Taking Assignment Against Insurer is a Loser

Published: Oct. 10, 2022, 3:42 p.m.

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Hitting Plaintiff on Head with Metal Pole is a Battery & Even With  Assault & Battery Coverage Exclusion Applies  

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Paul Semien ("Semien"), appealed the district court\'s dismissal of his  breach of contract claim for defense and indemnity against the  Burlington Insurance Company ("Burlington") after he was injured by a  convenience store employee who hit him on the head with a metal pole. In  Paul Semien v. The Burlington Insurance Company, No. 22-20195, United  States Court of Appeals, Fifth Circuit (October 3, 2022) the Fifth  Circuit applied the Eight Corners Rule and resolved the dispute in favor  of the insurer.  

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BACKGROUND

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Semien, a customer at a convenience store became embroiled in a dispute  with the store\'s clerk, Tam Truong, over Semien\'s entitlement to store  credits based on awards that he won from the store\'s video poker  machines. Truong left his post behind a glass-enclosed counter and hit  Semien on the head with a metal pole, causing Semien severe injuries.  Semien sued T&T and Truong in Texas state court (the "Underlying  Lawsuit") for negligence and assault against both Truong and his  employer.  T&T had a general commercial liability insurance policy issued by  Burlington (the "Policy.) "Coverage D" of the Policy provides for  coverage up to $100,000 for assault and battery. But, Coverage D also  excluded coverage when the assault or battery is "committed by any  insured or agent of any insured." The Policy defines "insured" to  include T&T\'s employees, but "only for acts within the scope of  their employment by [T&T] or while performing duties related to the  conduct of [T&T\'s] business."  Burlington denied that it had a duty to defend or indemnify T&T and  Truong in the Underlying Lawsuit. Semien subsequently entered into a  settlement agreement with T&T and Truong. As part of the settlement  agreement, they assigned Semien "all rights they have jointly or  separately to pursue claims and remedies under [their] insurance  contract with The Burlington Company."  Semien then sued Burlington. The district court granted the motion.  Plaintiff timely appealed.

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