1st Cir. and Former SCOTUS Justice Find Ambiguous “Arising Out Of” Requires Cosby Defense
Time 3 Minute Read

There was nothing ambiguous in former U.S. Supreme Court Justice David Souter’s ruling in AIG Property Cas. Co. v. Cosby, No. 17-1505 (1st Cir. June 7, 2018), where, sitting by designation, Justice Souter ruled that AIG Property and Casualty Co. (“AIG”) must defend Bill Cosby in suits brought by eight women alleging that Cosby defamed them after they accused him of sexual misconduct.  Cosby held two insurance policies issued by AIG:  a homeowner’s policy and a personal excess liability policy (the “umbrella policy"”).  Under each policy, AIG has a duty to “pay damages [Cosby] is legally obligated to pay [due to] personal injury or property damage caused by an occurrence covered[] by this policy anywhere in the world . . . .”  Both policies define “personal injury” to include “[d]efamation” and require AIG to pay the cost of defending against suits seeking covered damages.  Both policies also contain so-called “sexual misconduct” exclusions.  The homeowner’s policy’s exclusion bars coverage for liability or defense costs “arising out of any actual, alleged[,] or threatened . . . [s]exual molestation, misconduct or harassment[,] . . . or . . . [s]exual, physical or mental abuse.”  The umbrella policy contained similar wording.  However, that policy also contained another “sexual misconduct” exclusion under the “Limited Charitable Board Directors and Trustees Liability” coverage part.  That exclusion applied more broadly to claims for damages “[a]rising out of, or in any way involving, directly or indirectly, any alleged sexual misconduct” (emphasis added).

AIG argued that because Cosby’s allegedly defamatory denials were prompted by the women’s sexual-assault allegations, the defamation injury and the excluded conduct are so “inextricably intertwined” as to trigger the sexual misconduct exclusions. Cosby argued in response that the source of the women’s claimed injuries is not any alleged sexual misconduct but, rather. the allegedly defamatory statements; and that the causal link between the excluded conduct and the defamation claims is too attenuated to trigger the exclusions.  The Court agreed with Cosby, finding the policies’ exclusionary provisions to be ambiguous on the issue of causation.  As Justice Souter explained, , the Court was not required to deeply analyze the phrase “arising out of” under the applicable rules of construction, since the umbrella policy’s own wording supplied sufficient uncertainty to render the phrase ambiguous.  Recognizing that “[e]very word in an insurance contract must be presumed to have been employed with a purpose and must be given meaning and effect whenever practicable,” Justice Souter concluded that because the second exclusion contained in the umbrella policy used additional wording to expand the causal scope of that exclusion, the inconsistent causal scopes rendered the phrase ambiguous in the instant context.

The Cosby decision underscores the importance of carefully selecting policy wording, particularly in limiting or exclusionary policy provisions. The decision also should serve as a reminder of the need to ensure concurrency in wording used across multiple lines of coverage.  Doing so will help avoid gaps in coverage and potential pitfalls that may arise should one policy’s wording undermine or contradict the wording of another.  Having skilled coverage counsel review your existing and renewal policies can help avoid such outcomes.

  • Partner

    Mike is a Legal 500 and Chambers USA-ranked lawyer with more than 25 years of experience litigating insurance disputes and advising clients on insurance coverage matters.

    Mike Levine is a partner in the firm’s Washington, DC ...

You May Also Be Interested In

Time 5 Minute Read

A New Mexico Court of Appeals decision illustrates that when a policy term is undefined and ambiguous, the term must be interpreted liberally and in favor of coverage. In Kane v. Syndicate 2623-623 Lloyd’s of London, 2025 WL 1733046 (N.M. Ct. App. June 16, 2025), the court affirmed summary judgment for a policyholder and held that a cyber liability policy afforded coverage for the policyholder’s loss that resulted from a post-breach fraudulent funds transfer because the preposition “for” was broad enough to afford coverage for a third party claim resulting from a security breach.

Time 7 Minute Read

For decades, homeowners and other insurance policies have included broad pollution exclusions, often referred to as a “total pollution exclusion.” In a recent decision in Wheeler v. Garrison Prop. & Cas. Ins., No. S-18849 (Alaska Feb. 28, 2025), the Alaska Supreme Court held that a “total pollution exclusion” in a homeowners insurance policy did not apply to exclude coverage for injury arising out of exposure to carbon monoxide emitted by an improperly installed home appliance. Examining the breadth of the exclusion and applying the generally held principle that exclusions are to be construed narrowly, the court thus fulfilled the policyholder’s reasonable expectation of coverage for injuries resulting from the carbon monoxide exposure. 

Time 4 Minute Read

The extent of coverage is often a function of how many occurrences (or accidents) are involved in a claim. For example, lawsuits based on product liability claims may involve a flawed manufacturing process constituting a single occurrence, or the sale of each individual product may result in hundreds of occurrences. A recent ruling involved the number of occurrences debate and resulted in the insured establishing coverage for up to $55 million instead of just $5 million in limits. 

Time 4 Minute Read

Last week, just before Hurricane Milton made landfall, Florida state officials issued an emergency decree to all licensed insurance adjusters in the state to protect homeowners against “unfair and deceptive acts” and “post-storm fraud” by insurance carriers. According to The Washington Post, the Florida Department of Financial Services is requiring that all claim adjusters provide an explanation for each change they make to a consumer’s loss estimate, document those changes, and retain all versions of the estimate and identify who made those revisions. When processing claims, adjusters must also use an electronic estimating system that provides an itemized report of all damage, as well as labor, materials, equipment and supplies. Those costs should be consistent with what a contractor or a repair company in that particular area would charge.

Search

Subscribe Arrow

Recent Posts

Categories

Tags

Authors

Archives

Jump to Page