Hunt vs AAA Northern California, Nevada & Utah Insurance Agency, et al.,

Filing 27

ORDER that Hunt's motion for summary judgment (ECF No. 15 ) is DENIED; CSAA's motion for summary judgment (ECF No. 16 ) is GRANTED; Clerk directed to enter judgment for defendant AAA Nevada Insurance Company and against plaintiff John David Hunt. Signed by Judge Larry R. Hicks on 2/25/2019. (Copies have been distributed pursuant to the NEF - LH)

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1 2 3 4 5 6 UNITED STATES DISTRICT COURT 7 DISTRICT OF NEVADA 8 9 *** JOHN DAVID HUNT, Plaintiff, 10 11 12 13 14 Case No. 3:18-cv-00062-LRH-WGC ORDER v. AAA NEVADA INSURANCE COMPANY, d/b/a CSAA GENERAL INSURANCE COMPANY, Defendant. 15 16 Plaintiff John David Hunt has filed a motion for summary judgment on his claims against 17 defendant AAA Nevada Insurance Company (“CSAA”). (ECF No. 15). CSAA responded with its 18 own motion for summary judgment. (ECF No. 16). For the reasons stated below, the Court denies 19 Hunt’s motion for summary judgment and grants CSAA’s motion for summary judgment. 20 I. Factual Background and Procedural History 21 Prior to filing their cross motions for summary judgment, the parties stipulated to the 22 material facts in this UIM insurance coverage case. (ECF No. 14). On March 3, 2013, Hunt was 23 driving his vehicle on Veterans Parkway in Reno, Nevada, when he encountered non-party Thomas 24 Harper driving well-below the speed limit in the left lane on a two-lane road. (ECF No. 14 at 2). 25 Hunt began to pass Harper’s vehicle in the right lane, but before he could complete his pass, Harper 26 “aggressively swerved to the right,” which was an “apparent attempt to run Hunt off the road.” 27 (Id.) Hunt managed to avoid Harper’s vehicle and continued on until he reached an intersection 28 with a stop sign. (Id.) Harper had followed Hunt to the intersection, and upon arriving, both men 1 1 pulled over, exited their vehicles, and approached one another on the side of the road. (Id.) Harper, 2 “angered and upset,” caught Hunt by surprise with a punch to the face. (Id. at 3). Hunt grabbed 3 Harper as he fell to the ground, but as he did so, he fractured his ankle. (Id.) Harper initially fled 4 the scene after striking Hunt, but he returned after realizing that he had forgotten his wireless key 5 fob. (Id.) At the time of the fight, Harper and Hunt were standing near Hunt’s vehicle. (Id. at 2). 6 Hunt was transported to the hospital and treated there for his injuries, which included an “open 7 reduction internal fixation of his ankle fracture.” (Id. at 3). Hunt ultimately contracted an infection 8 in his ankle (MRSA), which required several more surgeries and procedures to successfully treat. 9 (Id.) At the time of his fight with Harper, Hunt had an auto insurance policy through CSAA. (Id. 10 at 1–2). 11 Initially, Hunt filed a lawsuit against Harper in this Court (3:17-cv-00165-RCJ-WGC), 12 seeking to recover damages for the injuries he sustained in the fistfight. Harper’s insurance carrier, 13 Allstate, also filed an action in this Court (3:16-cv-00579-MMD-WGC) seeking declaratory relief 14 from having to defend or indemnify Harper. Both of those cases were resolved via a stipulated 15 dismissal in March 2018. To date, Hunt has incurred at least $676,000 in medical expenses arising 16 out of his injuries and subsequent infection. (ECF No. 14 at 3). He filed a claim with CSAA, 17 requesting the $250,000 “each person” UIM limit under his insurance policy, but following an 18 investigation, CSAA denied his claim because the injuries he sustained did not fall under the 19 purview of his auto insurance policy. (Id. at 3–4). Specifically, Hunt’s policy stated that he would 20 be entitled to receive compensation from CSAA if he suffered a bodily injury: (1) “caused by an 21 accident” and (2) “arising out of the ownership, maintenance, or use” of an underinsured motor 22 vehicle. (ECF No. 14 at 4). CSAA denied coverage because it claimed that Hunt’s injuries did not 23 arise out of the use of an automobile. (ECF Nos. 14-5, 14-6, 14-7). Following the denial of 24 coverage, Hunt filed this lawsuit against CSAA in February 2018, alleging four causes of action 25 in his amended complaint: (1) breach of contract; (2) bad faith; (3) breach of the implied covenant 26 of good faith and fair dealing; and (4) tortious interference of a contract. (ECF No. 5). Before the 27 close of discovery, the parties filed cross-motions for summary judgment on August 7, 2018. (ECF 28 Nos. 15, 16). 2 II. Legal Standard 1 2 Summary judgment is appropriate only when the pleadings, depositions, answers to 3 interrogatories, and admissions on file, together with the affidavits, if any, show “that there is no 4 genuine issue as to any material fact and that the [moving party] is entitled to judgment as a matter 5 of law.” FED. R. CIV. P. 56(c). In assessing a motion for summary judgment, the evidence, together 6 with all inferences that can reasonably be drawn therefrom, must be read in the light most favorable 7 to the party opposing the motion. Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 8 587 (1986); Cnty of Tuolumne v. Sonora Cmty. Hosp., 236 F.3d 1148, 1154 (9th Cir. 2001). The 9 moving party bears the burden of informing the court of the basis for its motion, along with 10 evidence showing the absence of any genuine issue of material fact. Celotex Corp. v. Catrett, 477 11 U.S. 317, 323 (1986). On those issues for which it bears the burden of proof, the moving party 12 must make a showing that is “sufficient for the court to hold that no reasonable trier of fact could 13 find other than for the moving party.” Calderone v. United States, 799 F.2d 254, 259 (6th Cir. 14 1986). 15 To successfully rebut a motion for summary judgment, the non-moving party must point 16 to facts supported by the record which demonstrate a genuine issue of material fact. Reese v. 17 Jefferson Sch. Dist. No. 14J, 208 F.3d 736 (9th Cir. 2000). A “material fact” is a fact “that might 18 affect the outcome of the suit under the governing law.” Anderson v. Liberty Lobby, Inc., 477 U.S. 19 242, 248 (1986). Where reasonable minds could differ on the material facts at issue, summary 20 judgment is not appropriate. See v. Durang, 711 F.2d 141, 143 (9th Cir. 1983). A dispute regarding 21 a material fact is considered genuine “if the evidence is such that a reasonable jury could return a 22 verdict for the non-moving party.” Liberty Lobby, 477 U.S. at 248. The mere existence of a scintilla 23 of evidence in support of the non-moving party’s position is insufficient to establish a genuine 24 dispute; there must be evidence on which the jury could reasonably find for the non-moving party. 25 See id. at 252. 26 Where, as here, the parties filed cross-motions for summary judgment on the same claims, 27 the court must consider each party’s motion separately and on its own merits, “giving the non- 28 moving party in each instance the benefit of all reasonable inferences.” A.C.L.U. of Nev. v. City of 3 1 Las Vegas, 466 F.3d 784, 790-91 (9th Cir. 2006). Further, in evaluating the motions, “the court 2 must consider each party’s evidence, regardless under which motion the evidence is offered.” Las 3 Vegas Sands, LLC v. Nehme, 632 F.3d 526, 532 (9th Cir. 2011). See also Fair Hous. Council of 4 Riverside County, Inc. v. Riverside Two, 249 F.3d 1132, 1134 (9th Cir. 2001) (“[T]he court must 5 consider the appropriate evidentiary material identified and submitted in support of both motions, 6 and opposition to both motions, before ruling on each of them.”). 7 III. Discussion 8 Because the parties have stipulated to a set of facts, there is no question of material fact in 9 this case, making it apt for summary judgment. The success of both parties’ motions turns on the 10 definition of two phrases contained within Hunt’s insurance policy – “caused by accident” and 11 “arise out of the ownership, maintenance, or use” of a motor vehicle. If Hunt’s incident with Harper 12 was an “accident” and arose out of the “use” of his motor vehicle, then CSAA is obligated to 13 compensate Hunt based on the terms of his insurance policy and because it did not, it will have 14 breached the insurance contract. If Hunt’s incident does not fall under the purview of both 15 provisions, then CSAA has abided by the terms of the contract and is not obligated to compensate 16 Hunt. Furthermore, the parties have stipulated that if CSAA prevails on its motion for summary 17 judgment, it dispenses with all of Hunt’s claims, not just the breach of contract claim that he seeks 18 summary judgment on. (ECF No. 14 at 4). On the other hand, if Hunt prevails on his motion for 19 partial summary judgment for his breach of contract claim, then he will be allowed to further 20 pursue his second, third, and fourth claims against CSAA. (Id.) This narrows the Court’s analysis 21 to that of insurance contract interpretation, which presents only a question of law. State Farm Mut. 22 Auto Ins. Co. v. Cramer, 857 P.3d 751, 753 (Nev. 1993). 23 The starting point for the interpretation of any contract, including insurance policies, is 24 with its plain language. McDaniel v. Sierra Health and Life Ins. Co., Inc., 53 P.3d 904, 906 (Nev. 25 2002). Under Nevada law, insurance policies “should be interpreted broadly, affording the greatest 26 possible coverage to the insured.” Farmers Ins. Group v. Stonik By and Through Stonik, 867 P.2d 27 389, 391 (Nev. 1994) (citing Harvey's Wagon Wheel v. MacSween, 606 P.2d 1095, 1098 (Nev. 28 1980)). Any ambiguity in an insurance contract must be interpreted “against the drafting party and 4 1 in favor of the insured.” Id. (citing Neumann v. Standard Fire Ins., 699 P.2d 101, 104 (1985)). 2 Despite the presumption of ambiguity in favor of the insured, when a contract contains clear and 3 unambiguous provisions, those provisions will be construed according to their plain and ordinary 4 meaning. Dickenson v. Nevada, 877 P.2d 1059, 1061 (Nev. 1994); Siggelkow v. The Phoenix Ins., 5 Co., 846 P.2d 303, 304 (Nev. 1993). With these principles in mind, the Court turns to whether the 6 injuries Hunt suffered were the result of an “accident” as that term is defined in his insurance 7 policy. 8 A. “Accident” 9 Hunt’s CSAA insurance policy defines an “accident” as a “sudden, unexpected, and 10 unintentional occurrence. An intentional act, event, or happening is not an ‘accident.’” (ECF No. 11 14 at 4). Hunt argues that the definition of “accident” is written from his perspective rather than 12 that of an omniscient observer, and because he was not expecting Harper to punch him, the fight 13 was sudden and unexpected. (ECF No. 15 at 8). Moreover, Harper’s battery, while an intentional 14 tort, was not an “intentional act” for policy purposes because Hunt did not intend to be injured or 15 battered during his confrontation with Harper. (Id. at 9–10). Hunt also asserts that CSAA 16 “conceded” that the fight with Harper was an “accident” in a January 23, 2018 email: “[a]t no point 17 in time have we [CSAA] denied that the events that took place would fall under the definition of 18 an ‘accident’ in the policy.” (Id. at 12). In response, CSAA asserts that the term is unambiguous 19 and should be afforded its plain meaning, which would exclude all intentional acts, regardless of 20 who the actor is, from being deemed “accidents.” (ECF No. 23 at 7). 21 Although creative, the Court rejects Hunt’s interpretation of the term “accident.” The 22 definition of “accident” within Hunt’s insurance policy is clear and unambiguous; intentional acts 23 are specifically excluded from coverage regardless of whether the policy holder or a third party is 24 the actor. (ECF No. 14 at 4). Presumably, if the parties intended for intentional acts by third parties, 25 such as the intentional destruction of a vehicle, to be included in policy coverage under the term 26 “accident,” they would have specified as such. But they did not. The Court is not permitted to 27 rewrite insurance contracts to provide coverage for the insured where none exists. See State Farm 28 Mut. Auto. Ins. Co. v. Cramer, 857 P.2d 751, 755 (Nev. 1993) (“We will not rewrite unambiguous 5 1 insurance policy provisions or attempt to increase the parties' legal obligations where the parties 2 intentionally limited such obligation.”). It is uncontested that Harper committed an intentional 3 battery against Hunt when the two men confronted one another following Harper’s alleged attempt 4 to run Hunt off the road. This is not a situation where Harper intended to scare or frighten Hunt, 5 but accidentally harmed him instead. See Allstate Ins. Co. v. Sanders, 495 F. Supp.2d 1104, 1108 6 (D. Nev. 2007) (finding coverage under an “accident” provision where intoxicated insured threw 7 a metal object at plaintiff intending to scare him, not injure him). The evidence before the Court 8 indicates that Harper fully intended to harm Hunt, and therefore, Hunt’s injuries cannot be deemed 9 to have resulted from an “accident.” 10 Case law from the Supreme Court of Nevada supports this ruling. In Fire Ins. Exchange v. 11 Cornell, the court held that an intentional act committed by the insureds’ son did not qualify as an 12 “occurrence” under their homeowner’s policy, and thus the insurance company had no obligation 13 to defend them. 90 P.3d 978, 980. There, the term “occurrence” was defined as an “accident 14 resulting in bodily injury.” Id. Although the term “accident” itself was not defined in the policy, 15 the court applied the “common definition” of the word – “a happening that is not expected, 16 foreseen, or intended.” Id. (citing Beckwith v. State Farm Fire & Cas. Co., 83 P.3d 275, 276 (Nev. 17 2004)). The court held that the insureds’ son’s molestation of a minor in the insureds’ house was 18 not an “accident” because it was an intentional act even though the insureds were unaware of their 19 son’s conduct and did not expect or intend for it to happen. Id. Notably, the Supreme Court’s 20 definition of “accident” is nearly identical to the definition of the term in Hunt’s insurance policy, 21 and the Court sees little reason to deviate from well-established Nevada insurance law. 22 There is also no evidence that CSAA conceded that the fistfight was an “accident.” Hunt 23 misconstrues CSAA’s January 23, 2018 email as a concession from CSAA that the incident was 24 an “accident.” But this is not what a plain reading of the email reveals. Instead, the email merely 25 states that CSAA had not, at that point, denied that Hunt’s injuries were not caused by an 26 “accident.” Removing the double negatives, CSAA merely stated that at that point in time, it had 27 not reached a decision regarding Hunt’s coverage. CSAA’s email is essentially a non-statement 28 and far from the definitive concession Hunt portrays it as. 6 1 Because the definition of “accident” within Hunt’s insurance policy specifically excludes 2 intentional acts from coverage, Harper’s intentional battery of Hunt is not covered under the 3 policy. Therefore, CSAA cannot be liable for breach of contract because it correctly refused to 4 accept Hunt’s insurance claim. B. “Use” of a Motor Vehicle 5 6 Even if Hunt could demonstrate that his fight with Harper was an “accident,” he would still 7 need to show that his injuries arose out of the “ownership, maintenance, or use” of his motor 8 vehicle. (ECF No. 16 at 6). Hunt argues that road rage was the cause of his injuries, and because 9 road rage necessarily involves the use of a vehicle, his injuries fall under the terms of his insurance 10 policy. (ECF No. 22 at 6). On the other hand, CSAA argues that road rage incidents where the 11 parties have exited their vehicles do not arise out of the “ownership, maintenance, or use” of their 12 motor vehicles, and thus Hunt’s injuries are excluded from coverage. (ECF No. 16 at 15). 13 The Court agrees with CSAA. While Hunt is correct in asserting that the impetus for the 14 fight occurred while he and Harper were driving, he sustained his injuries because of a physical 15 assault on the side of the road, not in an auto collision. The insurance policy covers injuries that 16 occur while the policy holder is actively using his motor vehicle; the fact that the policy holder 17 traveled to an area by way of a motor vehicle does not automatically bring the injuries he sustained 18 at that area into the purview of his insurance policy. For instance, someone who drives to a bar 19 with his insured motor vehicle and suffers injuries in an ensuing bar fight cannot claim that his 20 injuries resulted from the use of his vehicle simply because of his method of travel. Similarly, 21 someone who develops the motivation to engage in particular conduct while driving also cannot 22 claim that subsequent injuries arose out of the “use” of his motor vehicle. A ruling to the contrary 23 would defeat the plain meaning of the word “use,” which the Ninth Circuit has previously stated 24 to mean “make use of or to enjoy.” Yandle v. Hardware Mut. Ins. Co., 314 F.2d 435, 437 (9th Cir. 25 1963) (repairing a trailer axle did not constitute “use” or enjoyment of a motor vehicle). Hunt was 26 certainly not making use of or enjoying his motor vehicle when he was standing on the side of the 27 road and being attacked by Harper. 28 /// 7 1 Hunt’s case is similar to a Ninth Circuit opinion, State Farm Mut. Auto. Ins. Co. v. 2 Fernandez, 767 F.2d 1299 (9th Cir. 1985). There, the policy holder (Fernandez) was involved in 3 a road rage incident with an unrelated third party (White). Id. at 1300. White shouted at Fernandez 4 when the two passed each other on the road, which lead to Fernandez turning around and pursuing 5 White. Id. In the subsequent confrontation outside of their vehicles, White stabbed Fernandez. Id. 6 Fernandez filed a claim for UM benefits through his auto insurance policy, but his carrier denied 7 the claim because his injuries did not arise out of the “use” of his motor vehicle. Id. at 1302. The 8 District Court for the District of Hawai’i granted the insurance carrier’s motion for summary 9 judgment on the coverage issue, and the Ninth Circuit subsequently affirmed. In so holding, the 10 Ninth Circuit noted that “an intervening intentional act breaks the causal connection between the 11 use of an uninsured vehicle and an injury.” Id. This is precisely the case here. Between Hunt 12 driving his vehicle and breaking his ankle, he was involved in a curbside attack by Harper in which 13 he was punched in the face. The curbside assault, much like the stabbing in Fernandez, is an 14 intervening intentional act that breaks the causal connection between Hunt’s use of his vehicle and 15 his injury. See also Wincor Nixdorf Inc. v. Discover Property & Cas. Ins. Co., 612 Fed. App’x. 16 900, 901–902 (9th Cir. 2015) (insured did not “use” his vehicle when he exited it and attacked a 17 pedestrian while stopped at a crosswalk); Allstate Ins. Co. v. Bruttig, 2006 WL 3248393, at *7–8 18 (D. Nev. Nov. 3, 2006) (insured was not “using” his motor vehicle when, following an accident, 19 he exited his vehicle and assaulted the other party to the accident). 20 Hunt asks the Court to effectively ignore the Ninth Circuit’s holding in Fernandez because 21 the “case is dated and has earned its retirement.” (ECF No. 15 at 6). Hunt directs the Court to a 22 published case from the District of Arizona, Moore v. Farm Bureau Property & Cas. Ins. Co., 23 which “expressly rejected Fernandez.” 993 F. Supp.2d 1039 (D. Ariz. 2014). Moore, however, is 24 not only not binding on the Court, but it dealt solely with a secondary issue in Fernandez 25 concerning an arbitration clause within the insurance policy rather than the insurance coverage the 26 Court faces today. Id. at 1041–42. Moore is inapplicable to the case at bar, and Hunt has given no 27 persuasive reason as to why the Court should ignore the Ninth Circuit’s ruling in Fernandez. 28 /// 8 1 In sum, Hunt has failed to demonstrate that the incident with Harper amounted to an 2 “accident” (as the term is defined in his insurance policy) or that his injuries arose out of the “use” 3 of his vehicle. Instead, a plain reading of both terms indicates that his fight with Harper is not 4 covered under either of them. The Court will accordingly deny his motion for summary judgment 5 and grant CSAA’s motion for summary judgment, which will dispense with all Hunt’s claims 6 pursuant to the parties’ stipulation. (ECF No. 14 at 4). IV. Conclusion 7 8 9 IT IS THEREFORE ORDERED that Hunt’s motion for summary judgment (ECF No. 15) is DENIED. 10 IT IS FURTHER ORDERED that CSAA’s motion for summary judgment (ECF No. 16) 11 is GRANTED. The Clerk of Court is directed to enter judgment for defendant AAA Nevada 12 Insurance Company and against plaintiff John David Hunt. 13 IT IS SO ORDERED. 14 DATED this 25th day of February, 2019. 15 16 LARRY R. HICKS UNITED STATES DISTRICT JUDGE 17 18 19 20 21 22 23 24 25 26 27 28 9

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