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Defense Digest

Eleventh Circuit Says Insurer Had No Duty to Cover Property Not Listed in Policy’s Scheduled Properties

Defense Digest, Vol. 27, No. 4, September 2021

September 1, 2021

Key Points:

  • Eleventh Circuit Court of Appeals holds that the insurer had no duty to defend an apartment complex in a case involving a shooting at a property that was not listed on the policy’s list of scheduled properties.
  • Court held that the insurance policy had to be read as a whole, along with the insurance application, which showed that the parties’ clear intent was to limit coverage to the scheduled properties.

In June 2021, the Eleventh Circuit Court of Appeals held that an insurer had no duty to defend an apartment complex in a case involving a shooting at a property that was not listed on the policy’s list of scheduled properties.

Miami-based Tzadik Acquisitions, LLC, and Tzadik Management Group 2, LLC, own and manage approximately 60 apartment complexes. However, in their 2015 insurance application for a commercial general liability policy, Tzadik listed only 45 properties to be insured. As such, the insurer issued a commercial general liability policy for the period of October 15, 2015, through October 15, 2016, which included only those 45 properties listed in Tzadik’s application. One location not included in the schedule was Kings Trail Apartments, a Jacksonville, Florida, apartment complex Tzadik owned and managed.

In October 2016, a man was fatally shot at the Kings Trail Apartment complex, and Tzadik was sued by the decedent’s wife in 2017 for wrongful death. When Tzadik reported the shooting to its insurer, United Specialty Insurance Company, in 2018, seeking coverage for the underlying suit, United denied coverage on the basis that the policy did not cover the Kings Trail Apartment Complex. United rejected coverage, stating that the policy’s declaration page limited coverage of $1 million per occurrence and $2 million in the general aggregate, subject to a “designated location’s general aggregate limit endorsement” that assigned each scheduled property its own liability limit, to only the properties listed on the policy’s schedule.

Because the apartment complex where the shooting occurred was not listed in the insured’s policy’s schedule of covered properties, United Specialty Insurance Company denied coverage and filed an action seeking to have the U.S. District Court in Jacksonville declare that it had no duty to defend or indemnify the insured for the shooting. United also alleged coverage was not required because Tzadik had failed to timely notify United of the shooting. In response, Tzadik countersued for breach of contract and bad faith. Ultimately, the U.S. District Court ruled in United’s favor.

In siding with United, U.S. District Judge Timothy J. Corrigan agreed that the absence of Kings Trail Apartment complex among the policy’s list of scheduled premises nullified any coverage for that property in the underlying wrongful death suit. United Specialty Ins. Co. v. Tzadik Acquisitions LLC, 488 F. Supp. 3d 1196 (M.D. Fla. 2020).

Tzadik appealed, arguing that the U.S. District Court erred because the policy was meant to apply to bodily injury or property damage caused by any “occurrence” that takes place in the “coverage territory,” defined in the policy as the United States, Puerto Rico and Canada. Tzadik argued that this broad definition of “coverage territory” meant that coverage automatically applied, regardless of whether the occurrence is associated with a listed property, so long as it occurs in the United States, Puerto Rico or Canada.

However, in affirming the lower court’s ruling by a unanimous three-judge appeals court panel, the Eleventh Circuit Court of Appeals rejected Tzadik’s argument that Kings Trail Apartments did not need to be listed for coverage to apply. The court determined that both Tzadik’s insurance application and the policy “as a whole” make it clear that the parties wished to limit coverage to the 45 listed properties.

The ruling explained that “a list of scheduled properties may unambiguously limit a policy’s application despite language elsewhere in the agreement that would broaden coverage if read in isolation,” and that the policy’s broad definition of “coverage territory” could not be read in isolation but, rather, had to be read along with the rest of the policy and Tzadik’s insurance application. The Eleventh Circuit concluded that in “[r]eading the application and the insurance policy as a whole . . . the parties’ clear intent was to limit coverage to the scheduled properties.” The Eleventh Circuit further stated that a “reasonable reader would not construe the application and policy to cover [Kings Trail Apartments].” The court held United Specialty Insurance Company had no duty to cover Kings Trail Apartments for the underlying suit. This Eleventh Circuit decision will be important for any insurer seeking to limit the scope of the coverage under the policy to scheduled properties.

*Jennifer is an associate in our Tampa, Florida, office. She can be reached at 813.898.1815 or jlhutchins@mdwcg.com.

Defense Digest, Vol. 27, No. 4, September 2021 is prepared by Marshall Dennehey Warner Coleman & Goggin to provide information on recent legal developments of interest to our readers. This publication is not intended to provide legal advice for a specific situation or to create an attorney-client relationship. ATTORNEY ADVERTISING pursuant to New York RPC 7.1. © 2021 Marshall Dennehey Warner Coleman & Goggin. All Rights Reserved. This article may not be reprinted without the express written permission of our firm. For reprints, contact tamontemuro@mdwcg.com.

Firm Highlights

Thought Leadership

Appellate Court Rejects Horizontal Immunity Defense to Company Not Acting as Statutory Subcontractor

The First District Court of Appeal held that a property management company was not entitled to horizontal immunity under section 440.10(1)(e), Florida Statutes, in a negligence action brought by an employee of another company working on the property. The claimant was injured while servicing a swimming pool at an apartment complex. His employer had contracted with the property owner to maintain the pool. Following the accident, the claimant received workers' compensation benefits through his employer’s carrier. The claimant subsequently filed a negligence action against the property management company, alleging that it failed to maintain the premises in a reasonably safe condition and failed to warn him of a dangerous condition that caused his injuries. The property management company had been retained by the property owner to maintain the complex in good operating condition and to perform routine maintenance and repair work. The property management company argued that it was immune from suit under section 440.10(1)(e) of Florida’s Workers’ Compensation Law. That provision grants immunity to a subcontractor providing services in conjunction with a contractor on the same project or contract work from civil actions brought by employees of another subcontractor, subject to limited exceptions. According to the property management company, it qualified as a subcontractor working on the same project as the claimant’s employer and was therefore entitled to horizontal immunity. The trial court agreed and entered summary judgment in its favor. On appeal, however, the claimant argued, and the appellate court agreed, that horizontal immunity applies only when a contractor has sublet work arising from a contractual obligation owed to a third party. The court noted that prior decisions consistently held that an entity acting solely on its own behalf as the owner of property, rather than pursuant to a contract with a third party, is not a “contractor” under section 440.10(1), even when it hires other companies to perform work on the property. In Teed, the property management company could not establish that the property owner had a primary contractual obligation to a third party to maintain either the apartment complex or the swimming pool, which it then delegated to the claimant’s employer or the property management company. As a result, the property owner did not qualify as a statutory contractor, and the property management company was not a subcontractor entitled to horizontal immunity under section 440.10(1)(e). The First District therefore reversed the lower court’s ruling and remanded the case for further proceedings on the claimant’s negligence claim.

Thought Leadership

Commonwealth Court Holds That a Claimant Who Was Struck By a Car While Crossing the Street During an Unpaid Break Was In the Course and Scope of Employment

This case involved a claim petition filed by a claimant who sustained injuries after being struck by a vehicle while crossing the street in front of the employer’s premises. The employer denied the claim based on course and scope, as the accident occurred during one of two mandatory fifteen (15) minute breaks provided to the claimant. The claimant would punch out at the beginning of a break and punch back in when the break was over.  On the date of the incident, the claimant punched out and left the building to get lunch at a restaurant, which required her to cross the employer’s parking lot, and then a public street, where the injury occurred. The Workers Compensation Judge (WCJ) dismissed the petition, noting that that during the two mandatory fifteen-minute breaks per shift allowed by the employer, the claimant was free to leave the employer’s premises, and during breaks, permitted to engage in whatever activity she desired. The WCJ found that at the time of the accident, the claimant was on her own time, in the middle of the street, and going to get lunch.   The claimant filed an appeal with the Worker’s Compensation Appeal Board (Board), and the Board reversed.  According to the Board, the claimant’s location was still on the employer’s premises, as the claimant was taking her customary route while using a reasonable ingress/egress from the employer.  Further, the Board found that the “Personal Comfort Doctrine” applied, as the claimant was on a momentary departure to take care of her personal comfort, within the window of time she was allotted for her break.  The Board remanded the case, and a WCJ granted the claim petition.  The Board affirmed, and the employer appealed to the Commonwealth Court. Before the Court, the employer argued that the claimant was not in the course and scope of her employment, because the injury did not occur on its premises, and the claimant was outside the bounds of the Personal Comfort Doctrine. The Court, however, rejected these arguments, and dismissed the employer’s appeal.  The Court noted that the break given to the claimant was so cursory, when she set out to relieve her hunger for her own personal comfort,  she remained in the course of her employment when she sustained her injuries.  A Petition for Allowance of Appeal in the Supreme Court has been filed by the Employer, Giant Eagle.

Thought Leadership

New Jersey Workers’ Compensation Legislation Updates

Since June 1, 2026, there have been no new New Jersey workers’ compensation related cases from the Appellate or Supreme Courts. As such, below will highlight any new legislative updates since February. A1023 | S3984 - Medical Use of Cannabis Under Certain Circumstances This requires workers’ compensation, PIP, and health insurance coverage for the medical use of cannabis under certain circumstances. It was introduced on January 13, 2026 and referred to the Assembly Financial Institutions and Insurance Committee. It was also introduced on March 19, 2026 and referred to the Senate Commerce Committee. A1045  - Certain Injuries to Volunteer and Professional Public Safety and Law Enforcement Personnel This revises workers’ compensation coverage for certain injuries to volunteer and professional public safety and law enforcement personnel. It was introduced on January 13, 2026 and referred to the Assembly Labor Committee. A1384 | S2757 - Reduce Statute of Limitations in Medical Fee Disputes This reduces statute of limitations from six years to two years in medical fee disputes in workers’ compensation matters. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. A1870 | S1379 - Workers' Compensation Benefits For Certain Workers Due to September 11, 2001 Terrorist Attacks This provides workers’ compensation benefits for certain public safety workers who developed illness or injury as result of responding to September 11, 2001 terrorist attacks. It was introduced on January 13, 2026 and referred to the Assembly Labor Committee. It was also introduced on the same day and referred to the Senate Labor Committee. On February 5, 2026, it was reported from the Senate Committee, 2nd Reading, and referred to the Senate Budget and Appropriations Committee. A2779 | S1521 - Excludes Certain Illegal Aliens This excludes certain illegal aliens from workers’ compensation and temporary disability benefits. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. A2792 | S1555 -  Prevent Intoxicated Employees from Workers’ Compensation This prevents intoxicated employees from receiving workers’ compensation. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. A3167 | S2372 - Workers’ Compensation Insurance Requirements for Certain Corporations and Partnerships This concerns workers’ compensation insurance requirements for certain corporations and partnerships. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. A3548 | S3571 – Maximum Benefits for Certain Volunteers This provides certain volunteer and other workers with maximum compensation benefit for workers' compensation claim regardless of outside employment. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. On March 2, 2026, it was reported from the Senate Committee, 2nd Reading, and referred to the Senate Budget and Appropriations Committee. It was also introduced on the same day and referred to the Assembly Labor Committee. On May 7, 2026, it was reported and referred to Assembly State and Local Government Committee. A3724 - Personal Liability to Employer Officers for Failure to Pay for Coverage This provides personal liability for owner, executive officer, or executive director of employer for failure to pay for workers' compensation coverage. It was introduced on January 13, 2026 and referred to the Assembly Labor Committee. On May 7, 2026, it was reported and referred to Assembly Judiciary Committee. A4617  - Certain Workers' Compensation Supplemental Benefits and Funding Method This concerns certain workers' compensation supplemental benefits and funding method. For a permanently and totally disabled worker or surviving dependents after December 31, 1979, with some exceptions, this bill provides for an annual cost of living adjustment in the weekly workers’ compensation benefit rate. It was introduced on March 10, 2026 and referred to the Assembly Labor Committee. S241 - Inclusion in Database of Appointed Officials This requires that workers’ compensation judges and administrative law judges be included in database of appointed officials. It was introduced on January 13, 2026 to the Senate, Referred to Senate State Government, Wagering, Tourism & Historic Preservation Committee. S2290 -  Mandatory Retirement Age This increases statutory mandatory retirement age for Supreme Court Justices, Superior Court Judges, Tax Court Judges, Administrative Law Judges, and Workers’ Compensation Judges from 70 to 72. It was introduced on January 13, 2026 and referred to the Senate Judiciary Committee. S3144 - Testimony in Workers’ Compensation This concerns submission of testimony in workers’ compensation claims. It was introduced on January 13, 2026 and referred to the Senate Labor Committee. S3342  - Increase Mandatory Retirement Age This increases statutory mandatory retirement age for Supreme Court Justices, Superior Court Judges, Tax Court Judges, Administrative Law Judges, and Workers’ Compensation Judges from 70 to 75. It was introduced on February 5, 2026 and referred to the Senate Judiciary Committee.