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Utica Mutual v. Kelly Cohen

Court of Appeals of Georgia
Jul 10, 1998
233 Ga. App. 555 (Ga. Ct. App. 1998)

Opinion

A98A0648.

DECIDED JULY 10, 1998 — RECONSIDERATION DENIED JULY 24, 1998 — CERT. APPLIED FOR.

Action on policy. Gwinnett Superior Court. Before Judge Jackson.

Zirkle Hoffman, Benjamin E. Pellegrini, Kevin Elwell, for appellant.

Cofer, Beauchamp, Stradley Hicks, Stanley A. Coburn, Nell A. Pedigo, for appellee.


Jeffrey and Amy Cross sued furniture retailer Kelly Cohen, Inc. ("KC") for damages they allegedly sustained when a KC employee misappropriated Amy Cross's credit information and used the information to establish a false identity, obtain a bank loan and purchase goods and services from other establishments. KC filed a third party complaint for declaratory relief against its liability insurer, Utica Mutual Insurance Company ("Utica"), after Utica denied coverage. On cross-motions for summary judgment by Utica and KC, the trial court denied Utica's motion and granted partial summary judgment to KC. Utica appeals the trial court's order, and for reasons which follow, we affirm.

In their complaint, the Crosses alleged that they purchased furniture from KC on credit and that KC employee Linda Astwood obtained the necessary credit information from them. According to their complaint, the Crosses subsequently discovered that Astwood had charged over $700 on their bank card and used Amy Cross's personal information to purchase goods and services and obtain a bank loan. The Crosses alleged that Astwood had access to this information by virtue of her employment with KC and that because she had a prior conviction for credit fraud, KC is liable under the theories of negligent hiring and retention, respondeat superior and premises liability. With regard to their claim under the theory of respondeat superior, the Crosses specifically alleged that Astwood committed the wrongful acts "in the course of her employment" with KC.

In denying KC's request for liability insurance coverage, Utica relied on an exclusion in the policy which provides that the insurance does not apply to "[p]ersonal injury" or "advertising injury" "[a]rising out of the willful violation of a penal statute or ordinance committed by or with the consent of the insured[.]" The policy includes within its definition of an "insured" KC's "employees, other than your executive officers, but only for acts within the scope of their employment by you." (Emphasis supplied). Utica argued that this criminal acts exclusion applies because the complaint alleges that the Crosses were damaged through a willful criminal act of KC employee Astwood, an insured, within the scope of her employment. In response, KC asserts that notwithstanding the Crosses' specific allegation that Astwood was acting "in the course of her employment," the exclusion does not apply because (1) there is a factual dispute concerning whether Astwood was actually acting within the scope of her employment when she committed the purported criminal acts, and (2) they asserted alternative causes of action independent of this specific allegation.

The trial court found that the exclusion does not apply, and the sole issue raised by Utica in this appeal is whether the exclusion precludes Utica's duty to defend KC because the complaint alleged that Astwood was acting within the course of her employment.

"`[A]n insurer's duty to pay and its duty to defend are separate and independent obligations. [Cits.]' [Cits.]" Penn-America Ins. Co. v. Disabled American Veterans, 268 Ga. 564, 565 ( 490 S.E.2d 374) (1997). As a general rule, "`the duty to defend is determined by the contract; and since the contract obligates the insurer to defend claims asserting liability under the policy[,] even if groundless, the allegations of the complaint against the insured are looked to to determine whether a liability covered by the policy is asserted.' [Cits.] Thus, it is only where the complaint sets forth true factual allegations showing no coverage that the suit is one for which liability insurance coverage is not afforded and for which the insurer need not provide a defense. [Cits.]" (Emphasis in original). Id.

In this case, the Crosses' complaint alleges liability that is not excluded under the subject provision of KC's insurance policy with Utica. Though it is true that the Crosses' allegation of respondeat superior is dependent upon a finding that Astwood was acting in the scope of her employment with KC, this is not the only cause of action the Crosses asserted. See Hillside Orchard Farms v. Murphy, 222 Ga. App. 106, 109 (1) ( 473 S.E.2d 181) (1996). The Crosses also alleged that KC is liable for negligently hiring and retaining Astwood. In connection with this claim, the Crosses did not allege that Astwood committed the wrongful acts within the scope of her employment, and this finding is not an essential element of the claim. See Henderson v. Nolting First Mtg., 184 Ga. 724, 736 (2) ( 193 S.E. 347) (1937). Such alternative pleading is expressly authorized by OCGA § 9-11-8 (e) (2), regardless of any inconsistencies that may exist between the two causes of action. See Hodges v. Youmans, 120 Ga. App. 805, 809 ( 172 S.E.2d 431) (1969). Accordingly, although the Crosses alleged that Astwood was acting within the scope of her employment in connection with one cause of action, they nevertheless asserted an alternative basis of liability which, under the allegations of the complaint, is not excluded under the policy's criminal acts exclusion. Thus, although evidence may ultimately establish that Astwood was acting within the scope of her employment, because the Crosses' complaint shows potential coverage, Utica has a duty to defend and the trial court did not err in so finding. See Penn-America, supra at 566.

Judgment affirmed. Pope, P.J., and Beasley, J., concur.


DECIDED JULY 10, 1998 — RECONSIDERATION DENIED JULY 24, 1998 — CERT. APPLIED FOR.


Summaries of

Utica Mutual v. Kelly Cohen

Court of Appeals of Georgia
Jul 10, 1998
233 Ga. App. 555 (Ga. Ct. App. 1998)
Case details for

Utica Mutual v. Kelly Cohen

Case Details

Full title:UTICA MUTUAL INSURANCE COMPANY v. KELLY COHEN, INC

Court:Court of Appeals of Georgia

Date published: Jul 10, 1998

Citations

233 Ga. App. 555 (Ga. Ct. App. 1998)
504 S.E.2d 510

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