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NOT RECOMMENDED FOR PUBLICATION File Name: 05a0178n.06 Filed: March 8, 2005 No. 03-2396 UNITED STATES COURT OF APPEALS FOR THE SIXTH CIRCUIT ZION CHRISTIAN CHURCH, a Michigan ) Non-Profit Corp., PASTOR LEONARD ) GARDNER, JIM BLANKENSHIP, PASTOR ) ON APPEAL FROM THE UNITED DAVID GARDNER, PASTOR DON ) STATES DISTRICT COURT FOR THE GARDNER, RUSSELL STEHLE, ROY ) EASTERN DISTRICT OF MICHIGAN ROGERS & CHARLES PRECOURT, ) ) Plaintiffs-Appellants, ) OPINION ) v. ) ) BROTHERHOOD MUTUAL INSURANCE ) COMPANY, an Indiana Insurance ) Corporation, ) ) Defendant-Appellee. ) ) Before: GUY and ROGERS, Circuit Judges; and DOWD, Senior District Judge.* DOWD, J. This is an appeal from an order of the district court granting the defendant/appelleeâs motion for summary judgment and denying plaintiffs/appellantsâ motion for partial summary judgment. For the reasons discussed below, we AFFIRM. I. * The Honorable David D. Dowd, Jr., United States District Judge for the Northern District of Ohio, sitting by designation. (Case No. 03-2396) Zion Christian Church (âZionâ) is a nonprofit corporation located in Troy, Michigan. Leonard Gardner (âPastor Leonardâ) is founder and Senior Pastor of Zion. His sons, David and Donald Gardner (hereafter, âPastor Davidâ and âPastor Donâ ), were also ministers at the church.1 On October 1, 1998, Brotherhood Mutual Insurance Company (âBMICâ) issued a combination policy of insurance to Zion, providing coverage in the areas of general liability, personal injury liability, sexual acts liability, sexual harassment liability, directors and officers liability, employment practices liability, workers compensation, and excess liability. Zion had specifically requested an additional Sexual Acts Liability Coverage endorsement. To get that coverage, Zion was required to complete a separate application disclosing, inter alia, its knowledge of prior situations involving sexual abuse or misconduct, or allegations of the same. This was to enable evaluation of the risk of supplying the additional coverage. The application for insurance was completed by Daniel West, Zionâs director of business administration, on September 25, 1998. It is undisputed that he got all the information for the application from Pastor Leonard. There were several questions on the application designed to help BMIC assess its potential risk if it were to issue the coverage. For example, the application asked: -- Has your organization ever had an allegation or lawsuit filed against you alleging any type of sexual abuse or misconduct? . . . -- Are you aware of any past or present situation in your ministry that could produce an allegation or lawsuit claiming any type of sexual abuse or misconduct? . . . 1 A third son who was a minister at the church does not appear to have been involved in this litigation. 2 (Case No. 03-2396) -- Are you aware of any current employee or ministry volunteer who has previously been accused, charged, or convicted of any type of sexual abuse or sexual misconduct? . . . Please describe circumstances of any employee or ministry volunteer who has previously participated in, or been accused, charged, or convicted of, any type of sexual abuse or sexual misconduct. Please do not identify any individuals by name in this explanation . . . CMP application fraud warning applies. R. 35, Ex. 2.2 After consulting with Pastor Leonard, Daniel West gave a negative answer to each of the questions. On October 1, 1998, BMIC issued the policy of insurance, including the additional coverage for sexual acts liability. BMIC states in this lawsuit that it would not have taken that risk had it known what Zion knew. Eventually, two lawsuits were filed against Zion and several of its employees, including Pastor Leonard. The first was a lawsuit filed on November 13, 2001 by Daniel West, the former 2 The âfraud warningâ referred to in the final paragraph was contained in the commercial liability policy. It stated: We do not provide coverage for an insured who has: a. willfully concealed or misrepresented: 1) a material fact or circumstance with respect to this insurance; or 2) an insuredâs interest herein. b. engaged in fraudulent conduct or sworn falsely with respect to this insurance or the subject thereof. R.11, Ex. 11. 3 (Case No. 03-2396) business administrator, alleging counts of retaliation in violation of Michiganâs Civil Rights Act, breach of contract, defamation and slander, and tortious interference with a business relationship.3 This lawsuit was eventually settled and is not an issue here. The second suit, also filed on November 13, 2001,4 was brought by Alisa Tiano, a former Zion employee, against Zion, Pastor Leonard and Pastor Don. She alleged counts of sexual harassment and quid pro quo sexual harassment, asserting that Pastor Don had made several inappropriate sexual advances beginning in 1998 and continuing into 2000. She claims to have provided notice to the church and Pastor Leonard in July 2000, to no avail. In her view, her resignation was really a constructive discharge. Both West and Tiano told Zion of their intent to sue prior to filing their lawsuits. Zion presented claims to BMIC seeking defense and, if necessary, indemnity. On October 31, 2001, in a very lengthy letter, BMIC denied coverage and refused to defend any action filed by Tiano.5 BMIC did acknowledge potential for up to $25,000 in defense costs for any allegation of personal 3 West contended that, in July 2000, he discovered that Pastor David was using Zion computers to view, download and transmit pornographic materials. He relayed this information to Pastor Leonard who said he would take care of the issue. West also alleged that at least two female parishioners complained to him about inappropriate sexual advances by Pastor Don. This information was also relayed to Pastor Leonard who, again, said he would handle it. In August 2000, the pastors suddenly began to complain of tardiness by West and he was issued a warning letter. Then, in December 2000, he was given a new position of Director of New Construction and Special Assignments, allegedly due to his tardiness. His employment was finally terminated in February 2001. 4 The two lawsuits were filed by the same law firm. 5 BMIC acknowledged that there was potential for coverage for some of Westâs allegations under the employment practices liability endorsement to the policy. Since the West lawsuit is not at issue here, there is no need to discuss this coverage. 4 (Case No. 03-2396) injury or emotional injury sustained by Tiano under a separate endorsement covering defense costs for a âcovered lawsuit.â After the lawsuits were actually filed, BMIC restated this very same position on November 29, 2001. On June 12, 2002, this declaratory judgment action was filed by Zion, Pastor Leonard, Pastor Don, and several others.6 Eventually, cross-motions for summary judgment were filed. On September 24, 2003, the district court denied plaintiffsâ motion and granted defendantâs motion. On October 16, 2003, the notice of appeal was filed. II A This court reviews de novo an order of summary judgment, applying the same principles that the district court is required to apply. 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 judgment as a matter of law.â Fed. R. Civ. P. 56(c). A court must consider â[o]nly disputes over facts that might affect the outcome of the suit under the governing law.â Anderson v. Liberty Lobby, 477 U.S. 242, 248 (1986). Non-material facts will not be considered. Neither should a court attempt to weigh the material evidence or determine its truth. Liberty Lobby, 477 U.S. at 249. The judgeâs sole function will be to determine 6 Two days before issuing the summary judgment ruling now on appeal, the district court issued a separate stipulated order dismissing all but defendants Zion, Pastor Leonard and Pastor Don. This ruling does not appear to be challenged here. 5 (Case No. 03-2396) whether there is a genuine issue for trial such that âthere is sufficient evidence favoring the nonmoving party for a jury to return a verdict for that party.â Id. (citations omitted). Where the nonmoving party âhas failed to make a sufficient showing on an essential element of her case with respect to which she has the burden of proof,â summary judgment is appropriate. Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986). ââThe mere existence of a scintilla of evidence in support of the plaintiffâs position will be insufficient; there must be evidence on which the jury could reasonably find for the plaintiff.ââ Street v. J.C. Bradford & Co., 886 F.2d 1472, 1477 (6th Cir. 1989) (quoting Liberty Lobby, 477 U.S. at 252). Ultimately, the court must determine âwhether the evidence presents a sufficient disagreement to require submission to a jury or whether it is so one-sided that one party must prevail as a matter of law.â Liberty Lobby, 477 U.S. at 251-52. B 1 Appellants assert that the district court erroneously granted summary judgment in favor of the defendant/appellee because there were material factual disputes relating to the question of fraud in the application process. Under Michigan law, the general rule is that â[w]here a policy of insurance is procured through the insuredâs intentional misrepresentation of a material fact in the application for insurance, and the person seeking to collect the no-fault benefits is the same person who procured the policy of insurance through fraud, an insurer may rescind an insurance policy and declare it void ab initio.â Hammoud v Metropolitan Property & Cas Ins Co, 563 N.W.2d 716, 718 (Mich. App. 1997). A 6 (Case No. 03-2396) misrepresentation or concealment is material if the insurer would not have issued the insurance coverage in the absence of the misrepresentation or concealment. Keys v. Pace, 99 N.W.2d 547, 551-52 (Mich. 1959). BMIC argues that the entire insurance contract was void and unenforceable due to fraud on Zionâs part at the time it applied for the policy. If that is so, it would be dispositive of the entire case. While fraud would ordinarily be a question of fact for the jury and not amenable to decision on summary judgment, the district judge concluded, based on the record before him, as follows: In this case, Zion executed an application for sexual acts coverage in September 1998 in which it denied ever having had âan allegation or lawsuit filed against you alleging any type of sexual abuse or misconduct,â denied being aware of any Church employee âwho has been previously accused . . . of any type of sexual abuse or sexual misconduct,â and denied being âaware of any past or present situation in [the] ministry that could produce an allegation or lawsuit claiming any type of sexual abuse or misconduct.â In fact, Zion and Pastor Leonard Gardner were sued in 1992 by a former parishioner in which the plaintiff and a number of witnesses specifically alleged sexual misconduct by Pastor David Gardner. Furthermore, Pastor Leonard admitted in his deposition that David was accused of sexual molestation 16 years ago and that incident was âcommon knowledgeâ among his church members. See Defendantâs Ex. 3, pp. 47-49. Leonard further admitted having knowledge of his other son, Pastor Donald Gardnerâs extramarital sexual acts for at least four or five years. Id. pp. 29-31. See also, Transcript of Special Elders and Deacons Meeting, Defendantâs Ex. 6, p. 2. R. 47 at 18-19. The district judgeâs references to Pastor Leonardâs knowledge are accurate. First, BMIC produced a copy of a complaint filed in 1992, prior to completion of the insurance application, wherein a former employee, Rosemary Henderson, sued Zion and Pastor Leonard on behalf of herself and her deceased husbandâs estate. The complaint alleged wrongful discharge and 7 (Case No. 03-2396) intentional infliction of emotional distress based, in part, on allegations that the Church and Pastor Leonard engaged in a campaign to drive the Plaintiffâs decedent and Plaintiff Rosemary Henderson from Zion employment and church membership solely because of the opposition of Rosemary Henderson to the nature in which the allegations of marital infidelity against the Defendant Gardner, and allegations of sexual misconduct with Zion Christian School students by the son of the Defendant Gardner were addressed and handled by the Defendants. R. 35, Ex. 4, ¶ 21e. In the context of this Henderson action, affidavits were filed by two former Zion associate pastors, a former member of the Churchâs Board of Trustees, and former Zion ministers and school teachers, each alleging that Pastor David had engaged in sexual intercourse with various minor female students, yet remained an ordained minister gainfully employed by Zion. The two citations at the end of the quote from the district judgeâs opinion above refer to transcripts submitted by BMIC in support of its motion for summary judgment. The first is the transcript of the deposition of Pastor Leonard taken on August 24, 2001. In questioning about what motivated Daniel West to come to Pastor Leonard in 2000 with a concern that he may not have given truthful information in the insurance application, Pastor Leonard testified as follows: Q. Was there anything else that he expressed to you as far as why he now believed his answers to be inaccurate? A. The only other thing I believe that he may have mentioned was the sixteen-years-ago incident. Q. Now, how did he know about that? 8 (Case No. 03-2396) A. Well, his family was members of the church at the time, they were here for some twenty-four years: It was common knowledge, his family knew that. R.11, Ex. 3, at 47 (emphasis added). The matter about which there was âcommon knowledgeâ was that Pastor David, while an athletic director at Zion Churchâs school, had been involved sexually with a minor. The district judgeâs second citation was reference to the transcript of a meeting conducted with the Elders and Deacons of the church on May 23, 2001. It reveals that, in 1998 when the insurance application was completed, Pastor Leonard already knew of his son Donaldâs sexual improprieties. At that meeting, Pastor Leonard told the church leaders the following: . . . Uh, about four or five years ago, uh, Don did get involved in some sexual impropriety, uh, and uh, I thought at that time, that every, all the indication was that it was completely handled and it was taken care of and so we moved on. Last August, uh, it manifested again, that is that very situation of the four or five years ago appeared again, and it was obvious that it hadnât, it hadnât been completely taken of. So when it, when it appeared, uh, Don stepped down from pastoral duty. You may remember that he stepped down and we put Ryan in, in as Pastor. He went south, submitted himself to several ministers in Tulsa and in Dallas, and has been in counseling, uh, uh, for some number of weeks after that time, and, uh, then in December after, uh, uh, the divorce went through between he and Dawn, he resigned altogether rather than just stepping down. He resigned from the ministry. So at this particular point, I want to make it clear to all of you that both Dave and Don have resigned from the ministry. Theyâre not, uh, theyâre not ministers any more here at Zion. . . . R. 11, Ex. 2, at 2 (emphases added). There was an abundance of facts in the record before the district court to show that, in 1998 when the application for insurance was completed by West using information supplied by Pastor Leonard, it was well-known that there were many claims of sexual improprieties by Zionâs 9 (Case No. 03-2396) employees that should have been, but were not, disclosed. The insurer also filed an affidavit stating that it would never have granted coverage for sexual acts liability had it known this history. Appellants argue here that the burden of proof on this issue of fraud in the application process should have been âclear and convincingâ evidence, whereas there was no more than a âpreponderanceâ of evidence in the record. The district judge did not actually identify what standard of proof he applied and Michigan case law is not crystal clear on what constitutes the proper quantum of proof. However, we conclude that where, as here, fraud is being raised as a defense to a claim of insurance coverage, preponderance is the proper standard. See Allstate Ins. Co. v. Maroki, No. 230051, 2002 WL 31117182, at * 1-2 (Mich.App. 2002) (citing Mina v. General Star Indemnity Co., 555 N.W.2d 1 (Mich App. 1996), revâd in part on other grounds, 455 Mich. 866 (1997); Campbell v. Great Lakes Ins Co, 200 N.W. 457 (Mich. 1924)).7 The district judge made no credibility determinations. From Pastor Leonardâs own deposition testimony it is clear that, at the time he applied for the insurance, he knew of information that should have been disclosed to BMIC and he knew that he was required to disclose it. Instead, he chose to parse the language of the questions in an attempt to avoid disclosure in a way that was downright dishonest. 7 At the hearing on the cross-motions for summary judgment, the district court declared that Zionâs arguments defending its answers to the insurance application questions were âa lot of baloney.â R.53 at 12. Zion was, indeed, splitting hairs; for example, it claimed that, notwithstanding the Henderson lawsuit, its answer in the negative to the question about whether Zion had ever had an allegation or a lawsuit against it alleging any type of sexual abuse or sexual misconduct was truthful because Henderson had sued for wrongful discharge and infliction of emotional distress not sexual harassment. The district judge retorted: âYou know, this is a Bill Clinton kind of construction of language that is so clear on its face that I find it offensive that you are actually arguing it.â Id. 10 (Case No. 03-2396) We find no error in the district courtâs conclusion that, because of âZionâs misrepresentations and concealment in its insurance application [which were] material to [BMICâs] decision to issue Sexual Acts Liability Coverage[,] . . . the Sexual Acts Liability Coverage is void.â R.47 at 19-20. 2 Zion argues that, even if this court concludes that fraud invalidates the Sexual Acts Liability Coverage endorsement, it would not invalidate the entire insurance contract and, under the general liability provisions of the contract, BMIC owed not only coverage but also a duty to defend the Tiano lawsuit. With respect to this argument, the district court concluded that the unambiguous exclusions in the policy established that Zion was entitled to neither coverage nor defense with respect to the Tiano lawsuit. We agree with the district court that Zionâs argument has no merit. The Commercial General Liability policy stated clearly that it did not apply to âloss of any kind arising directly or indirectly out of any actual or alleged sexual act. . . .â R. 11, Ex. 7, p.5, ¶ 14. The policy defines âsexual actâ to include: a. any act which would be considered a criminal act under any applicable federal, state or local statute, ordinance or law relating to sexual offenses; b. any act or attempted touching of a person by another person for the purpose of obtaining sexual arousal or sexual gratification; c. any other act undertaken by a person for the purpose of obtaining sexual arousal or sexual gratification; d. any conduct characterized or interpreted as sexual intimidation or sexual harassment, or as intimidation or harassment based on gender difference; or 11 (Case No. 03-2396) e. any conduct characterized or interpreted as being sexual in nature. Any of the above acts or conduct will be considered a single sexual act if undertaken by the same perpetrator or perpetrators, even if such acts are directed against more than one person, happen over time, or take place during more than one policy period. Id. at p.3. Tianoâs lawsuit involved a âsexual actâ as defined by the policy. Therefore, there was no coverage and, as a result, no duty to defend. This court has stated that â[w]hen âan insurer has specifically and explicitly excluded coverage with unambiguous policy language, the express exclusions will free the insurer from any duty to defend.â â Northland Ins. Co. v. Stewart Title Guar. Co., 327 F.3d 448, 455 (6th Cir. 2003) (quoting Am. Cas. Co. of Reading, Pa. v. Rahn, 854 F.Supp. 492, 504 (W.D. Mich. 1994)). Zion argues that Pastor Donâs defense in the Tiano suit was that any sexual acts were consensual, without intent to injure Tiano, and that any unwitting injury or harm was, therefore, an âaccident.â On this theory, Zion argues, there was a duty to defend. This argument also lacks merit because the exclusions of the policy are broad, making no mention of whether the excluded sexual acts are consensual or non-consensual. Loss resulting from sexual acts is simply not covered. For coverage of such loss, an insured must separately purchase the Sexual Acts Liability Coverage endorsement. Of course, Zion did purchase that endorsement, albeit fraudulently, leading us to declare the endorsement void. However, even if we had not declared the Sexual Acts Liability Coverage endorsement void, that endorsement would not supply any relief for Zion with respect to the Tiano 12 (Case No. 03-2396) lawsuit because the endorsement itself also contained very specific exclusions which are applicable here. It stated: 2. We do not pay for any loss of any kind on behalf of any person who participates in or directs any sexual act, or who knowingly allows any sexual act to occur. *** 4. We do not pay for loss of any kind arising directly or indirectly out of any sexual act if you, your present leaders or your past leaders while in your service, had actual knowledge that: a. an alleged perpetrator employed or appointed by you or representing you has: *** 3. admitted to anyone that he or she participated in any previous molestation act. b. an alleged perpetrator employed or appointed by you or representing you has: 1) been formally dismissed or disciplined in relation to any previous extramarital sexual act; or 2) admitted to anyone that he or she had participated in any previous extramarital sexual act. But this exclusion 4b applies only if the previous extramarital sexual act took place within five (5) years of the first sexual act out of which a subsequent claim arises. R. 11, Ex. 4, p. 3. Pastor Don admitted participation in one or more extramarital sexual acts with Tiano and he confessed the same to Pastor Leonard. He also admitted to a previous extramarital sexual act within the 5-year period preceding the sexual act(s) with Tiano. Pastor Leonard admits that he knew of his sonâs actions. As a result of these admissions, exclusions 2 and 4b both apply to preclude indemnity under the Sexual Acts Liability Coverage endorsement for any loss suffered by Tiano. 13 (Case No. 03-2396) We find no error in the district courtâs conclusion that there was neither a duty to indemnify nor a duty to defend under BMICâs policy of insurance. III For the reasons set forth herein, we AFFIRM the decision of the district court. 14
Case Information
- Court
- 6th Cir.
- Decision Date
- March 8, 2005
- Status
- Precedential