AI Case Brief
Generate an AI-powered case brief with:
đKey Facts
âïžLegal Issues
đCourt Holding
đĄReasoning
đŻSignificance
Estimated cost: $0.10â$0.50 per brief, depending on opinion length and retries
Full Opinion
*NOT FOR PUBLICATION* UNITED STATES DISTRICT COURT DISTRICT OF NEW JERSEY MID-CENTURY INSURANCE COMPANY, Plaintiff, Civil Action No. 19-08564 (FLW) v. OPINION RAYMOND NELSON, MARIA NELSON, DAVID HYNES (interested party), ANNAMARIE MCILVAIN (interested party), and the ESTATE OF LUCAS Z. HYNES (interested party), Defendants. WOLFSON, Chief Judge: In this insurance coverage dispute, Plaintiff Mid-Century Insurance (âPlaintiffâ) seeks a declaratory judgment under 28 U.S.C. § 2201 that it has no obligation to defend, indemnify, or to otherwise provide coverage to Defendants Raymond Nelson (âRaymondâ) and Maria Nelson (âMariaâ) (together with Raymond, the âNelsonsâ) for the lawsuit, injuries, settlement, award or any compensation in relation to the fatal drowning of minor child Lucas Hynes (âLucasâ) at the Nelsonsâ home. The Nelsons and Interested Parties David Hynes (âHynesâ), Lucasâ father, Annamarie McIlvain (âMcIlvainâ), Lucasâ mother, and the Estate of Lucas Z. Hynes (collectively the âInterested Partiesâ) each filed a motion for summary judgment, seeking a declaration that Plaintiff must defend and indemnify up to the liability policy limit of the Nelsonsâ insurance in connection with Lucasâ death. Plaintiff also moves for summary judgment on the same claim. For the reasons set forth herein, Plaintiffâs Motion for Summary Judgment is DENIED, the Nelsonsâ Motion for Summary Judgment is GRANTED in part, and DENIED in part, and the Interested Partiesâ Motion for Summary Judgment is GRANTED in part, and DENIED in part, as follows: because issues of genuine material fact exist as to whether McIlvain and Lucas were residents of the Nelsonsâ household under the insurance policyâs personal liability exclusion provision, summary judgment on this question is denied. However, the Court grants summary judgment in favor of the Nelsons and the Interested Parties on the issue that Lucas was not an âInsuredâ under the Nelsonsâ insurance policy. I. FACTUAL AND PROCEDURAL BACKGROUND A. Factual Background The following facts are undisputed unless otherwise noted. The Nelsons live in a single family home located at 64 Fort Plains Road, Howell, New Jersey. (Plaintiffâs Statement of Material Facts (âPSOFâ) at ¶¶ 2-3.) McIlvain and her four-year-old autistic son, Lucas, lived with the Nelsons from April 2018 to July 2018. (Id. at ¶ 5.) The Nelsons are not related to McIlvain or Lucas. (Interested Partiesâ Statement of Material Facts (âIPSOFâ) at ¶ 16.) Rather, McIlvain was a friend of Raymondâs stepson, Ryan Kreger (âRyanâ), (PSOF at ¶ 14); the Nelsons did not meet McIlvain and Lucas until April 2018. (See Certification of David D. Blake, Esq. in Support of Plaintiffâs Motion for Summary Judgment (âBlake Cert.â), Ex. B, Raymondâs Dep. Tr., 7:11 to 19.) Prior to April 2018, McIlvain and Lucas lived in a motel room with McIlvainâs mother because their home was being sold. (Id. at ¶ 14; Nelsonsâ Statement of Material Facts (âDSOFâ) at ¶ 1.) Following the sale of their home, McIlvain and Lucas had planned to relocate to Virginia where they would live with McIlvainâs uncle. (DSOF at ¶ 1.) The relocation, however, would result in Lucas changing schools. (Id. at ¶ 1.) Recognizing the difficulties associated with McIlvainâs housing situation, the Nelsons invited McIlvain and Lucas to live at their home until McIlvain found a more suitable and permanent residence in Howell. (PSOF at ¶ 14; DSOF at ¶¶ 6-7.) McIlvain agreed to move into the Nelsonsâ house, so that Lucas could remain at his school. (DSOF at ¶ 10.) According to McIlvain, she and her son only intended to stay with the Nelsons for a short duration, while she saved money for an apartment. (PSOF at ¶ 25.) In exchange for living at the Nelsonsâ home, McIlvain offered to pay the Nelsons $600.00 each month in rent; however, there was no written lease agreement. (IPSOF at ¶ 19.) On at least one occasion, McIlvain purchased groceries for the Nelsons in lieu of making a rental payment. (Id. at ¶ 21.) During her time at the Nelsonsâ home, McIlvain had complete use of the living room, kitchen, dining room, and a bathroom. (Id. at ¶ 24.) McIlvain and Lucas, with their own bed, shared a bedroom with Ryan. (Id. at ¶ 24.) With respect to personal items, McIlvain and Lucas brought their own clothes, towels, linens, blankets, and pillows to the Nelsonsâ home. (Id. at ¶ 25.) McIlvain also purchased her own groceries and toiletries. She stored the food in certain sections of the refrigerator and kitchen cabinets that were designated for her use. (Id. at ¶¶ 26-27.) As for laundry and other everyday tasks, McIlvain generally cleaned after herself and Lucas. (Id. at ¶ 28.) Indeed, McIlvain washed the pots and pans used by her and Lucas; placed their dishes, utensils, and other items in the dishwasher; and washed their clothes separately from the Nelsons. (Id. at ¶ 28.) From the day that McIlvain moved into the Nelsonsâ home until July 29, 2018, she and Lucas did not live in any other place. (PSOF at ¶ 20.)1 On July 29, 2018, after approximately three months at the Nelsonsâ home, Lucas tragically died after drowning in the Nelsonsâ swimming pool. (IPSOF at ¶ 1.) Just prior to his death, Lucas and McIlvain were swimming in the pool with Maria, the Nelsonsâ grandchildren, Hunter and 1 There are additional relevant facts that will be discussed infra, in connection with the inquiry into whether McIlvain and Lucas were residents of the Nelsonsâ household. Isabella, and McIlvainâs niece. (See Certification of Robert Y. Cook, Esq. in Support of the Interested Partiesâ Motion for Summary Judgment (âCook Cert.â), Ex. H, McIlvainâs Dep. Tr., 51:23 to 52:3.) McIlvain asked Maria to watch Lucas while she went inside the house to change her nieceâs diaper. (Id. at 52:22 to 53:13.) While McIlvain left the pool area, Maria instructed the children, including Lucas, to get out of the pool so that she could prepare dinner.2 (See Cook Cert., Ex. C, Mariaâs Dep. Tr., 9:2 to 25.) According to Maria, she removed Lucasâ lifejacket and closed the gate to the pool area. (Id. at 9:14 to 20, 10:18 to 20.) Maria also testified that the children remained outside in the Nelsonsâ yard upon exiting the pool area. (Id. at 11:2 to 8.) Maria observed McIlvain watching television when she returned to the house. (Id. at 21:15 to 18.) At some point thereafter, Maria asked the children to come inside for dinner. (Id. at 12:2 to 3.) Although Mariaâs testimony is slightly vague, she recalled seeing Lucas on the porch of the home with Hunter and Isabella. (Id. at 12:10 to 15.) Approximately five minutes later, however, Isabella asked Maria about Lucasâ whereabouts. (Id. at 12:16 to 13:9.) It was at this point that Maria and McIlvain discovered that Lucas had not returned inside the house with the other children. (Id. at 13:6 to 9.) McIlvain discovered Lucas in the swimming pool after a frantic search of the Nelsonâs yard. (See Cook Cert., Ex. H, McIlvainâs Dep. Tr., 14:21 to 23.) Following Lucasâ death, McIlvain did not return to the Nelsonsâ residence. (PSOF at ¶ 5.) 2 McIlvain and the Nelsons provide conflicting testimony regarding Raymondâs presence on July 29, 2018. According to the Nelsons, Raymond was present at the home, but he left to perform errands just prior to the drowning incident. (See Certification of Jeffrey A. Malatesta, Esq. in Support of the Nelsonsâ Motion for Summary Judgment (âMalatesta Cert.â), Ex. B, Raymondâs Dep. Tr., 11:17 to 22; Cook Cert., Ex. C, Mariaâs Dep. Tr., 30:16 to 31:13.) McIlvain, however, testified that she has no recollection of Raymond being at the house that afternoon. (See Cook Cert., Ex. H, McIlvainâs Dep. Tr., 53:11 to 13.) This dispute is not relevant to the resolution of these motions. B. Procedural History On February 15, 2019, the Interested Parties filed a Complaint in the Law Division of the New Jersey Superior Court, Monmouth County, David P. Hynes, Jr. v. Maria Nelson, et al., MON- L-624-19 (âSuperior Court Actionâ). (IPSOF at ¶ 4.) The Superior Court Action asserts wrongful death, survivorship, and other claims under New Jersey law against the Nelsons arising out of the drowning incident. (Id.) Specifically, the Complaint claims that the Nelsons are responsible for the ownership, operation, maintenance, control, and supervision of the swimming pool located on their property, and that Lucas died as a direct and proximate result of the Nelsonsâ negligence related to the supervision or operation of the swimming pool. (See Blake Cert., Ex. C, Superior Court Action Complaint.) The Nelsons are the named insureds under a Farmers Smart Plan Home insurance policy (âPolicyâ) issued by Plaintiff. (PSOF at ¶¶ 1-3.) The Policy provides, in part, personal liability insurance for the Nelsons in the amount of $300,000.00. (Id. at ¶ 4.) Specifically, the Policy provides that Plaintiff âwill pay those damages which an insured becomes legally obligated to pay because of: (1) bodily injury resulting from an occurrence; or (2) property damage resulting from an occurrence.â (IPSOF at ¶ 6.) Pursuant to the Policy, Plaintiff has defended the Nelsons in the Superior Court Action, but it also reserved the right to disclaim coverage based on certain exclusions in the Policy. (Id. at ¶ 7.) On March 14, 2019, Plaintiff filed a Complaint in the instant matter seeking a declaratory judgment under 28 U.S.C. § 2201, that it has no obligation to defend or indemnify the Nelsons for any claims in the underlying Superior Court Action. (PSOF at ¶ 8; IPSOF at ¶ 9.) Plaintiff argues that the Policyâs personal liability exclusion permits it to disclaim coverage for bodily injuries or personal injuries suffered by (1) insureds and (2) residents of the Nelsonsâ household. (See Compl., ECF No. 1.) Plaintiff reasons that because Lucas and McIlvain were part of the Nelsonsâ household at the time of Lucasâ death, it has no obligation to provide coverage under the Policy. (Pl.âs Summary Judgment Moving Br., at 10-18.) Alternatively, Plaintiff contends that because Lucas was a permanent resident of the household, under the age of twenty-one, and in the care of Maria immediately prior to the drowning incident, he meets the definition of an âInsured,â and thus, there is no coverage for this tragic death. (Id. at 19-24.)3 II. STANDARD OF REVIEW Summary judgment is appropriate âif the pleadings, depositions, answers to interrogatories, and admissions on file, together with the affidavits, if any, show that there is no genuine issue as to any material fact and that the moving party is entitled to a judgment as a matter of law.â Fed. R. Civ. P. 56(c). A factual dispute is genuine only if there is âa sufficient evidentiary basis on which a reasonable [factfinder] could find for the non-moving party,â and it is material only if it has the ability to âaffect the outcome of the suit under governing law.â Kaucher v. Cty. of Bucks, 455 F.3d 418, 423 (3d Cir. 2006); see also Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). Disputes over irrelevant or unnecessary facts will not preclude a grant of summary judgment. Anderson, 477 U.S. at 248. âIn considering a motion for summary judgment, a district court may not make credibility determinations or engage in any weighing of the evidence; instead, the non-moving partyâs evidence âis to be believed and all justifiable inferences are to be drawn in his favor.ââ Marino v. Indus. Crating Co., 358 F.3d 241, 247 (3d Cir. 2004) (quoting Anderson, 477 U.S. at 255); see also Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S. 574, 587, (1986); Curley v. Klem, 298 F.3d 271, 276-77 (3d Cir. 2002). 3 The language of the Policyâs personal liability exclusion provision and the definition of the term âInsuredâ will be discussed, infra. The party moving for summary judgment has the initial burden of showing the basis for its motion. Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986). âIf the moving party will bear the burden of persuasion at trial, that party must support its motion with credible evidence ⊠that would entitle it to a directed verdict if not controverted at trial.â Id. at 331. On the other hand, if the burden of persuasion at trial would be on the nonmoving party, the party moving for summary judgment may satisfy Rule 56âs burden of production by either (1) âsubmit[ting] affirmative evidence that negates an essential element of the nonmoving partyâs claimâ or (2) demonstrating âthat the nonmoving partyâs evidence is insufficient to establish an essential element of the nonmoving partyâs claim.â Id. Once the movant adequately supports its motion pursuant to Rule 56(c), the burden shifts to the nonmoving party to âgo beyond the pleadings and by her own affidavits, or by the depositions, answers to interrogatories, and admissions on file, designate specific facts showing that there is a genuine issue for trial.â Id. at 324; see also Matsushita, 475 U.S. at 586; Ridgewood Bd. of Ed. v. Stokley, 172 F.3d 238, 252 (3d Cir. 1999). In deciding the merits of a partyâs motion for summary judgment, the courtâs role is not to evaluate the evidence and decide the truth of the matter, but to determine whether there is a genuine issue for trial. Anderson, 477 U.S. at 249. Credibility determinations are the province of the factfinder. Big Apple BMW, Inc. v. BMW of N. Am., Inc., 974 F.2d 1358, 1363 (3d Cir. 1992). There can be âno genuine issue as to any material fact,â however, if a party fails âto make a showing sufficient to establish the existence of an element essential to that partyâs case, and on which that party will bear the burden of proof at trial.â Celotex, 477 U.S. at 322-23. â[A] complete failure of proof concerning an essential element of the nonmoving partyâs case necessarily renders all other facts immaterial.â Id. at 323; Katz v. Aetna Cas. & Sur. Co., 972 F.2d 53, 55 (3d Cir. 1992). III. DISCUSSION Plaintiff, the Nelsons, and the Interested Parties have each moved for summary judgment on the issue of insurance coverage under the relevant policy. General principles regarding insurance policies and coverage are not disputed. â[I]nsurance policies are contracts of adhesion and are subject to special rules of interpretation.â Lee v. Gen. Acc. Ins. Co., 337 N.J. Super. 509, 513 (App. Div. 2001). â[P]olicies should be construed liberally in [the insuredâs] favor to the end that coverage is afforded to the full extent that any fair interpretation will allow.â Longobardi v. Chubb Ins. Co. of N.J., 121 N.J. 530, 537 (1990) (internal quotations omitted). âNotwithstanding that premise, the words of an insurance policy should be given their ordinary meaning, and in the absence of an ambiguity, a court should not engage in a strained construction to support the imposition of liability.â Id. If there is an ambiguity, however, it should be decided in favor of the insured. Oxford Realty Grp. Cedar v. Travelers Excess & Surplus Lines Co., 229 N.J. 196, 208 (2017). In addition, the doctrine of reasonable expectations allows âthe insuredâs reasonable expectations ... to bear on misleading terms and conditions of insurance contracts and genuine ambiguities are resolved against the insurer.â Id. (citations omitted). Nevertheless, a court âshould not write for the insured a better policy of insurance than the one purchased.â Walker Rogge, Inc. v. Chelsea Title & Guar. Co., 158 N.J. 662, 670 (1989). A. The Household Exclusion First, Plaintiff argues that it is not obligated to defend or indemnify the Nelsons pursuant to the Policyâs personal injury exclusion because McIlvain and Lucas were residents of the Nelsonsâ household at the time of Lucasâ death. (Pl.âs Summary Judgment Moving Br., at 10.) Specifically, the exclusion provides: 1. Any Insured or Other Residents of any Insuredâs Household. We do not cover bodily injury or personal injury to: a. any insured, or b. any resident of any insuredâs household. However, we do cover bodily injury to a residence employee unless the bodily injury is the result of the conduct of an insured or representative of an insured which would be serious and willful misconduct under the workersâ compensation laws. (See Cook Cert., Ex. E at Section II, page 38.) Generally, âinsurance policy exclusions must be narrowly construed; the burden is on the insurer to bring the case within the exclusion.â American Motorists Ins. Co. v. L-C-A- Sales Co., 155 N.J. 29, 41 (1998) (quoting Princeton Ins. Co. v. Chunmuang, 151 N.J. 80, 95 (1997)). Conversely, clauses that extend coverage are to be viewed broadly and liberally. Mazzilli v. Accident & Cas. Ins. Co., 35 N.J. 1, 8 (1961). âExclusionary clauses are presumptively valid and are enforced if they are specific, plain, clear, prominent, and not contrary to public policy.â Therefore, if the words in an exclusion are clear and unambiguous, âa court should not engage in a strained construction to support the imposition of liability.â Longobardi, 121 N.J. at 537. However, if more than one possible interpretation exists, courts should apply the interpretation that supports coverage. Flomerfelt v. Cardiello, 202 N.J. 432, 442 (2010). Here, Plaintiff contends that the personal injury exclusion is clear, unambiguous, and the term âhouseholdâ does not require a âfamilialâ relationship between the Nelsons and McIlvain or Lucas. (Pl.âs Summary Judgment Moving Br., at 10.) In support of its position, Plaintiff cites to the language of the exclusion provision, which Plaintiff maintains, does not include the word ârelative,â âmember,â or any other word or phrase that might imply a family relationship is required to disclaim coverage. (Id. at 16.) According to Plaintiff, because Raymond testified that he considered McIlvain and Lucas to be residents of the Nelsonsâ home, no further inquiry is required to disclaim coverage. (Pl.âs Summary Judgment Reply Br., at 11-15.) The Nelsons and the Interested Parties, however, argue that because the term âhouseholdâ is undefined in the Policy, the exclusion provision is subject to more than one interpretation. (Nelsonsâ Summary Judgment Moving Br., at 9; Interested Partiesâ Summary Judgment Moving Br., at 10-11.) They emphasize that the term âhouseholdâ is generally defined as an âorganized family unit consisting of all those who share in the privileges and duties of a common dwelling.â (Interested Partiesâ Summary Judgment Opp. Br., at 9 (citing Firemanâs Fund of New Jersey v. Caldwell, 270 N.J. Super. 157, 167 (Law Div. 1993)). In that regard, McIlvain and Lucas were not part of the Nelsonsâ household simply because they lived in the Nelsonsâ home. Instead, the Nelsons and the Interested Parties insist that Plaintiff has failed to establish that McIlvain and Lucas were integrated into the Nelson family unit. (Id. at 12.) After a review of the Policy, this Court finds that the term âhousehold,â which is conspicuously undefined, is ambiguous and open to more than one interpretation. Indeed, as early as 1999, the New Jersey Supreme Court held that the term âhousehold,â in an insurance policy, may be interpreted in different ways if no definition is provided. Gibson v. Callaghan, 158 N.J. 662, 672 (1999). The dispute in Gibson arose because the named insured and the relative seeking coverage did not reside together. Id. Rather, the insured moved out of the house she owned, but she continued to maintain her homeownersâ policy. Id. Although the insured intended to return to the house, the insuredâs grandson and his wife moved into the house in the interim. Id. at 665- 66. During that period, a dog owned by the grandsonâs wife seriously injured an 88 year old woman. Id. at 667. After the woman filed a complaint against the grandsonâs wife, the wife filed a third-party complaint against Allstate Insurance Company, asserting that, because she resided in the named insuredâs house, she was entitled to a defense and indemnification under the homeownersâ policy. Id. In finding that the insuredâs grandson and his wife were residents of the insuredâs household, the Court reasoned that without a definition for the phrase âresident of your household,â the insurance policy was âsusceptible to two interpretations.â Id. at 677. The Court found that âwhether a relative of a named insured is a resident of that insuredâs household âwill depend on the facts of each case.ââ Id. at 672 (citing Sjoberg v. Rutgers Cas. Ins. Co., 260 N.J. Super. 159, 164 (App. Div. 1992)); see also Miller v. United States Fidelity & Guar. Co., 127 N.J. Super. 37, 41 (App. Div. 1974) (â[The meaning of âresident of your householdâ] may vary according to the circumstances in each case.â). Despite having the benefit of this New Jersey Supreme Court decision, Plaintiff, the insurer, has elected to leave âhouseholdâ undefined in its Policy. If Plaintiff intended the term âhouseholdâ to refer broadly to any person living in a policyholderâs home, it could have so defined the term in that way. Accordingly, where no definition is provided for the term âhouseholdâ in an insurance policy, as is the case here, New Jersey courts have considered whether a âsubstantially integrated family relationshipâ exists among the insureds and the resident. See Mazzilli v. Accident & Cas. Ins. Co., 35 N.J. 1, 19 (1961); Arents v. General Accident Ins. Co., 280 N.J. Super. 423, 429 (App. Div. 1995). Relevant factors to consider are: 1) whether the proposed resident paid rent at fair market value, 2) whether food and household goods were purchased jointly or separately, 3) whether housekeeping responsibilities were allocated evenly, and 4) whether the proposed resident and the insured ate meals together. See Firemanâs Fund, 270 N.J. Super. at 167. Importantly, the mere fact that âtwo people reside under the same roof is neither necessary nor sufficient for a finding that those people share a âhousehold.ââ Gibson, 158 N.J. at 672. For example, in Sierfield v. Sierfield, 414 N.J. Super. 85, 96-97 (App. Div. 2010), the New Jersey Appellate Division found that there was a âsubstantially integrated family relationshipâ among a plaintiff and her parents, when the plaintiff resided at her parentsâ household at the time of a dog bite incident. Although the plaintiff claimed that the living arrangement was temporary, the appellate panel reasoned that the parties were related by blood, the plaintiff had no rental agreement and did not pay rent, utilities, or contribute to household expenses, the plaintiffâs driverâs license contained her parentsâ address, and the plaintiffâs car was insured and registered at her parentsâ home. Id. Consistent with the line of cases evaluating this issue, the appellate panel also considered the frequency with which the plaintiff socialized and shared meals with her parents. Id. at 97. Conversely, in Firemanâs Fund of New Jersey, 270 N.J. Super. at 167, the Law Division found that the âmere residence of a relative in the home of an insured, as a matter of law, does not constitute the relative a member of the insuredâs household.â Rather, to be a member of a household there must be a âfamilial relationshipâ and âat least some significant prerogatives of family life.â Id. In particular, the court identified factors such as the sharing of companionship and âjoint domesticity,â whether rent was paid at fair market value, whether food and household goods were purchased jointly or separately, and how housekeeping responsibilities were divided amongst the residents. Id. at 167-68. Here, Plaintiff argues that even if the Court were to require evidence of a âfamilial relationship,â McIlvain and Lucas were members of the Nelsonsâ household. (Pl.âs Summary Judgment Moving Br., at 17.) In support of its position, Plaintiff highlights that McIlvain and Lucas received mail,4 slept, ate meals, and kept their belongings at the Nelsonsâ home. (Id. at 12.) Plaintiff also emphasizes that the Nelsonsâ relationship with McIlvain and Lucas was not financially motivated. (Id. at 13.) To support that position, Plaintiff points to the fact that the 4 Indeed, McIlvain finally changed her address from her motherâs former home to the Nelsonsâ address so that was the address used by Lucasâ school and where he got his school bus. Nelsons did not require a security deposit or written lease agreement, did not charge McIlvain market rate rent, assisted McIlvain with the purchase of a safer vehicle to transport her son, and secured auto insurance for the car. (Id.) Further, Plaintiff points to evidence of Lucasâ interactions with Raymond and Maria, including the fact that Raymond would retrieve Lucas from the bus stop after school and would occasionally pick up Lucas from school when he was ill and McIlvain was unavailable. Plaintiff argues that these facts demonstrate an integrated family relationship. (Id.) Therefore, Plaintiff maintains that the Policyâs personal liability exclusion provision does not afford coverage for the lawsuit, injuries, settlement, award or any compensation in connection with Lucasâ death. In response, the Nelsons and the Interested Parties argue that summary judgment should be granted in their favor because McIlvain and Lucas were merely temporary guests at the Nelsonsâ house. (Nelsonsâ Summary Judgment Moving Br., at 10-11; Interested Partiesâ Summary Judgment Moving Br., at 14.) The Nelsons and the Interested Parties stress that McIlvain and Lucas are not related to the Nelsons, they paid $600.00 per month in rent, and generally maintained separate lives within the home. (Interested Partiesâ Summary Judgment Moving Br., at 15.) Specifically, they argue that McIlvain purchased household goods for her and Lucas, including food and other personal items, and washed their own dishes and clothes. (Id.) After carefully reviewing the record and all submissions by the parties, including the sworn statements of Raymond, Maria, McIlvain, and Hynes, I find that significant issues of material fact exist, precluding summary judgment for any party, and requiring the finder of fact to weigh the credibility of the parties and their witnesses. Namely, conflicting evidence exists in the record with respect to the financial support provided to McIlvain and Lucas by the Nelsons, McIlvainâs participation in daily household chores and the frequency of shared meals, and the nature of the Nelsonsâ personal relationship with McIlvain and Lucas. First, although it is undisputed that McIlvain offered to pay the Nelsons $600.00 per month in rent, Plaintiff suggests that the financial circumstances surrounding McIlvainâs living arrangement evidences a more familial relationship. Plaintiff questions whether $600.00 per month is consistent with the fair market value for comparable rentals in the area. (Pl.âs Summary Judgment Moving Br., at 6.) Additionally, Plaintiff argues that the absence of a lease agreement and the fact that McIlvain did not contribute to monthly utilities, including water, heating and electric, cable, or internet, further evidence the family dynamic between McIlvain and the Nelsons. (Id.; see also Blake Cert., Ex. B, Raymondâs Dep. Tr., 32:9 to 19.) The record also reflects that the Nelsons assisted McIlvain with the lease of a Ford F-150 truck because they believed McIlvain needed a safer vehicle to transport Lucas. (Blake Cert., Ex. B, Raymondâs Dep. Tr., 19:14 to 20:21.) When McIlvain did not qualify for a loan, however, it is undisputed that Raymond leased the vehicle in his name. (Id.; see also Cook Cert., Ex. B, McIlvainâs Dep. Tr., 44:18 to 45:4.) It is further undisputed that title for the vehicle was in Raymondâs name and the vehicle was insured under the Nelsonsâ insurance policy. (Blake Cert., Ex. B, Raymondâs Dep. Tr., 19:14 to 20:21.) According to Plaintiff, these good faith gestures demonstrate a level of care and affection uncharacteristic of a traditional landlord-tenant relationship. The Nelsons and the Interested Parties, however, provide evidence that McIlvain and Lucas were not financially dependent on the Nelsons. As stated above, McIlvain and Lucas did not reside at the Nelsonsâ home rent free. (Interested Partiesâ Summary Judgment Moving Br., at 15.) Indeed, the Interested Parties highlight testimony from Hynes that on one occasion, McIlvain borrowed money from him because the Nelsons threatened to remove her from their property unless she remitted rent. (See Cook Cert., Ex. K, Hynesâ Dep. Tr., 21:7 to 23.)5 McIlvain also testified that on another occasion, she purchased groceries for the Nelsons in lieu of making a rental payment. (See Cook Cert., Ex. B, McIlvainâs Dep. Tr., 46:15 to 47:2.) Moreover, McIlvain and the Nelsons testified that upon moving into the Nelsonsâ home, McIlvain and Lucas brought their own personal items and purchased their own groceries. (Id. at 19:11 to 18, 35:10 to 37:2.)6 With respect to the purchase of the Ford F-150 truck, the record shows that despite title for the vehicle being in Raymondâs name, McIlvain paid the monthly lease payment of $330.00. (Cook Cert., Ex. B, McIlvainâs Dep. Tr., 44:9 to 13.) Further, McIlvain testified that she intended to contribute toward the insurance for the vehicle; however, those contributions were not discussed with the Nelsons and never occurred. (Id. at 38:14 to 39:25.) Prior to Lucasâ death, the Nelsons approached McIlvain about âskyrocketingâ insurance costs and requested that McIlvain pay $3,000.00 to assist with the payments. (Id.) As a result, McIlvainâs husband paid the Nelsons $3,000.00 just prior to Lucasâ drowning. (Id.) Further, despite making the monthly lease payments for the vehicle, McIlvain returned the truck to the Nelsons following Lucasâ death. (Id. at 36:23 to 25.) Next, the record is unclear regarding how often McIlvain and Lucas participated in the Nelsonsâ intimate family gatherings, such as meals, and how frequently McIlvain aided the Nelsons in everyday household chores. It is undisputed that McIlvain and the Nelsons never engaged in any group social activities outside of the home in the three months that McIlvain and 5 With respect to McIlvainâs potentially missed rental payments, Raymond testified that he and Maria never discussed removing McIlvain from their home. (See Blake Cert., Ex. B, Raymondâs Dep. Tr., 15:23 to 16:7.) 6 Raymond also testified that groceries and towels were shared amongst the Nelsons and McIlvain during the three months that McIlvain lived at the Nelsonsâ residence. (See Blake Cert., Ex. B, Raymondâs Dep. Tr., 21:23 to 22:10, 22:22 to 23:1.) Lucas lived at the Nelsonsâ residence. (See Cook Cert., Ex. H, McIlvainâs Dep. Tr., 35:17 to 19; see also Blake Cert., Ex. B, Raymondâs Dep. Tr., 28:9 to 15.) Specifically, Raymond testified that while McIlvain and Lucas lived at his home, McIlvain and the Nelsons never made any trips to the beach, the lake, or went on any picnics or engaged in any other social activities together. (See Blake Cert., Ex. B, Raymondâs Dep. Tr., 28:9 to 15.) However, McIlvain testified that she and Lucas spent the Fourth of July with the Nelson family and no one else was in attendance. (Cook Cert., Ex. B, McIlvainâs Dep. Tr., 39:15 to 40:6.) As for shared meals and daily household obligations, generally, the Court finds the record unsettled. Indeed, McIlvain testified that she and Lucas did not eat meals with the Nelsons. (See Cook Cert., Ex. H, McIlvainâs Dep. Tr., 34:14 to 15.) Maria, however, testified that McIlvain and Lucas ate âevery mealâ with the Nelsons, while Raymond testified that meals were shared âa few times a week.â (See Cook Cert., Ex. C, Mariaâs Dep. Tr., 29:24 to 30:3; Raymond Dep. 123.19 at 18:10 to 15.) Similarly, Raymond testified that although McIlvain did not have a list of daily chores or household obligations, she cleaned the kitchen when it became dirty and swept and mopped the floors of the home as needed. (See Blake Cert., Ex. B, Raymondâs Dep. Tr., 27:4 to 11.) Conversely, McIlvain testified only that she cleaned up after herself and Lucas, which included washing her and Lucasâ clothes separate from the Nelsons. (See Cook Cert., Ex. B, McIlvainâs Dep. Tr., 19:11 to 18.) These disputed issues of material fact will be left for the trier of fact following an assessment of each witnessâ credibility. See Marino v. Industrial Crating Co., 358 F.3d 241, 247 (3d Cir.2004) (âIn considering a motion for summary judgment a District Court may not make credibility determinations ...â). Finally, the parties present conflicting evidence regarding the nature of the relationship between the Nelsons and McIlvain and Lucas, including the role the Nelsons assumed in Lucasâ life. Plaintiff suggests that McIlvain and Lucas shared an intimate personal relationship with the Nelsons, and even referred to the Nelsons as âfamily.â (Pl.âs Summary Judgment Moving Br., at 17.) In support, Plaintiff offers testimony from Raymond and McIlvain in which both admit that they considered each other âfamily.â (See Blake Cert., Ex. B, Raymondâs Dep. Tr., 21:17 to 22; Cook Cert., Ex. H, McIlvainâs Dep. Tr., 34:16 to 35:3.) Specifically, Raymond testified that he viewed Lucas as a grandson and McIlvain as a daughter. (See Blake Cert., Ex. B, Raymondâs Dep. Tr., 33:19 to 24.) In addition, Raymond testified that McIlvain referred to him as âDadâ on occasion and that Lucas would often call him âGrandpaâ and would refer to Maria as âGrandma.â (Id. at 27:18 to 25.) Although McIlvain testified that she considered the Nelsons to be family, she emphatically testified that Lucas never referred to Raymond as âgrandpaâ or âpa.â (See Cook Cert., Ex. B, McIlvainâs Dep. Tr., 34:16 to 35:9). According to McIlvain, she asked Lucas to call Raymond and Maria âUncle Rayâ and âAunt Maria,â but this was only meant as a sign of respect. (Id. at 35:1 to 9.) Factual disputes also exist regarding the role taken by the Nelsons in Lucasâ life prior to his death. Raymond testified that he picked Lucas up from the bus stop after school, occasionally watched Lucas in the evenings while McIlvain finished work, and even watched Lucas when McIlvain had plans with her boyfriend. (See Blake Cert., Ex. B, Raymondâs Dep. Tr., 25:2 to 10, 26:3 to 11, 31:21 to 22.) Plaintiff maintains that these facts demonstrate the existence of an integrated familial relationship. The Nelsons and the Interested Parties, however, stress that McIlvain and Lucas were not related to the Nelsons and that the living arrangement was purely temporary. Moreover, the Interested Parties emphasize the fact that the Nelsons did not even meet McIlvain and Lucas until approximately three months prior to Lucasâ death. When reviewed collectively, these issues of fact, which encompass elements of joint domesticity and social connectivity, relate directly to the degree to which McIlvain and Lucas were integrated into the Nelsonsâ family unit, an issue that this Court cannot resolve on these motions. See Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986); United States ex rel. Greenfield v. Medco Health Sols., Inc., 880 F.3d 89, 93-94 (3d Cir. 2018) (A factual dispute is genuine if a reasonable factfinder could return verdict for non-movant, and it is material if, under substantive law, it would affect outcome of suit). Because the finder of fact will need to weigh the credibility of the various witnesses, the Court denies the motions for summary judgment filed by Plaintiff, the Nelsons, and the Interested Parties as to whether the Policyâs personal liability exclusion bars defense and indemnification coverage in connection with Lucasâ death based on Lucasâ status as a resident of the insuredâs household. B. The Insured Exclusion Alternatively, Plaintiff contends that coverage is precluded by the same exclusion provision because Lucas met the Policyâs definition of an âInsuredâ at the time of his death. (Pl.âs Summary Judgment Moving Br., at 18.) The Court disagrees. In relevant part, the Policy defines the term âInsuredâ as follows: a. you; b. permanent residents of your household who are: (1) your relatives; or (2) other persons under the age of 21 and in the care of any person described above in subsection a. or b. (1)[.] (See Cook Cert., Ex. E at Definitions, page 6.) Therefore, to be considered an âInsuredâ under the Policy, Lucas must have been 1) a permanent resident of the household, 2) under the age of twenty- one years old, and 3) in the care of Raymond, Maria, or one of their relatives residing at the household. Here, Lucas was neither a permanent resident of the Nelsonsâ household, nor was he in the care of anyone other than McIlvain while living at the Nelsonsâ home. First, Plaintiff argues that McIlvain and Lucas were permanent residents because the Nelsons permitted them to stay for an indefinite amount of time. (Pl.âs Summary Judgment Moving Br., at 22.) Based on the sworn statements of McIlvain and the Nelsons, however, it is undisputed that McIlvain and Lucas were only living at the Nelsonsâ house until McIlvain located more permanent housing in the area.7 Indeed, living at the Nelsonsâ home allowed Lucas to attend school in Howell while McIlvain saved money for an apartment. (See Cook Cert., Ex. H, McIlvainâs Dep. Tr., at 26:10 to 12.) When asked how long she intended to reside at the Nelsonsâ home, McIlvain testified that her âgoal was to be out within a few months.â (See Cook Cert., Ex. H, McIlvainâs Dep. Tr., 25:19 to 26:9.) Specifically, McIlvain testified that she only intended to stay âbetween three and fiveâ months. (Id. at 26:10 to 12.) McIlvainâs temporary status is further supported by the sworn statements of Raymond and Maria who confirmed that they never intended for the living arrangement to be permanent and only offered McIlvain a place to live âto help her get back on her feet.â (See Malatesta Cert., Ex. B, Raymondâs Dep. Tr., 37:18 to 21; Cook Cert., Ex. C, Mariaâs Dep. Tr., 26:4 to 14.) Plaintiff has not adduced any contrary evidence on this issue, and therefore, I find that McIlvain and Lucas were temporarily living at the Nelsonsâ home. See Maddox v. City of Newark, 50 F. Supp. 3d 606, 626 (D.N.J. 2014) (finding summary judgment in favor of defendants where plaintiff failed to offer contradictory evidence). Second, Lucas was not âin the care ofâ Maria, or any other insured as defined by the Policy, at the time of his death. Plaintiff relies solely on Mariaâs purported admission that she was 7 Importantly, as set forth in Part III(A), the Court does not make any determinations at this time regarding McIlvainâs or Lucasâ status as residents of the Nelsonsâ household. Rather, here, the Court merely finds that McIlvain and Lucas were not permanently living at the Nelsonsâ home. responsible for Lucas prior to the drowning incident and contends that Lucasâ age and autism diagnosis necessitated âheightened or closer supervision.â (Pl.âs Summary Judgment Moving Br., at 22.) In support of its position, Plaintiff relies exclusively on Priest v. Roncone, 370 N.J. Super. 537, 541 (App. Div. 2004), in which the New Jersey Appellate Division found that a decedent qualified as an âinsuredâ within the meaning of an insurance policy, and therefore, was excluded from the class of potential claimants. In that case, like here, the parties disputed whether the decedent was âin the care ofâ the insured at the time of her death. In construing the phrase âin the care of,â the Appellate Division adopted the following factors from Henderson v. State Farm Fire & Cas. Co., 460 Mich. 348, 596 N.W.2d 190 (1999): (1) is there a legal responsibility to care for the person; (2) is there some form of dependency; (3) is there a supervisory or disciplinary responsibility; (4) is the person providing the care providing substantial essential financial support; (5) is the living arrangement temporary or permanent, including how long it has been in existence and is expected to continue; (6) what is the age of the person alleged to be âin the care ofâ another (generally, the younger a person the more likely they are to be âin the careâ of another); (7) what is the physical or mental health status of the person alleged to be âin the care ofâ another (a person with health problems is more likely to be âin the careâ of another); and (8) is the person allegedly âin the care ofâ another gainfully employed (a person so employed is less likely to be truly dependent on another)? Id. at 545. In Roncone, it was not disputed that the deceased child was a permanent resident in the house of Roncone, who held the homeownerâs policy. Id. at 543. Roncone was involved in a two- year monogamous relationship with the mother of the deceased child. Id. at 542. Roncone and the childâs mother also shared a daughter of their own. Id. Despite Roncone not being the decedentâs biological father, the child considered Roncone to be a âfather figure.â Id. Indeed, the decedent lived in Ronconeâs home along with her mother and half-sister. Id. Roncone regularly cared for the decedent on evenings and weekends when her mother worked. Id. On one such Saturday morning, while Roncone cared for the two girls, the decedent sustained injuries that later resulted in her death. Id. Following a jury trial, Roncone was convicted of second-degree manslaughter. Id. Accordingly, in applying the Henderson factors, the appellate panel found that the decedent was left in the sole physical care of Roncone on the day of her death, Roncone was the only adult in the house, Roncone was responsible for her supervision, nourishment, and general well-being, and the living arrangement at Ronconeâs home was permanent and long-standing. Id. at 546. Here, Plaintiff argues that Mariaâs responsibility for Lucas at the time of his death is undisputed. (Pl.âs Summary Judgment Moving Br., at 20.) Plaintiff contends, without further support, that because Maria âadmitted she was responsible for Lucas at the time of his drowning,â Lucas depended on Maria, Maria had a supervisory responsibility, and a legal responsibility existed for Maria to care for Lucas at the time of the drowning incident. (Pl.âs Summary Judgment Moving Br., at 22.) The facts of this case, however, are plainly distinguishable from those found in Roncone and an application of the Henderson factors weighs heavily in the Nelsonsâ and the Interested Partiesâ favor. As to the Nelsonsâ legal responsibility for Lucas, Lucas was not related to the Nelsons through blood or marriage and the living arrangement was purely temporary. Importantly, the Nelsons only met McIlvain and Lucas three months prior to Lucasâ death, and Plaintiff has not provided any evidence that the Nelsons had guardianship rights or any other legal rights over Lucas. Similarly, no evidence exists that McIlvain and Lucas were dependent on the Nelsons or that the Nelsons provided essential financial support. Although Plaintiff has presented evidence that the Nelsons assisted McIlvain with the lease of a vehicle, that the Nelsons accepted groceries in lieu of at least one rental payment, and that food may have been shared, these facts do not rise to the level of dependency. In fact, it is undisputed that McIlvain was gainfully employed while living at the Nelsonsâ home, paid some rent to live at the residence, and provided personal care items for herself and Lucas. As for the leased Ford F-150 truck, McIlvain made monthly car payments and paid the Nelsons partially for insurance costs. As such, there is no evidence to support a finding that McIlvain and Lucas were somehow financially dependent upon the Nelsons. Next, despite Lucasâ young age, the Court does not find that Maria had a supervisory or disciplinary responsibility for Lucas at the time of his death. Unlike in Roncone, Maria was not the only adult present at the Nelson residence when Lucas died. (See Cook Cert., Ex. C, Mariaâs Dep. Tr., 8:2 to 7.) In fact, McIlvain was also present and had only asked Maria to briefly watch Lucas in the pool while she changed her nieceâs diaper. (Id. at 8:8 to 18.) According to Maria, she removed the children, including Lucas, from the pool area so that she could prepare dinner. (Id. at 9:10 to 25.) The children, including Lucas, continued to play in the Nelsonsâ yard upon leaving the pool area. (See Malatesta Cert., Ex. B, Raymondâs Dep. Tr., 12:9 to 15.) Maria testified that she believed it was McIlvainâs responsibility to watch Lucas once the children left the pool. (Id. 21:10-14.) It was during this time, however, that Lucas tragically regained access to the pool and drowned. Based on the foregoing, this Court cannot find that McIlvainâs isolated and discrete request that Maria watch Lucas while she changed her nieceâs diaper was sufficient to place Lucas in Mariaâs care. Accordingly, the Court denies Plaintiffâs claim that Lucas qualified as an âinsuredâ under the terms of the Policy. C. Public Policy Considerations Finally, to the extent the Nelsons and the Interested Parties attempt to argue that the Policy violates public policy, those claims are denied. An agreement violates public policy if it: is injurious to the interest of the public, contravenes some established interest of society, violates some public statute, is against good morals, tends to interfere with the public welfare or safety, or ... is at war with the interests of society and is in conflict with public morals. Frank Briscoe Co. v. Travelers Indem. Co., 65 F.Supp.2d 285, 312 (D.N.J. 1999) (citation and internal quotations omitted). Public policy has been invoked in the insurance context where the terms of the policy might âencourage practices clearly against some recognized conception of the public good.â Rotwein v. Gen. Acc. Grp., 103 N.J. Super. 406, 416 (Law Div. 1968). Indeed, âInsurance contracts have been declared unenforceable where they are patently offensive or inimical to the public welfare and have a clear capacity to support or encourage conduct which is deleterious, anti-social or unlawful.â Id. Here, the Nelsons argue, in a conclusionary fashion, that should the Policy be construed against them, the impact would unfairly injure âany homeowner who takes someone in off the street to help them out temporarily.â (Nelsonsâ Summary Judgment Moving Br., at 15.) However, the Nelsons fail to show how the Policy violates any statute or interferes with any recognized public interest. Without any recognized public policy at issue the Court rejects the Nelsonsâ argument that the Policy contravenes public policy. IV. CONCLUSION For the reasons set forth above, Plaintiffâs Motion for Summary Judgment is DENIED, the Nelsonsâ Motion for Summary Judgment is GRANTED in part, and DENIED in part, and the Interested Partiesâ Motion for Summary Judgment is GRANTED in part, and DENIED in part, as follows: because issues of genuine material fact exist as to whether McIlvain and Lucas were residents of the Nelsonsâ household under the insurance policyâs personal liability exclusion provision, summary judgment on this question is denied. However, the Court grants summary judgment in favor of the Nelsons and the Interested Parties on the issue that Lucas was not an âInsuredâ under the Nelsonsâ insurance policy. Dated: October 5, 2020 /s/ Freda L. Wolfson Hon. Freda L. Wolfson U.S. Chief District Judge
Case Information
- Court
- D.N.J.
- Decision Date
- October 5, 2020
- Status
- Precedential