SYLLABUS
(This syllabus is not part of the opinion of the Court. It has
been prepared by the Office of the Clerk for the convenience of the
reader. It has been neither reviewed nor approved by the Supreme Court. Please
note that, in the interests of brevity, portions of any opinion may not
have been summarized).
Gentilini Ford, Inc. (Gentilini) is an automobile dealership located in Woodbine, New Jersey.
PNC Bank, N.A. (PNC Bank) provided financing for installment sales contracts that Gentilini
executed with its customers. Auto Lenders Acceptance Corporation (Auto Lenders) had the option
to finance any contract rejected by PNC Bank. Customers seeking financing for automobile
purchases submitted credit applications to Gentilini, which then forwarded the applications to PNC
Bank or Lenders for approval. PNC tended to accept lower-risk applicants, leaving for
Auto Lenders the higher-risk, though still creditworthy, applicants.
In early 1998, Auto Lenders investigated numerous credit applications that it had accepted
through its arrangement with Gentilini. It discovered that Randy Carpenter, a Gentilini employee
involved in automobile financing, had engaged in a number of credit-application frauds between
February and December 1997 to secure loans for customers who otherwise were not
creditworthy. Auto Lenders concluded that, in total, twenty-seven of the credit applications it
had approved contained falsified information, including fictitious licenses and falsified pay stubs. Many
of the fraudulent submissions appeared to be alterations of Carpenters own pay stubs.
In July 1998, after several of the loans under investigation went into default,
Auto Lenders filed suit against Gentilini for fraud and breach of contract. Auto
Lenders sought to exercise its right to have Gentilini repurchase all outstanding installment
contracts that had not been paid in full and demanded judgment in the
amount of $831,932.90. Gentilini filed its answer and a third-party complaint in October
1999. In June 1999, Gentilini amended its answer and third-party complaint, naming the
Ohio Casualty Group of Insurance Companies, American West Fire & Casualty Company, and
West American Insurance Company (collectively Ohio Casualty) as additional third-party defendants. Gentilini alleged
that Ohio Casualty had an obligation to defend Gentilini and indemnify it for
its losses under an existing insurance policy, but Ohio Casualty denied any such
duty. With the exception of Gentilinis claims against Ohio Casualty, the claims against
all other parties were voluntarily dismissed.
Gentilini based its claims against Ohio Casualty on a Commercial Package insurance policy
with a Master Pak for Property endorsement containing an Employee Dishonesty provision. Interpretation
of that provision is at the heart of this matter.
Ohio Casualty moved for summary judgment and Gentilini filed a cross-motion for summary
judgment. The Law Division granted summary judgment in favor of Gentilini on the
issue of coverage under the employee dishonesty provision of the policy. In its
decision, the court concluded that Carpenters conduct constituted dishonest acts as defined by
the policy and that his actions resulted in a direct loss to Gentilini.
In addition, the court concluded that Carpenter defrauded Auto Lenders on twenty-seven different
occasions. Accordingly, the court determined that Ohio Casualtys policy provided coverage to Gentilini
Ford for $135,000, or $5,000 for twenty-seven separate occurrences. Subsequently, Gentilini moved for
final judgment and attorneys fees. The trial court granted the motion and awarded
interest and fees as requested by Gentilini. A final judgment of $191,206.83, encompassing
damages, attorneys fees, expenses, and prejudgment interest was entered in November 2001. Ohio
Casualty appealed.
On appeal, a divided panel of the Appellate Division reversed summary judgment in
favor of Gentilini and remanded the matter to the Law Division for entry
of judgment in favor of Ohio Casualty. The majority determined that Carpenters actions
were not covered by the policys terms because his manifest intent was not
to cause loss or damage to Gentilini, but to defraud Auto Lenders. In
addition, with regard to the question of whether Gentilini had suffered a direct
loss as required by the policy, the majority held that no such loss
had occurred because the facts involve fraudulent conduct by the employee directed against
a third-party. Having determined that Gentilinis claim was not covered by the policy,
the majority also vacated the trial courts award of attorneys fees. Judge Wecker
dissented, concluding that Carpenters conduct involved the manifest intent to harm Gentilini and
that Gentilini suffered a direct loss within the meaning of the policy. In
addition, Judge Wecker concluded that there were twenty-seven separate occurrences each subject to
a separate $5,000 limit, but agreed with the majority that Gentilini was not
entitled to attorneys fees.
Gentilini filed an appeal as of right based on Judge Weckers dissent.
HELD: Gentilini sustained a direct loss as the result of Carpenters conduct when
it was induced by his fraudulent acts to hand over automobiles in exchange
for installment sales contracts signed by non-creditworthy customers. Moreover, the twenty-seven automobile sales
were twenty-seven separate occurrences under the policy. Summary judgment, however, should not have
been granted for either party. The actual losses sustained by Gentilini as a
result of Carpenters conduct require further proof. And several additional issues of material
fact, including that of manifest intent, remain for jury determination.
1. We first must address whether Gentilini suffered a direct loss. New Jersey
courts have not considered whether the use of a proximate-cause test for evaluating
the nature of a loss is appropriate under an employee-dishonesty policy that requires
a direct loss. However, the majority of federal courts that have addressed this
question have concluded that the term direct loss or its equivalent does, in
fact, call for the application of a proximate-causation standard. In view of the
prevailing approach taken by courts in New Jersey and elsewhere to defining direct
loss, in whatever type of policy that term arose, we adopt the conventional
proximate-cause test as the correct standard to apply when determining whether a loss
resulted from the dishonest acts of an employee. (Pp. 11-17)
2. We conclude that Gentilini sustained a direct loss of Business Personal Property
as the result of Carpenters conduct when it was induced by his fraudulent
acts to hand over automobiles in exchange for installment sales contracts signed by
non-creditworthy customers, thereby exposing Gentilini to a risk of default it would not
have been willing to accept in the absence of fraud. When Carpenter falsified
the credit applications of twenty-seven individuals, he effectively rendered the resulting contracts unassignable
to Auto Lenders, ultimately depriving Gentilini of possession of twenty-seven automobiles and the
profit to be made on those vehicles. (Pp. 17-20)
3. We then turn to the question of manifest intent. The term manifest
intent has been in use in employee fidelity bonds for over a quarter
of a century. Three tests have emerged to determine whether an employee acted
with the manifest intent necessary to have his or her actions fall within
the coverage of an insurance agreement the objective approach, the subjective or specific
intent approach, and the substantial-certainty test. Of the three approaches, a purely objective
approach appears to be the least utilized by courts. Like other courts that
have rejected this approach, we believe that the internal, subjective intent of the
actor is relevant, if not critical, to a manifest-intent analysis. Thus, a purely
objective approach is not the appropriate way to determine an individuals manifest intent.
The two remaining approaches have divided the federal circuits. (Pp. 20-29)
4. We conclude that the substantial-certainty test best comports with our understanding of
manifest intent. Thus, we hold that the manifest-intent standard is satisfied either by
proof that it was an employees purpose or desire to cause the insured
to sustain a loss and to obtain a financial benefit at the insureds
expense, or by proof that the employee knew the aforesaid loss and benefit
were substantially certain to result from his or her conduct. The substantial-certainty test
is consistent with our general approach to questions of intent and best comports
with the insureds reasonable expectations. (Pp. 29-34)
5. Summary judgment is appropriate when the pleadings, depositions, answers to interrogatories and
admissions on file, together with the affidavits, if any, show that there is
no genuine issue as to any material fact challenged and that the moving
party is entitled to a judgment or order as a matter of law.
R. 4: 46-2 (c). In this case, summary judgment should not have been
granted to either party. Construing the evidence in favor of the non-moving party
on the motion and cross-motion for summary judgment, we conclude that the materials
presented would permit a rational fact-finder to resolve the alleged disputed issue in
favor of the non-moving party in each instance. With respect to Carpenters manifest
intent to harm Gentilini, neither side has offered more than sheer conjecture regarding
Carpenters intent when he falsified credit applications on behalf of the individual borrowers.
Carpenters conduct ultimately burdened Gentilini with the risk of default on twenty-seven installment
sales contracts and deprived it of possession of those automobiles. On the other
hand, a jury looking at the facts in light most favorable to Ohio
Casualty might well conclude that Carpenter did not act with the conscious purpose
to harm Gentilini and that Gentilinis losses were not substantially certain to follow
from his conduct. Therefore, on the proofs presented, neither party was entitled to
summary judgment on the issue of intent to harm Gentilini. Lastly, the proofs
with respect to Carpenters intent to benefit himself or a third party are
also insufficient to warrant summary judgment. (Pp. 34-40)
6. After considering the record and the definition contained in the policy, we
conclude that the twenty-seven automobile sales were twenty-seven separate occurrences under the policy.
Gentilini was required to relinquish possession of twenty-seven cars on twenty-seven separate occasions
to twenty-seven distinct customers. In these circumstances, in which each purchaser and the
terms of each sale are unique, the similarity of the acts do not
transform them into one continuous event subject to a single recovery under the
policy. Accordingly, Gentilini is entitled to recover up to $5,000 for each fraudulently
induced sale, subject to any applicable deductibles under the policy. (Pp. 40-44)
7. The measure of direct loss caused by Carpenters fraudulent acts, which deprived
Gentilini of twenty-seven automobiles, is the loss Gentilini suffered for having undertaken installment
sales contracts at higher-than-acceptable levels of risk. The losses it incurred as a
result of each fraudulent act, however, depend on whether Gentilini still has an
interest in those contracts, the amount outstanding on those contracts that have entered
default, and Gentilinis ability to mitigate its losses through repossession. Gentilini will have
the burden of proving its loss on each contract through further proceedings. (Pp.
45-48)
8. On the issue of attorneys fees, had the issue been properly preserved
for our review, we would hold that attorneys fees for Gentilinis claim against
Ohio Casualty are not warranted. (Pp. 48-50)
The judgment of the Appellate Division is AFFIRMED in part and REVERSED in
part. The matter is REMANDED to the Law Division for further proceedings consistent
with this opinion.
CHIEF JUSTICE PORITZ and JUSTICES VERNIERO, LAVECCHIA, ALBIN and WALLACE join in JUSTICE
ZAZZALIs opinion. JUSTICE LONG did not participate.
Plaintiff,
v.
GENTILINI FORD, INC.,
Defendant and Third Party Plaintiff-Appellant,
v.
PNC BANK NATIONAL ASSOCIATION, JOHN DOES 1-10, RANDY CARPENTER, RICHARD BAKER, SHAWN HAMILTON,
SHANDA BODDIE, SEAN MURRAY, THOMAS EIDELL, CHRISTOPHER JACKSON, TAMIKA FORTUNE, STARR BARNUM, CASSANDRA
BROCK, LATOYA SAVAGE, KENYATTA SAUNDERS, KENNETH GRAHAM, CORNEILIA THROWER, JOYCE TAYLOR, ALFIE STEPHENS,
DELORES SIMPSON, TAIRAT AJOKE DISU, RAYMOND BICKEL, EDWARD ISIAH GRAHAM, TROY BUTLER, JULIUS
JERMELLE, EUGENE COBBS, MICHAEL WHITE, JR., BENJAMIN MANSFIELD, WAYNE TUCKER, CHARLES LENTZ, JOANN
JACOBS, MICHELE SLOAN and TIFFANY RICHARDSON and CHRISTI INSURANCE GROUP, INC.,
Third Party Defendants,
and
THE OHIO CASUALTY GROUP OF INSURANCE COMPANIES, AMERICAN WEST FIRE AND CASUALTY COMPANY
and WEST AMERICAN INSURANCE COMPANY,
Third Party
Defendants-Respondents,
Argued January 5, 2004 Decided August 16, 2004
On appeal from the Superior Court, Appellate Division, whose opinion is reported at
358 N.J. Super. 28 (2003).
Eric C. Garrabrant argued the cause for appellant (Serber, Konschak & Jaquett, attorneys).
Andrew S. Kent argued the cause for respondents (Wolff & Samson, attorneys; Armen
Shahinian and Scott D. Baron, of counsel).
JUSTICE ZAZZALI delivered the opinion of the Court.
Randy Carpenter, an employee of Gentilini Ford, Inc., engaged in numerous credit-application frauds
over the course of an eleven-month period, leading to the sale of twenty-seven
automobiles to customers who otherwise would not have qualified for credit. In this
appeal, we must determine whether losses sustained as a result of Carpenters conduct
are covered under an employee-dishonesty provision of Gentilini Fords insurance policy. We must
also decide whether Carpenters conduct constitutes a single occurrence under the policy for
the purpose of determining the insurance companys potential liability.
(a) Cause you to sustain loss or damage; and also
(b) Obtain financial benefit (other than salaries, commissions, fees, bonuses, promotions, awards, profit
sharing, pensions or other employee benefits earned in the normal course of employment)
for:
(i) Any employee; or
(ii) Any other person or organization.
. . . .
(3) The most we will pay under this Extension for loss or damage
in any one occurrence is $5,000.
(4) All loss or damage:
(1) Caused by one or more persons; or
(2) Involving a single act or series of related acts; is considered one
occurrence.
Ohio Casualty moved for summary judgment in reliance on the parties pleadings and
the plain language of the insurance policy. Gentilini filed a cross-motion for summary
judgment.
The Law Division granted summary judgment in favor of Gentilini on the issue
of coverage under the employee-dishonesty provision of the policy.
See footnote 1 In its decision, the
court concluded that Carpenters conduct constituted dishonest acts as defined by the policy
and that his actions resulted in a direct loss to Gentilini. In addition,
the court rejected Ohio Casualtys argument that Carpenters conduct was one occurrence under
the policy. It concluded that Carpenter defrauded Auto Lenders on twenty-seven different occasions,
not that he engaged in twenty-seven fraudulent acts culminating in a single, overarching
fraud. Accordingly, the court determined that Ohio Casualtys policy provided coverage to Gentilini
Ford for $135,000, or $5,000 for twenty-seven separate occurrences.
Gentilini subsequently moved for an entry of final judgment and prejudgment interest, and
applied to recover its attorneys fees both for defending against Auto Lenders action
and for enforcing its rights against Ohio Casualty under the insurance policy. The
trial court granted the motion and awarded interest and fees as requested by
Gentilini. A final judgment of $191,206.83, encompassing damages, attorneys fees, expenses, and prejudgment
interest was entered in November 2001. Ohio Casualty appealed.
On appeal, a divided panel of the Appellate Division reversed summary judgment in
favor of Gentilini and remanded the matter to the Law Division for entry
of judgment in favor of Ohio Casualty.
Auto Lenders Acceptance Corp. v. Gentilini
Ford, Inc.,
358 N.J. Super. 28, 38 (2003). Turning first to Carpenters fraudulent
conduct, the majority determined that Carpenters actions were not covered by the policys
terms because his manifest intent was not to cause loss or damage to
Gentilini, but to defraud Auto Lenders. Id. at 34. If anything, the majority
reasoned, Gentilini was an unintended beneficiary of the fraud because it received and
kept the down payment[s] paid by the buyers, received full credit for the
amount of the loan amortized by the debtors[,] and retained its right to
institute legal action directly against the buyers, both to repossess the collateral and
seek payment of the outstanding loan balance. Id. at 34-35 (footnote omitted). In
addition, with regard to the question of whether Gentilini had suffered a direct
loss as required by the policy, the majority held that no such loss
had occurred because the facts involve fraudulent conduct by the employee directed against
a third-party. Id. at 36. Applying the plain and ordinary meaning of direct
loss, the majority concluded coverage was appropriate only if the employees action [is]
directed against the employer . . . . Ibid. Having determined that Gentilinis
claim was not covered by the policy, the majority also vacated the trial
courts award of attorneys fees. Id. at 38.
In dissent, Judge Wecker argued that Ohio Casualtys insurance policy covered Gentilinis losses
and that summary judgment had been properly granted. Id. at 38, 48. She
reasoned that under the circumstances, Carpenters conduct involved the manifest intent to harm,
not to help Gentilini, and that Gentilinis obligation under the terms of its
contract with Auto Lenders to repurchase the outstanding installment contracts as a result
of Carpenters conduct was a direct loss within the meaning of the policy.
Id. at 40-41. In addition, the dissenter concluded that the twenty-seven fraudulent transactions
induced by Carpenter over an eleven-month period were separate occurrences each subject to
a separate $5,000 limit. Id. at 47. She agreed with the majority, however,
that Gentilini was not entitled to attorneys fees. Id. at 48.
Gentilini filed an appeal as of right based on Judge Weckers dissent. R.
2:2(1)(a).
A.
That approach has been specifically employed even when the applicable policy language required
a direct loss. See, e.g., Stone v. Royal Ins. Co.,
211 N.J. Super. 246, 248, 250-52 (App. Div. 1986) (utilizing proximate-cause standard under homeowners insurance policy
where policy covered direct loss . . . caused by specified risks); Karadontes
v. Contl Ins. Co.,
139 N.J. Super. 599, 601 n.1 (Bergen County Ct.
1976) (explaining term [d]irect loss, as used in fire insurance policies, was equivalent
of proximate cause).
As noted by the majority below, those New Jersey decisions applying a proximate-cause
test to find coverage under an insurance policy did so in circumstances where
the loss ultimately sustained would have been covered by the policy except for
an exclusionary clause. Auto Lenders, supra, 358 N.J. Super. at 37; see, e.g.,
Stone, supra, 211 N.J. Super. at 252 (concluding insureds loss covered by policy
provision even though underground water, an excluded peril, started the loss-producing chain of
causation[, because] the last event, [a] ruptured hose on [an] appliance, was a
covered risk). Thus, the question in those cases was not whether the loss
fit within the definition of the policy, but whether an exclusionary clause could
act to nullify the fundamental coverage purportedly offered by the policy. In those
circumstances, courts applied a proximate-cause analysis to resolve an apparent conflict in the
policy language to fulfill the reasonable expectations of the insured. E.g., Search EDP,
supra, 267 N.J. Super. at 543-44.
Ohio Casualty argues that this appeal presents a fundamentally different question than that
confronted under our case law because the issue here is not whether coverage
should apply when a facial conflict exists between a covered risk and an
exclusion. Rather, it contends the Court must determine whether a harm appearing to
fall entirely outside the ambit of coverage may be salvaged through the use
of a proximate-cause test to find a covered loss. Because of the unique
nature of the injuries caused by employee infidelity, it asserts that those proximate
cause cases are entirely inapplicable to an employee dishonesty policy.
New Jersey courts have not considered whether the use of a proximate-cause test
for evaluating the nature of a loss is appropriate under an employee-dishonesty policy
that requires a direct loss. However, the majority of federal courts that have
addressed this question have concluded that the term direct loss or its equivalent
does, in fact, call for the application of a proximate-causation standard. E.g., Scirex
Corp. v. Fed. Ins. Co.,
313 F.3d 841, 850 (3d Cir. 2002) (applying
proximate-cause test to direct loss); Fed. Deposit Ins. Corp. v. Natl Union Fire
Ins. Co. of Pittsburgh,
205 F.3d 66, 76 (2d Cir. 2000) (applying proximate-cause
test to policy language covering loss resulting directly from employee dishonesty); Resolution Trust
Corp., supra, 205 F.
3d at 655-56 (same); Jefferson Bank v. Progressive Cas. Ins.
Co.,
965 F.2d 1274, 1281-82 (3d Cir. 1992) (same); First Natl Bank of
Louisville v. Lustig,
961 F.2d 1162, 1167-68 (5th Cir. 1992) (same). But see
Vons Cos., Inc. v. Fed. Ins. Co.,
212 F.3d 489, 492-93 (9th Cir.
2000) (affirming summary judgment for insurer under employee-dishonesty policy, finding direct means direct
and holding that in the absence of a third party claims clause, [insureds]
policy did not provide indemnity for vicarious liability for tortious acts of its
employee). In fact, the Third Circuit, examining New Jersey precedent, presaged that we
would adopt the proximate-cause test in the context of employee-dishonesty coverage. Resolution Trust
Corp., supra, 205 F.
3d at 655.
In view of the prevailing approach taken by courts in New Jersey and
elsewhere to defining direct loss, in whatever type of policy that term arose,
we adopt the conventional proximate- cause test as the correct standard to apply
when determining whether a loss resulted from the dishonest acts of an employee.
Our interpretation comports with our general principles of insurance law, including our practice
of interpreting coverage provisions broadly. See, e.g., Progressive Cas. Ins. Co. v. Hurley,
166 N.J. 260, 273 (2001) (explaining that policies should be construed liberally in
the insureds favor to the end that coverage is afforded to the full
extent that any fair interpretation will allow) (quotations and alterations omitted); Gibson v.
Callaghan,
158 N.J. 662, 671 (1999) (observing clauses that extend coverage are to
be viewed broadly and liberally). There being no sound reason why a proximate-cause
analysis should not be employed when determining whether a loss is direct under
a fidelity insurance policy, we will apply that approach to such policies, including
the policy at issue in this appeal.
[Keeley, supra, 30 Tort & Ins. L.J. at 919 (quoting Sur. Assn of
Am. Sub-Comm. Report, Revision of the Dishonesty Insuring Agreement of Form 24, at
1 (1976)).]
Although the use of manifest intent in fidelity bonds was intended to bring
clarity to policies and, more specifically, to make clear those acts covered or
excluded by the policy, the term quickly became a major battleground in employee-dishonesty
coverage disputes. Christopher Kirwan, Mischief or Manifest Intent? Looking for Employee Dishonesty in
the Uncharted World of Fiduciary Misconduct, 30 Tort & Ins. L.J. 183, 186
(Fall 1994). Because manifest intent was a new term in the industry and
had not been defined in the insurance policies in which it was included,
courts were left to interpret the meaning of the phrase with little or
no guidance from the parties or precedent. Ibid. As a result, they developed
several approaches to resolving an employees manifest intent.
In general, three tests have emerged to determine whether an employee acted with
the manifest intent necessary to have his or her actions fall within the
coverage of an insurance agreement. The first approach, referred to as the objective
approach, focuse[s] on the natural consequences of an actors conduct . . .
but d[oes] not necessarily focus on the actors actual state of mind. Toni
Scott Reed, Employee Theft Versus Manifest Intent: The Changing Landscape of Commercial Crime
Coverage, 36 Tort & Ins. L.J. 43, 55 (Fall 2000). This test essentially
equates manifest intent with recklessness, and in some cases permits a fact finder
to ignore all specific intent or testimony regarding intent in favor of [a]
recklessness standard[.] Id. at 57, 58. The second approach, characterized as the subjective
or specific-intent approach, is the opposite extreme from the objective approach. Id. at
55. When applying that test, courts actually try to determine whether the actor
in question specifically intended the resulting loss to the employer in question. Ibid.
The third approach, and perhaps the most prevalent standard currently applied, is the
substantial-certainty test. Ibid. Like the subjective approach, the substantial-certainty test focuses in part
upon the subjective state of mind of the actor to determine whether manifest
intent was present in light of all surrounding circumstances . . . .
Ibid. As discussed in greater detail below, courts applying the latter two tests
vary in the weight that they accord the subjective intent of the actor
and the objective manifestations of that actors intent.
Of the three approaches just discussed, a purely objective approach appears to be
the least utilized by courts. The reluctance to apply that test appears to
be motivated by the desire to avoid a return to the recklessness standard
the insurance industry expressly attempted to supplant through the use of the manifest-intent
language. Moreover, that approach seemingly ignores the actors stated intent. See, e.g., Fed.
Deposit Ins. Corp. v. St. Paul Fire & Marine Ins. Co.,
942 F.2d 1032, 1035 (6th Cir. 1991) (noting that although intent is thought to refer
to a subjective phenomenon that takes place inside peoples heads, law is concerned
only with external behavior ordinarily thought to manifest internal mental states); Natl Bank
of Pakistan v. Basham,
531 N.Y.S.2d 250, 251 (1st Dept 1988) (considering only
external behavior to determine whether bank employee acted with manifest intent to harm
bank), affd o.b.
539 N.E.2d 101 (N.Y. 1989).
Like other courts that have rejected this approach, we believe that the internal,
subjective intent of the actor is relevant, if not critical, to a manifest-intent
analysis. Accordingly, we do not believe that a purely objective approach is the
appropriate way to determine an individuals manifest intent.
The two remaining approaches, the substantial-certainty test and the specific-intent test, have divided
the federal circuits. For example, the Second, Fourth, and Fifth Circuits have adopted
a specific-intent approach, concluding that for coverage to apply the employee must have
acted with the specific purpose or desire to both injure the insured and
obtain a benefit. Resolution Trust Corp., supra, 205 F.
3d at 639 (citing General
Analytics Corp. v. CNA Ins. Cos.,
86 F.3d 51, 54 (4th Cir. 1996);
Lustig, supra, 961 F.
2d at 1166-67; Glusband v. Fittin Cunningham & Lauzon, Inc.,
892 F.2d 208, 210-12 (2d Cir. 1989); Leucadia, Inc. v. Reliance Ins. Co.,
864 F.2d 964, 972-74 (2d Cir. 1988), cert. denied,
490 U.S. 1107,
109 S. Ct. 3160,
104 L. Ed.2d 1023 (1989)); see also Natl Union
Fire Ins. Co. of Pittsburgh, supra, 205 F.
3d at 73 (reaffirming Second Circuits
commitment to specific-intent approach). Other circuits, such as the Sixth, Seventh, and Tenth
Circuits, have concluded that the manifest-intent standard does not necessarily require that the
employee actively wish for or desire a particular result, but can be satisfied
so long as the employee knew a particular result is substantially certain to
follow from conduct. Resolution Trust Corp., supra, 205 F.
3d at 638 (citing Peoples
Bank & Trust Co. v. Aetna Cas. & Sur. Co.,
113 F.3d 629,
635 (6th Cir. 1997); Fed. Deposit Ins. Corp. v. Oldenburg,
34 F.3d 1529,
1539 (10th Cir. 1994); Fed. Deposit Ins. Corp. v. United Pac. Ins. Co.,
20 F.3d 1070, 1078 (10th Cir. 1994); Heller Intl Corp. v. Sharp,
974 F.2d 850, 857-59 (7th Cir. 1992); St. Paul Fire & Marine Ins. Co.,
supra, 942 F.
2d at 1035) (internal quotation marks omitted). Because this standard is
satisfied either by proof of the employees desire to cause a loss or
by proof that the loss was substantially certain to result, it has been
viewed as embrace[ing] a different, and less culpable mental state, than if the
standard required that the evidence show that it was the employees specific purpose
or desire to cause the insured to sustain the loss and obtain a
financial benefit at the insureds expense. Id. at 639.
In the midst of this chaotic legal landscape, the Third Circuit was charged
with predicting how this Court would identify the meaning of manifest intent under
New Jersey law. Resolution Trust Corp., supra, 205 F.
3d at 637. After exploring
the origins of the manifest-intent language, the court set out the cases adopting
the substantial-certainty and specific-intent approaches. Id. at 638-41. It explained that the substantial-certainty
test could be loosely analogized to the Model Penal Codes mental state knowingly,
as a person acts knowingly under the Model Penal Code if he or
she is aware that a result is practically certain to follow from his
conduct, whatever his desire may be as to the result. Id. at 639
(citing Keeley, supra, 30 Tort & Ins. L.J. at 923-24) (internal quotation marks
omitted); see also N.J.S.A. 2C:2-2(b)(2) (A person acts knowingly with respect to a
result of his conduct if he is aware that it is practically certain
that his conduct will cause such a result.). By contrast, it noted that
the specific-intent approach was more akin to the purposefully standard of the Model
Penal Code, id. at 642, which is satisfied if an actor consciously desires
that result, whatever the likelihood of that result happening from his conduct. United
States v. Bailey,
444 U.S. 394, 404,
100 S. Ct. 624, 631,
62 L. Ed.2d 575 (1980) (internal quotation marks omitted); accord N.J.S.A. 2C:2-2(b)(1).
After completing its thorough analysis of the case law on this question, the
Third Circuit stated the critical distinction between the two approaches:
As is evident from our discussion, under either approach, evidence tending to show
that the employee acted knowingly would support a jury finding that the employee
intended the consequences of his actions. Nevertheless, under the rationale [of the specific-intent
approach], proof of an employees recklessness, or an employees knowledge that a result
was substantially certain to occur from the conduct, are objective indicia -- manifestations
-- of the employees specific purpose or intent. But neither an employees recklessness
or his knowledge that a result was substantially certain to occur would satisfy
the language of the policy, absent that inference of specific intent. In contrast,
those courts that have equated the term intent with the mental state knowingly
would find that the employee acted with the manifest intent where the loss
and the benefit were substantially certain to follow, regardless of whether the employee
desired such results.
[Resolution Trust Corp., supra, 205 F.
3d at 641-42 (internal citation omitted).]
Thereafter, the court concluded that this Court would adopt the specific-intent test, reasoning
that that approach better capture[d] the meaning of intent as it [is] used
in the fidelity provision, given the history that prompted its inclusion in the
dishonesty definition and its stated purpose. Id. at 642.
The court went on to emphasize, however, that although its approach require[d] proof
of the employees purpose in engaging in the dishonest or fraudulent acts, it
remained cognizant that the employees actual subjective state of mind [was] virtually impossible
to prove absent resort to circumstantial evidence -- objective indicia of intent. Ibid.
Accordingly, it held that to the extent
proof of recklessness and/or the employees knowledge of the likelihood that a loss
was to result both serve as manifestations of the employees specific purpose or
design, . . . a jury may consider those factors, along with any
other objective indicia of intent, in ascertaining the employees state of mind in
engaging in the wrongful conduct.
[Id. at 643.]
It reasoned that such an approach str[uck] an appropriate balance because it comports
with the drafters obvious intent to limit the types of employee misconduct covered
by this provision but ensures that proof of the employees recklessness and the
substantial likelihood of loss factor into the ultimate inquiry into the employees subjective
state of mind. Id. at 642.