This appeal arises out of an action filed in the Circuit Court for Frederick County by David Springer, Appellant, against Erie Insurance Exchange, Appellee ("Erie"), in which Mr. Springer sought declaratory relief and damages for breach of contract, after Erie refused to provide him with a legal defense when he was sued by a third party, J.G. Wentworth Originations, LLC ("J.G. Wentworth"), for, inter alia, defamation and false light.
After the Circuit Court heard oral arguments on cross motions for summary judgment, it issued a declaratory judgment and summary judgment in favor of Erie, declaring, in part, that "Erie Insurance Exchange did not have a duty to defend or indemnify David Springer" and that Erie was not obligated "to pay for the costs of that defense or this action." Mr. Springer noted an appeal to the Court of Special Appeals, and before the intermediate appellate court could decide the case, we issued a writ of certiorari on our own initiative, 433 Md. 513, 72 A.3d 172, to consider whether an insurer can rely solely on allegations contained within a complaint filed by a third party when denying an insured's claim for coverage under the insurance policy's "business pursuits" exclusion.
J.G. Wentworth brought suit in 2011 against David Springer and the Sovereign Funding Group in the Circuit Court for Frederick County, alleging that they had used two websites, jgw-sucks.com and jgwentworth-scam.com, to spread defamatory and false light information in an attempt to lure customers away from J.G. Wentworth. Mr. Springer then contacted Erie, his insurer, for the first time to request that Erie provide him with a legal defense in the J.G. Wentworth action, because he asserted that, under the terms of his "Ultracover HomeProtector" insurance policy, Erie had a duty to defend him.
In his complaint against Erie, Mr. Springer cited numerous provisions of his "Ultracover HomeProtector" insurance policy issued by Erie, effective in July 2009 and renewed annually thereafter. Section II of the policy described the "Home and Family Liability Protection" offered under the policy and explained that "Personal Liability Coverage includes Bodily Injury Liability Coverage, Property Damage Liability Coverage and Personal Injury Liability Coverage." "Personal injury" was defined as:
The policy also contained the following assurance:
The policy defined "business" as "any full-time, part-time or occasional activity engaged in as a trade, profession or occupation, including farming."
In its counterclaim, Erie also cited another portion of its policy Erie asserted precluded Mr. Springer's claim:
The basis for Mr. Springer's claim, and Erie's claim of exclusion, was the action brought against Mr. Springer by J.G. Wentworth. J.G. Wentworth, a business specializing in purchasing structured settlements and annuities from individuals, sued Mr. Springer and Sovereign Funding Group, a company allegedly specializing in purchasing structured settlements and annuities, in the Circuit Court for Frederick County, alleging that Mr. Springer and the Sovereign Funding Group had engaged in false and misleading advertising in violation of Section 1125 of Title 15 of the United States Code, entitled the "Lanham Act," unfair and deceptive trade practices under Section 13-303 of the Commercial Law Article, Maryland Code (1975, 2013 Repl.Vol.) entitled "Practices generally prohibited" under the Maryland Consumer Protection Act, defamation per se, injurious falsehood,
Specifically, J.G. Wentworth alleged in the complaint that Mr. Springer and the Sovereign Funding Group had created, maintained, and publicized two websites that disseminated false and defamatory information regarding J.G. Wentworth, specifically that Mr. Springer and the Sovereign Funding Group had sought, through the websites, "to mislead and misrepresent facts to the public, unfairly and deceptively compete, defame, disparage, and tortuously interfere with the business interests of J.G. Wentworth." The scheme was defined as follows:
Although the complaint contained numerous counts and factual allegations, the two counts, "defamation per se" and "false light," with which we are concerned, contained the following:
Many similar allegations were made in the complaint regarding the second claim at issue, "false light":
The J.G. Wentworth complaint is terse regarding Mr. Springer's involvement with the structured settlement business as he was sued individually, and the Sovereign Funding Group was sued as a corporation.
Eventually, however, pursuant to a joint stipulation between Mr. Springer and J.G. Wentworth, the case was dismissed with prejudice.
After the J.G. Wentworth litigation had been dismissed, Mr. Springer again contacted Erie in an attempt to recover the funds that he had expended in defending himself. When Erie refused to pay, Mr. Springer brought the instant action.
Appended to Mr. Springer's complaint is a letter from his attorney responding to Erie's earlier denial of his claim for legal coverage and informing Erie of the outcome of J.G. Wentworth litigation. The letter also sought reimbursement of Mr. Springer's legal costs:
(footnote omitted).
Also appended to the complaint is a letter in which Erie had denied coverage under Mr. Springer's homeowner's policy and indicated that it had "reviewed all policy periods from inception forward in consideration of coverage" and that it had "determined the policy does not provide coverage for defense or indemnification of any potential judgment." The letter from Erie also duplicated portions of the policy related to personal injury liability exclusions and stated:
The letter concluded that it was "not meant to be exhaustive" and that Erie reserved the right "to deny coverage under any of the terms conditions or exclusions set forth in its policies." Mr. Springer, thereafter, filed suit in the Circuit Court for Frederick County seeking declaratory relief, which Erie also sought in a counterclaim, as well as $70,337 to compensate him for legal fees expended and $3,920.07 in costs incurred.
Both Mr. Springer and Erie filed motions for summary judgment in the Circuit Court. After hearing argument, the court granted summary judgment in favor of Erie and entered a declaratory judgment which stated:
On the same day, the Circuit Court issued an opinion and order explaining, in part, the rationale underlying the declaratory judgment and the granting of summary judgment in favor of Erie. The judge explained that, "It is quite clear from the underlying Complaint ... that the allegations involved arose from the business pursuits of Mr. Springer" and that:
Citing Northern Assurance Co. of America v. EDP Floors, Inc., 311 Md. 217, 230, 533 A.2d 682, 688 (1987), the court explained that, pursuant to the policy's definition of "business," it was established "very clearly" that the J.G. Wentworth litigation "arose from [Mr. Springer's] "business pursuits" and noted that:
Because the Circuit Court determined that Mr. Springer's claim was "excluded for coverage under the business pursuits provision," it did not address the applicability of the "intended or expected" exclusion.
With regard to the standard of review used by this Court when considering a declaratory judgment entered in tandem with summary judgment, we consider "`whether that declaration was correct as a matter of law.'" Catalyst Health Solutions, Inc. v. Magill, 414 Md. 457, 471, 995 A.2d 960, 968 (2010), quoting Olde Severna Park Improvement Ass'n, Inc. v. Gunby, 402 Md. 317, 329, 936 A.2d 365, 371 (2007). We review a grant of summary judgment on the following basis:
River Walk Apartments, LLC v. Twigg, 396 Md. 527, 541-42, 914 A.2d 770, 778-79 (2007).
Before this Court, Mr. Springer argues that the "business pursuit" exclusion of his policy does not apply because, he asserts, he was not "actively managing or operating, or participating in the management or operation of a business" at the time of the events alleged in the J.G. Wentworth litigation. Mr. Springer points to the "contradictory and ambiguous" allegations in the J.G. Wentworth complaint, which stated Sovereign Funding Group had forfeited its corporate status as of 2009 and that Mr. Springer's wife, not Mr. Springer himself, had served as its CEO. Mr. Springer also emphasizes that he provided extrinsic evidence to Erie, in the form of a letter from his attorney, demonstrating that he was no longer affiliated with the Sovereign Funding Group and that he was only acting in his personal capacity during the time period subject to J.G. Wentworth's complaint.
Moreover, Mr. Springer urges this Court to require Erie to consider more than the face of the complaint before denying his claim, stating two factors explored by various tribunals when determining whether a business pursuits exclusion applies: continuity and profit motive. Mr. Springer, relying on such cases, argues that the business pursuits exclusion is inapplicable without a finding that an individual has continuously engaged in a certain field of business without a significant break. In the present case, Mr. Springer asserts:
Similarly, when addressing the profit that Mr. Springer stood to gain from his alleged defamation against J.G. Wentworth, he again focuses on the scant record developed in the trial court, stating:
In response to Mr. Springer's argument, Erie relies primarily on the language of the policy to argue that the Circuit Court
When examining an insurance policy, we begin by applying established contract principles to its language. Moscarillo v. Professional Risk Management Services, Inc., 398 Md. 529, 540, 921 A.2d 245, 251 (2007). In deciding an issue of coverage under an insurance policy, the foremost rule "of construction is to apply the terms of the insurance contract itself." Bausch & Lomb Inc. v. Utica Mut. Ins. Co., 330 Md. 758, 779, 625 A.2d 1021, 1031 (1993); Mitchell v. Maryland Casualty Co., 324 Md. 44, 56, 595 A.2d 469 (1991); Mut. Fire, Marine & Inland Ins. Co. v. Vollmer, 306 Md. 243, 250, 508 A.2d 130, 133 (1986). When interpreting an insurance policy, we give the words of the policy their "`customary, ordinary, and accepted meaning.'" MAMSI Life & Health Ins. Co. v. Callaway, 375 Md. 261, 279, 825 A.2d 995, 1005 (2003), quoting Mitchell, 324 Md. at 56, 595 A.2d at 475.
The "business pursuits" exclusion states that Erie will not cover personal injuries "arising out of business pursuits," and contains two key phrases, "arising out of" and "business pursuits." The term "arising out of" is undefined in the policy, and the parties suggest different meanings to us. Mr. Springer argues that he was "not actively engaged in business" with the Sovereign Funding Group at the time of the alleged torts and he specifically argues that he did not "`actively manage[] or operate[], or participate[] in the management or operation'" of a business, quoting our opinion in Zurich Insurance Co. v. Friedlander, 261 Md. 612, 617, 276 A.2d 658, 660 (1971). Erie counters this argument by pointing to our broad definition of "arising out of" and noting that the "business pursuits" exclusion does not require an active engagement. The Circuit Court found, citing Northern Assurance Co. of America v. EDP Floors, Inc., 311 Md. 217, 230, 533 A.2d 682, 688 (1987), that "[t]here is no requirement that Plaintiff be currently engaged in such business, but rather that the action `arose out of' Plaintiff's business pursuits."
In EDP Floors, we did construe the phrase "arising out of" to equate to "originating from, growing out of, flowing from, or the like." 311 Md. at 230, 533 A.2d at 688. The case itself was a claim filed against EDP by an individual who was injured by the alleged negligence of an employee of EDP while assisting in the unloading of a truck. EDP sought coverage from its insurer in the tort action, despite an exclusion in the insurance policy stating that the insurer would not cover "bodily injury ... arising out of the ... loading or unloading" of a truck. Id. at 224-25, 533 A.2d at 686. According the phrase "arising out of" its plain meaning, we held that the policy exclusion clearly provided that there would be no coverage for injuries arising out of the loading or unloading of a vehicle, regardless of the intervening negligence of the employee. We explained that while the "arising out of" phrase "plainly import[s] a causal relation of some kind," it does not require that unloading of the truck to be the "sole `arising out of' cause of the injury." Id. at 230, 533 A.2d at 689 (emphasis added). Negligence of the employee contributing to the injury did not vitiate the relationship of the unloading of the truck to the insurance policy. See also Aragona v. St. Paul Fire & Mar. Ins. Co., 281 Md. 371, 378 A.2d 1346 (1977).
Id. at 315, 708 A.2d at 306.
Determining that "arising out of" has a broad definitional meaning, however, does not answer the question presented, and thus, we must explore the parameters of "business pursuits" in the Erie exclusion. "Business" is defined in the Erie policy as "any full-time, part-time or occasional activity engaged in as a trade, profession or occupation," but the exclusion does not describe what is meant by "business pursuits." The implicit purpose of the exclusion is to remove from a homeowner's policy a type of coverage which would normally require specialized underwriting, requiring a higher premium. See, e.g., Erickson v. Christie, 622 N.W.2d 138, 140 (Minn.App.2001) ("The function of a business pursuits exclusion is to confine the homeowner's policy coverage to nonbusiness risks and to relegate business coverage to a commercial policy."); Wiley v. Travelers Ins. Co., 534 P.2d 1293, 1295 (Ok.1974) ("The object to be accomplished by the homeowner's policy was to insure a home and not a business.").
Although a business pursuits exclusion is often a standard clause in a homeowner's insurance policy, we have not had the opportunity to explore its function. See, e.g., Pettit v. Erie Insurance Exchange, 349 Md. 777, 789 n. 7, 709 A.2d 1287, 1294 n. 7 (1998); Litz v. State Farm Fire and Cas. Co., 346 Md. 217, 235 n. 6, 695 A.2d 566, 574 n. 6 (1997) (noting that although the case involved issues relating to a business pursuits exception, the Court ultimately "intimate[d] no opinion on whether the circuit court was correct to conclude that the babysitting in this case constituted a business pursuit"); Zurich, 261 Md. at 617, 276 A.2d at 660 (holding
Our own intermediate appellate court has had the opportunity to construe a "business pursuits" exclusion in a number of contexts, one being that of a woman who sought coverage from her homeowner's insurance policy when one of the seven children she was babysitting in her home died due to her alleged negligence. McCloskey v. Republic Ins. Co., 80 Md.App. 19, 22-25, 559 A.2d 385, 386-88 (1989). The babysitter argued that because she was not licensed as a child care provider, she was not engaging in a business pursuit or operating a business. Id. at 23, 559 A.2d at 386. The Court of Special Appeals rejected that argument, however, and found that where the insured "actively engaged in an occupational pursuit requiring the devotion of her energy, time and thought, and for which she received compensation," her activity "[u]nquestionably" constituted a business pursuit. Id. at 25-26, 559 A.2d at 388.
The Court of Special Appeals also considered the "business pursuits" exclusion in the context of a policy which failed to define "farming" as a business with regard to an incident that occurred on a farm which bred and raised horses. Aetna Cas. & Sur. Co. v. Brethren Mut. Ins. Co., 38 Md.App. 197, 205, 379 A.2d 1234, 1239 (1977). Our brethren examined the activities of the farm and, even after construing "the ambiguity in this case .. . against the company which prepared the policy and in favor of the insured," held that the trial court erred in not upholding the "business pursuits" exclusion. Id. at 214, 379 A.2d at 1243.
The Court of Special Appeals' opinion, however, did not analyze what variables, if any, must enter an insurer's analysis when determining the effect of the business pursuits exclusion. Commentators, as well as a variety of our sister courts, have done a functional analysis of the phrase to encompass continuity and profit motive.
The oft-cited Appleman on Insurance has enumerated continuity and profit motive as components of a two-pronged test to determine if an activity is a "business pursuit":
New Appleman on Insurance Law Library Edition § 53.06[2][d][i] (footnotes omitted). In this regard, continuity is identified as "a continued or regular activity for the purpose of earning a livelihood," and profit motive as "the showing that the activity was undertaken for a monetary gain." Id.
Some of our sister courts have embraced this functional analysis. In AMCO Ins. Co. v. Beck, 261 Kan. 266, 929 P.2d 162 (1996), for instance, a couple sought coverage under their homeowners' insurance policy when their teenage daughter was babysitting at their home and the child she was babysitting was injured in an accident.
Id. at 166 (internal quotations omitted); see also Sun Alliance Ins. Co. of Puerto Rico, Inc. v. Soto, 836 F.2d 834, 836 (3d Cir.1988) (an activity is a "business pursuit" when there is both continuity and a profit motive); Heggen v. Mountain West Farm Bureau Mut. Ins. Co., 220 Mont. 398, 715 P.2d 1060, 1062 (1986) (stating that in defining "business pursuit," jurisdictions often address "the idea of profit or profit motive, and most have required some level of continuity or regularity of the activity"); Industrial Indem. Co. v. Goettl, 138 Ariz. 315, 674 P.2d 869, 872 (1983) ("`[B]usiness pursuits' denotes `a continued or regular activity for the purpose of earning a livelihood....'").
Other courts have held that seasonal or occasional activities do not meet the continuity requirement. See, e.g., MFA Mut. Ins. Co. v. Nye, 612 S.W.2d 2, 4 (Mo.App. 1980) (finding occasional summer lawn maintenance by insured's son did not qualify as business pursuit); but see also Rufener v. State Farm Fire & Cas. Co., 221 Wis.2d 500, 585 N.W.2d 696, 698 (1998) (noting that "part-time businesses are businesses for the purposes of the exclusion"). Activities that only occupy the insured's spare time, without a regular commitment, have been found not to constitute business pursuits, as have cases where the insured only engaged in the alleged activity once. See, e.g., Millers' Mut. Ins. Ass'n of Illinois v. Pennington, 888 S.W.2d 406, 407 (Mo.App.E.Dist.1994) (reasoning that where a babysitter's services were not "occasional, casual or temporary or for the convenience of friends or relatives," the activity met the continuity requirement).
With respect to profit motive, our sister courts are divided regarding whether the activity under scrutiny must be the insured's sole means of income or whether the business pursuits exclusion may apply to part-time or occasional work. See, e.g., Stuart v. American States Ins. Co., 85 Wn.App. 321, 932 P.2d 697, 699 (1997) ("A profit motive is a necessary consideration in evaluating whether a pursuit is in fact a business."); Travelers Indem. Co. v. Fantozzi, 825 F.Supp. 80, 85 (E.D.Pa.1993) (babysitting had a profit motive because it was a way to earn income); Stoughton v. Mut. of Enumclaw, 61 Wn.App. 365, 810 P.2d 80, 83 (1991) (holding that the activity need not be solely motivated by profit, nor a major source of livelihood to demonstrate profit motive); Wiley v. Travelers Ins. Co., 534 P.2d 1293, 1295 (Ok.1974) ("Profit motive, not actual profit, makes a pursuit a business pursuit.").
Adopting the functional tests of continuity and profit motive to interpret the business pursuits exclusion requires that we review our cases in the duty to defend area to determine what standards we have applied to insurers when they review third party complaints filed against their insured. In our duty to defend jurisprudence, we have limited situations in which we have permitted visceral denials of an insured's duty to defend or those that rely solely on the four corners of a
We held that Mrs. Brohawn's guilty plea did not conclusively establish her liability and that she should have had her day in court to establish her entitlement to a legal defense provided by her insurer in the civil action. In discussing whether a declaratory judgment was proper, we explained that "under some circumstances," a declaratory judgment action would be appropriate where, "an insurance company claims lack of coverage because of the insured's failure to comply with contract provisions such as the cooperation or notification clause, or failure to pay premiums". Id. at 405, 347 A.2d at 848. We abjured, however, the entry of a declaratory judgment:
Id. at 406, 347 A.2d at 849.
In St. Paul Fire & Marine Ins. Co. v. Pryseski, 292 Md. 187, 194, 438 A.2d 282, 286 (1981), we held that when a "question of coverage or defenses under the language or requirements of the insurance policy is separate and distinct from the issues involved in the tort suit," it is our function "to interpret the policy and decide whether or not there is coverage." Mr. Pryseski was accused of, inter alia, tortious assault and battery while he was collecting a monthly payment from a client. Mr. Pryseski's employer was insured by St. Paul Fire & Marine Insurance and, even though St. Paul provided a defense for Mr. Pryseski's employer, it refused to provide Mr. Pryseski with a legal defense. St. Paul claimed that Mr. Pryseski was not acting within the scope of his employment when he allegedly committed the assault and battery, and that his actions constituted "willful acts" which were not covered by the policy. Mr. Pryseski instituted his own legal defense and then brought suit against St. Paul seeking a declaratory judgment that it was required to defend. Before trial began in either the tort suit or the declaratory judgment action, St. Paul settled the lawsuit on behalf of Mr. Pryseski's employer and the release executed also expressly released Mr. Pryseski. Mr. Pryseski in his own lawsuit was awarded monetary damages for having had to pay his own legal fees.
Id. at 193, 438 A.2d at 285. We also have consistently held that the duty to defend should be construed liberally in favor of the policyholder. Litz, 346 Md. at 231, 695 A.2d at 572; Aetna Cas. & Sur. Co. v. Cochran, 337 Md. 98, 107, 651 A.2d 859, 863 (1995); see also Nationwide Ins. Companies v. Rhodes, 127 Md.App. 231, 239, 732 A.2d 388, 392 (1999).
Application of the Brohawn and Pryseski duty to defend principles in the interpretation of the business pursuits exclusion in the present case, in which continuity and profit motive must be evident, yields the conclusion that the allegations on the face of the J.G. Wentworth complaint were not sufficient to trigger the business pursuits exclusion and thereafter, to support the entry of summary and declaratory judgments on Erie's behalf. The complaint merely alleged that Mr. Springer
As a result, Erie and the trial court subsequently could not rely on the face of the J.G. Wentworth complaint to establish Mr. Springer's alleged business interests and his profit motive. We vacate the declaratory and summary judgments entered and remand the case for further proceedings to explore the continuity of Mr. Springer's interests in the Sovereign Funding Group and any profit motive on his part at the time of the alleged defamatory statements against J.G. Wentworth.
In its opinion and order, the Circuit Court did not extensively address the "expected or intended" exclusion referred to by the parties in the questions presented, but rather awarded summary judgment solely on the basis of the "business pursuits" exclusion. As such, our review focuses on the "business pursuits" exclusion because, as stated on numerous occasions, we review "`only the grounds upon which the trial court relied in granting summary judgment.'" Gourdine v. Crews, 405 Md. 722, 736, 955 A.2d 769, 778 (2008), quoting Rodriguez v. Clarke, 400 Md. 39, 70, 926 A.2d 736, 754-55 (2007), quoting in turn Standard Fire Ins. Co. v. Berrett, 395 Md. 439, 451, 910 A.2d 1072, 1079 (2006); Eid v. Duke, 373 Md. 2, 10, 816 A.2d 844, 849 (2003), quoting Lovelace v. Anderson, 366 Md. 690, 695, 785 A.2d 726, 729 (2001). Therefore, we will not address the second issue presented.
St. Paul Fire & Marine Ins. Co. v. Pryseski, 292 Md. 187, 200, 438 A.2d 282, 289 (1981); see also BGE Home Products & Services, Inc. v. Owens, 377 Md. 236, 242, 833 A.2d 8, 12 (2003) (affirming, in part, a circuit court decision to deny summary judgment where a question regarding the scope of permission to drive a vehicle was a key issue that "must be resolved by the factfinder" (internal quotations and citation omitted)).