., § 581d—written, signed and filed order of dismissal is appealable; 9 Witkin, Cal. Procedure (3d ed. 1985) Appeal, § 75, p. 99.)

Smyth contends that his homeowners insurer, USAA, had a duty to defend him against a suit for damages for personal injuries and deaths suffered in a massive fire in a hotel in San Juan, Puerto Rico (the Fire Suit). Smyth was named in the Fire Suit in his capacity as an outside director of the corporation which owned the hotel.

He asserts the terms of his policies are ambiguous regarding whether his service as a director of the corporation is covered, raising questions of fact which may not be resolved on demurrer.

He also contends that the statutes of limitations do not bar his causes of action for bad faith and negligent misrepresentation, and that USAA is estopped to assert the limitations statutes. We affirm the dismissal of his suit.

In reviewing the sufficiency of a complaint against a demurrer, we deem true all material and properly pleaded facts; however we may not consider opinions, contentions, deductions or conclusions of fact or law alleged. (Blank v. Kirwan (1985) 39 Cal.3d 311, 318 [216 Cal.Rptr. 718, 703 P.2d 58]; Casella v. City of Morgan Hill (1991) 230 Cal.App.3d 43, 48 [280 Cal.Rptr. 876].)

Smyth’s amended complaints alleged, inter alia, that USAA breached its insurance contracts with him and wrongly forced him to defend and settle claims raised against him in the Fire Suit by falsely stating he had no insurance policies in effect.

Smyth pled and incorporated by reference two primary and one excess umbrella insurance policies he asserts afford him coverage. One of the primary policies covers his personal residence in Santa Barbara, the other covers vacation property in Palm Desert. The umbrella policy refers to his Santa Barbara residence.

Smyth alleges that these policies afford him coverage because his service as a director did not constitute a trade, profession or occupation, but rather was an activity which is usual as a nonbusiness pursuit.

Upon review, we accept as true his specific factual allegations that: 1) he sat on the board as a favor to an old friend, 2) he received no compensation [1474]*1474for his participation on the board, 3) his involvement as a director was not a continuous or regular activity for the purpose of earning a profit or livelihood, 4) he did not engage in this activity for part-time or supplemental income, 5) he was not motivated to become a director of the corporation because of profit or gain from that activity, 6) he did not and does not sit on any other boards, and 7) his involvement as an outside director was minimal.

He claims that his status and these activities fall outside the exclusions stated in the policies for “business pursuits” because he was not motivated by profit in becoming a director of the hotel.

“ ‘The interpretation of an insurance policy, like any other contract, is a matter of law as to which a reviewing court must make its own independent determination.’ [Citation.]” (NN Investors Life Ins. Co. v. Superior Court (1989) 208 Cal.App.3d 1070, 1072 [256 Cal.Rptr. 598].) “Coverage provisions are construed broadly in favor of the insured, while exclusion provisions are construed strictly against the insurer. [Citation.] However, strict construction does not mean strained construction; under the guise of strict construction, we may not rewrite a policy to bind the insurer to a risk that it did not contemplate and for which it has not been paid. [Citation.]” (National Union Fire Ins. Co. v. Lynette C. (1991) 228 Cal.App.3d 1073, 1077 [279 Cal.Rptr. 394].) An insurer’s duty to defend arises only where there is potential coverage under the policy. (Marglen Industries, Inc. v. Aetna Casualty & Surety Co. (1992) 4 Cal.App.4th 414, 422 [5 Cal.Rptr.2d 659].) The determination of whether an insured’s expectation of coverage is reasonable is a question of law. (Dyer v. Northbrook Property & Casualty Ins. Co. (1989) 210 Cal.App.3d 1540, 1549 [259 Cal.Rptr. 298]; Marglen, supra, at p. 422.)

“In analyzing a policy for uncertainties, the language used must be read in its ordinary sense, according it the meaning which would ordinarily be attached to it by a layman.” (NN Investors Life Ins. Co. v. Superior Court, supra, 208 Cal.App.3d at p. 1072.) “Any doubts, uncertainties, or ambiguities in policy language must be resolved in favor of the insured. However, this principle of construction comes into play only if it is first determined that an ambiguity exists, which is also a question of law.” (Ibid.) “Finally, the policy is construed as a whole, each clause helping to interpret the other. [Citation.]” (National Union Fire Ins. Co. v. Lynette C., supra, 228 Cal.App.3d at p. 1078.)

Smyth incorrectly alleges that the exclusion of coverage for directors in the umbrella policy is ambiguous. It states, “we do not insure liability arising from: ... a covered person’s activities as an officer or director of [1475]*1475any organization; this does not apply to religious, charitable or civic nonprofit organizations.” There is no allegation that the corporation, or the San Juan hotel, is a religious, charitable or civic nonprofit organization. The complaint in the Fire Suit, of which the trial court took judicial notice, alleges that the hotel is a large, international resort hotel and convention center.

It is also of no consequence that there is no exclusion for directors stated in the primary policies because all the policies exclude business activities. The business activities exclusions are clear and preclude coverage of Smyth for this occurrence as a matter of law.

The exclusion regarding business activities in the umbrella policy states, “we do not insure liability arising from: ... a business activity or property on which a business is conducted.” “Business” is defined in that policy to include “trade, occupation, profession or business.” We find as a matter of law that a hotel involves a trade or business and is a property on which trade and business are conducted.

The primary policies exclude coverage for liability “arising out of business pursuits of an insured . . . .” The policies then state that “[tjhis exclusion does not apply to: [j[] (1) activities -which are usual to non-business pursuits. . . .” (Italics added.) “Business” is defined in the primary policies to include “trade, profession or occupation.” That this definition is not identical in the primary and excess policies does not create an ambiguity. Again, the language is clear.

The critical question raised is whether or not an insured has any possible reasonable expectation of coverage under these homeowners policies for engaging in activities of a directorship of a corporation owning a large resort hotel. The answer is no.

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Related

Smyth v. USAA Property & Casualty Ins. Co.
5 Cal. App. 4th 1470 (California Court of Appeal, 1992)

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5 Cal. App. 4th 1470, 92 Daily Journal DAR 5898, 7 Cal. Rptr. 2d 694, 92 Cal. Daily Op. Serv. 3755, 1992 Cal. App. LEXIS 578, Counsel Stack Legal Research, https://law.counselstack.com/opinion/smyth-v-usaa-property-casualty-insurance-calctapp-1992.