NOT FOR PUBLICATION WITHOUT THE
APPROVAL OF THE APPELLATE DIVISION
SUPERIOR COURT OF NEW JERSEY
APPELLATE DIVISION
A-324-99T5
J.C. as Guardian Ad Litem for M.C.,
Plaintiff,
v.
N.B.,
Defendant-Third Party Plaintiff,
and
D.B.,
Defendant-Third Party
Plaintiff-Appellant,
v.
ALLSTATE INSURANCE COMPANY,
Third Party Defendant-Respondent.
Argued November 15, 2000 - Decided December 18, 2000
Before Judges Coburn, Axelrad and Bilder.
On appeal from Superior Court of New Jersey,
Law Division, Ocean County.
Kim A. Pascarella argued the cause for
appellant.
Joan M. Schwab argued the cause for respondent
(Saiber, Schlesinger, Satz & Goldstein,
attorneys; David J. D'Aloia, of counsel; Ms.
Schwab, on the brief).
The opinion of the court was delivered by
COBURN, J.A.D.
This case involves a question of liability insurance coverage
under a homeowner's policy. J.C. filed the underlying tort action
against the insureds, D.B. and her husband N.B., alleging that N.B.
had committed repeated acts of sexual abuse on her infant daughter
M.C. The abuse occurred over a period of four years in the
insureds' home. The complaint sought damages from N.B. for his
intentional conduct and from D.B. for her negligence in failing to
prevent or warn of the harm. In the third-party complaint, D.B.
asserted that she was entitled to coverage under the policy issued
by Allstate Insurance Company ("Allstate").
The Allstate homeowner's policy provided coverage for claims
against the insureds for bodily injury arising from "accidental
loss" and excluded coverage for bodily injury "which may reasonably
be expected to result from the intentional or criminal acts of an
insured person or which are in fact intended by an insured person."
It also imposed "joint obligations" on the insureds, stating that
the "acts . . . of an insured person will be binding upon another
person defined as an insured person."
The Law Division granted Allstate summary judgment. D.B.
appeals, contending that she was wrongly denied coverage. She
asserts that the policy is ambiguous and should be construed in her
favor. Alternatively, she asserts that if the policy is clear, it
should nonetheless be construed to provide coverage to meet her
reasonable expectations and that the denial of coverage is against
public policy. Since D.B.'s arguments are unsound, we affirm.
We consider first the provision extending coverage. This
policy extended coverage to its insureds for claims of bodily
injury arising out of "accidental loss" without defining that
phrase. Although the failure to define "accident" may render a
coverage provision ambiguous in some circumstances, Property Cas.
Co. of MCA v. Conway,
147 N.J. 322, 326-30 (1997), there is no
ambiguity in the context of this case.
In Conway, the Court was concerned with a question of
insurance coverage with respect to the statutorily imposed
vicarious liability of parents for their child's intentional damage
to school property. See N.J.S.A. 18A:37-3. The policy provided
coverage for an "occurrence," which it defined as an "accident"
without defining the term accident; it excluded coverage for
property damage "which is expected or intended by the insured," and
it contained a clause entitled "Severability of Insurance" which
stated, "[t]his insurance applies separately to each insured." 147
N.J. at 325. The Court, applying the principle that the words of
an insurance policy should be given their ordinary and plain
meaning, defined an accident as "an unintended or unexpected
event." Id. at 327. Given that definition and the cited policy
provisions, the Court determined that "[b]y failing to define
'accident' [the insurance company had] introduced ambiguity into
the definition of 'occurrence.'" Id. at 326. The ambiguity arose
because the policy "d[id] not state whether the determination that
an event is unexpected or unintended should be from the perspective
of all those covered under the policy or from that of only the
named insured." Id. at 325. Consequently, the Court held that
although there was no coverage for the child because of the
exclusion, there was coverage for the parents because from their
perspective the incident was both unintended and unexpected. Id.
at 326-30.
D.B.'s circumstance is entirely distinguishable from that of
the parents in Conway whose liability was vicarious. The cause of
action against her was defined by the Court in J.S. v. R.T.H.,
155 N.J. 330 (1998).
[W]hen a spouse has actual knowledge or
special reason to know of the likelihood of
his or her spouse engaging in sexually abusive
behavior against a particular person or
persons, a spouse has a duty of care to take
reasonable steps to prevent or warn of the
harm. [A] breach of such duty constitutes a
proximate cause of the resultant injury, the
sexual abuse of the victim.
[Id. at 352.]
Thus, D.B.
would only be liable for her own tortious conduct if she
knew that the intentional and illegal activity was ongoing, or she
had special reason to know that it was likely to occur, and she
unreasonably failed to prevent or warn of the harm. Although the
bodily injury for which she was being sued may have been unintended
from her perspective, in light of the definition of the tort it was
not unexpected; consequently, it was not an accident from her
perspective and it was outside the coverage extended by the policy.
See Allstate Ins. Co. v. Steele,
74 F.3d 878, 880 (8th. Cir. 1996);
cf. Jessica M.F. v. Liberty Mut. Fire Ins. Co.,
561 N.W.2d 787,
790-91 (Wis. App. 1997).
We consider next the exclusion. The absence of coverage is
fortified by the exclusion from coverage of bodily injury "which
may reasonably be expected to result from intentional or criminal
acts of
an insured person or which are in fact intended by
an
insured person." (Underlining added). D.B. contends this
exclusion is ambiguous from her perspective. We disagree.
Conway concerned a policy exclusion that referred to property
damage "'expected or intended by
the insured'" and provided that
the "'insurance applie[d] separately to each insured.'" 147
N.J.
at 325 (emphasis added). Here, the exclusion speaks of an
intentional or criminal act of "
an insured person." (Underlining
added.) N.B. was "
an" insured person and he committed acts that
were both intentional and criminal. Furthermore, the policy
imposes "joint obligations" rather than providing separate coverage
to each insured and expressly stated that the "acts . . . of a
person defined as an
insured person will be binding upon another
person defined as an
insured person."
In
Rena, Inc. v. Brien,
310 N.J. Super. 304 (App. Div. 1998),
the policy insured the tenants and landlord of a building against
fire loss. The tenants arranged for the building to be burned so
that they could obtain the insurance proceeds. In considering the
innocent landlord's claim under the policy, the court addressed the
differing effect of exclusions that refer to acts of "the insured"
and those that refer to acts of "an insured." The court denied
coverage to the innocent insured, finding no ambiguity in an
insurance policy that excluded coverage for damage resulting from
"'any fraudulent, dishonest or criminal act done by or at the
instigation of any insured . . . .'"
Id. at 309. As reflected in
the opinion, which thoroughly canvasses the relevant cases
throughout the United States and the insurance texts, the phrases
"any insured
" and "an insured," in coverage exclusions have been
interpreted almost uniformly, absent contrary statutory authority,
as requiring the denial of policy benefits to innocent insureds.
Id. at 321-25. If an unambiguous policy exclusion is enforceable
against an innocent party,
a fortiori it must be enforceable
against an insured whose liability, as here, depends on fault.
Cf.
id. at 325.
In
Jessica M.F., the court considered the liability of a
spouse in D.B.'s position under two homeowner's policies. One
policy excluded coverage for bodily injury "'which is expected or
intended by the insured,' or 'from the standpoint of the insured.'"
The other policy excluded coverage for such injuries "'expected or
intended by an insured.'" Both policies provided that coverage
"'applies separately to each insured.'" 561
N.W.
2d at 790, n.7.
The court had no difficulty in finding that neither policy provided
coverage.
Id. at 791-94. It also rejected the severability-of-
interest clause as a basis for coverage because the spouse was not
innocent, 561
N.W.
2d at 794, a ruling which accords with our
Supreme Court's decision in
Conway.
Cf. Howell v. Ohio Cas. Ins.
Co.,
130 N.J. Super. 350, 355 (App. Div. 1974).
D.B. also argues that if the language of the policy clearly
excludes coverage it should be ignored because it did not meet her
reasonable expectations. In
Werner Indus., Inc. v. First State
Ins. Co.,
112 N.J. 30 (1988), the Court reiterated that the
"fundamental principle of insurance law
is to fulfill the
objectively reasonable expectations of the parties."
Id. at 35.
And the Court also said, "[a]t times, even an unambiguous
[insurance] contract has been interpreted contrary to its plain
meaning so as to fulfill the reasonable expectations of the
insured[.]"
Id. at 35-36. In
Jessica M.F., the court rejected the
reasonable expectations argument for two reasons: "one who
purchases homeowner insurance does not contemplate coverage for
sexual misconduct committed by one's [spouse]; and . . . one who
purchases homeowner insurance would not want to share that type of
risk, (and the increased premiums that would result,) with other
homeowner's policyholders." 561
N.W.
2d at 794.
Accord Allstate
Ins. Co. v. Steele, 74
F.
3d at 881.
D.B.'s last argument is that the exclusion is contrary to
public policy and therefore should not be enforced. Since the
propriety of exclusions for intentional and criminal acts have been
consistently sustained as according with public policy,
see,
e.g.,
Princeton Ins. Co. v. Chunmuang,
151 N.J. 80, 95-97, (1997) and
applied to other insureds when language similar to this policy's
exclusion has been employed,
see,
e.g.,
Rena, 310
N.J. Super. at
321-25, we perceive no basis for D.B.'s argument that a denial of
coverage to her violates public policy.
Relying on
Conway, D.B. also argues that the denial of
coverage is against public policy because it decreases the
likelihood that the victim will receive compensation. But in
Conway, the Court only found that affording insurance protection to
the parents of a child who damaged school property would not
violate public policy. 147
N.J. at 329-30. It did not hold that
a clear exclusion of such coverage would be impermissible.
In
Ambassador Ins. Co. v. Montes,
76 N.J. 477 (1978), the
Court considered a claim on behalf of a person who was
inadvertently killed in an arson fire set by the insured.
Ambassador conceded that the policy's clause extending coverage
applied and that the policy contained no exclusion for intentional
acts by the insured.
Nonetheless, it argued that the Court should
deny coverage because "public policy prohibits insurance indemnity
for the civil consequences of an insured's intentional wrongdoing."
Id. at 482. The Court rejected Ambassador's position because that
principle "should not come into play when the wrongdoer is not
benefitted and an innocent third person receives the protection
afforded by the insurance."
Id. at 483. The Court considered that
the wrongdoer would not benefit because the insurance company could
seek reimbursement from him.
Id. at 484-86.
D.B.'s situation is entirely distinguishable. She is not the
victim; she is the insured and a wrongdoer. Moreover, unlike the
situation in
Ambassador, here the policy excludes coverage for
intentional and criminal acts committed by any insured, and there
is nothing in
Ambassador that casts doubt on the right of an
insurance company to exclude all coverage for such acts.
Furthermore, judicial insistence on insurance coverage for
D.B's tort would be inconsistent with the policies reflected in the
Court's opinion in
J.S. The Court recognized that the imposition
of liability on a spouse in D.B.'s circumstance would tend to
interfere with marital privacy and the insureds' interest in a
stable marital relationship,
id. at 345,
but, the Court determined
that protecting children from sexual abuse was more important.
Id.
at 346. Without insurance coverage, a spouse whose husband or wife
is a child abuser is more likely to carry out the duties imposed by
J.S. promptly. Insurance would provide such a spouse with an undue
incentive to value the stability and privacy of the marriage over
the well-being of the child-victim.
Jessica M.F., 561
N.W.
2d at
795-96 (Shudson, Judge concurring).
Affirmed.