Court Opinion

ID: 4453165
Source: CourtListenerOpinion
Date Created: 2019-11-05 21:00:29.462508+00
Date Added: 2024-06-11T15:03:56.787639
License: Public Domain

NOT FOR PUBLICATION                           FILED
                    UNITED STATES COURT OF APPEALS                        NOV 5 2019
                                                                      MOLLY C. DWYER, CLERK
                                                                       U.S. COURT OF APPEALS
                           FOR THE NINTH CIRCUIT

COLIN BANCROFT,                                 No.    18-35642

                Plaintiff-Appellant,            D.C. No. 2:17-cv-01312-JLR

 v.
                                                MEMORANDUM*
MINNESOTA LIFE INSURANCE
COMPANY,

                Defendant-Appellee.

                   Appeal from the United States District Court
                      for the Western District of Washington
                    James L. Robart, District Judge, Presiding

                     Argued and Submitted October 21, 2019
                              Seattle, Washington

Before: IKUTA and BENNETT, Circuit Judges, and DORSEY,** District Judge.

      Colin Bancroft appeals from the district court’s grant of summary judgment

to Minnesota Life Insurance Company on all of Bancroft’s claims stemming from

      *
             This disposition is not appropriate for publication and is not precedent
except as provided by Ninth Circuit Rule 36-3.
      **
              The Honorable Jennifer A. Dorsey, United States District Judge for
the District of Nevada, sitting by designation.
the insurance company’s denial of his request for an accelerated life insurance

payment. We have jurisdiction under 28 U.S.C. § 1291.

      Bancroft failed to show that he was entitled to an accelerated life insurance

payment. See Pleasant v. Regence BlueShield, 325 P.3d 237, 243 (Wash. Ct. App.

2014) (citing Diamaco, Inc. v. Aetna Cas. & Sur. Co., 983 P.2d 707, 709 (Wash.

Ct. App. 1999) (“The party seeking to establish coverage bears the initial burden of

proving [that] coverage under the policy has been triggered.”)). Even if Minnesota

Life was required to apply a more-likely-than-not standard, as opposed to a 90-

percent confidence factor, it reasonably denied coverage because all of the medical

experts in the case—Bancroft’s treating physician, Minnesota Life’s reviewing

doctor, and Minnesota Life’s medical expert—agreed that it was reasonable to

conclude that Bancroft’s life expectancy exceeded 24 months.

      Minnesota Life also did not deny Bancroft his right to mediation or

arbitration after choosing to not conduct an independent medical evaluation of

Bancroft. Though Minnesota Life reserved the right to obtain an independent

medical examination of Bancroft if it disagreed with his physician’s prognosis, it

was not contractually required to do so before denying his claim. Also, Bancroft’s

right to mediation or arbitration was not conditioned on Minnesota Life’s decision

to obtain the separate evaluation. Instead, Washington law requires an insured to

assert his right to mediation or arbitration and to attempt to resolve a disagreement

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amicably with the insurer before proceeding to litigation, and Bancroft failed to

assert that right. See Mut. of Enumclaw Ins. Co. v. USF Ins. Co., 191 P.3d 866,

873 (Wash. 2008) (“[I]nsured must affirmatively inform the insurer that its

participation is desired.” (citation omitted)); Wash. Admin. Code § 284-23-730.

Minnesota Life’s denial letter explaining its disagreement with Bancroft’s

physician’s prognosis gave Bancroft the right to request mediation or arbitration.

Bancroft never invoked that right.

      The district court properly entered summary judgment against Bancroft on

his claims for violation of the Washington Consumer Protection Act (WCPA) and

the Insurance Fair Conduct Act (IFCA), because Minnesota Life’s decision to deny

coverage was not unreasonable. See Perez-Crisantos v. State Farm Fire & Cas.

Co., 389 P.3d 476, 481 (Wash. 2017) (providing that an insured must show that the

insurer “‘unreasonably denied a claim for coverage or payment of benefits’” to

state a claim under the Insurance Fair Conduct Act) (citing Wash. Rev. Code

§ 48.30.015(1)); Smith v. Safeco Ins. Co., 78 P.3d 1274, 1276–77 (Wash. 2003) (en

banc) (requiring an unreasonable denial for a bad-faith claim); Overton v. Consol.

Ins. Co., 38 P.3d 322, 330 (Wash. 2002) (en banc) (requiring an unreasonable

denial for claim under Washington’s Consumer Protection Act). Bancroft’s

physician conceded that it was reasonable for Minnesota Life to conclude that

Bancroft had a longer-than-24-month life expectancy and that he had relied on an

                                         3                                    18-35642
obsolete study for his prognosis. Bancroft failed to provide any evidence to

undermine his physician’s concession or to otherwise show that Minnesota Life

acted unreasonably.

      Bancroft is not entitled to attorneys’ fees under Olympic Steamship Co. v.

Centennial Insurance Co., 811 P.2d 673, 681 (Wash. 1991), the WCPA, or the

IFCA because unlike the insured in Olympic Steamship, he did not prevail on any

of his claims, see id. 681–82; Riss v. Angel, 934 P.2d 669, 681 (Wash. 1997) (“In

general, a prevailing party is one who receives an affirmative judgment in his or

her favor.”). Moreover, Minnesota Life eventually paid Bancroft an accelerated

life insurance payment not because of the litigation itself but because, in addition

to the passage of time, Bancroft provided Minnesota Life with new information

regarding his life expectancy through court filings. Therefore, Bancroft was not

“compel[led]” to “assume the burden of legal action” to “obtain the full benefit of

his insurance contract.” Olympic Steamship, 811 P.2d at 681.

      Nor did the district court abuse its discretion in awarding Minnesota Life

costs, despite Minnesota Life’s failure to comply with Local Rule 7(d)(3).

Bancroft opposed Minnesota Life’s motion for costs before costs were taxed and

Bancroft did not show that he was prejudiced by Minnesota Life’s noncompliance

with Local Rule 7(d)(3). See Delange v. Dutra Const. Co., 183 F.3d 916, 919 n.2

(9th Cir. 1999) (district courts “have broad discretion in . . . applying their local

                                           4                                     18-35642
rules” (citation omitted)). And there was no violation of Rule 54(d)(1) of the

Federal Rules of Civil Procedure because Minnesota Life moved for costs on July

30, 2018, and the clerk did not tax costs until August 24, 2018. See Fed. R. Civ. P.

54(d)(1) (“The clerk may tax costs on 14 days’ notice.”).

      AFFIRMED.

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