WAS SCOOP INCIDENT AN ACCIDENT?

469_C322


WAS SCOOP INCIDENT AN ACCIDENT?


Homeowners

Intentional Act

Duty To Defend

Punitive Damages

On or about October 5, 2005, Yong Kim and Chong Yang were in a karaoke bar in DeKalb County, Georgia. While Kim was dancing, she started waving an ice cream scoop and, according to Kim, accidentally lost her grip. The scoop flew across the room and struck Yang in the face. Kim was charged with two counts of simple battery and one count each of battery and disorderly conduct.

On July 31, 2006, Yang filed a lawsuit against Kim, seeking both compensatory and punitive damages, alleging that Kim had "unlawfully, intentionally, and without provocation or justification committed an assault and battery upon [her] by throwing a metal ice scooper and striking [her] in the face." In November 2006, Yang amended the complaint to include allegations that Kim "was negligent in her actions resulting in the alleged injuries to plaintiff."

The following July she amended her complaint again, effectively changing it from a complaint alleging intentional conduct to a complaint alleging negligent conduct. The language of the new complaint stated that Kim "negligently threw and without reasonable care threw a metal ice scooper in [Yang's] direction...striking [her] in the face" and that Kim "recklessly and with willful disregard for [Yang's] safety, threw a metal ice scooper in [Yang's] direction...striking her in the face. [Kim's] reckless disregard for [Yang's] safety...constituted gross negligence."

Kim had a homeowners policy issued by Nationwide Mutual Fire Insurance Company. The policy provided coverage for "damages an insured is legally obligated to pay due to an occurrence resulting from negligent personal acts or negligence arising out of the ownership, maintenance or use of real or personal property." The policy defined "occurrence" as "bodily injury or property damage resulting from an accident, including continuous or repeated exposure to the same general condition." The policy contained an intentional acts exclusion that excluded coverage for bodily injury "(a) caused intentionally by or at the direction of an insured, including willful acts the result of which the insured knows or ought to know will follow, from the insured's conduct...[or] (b) caused by or resulting from an act or omission of any insured which are crimes pursuant to the Georgia Criminal Code." The exclusion applied even if "the bodily injury or property damage is of a different kind or degree than the insured knows or ought to know will follow from the insured's conduct." Further, the exclusion applied regardless of whether or not the insured is actually charged with, or convicted of, a crime.

When Kim sought coverage under the policy, Nationwide filed a declaratory judgment action asking the court to determine if it had a duty to defend and indemnify her. The lower court found that Yang's claims for negligence and gross negligence were covered, but that the punitive damages were not covered. Nationwide, Kim and Yang all appealed.

On appeal, Nationwide argued that the policy's criminal acts exclusion applied despite the fact that Yang had amended her complaint. According to Nationwide, Yang and Kim had both admitted that Kim was charged with crimes under Georgia law. The Court of Appeals of Georgia was not convinced by Nationwide's argument. According to the court, the criminal charges were inadmissible; and when they were removed from the evidence, there was not enough remaining evidence to prove that Kim's acts were intentional. Therefore, the intentional acts exclusion did not apply, and Nationwide was obligated to provide coverage.

The Court of Appeals also found that the lower court erred when it found that punitive damages were not covered by the policy. According to the court, under Georgia law, "an insurer must expressly and specifically exclude punitive damages if it does not intend to provide coverage." Because the Nationwide policy did not "expressly and specifically" exclude them, punitive damages were covered under the policy.

The lower court's decision in favor of coverage for the insured was affirmed. The lower court's decision finding that there was no coverage for punitive damages was reversed.

Nationwide Mutual Fire Insurance Company vs. Kim-Nos. A08A1063-A08A1065-Court of Appeals of Georgia-November 14, 2008-669 South Eastern Reporter 2d 517