Injuries Resulting from Intentional Acts Not an Occurrence

No Benefits for Deliberate Acts Resulting in Injury

The USCA for the Ninth Circuit – contrary to its often stated court of reversal – wrote a clear, unambiguous, appropriate and proper decision that was even more brief than decisions from the New York appellate courts.

In Metropolitan Property & Casualty Insurance Company v. Kenneth Victor Nieto and Josh Pemberton, United States Court of Appeals, Ninth Circuit, No. 14-35565, 2017 WL 946754 (3/9/17) Josh Pemberton appealed from the entry of summary judgment in favor of Metropolitan Property and Casualty in this insurance coverage dispute.

The Ninth Circuit concluded that the district court correctly determined that Metropolitan had no duty to defend or indemnify Karen and Kenneth Nieto because their liability did not arise from an “occurrence” as defined in the policy.

Pemberton’s injuries did not result from an “accident” because Karen and Kenneth Nieto each engaged in deliberate acts and the injuries were a reasonably foreseeable result of those acts.

Because his injuries did not result from an “accident,” Pemberton cannot establish that the loss falls within the scope of the policy’s insured losses.

Summary judgment was therefore proper.

ZALMA OPINION

Liability insurance is designed to protect the person insured against claims that he or she negligently, accidentally, injured a third person. The insureds deliberately acted in a way to injure Pemberton. No accident, no occurrence, no coverage.

ZALMA-INS-CONSULT                      © 2017 – Barry Zalma

This article and all of the blog posts on this site summarize cases published by courts of the various states and the United States.  The court decisions have been modified from the actual language of the court decisions, were condensed for ease of reading, and convey the opinions of the author regarding each case.

Barry Zalma, Esq., CFE, now limits his practice to service as an insurance consultant and expert witness specializing in insurance coverage, insurance claims handling, insurance bad faith and insurance fraud almost equally for insurers and policyholders. He also serves as an arbitrator or mediator for insurance related disputes. He practiced law in California for more than 44 years as an insurance coverage and claims handling lawyer and more than 49 years in the insurance business.

Mr. Zalma is the first recipient of theLEGEND-TROPHY-2 first annual Claims Magazine/ACE Legend Award.

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The author and publisher disclaim any liability, loss, or risk incurred as a consequence, directly or indirectly, of the use and application of any of the contents of this blog. The information provided is not a substitute for the advice of a competent insurance, legal, or other professional. The Information provided at this site should not be relied on as legal advice. Legal advice cannot be given without full consideration of all relevant information relating to an individual situation.

 

About Barry Zalma

An insurance coverage and claims handling author, consultant and expert witness with more than 48 years of practical and court room experience.
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One Response to Injuries Resulting from Intentional Acts Not an Occurrence

  1. It is not always the price you should look at, but also the agent’s and company claim service.

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