Trigger: A
Previously Unsettled Issue That Now Appears to be Settled
By Ellen G. Smith, Esq.
Boyle, Gentile & Leonard, P.A.
Two
main trigger theories have been recognized in Florida. The “manifestation” trigger and the
“injury-in-fact” trigger. Under the
manifestation trigger the property damage occurs when the property damage
manifests itself and/or could have be discoverable by reasonable inspection. Carithers
v. Mid-Continent Cas. Co., 782 F. 3d 1240, 1245 (11th Cir. 2015). The “injury-in-fact” trigger identifies that
the property damage occurs when the property is damaged. Id.
Recent Florida decisions have leaned toward an injury-in-fact
trigger. Id.; Travelers Prop.
Cas. Co. of Am. v. Amerisure Ins. Co., 2015 WL 5769247, at *4 (N.D. Fla.
2015); Voeller Const., Inc. v. Southern-Owners Ins. Co., 2014 WL 1779289
(M.D. Fla. May 5, 2014); Trovillion Const. & Development, Inc. v.
Mid-Continent Cas. Co., 2014 WL 201678 (M.D. Fla. Jan. 17, 2014); Axis
Surplus Ins. Co. v. Contravest Constr. Co., 23 Fla. L. Weekly Fed. D 279 (M.D. Fla. June 5, 2012) and Johnson-Graham-Malone,
Inc. v. Amerisure, 18 Fla. L. Weekly Supp. 870a (Fla. April 29, 2011),
dismissed Amerisure Ins. Co. v. Johnson-Graham-Malone, Inc., 66 So. 3d
415 (Fla. 1st DCA 2011).
However,
despite the trend towards holding the “injury-in-fact” trigger is the
applicable trigger theory, a trigger theory has not officially been decided by
the Florida Supreme Court. Importantly,
courts are now recognizing that because of this unsettled trigger theory, that
could be a reason an insurer has a duty to defend since any ambiguity in
coverage sides with the insured. See Travelers Prop. Cas. Co. of Am.,
2015 WL 5769247, at *4; Prudential
Prop. and Cas. Co. v. Swindell, 622 So. 2d 467 (FIa. 1993); Westmoreland
v. Lumbermens Mut. Cas. Co., 704 So. 2d 176 (Fla. 4th DCA 1997); and Hartnett
v. Southern Ins. Co., 181 So. 2d 524, 528 (Fla. 1965).
The
court in Travelers had to decide this issue as the parties disagree
whether the “manifestation” or “injury-in-fact” trigger applied. Travelers Prop. Cas. Co. of Am., 2015 WL 5769247, at *3. The insurer argued the manifestation trigger
applied and the property damage happened when the damages could have been
discovered, therefore the property damage happened outside of the policy
period. Id. The insured argued for the injury-in-fact
trigger. Id. The Travelers court
relied on Trizec Properties, Inc. v. Biltmore Construction Co., 767 F.
2d 810 (11th Cir. 1985), which applied the injury-in-fact trigger and held the
insurer had a duty to defend because “the complaint alleged only that the
damage could not be discovered until several years after the policy period
ended”, as such from the allegations in the complaint the damage could have
occurred during the policy period. The
court then looked to the decision in Carithers, which had to decide the
issue between which trigger theory applied.
The Carithers court ultimately ruled that even if it did agree
the manifestation trigger applies, that does not relieve the insurer from
defending because the uncertainty of the law required the insurer to
defend. Id. at 1246.
The Travelers court shied away from deciding
whether a manifestation trigger or an injury-in-fact trigger applied, and
simply held:
The bottom line is. The underlying
complaint alleged damage caused by defective stucco work. For all that was alleged in the complaint,
the damage may have occurred during the policy period, either after completion
of the work (bringing the case within the your-work or completed-operations
coverage) or perhaps even while the work was ongoing (bringing the case within
the ongoing-operations coverage). Amerisure had a duty to defend the claims.
The result should not be
surprising. The whole point of the
contractual provision requiring [subcontractor] to obtain coverage was to
protect against defective-stucco claims just like this. The reason [subcontractor] bought the
coverage was to protect against claims just like this. Amerisure took a premium for accepting the
risk of actions just like this. It had a
duty to cover the risk. The plain terms
of Amerisure’s policy so provide.
Id.
at 4.
Insurance carriers should take these recent decisions as
a warning. Given the remaining
uncertainty of the applicable “trigger” in the law, it seems carriers would
embrace their duty to defend proactively.
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