793 A.2d 495
Docket Cum-01-548.Supreme Judicial Court of Maine.Argued March 7, 2002.
Decided April 9, 2002.
Appealed from the Superior Court, Cumberland County, Humphrey, J.
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Thomas S. Majerison, (orally), Norman, Hanson DeTroy, LLC, Portland, for plaintiff.
Eric F. Saunders, (orally), Jennifer D. Sawyer, Bernstein, Shur, Sawyer Nelson, P.A., Portland, for defendant.
Panel: SAUFLEY, C.J., and CLIFFORD, RUDMAN, DANA, ALEXANDER, and CALKINS, JJ.
ALEXANDER, J.
[¶ 1] Keiser Industries, Inc. (Keiser) appeals from a judgment of the Superior Court (Cumberland County, Humphrey, J.), after a jury-waived trial, finding that losses claimed by Keiser were not covered losses insured against by an insurance policy issued by Acadia Insurance Company. Keiser contends that losses resulting from a corporate officer’s misuse of the company credit card, discovered in March 1998 and reported to Acadia fifteen months later, should be covered losses sustained as a result of employee dishonesty. Because the record supports the trial court’s findings, and the trial court’s interpretation of the Acadia policy is not erroneous as a matter of law, we affirm the judgment.
I. CASE HISTORY
[¶ 2] The factual history of this case is largely undisputed. The issues in dispute involve application of the facts to Acadia’s insurance policy and interpretation of that policy.
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owed, Searl’s employment was terminated on May 27, 1999.
[¶ 8] A general commercial insurance policy issued to Keiser by Acadia contained coverage provisions for losses sustained as a result of employee dishonesty.[1] On June 15, 1999, Keiser filed a proof of loss statement with Acadia, claiming $287,569.90 in losses resulting from the unauthorized charges made by Searl to the company credit card account. Acadia denied coverage under the dishonesty clause and filed this declaratory judgment action pursuant to M.R. Civ. P. 57. In its complaint, Acadia alleged that Searl’s dishonest acts were discovered by Keiser no later than March 1998 and, pursuant to the policy, coverage was unavailable because (1) coverage under the policy terminated upon discovery of the dishonesty, and (2) no proof of loss had been filed either as soon as possible or within 120 days of discovery of the loss, as required by the policy.[2] [¶ 9] Acadia filed a motion for summary judgment. The Superior Court denied Acadia’s motion on the grounds that genuine issues of material fact existed as to (1) when Searl’s acts were discovered to be dishonest; and (2) whether Keiser’s chief financial officer and secretary after August 1997, was an officer within the meaning of the policy. [¶ 10] After a bench trial, the Superior Court found that Keiser’s determination, as of March 1998, that Searl’s conduct was “an error in judgment, not a dishonest act[,]” was “not objectively reasonable under the circumstances.” The court concluded that the policy was canceled as to Searl after March 1998, because the policy provided that coverage was canceled when an act of dishonesty is discovered by a corporate officer. The court also concluded that the policy required Keiser to notify Acadia of the loss “as soon as possible” and Keiser had failed to do so because they: (1) knew of the loss as of March 1998; (2) should have considered Searl’s conduct dishonest at that time; and (3) did not notify Acadia until June 15, 1999. Thus, the court concluded that Keiser didPage 498
not comply with the notice of loss requirements. In addition, the court found that Acadia was prejudiced by Keiser’s late notice, because Acadia could not recoup any of the loss in an action against Searl since, by the time Acadia was notified, Searl’s assets had been “dissipated.” Accordingly, the court held that Acadia’s policy did not cover the losses claimed by Keiser. This appeal followed.
II. DISCUSSION
[¶ 11] Keiser argues that the trial court erred when it found that the board’s March 1998 determination that Searl’s acts were not dishonest was not objectively reasonable. Keiser asserts that this finding was improper for two reasons. First, Keiser alleges that the facts and circumstances justified the board’s determination. Second, Keiser argues that the court’s finding was improper, because the term “dishonest” is ambiguous and ambiguous terms in an insurance contract should be construed in favor of coverage.
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[¶ 17] Even if Keiser’s argument was sound, it logically breaks down at the point that Searl failed to repay two weeks after Saunders contacted Searl about his unauthorized spending as he had promised. At the very latest, it is at this point that Searl’s acts became dishonest and reasonably should have been discovered and addressed. [¶ 18] Because Keiser’s policy provided that coverage was canceled as to the dishonest individual’s acts upon discovery of the dishonesty, coverage as to Searl’s acts was terminated, at the latest, two weeks after Saunders confronted Searl about repayment. Further, Acadia is relieved of any duty to pay the $40,000 or $71,000 loss, because Keiser’s proof of loss was filed well outside the time specified in the policy, and the trial court’s finding of prejudice to Acadia is supported by the evidence. See Ouellette v. Maine Bonding Cas. Co., 495 A.2d 1232, 1235 (Me. 1985).The entry is:
Judgment affirmed.
2. Additional Condition Cancellation As To Any Employee:
This insurance is canceled as to any “employee”:
a. Immediately upon discovery by:
(1) You; or
(2) Any of your partners, officers or directors not in collusion with the “employee”;
of any dishonest act committed by that “employee” whether before or after becoming employed by you. . . . .
3. Additional Definitions
a. “Employee Dishonesty” in paragraph A.2. means only dishonest acts committed by an “employee”, whether identified or not, acting along or in collusion with other persons, except you or a partner, with the manifest intent to:
(1) Cause you to sustain loss; and also
(2) Obtain financial benefit (other than employee benefits earned in the normal course of employment, including: salaries, commissions, fees, bonuses, promotions, awards, profit sharing or pensions) for:
(a) The “employee”; or
(b) Any person or organization intended by the “employee” to receive that benefit.
5.Duties in the Event of Loss: After you discover a loss or a situation that may result in loss of, or loss from damage to, Covered Property you must:
a. Notify us as soon as possible.
b.Submit to examination under oath at our request and give us a signed statement of your answers.
c. Give us a detailed, sworn proof of loss within 120 days.
d. Cooperate with us in the investigation and settlement of any claim.