Submitted: October 9, 2002
Filed: December 4, 2002
William V. DePaulo, Esq.
David A. Sims, Esq.
Ross & DePaulo, PLLC
Gregory R. Tingler, Esq.
Hurricane, West Virginia
Law Office of David Aaron Sims
Attorney for Appellant
Elkins, West Virginia
Attorneys for Appellee
Farmers Mutual Insurance Company
JUSTICE STARCHER delivered the Opinion of the Court.
CHIEF JUSTICE DAVIS dissents and reserves the right to file a dissenting opinion.
JUSTICE MAYNARD dissents and reserves the right to file a dissenting opinion.
JUSTICE ALBRIGHT concurs and reserves the right to file a concurring opinion.
2. When the words of an insurance policy are, without violence,
susceptible of two or more interpretations, that which will sustain the claim and cover the
loss must be adopted.
3. In a homeowners' insurance policy that does not otherwise define the
phrase resident of your household, the phrase means a person who dwells _ though not
necessarily under a common roof _ with other individuals who are named insureds in a
manner and for a sufficient length of time so that they could be considered to be a family
living together. The factors to be considered in determining whether that standard has been
met include, but are not limited to, the intent of the parties, the formality of the relationship
between the person in question and the other members of the named insureds' household, the
permanence or transient nature of that person's residence therein, the absence or existence
of another place of lodging for that person, and the age and self-sufficiency of that person.
4. To the extent that Spangler v. Armstrong, 201 W.Va. 643, 499 S.E.2d
865 (1997) (per curiam) suggests that only a person who lives under the same roof as an
insured can be a member of the insured's household, and that a person who lives under a
separate roof cannot, it is hereby modified.
5. Because a determination of residency depends on the intent of the
parties, it is typically a question of fact that cannot be determined through a motion for
summary judgment.
Starcher, Justice:
In this appeal from the Circuit Court of Putnam County, we are asked to review a circuit court order granting summary judgment to an insurance company in a declaratory judgment action. The circuit court was asked to interpret language in a liability insurance policy that defined persons insured as including your relatives if residents of your household. In its order, the circuit court ruled that a tortfeasor, who lived on his father's farm in a mobile home separate from his father's insured residence, was not a relative who was residing in his father's household. The circuit court therefore concluded that the tortfeasor was not insured by the liability insurance policy.
As set forth below, we reverse the circuit court's order.
On July 25, 1996, appellant Hubert Junior Tucker drove to a farm owned by appellee Locie Taylor. The Taylor farm raised and sold pigs commercially, and Mr. Tucker came intending to buy a pig. Locie lived in a mobile home on the farm, and had purchased a second mobile home on the farm in which his son, thirty-eight-year-old appellee Darrell Lee Taylor, lived. The two mobile homes are between 50 and 100 yards apart. Darrell Lee worked on the farm for his father. (See footnote 1)
Mr. Tucker drove to Darrell Lee's mobile home. After knocking on the door, Mr. Tucker noticed smoke coming from the mobile home, and believing that Darrell Lee was inside, began beating on the side of the mobile home. When he received no response, Mr. Tucker kicked in the front door of the mobile home in an attempt to rescue Darrell Lee.
It appears from the record
that Darrell Lee was a chronic alcoholic,
(See footnote 2) and had apparently passed out inside his
mobile home while rendering lard or cooking sausage in a skillet on the stove.
Darrell Lee woke up to find his mobile home filling with smoke, and grabbed
the burning skillet from the stove. Darrell Lee then carried the skillet to
the front door, intending to throw it out so that his mobile home did not
catch on fire.
Mr. Tucker, who had just kicked in the door to the mobile home, was severely
burned when the skillet of flaming grease was thrown through the doorway by Darrell Lee.
Mr. Tucker subsequently brought suit against Darrell Lee and his father, Locie, for negligence, and Darrell Lee has since admitted he was at fault for Mr. Tucker's
injuries.
(See footnote 3) Locie and Darrell Lee sought coverage from
Locie's property insurance company, appellee Farmers Mutual Insurance Company
(Farmers Mutual), to defend against the lawsuit. The property
insurance policy provided liability coverage for any of Locie's relatives
if residents of [Locie's] household. At issue in this litigation is
whether Locie's son, Darrell Lee, is a relative covered by the Farmers Mutual
policy.
Farmers Mutual initiated the
instant declaratory judgment action against Mr. Tucker, contending that Darrell
Lee was not an insured covered by the liability insurance policy
purchased by Locie. Specifically, Farmers Mutual asserted that Darrell Lee
was not a resident of Locie's household.
(See footnote 4)
After conducting discovery, each party filed a motion for summary judgment. On August 27, 2001, the circuit court entered an order granting Farmers Mutual's motion and denying Mr. Tucker's motion. In its order, the circuit court concluded that there were no genuine issues of material fact, and that Darrell Lee was clearly not a member of his father's household. The circuit court determined, on the record presented to the court, that as a matter of law Darrell Lee was not entitled to liability insurance coverage under Locie's homeowner's insurance policy.
Mr. Tucker now appeals the circuit court's August 27, 2001 order.
We review a circuit court's order granting summary judgment de novo. Syllabus Point 1, Painter v. Peavy, 192 W.Va. 189, 451 S.E.2d 755 (1994).
In reviewing summary judgment, this Court will apply the same test that the
circuit court should have used initially, and must determine whether it is clear that there is
no genuine issue of fact to be tried and inquiry concerning the facts is not desirable to clarify
the application of the law. Syllabus Point 3, Aetna Casualty & Surety Co. v. Federal
Insurance Co. of New York, 148 W.Va. 160, 133 S.E.2d 770 (1963). As with the circuit
court, we must draw any permissible inference from the underlying facts in the light most
favorable to the party opposing the motion, that is, the appellant. Painter v. Peavy, 192
W.Va. at 192, 451 S.E.2d at 758.
The appellee, Farmers Mutual, argues that the term household is a clear,
well-defined term, and is not subject to a broad construction. The insurance company argues
that household means a collection of persons who live together under the same roof, not
those living in separate abodes.
The parties agree that the homeowners' insurance policy at issue listed only Locie Taylor on the declarations page as the named insured. The policy provided liability coverage, stating that the insurance company would pay for all sums for which an insured is liable by law because of bodily injury[.] (Emphasis added.) The policy defines insured to include you, meaning the person . . . named on the Declarations _ that is, Locie _ and to include your relatives if residents of your household.
Farmers Mutual argues that the policy language at issue is not ambiguous, and
has previously been applied by this Court to deny coverage. In Spangler v. Armstrong, 201
W.Va. 643, 499 S.E.2d 865 (1997) (per curiam), we addressed a question regarding whether
relatives of an insured were residents of [the insured's] household. The relatives lived in
a house owned by the insured. However, the relatives paid the mortgage, taxes and utilities
on the house. Furthermore, the house was separate from the property on which the insured
lived, and the insured visited his relatives only once or twice a month. On these facts, we
concluded that the word household in the disputed insurance policy was clear and
unambiguous, and held that the relatives were not members of the insured's household.
In Spangler, we stated that liability policies providing coverage for members
of an insured's 'household' generally include persons who live under the same roof, but not
those who live in separate houses. 201 W.Va. at 646, 499 S.E.2d at 868 (emphasis added).
In the instant case, the facts are substantially different, and we must revisit our holding in
Spangler to consider those circumstances where a person does not live under the same roof
as an insured, but contends he or she is a member or resident of the insured's household. In
sum, we are asked by the appellant to again consider whether the phrase residents of your
household is ambiguous and subject to interpretation.
We begin by noting several axioms of insurance law. We held in the Syllabus
of Keffer v. Prudential Ins. Co. of America, 153 W.Va. 813, 172 S.E.2d 714 (1970) that, on
the one hand, [w]here the provisions of an insurance policy contract are clear and
unambiguous they are not subject to judicial construction or interpretation, but full effect will
be given to the plain meaning intended. On the other hand, [i]t is well settled law in West
Virginia that ambiguous terms in insurance contracts are to be strictly construed against the
insurance company and in favor of the insured. Syllabus Point 4, National Mut. Ins. Co. v.
McMahon & Sons, Inc., 177 W.Va. 734, 356 S.E.2d 488 (1987). Under West Virginia's law,
an insurance policy is considered to be ambiguous if it can reasonably be understood in two
different ways or if it is of such doubtful meaning that reasonable minds might be uncertain
or disagree as to its meaning. Hamric v. Doe, 201 W. Va. 615, 499 S.E.2d 619 (1997); Prete
v. Merchants Property Insurance Company of Indiana, 159 W. Va. 508, 223 S.E.2d 441
(1976). When the words of an insurance policy are, without violence, susceptible of two or
more interpretations, that which will sustain the claim and cover the loss must be adopted.
See Raffel v. Travelers Indemnity Co., 141 Conn. 389, 392, 106 A.2d 716, 718 (1954)
(When the words of an insurance contract are, without violence, susceptible of two
interpretations, that which will sustain the claim and cover the loss must, in preference, be
adopted.).
Courts considering whether a person has met the residence requirements of an
insurance policy have usually concluded that the question is one of fact, not law. As one
court stated:
. . . [t]o reside and its corresponding noun residence are
chameleon-like expressions, which take their color of meaning
from the context in which they are found. The word residence
has been described as being like a slippery eel, and the
definition which fits one situation will wriggle out of our hands
when used in another context or in a different sense.
Amco Ins. Co. v. Norton, 243 Neb. 444, 447, 500 N.W.2d 542, 545 (1993) (citations
omitted).
The word 'resident' certainly may include more than one place. Aetna Cas.
& Sur. Co. v. Shambaugh, 747 F.Supp. 1203, 1205 (N.D.W.Va. 1990). This conclusion is
apparent from the definition of residence contained in Black's Law Dictionary, which
states that residence must be distinguished from domicile:
As domicile and residence are usually in the same place,
they are frequently used as if they had the same meaning, but
they are not identical terms, for a person may have two places of
residence, as in the city and country, but only one domicile.
Residence means living in a particular locality, but domicile
means living in that locality with intent to make it a fixed and
permanent home.
Black's Law Dictionary 1309 (6th Ed. 1990). This Court has acknowledged the flexible, fact-
intensive nature of the word residence, and held that while a person may have only one true domicile, he or she may have more than one residence. As we stated,
in Lotz v. Atamaniuk, 172 W.Va. 116, 118, 304 S.E.2d 20, 23 (1983),
that [d]omicile and residence are not synonymous. A man may have several
residences, but only one domicile.
(See footnote 5)
Similarly, courts analyzing the word household in insurance policies have usually concluded that the question of whether a household exists is one of fact, not law. One court found the term household to be a chameleon like word, Cobb v. State Security Ins. Co., 576 S.W.2d 726, 738 (Mo. 1979), while another found that the terms have no absolute meaning. Their meaning may vary according to the circumstances. Cal-Farm Ins. Co. v. Boisseranc, 151 Cal.App.2d 775, 781, 312 P.2d 401, 404 (Cal.App. 1957). A New Jersey court stated:
Household is not a word of art. Its meaning is not confined
within certain commonly known and universally accepted limits.
True, it is frequently used to designate persons related by
marriage or blood, who dwell together as a family under a single
roof. . . . But it has been said also that members of a family need
not in all cases reside under a common roof in order to be
deemed a part of the household.
Mazzilli v. Acc. & Cas. Ins. Co. of Winterthur, Switzerland, 35 N.J. 1, 8, 170 A.2d 800, 804 (1961).
Combining these two terms, the
phrase resident of your household has been found by most courts
to have a variety of meanings in an insurance policy, depending upon the facts
to which the phrase is to be applied. See, e.g., Rathbun v.
Aetna Cas. & Sur. Co., 144 Conn. 165, 168, 128 A.2d 327, 329 (1956)
(the meaning depends on the circumstances in which it is used as well
as on the nature of the matter in which its interpretation is required.)
The phrase 'resident of the household' has no fixed meaning. The reasonable
interpretation of the phrase requires a case-specific analysis of intent, physical
presence, and permanency of abode. Farmers Automobile Ins. Assoc. v.
Williams, 254 Ill.Dec. 231, 234, 746 N.E.2d 1279, 1282 (2001) (citations
omitted). Courts have often held that the phrase cannot be so limited
and strait-jacketed as always to mean, regardless of facts and circumstances,
a collective body of persons who live in one house under one common head or
manager. Johnson v. State Farm Mut. Auto. Ins. Co., 252 F.2d 158,
161 (8th Cir. 1958). It is true that the word household
is frequently used to designate persons related by blood or marriage dwelling
together as a family under a single roof. But numerous cases have held that
members of a family need not actually reside under a common roof in order to
be deemed part of the same household.
For example, in Mazzilli v. Acc. & Cas. Ins. Co. of Winterthur, Switzerland, 35
N.J. 1, 170 A.2d 800 (1961) the insured owned a piece of property on which two houses were
located. The insured lived in one house, which was covered by a homeowner's policy, and
his wife _ from whom he was separated _ and son lived in an adjacent cottage on the
property. When the wife sought indemnification under the homeowner's policy for a
judgment against her in a tort action, the court held that the wife was a member of the
insured's household because the facts supported the insured's belief that the premises was
all one place where the entire family was living. 35 N.J. at 15, 170 A.2d at 808.
Numerous other cases have
found a child of divorced or separated parents _ even though living primarily
under the roof of only one parent _ was a resident of both parents'
households for purposes of insurance coverage.
(See footnote 6) Courts
note that children often leave belongings at both homes, have a room or area
of their own in each home, and until the child expresses another
intent, generally hold that the child is a resident of both homes. See,
e.g., Simmons v. Insurance Co. of North America, 17 P.3d 56 (Alaska
2001); Aetna Cas.& Sur. Co. v. Shambaugh, 747 F.Supp. 1203 (N.D.W.Va. 1990); Mutual Service Cas. Ins.
Co. v. Olson, 402 N.W.2d 621 (Minn.App. 1987); Alava v. Allstate Ins. Co., 497 So.2d 1286
(Fla.App. 1986); Cal-Farm Ins. Co. v. Boisseranc, 151 Cal.App.2d 775, 312 P.2d 401
(1957). See also, Annotation, Who is Resident or Member of Same Household or
Family as Named Insureds, Within Liability Insurance Provision Defining Additional
Insureds, 93 A.L.R.3d 420 (1979).
Another common class of cases where courts usually find coverage involves
children who have temporarily left their parents' insured house to pursue an education, a job,
extensive medical treatment, or to join the armed forces. These individuals often establish
a residence a substantial distance from the insured house, and maintain that residence for an
extended period. When the facts establish that the child continues to call and treat their
parents' house as home, leaving their belongings there and returning when possible, courts
usually find that the child is an insured resident of their parents' household. See, e.g.,
Atlanta Cas. Co. v. Powell, 83 F.Supp.2d 749 (N.D.Miss. 1999) (minor child of divorced
named insured resided in insured's household at time of occurrence, even though child was
undergoing residential chemical dependency treatment, and even though named insured
expressed an intent to send child to live with ex-spouse upon completion of treatment).
Wood v. Mutual Service Casualty Ins. Co., 415 N.W.2d 748 (Minn.App. 1987) (son was a
resident of his parents' household and covered under automobile policy, even though son
joined Army at age 17); Row v. United Services Automobile Assoc., 474 So.2d 348 (Fla.App. 1985) (son with mental illness lived alone in apartment in complex owned by
insured father, but was a member of father's household because he paid no
rent or security deposit, signed no lease, had a key to father's apartment,
socialized, ate, cooked, did laundry and bathed in father's apartment, and
received money from father); Crossett v. St. Louis Fire & Marine Ins.
Co., 289 Ala. 598, 269 So.2d 869 (1972) (college student living in a dormitory
was a resident of his parents' household, because he kept a room in the family
home, came home on breaks, stored personal belongings there, listed his parents'
address on his driver's license, and registered for the draft near his parents'
home); State Farm Mut. Auto Ins. Co. v. Elkins, 52 Cal.App.3d 534,
125 Cal.Rptr. 139 (1975) (nineteen-year-old daughter lived in a separate apartment
as a temporary experiment to test her independence; she still maintained a
bedroom in the family house; saw her parents daily; ran errands for her parents
and used the family car; and was therefore a resident of her father's household).
See also, Annotation, Who is Resident or Member
of Same Household or Family as Named Insureds, Within
Liability Insurance Provision Defining Additional Insureds, 93 A.L.R.3d
420 (1979).
In determining whether there is a common household, our courts often
consider whether the insured and the relative seeking coverage share a substantially
integrated family relationship. Gibson v. Callaghan, 158 N.J. 662, 673, 730 A.2d 1278,
1284 (1999). According to Black's Law Dictionary 740 (6th Ed. 1990), a household is a
family living together, and the [t]erm 'household' is generally synonymous with 'family'
for insurance purposes, and includes those who dwell together as a family under the same
roof (emphasis added).
Dwelling together under the same roof is only one of the considerations in the
analysis for determining whether a person is a resident of a household or family, and courts
have repeatedly held that a person may prove that he or she is a member of a household or
family even though the person does not live under the same roof as the other members. Most
courts begin by examining the intent of the parties:
[T]he controlling factor is the intent, as evinced primarily by the
acts, of the person whose residence is questioned. If an absence
from a residence is intended to be temporary, it does not
constitute an abandonment or forfeiture of the residence.
Because a determination of residency depends on intent, it
typically should not be made on a motion for summary
judgment.
Farmers Automobile Ins. Assoc. v. Williams, 254 Ill.Dec. 231, 234, 746 N.E.2d 1279, 1282
(2001) (citations omitted).
It is possible to show that a person is a member of a household when the person
does not live under the same roof as the other members of the household. Courts have
endeavored to list the many factors that can be considered to determine whether someone
shares a relationship with the insured so as to be considered a resident of the insured
household. These factors collectively point to the common inquiry of whether the insured
and others in the household intend for the insured's house to be their place of permanent
residency and reasonably act on that intent. State Farm Mutual Auto. Ins. Co. v.
McCormick, 171 Or.App. 657, 17 P.3d 1083 (Ct.App. 2000).
The courts of Wisconsin have
indicated that the controlling test of whether persons are members of
a household at a particular time is not solely whether they are then residing
together under one roof. Pamperin v. Milwaukee Mut. Ins. Co.,
55 Wis.2d 27, 36, 197 N.W.2d 783, 788 (1972). In Pamperin, the Wisconsin
court indicated that an examination should be made of whether the relative
and the named insured are:
(1) Living under the same roof; (2) in a close, intimate and
informal relationship; and (3) where the intended duration is
likely to be substantial, where it is consistent with the
informality of the relationship, and from which it is reasonable
to conclude that the parties would consider the relationship . . .
in contracting about such matters as insurance or in their
conduct in reliance thereon.
55 Wis.2d at 37, 197 N.W.2d at 788. In accord, A.G. v. Travelers Ins. Co., 112 Wis.2d 18,
21, 331 N.W.2d 643, 645 (Ct.App. 1983). Other courts have noted that this is not a
mandatory threefold test and [n]o single factor is the sole or controlling test of whether
a person is a resident of a household. Londre v. Continental Western Ins. Co., 117 Wis.2d
54, 58, 343 N.W.2d 128, 130 (1983).
The courts of Minnesota have followed Wisconsin's approach, and considered
other factors such as: the age of the person; whether the person establishes a separate
residence; the self-sufficiency of the person; the frequency and duration of the person's stay
in the family home; and the person's expressed intent to return to the family home. Mutual
Service Cas. Ins. Co. v. Olson, 402 N.W.2d 621 (Minn.App. 1987); Wood v. Mutual Service
Cas. Ins. Co., 415 N.W.2d 748 (Minn.App. 1987). Courts in the State of Washington have
suggested consideration of the expressed intent of the person in question, the formality or
informality of the relationship between that person and the members of the household at
issue, the relative propinquity of the dwelling units, and existence of another place of lodging
for the person in question. General Motors Acceptance Corp. v. Grange Ins. Ass'n, 38
Wash.App. 6, 684 P.2d 744 (1984); Pierce v. Aetna Cas. and Sur. Co., 29 Wash.App. 32, 627
P.2d 152 (1981).
A Colorado court has found the following elements to be important: the
subjective or declared intent of the person; the formality or informality of the relationship
between the person and the members of the household; the existence of another place of
lodging by the alleged resident; and the relative permanence or transient nature of the
individual's residence in the insured's home. Iowa Nat'l Mutual Ins. v. Boatright, 33
Colo.App. 124, 516 P.2d 439 (1973). Arizona courts consider similar factors, such as the
living arrangements of the person prior to the accident; the person's absence or presence
from the insured's home on the date of the occurrence; the reasons or circumstances relating
to the absence or presence; and the individual's subjective or declared intent with respect to
a place of residence. State Farm Mut. Auto. Ins. Co. v. Johnson, 151 Ariz. 591, 729 P.2d 945
(Ariz.App. 1986); Mid-Century Ins. Co. v. Duzykowski, 131 Ariz. 428, 641 P.2d 1272 (1982).
It is clear from these cases that a determination of whether a person is a resident of a particular household is an elastic concept entirely dependent upon the context in which the question arises. As used in the Farmers Mutual policy at issue in this case, the phrase resident of your household is not defined. The parties _ and many other courts _ are able to give the policy language differing but equally reasonable constructions. Accordingly, we find that the policy language is ambiguous and must be construed.
We therefore hold that, in a homeowners' insurance policy that does not
otherwise define the phrase resident of your household, the phrase means a person who
dwells _ though not necessarily under a common roof _ with other individuals who are
named insureds in a manner and for a sufficient length of time so that they could be
considered to be a family living together. The factors to be considered in determining
whether that standard has been met include, but are not limited to, the intent of the parties,
the formality of the relationship between the person in question and the other members of the
named insureds' household, the permanence or transient nature of that person's residence
therein, the absence or existence of another place of lodging for that person, and the age and
self-sufficiency of that person. To the extent that Spangler v. Armstrong, 201 W.Va. 643,
499 S.E.2d 865 (1997) (per curiam) suggests that only a person who lives under the same
roof as an insured can be a member of the insured's household, and that a person who lives
under a separate roof cannot, it is hereby modified.
Furthermore, because a determination of residency depends on the intent of the parties, it is typically a question of fact that cannot be determined through a motion for summary judgment. See Farmers Automobile Ins. Assoc. v. Williams, 254 Ill.Dec. at 234, 746 N.E.2d at 1282.
The sparse appellate record in the instant case indicates that Darrell Lee was,
at the time of the accident, thirty-eight years old and lived alone in a mobile home on his
father's property. The record suggests that Darrell Lee paid no rent or security deposit to his
father for use of the mobile home, and signed no lease. Darrell Lee had no regular job apart
from his duties on the farm, and the longest time he was continuously employed elsewhere
was approximately one year. An inference can be drawn from the record that Locie paid for
most, if not all, of Darrell Lee's living expenses including his utilities and food.
Based upon this record, we believe
that inferences favorable to Mr. Tucker can be drawn from the underlying facts,
such that a jury could reasonably conclude that Darrell Lee was a resident
of Locie's household. We therefore conclude that the circuit court
erred in granting summary judgment to Farmers' Mutual.
(See footnote 7)
Accordingly, the circuit court's August 27, 2001 order granting summary judgment is reversed, and the case is remanded for further proceedings.
Reversed and Remanded.