In
its recent decision in Great American
Insurance Co. v. Christy, 2012 N.H. LEXIS 126 (N.H. Sept. 28, 2012), the
Supreme Court of New Hampshire had occasion to consider whether an “innocent
insured” provision in a legal malpractice policy precluded rescission of that
policy, despite clear evidence that at least one insured failed to disclose information
material to the risk in the policy application.
The
insured law firm, Christy & Tessier, P.A., included attorneys Robert
Christy and Thomas Tessier, partners for over forty-five years. In 2001, Tessier was retained by a cousin to
handle the probate administration of his aunt’s estate. Over a five-year period, Tessier fabricated
numerous documents as part of a scheme to misappropriate funds from the estate
as well as from his cousin’s own personal bank accounts. While there was no evidence that Christy was
aware of these thefts, Christy did falsely notarize various documents Tessier,
not knowing that these documents assisted Tessier in perpetuating his scheme. In all, Tessier misappropriated over $1.5
million combined from his aunt’s estate and from his cousin’s personal accounts. The scheme was discovered in 2006, and
Tessier’s cousin asserted a claim against Tessier in October 2006. In April 2007, Tessier entered into a
settlement agreement with his cousin whereby he agreed to repay his debts
pursuant to a payment plan. In September
2007, however. Tessier advised that he would be unable to pay his debt. It appears that Christy was unaware of the
claim or of the settlement.
Christy
& Tessier were insured under successive professional liability policies
issued by Great American Insurance Company (“GAIC”) from 2001 to 2007. The firm submitted an application for a
renewal for the 2007-2008 policy period on May 22, 2007, which was subsequent
to Christy’s settlement agreement.
Question 6(a) of the application asked:
After inquiry, is any lawyer aware of any claim, incident, act
error or omission in the last year that could result in a professional
liability claim against any attorney of the Firm or a predecessor Firm?
The
application was completed and signed by Robert Christy, who answered “No” in
response to this question. Notably, the application contained the following
acknowledgment near the signature line:
The undersigned proprietor, partner, member, or officer,
acting on behalf of the applicant, and all other proposed Insureds, hereby
declares after diligent inquiry that the above statements are true and that no
material facts have been suppressed or misstated.
Christy
testified that he when completing the application, he asked Tessier whether he
was aware of any information that should be disclosed, and Tessier told him
there was none. GAIC sought a rescission
of the 07-08 policy when it subsequently learned of Tessier’s misappropriations
and the settlement, as well as Christy’s improper notarizations.
Following
a hearing, a trial court granted GAIC’s demand for rescission of the policy,
concluding that the firm’s response to question 6(a) was false since Tessier
knew of a claim against him as early as 2006.
The trial court concluded that Christy’s lack of knowledge was not a
defense, explaining that:
[e]ven though Christy’s answer to the question and his
subsequent declaration on the application were unwittingly false, the question
on the application did not pertain solely to Christy’s knowledge but rather to
the knowledge of ‘any lawyer’ at the law firm …
Accordingly, Tessier’s knowledge was imputed to Christy and the other
insureds.
As
such, and having concluded that the misstatements were material to GAIC’s
decision to issue the policy, the trial court agreed that GAIC was entitled to
a rescission of the policy.
On
appeal, the Supreme Court of New Hampshire expressed its concern in imputing
Tessier’s knowledge to Christy. The
court found support for its concern in the following “innocent insured”
provision in the policy:
B. Waiver
of Exclusion (Innocent Insured) and Breach of Conditions: Whenever coverage
under any provision of this policy would be excluded, suspended or lost
* * *
2. because
of non-compliance with Section VII, Claims, subsection A, Notice of Claims
relating to the giving of notice to the Company with respect to which any other
Insured shall be in default solely because of the default or concealment of
such default by one or more Insureds responsible for the loss or damage
otherwise insured hereunder,
the Company agrees that such insurance as would otherwise be
afforded under this policy shall apply with respect to each and every insured
who did not personal participate in committing one or more of the acts, errors
or omissions described in either such exclusion or such condition … .
While
this provision, on its face, was limited to giving notice of claims to GAIC, and
served to protect one insured in the situation where another insured conceals
information, the court observed a broader principle in the policy to protect
innocent insureds. The court believed
Christy was precisely such an innocent insured when completing the policy
application as Tessier withheld information that should have been disclosed.
GAIC
pointed out that the application inquired whether any prospective insured was aware of facts that that could give
rise to a claim, not just whether Christy was aware of such facts. GAIC further argued that the innocent
insureds language in the policy did not apply to the policy application. The court did not agree, explaining:
It is not clear, however, that the policy provision excluding
imputed knowledge to innocent insureds does not apply to giving notice on the
Shortform Application. Thus, in the
absence of language specifically imputing knowledge to innocent insureds of
false statements made on the Shortform Application, the contract read as a
whole is ambiguous.
In
light of this ambiguity, the New Hampshire Supreme Court concluded that the
lower court erred as a matter of law on the issue of rescission. The matter was, however, remanded for further
findings on whether application of any other coverage defenses operated to
preclude coverage.
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ReplyDeletesee more at- notice of rescission