AMICUS AI
Citation Codes
Equivalent Citations
citation codes
Are you a practicing lawyer?
Enhance your digital presence and reach by creating a Casemine profile.
Upload pleading to use the new AI search
Cites
Cited by
Citation Codes
Equivalent Citations
citation codes
Smart Summary

Factual and Procedural Background

This appeal arises from an underlying personal injury action commenced by Ellen B. on behalf of herself and her two infant children (Christian B. and Teresa B.) against Edward and Ann Mugavero. The complaint alleged that Edward Mugavero had assaulted, sodomized and sexually abused the children while his wife Ann was babysitting; the complaint alternatively pleaded claims based on negligent conduct and also alleged Ann was negligent in supervision.

The Mugaveros forwarded the summons and complaint to their homeowner's insurer, Allstate Insurance Company, seeking defense and indemnity. Allstate filed a declaratory judgment action asserting it had no duty to defend or indemnify because the policy excluded "bodily injury ... intentionally caused by an insured person." On cross motions for summary relief the Supreme Court, Suffolk County, declared Allstate required to defend the Mugaveros in the underlying action. On appeal to the Appellate Division, Second Department, the order was affirmed insofar as appealed from, with the appellate court directing one bill of costs payable to the defendants appearing separately and filing separate briefs.

Legal Issues Presented

  1. Whether an insurer has a duty to defend and indemnify an insured under a homeowner's policy in an action for damages resulting from forcible sexual abuse of children (including penetration) where the policy excludes coverage for "bodily injury intentionally caused by an insured".
  2. Whether intent to injure can be inferred as a matter of law from the very nature of the alleged sexual abuse of children, thereby bringing the complaint solely within the policy exclusion.
  3. Whether public policy precludes insurance coverage for civil liability arising from criminal acts of sexual abuse of children, or whether coverage depends on whether the insured intended to cause the injury.

Arguments of the Parties

Appellant Allstate's Arguments

  • Allstate argued the allegations of forcible sexual abuse were, by their nature, intentional and criminal and, given the age of the victims, injury was a reasonably expected consequence; therefore the policy exclusion for "bodily injury intentionally caused by an insured person" precluded any duty to defend or indemnify.
  • Allstate contended that, as a matter of law, the acts alleged compelled an inference of intent to harm, so coverage was excluded even if the complaint contained alternative negligent theories.
  • Allstate asserted public policy supported denial of coverage in such cases or that at least the exclusion clause applied to bar coverage for the intentional sexual abuse alleged.

Defendants (Ann and Edward Mugavero) and Insureds' Arguments

  • The Mugaveros contended that some claims in the complaint alleged injuries that were unintended consequences of intentional acts, and thus fell within policy coverage; specifically, the complaint included causes of action alleging negligent conduct and also an allegation that the assaults were committed "without intending the resultant serious injuries."
  • They argued intent to injure may not be presumed where injuries are not the obvious and immediate result of force, and that the complaint's allegations must be liberally construed in favor of the insured for duty-to-defend purposes.
  • The Mugaveros (through counsel) relied on the principle that the insurer's duty to defend is determined from the complaint's allegations and that an exclusion must be shown by the insurer to apply exclusively.

Infants' Counsel / Plaintiff in Underlying Action

  • Counsel for the infants pointed to a purported statement by Edward Mugavero to police (admitting certain sexual acts and describing affection) as potentially indicating that he did not intend to harm the children and thus suggesting coverage might apply; they stressed factual issues relevant to intent.

Table of Precedents Cited

Precedent Rule or Principle Cited For Application by the Court
Ruder Finn v. Seaboard Sur. Co., 52 N.Y.2d 663 Duty to defend is derived from the allegations of the complaint and the terms of the policy; if complaint potentially brings claim within protection purchased, insurer must defend. Cited to support the general proposition that the insurer's duty to defend is measured by the complaint’s allegations.
International Paper Co. v. Continental Cas. Co., 35 N.Y.2d 322 When an exclusion is relied upon to deny coverage, insurer must show the complaint is cast solely and entirely within the exclusion. Cited to explain insurer's burden when relying on an exclusion to deny defense.
Technicon Elecs. Corp. v. American Home Assur. Co., 74 N.Y.2d 66 Reiterates burden on insurer to show allegations are entirely within exclusions. Quoted to emphasize insurer's burden to demonstrate exclusion applies in toto.
State Farm Fire Cas. Co. v. Irene S., 138 A.D.2d 589 In an analogous sexual-assault case (adult victim), courts examined complaint allegations without looking beyond them to determine duty to defend. Used as an analogous instance where duty to defend was found despite allegations of intentional assault.
New York Cent. Mut. Fire Ins. Co. v. Heidelmark, 108 A.D.2d 1093 Cited as analogous authority regarding insurer's duty in sexual-abuse allegations (adult). Referenced as part of analogous case law where courts looked to complaint allegations.
Allstate Ins. Co. v. Jack S., 709 F. Supp. 963 Where insurer believes some acts are so certain to cause injury that intent should be inferred, exclusion should provide for that expressly; absence of such wording counsels against court-imposed inference. Cited by majority to reject Allstate's argument that intent to injure can be inferred as matter of law absent express policy language.
Baldinger v. Consolidated Mut. Ins. Co., 15 A.D.2d 526; affd 11 N.Y.2d 1026 Referenced in support of the view that exclusion clauses should express any inference-of-intent rule. Cited alongside Jack S. to support refusal to infer intent from nature of acts where exclusion lacks such provision.
Richard L. v. Armon, 144 A.D.2d 1 Statement that intent is not established merely because an individual suffers severe emotional distress as proximate result of another's actions. Quoted to show that intent to harm is not automatically established by severe consequences.
Public Serv. Mut. Ins. Co. v. Goldfarb, 53 N.Y.2d 392 Public policy does not necessarily preclude insurance coverage for civil liability arising from a criminal act; coverage permissibility depends upon whether insured intended to cause injury. Used by majority to reject a per se public policy bar to coverage for sexual abuse and to frame inquiry around insured's intent.
MacKinnon v. Hanover Ins. Co., 124 N.H. 456, 471 A.2d 1166 Referenced in discussion of whether public policy should be applied differently for sexual assault on children. Quoted to support view that no principled reason to treat child sexual assault differently regarding public policy banning coverage.
Vermont Mut. Ins. Co. v. Malcolm, 128 N.H. 521, 517 A.2d 800 Holds that where acts are inherently injurious, they cannot be accidental causes of injury; intent to injure is irrelevant if psychological injury inherent. Cited in contrast to majority's view; majority noted it as one of the cases in other jurisdictions reaching opposite conclusion.
Fire Ins. Exch. v. Abbott, 204 Cal.App.3d 1012, 251 Cal.Rptr. 620 California case(s) addressing sexual misconduct and insurance coverage; cited among authorities disallowing coverage. Listed as part of multi-jurisdictional authority where courts have found no coverage for sexual abuse of minors.
McGroarty v. Great Am. Ins. Co., 36 N.Y.2d 358 Principle that unintended consequences of intentional acts may constitute an "accident" under an insurance policy; uses "transaction as a whole" test. Discussed by dissent to argue that some intentional acts may have unintended damages, but dissent distinguished McGroarty from child sexual abuse facts.
Messersmith v. American Fid. Co., 232 N.Y. 161 Articulates the "transaction as a whole" approach and the proposition that penal consequences do not necessarily preclude insurance coverage for resultant civil liability. Used in discussion about how McGroarty and Public Serv. relied on Messersmith; dissent argued Messersmith differs factually from sexual-abuse cases.
Spielfogel v. North Riv. Ins. Co., 148 A.D.2d 696 Example of case applying the rule that intentional acts with unintended damages may trigger coverage. Referenced by dissent among cases where courts required insurer to defend when complaint alleged unintended damages from intentional assault.
Home Mut. Ins. Co. v. Preston, 155 A.D.2d 932 Another example where insurers were required to defend on allegations of intentional acts with possibly unintended damages. Listed by dissent with other cases applying unintended-consequences principle.
Nationwide Mut. Fire Ins. Co. v. Burke, 90 A.D.2d 626 Similar authority referenced for unintended consequences principle. Included in dissent's catalog of cases supporting duty to defend in some intentional-assault contexts.
State Farm Ins. Co. v. Trezza, 121 Misc.2d 997 Where allegations allow no interpretation bringing them within policy protections, there is no duty to defend as a matter of law. Quoted by dissent to show limits of duty-to-defend doctrine when complaint cannot reasonably be construed to fit coverage.
Lionel Freedman, Inc. v. Glens Falls Ins. Co., 27 N.Y.2d 364 Authority cited in context of duty-to-defend limitations. Referenced by dissent to support principle that where no reasonable interpretation brings claim within coverage, no duty to defend exists.
Spoor-Lasher Co. v. Aetna Cas. Sur. Co., 39 N.Y.2d 875 Duty does not attach where, as a matter of law, there is no factual or legal basis for indemnification. Cited by dissent to underscore situations where insurer has no duty to defend as a matter of law.
Neuwirth v. Blue Cross Blue Shield, 62 N.Y.2d 718 Insurer bears burden of proving a claim falls within exclusionary provisions. Quoted by dissent to emphasize allocation of proof burden on insurer.
Frank v. State-Wide Ins. Co., 151 A.D.2d 458 Addresses insurer's burden in proving exclusions. Used by dissent to state the insurer's burden of proof.
Government Employees Ins. Co. v. Kligler, 42 N.Y.2d 863 Policy provisions clear and unambiguous must be given plain meaning; courts should not rewrite agreements. Quoted by dissent on policy construction principles favoring plain language.
State Farm Mut. Auto. Ins. Co. v. Westlake, 35 N.Y.2d 587 Similar principle on giving plain meaning to unambiguous policy terms. Cited by dissent regarding contract construction.
Acorn Ponds v. Hartford Ins. Co., 105 A.D.2d 723 Also cited concerning construction of clear policy provisions. Referenced by dissent as part of policy interpretation authorities.
Colon v. Aetna Life Cas. Ins. Co., 66 N.Y.2d 6 Scope of insurer's duty to defend is determined from allegations of the underlying complaint and the policy terms. Quoted by dissent to describe the standard for determining duty to defend.
Lachs v. Fidelity Cas. Co., 306 N.Y. 357 Insurance contract should be read from viewpoint of ordinary purchaser; contracts drawn by insurer must be read through eyes of average person. Used by dissent to argue average insured would not expect indemnity for sodomy/sexual abuse of children.
Lewis v. Ocean Acc. Guar. Corp., 224 N.Y. 18 Terms of policy examined from point of view of average reasonable person. Cited by dissent to support interpretive lens for policy provisions.
Ace Wire Cable Co. v. Aetna Cas. Sur. Co., 60 N.Y.2d 390 Similar authority about interpreting insurance contracts from average person's viewpoint. Referenced by dissent in interpretive discussion.
Miller v. Continental Ins. Co., 40 N.Y.2d 675 Discusses the insured's viewpoint in construing "accident" and accidental character of harm. Cited by dissent to explain how "accident" is understood by average person.
Nallan v. Union Labor Life Ins. Co., 42 N.Y.2d 884 Referenced regarding construing terms in context of insured's understanding. Used by dissent on accidental-character analysis.
Continental Cas. Co. v. Plattsburgh Beauty Barber Supply, 48 A.D.2d 385 Criterion for accidental character of harm is foreseeability of harm as consequence of insured's voluntary act. Quoted by dissent to support foreseeability test for accident characterization.
County of Broome v. Aetna Cas. Sur. Co., 146 A.D.2d 337 Personal injuries are expected if actor knew or should have known of substantial probability of result. Cited by dissent to illustrate foreseeability test.
Ford Nursing Home Co. v. Fireman's Ins. Co., 86 A.D.2d 736; affd 57 N.Y.2d 656 Illustrates that damages intended and flowing directly from intentional act are not accidental. Quoted by dissent to show injuries that are intended flow directly from intentional act.
Krulls v. Hartford Acc. Indem. Co., 144 A.D.2d 744 Example of case finding direct causal relationship between intentional act and injuries. Referenced by dissent in assessing causal nexus.
State Farm Fire Cas. Co. v. Shapiro, 118 A.D.2d 556 Earlier decision in State Farm matter finding that claim the damages were unintended would be within policy coverage. Used by dissent to support that claims of unintended damages from intentional acts can, if proved, be covered.
Allstate Ins. Co. v. Gilbert, 852 F.2d 449 Authority cited regarding insurer's obligations when insured's conduct leads to exclusion. Cited by dissent to support that insurer may have no obligation to defend spouse when insured's intentional act excluded coverage.
Allstate Ins. Co. v. Foster, 693 F. Supp. 886 Federal district case involving sexual assaults and insurer's duties. Used by dissent as authority to support no duty to defend co-insured spouse.
Zordan v. Page, 500 So.2d 608 (Fla. Dist. Ct. App.) Early Florida decision where appellate court required subjective specific intent to injure before exclusion applied; dissent advocated objective inference of intent. Cited by dissent in describing development of Florida law and differing approaches.
Landis v. Allstate Ins. Co., 516 So.2d 305; aff'd 546 So.2d 1051 (Fla. Sup. Ct.) Florida appellate and supreme court decisions concluding sexual acts against children were clearly intentional and fell within exclusion; specific intent to harm not required by exclusion. Relied on by dissent to exemplify jurisdiction adopting objective inference and denying coverage.
CNA Ins. Co. v. McGinnis, 282 Ark. 90, 666 S.W.2d 689 Arkansas decision inferring intent to injure from nature of long-term sexual relations with a minor despite expert testimony to contrary. Referential authority in dissent's survey of jurisdictions imputing intent as matter of law.
Linebaugh v. Berdish, 144 Mich. App. 750, 376 N.W.2d 400 Michigan case inferring intent to injure from sexual conduct with a minor. Listed by dissent among cases imputing intent as matter of law.
Auto-Owners Ins. Co. v. Gardipey, 173 Mich. App. 711, 434 N.W.2d 220 Michigan Court of Appeals imputed intent in sexual abuse of a 10-year-old; policy language similar to instant case. Noted by dissent to show other jurisdictions impute intent even for mentally impaired insureds.
Whitt v. Deleu, 707 F. Supp. 1011 (W.D. Wis.) Federal court applying Wisconsin law: sexual acts between adults and minors so certain to result in harm that intent to injure is inferred notwithstanding actor's subjective intent. Quoted by dissent to describe majority approach and list of jurisdictions adopting inference-of-intent rule.
K.A.G. v. Stanford, 148 Wis.2d 158, 434 N.W.2d 790 Wisconsin case holding acts of sexual molestation against a minor are so certain to result in injury that law will infer intent to injure as matter of law. Included by dissent to illustrate Wisconsin's approach.
Roe v. State Farm Fire Cas. Co., 259 Ga. 42, 376 S.E.2d 876 Georgia Supreme Court presumed intent to inflict injury in long-term child molestation and held exclusion applied; insured's self-serving testimony insufficient to rebut presumption. Relied upon by dissent as persuasive authority supporting denial of coverage for child sexual abuse.
Harpy v. Nationwide Mut. Fire Ins. Co., 76 Md. App. 474, 545 A.2d 718 Maryland appellate court observed it is ridiculous to define sex with one's young child as anything but intentional injury; insurer excluded coverage where average person would expect harm. Cited by dissent to support majority trend disallowing coverage.
Vermont Mut. Ins. Co. v. Malcolm (repeated), 128 N.H. 521, 517 A.2d 800 New Hampshire case holding sexual assault of a child inherently injurious and thus not accidental; exclusion applied. Included in dissent's catalog of cases denying coverage in child sexual abuse contexts.
Public Employees Mut. Ins. Co. v. Rash, 48 Wn. App. 701, 740 P.2d 370 Washington appellate court held inability to form intent irrelevant where insured sexually molested a nine-year-old stepson. Listed by dissent as supporting inference-of-intent rule.
Estate of Lehman v. Metzger, 355 N.W.2d 425 (Minn.) Minnesota case inferring intent to injure as matter of law in sexual assaults upon a minor, despite jury finding. Used by dissent to show other jurisdictions impute intent despite contrary jury findings.
Altena v. United Fire Cas. Co., 422 N.W.2d 485 (Iowa) Iowa case extending inference as matter of law to certain nonconsensual sexual acts. Included as jurisdiction adopting inference-of-intent rule.
Perreault v. Maine Bonding Cas. Co., 568 A.2d 1100 (Me.) Maine case involving sexual abuse of a 6½-year-old where court inferred intent to injure. Listed among jurisdictions imputing intent as matter of law.
Allstate Ins. Co. v. Kim W., 160 Cal.App.3d 326, 206 Cal.Rptr. 609 California appellate case addressing "lewd or lascivious acts" upon minors and insurance coverage. Cited by dissent as part of California and other states' authorities denying coverage.
State Farm Fire Cas. Co. v. Huie, 666 F. Supp. 1402; aff'd sub nom. State Farm Fire Cas. Co. v. Bomke, 849 F.2d 1218 (9th Cir.) Federal district court applying California law to rape of minor; cited in list of authorities denying coverage. Included by dissent as part of multi-jurisdictional support for no-coverage rule.
McCullough v. Central Fla. YMCA, 523 So.2d 1208 (Fla.) Florida case involving fondling of genitals of young boys and denial of coverage. Referenced in dissent's survey of state cases denying coverage.
Allstate Ins. Co. v. Thomas, 684 F. Supp. 1056 (W.D. Okla.) Federal district case addressing criminal touching and molesting a minor; cited as denying coverage. Listed among jurisdictions finding exclusion applicable in child sexual abuse cases.
Foremost Ins. Co. v. Weetman, 726 F. Supp. 618; aff'd 904 F.2d 694 (3d Cir.) Case concluding one who sexually abuses a minor intends resulting injuries as matter of law. Quoted by dissent to support the proposition that courts should impute intent to injure in such cases.
Rodriguez v. Williams, 107 Wn.2d 381, 729 P.2d 627 Washington Supreme Court case involving sexual abuse of a minor by stepfather and denial of coverage. Included by dissent among Washington authorities denying coverage.
Grange Ins. Assn. v. Authier, 45 Wn. App. 383, 725 P.2d 642 Washington appellate decision addressing indecent liberties and touching minors in criminal manner and insurance coverage. Listed in dissent's compilation of no-coverage cases.
St. Michelle v. Robinson, 52 Wn. App. 309, 759 P.2d 467 Washington case involving father's sexual abuse of minor daughter and exclusion application. Used by dissent as additional authority denying coverage.
Horace Mann Ins. Co. v. Leeber, 376 S.E.2d 581 (W. Va.) West Virginia authority involving sexual contacts inflicted on minor student by teacher; cited for no coverage. Included by dissent among jurisdictions refusing coverage for child sexual abuse.
Farmers Ins. Co. v. Hembree, 54 Wn. App. 195, 773 P.2d 105 Washington appellate decision involving sexual assaults on minors. Listed by dissent as part of Washington case law denying coverage.
N.N. v. Moraine Mut. Ins. Co., 153 Wis.2d 84, 450 N.W.2d 445 Wisconsin decision involving kissing and fondling of breasts and vaginal area; cited as no-coverage authority. Included by dissent in the list of states imputing intent as matter of law.
American States Ins. Co. v. Borbor, 826 F.2d 888 (9th Cir.) 9th Cir. applying California law to insured who molested nursery school children; used in list of authorities denying coverage. Referenced by dissent among California-related authorities.
Foregoing and other listed cases (collectively cited) Many additional state and federal cases listed by dissent as illustrating the majority rule that intent to injure is imputed as matter of law for sexual abuse of minors. The dissent relied on this body of precedent to argue Allstate had no duty to defend and that the exclusion applied as a matter of law.

Court's Reasoning and Analysis

The majority began from the well-settled rule that the insurer's duty to defend is determined from the allegations of the complaint and the terms of the policy; if any allegation potentially brings the claim within coverage, the insurer must defend (citing Ruder Finn). When an insurer relies on an exclusion to deny coverage, the insurer must demonstrate that the complaint is cast solely and entirely within the exclusion (citing International Paper and Technicon).

The court acknowledged the horrific nature of the alleged child sexual abuse but held that sentiment cannot determine coverage. It observed that the underlying complaint expressly asserted negligence-based claims against the Mugaveros which are not excluded by the Allstate policy. Because the complaint contained alternative theories — including negligence and a cause of action alleging intentional acts "without intending the resultant serious injuries" — the allegations, when considered in toto, potentially brought the claim within the protection purchased and therefore triggered a duty to defend.

The majority rejected Allstate's contention that, as a matter of law, the nature of the sexual-abuse allegations compelled an inference of intent to injure that would place the pleading solely within the exclusion. It relied on the principle that if the insurer believed certain acts were so certain to cause injury that intent should be inferred, the exclusion should have said so expressly (citing Allstate v. Jack S. and Baldinger). The majority noted no New York case has held that intent to injure may be inferred as matter of law in the insurance context solely from the nature of the conduct; intent remains a factual question for the trier of fact (citing Richard L. v. Armon).

The majority further discussed Public Serv. Mut. Ins. Co. v. Goldfarb, observing that public policy does not necessarily preclude insurance coverage for civil liability arising from criminal acts; rather, coverage depends on whether the insured intended to cause injury. The majority concluded that neither Allstate nor the sister-state cases cited by the dissent provided a principled reason to adopt a different public-policy rule for child sexual assault cases in New York.

Given the complaint's negligence allegations and the alternative pleading that could bring the claim within coverage, the majority affirmed the Supreme Court's declaration that Allstate had a duty to defend the Mugaveros. Because of this finding, the majority did not address other contentions raised by Allstate.

The opinion also contains an extensive dissent by Justice Balletta. The dissent agreed with general duty-to-defend principles but argued that, under the facts and given the particularly egregious and inherently injurious nature of child sexual abuse, intent to injure should be imputed as a matter of law. The dissent surveyed numerous out-of-state cases (and some federal decisions applying state law) holding that sexual molestation of minors is so certain to cause harm that the law will infer intent to injure, thereby bringing such claims within intentional-injury exclusions and eliminating the insurer's duty to defend. The dissent would have granted summary judgment for Allstate and declared no duty to defend either Edward or Ann Mugavero.

Holding and Implications

Holding: The Appellate Division affirmed the Supreme Court's order insofar as appealed from, affirming that Allstate had a duty to defend the Mugaveros in the underlying action. The court directed one bill of costs payable to the defendants appearing separately and filing separate briefs.

Implications:

  • Direct effect: Allstate is required to provide a defense to the Mugaveros in the underlying personal injury action because the complaint contained allegations (including negligence and an allegation that injuries were unintended) that potentially brought the claim within policy coverage.
  • The majority's decision rests on New York duty-to-defend principles — focusing on the complaint's allegations and the insurer's burden to show exclusions apply in toto — and rejects, for New York, inferring intent to injure as a matter of law from the nature of the alleged sexual acts absent express policy language or New York precedent to that effect.
  • The dissent demonstrates that other jurisdictions have adopted an opposite approach (imputing intent to injure as matter of law in many child sexual-abuse cases). The majority did not adopt that trend and instead required factual resolution of intent questions rather than resolving them as a matter of law in the insurer's favor.
  • No broader rule precluding coverage for all claims of child sexual abuse in New York was established by the majority; the immediate consequence is that Allstate must defend under the circumstances of this complaint. The court did not resolve indemnity definitively and declined to address other contentions because the duty to defend was dispositive in this appeal.

ALLSTATE INSURANCE COMPANY, Appellant, v. EDWARD MUGAVERO et al., Respondents.

Ordered that the order is affirmed insofar as appealed from, with one bill of costs payable to the defendants appearing separately and filing separate briefs.

The defendant Ellen B. commenced the underlying action herein on behalf of herself and her two infant children against the defendants Edward Mugavero and Ann Mugavero. The gravamen of that complaint was based upon the allegation that Edward had assaulted, sodomized and sexually abused the children while his wife, Ann was baby-sitting them. However, in addition to alleging intentional conduct on the part of Edward, the complaint alternatively asserted claims against Edward based on allegations that his acts were negligently committed, or were intentionally committed, but "without intending the resultant serious injuries thereby sustained" by the children; and further alleged that Ann was negligent in her supervision of the children.

The Mugaveros forwarded the summons and complaint to the plaintiff Allstate Insurance Company (hereinafter Allstate), which had issued them a homeowner's policy, on the ground that Allstate was obligated to defend and indemnify them in the underlying action.

Allstate thereafter commenced this declaratory judgment action, claiming that it had no duty to defend or indemnify either Mugavero, relying upon a provision in the homeowner's policy, which precludes coverage to any named insured for "bodily injury * * * intentionally caused by an insured person". On the parties' motion and cross motion for summary relief, the Supreme Court, in relevant part, declared that Allstate was required to defend the Mugaveros with regard to the underlying action (see, Allstate Ins. Co. v. Mugavero, 142 Misc.2d 361, 364-365). We now affirm.

It is well-settled law that "[t]he duty to defend insureds * * * is derived from the allegations of the complaint and the terms of the policy. If the complaint contains any facts or allegations which bring the claim even potentially within the protection purchased, the insurer is obligated to defend (Ruder Finn v Seaboard Sur. Co., 52 N.Y.2d 663, 669-670). Moreover, when an exclusion clause is relied upon to deny coverage, the insurer has the burden of demonstrating that the `allegations of the complaint cast that pleading solely and entirely within the policy exclusions, and, further, that the allegations, in toto, are subject to no other interpretation' (International Paper Co. v. Continental Cas. Co., 35 N.Y.2d 322, 325)" (Technicon Elecs. Corp. v. American Home Assur. Co., 74 N.Y.2d 66, 73-74).

We are cognizant of the horrific nature of sexual molestation of children. Nevertheless, that factor is not relevant nor should it govern our decision concerning insurance coverage in this case. It is not disputed by our dissenting colleague that the complaint in the underlying action herein asserts claims based upon the alleged negligence of the defendants, which are not excluded by any of the provisions in the Allstate policy. In analogous cases involving, in relevant part, the alleged sexual abuse of an adult, the courts have not looked beyond the allegations in the complaint in determining whether the insurance company which had issued a homeowner's policy had a duty to defend its insured (see, State Farm Fire Cas. Co. v. Irene S., 138 A.D.2d 589, 591; New York Cent. Mut. Fire Ins. Co. v Heidelmark, 108 A.D.2d 1093). Allstate nevertheless claims that Edward Mugavero did not and could not have negligently committed the conduct complained of in the underlying action since the very nature of that alleged conduct, sexual abuse of children, compels an inference of intent as a matter of law. We disagree.

Initially, we note that "[i]f Allstate * * * believed that some acts are so certain to cause injury that an intent to harm should be inferred to the insured, then the exclusion clause should have provided for this expressly. * * * The fact that the exclusion clause does not provide for an inference of * * * harm counsels against this court's imposition of such a clause" (Allstate Ins. Co. v. Jack S., 709 F. Supp. 963, 966-967; see, Baldinger v Consolidated Mut. Ins. Co., 15 A.D.2d 526, affd 11 N.Y.2d 1026). As conceded by Allstate, no New York case has held that in an insurance context, an intent to injure may be inferred as a matter of law simply from the nature of the alleged conduct. In any event, "`[i]ntent is not established merely because an individual has suffered severe emotional distress as the proximate result of another's actions' (Minzer, Damages in Tort Actions, § 6.12 [1], at 6-45)" (Richard L. v. Armon, 144 A.D.2d 1, 5). Whether an inference should be drawn that Edward had intended to harm the children from the nature of his acts alone is a determination to be made by the trier of fact (see, Richard L. v Armon, supra, at 5).

Further, in Public Serv. Mut. Ins. Co. v. Goldfarb ( 53 N.Y.2d 392, 399-400), the Court of Appeals addressed the question of whether the public policy of this State precluded insurance coverage where the insured had been convicted of sexual abuse of the adult complainant. In determining that the public policy of this State did not preclude coverage, the court stated that "[w]hether such coverage is permissible depends upon whether the insured, in committing his criminal act, intended to cause injury. One who intentionally injures another may not be indemnified for any civil liability thus incurred. However, one whose intentional act causes an unintended injury may be so indemnified" (Public Serv. Mut. Ins. Co. v. Goldfarb, supra, at 399). Neither Allstate nor our sister States in the cases relied upon by our dissenting colleague has "provided us with any reason in principle to apply a different rule of public policy when liability is claimed to arise from acts of sexual assault" involving children (MacKinnon v. Hanover Ins. Co., 124 N.H. 456, 461, 471 A.2d 1166, 1168). Contrary to Allstate's contention, the ruling in MacKinnon v. Hanover Ins. Co. (supra) was not overruled by the decision in Vermont Mut. Ins. Co. v. Malcolm ( 128 N.H. 521, 517 A.2d 800) (see, Allstate Ins. Co. v. Jack S., 709 F. Supp. 963, 967, n 1, supra; cf., Fire Ins. Exch. v. Abbott, 204 Cal.App.3d 620, 251 Cal.Rptr. 620, 628, 629-630, n 10).

Since we find that Allstate has a duty to defend the Mugaveros under the homeowner's policy purchased by them, the other contention raised by Allstate need not be addressed. Brown, J.P., Lawrence and Kooper, JJ., concur.

Balletta, J., dissents and votes to reverse the order insofar as appealed from and to grant the plaintiff's motion for summary judgment declaring that it has no duty to defend the defendants Ann and Edward Mugavero, with the following memorandum: Despite what it concedes to be the "horrific nature of [the] sexual molestation of children", the majority concludes that an insurer has a duty under a homeowner's insurance policy to defend the insured in a suit brought against the insured to recover damages for child sexual abuse. I do not agree and vote to grant summary judgment to the plaintiff Allstate declaring that it has no duty to defend the Mugaveros in the personal injury action.

Briefly, the defendant Ellen B. commenced an action against the defendants Mugavero based on allegations that Edward Mugavero had sodomized and sexually abused the infant defendants Christian B. and Teresa B. while his wife, Ann Mugavero, was baby-sitting the children. The complaint set forth five causes of action to wit: (1) that Edward Mugavero "intentionally and without provocation assaulted, sodomized and sexually abused" Christian and Teresa B.; (2) that Edward Mugavero "did intentionally assault, sodomize and sexually abuse" the infants "without intending the resultant serious injuries thereby sustained" by the infants; (3) that Edward Mugavero "did negligently and carelessly, and with wanton disregard of others, assault, sodomize and sexually abuse" the infants; (4) that Ann Mugavero was negligent in allowing her husband to assault the children and in failing to properly safeguard the children; and (5) that Ellen B., the infant's mother, had expended money to relieve the infants' pain and suffering caused by the Mugaveros' conduct.

The bill of particulars submitted by the infants indicates that the abuse took place between 1979 and April 1984 (with respect to the boy) and between January and April of 1984 (with respect to the girl). As of April 1984, Christian B. was nearly 10 years old (date of birth May 18, 1974) and Teresa B. was six years old (date of birth October 1, 1977). The bill of particulars alleged, inter alia, the following conduct:

"Defendant, Edward Mugavero, kissed infant plaintiff, Christian * * * on the lips with his tongue; he humped or rubbed up against him; he opened Christian's fly in his pants and fondled his penis; he took Christian's hand and placed it on his penis; he put his mouth and lips on Christian's penis; and he put his penis in Christian's anus".

"Defendant, Edward Mugavero, put his finger in infant plaintiff, Teresa[`s] vagina; he kissed her; and he felt her sexual organs".

The children provided sworn testimony as to the above conduct at their examinations before trial. In addition, Christian B. testified at his deposition that when Mugavero had finished anally sodomizing him, Mugavero warned him: "If you tell anybody, you know, I'm going to kill you". Christian was crying. On another occasion, according to Christian's testimony, Mugavero warned: "Don't tell anybody or I'm going to get you". Christian remembered his sister crying out "Ouch" when she was being molested.

On April 28, 1984, the date of his arrest, Edward Mugavero purportedly made a statement to the police wherein he admitted to rubbing, kissing and sucking Christian's penis and to licking Teresa's vagina. Mugavero also purportedly told police that he had always told the boy that he loved him and that he hugged both the boy and the girl. However, that written statement was never signed by Mugavero, and at no point did he ever state that he did not intend to commit the acts or to hurt the children. Edward Mugavero ultimately pleaded guilty to an unspecified crime. In fact, the record contains only two references to the criminal proceedings. First, at his examination before trial, Christian B. responded to the question "Did you ever have any conversations with Mr. Mugavero concerning these incidents * * * after the last time it happened up to today?", as follows: "No. Like, after he [Mugavero] got out of jail, he followed me to the bus stop in his car and he gave me the finger and stuff". Second, in a reply affirmation, the Mugaveros' attorney stated that "the sodomy and sexual abuse indictment against Edward Mugavero was dismissed on motion of the District Attorney as a result of plea negotiations which resulted in a guilty plea to an unrelated and far less serious crime".

The Mugaveros forwarded the complaint in the personal injury action to Allstate requesting that Allstate appear in the action and provide a defense on their behalf pursuant to the terms of their homeowner's policy issued by Allstate. Allstate replied that the policy did not cover willful or criminal acts, but that it would provide a defense, reserving its right to disclaim coverage pending the outcome of a further investigation and a declaratory judgment action regarding its duty to defend.

The homeowner's policy issued by Allstate provides that Allstate "will pay all sums * * * which an insured becomes legally obligated to pay as damages because of bodily injury". The policy also provides that "if an insured person is sued for these [covered] damages, we [Allstate] will provide a defense". Finally, the policy expressly states: "We do not cover bodily injury or property damage intentionally caused by an insured person".

Allstate commenced the instant declaratory judgment action asserting that the acts alleged in the underlying action were, by their very nature, intentional and/or criminal in nature and were such that it might reasonably have been expected that injury to a minor child would result. (At the time of the alleged acts, Christian B. was less than 10 years old and Teresa B. was only 6 years old.) Moreover, the depraved acts of the insured Edward Mugavero were, by their very nature, intended to cause injury to the children. Thus, Allstate argued, the alleged acts were excluded by the policy from coverage, and Allstate had no duty to either defend or indemnify the Mugaveros in the underlying action.

The defendants Ann and Edward Mugavero argued that the acts alleged, as well as the attendant injuries, did not fall within the exclusion provision. Counsel for the Mugaveros asserted that the alleged injuries were the unintended consequences of intentional acts and, therefore, covered by the policy. Further, he argued that the intent to injure may not be presumed where the injuries are not the obvious and immediate result of force. The counsel on behalf of the infants contended that Edward Mugavero's purported statement to the police may indicate that he did not intentionally harm the children, and suggests that he may have believed that he was expressing love or affection toward the children.

Under this set of circumstances, we are confronted with an issue of apparent first impression in this State; namely, whether an insurer has a duty to defend and indemnify an insured, under a homeowner's policy, in an action for damages resulting from intentional acts of forcible sexual abuse of children, including penetration, where the policy excludes coverage for "bodily injury intentionally caused by an insured". While the majority would say yes, I strongly believe that the answer must be a resounding no.

It is well established that the duty to provide a defense in an appropriate action against an insured is broader than the duty to indemnify and attaches even when indemnity is unclear (see, Ruder Finn v. Seaboard Sur. Co., 52 N.Y.2d 663, 669-670; see also, Servidone Constr. Co. v. Security Ins. Co., 64 N.Y.2d 419; Seaboard Sur. Co. v. Gillette Co., 64 N.Y.2d 304; International Paper Co. v. Continental Cas. Co., 35 N.Y.2d 322). The scope of an insurer's duty to defend is determined from the allegations of the underlying complaint and the terms of the policy (see, Colon v. Aetna Life Cas. Ins. Co., 66 N.Y.2d 6).

When the complaint, liberally construed, sets forth a claim ostensibly within the coverage of the policy, the insurer must provide a defense, no matter how groundless, false or baseless the suit may be (see, Ruder Finn v. Seaboard Sur. Co., supra). However, when the allegations of the complaint allow for no interpretation that will bring them within the policy protections, there is no duty to defend as a matter of law (see, State Farm Ins. Co. v. Trezza, 121 Misc.2d 997, 1001, citing Lionel Freedman, Inc. v. Glens Falls Ins. Co., 27 N.Y.2d 364). Moreover, the duty does not attach where, as a matter of law, there is no factual or legal basis on which the insurer may be held liable for indemnification (see, Spoor-Lasher Co. v. Aetna Cas. Sur. Co., 39 N.Y.2d 875, 876).

The burden of proving that a claim falls within the exclusionary provisions of the insurance policy rests with the insurer (see, Neuwirth v. Blue Cross Blue Shield, 62 N.Y.2d 718; Frank v. State-Wide Ins. Co., 151 A.D.2d 458, 460). While it is true that policies of insurance are to be construed liberally in favor of the insured and strictly against the insurer, where the provisions of the policy are clear and unambiguous, they must be given their plain and ordinary meaning, and courts should refrain from rewriting the agreement (see, Government Employees Ins. Co. v. Kligler, 42 N.Y.2d 863, 864; see also, State Farm Mut. Auto. Ins. Co. v. Westlake, 35 N.Y.2d 587; Acorn Ponds v. Hartford Ins. Co., 105 A.D.2d 723). The terms of the policy should be examined from the point of view and understanding of the average reasonable person (see, Lewis v. Ocean Acc. Guar. Corp., 224 N.Y. 18, 21; see also, Ace Wire Cable Co. v. Aetna Cas. Sur. Co., 60 N.Y.2d 390, 398). "We all know that a contract of insurance, drawn by the insurer, must be read through the eyes of the average man on the street or the average housewife who purchases it" (see, Lachs v. Fidelity Cas. Co., 306 N.Y. 357, 364). Can it honestly be said that the average person expects his or her homeowner's insurance company to indemnify him or her for sodomizing and sexually abusing children under the age of 10?

The homeowner's insurance policy issued by Allstate in the case at bar expressly excluded injuries "intentionally caused by an insured person". In construing such exclusionary clauses, the courts have often expressed the opinion that "regardless of the initial intent or lack thereof as it relates to causation, or the period of time involved, if the resulting damage could be viewed as unintended by the fact finder the total situation could be found to constitute an accident" within the meaning of the policy thus triggering the insurance company's duty to defend (McGroarty v. Great Am. Ins. Co., 36 N.Y.2d 358, 364-365). The courts have generally applied this rule to require the insurance company to defend its insured in cases where the underlying action alleged conduct which, although amounting to an intentional assault, may have resulted in unintended damages (see, e.g., Spielfogel v. North Riv. Ins. Co., 148 A.D.2d 696; Home Mut. Ins. Co. v. Preston, 155 A.D.2d 932; Nationwide Mut. Fire Ins. Co. v. Burke, 90 A.D.2d 626).

The allegations of the second cause of action set forth in the complaint in the underlying action claim that Mugavero "did intentionally assault, sodomize and sexually abuse [the infants] * * * without intending the resultant serious injuries * * * sustained". This would seem to place this case within the above rule allowing a defense for the insured. The case at bar, however, is set apart in that it is the first case asking the question of whether an insured is entitled to a defense for a claim arising out of the intentional sexual abuse of young children.

In McGroarty v. Great Am. Ins. Co. (supra), which is often cited for the "unintentional consequences of intentional acts" principle, the central issue was whether there was an "accident" within the meaning of the insurance policy in question, where the plaintiff's building gradually cracked, settled and was damaged over a period of several months due to the continuing excavation and construction on certain adjacent property owned by the defendant's insured. The Court of Appeals allowed the coverage to be triggered based on the "transaction as a whole" test citing Judge Cardozo's statement in Messersmith v. American Fid. Co. ( 232 N.Y. 161, 166) that "[t]he character of the liability is not to be determined by analyzing the constituent acts which, in combination, make up the transaction, and viewing them distributively. It is determined by the quality and purpose of the transaction as a whole." This should be read together with the court's statement in McGroarty that: "[o]ne often contemplates and envisions a sudden, or catastrophic event * * * which is unanticipated and the product of thoughtlessness rather than willfulness. But a broader view must be taken of the term for otherwise how could we classify catastrophic results which are the unintended fruits of willful conduct? Certainly one may intend to run a red light, but not intend that the catastrophic result of collision with another car occur. Calculated risks can result in accidents" (McGroarty v. Great Am. Ins. Co., supra, at 363).

In McGroarty, the Court of Appeals determined that the damages occurred to the plaintiff's building as a result of the insured's calculated risk in continuing construction even though aware of the defects (McGroarty v. Great Am. Ins. Co., supra, at 364). However, that type of calculated risk is a far cry from forcibly engaging in deviant sexual intercourse with a minor. Furthermore, even under the "transaction as a whole" standard, the underlying acts cannot be considered as falling within the scope of the policy. After all, what is the "quality and purpose of the [subject] transaction as a whole" (Messersmith v. American Fid. Co., supra, at 166), other than to subject these infants to physical and emotional harm for the sake of sexual gratification.

A rule has also developed that where the act resulting in injury has criminal sanctions attached to it, as in the instant case, the insurer may not deny coverage merely on that basis. "The mere fact that an act may have penal consequences does not necessarily mean that insurance coverage for civil liability arising from the same act is precluded by public policy" (Public Serv. Mut. Ins. Co. v. Goldfarb, 53 N.Y.2d 392, 399, citing Messersmith v. American Fid. Co., 232 N.Y. 161, 162-165, supra).

In Public Serv. Mut. Ins. Co. v. Goldfarb (supra), the issue was whether a policy of professional liability insurance issued by the Public Service Mutual Insurance Company afforded coverage to a dentist, Goldfarb, in a civil suit commenced by a former patient alleging an act of sexual abuse during the course of dental treatment. Goldfarb had been convicted of the crime of sexual abuse in the third degree as a result of his conduct. The policy provided insurance coverage "`for damages because of injury resulting from professional dental services rendered * * * and resulting from any claim or suit based upon * * * [m]alpractice, error, negligence or mistake, assault, slander, libel [or] undue familiarity" (Public Serv. Mut. Ins. Co. v Goldfarb, supra, at 398 [emphasis added]). The Court of Appeals held that a claim of sexual abuse fell within the meaning of the policy term "undue familiarity" (Public Serv. Mut. Ins. Co. v Goldfarb, supra, at 398).

The court in Public Serv. then went on to "address the question whether the public policy of this State precludes insurance coverage for a claim of sexual abuse in the course of dental treatment" (Public Serv. Mut. Ins. Co. v. Goldfarb, supra, at 399). In discussing this issue, the Court of Appeals stated: "Plaintiff notes that defendant was convicted of the crime of sexual abuse in the third degree and argues that, as a matter of public policy, he may not be indemnified for any civil liability arising out of this criminal act. We disagree. The mere fact that an act may have penal consequences does not necessarily mean that insurance coverage for civil liability arising from the same act is precluded by public policy. (See Messersmith v American Fid. Co., 232 N.Y. 161, 163-165; cf. Miller v Continental Ins. Co., 40 N.Y.2d 675.) Whether such coverage is permissible depends upon whether the insured, in committing his criminal act, intended to cause injury. One who intentionally injures another may not be indemnified for any civil liability thus incurred. However, one whose intentional act causes an unintended injury may be so indemnified. (Messersmith v. American Fid. Co., 232 N.Y. 161, supra.)" (Public Serv. Mut. Ins. Co. v Goldfarb, supra, at 399.)

Two observations are in order here. First, there is nothing in the language quoted above from the Public Serv. case which would act as a ban to precluding insurance coverage for the intentional sexual abuse of children as a matter of course. Stating that insurance coverage for a criminal act is not necessarily precluded by public policy is not the same as saying that public policy ought to preclude insurance coverage in this instance. Second, a close reading of the Messersmith case relied upon by the Court of Appeals in both McGroarty and Public Serv. reveals that it deals with an entirely dissimilar situation.

In Messersmith, the owner-insured of an automobile allowed an unlicensed minor to operate the motor vehicle, and the minor was involved in an accident which resulted in injuries to a third person. When that person sought to recover damages, the insurance company disclaimed coverage, arguing that the accident resulted not from the infant's operation of the car but from the insured's willful entrustment of the car to the infant in violation of a statute. The court rejected the argument that the statutory violation precluded insurance coverage, noting that many automobile accidents occurred as a result of violations of law (Messersmith v. American Fid. Co., supra, at 164). To hold otherwise, the court apparently felt, would reduce "indemnity to a shadow" (Messersmith v. American Fid. Co., supra, at 163). The insured's intentional act of wrongful entrustment of the motor vehicle did not preclude indemnity since the event resulting in the claim was fortuitous (Messersmith v. American Fid. Co., supra, at 165).

In the case at bar, the resulting injuries cannot be thought of as fortuitous; the nexus between the intended act and the consequent result is much closer. It is completely unreasonable to believe that the acts of sexual misconduct committed by Mugavero could result in anything but harm to the children. Moreover, although the Messersmith court spoke of a "fund from which the victim can be paid" (Messersmith v. American Fid. Co., supra, at 164), it is questionable whether this can be construed as an endorsement of a duty to defend in an action to recover damages resulting from sexual abuse of children.

Furthermore, a finding of no insurance coverage in this case involving child sexual abuse would not violate the unintended consequences of intentional acts principle set forth in McGroarty (supra). The principle is but one way of trying to define the term "accident" within the area of insurance law.

"The multifaceted term `accident' is not given a narrow, technical definition by the law. It is construed, rather, in accordance with its understanding by the average man * * * who, of course, relates it to the factual context in which it is used * * *.

"`[I]t is customary to look at the casualty from the point of view of the insured, to see whether or not, from his point of view, it was unexpected, unusual and unforeseen'" (Miller v Continental Ins. Co., 40 N.Y.2d 675, 676-677; see also, Nallan v Union Labor Life Ins. Co., 42 N.Y.2d 884). It has also been stated that "`[t]he criterion by which the accidental character of the harm is determined is the nonforeseeability or foreseeability of the harm as the consequence of the insured's voluntary act'" (Continental Cas. Co. v. Plattsburgh Beauty Barber Supply, 48 A.D.2d 385, 387; see also, County of Broome v. Aetna Cas. Sur. Co., 146 A.D.2d 337, 340 ["personal injuries * * * are expected if the actor knew or should have known there was a substantial probability that a certain result would take place"]).

In truth and in fact, it cannot be said that the injuries alleged by the infants herein were unexpected, unusual or unforeseen by Mugavero. The depraved nature of the acts can lead to only one conclusion — that the damages alleged "are the intended result which flows directly and immediately from [the insured's] intentional act, rather than arising out of a chain of unintended though foreseeable events that occurred after the intentional act" (Ford Nursing Home Co. v. Fireman's Ins. Co. 86 A.D.2d 736, 737, affd 57 N.Y.2d 656; see also, Krulls v Hartford Acc. Indem. Co., 144 A.D.2d 744).

Recently, this court, in State Farm Fire Cas. Co. v. Irene S. ( 138 A.D.2d 589), held that State Farm was obligated to defend its insured in an action brought by Irene S. alleging that the insured had beaten and raped her. The court noted that the underlying complaint contained two causes of action which "merely alleged intentional acts which resulted in bodily injury [rather than alleging an intent to inflict the specific injuries]. Our courts have recognized that, `it is not legally impossible to find accidental results flowing from intentional causes, i.e., that the resulting damage was unintended although the original act or acts leading to the damage were intentional'" (State Farm Fire Cas. Co. v. Irene S., supra, at 591, quoting McGroarty v Great Am. Ins. Co., 36 N.Y.2d 358, supra). In arriving at this conclusion, the court relied in part upon an earlier decision in the same case (see, State Farm Fire Cas. Co. v. Shapiro, 118 A.D.2d 556) which had vacated the insured's default in answering the insurance company's complaint for a declaratory judgment. Besides finding a reasonable excuse for the default, the court also found that the insured had established a "sufficient statement of the merits", noting that the insured's "claim that the damages sustained by [Irene S.] were unintended, if proved, would be within the policy coverage and, therefore, State Farm would be obligated to defend the underlying action against the [insured]" (State Farm Fire Cas. Co. v. Shapiro, supra, at 557-558).

State Farm, however, involved a sexual assault upon an adult who contracted herpes as a result thereof. The transmission of herpes may be seen as being unintended and thus negligent, in that the insured may not have been aware of the active status of his disease. Additionally, the record in State Farm indicated that the insured and the victim had been involved in a sexual relationship prior to the incident, engaging in intercourse only when the disease was not active. These factors distinguish State Farm from the case at bar.

There is, however, a qualitative difference when the victims of sexual abuse are children. This particularly egregious act clearly harms the child victim (see generally, Matter of Nicole V., 71 N.Y.2d 112; People v. Keindl, 68 N.Y.2d 410; People v Henson, 33 N.Y.2d 63; People v. Benjamin R., 103 A.D.2d 663; People v. Doe, 137 Misc.2d 582). Certainly, the publicity given this activity in the past 15 years has made it clear that any act of this nature will harm the victim.

Indeed, the laws of this State are replete with provisions providing a special measure of protection for children, thus reflecting an awareness of the inherent injury to children subjected to sexual abuse (see, e.g., People v. Keyes, 75 N.Y.2d 343 [child pornography]; People v. Cintron, 75 N.Y.2d 249 [CPL art 65]). At least one court has noted that "[j]ust as rape inflicts physical hurt or harm to the human body, so also do acts of sodomy and sexual abuse, though neither necessarily leave permanent physical scars" (County of Chemung v. Hartford Cas. Ins. Co., 130 Misc.2d 648, 650). There can be, therefore, no reasonable argument that the injuries resulting from the sexual abuse of children could be anything but intended; the cause and effect relationship is simply too substantial to allow any other conclusion. This idea has taken hold in almost all other jurisdictions that have dealt with this issue.

In almost every State that has addressed this question, the courts have found no coverage to defend or indemnify. Interestingly enough, while most of these States follow a general rule that an insured's conduct only comes within the policy exclusion when there is a subjective intent to injure, they find no coverage where the act complained of is the sexual abuse of a minor. These jurisdictions impute the intent to injure to the actor as a matter of law. Some States have relied upon an "objective" standard of intent stating, in essence, that no reasonable person could assault a child without intending the harm flowing therefrom.

Case law development in the State of Florida is illustrative of this trend. In an early case, Zordan v. Page ( 500 So.2d 608 [Fla]), the insured was sued for emotional injuries resulting from the sexual fondling of his seven-year-old stepdaughter. The complaint contained no allegations of penetration or violence and alleged that the emotional trauma was neither expected nor intended by the insured. At a deposition, the insured denied the allegations. In the subsequent declaratory judgment action, the trial court granted summary judgment to the insurers, concluding that there was no insurance coverage. However, on appeal, the District Court of Appeals of Florida, Second District, reversed, finding that unless the insured had the specific subjective intent to injure, the intentional injury exclusion provision of the policy would not apply. In a dissenting opinion, Judge Frank urged the court to adopt "the principle that one intends the natural and probable consequences of his acts" (supra, at 613) when applying an exclusion provision. "It defies human response and sensitivity to conclude that the inevitable product of the sexual molestation of a child is not intended" (Zordan v. Page, supra, at 613).

The following year, in Landis v. Allstate Ins. Co. ( 516 So.2d 305 [Fla]), Florida's Third District Court of Appeals rejected Zordan. In Landis, the insureds were operators of a day-care center who were convicted of sexual battery to children. After the parents brought suit to recover for damages, the insureds sought coverage under their homeowner's policy. The trial court granted judgment in favor of the insurer, holding that there was no obligation to defend the insureds. In a Per Curiam opinion, the District Court of Appeals affirmed, concluding that the acts complained of "were clearly intentional or deliberate" (Landis v Allstate Ins. Co., supra, at 306-307) and fell within the intentional injury exclusion provision of the insurance policy.

The Supreme Court of Florida affirmed (Landis v. Allstate Ins. Co., 546 So.2d 1051 [Fla]), concluding that "no coverage could exist under this clause" (Landis v. Allstate Ins. Co., supra, at 1053). Adopting the reasoning of Judge Frank's dissent in the Zordan case, the court determined that "[t]o state that a child molester intends anything but harm and long-term emotional anguish to the child defies logic. The petitioners argue that [the insured's] diminished mental capacity prevented her from forming any specific intent to harm the children. [Nevertheless] we believe that specific intent to commit harm is not required by the intentional acts exclusion" (Landis v. Allstate Ins. Co., supra, at 1053).

In CNA Ins. Co. v. McGinnis ( 282 Ark. 90, 666 S.W.2d 689), a 1984 Arkansas case, the insurer sought a judgment declaring that it had no duty to defend and indemnify its insured under a homeowner's policy in an action for damages resulting from the insured's sexual abuse of his stepdaughter. It was established that the insured had sexual relations with the victim almost every day from the time she was 10 until the time she was 16. The insured offered expert testimony that "males who are involved in such [acts] do not expect or intend * * * any injury" (CNA Ins. Co. v. McGinnis, supra, 282 Ark, at 92, 666 S.W.2d, at 690). The court, however, rejected this evidence and concluded that the standard is what the "plain ordinary person would expect and intend to result from a mature man's deliberately debauching his [infant] stepdaughter * * * for years" (CNA Ins. Co. v. McGinnis, supra, 282 Ark, at 93, 666 S.W.2d, at 691).

The majority of the States that have disallowed insurance coverage for harm from sexual molestation of children maintain the subjective intent standard, but find that sexual molestation of children is an act so permeated with the consequent injury that, as a matter of law, intent to injure is imputed to the actor.

For instance, in Linebaugh v. Berdish ( 144 Mich. App. 750, 376 N.W.2d 400), in a Per Curiam opinion, the court inferred intent to injure from the nature of the sexual conduct where a 21-year-old male disc jockey engaged in sexual activity with a consenting 14-year-old girl. The court found that the distinction between the felonious acts and the unintended felonious results was a distinction without a difference, and that the harm was a natural and foreseeable and expected consequence of the conduct (Linebaugh v. Berdish, supra, at 403).

Several years later, the Michigan Court of Appeals imputed intent to a mentally retarded insured who forced his penis into the mouth of a 10-year-old boy (see, Auto-Owners Ins. Co. v Gardipey, 173 Mich. App. 711, 434 N.W.2d 220). Of particular note is the fact that the language of the policy exclusion was the same as the language of the exclusion in the instant case.

A Federal court interpreting Wisconsin law determined that sexual acts between adults and minors were so certain to result in harm to the minor that the law inferred intent to injure, notwithstanding the actor's subjective intent (see, Whitt v Deleu, 707 F. Supp. 1011 [US Dist Ct, WD Wis]). In discussing intent, the court quoted the Handbook on the Law of Torts (Prosser, § 8, at 31-32 [4th ed]), as follows: "`[I]t is an intent to bring about a result which will invade the interests of another in a way that the law will not sanction * * * Where a reasonable man in the defendant's position would believe that a particular result was substantially certain to follow, he will be dealt with * * * by the court, as if he intended it'" (Whitt v Deleu, supra, at 1014). The court also explained the majority rule, as follows: "The majority approach, followed by the Wisconsin Court of Appeals in K.A.G., 434 N.W.2d 790, stands for the proposition that a person who sexually manipulates a minor cannot expect his insurer to cover his misconduct and cannot obtain such coverage simply by saying that he did not mean any harm. The courts following the majority approach have concluded that sexual misconduct with a minor is objectively so substantially certain to result in harm to the minor victim, that the perpetrator cannot be allowed to escape society's determination that he or she is expected to know that. Hence, these courts infer the intent to harm as a matter of law in sexual misconduct liability insurance cases involving minors" (Whitt v. Deleu, supra, at 1016; see also, K.A.G. v. Stanford, 148 Wis.2d 158, 165, 434 N.W.2d 790, 793 ["(A)cts of sexual molestation against a minor are so certain to result in injury to that minor that the law will infer an intent to injure on behalf of the actor without regard to his or her claimed intent"]).

The Supreme Court of Georgia held that an insured who forcibly sexually molested a young girl for more than three years (from age 7 to 10) was presumed to have intended the resulting harm and, therefore, the acts were within the policy exclusions (Roe v. State Farm Fire Cas. Co., 259 Ga. 42, 376 S.E.2d 876). In Roe, as in this case, the insured's contention was that he did not intend to inflict the injury, a contention that was supported only by his testimony. The court rejected this contention, stating: "Child molestation and the injury caused by it are so closely tied as to be virtually inseparable. * * * We hold that intentional child molestation carries with it a presumption of intent to inflict injury. This presumption is not rebutted by the presentation of the insured's own self-serving testimony" (Roe v State Farm Fire Cas. Co., supra, at 42, at 877). Strangely enough, despite the fact that all the parties herein moved for summary judgment in their favor, neither the Mugaveros nor the codefendants submitted any evidentiary proof in admissible form to contradict the deposition testimony of the children. Moreover, Edward Mugavero did not submit a sworn affidavit of his own.

In Harpy v. Nationwide Mut. Fire Ins. Co. ( 76 Md. App. 474, 545 A.2d 718), the Special Court of Appeals of Maryland noted that "`for the law to define sex with one's nine to thirteen year old daughter to be anything but intentional injury is ridiculous'" (Harpy v. Nationwide Mut. Fire Ins. Co., supra, at 482-483, at 722) and concluded that the insurance policy excluded coverage for injuries which the average person would expect or intend (see, Harpy v. Nationwide Mut. Fire Ins. Co., supra, at 483, at 723).

In New Hampshire, the State's highest court has ruled that an insured's sexual assault upon a 12-year-old boy was not covered by the insured's homeowner's policy (Vermont Mut. Ins. Co. v Malcolm, 128 N.H. 521, 517 A.2d 800). The court stated that the "insured's intentional act [cannot] be an accidental cause of injury when it is so inherently injurious that it cannot be performed without causing the resulting injury" (supra, at 524, at 802). The court further stated that the sexual assaults on the boy were so "inherently injurious in the most obvious sense that they could not be performed * * * without appalling effects on his mind" (Vermont Mut. Ins. Co. v. Malcolm, supra, at 524, at 802). Moreover, because the "psychological injury was * * * inherent in the acts alleged, the acts can not be treated as accidental causes, and the defendant's claim that he did not actually intend to inflict the particular psychological injury claimed is irrelevant" (Vermont Mut. Ins. Co. v. Malcolm, supra, at 524, at 803).

Similarly, in Public Employees Mut. Ins. Co. v. Rash ( 48 Wn. App. 701, 740 P.2d 370), the court held that a sexual psychopath's inability to form any intent was irrelevant in an action resulting from the sexual molestation of the insured's nine-year-old stepson. The court in Estate of Lehman v. Metzger ( 355 N.W.2d 425 [Minn]), found that the intentional act exclusion in a homeowner's policy relieved the insurer of its duty to defend in a case involving the insured's sexual assaults upon his minor niece. Notwithstanding the fact that a jury had rendered a verdict that the insured had not intended to inflict bodily harm upon the infant, the court inferred the intention to injure as a matter of law because of the nature of the act.

In fact, most jurisdictions confronted by this issue have held that the intentional commission of sexual acts, whether or not involving penetration, on minor children by an adult, although claimed to have been done without malice, falls within a homeowner's insurance policy's provision excluding coverage for intentionally caused bodily injury, thereby discharging the insurer's duty to defend. While many of these jurisdictions maintain a subjective intent standard of intent to injure, they impute the intent to injure as a matter of law.

In sum, the following States have adopted the majority rule and have inferred the intent to cause injury as a matter of law in insurance cases involving alleged sexual misconduct against minors: Arkansas, California, Florida, Georgia, Iowa, Maine, Maryland, Massachusetts, Michigan, Minnesota, Nevada, New Hampshire, Oklahoma, Pennsylvania, Washington, West Virginia and Wisconsin (the cases, most of which are listed in Whitt v Deleu, 707 F. Supp. 1011, 1014, n 4, supra, are as follows: CNA Ins. Co. v. McGinnis, 282 Ark. 90, 666 S.W.2d 689, supra [sexual abuse of minor stepdaughter by stepfather over 10-year period]; American States Ins. Co. v. Borbor, 826 F.2d 888 [9th Cir 1987] [applying Cal law to insured who molested nursery school children by undressing, touching and photographing them in various sexual poses]; State Farm Fire Cas. Co. v. Huie, 666 F. Supp. 1402 [US Dist Ct, ND Cal] [applying Cal law to rape of minor], affd sub nom. State Farm Fire Cas. Co. v. Bomke, 849 F.2d 1218 [9th Cir 1988]; Fire Ins. Exch. v. Abbott, 204 Cal.App.3d 1012, 251 Cal.Rptr. 620 [two cases; in one case insured fondled minor's thigh and caused her to touch insured's penis; in other case teacher had homosexual relationship with 14-year-old boy]; Allstate Ins. Co. v. Kim W., 160 Cal.App.3d 326, 206 Cal.Rptr. 609, 613 ["lewd or lascivious acts" upon minor]; State Farm Fire Cas. Co. v. Robin R., 216 Cal.App.3d 132, 264 Cal.Rptr. 326 [1989] [oral intercourse with infant girls]; McCullough v. Central Fla. YMCA, 523 So.2d 1208 [Fla] [fondling of genitals of three young boys]; Landis v. Allstate Ins. Co., 546 So.2d 1051, supra [sexual attacks on children]; Roe v. State Farm Fire Cas. Co., 259 Ga. 42, 376 S.E.2d 876, supra [molestation of minor daughter]; Altena v. United Fire Cas. Co., 422 N.W.2d 485 [Iowa] [extends inference as matter of law to nonconsensual sexual acts with a 20-year-old adult]; Perreault v. Maine Bonding Cas. Co., 568 A.2d 1100 [Me] [sexual abuse of 6 1/2-year-old girl]; Harpy v. Nationwide Mut. Fire Ins. Co., 76 Md. App. 474, 545 A.2d 718, supra [sexual abuse of minor]; Terrio v McDonough, 16 Mass. App. 163, 450 N.E.2d 190 [sexual assault and battery upon adult]; Allstate Ins. Co. v. Hampton, 173 Mich. App. 65, 433 N.W.2d 334 [sexual intercourse with 12 year old]; Auto-Owners Ins. Co. v. Gardipey, 173 Mich. App. 711, 434 N.W.2d 220 [insured grabbed 10-year-old boy and put his penis in boy's mouth]; Linebaugh v. Berdish, 144 Mich. App. 750, 376 N.W.2d 400, supra [sexual contacts, including penetration, inflicted on minor]; Horace Mann Ins. Co. v. Independent School Dist. No. 656, 355 N.W.2d 413 [Minn] [sexual contacts inflicted on minor student by school teacher-counselor]; Estate of Lehmann v Metzger, 355 N.W.2d 425 [Minn], supra [sexual assaults upon minor by her adult uncle over four-year period]; Fireman's Fund Ins. Co. v. Hill, 314 N.W.2d 834 [Minn] ["sexual play" with minor by foster parent]; Illinois Farmers Ins. Co. v. Judith G., 379 N.W.2d 638 [Minn] [various acts of sexual contact by minor with minor victims]; Mutual Serv. Cas. Ins. Co. v. Puhl, 354 N.W.2d 900 [Minn] [homosexual assault upon minor]; Vermont Mut. Ins. Co. v Malcolm, 128 N.H. 521, 517 A.2d 800, supra [sexual assaults on 11-year-old boy including fellatio and sodomy]; Allstate Ins. Co. v. Foster, 693 F. Supp. 886 [US Dist Ct, D Nev] [sexual assaults]; Allstate Ins. Co. v. Thomas, 684 F. Supp. 1056 [US Dist Ct, WD Okla] [criminally touching and molesting minor in lewd and lascivious manner]; Foremost Ins. Co. v. Weetman, 726 F. Supp. 618 [US Dist Ct, WD Pa], affd 904 F.2d 694 [sexual abuse by touching]; Rodriguez v. Williams, 107 Wn.2d 381, 729 P.2d 627 [sexual abuse of minor by stepfather]; Public Employees Mut. Ins. Co. v. Rash, 48 Wn. App. 701, 740 P.2d 370 [sexual molestation]; Grange Ins. Assn. v. Authier, 45 Wn. App. 383, 725 P.2d 642, 644 ["indecent liberties" taken with minors or touching them in a criminal manner]; St. Michelle v. Robinson, 52 Wn. App. 309, 759 P.2d 467 [father's sexual abuse of minor daughter]; Horace Mann Ins. Co. v. Leeber, 376 S.E.2d 581 [W Va] [sexual contacts, such as touching of genitals, inflicted on minor student by school teacher]; Farmers Ins. Co. v. Hembree, 54 Wn. App. 195, 773 P.2d 105 [sexual assaults on minors]; K.A.G. v. Stanford, 148 Wis.2d 158, 434 N.W.2d 790, supra [sexual abuse of six-year-old girl]; N.N. v. Moraine Mut. Ins. Co., 153 Wis.2d 84, 450 N.W.2d 445 [kissing and fondling of breasts and vaginal area]).

The particularly egregious nature of the acts involved herein and the gravity of the harm produced suggest that the courts of this State should also adopt the majority viewpoint. As stated by the court in Foremost Ins. Co. v. Weetman ( 726 F. Supp. 618, 622, supra): "A person who sexually abuses a minor cannot expect his insurer to cover his misconduct and cannot escape personal liability by claiming that he did not intend to cause any harm. In situations such as this, injury always ensues, and we conclude that one who manipulates children for his own sexual gratification intends any resulting injuries, as a matter of law".

Accordingly, I vote to grant summary judgment to Allstate declaring that it has no obligation to defend Edward Mugavero in the underlying action. Moreover, since the injuries herein were "intentionally caused by an insured person", i.e., Edward Mugavero, within the meaning of the exclusionary provision of the homeowner's policy, it follows that Allstate also has no obligation to defend his wife, Ann Mugavero (see, Allstate Ins. Co. v. Gilbert, 852 F.2d 449; Allstate Ins. Co. v. Foster, 693 F. Supp. 886).

Use AI to get other relevant cases.

Comments

ALLSTATE INSURANCE COMPANY v. MUGAVERO
(Oct 9, 1990)