USAA Casualty Insurance Co. v. Carr

Supreme Court of Delaware·Decided January 29, 2020·No. 273, 2019·Published

Opinion

IN THE SUPREME COURT OF THE STATE OF DELAWARE

USAA CASUALTY INSURANCE § COMPANY, § § No. 273, 2019

Plaintiff Below, § Appellant, § Court Below: Superior Court § of the State of Delaware v. § § C.A. No. K18C-05-050

TRINITY CARR, § §

Defendant Below, § Appellee. §

Submitted: November 20, 2019 Decided: January 29, 2020

Before SEITZ, Chief Justice; VALIHURA, VAUGHN, and TRAYNOR, Justices; SLIGHTS, Vice Chancellor,* constituting the Court en Banc.

Upon appeal from the Superior Court of the State of Delaware. REVERSED and REMANDED.

Jeffrey A. Young, Esquire, Young & McNelis, Dover, Delaware, Counsel for Appellant. Benjamin C. Wetzel, III, Esquire, Wetzel & Associates, P.A., Wilmington, Delaware, Counsel for Appellee.

* Sitting by designation under Del. Const. art. IV § 12.

TRAYNOR, Justice:

USAA Casualty Insurance Company (“USAA”) sought a declaratory

judgment in the Superior Court that it was not obligated to defend, indemnify, or provide insurance coverage for claims made in two lawsuits against Trinity Carr, the daughter of a USAA homeowner’s-insurance policyholder. The plaintiffs in the underlying lawsuits sought money damages from Carr and others for personal injuries and wrongful death suffered by Amy Joyner-Francis in a physical altercation—described in both complaints as a “brutal, senseless, forseeable [sic] and preventable attack”—between Joyner-Francis and Carr and her friends.1 USAA argued below, as it does here, that the incident—whether it be labeled an altercation, an attack, or otherwise—was not an “accident” and therefore not a covered occurrence under the policy and that, even if it were, the purported liability is excluded from coverage. The Superior Court disagreed and entered summary judgment in favor of Carr.2 USAA appealed.

We agree with USAA’s interpretation of the relevant policy provisions and therefore reverse the Superior Court’s judgment. To label an intentional assault, as the parties agree occurred here, an accident is to disregard the ordinary, everyday meaning of “accident.” We thus hold that whether an assault is an “accident” is

1 App. to Opening Br. at A50, A71 (hereinafter “A____”). 2 USAA Cas. Ins. Co. v. Carr, 2019 WL 2461708 (Del. Super. Ct. June 12, 2019) (hereinafter “Opinion Below”).

determined by the intent of the insured, and not by the viewpoint of the victim. Further, even though Carr may not have intended to cause Francis’s death, she certainly intended to cause injury to her. Therefore, the provision that excludes coverage for intended injuries “even if the resulting injury . . . is of a different, kind, quality[,] or degree”—here, death—would bar coverage in any event.

I. FACTS

In April 2016, non-party Amy Joyner-Francis suffered sudden cardiac death3 after she was assaulted by Defendant/Appellee Trinity Carr in their high school bathroom. Joyner-Francis’s autopsy revealed that she had a “large atrial septal defect and pulmonary hypertension,”4 which, in addition to the emotional and physical stress from the fight, caused her heart failure. This Court has already analyzed the facts and video evidence related to Carr’s criminal proceedings, finding that the assault, which consisted mostly of “awkward punches . . . grappling[,] and kicking” on the floor, was a contributing cause of Joyner-Francis’s death, though her death was a result outside the risk of which Carr should have been aware within the meaning of 11 Del C. § 263.5

3 “Sudden cardiac death is a sudden, unexpected death caused by a change in heart rhythm.” Heart Disease and Sudden Cardiac Death, WEBMD, https://www.webmd.com/heartdisease /guide/sudden-cardiac-death#1 (last visited Jan. 17, 2020). 4 Cannon v. State, 181 A.3d 615, 619 (Del. 2018). “An atrial septal defect is a birth defect of the heart in which there is a hole in the wall (septum) that divides the upper chambers (atria) of the heart.” Facts about Atrial Septal Defect, CENTERS FOR DISEASE CONTROL AND PREVENTION, https://www.cdc.gov/ncbddd/heartdefects/atrialseptaldefect.html (last visited Jan. 17, 2020). 5 Cannon, 181 A.3d at 625.

After Carr’s criminal prosecution, two civil lawsuits were filed in Superior Court by Joyner-Francis’s estate and by her parents. Carr demanded a defense and indemnification from Plaintiff/Appellant USAA, which has a homeowner’s insurance policy (“Policy”) covering Carr’s mother and potentially Carr as a resident relative.6 In response, USAA sought a declaratory judgment that it did not have to cover Carr’s litigation defense or indemnify her losses under the Policy. After discovery, USAA moved for summary judgment, which Carr opposed. The Superior Court denied USAA’s motion, took Carr’s opposition to the summary judgment motion as a cross-motion for summary judgment, and granted that cross-motion. USAA appeals that decision to us.

The Policy provides for defense and indemnification “[i]f a claim is made or a suit is brought against any insured for damages because of bodily injury or property damage caused by an ‘occurrence’ to which this coverage applies” (“Coverage Clause”).7 “Occurrence” is defined in the policy as “an accident, including continuous or repeated exposure to substantially the same general harmful conditions, which results . . . in . . . bodily injury; or property damage.”8 The Policy also includes an exclusion of coverage for bodily injury “which is reasonably expected or intended by an insured even if the resulting bodily injury . . . is of a

6 Opening Br. at 1. 7 A111 (internal quotation marks omitted). 8 A88 (internal quotation marks omitted).

different kind, quality[,] or degree than initially expected or intended” (“Exclusion Clause”).9 On appeal, USAA argues that the Policy does not cover Carr’s litigation defense or litigation liabilities because Joyner-Francis’s bodily injury—death—was not caused by an “accident,” as required for coverage under the Coverage Clause. Alternatively, it argues that, even if Joyner-Francis’s death was caused by an “accident,” coverage is not available due to the Exclusion Clause. Because we agree with USAA that Joyner-Francis’s death was not caused by an accident, and even if were, it would be excluded under the Exclusion Clause, we reverse the Superior Court’s judgment.

III. ANALYSIS

The interpretation of an insurance policy is a question of law and subject to de novo review.10 “[T]he language of an insurance contract is always construed most strongly against the insurance company which has drafted it.”11 But “if the language

9 A112 (internal quotation marks omitted). 10 Hudson v. State Farm Mut. Ins. Co., 569 A.2d 1168, 1170 (Del. 1990). 11 Steigler v. Ins. Co. of N. Am., 384 A.2d 398, 400 (Del. 1978).

of an insurance contract is clear and unambiguous[,] a Delaware court will not destroy or twist the words under the guise of construing them.”12

A. The Policy does not cover Carr for her role in Joyner-Francis’s death because the death was not caused by an “accident.”

The Policy’s Coverage Clause provides for insurance coverage where “bodily

injury . . . [is] caused by an [accident].”13 The parties’ dispute concerns the meaning of the word “accident,” although they agree that the meaning incorporates some form of unforeseeability.14 The central questions are “what must be unforeseeable?” and “to whom?”

This Court most recently grappled with, but did not decide, that question in Hudson v. State Farm Mut. Ins. Co.15 The issue in that case was whether a driver’s automobile insurance policy covered injuries sustained by the victim when the driver intentionally drove his car into a telephone pole with the intent to injure the victim. The insurance company argued that the injury was not caused by an accident because it was intentionally inflicted by the driver, and, therefore, the insurer did not need to indemnify the driver for the costs of the injuries. The victim responded that “[a] majority of states have held that whether an assault constitutes an ‘accident’ within

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

USAA Casualty Insurance Co. v. Carr, (Del. 2020).

USAA Casualty Insurance Co. v. Carr (USAA Casualty Insurance Co. v. Carr) — published by Counsel Stack Legal Research, free access to 12M+ legal documents.

Related

Steigler v. Insurance Co. of North America
384 A.2d 398 (Supreme Court of Delaware, 1978)
Cooper v. Government Employees Insurance
237 A.2d 870 (Supreme Court of New Jersey, 1968)
State Farm Mutual Automobile Insurance v. Johnson
320 A.2d 345 (Supreme Court of Delaware, 1974)
Camac v. Hall
698 A.2d 394 (Superior Court of Delaware, 1996)
Hudson v. State Farm Mutual Insurance
569 A.2d 1168 (Supreme Court of Delaware, 1990)
State Farm Fire & Casualty Co. v. Hackendorn
605 A.2d 3 (Superior Court of Delaware, 1991)
Hallowell v. State Farm Mutual Automobile Insurance
443 A.2d 925 (Supreme Court of Delaware, 1982)
Cannon v. State
181 A.3d 615 (Supreme Court of Delaware, 2018)