MONTVILLE TOWNSHIP BOARD OF EDUCATION v. ZURICH AMERICAN INSURANCE COMPANY
Filing
22
OPINION. Signed by Judge Kevin McNulty on 6/1/17. (DD, )
UNITED STATES DISTRICT COURT
DISTRICT OF NEW JERSEY
MONTVILLE TOWNSHIP BOARD OF
EDUCATION,
Civ. No. 16-4466 (KM) (MAR)
OPINION
Plaintiff,
V.
ZURICH AMERICAN INSURANCE
CO.,
Defendant.
KEVIN MCNULTY, U.S.D.J.
This is an insurance coverage dispute between an insured, Montville
Township Board of Education (“Montville”), and its insurer, Zurich American
Insurance Co. (“Zurich”).’ For twelve years, Montville employed Jason Fennes
as a teacher. In June 2010, Fennes resigned. About two years later, while
working at another school, Cedar Hill Prep (“Cedar Hill”), Fennes was arrested
and indicted. The charges were that he had sexually abused a number of
Montville students between 2005 and 2008, and a Cedar Hill student in 2010
and 2011. In 2012, one of Fennes’s alleged victims, Child M, a Cedar Hill
student, sued (among others) Montville. She alleges that Montville not only
knew about Fennes’s inappropriate conduct and failed to notify the authorities,
but also agreed not to tell potential future employers about that conduct in
order to induce Fennes to resign. Montville, she claims, thus enabled and
facilitated Fennes’s acts of abuse at Cedar Hill. Montville says that Zurich is
obligated to defend it against these allegations under its general commercial
Zurich says that the real party in interest is its subsidiary, American Guarantee
and Liability Insurance Company (“AGLIC”). Like the parties, I treat AGLIC and Zurich
as one and the same.
1
liability (“GCL”) policy. Zurich has declined to do so based on a coverage
exception for “abusive acts.”
Now before the Court are cross-motions for summary judgment on the
issue of Zurich’s duty to defend Montville in the Child M litigation. For the
reasons stated below, I will deny Montville’s motion but grant Zurich’s.
Because the claims asserted against Montville by Child M are not covered by
Montville’s policy, Zurich has no duty to defend Montville.
I.
2
BACKGROUND
Below is a statement of the factual and procedural posture of this
case, as well as the underlying Child M lawsuit. The parties generally agree as
to the terms of their insurance contract and the allegations of Child M’s
complaint, although each draws a different legal conclusion from those facts.
2
Citations to the record are as follows:
“P1. Br.”
ECF No. 14-3
—
Montville’s Brief In Support of its Motion for Summary Judgment,
“P1. Reply Br.”
Montville’s Brief in Further Support for its Motion For
Summary Judgement and in Opposition to Zurich’s Cross-Motion for Summary
Judgment, ECF No. 20
—
“P1. SUMF”
—
Montville’s Statement of Material Undisputed Facts, ECF No. 14-
2
“Def. Resp. SUMF”
Zurich Response to Montville’s Statement of Material,
Undisputed Facts, ECF No. 17-3
—
“Def. SUMF”
17-2
—
Montville’s Statement of Material Undisputed Facts, ECF No.
“P1. Resp. SUMF”
Zurich’s Response to Montville’s Statement of Material
Undisputed Facts, ECF No. 20-1
—
“Compl.”
Third Amended Complaint in Child M, et al. v. Cedar Hill Prep., et
al, attached as Exhibit B to the Declaration of Stephen J. Edelstein, Esq., ECF No. 144
—
“Policy”
Commercial General Liability Insurance Liability Policy issued to
Montville for the period of July 1, 2011, to July 1, 2012, attached as Exhibit C to the
Declaration of Stephen J. Edeistein, Esq., ECF No. 14-5
—
2
A.
Child M Sues Montville
Montville employed Fennes as a first-grade teacher from September
1998 to June 30, 2010. After his resignation, he was hired by Cedar Hills,
where he also worked as a teacher. In March 2012, while employed by Cedar
Hills, Fennes was arrested for sexually abusing a Montville student in 2005.
Montville notified Zurich of the potential for a claim, and Zurich responded
with a general reservation of rights. (P1. SUMF ¶j 5-8 Def. Resp. SUMF
¶J
5-8)
In August 2012, Child M and her parents sued Fennes and Cedar
3
Hill. On January 23, 2015, Child M filed a third amended complaint that
named Fennes, Cedar Hill, Montville, and others as defendants. In that
complaint, Child M alleges that Fennes, her teacher, sexually abused her in
February 2012. She was then six years old. (P1. SUMF
¶
¶J
13; Def. Resp. SUMF
13; Compl. p.1)
As to Montville, here are the pertinent allegations of the Child M
complaint:
•
Prior to working at Cedar Hill, Montville employed
Fennes as a teacher and track coach at William Mason
Elementary School. During the 12 years he worked at
Montville, Fennes sexually abused minor students.
(Compl. p. 11)
•
Montville knew about, or was on notice of, such sexual
abuse. Montville nevertheless failed to report Fennes
to the appropriate authorities as required by law. (Id.)
•
Montville entered into an agreement, dated May 4,
2010, with Fennes, in which Montville agreed to “limit
the scope of information” it would communicate to
potential employers “in exchange for” his resignation.
(Id. at 12)
Two years later, in August 2014, Cedar Hill sued Montville in a separate action
(presumably for indemnity and contribution, although the record is unclear). (P1.
SUMF ¶J 9-11) Def. Resp. SUMF ¶J 9-11)
3
3
•
Fennes “performed various acts of sexual molestation
against” Child M. (IcL at 5)
•
But for Montville’s failure to report and “provide
pertinent and highly relevant information” about
Fennes to potential employers, such as Cedar Hills,
Child M would not have been sexually abused by
Fennes. (Id. at 12-15)
Based on the same allegations, Cedar Hill filed a cross-claim against Montville
for contribution and indemnification. (P1. SUMF
4
B.
¶
14; Def. Resp. SUMF
¶
14)
Montville’s Insurance Policy
Child M’s allegations potentially implicate two coverage parts of
Montville’s General Commercial Liability (“GeL”) policy with Zurich.
The first is the “GCL Coverage Part.” This part broadly provides
insurance for “bodily injury” caused by an “occurrence.” A “bodily injury” is a
“bodily injury, sickness or disease sustained by a person. This includes mental
anguish, mental injury, shock, fright or death resulting from bodily injury,
sickness, or disease.” Excluded from coverage, however, is any claim for bodily
injury “arising out of or relating in any way to an ‘abusive act’” or “any loss,
cost or expense arising out of or relating in any way to an ‘abusive act.” (Def.
SUMF
¶J
12-13, 15; P1. Resp. SUMF
¶J
12-13, 15; Policy at U-GL-1250-A CW
09/05).
An “abusive act” means:
any act or series of acts of actual or threatened abuse
or molestation done to any person, including any act
or series of acts of actual or threatened sexual abuse
or molestation done to any person by anyone who
Child M’s complaint does not plead specific causes of action. The parties seem
to agree, however, that Child M intends to assert claims for negligence and intentional
or negligent misrepresentation. See Child M. u. Fennes, Docket No. A-0873- 15T2, 2016
N.J. Super. Unpub. LEXIS 1955 (App. Div. Aug. 25, 2016) (affirming and reversing in
part trial court’s grant of summary judgment on Child M’s negligence and intentional
or negligent misrepresentation claims against Montville).
4
causes or attempts to cause the person to engage in a
sexual act:
a. Without the consent of or by threatening the
person, placing the person in fear or asserting
undue influence over the person;
b. If that person is incapable of appraising the
nature of the conduct or is physically incapable
of declining participation in or communicating
unwillingness to engage in the sexual act; or
c. By engaging in or attempting to engage in lewd
exposure of the body done with intent to arouse
or to satisfy the sexual desire of any person.
(Def. SUMF
¶ 16; P1. Resp. SUMF ¶ 16)
A second provision, the Abusive Act (“AA”) Coverage Part, does provide
insurance for ‘“loss because of ‘injury’ resulting from an ‘abusive act.”’ The
definitions of “abusive act” in the CGL Coverage Part and the AA Coverage Part
are identical, with one exception: the AA Coverage Part definition (because it
grants, rather than excludes, coverage) requires that the abuse or molestation
result in injury. The AA Coverage Part, however, contains an exclusion of its
5
own. There is no coverage under the AA Coverage Part for “any claim or ‘suit’
based upon, arising out of or attributable, in whole or in part, to any ‘abusive
act’ of which any insured, other than the insured actually committing the
‘abusive act’, has knowledge prior to the effective date of this Coverage Part.”
6
(Def. SUMF
¶J 18-20, quoting Policy § I.1.a., I.2.d., U-GL-1275-A CW
(04/2006); P1. Resp. SUMF ¶j 18-20; Policy § V.1, U-GL-1275-A CW (04/2006)
Injury here means essentially the same thing as “bodily injury” as defined in the
GCL Coverage part. (Policy § V.3, U-GL-1275-ACW (04/2006) (“‘Injury’ means physical
injury, sickness, disease mental anguish, mental injury, shock or fright or death of the
person(s) who is the subject of the abusive act.”)
A third provision, the Alleged Participant Coverage Part, provides coverage to
the insured person (not, e.g., a school district) actually committing the abuse. (Def.
SUMF ¶J 2 1-23; P1. Resp. SUMF ¶J 2 1-23) The Alleged Participant Coverage Part is
not at issue in this case.
6
5
The effective date of the policy at issue in this case, CPO 370 1598-07, is July
1, 2011. (Policy p.1 U-GL--D-1115-B CW (09/04)7
C.
Zurich Disclaims a Duty to Defend
About a week after Child M filed her third amended complaint, on
January 29, 2015, Zurich sent Montville a letter disclaiming and reserving its
rights under the CGL and AA Coverage Parts. As Zurich saw things, it had no
obligation to defend or indemnify Montville under the GCL Coverage Part
because any “bodily injury” suffered by Child M arose out of or related to
“abusive acts.” As for the AA Coverage Part, Zurich observed that Child M
alleged that Montville knew about prior abusive acts committed by Fennes
against Montville students but failed to report to them to the proper authorities
or disclose them to potential employers. That allegation, according to Zurich,
brought Child M’s lawsuit within the “prior known abusive acts” exclusion of
the AA Coverage Part. (Def. SUMF ¶j 25-26; P1. Resp. SUMF
¶J
25-26)
For the same reasons, Zurich again stated that it had no duty to
defend Montville in two more disclaimer letters, dated March 6, 2015, and April
8, 2015. (Def. SUMF
D.
¶
27; P1. Resp. SUMF
¶
27)
The Child M Litigation Proceeds
On August 14, 2015, Montville filed a motion for summary judgment
in the Child M litigation. Although Montville succeeded in obtaining dismissal
of all claims against it, the Appellate Division reversed that summary judgment
ruling in part.
That is the only policy at issue here because Child M alleges that she was
sexually abused in February 2012. For there to be coverage under either the CGL
Coverage Part or the Abusive Act Coverage Part, there must be “bodily injury” caused
by an “occurrence” or an “abusive act” resulting in an “injury” during a policy year.
(Policy § I.1.b(2), CG 00 0112 07; § I.1.b., U-GL-1275-A CW (04/2006). Montville
challenges Zurich’s disclaimer of its duty to defend under the July 2011-July 2012
policy.
6
With some understatement, the Appellate Division called the facts of
the case “troubling” and summarized them thus:
Viewed in a light most favorable to plaintiffs and Cedar
Hill, the record reveals that as of 2005, Montville knew
that Fennes was engaged in inappropriate physical
contact with female students. Among other things,
Fennes had female students sit on his lap; allowed
them to touch his legs, thighs and buttocks; kissed
them and allowed them to kiss him; threatened them
not to tell anyone; and told them they would get into
trouble or he would not like them anymore or hold
their hands if they told anyone. Fennes received
several warnings from his supervisors that his conduct
was inappropriate and must be corrected, but Fennes
responded that he was an “affectionate person and
[cannotj change” and “was not going to stop cold
turkey.”
Fennes’ inappropriate conduct continued despite his
supervisor& warnings and three reports to the New
Jersey Department of Children and Families, Division
of Youth and Family Services (Division) about his
inappropriate conduct made prior to his suspension in
March 2010. The first report was on June 20, 2008 by
an anonymous caller. Although the Division
determined the allegation of child abuse was
unfounded and closed the case, the principal of
Williams Mason, Stephanie Adams, met with Fennes in
September 2008, and warned him that his conduct
was “inappropriate and unacceptable” and that “under
no conditions was it appropriate” to have physical
contact with students.
Fennes did not heed Adams’ warning because eight
months later, on June 5, 2009, she entered his
classroom and saw three female students sitting on his
lap. Adams also received a message from a staff
member reporting a similar encounter with Fennes,
and a letter from a parent reporting that Fennes had
inappropriately touched her daughter. On July 14,
2009, Adams contacted the Division. She reported
what she saw on June 5, 2009, and what the staff
member said, but did not mention the parent’s letter.
Adams also indicated that “[tjhe children didn’t
7
disclose any sexual abuse.” The Division concluded
that no action was required and closed the case.
On July 15, 2009, Adams issued a letter of reprimand
to Fennes and advised him she was recommending the
withholding of his salary increment for the 2009-2010
school year. On August 20, 2009, Montville notified
Fennes that his salary increment for the 2009-20 10
school year was being withheld because of his
“inappropriate interactions with students in [his]
classroom.”
The salary increment withholding did not deter Fennes
because on March 1, 2010, a parent reported to
Montville that she and other parents had observed and
were concerned about his inappropriate physical
contact with female students. The parent “implored
[Montville] to have this situation investigated
immediately for the safety of our children.” Thereafter,
on March 11, 2010, a third report about Fennes was
made to the Division by an anonymous parent. The
Division concluded the allegations were “unfounded”
and closed the case.
On March 12, 2010, Montville suspended Fennes from
his teaching position with pay and began an
investigation. During the investigation, Montville
received new reports about Fennes’ inappropriate
physical contact with female students. For example, a
parent reported that Fennes constantly held his
daughter’s hand, picked her up to hug her, and sent
her text messages even after he asked Fennes to stop
sending them. Another parent reported that a student
saw Fennes holding a female student’s hand, patting
her on the buttocks, and hugging her. A third parent
reported that many parents were very concerned about
the welfare of a female student after observing Fennes’
inappropriate behavior with her. The parent also
warned Montville that “God forbid [Fennes] hurts a
child in the future, the entire school system will have
charges pressed against them for not taking the
appropriate actions in seeing [Fennes] removed from
the classroom and as a track coach.” A grandparent
reported Fennes’ inappropriate conduct with her
granddaughter and stated, “I beg [Montville] to really
look into this thoroughly before something very serious
happens.”
8
Montville also received a letter from a teenaged student
who was coached by Fennes reporting his
inappropriate conduct with “[her] little sister.” The
student said that her sister went to Fennes’ home,
where he had a room upstairs that “had all children
decorations in it” and “a shelf filled with toys” and the
sister “acted like it was her room[.]” Montville also
received statements from numerous William Mason
staff members about their interactions with Fennes
and their observations of his inappropriate physical
contact with female students.
Montville never reported this new information to the
Division and never filed tenure charges against
Fennes. Instead, on May 14, 2010, Montville and
Fennes entered into an Agreement and Release,
wherein the parties agreed that Fennes would resign,
effective June 30, 2010, and never seek employment
with Montville “in perpetuity” (the Agreement).
Regarding references to future employers, Montville
agreed to the following:
Upon direct inquiry by any future employers,
[Montville] or its agents will provide the dates of
[1 Fennes[9 employment with [Montville], the
position he held in the District, including
coaching positions, and that his last day of
employment.
was June 30, 2010. No further
information will be provided. All calls from
prospective employers will be directed to the
Superintendent or his/her designee.
.
.
[(Emphasis added.)]
The Agreement also provided that “[t]he parties
acknowledge that because tenure charges were not
filed against [1 Fennes, his resignation does not fall
within the reporting requirements of N.J.A.C. 6A:917.4.”
On May 14, 2010, Fennes resigned, effective June 30,
2010. On August 13, 2010, he applied for employment
with Cedar Hill as a first-grade teacher. Nandini
Menon, the owner/director of Cedar Hill, interviewed
Fennes and later obtained his list of references, which
did not include anyone employed by Montville. Menon
admitted that she contacted Montville to veriIyr his
dates of employment and only asked for and received
9
those dates. Menon also admitted that she never asked
Montville for any documentation about Fennes; never
asked Montville any questions beyond verifying
Fennes’ dates of employment; did not recall the name
or title of the person to whom she spoke or verified this
person had the authority to provide information about
Fennes; never questioned the fact that Fennes did not
provide references from persons employed by
Montville; and never asked F’ennes for references from
Montville colleagues or supervisors.
Fennes began teaching at Cedar Hill in September
2010. On October 19, 2010, Cedar Hill received
information that: Fennes was the subject of many
parental complaints while employed with Montville;
Fennes had been investigated by the Division; and
Fennes resigned in anticipation of being terminated for
inappropriate behavior around children. Cedar Hill did
not contact Montville about this information and
permitted Fennes to continue working there.
In February 2012, Fennes allegedly sexually abused
Child M. He was subsequently indicted for sexually
abusing and endangering the welfare of Child M. and
several female students from Montville, and his
teaching certificate was suspended.
Child M. v. Fertnes, Docket No. A-0873-15T2, 2016 N.J. Super. Unpub. LEXIS
1955, *28 (App. Div. Aug. 25, 2016) (alterations and emphasis in original).
On this record, the Appellate Division ruled that Montville “had a duty
to take active steps to lessen the risk of harm to the female children by
reporting Fennes to the Division and the Board Examiners.” Id. at * 14. As to
the issue of causation, the court concluded that “[a] reasonable jury could
conclude that Montville negligently failed to take steps that would have
deterred or prevented Fennes from obtaining employment at another
elementary school and negligently shielded him the disclosure of his deviant
conduct with female students.” Id. at *17. Because Cedar Hills never asked for
additional information about Fennes’s character, however, the Appellate
Division affirmed the trial court’s dismissal of Child M’s claims against
10
Montville to the extent they were based on an intentional or negligent
misrepresentation theory. Id. at *17_18.
E.
This Case
While the Appellate Division appeal was pending, on June 22, 2016,
Montville filed this coverage action against Zurich. Originally, this action took
the form of an Order to Show Cause in New Jersey Superior Court seeking a
declaration that Zurich owed Montville a duty to defend it under the CGL
Coverage Part. In July 2016, Zurich removed the case to this federal court on
grounds of diversity jurisdiction. See 28 U.S.C.
§ 1332. On July 29, 2016,
Zurich answered the complaint. (ECF No. 1, Ex. B.; ECF No. 3)
On August 23, 2016 (just two days before the Appellate Division
decision, as it happened), the parties submitted to this Court a joint scheduling
order in which they proposed trifurcation of the case. Because the duty to
defend is broader than and prior to the duty to indemnify, the parties agreed
that litigation of the duty to defend should occur first. (ECF No. 8)
Montville filed in this Court a motion for partial summary judgment
regarding the duty to defend on November 22, 2016. Zurich cross-moved for
summary judgment on December 16, 2016. (ECF Nos. 14, 17, 20)
In January 2017, Montville represented in a letter to this Court that
an appeal of the Appellate Division’s decision to the New Jersey Supreme Court
8
had been concluded (by implication, in Child M’s favor) and that a state-court
trial of the Child M case was likely to be scheduled soon. (ECF No. 21)
II.
DISCUSSION
A.
Summary Judgment Standard
A court “shall grant summary judgment if the movant shows that
there is no genuine dispute as to any material fact and the movant is entitled
Neither WestLaw nor LexisAdvance indicates any subsequent history for the
Appellate Division decision, however.
S
11
to judgment as a matter of law.” Fed. R. Civ. P. 56(a); see Celotex Corp. v.
Catrett, 477 U.S. 317, 322 (1986) (summary judgment is appropriate where
“there is no genuine issue of material fact to be resolved and the moving party
is entitled to judgment as a matter of law.”); Alcoa, Inc. v. U.s., 509 F.3d 173,
175 (3d Cir. 2007). Summary judgment is desirable because it eliminates
unfounded claims without resort to a costly and lengthy trial, Celotex, 477 U.S.
at 327, but a court should grant summary judgment only “if 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
and that the moving party is entitled to judgment as a matter of law.” Fed. R.
Civ. P. 56(c).
When the parties file cross-motions for summary judgment, the
governing standard “does not change.” Clevenger v. First Option Health Plan of
N.J., 208 F. Supp. 2d 463, 468-69 (D.N.J. 2002) (citing Weissman v. U.S.P.5.,
19 F. Supp. 2d 254 (D.N.J.1998)). The court must consider the motions
independently, in accordance with the principles outlined above. Goidwell of
N.J., Inc. v. KPSS, Inc., 622 F. Supp. 2d 168, 184 (D.N.J. 2009); Williams v.
Philadelphia Housing Auth., 834 F. Supp. 794, 797 (E.D. Pa. 1993), affd, 27
F.3d 560 (3d Cir. 1994). That one of the cross-motions is denied does not imply
that the other must be granted. For each motion, “the court construes facts
and draws inferences in favor of the party against whom the motion under
consideration is made” but does not “weigh the evidence or make credibility
determinations” because “these tasks are left for the fact-finder.” Pichler v.
UNITE, 542 F.3d 380, 386 (3d Cir. 2008) (internal quotation and citations
omitted).
12
Analysis
B.
There is only one question in this case: Does the Child M state court
litigation against Montville assert claims “arising out of or in any way relating
9
to an ‘abusive act”? If so, Zurich does not have a duty to defend Montville in
that case; if not, Zurich does have a duty to defend.
Guiding the duty-to-defend analysis are some well-established
principles:
“[T]he duty to defend comes into being when the
complaint states a claim constituting a risk insured
against.” Whether an insurer has a duty to defend is
determined by comparing the allegations in the
complaint with the language of the policy. When the
two correspond, the duty to defend arises, irrespective
of the claim’s actual merit. If the complaint is
ambiguous, doubts should be resolved in favor of the
insured and thus in favor of coverage. When multiple
This exclusion, cited above, is contained in the GCL Coverage Part, which does
not really seem to be designed to cover sexual abuse at all. A question arises as to why
Montville is attempting to shoehorn its claim into the GCL Coverage Part. After all,
Montville purchased abusive acts coverage separately in the AA Coverage Part. And it
concedes that it purchased that AA coverage because the abusive act exclusion in the
CGL Coverage Part is essentially a “blanket exclusion.” (P1. Reply. Br. 12)
9
The explanation would seem to lie in the “prior known acts” exclusion of the AA
Coverage Part. Montville cannot avail itself of the AA coverage it purchased, because
Zurich did not agree to insure Montville for abusive acts it knew about before the
effective date of the policy, i.e., July 1, 2011. And Montville’s prior knowledge is the
very essence of Child M’s claim against it.
When Montville originally filed this coverage action in New Jersey Superior
Court, it relied solely on the GCL Coverage Part. (ECF No. 1, Ex. A) It did the same in
its motion for summary judgment in this Court. Now, in response to Zurich’s crossmotion for summary judgment, Montville makes a terse claim of coverage under the
AA Coverage Part. (P1. Reply Br. 11-12) That contention lacks merit.
Without citation, Montville states that the “prior known acts” exclusion applies
only to abusive acts which it actually committed or participated in. (IcL) There is no
such limitation in the language of the exclusion, however. The exclusion broadly
applies to “any claim or ‘suit’ based upon, arising out of or attributable, in whole or
has knowledge prior to the effective
part, to any ‘abusive act’ of which any insured.
date of this Coverage Part.” (Def. SUMF ¶ 20; P1. Resp. SUMF ¶ 20, quoting Policy §
I.2.d, U-GL-1275-A CW (04/2006)) (emphasis added)). I therefore find that Zurich did
not wrongfully disclaim under the AA Coverage Part.
.
13
.
alternatives causes of action are stated, the duty to
defend will continue until every covered claim is
eliminated.
Voorhees v. Preferred Mut. Ins., Co., 128 N.J. 165, 173-174 (1992) (internal
citations
lO
Because this cases hinges on the meaning of an exclusion contained
in a general commercial liability policy, the following principles of interpretation
apply:
Exclusionary clauses are presumptively valid and are
enforced if they are “specific, plain, clear, prominent,
and not contrary to public policy.” If the words used in
an exclusionary clause are clear and unambiguous, “a
court should not engage in a strained construction to
support the imposition of liability.”
We have observed that “[i]n general, insurance policy
exclusions must be narrowly construed; the burden is
on the insurer to bring the case within the exclusion.”
As a result, exclusions are ordinarily strictly construed
against the insurer, and if there is more than one
possible interpretation of the language, courts apply
the meaning that supports coverage rather than the
one that limits it[.]
Nonetheless, courts must be careful not to disregard
the “clear import and intent” of a policy’s exclusion,
and we do not suggest that “any far-fetched
interpretation of a policy exclusion will be sufficient to
create an ambiguity requiring coverage,” Rather,
courts must evaluate whether, utilizing a “fair
interpretation” of the language, it is ambiguous.
Flomerfelt v. Cardiello, 202 N.J. 432, 44 1-43 (2010) (internal citations omitted).
The CGL Coverage Part broadly provides insurance for claims of
“bodily injury.” Everyone agrees that Child M has alleged a bodily injury. (P1.
SUMF
¶
9; Def. Resp. SUMF
¶
9) And Child M has alleged that the cause of
The parties do not dispute that New Jersey law governs the interpretation of
this insurance contract.
10
14
that bodily injury was an “act or series of acts of actual or threatened abuse or
molestation” by Fennes. (Compl. p. 5 (alleging that Fennes “performed various
acts of sexual molestation against” Child M)) What remains is a question of
interpretation: Do Montville’s alleged acts or omissions, while not abusive acts
themselves, nevertheless “arise out of’ or “relate to” Fennes’s abusive acts?
Surely they do. The GCL Coverage Part states in plain and ordinary
language that it excludes claims of bodily injury “[a] arising out of or [bi in any
way relating to an ‘abusive act.” Phrase [a] has a broad, well-accepted
meaning: “The critical phrase ‘arising out of,’ which frequently appears in
insurance policies, has been interpreted expansively by New Jersey courts in
insurance coverage litigation.” Am. Motorists Ins. Co. v. L—C-A Sales Co., 155
N.J. 29, 35-56 (1998) (noting that “arising out of’ has been defined to mean
conduct “originating from,” “growing out of,” having a “substantial nexus to,”
“connected with,” “had its origins in,” “flowed from,” or “incident to,” to
excluded act) (quoting Records v. Aetna Life & Cas. Ins., 294 N.J. Super. 463,
468 (App. Div. 1996) and Allstate Ins. Co. v. Moraca, 244 N.J. Super. 5, 13 n. 1
(App. Div. 1990)). Phrase [b] is even broader. It applies to any claim for bodily
injury that in any way relates to an abusive act. The allegations here are that,
but for Montville’s failures, Child M would not have suffered sexual abuse.
Montville allegedly knew that Fennes had abused Montville children and (at
best) did nothing or (at worst) took steps to conceal his conduct from potential
employers. Those allegations against Montville “arise out of,” “originate from,”
“grow out of,” have a “substantial nexus to,” “connect with,” “have their origins
in,” “flow from,” or are “incident to,” Fennes’s abusive acts. More generally, they
“relate to” abusive acts, not just in “any way,” but in every way that matters.
Montville cannot really maintain that its potential liability in the Child
M litigation does not relate in any way to abusive acts. Montville’s alleged
knowledge of, and silence about, Fennes’s abusive acts against Montville
students are alleged to have facilitated Fennes’s predations at Cedar Hill. To be
sure, Montville did not itself commit the acts of abuse against Child M—-it is a
15
school district, not a person. But the policy language contains no basis to carve
out cases in which the insured’s liability arises from its own negligent or
intentional conduct which enabled or contributed to a natural person’s
commission of an abusive act.’
A related line of argument emphasizes that Fennes was not employed
by Montville when he allegedly abused Child M. “Abusive acts,” however, are
not defined to include only those committed against Montville students. Far
from it: An abusive act is “any act or series of acts of actual or threatened
abuse or molestation done to any person by anyone.” (Def. SUMF
Resp. SUMF
¶
¶
16; P1.
16) Any claim for bodily injury “arising out of or in any way
relating to an abusive act” is thus excluded from coverage without reference to
the identity of the assailant or victim, their relation to each other, or their
relation to Montville. For purposes of the abusive-acts exclusion, it does not
matter that Montville no longer employed Fennes or that Child M was not a
Montville student.
Montville cites Nationwide Mut. Fire Ins. Co. v. Pipher 140 F.3d 222 (3d Cir.
1998), which has some factual parallels to this case but does not involve the same
interpretive issue. In Fipher, the insured, a landlord, allegedly was negligent in hiring a
painter who killed a tenant. The case rested, not on the defmition of an “abusive act,”
but on the definition of an “occurrence.” An insurable occurrence is essentially an
accident; the definition reflects a general wariness about insuring a party against its
own intentional acts. The Court of Appeals recognized that the direct cause of the
tenant’s death was not an accident, but a third party’s intentional act; nevertheless,
judged from the perspective of the insured landlord, the insured risk was one of
negligence. The rule, said the Third Circuit, is that “it is the intentional conduct of the
insured which precludes coverage, not the acts of third parties.” Id. at 226. Thus,
applying Pennsylvania law, the Third Circuit ruled that the term “occurrence”
“includes bodily injury or death which is directly caused by the intentional act of a
third party, but which is also attributable to the negligence of the insured.” Id. at 227.
11
This case, by contrast, involves neither Pennsylvania law nor the meaning of
“occurrence.” Whether or not sexual abuse is an “occurrence”—and no one seems to
be disputing that issue—it is explicitly excluded from coverage under the GCL
Coverage Part. That exclusion for “abusive acts” makes no distinction between
intentional or negligent abusive acts of Montville, its employees, its agents, or third
parties. It simply eliminates all abusive-acts coverage from the GCL Part, relegating it
to a separately-purchased AA line of coverage that deals with it specifically (and which,
for entirely separate reasons, does not apply here).
16
Montville also leans heavily on the lapse of two years (or more)
between Montville’s alleged acts or omissions and Fennes’s abusive acts at
Cedar Hill. That gap, Montville says, belies any “close causal connection and
temporal relationship” or “substantial nexus” between its negligent conduct
and the abusive acts that caused of Child M’s injuries. Thus, it claims, Zurich
cannot show that Child M’s injuries “arose out of’ the abusive act exclusion.
One short answer, of course, is that the Appellate Division has already ruled as
a matter of law that a jury could find proximate cause under these
circumstances. Child M. v. Fennes, 2016 N.J. Super. Unpub. LEXIS 1955, *17.
But to really understand what Montville means—and why it is
mistaken—requires a discussion of Flomerfelt v. Cardiello, 202 N.J. 432 (2010),
which Montville cites in support of its argument. In Flomerfelt, the New Jersey
Supreme Court considered the meaning of “arising out of’ in a policy exclusion
when a “claim for a personal injury asserts multiple possible causes and
theories for recovery against the insured,” some of which are covered but
others not. Id. at 454. The plaintiff in the underlying suit in Flomerfelt
overdosed on alcohol and drugs at a party held by the defendant at his parents’
home. The plaintiff sued the defendant for giving her drugs and alcohol and not
promptly calling for help when she was found unconscious. The defendant
tendered his defense to the carrier of his parents’ homeowner’s policy. Although
plaintiffs complaint referred to both drugs and alcohol, the insurer disclaimed
a duty to defend because the policy expressly excluded one of those two
causes: claims “arising out of the use,
.
.
.
transfer or possession” of controlled
substances. The defendant then sought a declaration that the insurer was
obligated to defend and indemnify him. Id. at 437-39.
The Court ruled in favor of the insured. It conceded that prior cases
had deemed the phrase “arising out of’ to be “clear and unambiguous” when
used in an exclusion. Nevertheless, the Court said, its usual equivalents—
“originating from,” “growing out of,” or having a “substantial nexus”—may
apply differently when the actual cause of a plaintiffs injury is unclear. Id. at
17
454. “Originating from” and “growing out of,” for example, might exclude
coverage only if the plaintiff’s drug use had “a close causal connection and a
temporal relationship in which the injury is part of a chain of events that began
with the use of a drug at a party.” Id. at 455. “A substantial nexus,” on the
other hand, might broadly exclude coverage if the drug use was merely “part of
interrelated or concurrent causes” of the plaintiff’s injury. Id. The Flomerfelt
plaintiff’s complaint, moreover, did not specify the precise cause—whether drug
use, alcohol use, both, or something else—of her injuries. Applying the usual
rules that ambiguity is construed against the insurer and that the duty to
defend continues until all potentially covered claims are resolved, the court
concluded that the insurer had a duty to defend.
The case of Montville and Child M is plagued by no such imprecisions
or ambiguities. The terms of the exclusion here are “specific, plain, clear,
prominent, and not contrary to public policy.” Id. at 441. There is no special
circumstance rendering the meaning of “arising out of or in any way related to”
ambiguous and requiring that the phrase be construed against Zurich.’
2
Nor is there any dispute about the actual cause of Child M’s injuries.
The complaint alleges just one: Fennes allegedly “sexually assaulted,
inappropriately touched, and otherwise abused” Child M, which caused “severe
personal injuries.” (Compi. 2, 5, 12-15). The problem tackled by Flomerfelt—
what to do when “claim for a personal injury asserts multiple possible
causes”—is not present in this case. “Abusive acts” are the sole cause of the
injury here, and the entire case arises from them. Flomerfelt’s discussion of the
possible meanings of “arising out of” does not control the straightforward issue
of interpretation in this case.
Indeed, as to public policy, Zurich raises the opposite argument. Failing to
exclude coverage of persons or entities that are complicit in sexual abuse, it says,
would violate public policy. Because I ultimately find that Zurich has no duty to
defend Montville in the Child M. litigation, I do not reach that argument.
12
18
To reiterate, it does not matter, as Montville frequently suggests, that
Fennes actually committed the abusive acts while Montville only created the
risk that those acts would occur. That Child M seeks to recover from more than
one defendant based on more than one theory of liability is not the same thing
as saying that more than one cause, one covered and one not, combined to
inflict an indivisible injury. That principle—that a court should consider the
cause of the injury, not disparate theories of liability, when interpreting
“arising out of” language in an exclusion—is implied in much of the case law on
this issue.
Here is one example, from the New Jersey Supreme Court. In the
underlying suit in Memorial Properties, LLC v. ZurichAm. Ins. Co., 210 N.J. 512
(2012), the defendants, the manager and owner of a cemetery and crematory,
were accused of intentionally or negligently allowing a dentist and a “master
embalmer” to dissect, harvest, and sell parts of plaintiffs’ decedents’ corpses.
One of defendants’ insurance policies included an exclusionary clause that
denied coverage for claims of bodily injury “arising out of” the “improper
handling” of human remains. “Improper handling” was defined as, inter alia,
“[f]ailure to bury, cremate or properly dispose of a ‘deceased body.”’ Defendants
claimed that the negligence claims against them fell outside the “improper
handling” exclusionary clause, so the insurer had a duty to defend. Id. at 51822.
The court disagreed. True, the manager and owner did not themselves
commit any act of desecration. But the allegation that they knowingly allowed
the dentist and others access to the decedents’ remains—that they played an
enabling role in the illegal harvesting scheme—fell “squarely within the
parameters of the exclusionary clause.” Id. at 529. And so, too, did the
negligence claim, because “if, as alleged by the families of decedents, negligence
in the care or custody of the decedents’ remains exposed those remains to
illegal harvesting, then the emotional harm consequently inflicted upon the
families would ‘arise out of [defendants’j negligence in failing to ‘properly
19
dispose’ of their decedents’ bodies.” Id. at 529-30 (emphasis added). Thus,
ruled the court, plaintiffs alleged no covered claim, and the insurer did not
have a duty to defend.
For purposes of argument, I can even assume that Flomerfelt may
apply in a case where there is only one cause of a plaintiff’s injury. Montville
still fails to account for the language immediately following the phrase “arising
out of.” Flomerfelt, 202 N.J. at 452 (“In some cases, an exclusion itself may add
other language to the phrase ‘arising out of’ that will assist in the analysis.
In interpreting such language, courts separately consider the meaning of each
phrase and then collectively analyze the intent of the exclusion to decide
whether the complaint falls within its scope.”) The exclusion here also
encompasses claims for bodily injury “in any way relating to” to abusive acts.
From that broad formulation there is no escape.’
3
Montville has a partial fallback position. It suggests that Zurich must defend it
from any claim of intentional or negligent infliction of emotional distress (“lIED” or
“NIED”) under Abouzaid v. Mansard Gardens Assocs., LLC, 207 N.J. 67 (2011). Such a
claim, Montvile seems to say, is independent any of Fennes’s abusive acts but still
covered as a claim for “bodily injury.”
13
As explained elsewhere in this Opinion, Montville cannot so easily divorce its
alleged conduct from Fennes’s abusive acts. And even if it could, Abouzaid would still
be inapposite. The issue in Abouzaid was whether, under a “bodily injury” clause, an
insurer is obligated to defend its insured for a claim of NIED that did not allege
physical injury. Because NIED claims require distress that is extreme, the court ruled,
the insurer should presume physical sequelae until the issue of physical injury
definitively drops out of the case. The TIED and NEID claims here, though, allege both
physical and emotional injuries, and stem from the allegation that Fennes “performed
various acts of sexual molestation” on Child M. (Compl. pp. 5, 11-15 (incorporating
allegations against Fennes and alleging that Montville’s negligence or
misrepresentations caused Child M. “extreme emotional distress,” as well as “severe
personal injuries.”) Zurich therefore has no duty to defend Montvile from an
Abouzaid-type emotional distress claim.
I note in passing that such an emotional distress claim, if asserted, might
nevertheless have fallen within the defmition of abusive acts. That definition includes
threatened acts of abuse or molestation, which are excluded from coverage. Cf
Abouzaid, at 88 (“[A] policy providing coverage for claims of ‘bodily injury’ will be
understood to require a defense from the filing of a [negligent inifiction of emotional
distress] complaint unless such a defense is specifically excluded by other contract
language.”).
20
Interpreted as a whole, the phrase “arising out of or in any way
relating to” is broad enough to capture allegations that Montville’s failure to
alert the proper authorities created a risk that Fennes would abuse future
students. It is also broad enough to capture allegations that Montville virtually
knew that Fennes would abuse students at other schools when it agreed to
keep mum on his past abusive acts in exchange for his resignation.
Comparing the entire language of the exclusion to Child M’s
allegations, I have no difficulty finding a sufficiently close causal connection
between Montville’s misrepresentations or negligence and Fennes’s abusive,
injury-causing acts. As the Appellate Division has already ruled, a properly
instructed jury could find proximate cause on these facts. Child M v. Fennes,
2016 N.J. Super. Unpub. LEXIS 1955, *17. By either reporting Fennes to the
authorities, or at least by not concealing his acts of abuse from Cedar Hills,
which hired him, Montville allegedly made the abuse of Child M possible,
despite being in a position to prevent it. Abusive acts—those of which Montville
was aware from 1998-20 10, or those which occurred later, in 2010-2012—are
the foundation of Montville’s liability to Child M. A lapse of two years is a
factual circumstance, not a statute of repose; if the allegations of the
underlying complaint are correct, when Montville acted as it did, it knew or
should have known that, late or soon, abuse was likely to follow.
In short, the terms of the abusive act exclusion are “clear and
unambiguous,” and I will not “engage in a strained construction” to support
coverage. Flomerfelt 202 N.J. at 442. Comparing the Montville’s policy to the
complaint, there is no doubt that the parties expected and intended to exclude
coverage for such claims under the GCL Coverage Part.
***
To recap: Montville’s policy with Zurich unambiguously excludes
claims for bodily injury that arise out of or in any way relate to abusive acts.
Child M alleges that Fennes sexually abused or molested her, and that
21
Montville knew that he had done the same to previous students. The claim is
that if Montville had reported Fennes to the appropriate authorities or told
potential employers what it knew, Child M would not have been abused.
Setting the terms of the policy alongside Child M’s complaint, I must conclude
that such allegations arise out of are related to abusive acts, and therefore are
well within the bounds of the “abusive act” exclusion. Zurich has no duty to
defend Montville.
III.
CONCLUSION
For the foregoing reasons, Montville’s motion for summary judgment is
DENIED, and Zurich’s cross-motion for summary judgment is GRANTED.
Dated: June 1, 2017
KEVIN MCNULTY
United States District Judge
22
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