West Hills Development Co. v. Chartis Claims, Inc.

385 P.3d 1053, 360 Or. 650
CourtOregon Supreme Court
DecidedDecember 8, 2016
DocketCC C107384CV; CA A152556; SC S063823
StatusPublished
Cited by25 cases

This text of 385 P.3d 1053 (West Hills Development Co. v. Chartis Claims, Inc.) is published on Counsel Stack Legal Research, covering Oregon Supreme Court primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
West Hills Development Co. v. Chartis Claims, Inc., 385 P.3d 1053, 360 Or. 650 (Or. 2016).

Opinion

BREWER, J.

The decision of the Court of Appeals and the judgment of the circuit court are affirmed.

*652 BREWER, J.

This case presents a question about a liability insurer’s duty to defend an insured against a civil action. Ordinarily, courts decide whether an insurer had a duty to defend by comparing the provisions of the insurance policy to the allegations of the complaint against the insured, without regard to extrinsic evidence. Bresee Homes, Inc. v. Farmers Ins. Exchange, 353 Or 112, 116, 293 P3d 1036 (2012). In this case, the trial court and the Court of Appeals concluded that extrinsic evidence should be considered, and after considering such evidence, held that the insurer had a duty to defend. On review, we agree that the insurer had a duty to defend and therefore affirm. We do not see any need to resort to extrinsic evidence, however, or to modify our existing case law regarding when an insurer has a duty to defend.

I. OVERVIEW OF DUTY TO DEFEND

Before we discuss the facts of this case, it is helpful to set out the legal principles that govern our analysis.

A. Duty to Defend and Duty to Indemnify

When an insured purchases an insurance policy that protects against liability, the insurer typically agrees to assume multiple duties to the insured. Typically the insurer agrees to pay the insured for any liability that is covered by the policy (up to the policy limits). That contractual obligation is known generally as the duty to indemnify. See Bresee Homes, 353 Or at 114; Ledford v. Gutoski, 319 Or 397, 405, 877 P2d 80 (1994). Another important duty commonly found in liability policies is an agreement to defend the insured in legal actions involving claims covered by the policy. That contractual obligation is known generally as the duty to defend. See FountainCourt Homeowners v. FountainCourt Develop., 360 Or 341, 354, 380 P3d 916 (2016).

Although both duties turn on the terms of the policy, the two duties are independent. See Bresee Homes, 353 Or at 114; City of Burns v. Northwestern Mutual, 248 Or 364, 368, 434 P2d 465 (1967). Thus, there are occasions when an insurer has a duty to defend, but if trial ends with a verdict that is not covered by the policy, then the insurer has *653 no duty to indemnify. See ZRZ Realty v. Beneficial Fire and Casualty Ins., 349 Or 117,150, 241 P3d 710 (2010), on recons, 349 Or 657, 249 P3d 111 (2011). Conversely, there are times when an insurer does not have a duty to defend, but if the trial ends with a judgment that is covered by the policy, then the insurer will have a duty to indemnify. Ledford, 319 Or at 403; City of Burns, 248 Or at 368-69.

As discussed, the issue here involves the duty to defend under a liability policy. We consider in more detail, then, the circumstances that trigger an insurer’s duty to defend.

B. Duty to Defend: Four-Corners Rule

An insurer’s duty to defend, according to the widely accepted “four-corners” rule, is determined by comparing the complaint to the insurance policy. See, e.g, Restatement of Liability Insurance § 13 comment a (tentative draft no. 1, April 11, 2016) (so noting). The rule refers to the four corners of the complaint; it also sometimes is referred to as the eight-corners rule (for the four corners of the complaint plus the four corners of the policy). Id. However denominated, under that rule, one compares the allegations in the complaint to the insurance policy’s terms. See, e.g., Bresee Homes, 353 Or at 116 (court determines duty to defend using two documents: insurance policy and complaint); Marleau v. Truck Insurance Exchange, 333 Or 82, 89, 37 P3d 148 (2001) (same); Ledford, 319 Or at 399 (same). If the allegations in the complaint assert a claim covered by the policy, then the insurer has a duty to defend. E.g., Id. at 399-400. If the allegations do not assert a claim covered by the policy, then the insurer has no duty to defend. Id. By limiting the analysis to the complaint and the insurance policy, the four-corners rule generally prevents consideration of extrinsic evidence.

The four-corners rule originates in the insurance contract itself. Although the text of liability policies may vary, an insurer typically includes a provision making its duty to defend turn on the plaintiffs allegations. See Ellen S. Pryor, The Tort Liability Regime and the Duty to Defend, 58 Md L Rev 1, 21-22 (1999) (so noting after quoting various standard contractual provisions); Comment, The Insurer’s Duty to Defend Under A Liability Insurance Policy, 114 U Pa *654 L Rev 734, 734 (1966) (noting that a four-corners rule “seems to fall squarely within the ‘alleging such injury’ language in the policy”). Compare James M. Fischer, Broadening the Insurer’s Duty to Defend: How Gray v. Zurich Insurance Co. Transformed Liability Insurance Into Litigation Insurance, 25 UC Davis L Rev 141, 150 (1991) (agreeing that duty arises from contract, but suggesting that some courts had delineated duty in a way more suggestive of public-policy norms). As we will discuss later, the liability policy at issue here itself incorporates the four-corners rule.

The Court of Appeals has articulated an exception to the four-corners rule, allowing extrinsic evidence to be used to show that a putative insured did, in fact, occupy insured status and therefore was entitled to a defense. In Fred Shearer & Sons, Inc. v. Gemini Ins. Co., 237 Or App 468, 240 P3d 67 (2010), rev den, 349 Or 602 (2011), the Court of Appeals concluded that extrinsic evidence could be used to show that a person who claimed to be an “additional insured” under a liability policy was in fact an insured entitled to a defense. In that case, the “additional insured” policy stated that it applied to “‘all vendors’” of a product “‘in the regular course of the vendor’s business.’” Id. at 472. The complaint against the putative additional insured did not allege that it was a vendor of the product in the regular course of business. However, there was no factual issue regarding whether it was, as to the circumstances alleged in the complaint, in fact a vendor in the regular course of business. Id. at 474, 478 n 9. The Court of Appeals held, under those circumstances, that it would be appropriate to allow the use of extrinsic evidence to establish the facts relevant to whether the person was an “insured” — in that case, facts that were undisputed, albeit not facts alleged in the complaint. Id. at 476-77. Accordingly, the court upheld judgment against the insurer even though “the underlying pleadings did not affirmatively demonstrate” that the defendant met the conditions to be an additional insured. Id. at 478.

II.

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Cite This Page — Counsel Stack

Bluebook (online)
385 P.3d 1053, 360 Or. 650, Counsel Stack Legal Research, https://law.counselstack.com/opinion/west-hills-development-co-v-chartis-claims-inc-or-2016.