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Hanover Insurance Company v. Cowan

Appellate Division of the Supreme Court of New York, Second Department
Apr 1, 1991
172 A.D.2d 490 (N.Y. App. Div. 1991)

Opinion

April 1, 1991

Appeal from the Supreme Court, Suffolk County (Hand, J.).


Ordered that the order is modified, on the law, by deleting the provision thereof which denied the cross motion for summary judgment and substituting therefor a provision granting the cross motion to the extent of finding that the plaintiff has a duty to pay the reasonable costs of the respondents-appellants' defense in the action commenced by Edie Cowan, as Guardian ad Litem for Lauren Moser, in the Supreme Court, Suffolk County, Index No. 88-12582, and is required to compensate them for the costs already incurred for their defense in that action; as so modified, the order is affirmed, with one bill of costs, payable by the plaintiff to the respondents-appellants and the respondents appearing separately and filing separate briefs, and the matter is remitted to the Supreme Court, Suffolk County, for an assessment of costs already incurred by the respondents-appellants for the defense in that action.

On July 14, 1987, Lauren Moser, an infant, was allegedly injured while under the care and supervision of defendants Jeanette and Martin D'Amico. Jeanette D'Amico babysat for the child on an almost daily basis and was paid two dollars an hour for this service. The D'Amicos were insured under a homeowners' policy issued by the plaintiff. This policy contained an exclusion for injuries "arising out of business pursuits of an insured". The policy also contained a narrow exception to the exclusionary clause which provided coverage for "activities which are usual to non-business pursuits". The plaintiff, relying on the business pursuits exclusion, commenced this action for a judgment declaring that it had no obligation to defend or indemnify the D'Amicos for claims brought on behalf of the infant Moser.

It is axiomatic that an insurance company's duty to defend is broader than its duty to indemnify (see, Seaboard Sur. Co. v Gillette Co, 64 N.Y.2d 304). It is also well-settled that if the insurer is to be relieved of a duty to defend, it must demonstrate that the allegations of an underlying complaint place that pleading solely and entirely within the exclusions of the policy and that the allegations are subject to no other interpretation (see, Allstate Ins. Co. v. Noorhassan, 158 A.D.2d 638; see, Baron v. Home Ins. Co., 112 A.D.2d 391).

Although the plaintiff has established that the D'Amicos were engaged in a business pursuit when the child was allegedly injured since the D'Amicos engaged in a customary or continued activity for the purpose of profit (see, Shapiro v. Glens Falls Ins. Co., 47 A.D.2d 856, affd 39 N.Y.2d 204), the record is devoid of evidence as to the circumstances under which the child allegedly sustained injury. The plaintiff therefore failed to meet its burden of establishing that the alleged injury resulted from activities which fell solely under the business pursuits exclusion of the policy and not under the narrow exception to that exclusionary clause which requires that coverage be afforded for activities "usual to non-business pursuits". Because the plaintiff failed to meet its burden of establishing that the exclusion applied, it is not entitled to relief from its broad duty to defend the D'Amicos.

Furthermore, since there is a potential conflict of interest between the plaintiff and the D'Amicos, the D'Amicos should be permitted to select their own attorney, and the plaintiff is liable for the reasonable value of the services (see, Allstate Ins. Co. v. Noorhassan, supra; see, Baron v. Home Ins. Co., supra). Additionally, the plaintiff is liable for the costs already incurred by the D'Amicos in the action brought against them by Edie Cowan, as Guardian ad Litem for Lauren Moser (see, Prashker v. United States Guar. Co., 1 N.Y.2d 584). Brown, J.P., Kooper, Harwood and Miller, JJ., concur.


Summaries of

Hanover Insurance Company v. Cowan

Appellate Division of the Supreme Court of New York, Second Department
Apr 1, 1991
172 A.D.2d 490 (N.Y. App. Div. 1991)
Case details for

Hanover Insurance Company v. Cowan

Case Details

Full title:HANOVER INSURANCE COMPANY, Appellant-Respondent, v. EDIE COWAN, as…

Court:Appellate Division of the Supreme Court of New York, Second Department

Date published: Apr 1, 1991

Citations

172 A.D.2d 490 (N.Y. App. Div. 1991)
568 N.Y.S.2d 115

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