Arthur Bibeau v. Concord General Mutual Insurance Company ( 2021 )

MAINE SUPREME JUDICIAL COURT Reporter of Decisions
Decision: 2021 ME 4Docket: Cum-20-149
Argued: December 8, 2020
Decided: January 26, 2021
Panel: MEAD, GORMAN, JABAR, HUMPHREY, HORTON, and CONNORS, JJ.
ARTHUR BIBEAU
v.
CONCORD GENERAL MUTUAL INSURANCE COMPANY
HUMPHREY, J.
[¶1] In this appeal, we consider whether the provisions of a
homeowner’s insurance policy unambiguously exclude coverage for
substantial losses sustained by the policy holder. Arthur Bibeau appeals from
a summary judgment entered by the Superior Court (Cumberland County,
Stewart, J.) in favor of Concord General Mutual Insurance Company (Concord)
on Bibeau’s complaint for alleged breaches and violations of the homeowner’s
insurance policy issued to him by Concord.1 Bibeau argues, among other things,
that the court erred when it found that the policy unambiguously excluded from
1 Bibeau’s complaint alleged the following causes of action: breach of contract for failure to
provide insurance coverage (Count 1); action on insurance policy with account annexed, pursuant to
14 M.R.S. § 51 (2020) (Count 2); violation of Maine’s Insurance Code based on unfair claims
settlement practices, pursuant to 24-A M.R.S. § 2436-A (2020) (Count 3); and interest on overdue
payment by an insurance company, pursuant to 24-A M.R.S. § 2436 (2020) (Count 4).
2
coverage losses caused by earth movement. We disagree and affirm the
judgment.2
I. BACKGROUND
[¶2] The following facts are drawn from the parties’ supported
statements of material facts, viewed in the light most favorable to Bibeau. See
MSR Recycling, LLC v. Weeks & Hutchins, LLC, 2019 ME 125, ¶ 6, 214 A.3d 1.
[¶3] In 2006, Bibeau purchased a home in Portland and insured it
through the policy issued to him by Concord. On or about September 15, 2017,
Bibeau submitted a notice of claim to Concord for damage to his home that
included extensive foundation cracks and settlement and that led to “racking
doors and windows, out of level floors and stairs, cracking drywall, separating
interior baseboard, and a leaning garage.”3 Bibeau alleged that this damage was
caused by a 2006 water line leak,4 which, according to his expert, pushed sand
and other material under the foundation of the home, compromising the
2Because the court did not err in determining that Bibeau’s claim was excluded pursuant to the
earth movement exclusion, we do not reach the other arguments asserted by Concord to support the
summary judgment except to the extent that they relate to the ambiguity of the policy’s provisions.
3Bibeau retained an expert to investigate the damage to his home. The expert estimated that
Bibeau’s losses were over $500,000 and that most of the home would need to be replaced.
4The water line leak was identified by Bibeau shortly after moving into the house and was
repaired in May 2007. On May 14, 2007, Bibeau submitted a notice of claim to Concord for the
damage to the water line only. However, due to exclusions in the policy, the claim was denied by
Concord on July 27, 2007.
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foundation’s integrity, causing it to drop down or “settle.” In contrast,
Concord’s expert concluded that the settling was caused by the house being
built on “unprepared or uncontrolled fill,” a nonuniform soil composition that
allowed the house to settle at different rates. Although the parties disagree
about what caused the settling, the parties do not dispute that the damage to
Bibeau’s house is the result of earth moving under the house’s foundation.
[¶4] On May 1, 2018, Concord denied Bibeau’s claim based on the policy’s
earth movement exclusion and its anti-concurrent-causation clause.5 On
October 16, 2018, Bibeau filed a complaint against Concord in the Superior
Court alleging a breach of the policy and unfair claims settlement practices, and
seeking overdue interest on the amount owed under the policy.6 Concord
answered and denied that it had breached the terms of the policy. On
November 1, 2019, Concord moved for a summary judgment on all of the counts
in Bibeau’s complaint.
5 The anti-concurrent-causation clause provides that “[Concord] do[es] not insure for loss caused
directly or indirectly by any of [various enumerated causes, including earth movement]. Such loss is
excluded regardless of any other cause or event contributing concurrently or in any sequence to the
loss.” (Emphasis added.)
6 Of the counts alleged in Bibeau’s complaint, Count 2, “Action on insurance policy with account
annexed,” pursuant to 14 M.R.S. § 51, was intended to satisfy the pleading rules for actions on
insurance policies and is not an independent cause of action.
4
[¶5] On April 24, 2020, the court entered a summary judgment for
Concord, reasoning that because there was no genuine dispute that Bibeau’s
losses were caused by “subsurface soils being undermined and earth
movement,” the policy’s unambiguous language, specifically its earth
movement exclusion, excluded Bibeau’s claim from coverage.7 Bibeau timely
appealed the judgment. See 14 M.R.S. § 1851 (2020); M.R. App. P. 2A, 2B(c)(1).
II. DISCUSSION
[¶6] We review a grant of a summary judgment de novo, “considering
the evidence in the light most favorable to the nonprevailing party to determine
whether the parties’ statements of material facts and the record evidence to
which the statements refer demonstrate that there is no genuine issue of
material fact and the moving party is entitled to judgment as a matter of law.”
Kurtz & Perry, P.A. v. Emerson, 2010 ME 107, ¶ 15, 8 A.3d 677 (quotation marks
omitted). “A material fact is one that can affect the outcome of the case, and
there is a ‘genuine issue’ when there is sufficient evidence for a fact-finder to
7The court found that there were genuine disputes of material facts as to Concord’s alternative
grounds for denying Bibeau’s claim, specifically homeowner neglect; faulty design, workmanship,
construction and materials; and latent defects. The court also concluded that Bibeau’s claim was not
barred by the statute of limitations.
5
choose between competing versions of the fact.” Stewart-Dore v. Webber Hosp.
Ass’n, 2011 ME 26, ¶ 8, 13 A.3d 773.
[¶7] Bibeau argues that the court erred in concluding that the relevant
policy language was not ambiguous and that the damage to his house was
excluded based on the policy’s earth movement exclusion. Bibeau’s argument
requires us to examine three sections of the policy: Section I-Property
Coverages (Coverages), Section I-Perils Insured Against (Perils), including the
“Exception To [paragraph] c.(6)” (Perils Exception), and Section I-Exclusions
(Exclusions).
[¶8] Relevant to this appeal, the policy covers the dwelling on the
“residence premises,” i.e., Bibeau’s home, Coverages paragraph A.1.a, and
insures “against risk of direct physical loss to [the home],” Perils paragraph A.1.
The scope of that coverage is limited in two significant respects. First, the policy
generally does not cover specific losses enumerated in Perils paragraph
A.2.c.(6)(f), including those caused by a settled foundation. However, under
certain circumstances, those losses are covered pursuant to the Perils
Exception, which provides, “Unless the loss is otherwise excluded, we cover loss
to [Bibeau’s home] resulting from an accidental discharge or overflow of water
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or steam from within a . . . [s]torm drain, or water, steam or sewer pipe, off the
‘residence premises.’” (Emphasis added.)
[¶9] Second, the policy does not insure against losses excluded under
Exclusions paragraph A.2., including losses caused by earthquakes, landslides,
mudslides, mudflow, subsidence, sinkholes or “[a]ny other earth movement
including earth sinking, rising or shifting; caused by or resulting from human
or animal forces or any act of nature.” (Emphasis added.) Additionally,
Exclusions paragraph A. includes an anti-concurrent-causation clause, which
provides that losses caused by any of the enumerated exclusions are not
covered “regardless of any other cause or event contributing concurrently or in
any sequence to the loss.” The anti-concurrent-causation clause “entirely bars
insurance coverage where a claimed loss is caused by a combination of covered
and excluded perils.” Boazova v. Safety Ins. Co., 968 N.E.2d 385, 393 (Mass.
2012) (listing cases).
[¶10] Here, the court concluded that there was no genuine dispute that
the damage to Bibeau’s home was caused by the movement of earth under the
foundation. The record and the parties’ statements of material facts support
this conclusion—the parties agree that earth movement under the foundation
caused the house to “settle,” or drop down, which resulted in the damage.
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[¶11] However, the parties do not agree about what caused the earth
movement—a water leak as asserted by Bibeau, or the construction of Bibeau’s
home on top of uncontrolled fill as asserted by Concord. The trial court
concluded that this disagreement is not material to Bibeau’s claim under the
policy because regardless of the cause of the earth movement, Bibeau’s losses
are clearly excluded by the policy’s earth movement exclusion. Bibeau
challenges the court’s conclusion, asserting that the earth movement exclusion
itself is ambiguous, and that its meaning is made even more ambiguous when
combined with the language of the Perils Exception. Thus, we begin by
reviewing the relevant policy language to determine whether its meaning is
plain or whether it is ambiguous. See e.g., Metro. Prop. & Cas. Ins. Co. v. Estate of
Benson, 2015 ME 155, ¶¶ 8-16, 128 A.3d 1065.
A. Ambiguity of Earth Movement Exclusion
[¶12] We review the court’s interpretation of an insurance policy de
novo. Kelley v. North East Ins. Co., 2017 ME 166, ¶ 4, 168 A.3d 779; see also Hall
v. Acadia Ins. Co., 2002 ME 110, ¶ 6, 801 A.2d 993 (“The determination of
whether an insurance contract is ambiguous is a question of law for the court.”
(quotation marks omitted)). An insurance contract is ambiguous if it is
“reasonably susceptible of different interpretations,” Geyerhahn v. U.S. Fid. &
8
Guar. Co., 1999 ME 40, ¶ 12, 724 A.2d 1258 (quotation marks omitted), “from
the perspective of an average person untrained in either the law or the
insurance field in light of what a more than casual reading of the policy would
reveal to an ordinarily intelligent insured,” Kelley, 2017 ME 166, ¶ 5, 168 A.3d
779 (quotation marks omitted). “If the language of an insurance policy is
unambiguous, we interpret it in accordance with its plain meaning, but we
construe ambiguous policy language strictly against the insurance company
and liberally in favor of the policyholder.” Id. (quotation marks omitted).
[¶13] Bibeau contends that the earth movement exclusion is ambiguous
because similar exclusions have typically been applied to losses stemming from
natural disasters that are impossible to predict or insure against and not to
losses stemming from leaks in pipes, and therefore, if Concord wished to
exclude the type of loss that Bibeau suffered, it should have specifically
“included the accidental discharge of water from a water pipe in its list of what
constitutes earth movement.”
[¶14] In support, Bibeau points to Powell v. Liberty Mutual Fire Insurance
Co., 252 P.3d 668 (Nev. 2011), in which the Nevada Supreme Court considered
an earth movement exclusion that read:
We do not insure for loss caused directly or indirectly by any of the
following. Such loss is excluded regardless of any other cause or
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event contributing concurrently or in any sequence to the
loss. . . . Earth movement, meaning earthquake including land
shock waves or tremors before, during or after a volcanic eruption;
landslide, mine subsidence; mudflow; earth sinking, rising or
shifting.
Id. at 670. In holding that this earth movement exclusion was ambiguous and
did not exclude “damage sustained as a result of soil movement from a burst
pipe,” the court reasoned that the defendant
should have drafted a more explicit exclusion. Some insurance
policies have clarified exactly what is excluded by their earth
movement exclusion. These policies specify that earth movement
can be due to either natural or unnatural causes. Some insurance
policies have also specified that earth movement is not limited to a
list of examples, and that no matter what causes the earth
movement, if the earth moves, the damage is excluded.
Id. at 674 (emphasis added) (citations omitted).
[¶15] Despite Bibeau’s reliance on Powell, we find the Mississippi
Supreme Court’s analysis in Mississippi Farm Bureau Casualty Insurance Co. v.
Smith, 264 So. 3d 737 (Miss. 2019), more helpful because there the court
considered an earth movement exclusion that was identical to the exclusion in
the policy here, see id. at 739. In that case, the court concluded that the
exclusion was unambiguous because “[t]he language contained in the
earth-movement exclusion makes clear that it excludes coverage for damage
resulting from earth movement, regardless of the cause of the earth movement,
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including human forces.” Id. at 746. Applying the exclusion, the court
concluded that the insured’s damages were excluded from coverage because
the parties did not dispute that the damages resulted from earth movement—
even though the earth movement may have been precipitated by an otherwise
covered water leak.8 Id.
[¶16] In reaching that conclusion, the court in Mississippi Farm Bureau
distinguished the earth movement exclusion at issue from the exclusion
considered in New Hampshire Insurance Co. v. Robertson, 352 So. 2d 1307 (Miss.
1977). In Robertson, the insured’s policy excluded losses “caused by, resulting
from, contributed to or aggravated by earthquake, volcanic eruption, landslide,
or any other earth movement.” Id. at 1309 (emphasis added). The Robertson
court concluded that because “[t]he provision excluding loss by any other earth
movement appears in the context of a clause dealing with earthquakes, volcanic
eruption, and landslides,” it was “limited to ‘earth movement’ resulting from
natural forces (as opposed to earth movement resulting from the water leak).”
In its discussion of other earth movement exclusions, the Mississippi Farm Bureau court cited
8
two other cases in which courts considered earth movement exclusions that were not limited to
natural disasters and thus found to apply to losses caused by any type of earth movement (natural or
external). Miss. Farm Bureau Cas. Ins. Co. v. Smith, 264 So. 3d 737, 743-44 (Miss. 2019). The courts
deciding those other cases similarly concluded that such language unambiguously excluded damages
caused by earth movement, even if that movement was caused by human error or external forces.
See Rhoden v. State Farm Fire & Cas. Co., 32 F. Supp. 2d 907, 908-13 (S.D. Miss. 1998); Boteler v. State
Farm Cas. Ins. Co., 876 So. 2d 1067, 1068-70 (Miss. Ct. App. 2004).
11
Id. at 1310 (emphasis added). In contrast, the earth movement exclusion
included in the policy here and discussed in Mississippi Farm Bureau is not
limited to natural forces, but applies to any “earth movement including earth
sinking, rising or shifting; caused by or resulting from human or animal forces
or any act of nature.” Miss. Farm Bureau Cas. Ins. Co., 264 So. 3d at 739
(emphasis added).
[¶17] Because the policy’s earth movement exclusion clearly applies to
any earth movement, not just natural disasters, and includes earth movement
resulting from human or natural forces, we conclude that, viewed “in light of
what a more than casual reading of the policy would reveal to an ordinarily
intelligent insured,” the policy’s earth movement exclusion is not reasonably
susceptible to different interpretations. Kelley, 2017 ME 166, ¶ 5, 168 A.3d 779(quotation marks omitted). The court did not err in concluding that the
exclusion was unambiguous.9
9 Bibeau also contends that, pursuant to the doctrine of ejusdem generis, the exclusion’s reference
to specific natural disasters constrains the more general language of “any other earth movement” to
exclude only those losses caused by natural disasters. We have described the doctrine of ejusdem
generis: “Where general words follow specific words in a statutory enumeration, the general words
are construed to embrace only objects similar in nature to those objects enumerated by the preceding
specific words.” New Orleans Tanker Corp. v. DOT, 1999 ME 67, ¶ 7, 728 A.2d 673 (quotation marks
omitted). However, because the earth movement exclusion is unambiguous, there is no need to apply
the doctrine of ejusdem generis. See State v. Ferris, 284 A.2d 288, 290 (Me. 1971) (“In construing the
ambiguous use of the general language of the statute we turn to the familiar rule of ejusdem generis.”
(Emphasis added.)).
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B. Ambiguity as to Covered Perils
[¶18] Bibeau also urges us to conclude that the policy is ambiguous as to
what perils are and are not covered because its provisions are complicated and
confusing, particularly the interaction of the policy’s Coverages section; its
Perils section, including the Perils Exception; and its Exclusions section. He
argues that the document cannot be understood by an average person because,
at the heart of it, the policy provides coverage for Bibeau’s losses vis-a-vis the
Perils Exception, see supra ¶ 8, but then eliminates that coverage by the earth
movement exclusion found several pages later in the Exclusions section, see
supra ¶ 9.
[¶19] Although these provisions are found in different sections of the
policy and require some careful reading and analysis, they proceed logically
from one section to another and contain language that is not reasonably
susceptible to different interpretations. See Peerless Ins. Co. v. Brennon, 564
A.2d 383, 386 (Me. 1989) (noting that courts should not confuse complexity for
ambiguity). Bibeau’s argument regarding the Perils Exception ignores its
simple introductory phrase, which unambiguously provides that specific losses
are covered pursuant to the Perils Exception “[u]nless the loss is otherwise
excluded.” (Emphasis added.) Thus, to avail himself of the Perils Exception,
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Bibeau must first determine that his losses are not otherwise excluded by the
policy. This inquiry necessarily leads to the Exclusions section, which, as noted
above, clearly and unambiguously excludes losses caused by “[a]ny . . . earth
movement including earth sinking, rising or shifting; caused by or resulting
from human or animal forces or any act of nature.” Contrary to Bibeau’s
arguments, this interpretation does not render the Perils Exception
meaningless. See Pelkey v. Gen. Elec. Cap. Assur. Co., 2002 ME 142, ¶ 15, 804
A.2d 385.
[¶20] Distilled to its simplest path and construing the policy as a whole,
see Me. Drilling & Blasting, Inc. v. Ins. Co. of N. Am., 665 A.2d 671, 675 (Me. 1995),
the policy generally covers direct physical losses to Bibeau’s home, but it
explicitly does not cover any losses caused by earth movement, which includes
natural disasters as well as “any other earth movement” such as sinking, rising
or shifting “caused by or resulting from human or animal forces or any act of
nature.” Such losses are excluded even if they were caused concurrently by a
covered peril. See Boazova, 968 N.E.2d at 393-94.
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C. Conclusion
[¶21] Evaluating the plain language of the policy as a whole, we conclude
that the court did not err in determining that the policy was unambiguous10 and
that Bibeau’s losses were excluded from coverage pursuant to the earth
movement exclusion.
The entry is:
Judgment affirmed.
10Bibeau urges us to apply the doctrine of reasonable expectations under which “insurance
contracts are to be read in accordance with the reasonable expectations of the insured where
possible.” Burgess v. Allstate Ins. Co., 334 F. Supp. 2d 1351, 1359 (N.D. Ga. 2003). Having concluded
that the policy is unambiguous, however, Bibeau’s reasonable expectations as the insured are not
relevant to the analysis. See Colford v. Chubb Life Ins. Co. of Am., 687 A.2d 609, 614 (Me. 1996) (“If the
contract is ambiguous, it will be construed against the insurer so as to comply with the objectively
reasonable expectations of the insured.” (Emphasis added.)); Peerless Ins. Co. v. Brennon, 564 A.2d
383, 386-87 (Me. 1989).
Additionally, citing the doctrine of efficient proximate cause, Bibeau argues that even if his
losses were partly caused by an excluded peril (earth movement), they were concurrently caused by
a covered peril (the water leak) and therefore, his losses should be covered under the policy.
Pursuant to that doctrine, “coverage exists if the predominant cause of the loss is a covered peril . . .
or if a covered cause sets in motion a ‘train of events’ leading to the loss.” Stor/Gard, Inc. v. Strathmore
Ins. Co., 717 F.3d 242, 245 (1st Cir. 2013) (quotation marks omitted); Boazova v. Safety Ins. Co., 968
N.E. 2d 385, 394 n.4 (Mass. 2012). We decline to adopt the efficient proximate cause doctrine here
because we are construing the terms of an unambiguous insurance policy. Moreover, even if we were
to adopt this doctrine in construing ambiguous insurance policies, the policy’s
anti-concurrent-causation clause would unambiguously negate its application here.
15
Bruce W. Hepler, Esq. (orally), Law Offices of Bruce W. Hepler, Portland and
Roger F. Brunelle, Jr., Esq., Law Offices of Roger Brunelle, Jr., Portland, for
appellant Arthur Bibeau
Matthew T. Mehalic, Esq. (orally), and Nicole Sawyer, Esq., Norman Hanson &
DeTroy, Portland, for appellee Concord General Mutual Insurance Company
Cumberland County Superior Court docket number CV-2018-464
FOR CLERK REFERENCE ONLY