5 N.Y.3d 467 (2005)
The phrase “arising out of” in an uninsured premises exclusion in a homeowner’s insurance policy is interpreted broadly to include injuries causally connected to the use of the uninsured premises, not just injuries stemming from the physical condition of the premises.
Summary
This case concerns the interpretation of an “uninsured premises” exclusion in a homeowner’s insurance policy. A child was injured on property owned by the insureds (the Morrises) but excluded from their homeowner’s policy because they operated a horse-boarding business there. The New York Court of Appeals held that the injury “arose out of” the uninsured premises because it was causally connected to the use of the property for horse boarding, even though the injury was not caused by a physical defect of the property. The court reasoned that insurers need to be able to define and price the risks they are willing to cover, and this interpretation allows them to do so.
Facts
The Morrises owned property insured under a homeowner’s policy with NYCM. They started a horse-boarding business on a portion of that property. NYCM amended the policy to exclude the property where the horse-boarding business was located, and the Morrises obtained separate insurance for that property with BCC. A six-year-old child, under the care of the Morrises’ daughter, was kicked by a horse on the uninsured portion of the property while Deborah Morris was leading the horse to pasture. The child sustained serious injuries.
Procedural History
The child’s mother sued the Morrises for personal injury. She then sued NYCM, seeking a declaration that NYCM was obligated to defend and indemnify the Morrises in the personal injury action. NYCM counterclaimed and brought a third-party action against the Morrises, seeking a declaration of its obligations under the policy. The Supreme Court ruled in favor of the plaintiff, but the Appellate Division reversed, holding that the exclusion applied. The Court of Appeals granted leave to appeal.
Issue(s)
Whether the phrase “arising out of a premises” in an uninsured premises exclusion of a homeowner’s insurance policy is limited to injuries caused by the physical condition of the premises, or whether it includes injuries causally connected to the use of the premises.
Holding
No, the phrase “arising out of” is not limited to the physical condition of the premises, because it requires only some causal relationship between the injury and the risk for which coverage is provided.
Court’s Reasoning
The court reasoned that the phrase “arising out of” has broader significance than simply “caused by.” It means “originating from, incident to, or having connection with.” The court emphasized that an insurer needs to be able to define the risks it is willing to cover and determine a premium accordingly. It stated, “[w]hen injury-causing conduct is causally related to the purposes for which the premises are used, then the injury is deemed to ‘arise’ from the premises.” In this case, the injury was causally related to the use of the property for horse boarding. The court distinguished this situation from one where the injury occurred on the insured premises, stating, “there is no direct causal connection between the injury and the insured premises. Rather, the direct connection is between the injury and the uninsured location.”
The dissent argued that the phrase “arising out of a premises” is ambiguous and could reasonably be interpreted to refer only to injuries caused by a dangerous condition of the premises. According to the dissent, ambiguities in insurance policies should be construed against the insurer. The dissent also argued that NYCM waived its “business pursuits” exclusion by not providing a sufficiently specific notice of disclaimer.