RJC Realty Holding Corp. v. Republic Franklin Insurance Co., 4 N.Y.3d 158 (2005)
An employee’s intentional tort, such as sexual assault, is not automatically attributed to the employer for insurance coverage purposes, and the incident may be considered an “accident” covered by the employer’s policy if the employer neither expected nor intended the act.
Summary
RJC Realty, operating a spa, sought insurance coverage from Republic Franklin for a lawsuit alleging sexual assault by RJC’s employee during a massage. Republic Franklin denied coverage, arguing the assault wasn’t an “accident” and was excluded due to being intentional and arising from body massage. The New York Court of Appeals held that the assault was an “accident” from RJC’s perspective because the employee’s intent isn’t automatically imputed to the employer. The court also found the “body massage” exclusion inapplicable, as it pertains to injuries from the massage itself, not from intentional torts committed during the massage, thus requiring Republic Franklin to defend and indemnify RJC.
Facts
RJC Realty operated a spa and held a business insurance policy with Republic Franklin, covering bodily injury caused by an “occurrence” (defined as an accident). Marie Harrison sued RJC and its masseur, alleging sexual assault during a massage. She claimed RJC was negligent in hiring and supervising the masseur. RJC sought coverage from Republic Franklin, who disclaimed it based on the “accident” definition and policy exclusions.
Procedural History
RJC sued Republic Franklin seeking a declaratory judgment for coverage. The Supreme Court ruled for RJC. The Appellate Division reversed, finding the “expected or intended” exclusion applicable because the employee committed an intentional act. The New York Court of Appeals reversed the Appellate Division, reinstating the Supreme Court’s judgment, thereby siding with RJC.
Issue(s)
1. Whether an employee’s intentional tort (sexual assault) is considered an “accident” from the employer’s perspective, thus triggering insurance coverage for the employer?
2. Whether the insurance policy’s exclusion for bodily injury “arising out of body massage” applies to a sexual assault committed during a massage?
Holding
1. Yes, because, following Agoado and Judith M., the employee’s intentions are not automatically imputed to the employer, and thus from the employer’s viewpoint, the assault was unexpected and unforeseen.
2. No, because the “body massage” exclusion is reasonably interpreted to apply to injuries inherent in the massage itself, not to intentional torts committed under the guise of a massage.
Court’s Reasoning
The Court of Appeals relied on Agoado Realty Corp. v United Intl. Ins. Co., stating, “in deciding whether a loss is the result of an accident, it must be determined, from the point of view of the insured, whether the loss was unexpected, unusual and unforeseen.” The court reasoned that, similar to Judith M. v Sisters of Charity Hosp., the employee’s actions were outside the scope of employment and for personal motives, and should not be attributed to RJC for determining insurance coverage. The court stated that, “Assuming plaintiff’s allegations of sexual abuse are true, it is clear that the employee here departed from his duties for solely personal motives unrelated to the furtherance of the Hospital’s business.” Regarding the “body massage” exclusion, the court found it ambiguous and narrowly construed it against the insurer, stating that “an exclusion in an insurance policy can negate coverage only where it is stated ‘in clear and unmistakable language [and] is subject to no other reasonable interpretation.’” The court interpreted the exclusion as pertaining to physical injuries from the massage itself, not from intentional torts. This case clarifies that an employer’s liability insurance can cover employee misconduct if the employer did not expect or intend the actions, emphasizing the importance of the insured’s perspective in determining what constitutes an “accident”.