CAROLINA AIRCRAFT CORPORATION ET AL., PLAINTIFFS-APPELLEES,
v.
AMERICAN MUTUAL LIABILITY INSURANCE COMPANY, DEFENDANT-APPELLANT

5th Cir. | 1975-08-22
No. 75-1330
Before WISDOM, BELL and CLARK, Circuit Judges.
517 F.2d 1076 Court of Appeals for the Fifth Circuit (1975) Positive Treatment
Cited by 4 cases

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Holding

An insurer has no duty to defend suits where the allegations clearly fall outside the policy's coverage, even if the insured asserts a defense that might bring the claim within coverage.


Facts & Procedural History

Estates of four deceased employees sued their employer, Carolina Aircraft, alleging they were passengers on a company plane that crashed. Carolina arg…

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Opinion of the Court
PER CURIAM:

PER CURIAM:

American Mutual Liability Insurance Company (American) appeals from an adverse declaratory judgment holding that it has a duty, under a policy which it issues, to defend certain suits filed against Carolina Aircraft Corporation, et al (Carolina), in Florida state court. We reverse.

American carries Carolina’s workmen’s compensation and employer’s liability policy. By the policy, American agreed to assume liability for all sums which Carolina might become legally obligated to pay to its employees on account of disease, bodily injury, or death suffered by them arising out of and sustained in the course of their employment. American also agreed to defend any proceeding against the insured alleging such injury and seeking damages on account thereof, even if such proceeding or suit is groundless, false or fraudulent; but the company may make such investigation, negotiation and settlement of any claim or suit as it deems expedient

Early in 1972 four men were killed when a small plane owned by Carolina and flown by one of the corporation’s executive officers crashed in the vicinity of Indiantown, Florida. The administrators of the estates of the deceased sued Carolina in state court alleging specifically that the four were aboard the aircraft as either guests or paying passengers. Carolina answered denying the status of the deceased, claiming that the suit would not lie against Carolina because each deceased was an employee of the corporation and that each was traveling aboard the plane in the course of his employment (thereby making workmen’s compensation benefits the exclusive remedy). American refused to defend the state court suits, thus prompting Carolina to sue in federal court for a declaratory judgment concerning American’s duty to defend.

American has no duty to defend the state court suits. While it is true, as the court below noted, that American is obligated to defend even groundless, false or fraudulent suits, the duty arises only when the party suing Carolina brings a suit — whether or not groundless, false or fraudulent — which alleges injury at least arguably within the policy’s coverage. Here the state court plaintiffs alleged facts which take the injuries suffered by the deceased outside any imaginable construction of the workmen’s compensation and employer’s liability policy issued by American. The plaintiffs are the masters of their own pleadings; it is their pleading and not the answers of Carolina which determine the nature of their complaint. The answers of Carolina, though asserting as a defense against the general liability claim that workmen’s compensation benefits constitute the exclusive remedy, do not change what the plaintiffs must prove to succeed. What they have undertaken is to show that the deceased were killed while engaged in activity not in the course of their employment and not covered by American’s policy.

C. A. Fielland, Inc. v. Fidelity & Casualty Co. of New York, 297 So. 2d 122 (Fla.App.2d Div. 1974) is not on point. It stands for the proposition that an insurer must defend if any part of a cause of action is within the policy coverage. It also holds that the nature of the cause of aetion, and thus whether the claims being made are within the policy coverage, must be determined not only from the plaintiff’s initial complaint but also from developments which occur during the prosecution of the suit. It does not say that an insurer must defend when, as here, a plaintiff’s claim is clearly outside the policy coverage, and the defense erected to defeat the right to make the claim is that another type of remedy which the policy would cover, if it had been asserted, is the only one available.

Reversed.


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  • Klaesen Bros., Inc. v. Harbor Ins. Co., 410 So. 2d 611 (Fla. 4th DCA 1982)
  • Allstate Ins. v. Travers, 703 F. Supp. 911 (N.D. Fla. 1988)
    …e Ins. Co., supra, 358 So.2d at 536. Potential defenses or denials of allegations in the complaint are not relevant for determining whether the insurer has a duty to defend. See Carolina Aircraft Corp. v. American Mutual Liability Ins. Co., 517 F.2d 1076 (5th Cir.1975) (applying Florida law); Pioneer National Title Ins. Co., supra, 487 So.2d at 1053-54. If, however, the third-party alleges facts in later pleadings that state a claim within the policy coverage, then the insurer would have an ob…
  • Gov't Emps. Ins. v. Sellers, 667 F. Supp. 850 (S.D. Fla. 1987)
    …cord Pioneer Nat’l Title Ins. v. Fourth Commerce, 487 So.2d 1051 (Fla.1986); Trizec Properties, Inc. v. Biltmore Construction Co., Inc., 767 F.2d 810 (11th Cir.1985); Carolina Aircraft Corp. v. American Mutual Liability Insurance Co., 517 F.2d 1076 (5th Cir.1975). The Defendant, Goldberg, alleged that Patricia L. Dryer and/or Eric P. Sellers, was operating the vehicle with the implied or expressed consent of the owner. Because those allegations alone would obligate Geico to defend on behal…

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