JOE JAMES and his wife, JUDY JAMES, Jessica Jeanette James, a minor under the Kayce Steger, a minor under the age of 18 years; AND GWEN HADLEY, as Administratrix a minor under the age of 18 years v. KENTUCKY FARM BUREAU MUTUAL INSURANCE COMPANY
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RENDERED: DECEMBER 12, 2003; 10:00 a.m.
ORDERED NOT PUBLISHED BY THE KENTUCKY SUPREME COURT:
NOVEMBER 10, 2004 (2004-SC-0033-D)
Commonwealth Of Kentucky
Court of Appeals
NO. 2002-CA-001738-MR
JOE JAMES and his wife, JUDY JAMES,
as Co-Administrators of the Estate of
Jessica Jeanette James, a minor under the
age of 18 years; THOMAS WAYNE STEGER
and his wife, SABRINA COLLINS STEGER,
as Co-Administrators of The Estate of
Kayce Steger, a minor under the age of
18 years; AND GWEN HADLEY, as Administratrix
of the Estate of Nicole Marie Hadley,
a minor under the age of 18 years
v.
APPELLANTS
APPEAL FROM JEFFERSON CIRCUIT COURT
HONORABLE LISABETH HUGHES ABRAMSON, JUDGE
ACTION NO. 00-CI-004551
KENTUCKY FARM BUREAU MUTUAL
INSURANCE COMPANY
APPELLEE
TO BE HEARD WITH
NO. 2002-CA-001739-MR
ALAN C. STOUT, CHAPTER 7 TRUSTEE
IN BANKRUPTCY FOR THE ESTATE OF
MICHAEL CARNEAL
v.
APPELLANT
APPEAL FROM JEFFERSON CIRCUIT COURT
HONORABLE LISABETH HUGHES ABRAMSON, JUDGE
ACTION NO. 00-CI-004551
KENTUCKY FARM BUREAU MUTUAL
INSURANCE COMPANY
APPELLEE
OPINION AND ORDER
AFFIRMING
** ** ** ** **
BEFORE:
McANULTY, AND SCHRODER, JUDGES; HUDDLESTON, SENIOR
JUDGE.1
McANULTY, JUDGE:
This is an appeal from the grant of summary
judgment in a declaratory judgment and insurance bad faith
action denying coverage under two policies of insurance and
dismissing all bad faith claims against the insurer.
Appellants
argue that genuine issues of material fact prevented summary
judgment in favor of the insurer.
Because we conclude that no
insurance coverage existed for the circumstances at issue, we
affirm.
In appeal number, 2002-CA-001738-MR, appellants are
the administrators of the estates of three students who Michael
Carneal, the insured, shot and killed at Heath High School in
Paducah, Kentucky.
In appeal number, 2002-CA-001739-MR, the
appellant is the Trustee of Michael Carneal’s Chapter 7
bankruptcy estate.
In both appeals, Kentucky Farm Bureau Mutual
Insurance Company (Kentucky Farm Bureau), the insurer, is the
appellee.
1
Senior Judge Joseph R. Huddleston sitting as Special Judge by assignment of
the Chief Justice pursuant to Section 110(5)(b) of the Kentucky Constitution
and KRS 21.580.
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On December 1, 1997, Michael Carneal, then 14 years
old, took at least four long-barreled guns and one .22 pistol to
Heath High School where he was a student.
He concealed the
long-barreled guns in a bundle of blankets and the pistol in his
backpack.
While other students gathered in a circle to
participate in a morning prayer before classes started, Michael
Carneal pulled a clip of ammunition from his pocket and slipped
the clip in the .22.
Then, he pulled the gun out of his
backpack, pointed it at the students in the prayer circle,
cocked it, turned off the safety and started shooting.
He
killed three students in the prayer circle -- Jessica Jeanette
James, Kayce Steger and Nicole Marie Hadley -- and injured five
other students.
At the time the tragic events of this case happened,
Michael Carneal’s parents, John and Ann Carneal, maintained
homeowner’s and umbrella insurance policies through Kentucky
Farm Bureau.
Under the homeowner’s policy, if a claim was made
or suit brought against an insured for damages because of bodily
injury caused by an “occurrence” to which insurance coverage
applied, Kentucky Farm Bureau was obligated to: (1) pay up to
their limit of liability for the damages for which the insured
was legally liable and (2) provide a defense at their expense by
counsel of their choice, even if the suit was groundless, false
or fraudulent.
The homeowner’s policy defined “occurrence” as
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“an accident, including continuous or repeated exposure to
substantially the same general harmful conditions which results
during the policy period” in bodily injury or property damage.
The term, “accident,” is not further defined in the policy.
Moreover, the homeowner’s policy excluded personal liability
coverage for bodily injury “which is expected or intended by one
or more ‘insureds.’”
There is no dispute that Michael Carneal
was insured under this policy as a child of John and Ann Carneal
who resided in their household.
The umbrella policy obligated Kentucky Farm Bureau to
pay damages for which the insured became legally responsible due
to personal injury caused by an “occurrence.”
However, the duty
to pay under the umbrella coverage “applied only to damages in
excess of the underlying limit” of comprehensive personal
liability under the homeowner’s policy.
In addition to the duty
to pay, Kentucky Farm Bureau agreed to defend any suit seeking
damages for personal injury covered by the policy.
The umbrella
policy employed a slightly different definition for occurrence
than did the homeowner’s policy.
The umbrella policy defined an
“occurrence” as “an accident including the continuous or
repeated exposure to conditions, during the policy term,” which
resulted in personal injury “neither expected nor intended by”
the insured.
the policy.
The term, “accident,” is not further defined in
Moreover, the umbrella policy excluded coverage for
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any claim arising out of an intentional act committed by or at
the direction of the insured.
Kentucky Farm Bureau disputes the
estate administrators’ assertion that Michael Carneal is covered
under the umbrella policy, however, we see no need to decide
this issue based on our conclusion that there was no
“occurrence.”
In October of 1998, Michael Carneal entered a plea of
guilty but mentally ill, pursuant to North Carolina v. Alford,
394 U.S. 956, 89 S. Ct. 1306, 22 L. Ed. 2d 558 (1969), to three
counts of murder and five counts of attempted murder.
In
addition, the administrators of the estates of the three
students brought a wrongful death action against Michael
Carneal, his parents, and a number of other defendants (the
civil suit).
In August of 2000, Michael Carneal filed a
confession of judgment in order to resolve all claims asserted
against him in the civil suit.
As a result, the trial court
entered a judgment in the amount of $42,191,488.00 against
Michael Carneal.
Throughout the criminal and civil proceedings,
a guardian ad litem represented Michael Carneal.
In July of 2000, the estate administrators filed this
declaratory judgment action against Kentucky Farm Bureau and
Michael Carneal.
The same guardian ad litem represented Michael
Carneal in this action.
Later, in December of 2000, the estate
administrators, as creditors of Michael Carneal, filed an
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involuntary bankruptcy petition against Michael Carneal.
Eventually, the trial court allowed the bankruptcy trustee’s
substitution for Michael Carneal in the declaratory judgment
action.
After obtaining leave from the trial court, the
bankruptcy trustee filed a cross-claim against Kentucky Farm
Bureau in which it alleged breach of contract and bad faith and
violations of the Kentucky Consumer Protection Act and the
Unfair Claims Settlement Practices Act.
Kentucky Farm Bureau filed a motion for summary
judgment on all claims, and the estate administrators filed
counter motions for summary judgment.
In its motion, Kentucky
Farm Bureau contended that Michael Carneal’s actions did not
meet the definition of “occurrence” under the policies.
Moreover, his acts were intentional acts excluded from coverage
under the policies.
In response and in support of its own
motion, the estate administrators argued that Kentucky Farm
Bureau was estopped from denying coverage due to its bad faith
and misconduct in handling the claim.
In the alternative, the
estate administrators asserted that if the trial court reached
the merits of the coverage issue, the shooting was an
“occurrence” and the exclusions were inapplicable.
Finally, at
the very least, the coverage issues constituted questions of
fact for a jury.
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The trial court agreed with Kentucky Farm Bureau and
granted summary judgment to Kentucky Farm Bureau on all claims
except the trustee’s claim under the Unfair Claims Settlement
Practices Act because Kentucky Farm Bureau did not address this
claim in its motion to dismiss.
However, the trial court noted
that this claim also appeared subject to dismissal given the
court’s conclusion that there was no coverage under either
insurance policy.2
The standard of review of a trial court’s granting of
summary judgment is “whether the trial court correctly found
that there were no genuine issues as to any material fact and
that the moving party was entitled to judgment as a matter of
law.”
Scifres v. Kraft, Ky. App., 916 S.W.2d 779, 781 (1996).
Summary judgment is proper when it appears that it would be
impossible for the adverse party to produce evidence at trial
warranting a judgment in its favor.
See James Graham Brown
Foundation, Inc. v. St. Paul Fire & Marine Insurance Co., Ky.,
814 S.W.2d 273, 276 (1991).
Moreover, we are to view the record
in the light most favorable to the party opposing the motion and
resolve all doubts in its favor.
See Steelvest, Inc. v.
Scansteel Service Center, Inc., Ky., 807 S.W.2d 476, 480 (1991).
Although the interpretation of an insurance contract is a matter
2
The record on appeal indicates that the trial court dismissed this claim on
August 29, 2002, upon motion of Kentucky Farm Bureau.
- 7 -
of law for the court, the terms of an insurance policy must be
interpreted according to the usage of the average person and as
they would be read and understood in light of the general rule
that uncertainties and ambiguities must be resolved in favor of
the insured.
See Morganfield National Bank v. Damien Elder &
Sons, Ky., 836 S.W.2d 893, 895 (1992); Fryman for Fryman v.
Pilot Life Insurance Co., Ky., 704 S.W.2d 205, 206 (1986).
In granting summary judgment to Kentucky Farm Bureau
on all claims, the trial court stated that the events of
December 1, 1997, were not in any way accidental.
Accordingly,
the trial court concluded that there was no “occurrence” and no
coverage under either policy.
Moreover, the trial court applied
Kentucky’s “inferred intent” rule in holding that the
intentional act exclusions also precluded coverage under both
policies.
As to the bad faith arguments raised by both the
estate administrators and the bankruptcy trustee, the trial
court set out the requirements of classic bad faith and coverage
by estoppel claims under Kentucky law.
Given the facts that
Kentucky Farm Bureau defended under a reservation of rights, a
guardian ad litem represented Michael Carneal throughout the
civil suit, and Kentucky Farm Bureau was not obligated to pay
any claims under either policy, the court dismissed the bad
faith claims as well.
- 8 -
As the appellants are consistent in their assertions
of error, we address the issues raised in their briefs
simultaneously.
Appellants argue that summary judgment was
premature because genuine issues of material fact existed on
both the bad faith and coverage issues.
First, appellants
contend that Kentucky Farm Bureau acted in bad faith in handling
the claim, and such mishandling precludes any assertion of
coverage defenses.
Appellants believe that Kentucky Farm
Bureau’s bad faith resulted in Michael Carneal now having a $42
million judgment against him.
Second, appellants argue that the
question of whether the events of December 1, 1997, constituted
an occurrence was a question of fact for a jury given the
numerous inconsistencies given by Michael Carneal in his
statements to various persons.
Moreover, appellants assert that
Kentucky’s “inferred intent” has never been applied in the
context of a juvenile actor, much less one with pronounced
emotional disturbances and should not have been applied in this
case.
We first address the issues pertaining to the
contention that Kentucky Farm Bureau acted in bad faith in
handling the civil claim asserted against Michael Carneal.
First, appellants assert that the reservation of rights letters
were defective because the insurer did not have a reasonable
basis in law and fact in determining that the insurance policies
- 9 -
did not cover liability for the shootings.
were incomplete, inaccurate and untimely.
Second, the letters
Third, appellant’s
expert, Retired Judge Michael McDonald, opined, based on the
content of the reservation of rights letters, that the actions
of Kentucky Farm Bureau allowed it to control the defense of the
case to achieve the denial of coverage.
However, appellants offer no evidence that the
purported insureds, John, Ann and Michael Carneal, did not
understand how Kentucky Farm Bureau’s duties to defend and
indemnify were being undertaken under the reservation of rights.
Absent such a showing, these letters cannot be viewed in a
vacuum to establish an estoppel or breach of contract claim.
Having received the reservation of rights letters, the Carneals
elected to have Kentucky Farm Bureau participate in their
defense in the civil suit.
In addition, a guardian ad litem
represented Michael Carneal.
This same guardian ad litem
represented Michael Carneal while he remained a party in the
case below and filed an answer asserting that Kentucky Farm
Bureau did not control Michael Carneal’s defense in the civil
suit.
Appellants cannot manufacture an issue of fact where none
exists by proffering expert affidavits that do nothing more than
reiterate their legal theory of the case.
Once Kentucky Farm
Bureau submitted their motion for summary judgment establishing
that no genuine issue as to any material fact existed,
- 10 -
appellants had an obligation to do something more than rely upon
allegations in their pleadings to show that evidence was
available which would justify a trial.
See Continental Casualty
Co. v. Belknap Hdwe. & Mfg. Co., Ky., 281 S.W.2d 914, 916
(1955).
They did not do so.
Appellants’ first and third-party common law and
statutory bad faith claims also fail because they cannot
establish the requisite elements:
(1) the insurer must be obligated to pay the
claim under the terms of the policy; (2) the
insurer must lack a reasonable basis in law
or fact for denying the claim; and (3) it
must be shown that the insurer either knew
there was no reasonable basis for denying
the claim or acted with reckless disregard
for whether such a basis existed. . . . [A]n
insurer is . . . entitled to challenge a
claim and litigate it if the claim is
debatable on the law or the facts.
Wittmer v. Jones, Ky., 864 S.W.2d 885, 890 (1993).
See also
Motorists Mutual Insurance Company v. Glass, Ky., 996 S.W.2d
437, 453 (1997).
Given that we are in agreement with the trial
court that there was no “occurrence” under either insurance
policy, appellants cannot establish the first prerequisite that
the insurer was obligated to pay the claim under the terms of
the policy.
We now move to the coverage issues.
We believe this
case is on all fours with Stone v. Kentucky Farm Bureau Mut.
Ins. Co., Ky. App., 34 S.W.3d 809 (2000), discretionary review
- 11 -
denied, which held that in cases where the nature and character
of the act in question is certain to cause a particular kind of
harm, that conduct affords sufficiently clear demonstration of
intent to harm subsuming any need for a separate inquiry into
capacity.
Id. at 813.
In Stone, the insured shot and killed
his 20-month old son with a rifle at close range and then turned
the gun on himself and committed suicide.
This Court affirmed
the trial court’s granting of summary judgment in favor of the
insurer.
In so doing, the court held that there was no
“occurrence” within the provisions of the policy and inferred
intent on the part of the insured despite assertions that the
insured’s depression rendered him incapable of forming the
intent to harm.
In this case, to give merit to a claim that no
harm was intended to result from the act of shooting a loaded
weapon into a crowd of people or that such an act was accidental
would be unsound especially in light of Michael Carneal’s sworn
testimony to the contrary.
See Thompson v. West American
Insurance Co., Ky. App., 839 S.W.2d 579, 581 (1992).
For the foregoing reasons, the trial court’s award of
summary judgment in favor of Kentucky Farm Bureau is affirmed.
ORDER
Appellee’s Motion to Dismiss Appeal No. 2002-CA001738-MR is DENIED.
Michael Carneal and his successor in
interest, the trustee of his Chapter 7 bankruptcy estate, are
- 12 -
not indispensable parties to this appeal.
Considering the
trustee’s separate appeal, neither party’s absence from this
appeal prevents this court from granting complete relief among
those already parties.
Appellee’s Motion to Strike Argument from appellant’s
brief in Appeal No. 2002-CA-001739-MR is DENIED.
We decline to
employ a hypertechnical reading of the statement of issues
requirement in CR 76.03(8).
ALL CONCUR.
DATE:
December 12, 2003
BRIEF AND ORAL ARGUMENT FOR
APPELLANTS:
Michael A. Breen
Mike Breen Attorneys-At-Law,
P.S.C.
Bowling Green, Kentucky
/s/ William E. McAnulty
JUDGE, COURT OF APPEALS
BRIEF FOR APPELLEE:
Michael D. Risley
Stites & Harbison
Louisville, Kentucky
James B. Brien, Jr.
Neely & Brien
Mayfield, Kentucky
ORAL ARGUMENT FOR APPELLEE:
Michael D. Risley
Louisville, Kentucky
- 13 -
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