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A man returns home unexpectedly, finds his wife with another man, and shoots him. It's an unfortunate chain of events, but certainly not unheard of. What is unusual is how the case of a love triangle like this one could lead to an Eleventh Circuit decision about homeowners' insurance. Allstate Prop. & Cas. Ins. v. Roberts, 2017 U.S. App. LEXIS 10933, (11th Cir. 6/21/17).
An Intentional Shooting
Bobby Roberts had owned a business in Alabama since 2009, but he sometimes went home to Georgia to visit his wife, Kim. One evening in January 2013, around 10:00 p.m., Bobby went to the couple's home and found his wife in the kitchen with another man, Sinatra Miller. Suspicious that they were carrying on an affair, Bobby told them to remain where they were, then walked into a bedroom. Miller left the home, but Bobby followed him outside and shot him several times with an automatic handgun. Bobby admitted that he shot Miller intentionally — it had been no accident. He was charged with aggravated assault, aggravated battery, pointing a handgun at another and family violence.
Will Homeowners' Insurance Cover This?
Miller survived, but suffered serious injuries, and his medical bills exceeded half a million dollars. He and his wife sued Bobby and Kim Roberts.
Kim — by this time divorced from Bobby — sought defense and indemnification from Allstate Insurance, with which she and Bobby had a homeowners' insurance policy protecting them from liability for “occurrences” at their home. The policy defined an “occurrence” as “an accident … resulting in bodily injury … arising from the ownership, maintenance or use of the residential premises.”
As a precaution, Allstate provided an attorney for Kim, but also sought a declaratory judgment stating that it was not contractually liable. The trial court noted that the insurance policy did not specifically define the word, “accident,” but pointed to Owners Ins. Co. v. James, 295 F. Supp. 2D 1354 (2003), for the notion that an accident is “an unintended happening rather than one occurring through intention or design.” That court also cited to cases in which insurers were found not responsible for providing coverage when an insured shot someone else. It sided with Allstate after concluding that the shooting was not an accident but a deliberate criminal act perpetrated by Bobby, so the insurer was relieved of any responsibility for defending or indemnifying Kim. She appealed.
The U.S. Court of Appeals for the Eleventh Circuit reversed after finding that the trial court asked the wrong question when deciding on the motion for summary judgment. It is not whether the action that caused the damage was accidental; instead, as the Millers had argued, the question should have been whether the person who purchased the insurance (Kim) did not expect or foresee the action (Bobby's unexpected visit) happening. In other words, as stated by the Millers, “[B]ecause Bobby's appearance was unforeseen by Kim and was not with[in] Kim's foresight, expectation or design, it can and should be considered an 'accident' that set into motion the chain of events from which the underlying lawsuit arises.”
So now the case returns to the trial court so that it can ask, and answer, the correct question: From Kim's perspective, was the incident within her foresight, expectation or design? The Eleventh Circuit specifically offered no guidance on how that question should be answered.
***** Janice G. Inman is Editor-in-Chief of The Matrimonial Strategist.
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