Volume 135

MARCH 2018

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PF&M ANALYSIS:

HO 00 03–ISO HOMEOWNERS 3 - SPECIAL FORM COVERAGE ANALYSIS

(July, 2017)

SECTION II - LIABILITY COVERAGES

E. Personal liability (Coverage E) and Medical Payments (Coverage F) do not apply to “bodily injury” or “property damage”:

1. Expected or Intended Injury

There is no coverage for any injury an “insured” expects or intends

 

Example: Scenario 1: Your client’s 18 year old son (who meets the definition of an “insured”) and the next door neighbor’s son have been fighting for some time now. One night, while the neighbors are away, your client’s son sneaks over to the neighbor’s house and breaks all of the windows. Upon finding out, you are in a hurry to make amends to the neighbor and give him/her the number of your insurance company. Unfortunately, since your son intended the damage, there is no coverage under your homeowner’s policy.

 

Related Court Case: “Porch Brawl Triggers Coverage Dispute”

Intentional acts are excluded EVEN if the property damage or bodily injury is different in the kind or degree than what an insured hoped or expected would occur, or it is suffered by a different party or property than what an insured either expected or hoped.

 

Example: Scenario 2: Your client’s 18 year old son (an “insured”) and the next door neighbor’s son have been fighting. Again, during the night, your client’s son sneaks over to the neighbor’s house and breaks all of the windows. The son is shocked when he later finds out that one of the rocks he used to break a window also broke a person’s skull. Your client files a claim since your son NEVER intended to hurt ANYONE. Unfortunately, although the son testifies that he did not mean to harm any person, there is no coverage since the loss originated from an intentional action.

 

There is an important exception to this exclusion. When bodily injury or property damage results from an insured acting to protect persons or property, the loss is covered IF it only involved use of reasonable force.

 

Example: Scenario 3: Your client’s 18 year old son (an “insured”) comes home in time to see some stranger climb out of the next door neighbor’s window with a large bag. The son tackles the person who, in the fall, suffers a broken arm and a severely bruised forehead. It turns out that the "stranger" was the owner of the home. He was coming out the window because he lost his key to his home's double-door deadbolt security locks. The enraged neighbor sues your client for his injuries. Although the client’s son FULLY INTENDED to stop a person he thought was a thief, the claim was a result of an attempt to protect property; so the insurance policy would respond to the loss.

 

Note: The 05 11 added property damage coverage to the exception. Prior editions covered only bodily injury. So in the example above any property damage caused when the 18 year old son tackled his neighbor is also covered.