Court Opinion

ID: 17025
Source: CourtListenerOpinion
Date Created: 2010-04-25 07:00:02+00
Date Added: 2024-06-11T16:46:41.337546
License: Public Domain

IN THE UNITED STATES COURT OF APPEALS

                      FOR THE FIFTH CIRCUIT

                           No. 98-50311

EVANGELICAL LUTHERAN CHURCH IN AMERICA, (ELCA);
TEXAS-LOUISIANA GULF COAST SYNOD OF THE
EVANGELICAL LUTHERAN CHURCH IN AMERICA

                                           Plaintiffs - Appellees

                               versus

ATLANTIC MUTUAL INSURANCE COMPANY

                                           Defendant - Appellant

          Appeal from the United States District Court
                for the Western District of Texas

                          March 11, 1999

Before HIGGINBOTHAM, BENAVIDES, and DENNIS, Circuit Judges.

HIGGINBOTHAM, Circuit Judge:

     This is a choice-of-law puzzle with a substantive law question

about whether the insurance company defendant has the duty to

defend the plaintiffs in litigation against them.    Because we find

that Illinois law applies and imposes a duty to defend, we AFFIRM.

                                 I

     This is a suit for declaratory judgment resting on diversity

jurisdiction by Evangelical Lutheran Church in America and the

Texas-Louisiana Gulf Coast Synod of the Evangelical Lutheran Church

in America against their insurer, Atlantic Mutual Insurance Co.
The insureds   claim,      and   the    district        court    agreed,    that   the

insurance company has a duty to defend them with respect to

allegations of negligence in a Texas civil action styled Clark v.

Baker.   The company denied coverage both for the defense of the

underlying action and for any damages that might be received.

     The Clark lawsuit alleged that Richard Carl Baker, a minister

whom the ELCA had ordained, sexually assaulted Cindy Clark, a

learning disabled adult. The assaults allegedly occurred from 1993

to 1994 at the Brenham State School, an institution for the

mentally handicapped operated by the state in Brenham, Texas.                       In

March 1997, Clark amended her petition to name the ELCA and the

Synod as defendants.        The insureds allegedly were negligent in

training, supervising, placing, and monitoring Chaplain Baker, who

has been indicted for alleged sexual contact with three mentally

handicapped individuals.         Baker was never an agent or employee of

the ELCA or the Synod, but graduated from the Lutheran Theological

Seminary, located in Gettysburg, Pennsylvania, in 1959.                        He is

listed on the ELCA clergy roster as a retired Lutheran pastor.

     Two insurance policies, each including a Comprehensive General

Liability   and   a     Commercial           Umbrella     Liability        component,

potentially apply.    The first provided nationwide coverage for the

Evangelical Church, and the second covered both the Synod and

approximately 40 other regional synods.             Both policies included a

provision agreeing to pay “damages because of ‘bodily injury’ or

‘property   damage’   to    which      this    insurance        applies,”    but   the

                                         2
policies    explicitly    require    that      “[t]he      ‘bodily   injury’   or

‘property    damage’     must   be   caused     by    an    ‘occurrence.’”     An

“occurrence” is “an accident, including continuous or repeated

exposure    to   substantially    the   same    general       conditions.”   Both

policies excluded “‘bodily injury’ or ‘property damage’ expected or

intended from the standpoint of the insured.”1

     The    policies   were     negotiated     at    ELCA’s    headquarters    in

Chicago, and delivered through a New York insurance broker, Arthur

J. Gallagher & Co.     Upon receipt, Gallagher delivered the policies

to the ELCA in Chicago.         Gallagher billed the policies from New

York, but ELCA pays the premiums from Chicago, and the Synod

apparently pays its premiums from its Houston office.

     The plaintiffs’ suit here was originally filed in the Northern

District Court of Illinois and transferred by Atlantic Mutual to

the Western District of Texas, pursuant to 28 U.S.C. § 1404(a).

Atlantic Mutual had filed its own declaratory judgment action, but

that suit was dismissed.          After the transfer, Atlantic Mutual

sought summary judgment.         In December, 1997, the district court

     1
      Both policies also provided for coverage attributable to “any
negligent act, error and omission of the insured arising out of the
performance of professional services for others in the insured’s
capacity as a pastoral counselor.” This coverage, however, did not
apply to “[l]icentious, immoral or sexual behavior intended to lead
to or culminating in any sexual act.” Although Atlantic Mutual
emphasizes this provision, it does not apply. Even if Chaplain
Baker was acting “as a pastoral counselor,” the insureds were not,
since Baker was not working for them at the time.

                                        3
rejected this motion and subsequently granted judgment in favor of

the insureds.     This appeal followed.

                                        II

       Our first task is to determine which state’s substantive law

applied. Because this action was filed in the Northern District of

Illinois and transferred under § 1404(a), Illinois choice-of-law

rules apply.     See Ferens v. John Deere Co., 494 U.S. 516 (1990).

Illinois choice-of-law doctrine in this area is “obscure,” Lee v.

Interstate Fire & Cas. Co., 86 F.3d 101, 102 (7th Cir. 1996), but

in this case, precedent produces a clear result, the application of

Illinois substantive law.

       In Lapham-Hickey Steel Corp. v. Protection Mutual Insurance

Co.,   655 N.E.2d 842    (Ill.   1995),     the    Illinois    Supreme   Court

considered an insurance policy delivered in Illinois covering the

subject matter property in Minnesota, as well as property located

in five other states. “[T]o obtain a consistent interpretation of

the    policy   and   to    reasonably       apply    Illinois    choice   of    law

principles,”    the   court    ruled,    “Illinois       law     must   govern   the

interpretation of this policy.” Id. at 527. The insurance policies

in the instant case covered nationwide risks, and obtaining a

consistent interpretation of the policy requires application of

Illinois law.

       The strongest counterargument relies on Society of Mount

Carmel v. National Ben Franklin Insurance Co., 643 N.E.2d 1280

(Ill. App. Ct. 1994).       After reciting the various factors relevant

                                         4
to choice-of-law analysis in Illinois,2 the court stated that the

“location of the insured risk is given special emphasis.” Id. at

1287.    After quoting the Restatement comment that the “location of

the insured risk will be given greater weight than any other single

contact in determining the state of the applicable law provided

that the risk can be located, at least principally in a single

state,” Restatement (Second) of Conflict of Laws § 193 cmt. b, at

611 (1971), the court added: “This is so even where the policy in

question covers multiple risks located in several states, as is the

case here.” 643 N.E.2d at 1287.

     Reliance on Mount Carmel is misplaced for two reasons. First,

the risk here arguably cannot “be located . . . principally in a

single state.”     The risk here involves the possibility that a

pastor trained in Pennsylvania will cause injury in some other

state. This case is thus distinguishable from Mount Carmel.           While

that case involved risks in multiple states, each of those risks

was discrete    and   could   be   identified   with   a   specific   state.

Second, Mount Carmel preceded Lapham-Hickey and was decided by a

lower court.     Thus, to the extent that they are inconsistent,

Lapham-Hickey controls.

     2
      "[I]nsurance contract provisions may be governed by the
location of the subject matter, the place of delivery of the
contract, the domicile of the insured or of the insurer, the place
of the last act to give rise to a valid contract, the place of
performance, or other place bearing a relationship to the general
contract.” Id. at 1287 (citation omitted). The Illinois Supreme
Court reiterated these factors in Lapham-Hickey. See 655 N.E.2d at
526-27.

                                     5
     The appellants also seek refuge in two Seventh Circuit cases

applying Illinois law, Lee and Massachusetts Bay Insurance Co. v.

Vic Koenig Leasing, Inc., 136 F.3d 1116 (7th Cir. 1998).                 The Lee

court chose the place of the insured risk rather than the place of

the policy’s delivery because two insurance policies were involved,

one issued in the United Kingdom, the other in Illinois.                Thus, to

achieve the Lapham-Hickey goal of consistent interpretation, the

Lee court properly ignored the means the Lapham-Hickey court chose

to arrive at this goal.       In this case, by contrast, the Lapham-

Hickey goal is aligned with its means of choosing the law of the

state where the insurance policy was delivered.             The Massachusetts

Bay decision did cite Society of Mount Carmel and did choose the

law corresponding to the location of the insured risk.                  In that

case,   though,   the    insured   risk   was    an   automobile    leased    in

Tennessee, and there was no concern about multi-state coverage.

     In sum, under Illinois choice-of-law rules, the place of the

insured risk does not receive special consideration where risks are

nationwide.       This   leaves    Illinois     and   New   York   as   possible

candidates for application of substantive law.              The Lapham-Hickey

court placed some emphasis on the domicile of the insured, but no

emphasis on the insurer’s domicile, which was not even identified.

See id. at 845 (noting, before concluding, that “Lapham-Hickey is

an Illinois corporation and Protection is licensed to do business

in Illinois”).     The law of Illinois, where ELCA was headquartered

                                      6
and the insurance contract was delivered, is a better candidate

than the law of New York, as counsel conceded at oral argument.

                                    III

      The policy provisions we have quoted, and in particular the

definition of “occurrence,” did not arise by accident, and indeed

it was confusion about what is an “accident” that spurred the

definitional changes leading to the current form of the exclusions.

Before 1966, Comprehensive General Liability policies generally

referred simply to an “accident,” but continued litigation and

uncertainty over this term led to the substitution of the word

“occurrence.” See 7A J. APPLEMAN, INSURANCE LAW        AND   PRACTICE § 4492

(1979); see also Queen City Farms, Inc. v. Central Nat’l Ins. Co.,

827 P.2d 1024, 1038-39 (Wash. Ct. App. 1994).                In 1972, after

complaints that this definition was too restrictive, the definition

of “occurrence” was changed to “an accident, including continuous

or repeated exposure to conditions, which result in bodily injury

or   property    damage   neither   expected   nor    intended    from   the

standpoint of the insured.” See APPLEMAN, supra.        The policies here

essentially     track   this   definition,   though   the    “expected   nor

intended” phrase is now a separate exclusion rather than part of

the definition itself.

      The language of the exclusions, of course, is still vague

enough to allow for generous amounts of litigation.           See generally

James L. Rigelhaupt, Jr., Annotation, Construction and Application

of Provision of Liability Insurance Policy Expressly Excluding

                                     7
Injuries Intended or Expected by Insured, 31 A.L.R. 4th 957 (1981 &

Supp. 1998).    The factual situations confronted have been various.

See, e.g., Southern Md. Agric. Ass’n v. Bituminous Cas. Corp., 539
F. Supp. 1295 (D. Md. 1982) (holding, based on Maryland law, that

the alleged malicious interference with contract did not constitute

an “occurrence”);    Adams v. Kent Ins. Co., 431 So. 2d 335 (Fla.

App.   1983)   (counting      damage   from   a   sudden   rainstorm   as   an

“occurrence,”    based   on    a   factual    finding   that   the   rain   was

unexpected); Pique v. Saia, 450 So. 2d 654 (La. 1984) (requiring

coverage where the insured precipitated a brawl by swinging at a

police officer); Nielsen v. St. Paul. Cos., 583 P.2d 545 (Ore.

1978) (finding no intent to injure and thus no insurer liability in

case involving repossession of property); Gene’s Restaurant, Inc.

v. Nationwide Ins. Co., 548 A.2d 246 (Pa. 1988) (refusing coverage

in suit involving the beating of a restaurant patron, on the ground

that the beating was not an accident).

       We need not develop a general theory for interpreting such

provisions, because the Illinois law is clear.             The case applying

Illinois law that is most on point is United States Fidelity &

Guaranty Co. v. Open Sesame Child Care Center, 819 F. Supp. 756

(N.D. Ill. 1993).    That case involved almost identical insurance

provisions, and the court concluded that allegations of negligent

hiring fell within the definition of “occurrence.” This case is

only persuasive authority, but its deductions from Illinois law are

persuasive.

                                       8
       Under Illinois law, if a complaint potentially supports a

ground for recovery, the insurer must defend the entire complaint.

See, e.g., Maryland Cas. Co. v. Peppers, 355 N.E.2d 24 (Ill. 1976).

More importantly, in USF&G v. Wilkin Insulation Co., 578 N.E.2d
926, 932    (Ill.   1991),   the   Illinois   Supreme   Court   found   that

allegedly negligent installation of asbestos-laced products was an

“occurrence” and was not excluded as an “intentional” act.              Even

though the installation was intentional, the negligent hiring was

not.   See also Mutual Serv. Cas. Ins. Co. v. Country Life Ins. Co.,

859 F.2d 548, 552 (7th Cir. 1988) (“Similar policy language in

other insurance cases has been construed so that intentional torts

are deemed outside the scope of such an ‘occurrence.’”); State Sec.

Ins. Co. v. Globe Auto Recycling Corp., 490 N.E.2d 12 (Ill. App.

Ct. 1986) (requiring insurance company to reimburse costs of

defending negligent hiring claim, even though negligence claim was

coupled with uncovered intentional tort claim).

       Here, negligent training was not an intentional tort, and

Chaplain Baker’s acts are not the insureds’ intentional acts.

Thus, the insurance policy did not exclude the acts, and Atlantic

Mutual has a duty to defend.

       AFFIRMED.

                                     9