State Farm Fire & Cas. Co. v. Motta

356 F. Supp. 3d 457
CourtDistrict Court, E.D. Pennsylvania
DecidedDecember 11, 2018
DocketCIVIL ACTION NO. 18-3956
StatusPublished
Cited by4 cases

This text of 356 F. Supp. 3d 457 (State Farm Fire & Cas. Co. v. Motta) is published on Counsel Stack Legal Research, covering District Court, E.D. Pennsylvania primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
State Farm Fire & Cas. Co. v. Motta, 356 F. Supp. 3d 457 (E.D. Pa. 2018).

Opinion

II. Analysis

The parties properly invoke our diversity jurisdiction, requiring we apply federal procedural law and Pennsylvania substantive law governing the interpretation of insurance contracts.22 The parties argue our decision turns on a single question of law: is Julia Morath's death by suicide an "occurrence," defined as an "accident," triggering State Farm's duty to defend under Pennsylvania law? We find these events constitute an "occurrence" and State Farm must provide a defense to Zach Trimbur under the Policy.

An insurer's duty to defend "requires the insurer to cover the costs of defending the insured against a lawsuit."23

*462In Pennsylvania, like many states, "[a]n insurer's duty to defend an insured in litigation is broader than the duty to indemnify, in that the former duty arises whenever an underlying complaint may potentially come within the insurance coverage."24 We determine whether an insurer has a duty to defend "by defining the scope of coverage under the insurance policy on which the insured relies and comparing the scope of coverage to the allegations of the underlying complaint."25 Under Pennsylvania's "four corners" rule, we must limit our analysis solely to the underlying complaint itself and the terms of the insurance policy.26

If, after conducting this analysis, we conclude even "a single claim in [this] multiclaim lawsuit is potentially covered, the insurer must defend all claims until there is no possibility that the underlying plaintiff could recover on a covered claim."27 We may conclude State Farm has no duty to defend only if "it is apparent on the face of the [underlying] complaint that none of the injuries fall within the purview of the insurance policy."28 With these principles in mind, we turn now to the Policy's relevant language.

A. A precondition to personal liability coverage under Policy is an "occurrence," defined as an "accident."

Under the Policy, personal liability coverage is triggered only when the claim or suit for "bodily injury or property damage to which this coverage applies [is] caused by an occurrence. "29 "Occurrence," State Farm argues, is the operative term. The Policy defines an "occurrence" as "an accident , including exposure to conditions, which first results in: a. bodily injury; or b. property damage; during the policy period."30 The Policy does not define the term "accident."

The Policy considers as "one occurrence" "[a]ll bodily injury and property damage resulting from one accident, series of related accidents or from continuous and repeated exposure to the same general conditions."31 The Policy defines "body injury" as "physical injury, sickness, or disease to a person," including "required care, loss of services and death resulting therefrom."32 Expressly excluded from the definition of "bodily injury" are "emotional distress, mental anguish, humiliation, mental distress, mental injury, or any similar injury unless it arises out of actual physical injury to some person."33 The Policy *463defines "property damage" as "physical damage to or destruction of tangible property, including loss of use of [the insured] property."34

B. The Moraths sue Zach Trimbur and his parents for negligence, wrongful death, and survival in Pennsylvania state court.

The Moraths, in their individual capacities and as co-administrators of their daughter's estate, sue Zach Trimbur for negligence, wrongful death, and survival. They allege Zach Trimbur's conduct was "unreasonable, negligent, grossly negligent, careless, and reckless and [he] intentionally breached his duty to exercise due care generally" and in various particular respects, including, among other thing, his "fail[ure] to use his cell phone in a reasonable manner," his failure to cease his conduct after his suspension from school, and acting "with a reckless disregard to Julia Morath's health and safety."35 The Moraths also allege Zach Trimbur acted "wanton[ly] and willful[ly]."36 They seek damages relating to the "large and various expenses for the funeral, burial and estate administration expenses for which [they] are entitled,"37 as well as a variety of other damages, including the loss of Julia Morath's future earning capacity.38

C. State Farm must defend Zach Trimbur because the underlying negligence claim falls within the scope of the Policy.

State Farm argues it has no duty to defend Zach Trimbur because a prerequisite to coverage under the Policy is an "occurrence," defined in relevant part as an "accident," and Pennsylvania courts hold similarly tortious acts do not contain the degree of fortuity inherent in the meaning of "accident." State Farm emphasizes we must focus our analysis on the underlying act itself-not the chain of consequences flowing from it. Applying this focus on the insured's act alone, State Farm argues Zach Trimbur intentionally cyberbullied and harassed Julia Morath, and thus no "accident" occurred triggering coverage. Zach Trimbur counters State Farm focuses too narrowly on the intentionality of the act; intentional acts can, and often do, have unintended consequences, and Pennsylvania courts accordingly consider whether an insured could have reasonably foreseen the resulting injury. Applying this focus on the fortuity of the result, Zach Trimbur argues Julia Morath's death by suicide was an extraordinary intervening event unforeseeable to him.

1. State Farm misplaces its reliance on Pennsylvania decisions holding faulty workmanship claims do not arise from an "accident."

Directing our focus to the Trimbur boy's text message, State Farm argues the Pennsylvania Supreme Court's decision in Kvaerner Metals Division of Kvaerner, U.S., Inc. v. Commercial Union Insurance Company , and its progeny, bar us from considering the insured's intent to cause the resulting injury.39 The Pennsylvania Supreme Court held in Kvaerner "the definition of 'accident' ... cannot be satisfied by claims based upon faulty workmanship."40 Kvaerner stemmed from a contract dispute between Kvaerner and *464Bethlehem Steel Corporation. Kvaerner contracted to design and construct a "coke oven battery" for Bethlehem Steel; Kvaerner agreed to build it "according to certain plans and specifications," "warranted that its materials, equipment, and work would be free from defect," and also "agreed to repair or replace any defective work or materials."41 Despite these terms, Bethlehem Steel alleged "the Battery built by Kvaerner was damaged and did not meet the contract specifications and warranties, or the applicable industry standards for construction" and "although it sent Kvaerner a non-performance list detailing the Battery's damages and breaches, Kvaerner had failed to remedy the Battery's problems."42

Free access — add to your briefcase to read the full text and ask questions with AI

Related

Cite This Page — Counsel Stack

Bluebook (online)
356 F. Supp. 3d 457, Counsel Stack Legal Research, https://law.counselstack.com/opinion/state-farm-fire-cas-co-v-motta-paed-2018.