Court Opinion

ID: 213452
Source: CourtListenerOpinion
Date Created: 2011-03-29 00:01:54+00
Date Added: 2024-06-11T17:28:15.684577
License: Public Domain

FILED
                            NOT FOR PUBLICATION                             MAR 28 2011

                                                                        MOLLY C. DWYER, CLERK
                    UNITED STATES COURT OF APPEALS                       U .S. C O U R T OF APPE ALS

                            FOR THE NINTH CIRCUIT

ZURICH SPECIALTIES LONDON                        No. 09-56884
LIMITED,
                                                 D.C. No. 2:08-cv-07066-SJO-FFM
              Plaintiff - Appellee,

  v.                                             MEMORANDUM *

BICKERSTAFF, WHATLEY, RYAN &
BURKHALTER, INC., a California
Corporation,

              Defendant - Appellant.

                    Appeal from the United States District Court
                        for the Central District of California
                     S. James Otero, District Judge, Presiding

                       Argued and Submitted March 11, 2011
                               Pasadena, California

Before: B. FLETCHER, WARDLAW, and KAVANAUGH, Circuit Judges.**

       Bickerstaff, Whatley, Ryan & Burkhalter, Inc. appeals the district court’s

grant of partial summary judgment in favor of Zurich Specialties London Limited.

        *
             This disposition is not appropriate for publication and is not precedent
except as provided by 9th Cir. R. 36-3.
        **
           The Honorable Brett M. Kavanaugh, Circuit Judge for the District of
Columbia Circuit, sitting by designation.
The district court concluded that Zurich has no duty to defend or indemnify

Bickerstaff in a third-party contribution action filed by Spear, Safer, Harmon &

Co. (the “underlying action”). We have jurisdiction pursuant to 28 U.S.C. § 1291,

and we affirm.

      1. The professional liability policy Zurich issued to Bickerstaff

unambiguously excludes “claims or ‘costs, charges and expenses’ for or arising out

of . . . the insolvency or bankruptcy of the Insured or any other person, firm or

organization.” Under California law, the phrase “arising out of” does “not import

any particular standard of causation or theory of liability into an insurance policy.

Rather, it broadly links a factual situation with the event creating liability, and

connotes only a minimal causal connection or incidental relationship.” Acceptance

Ins. Co. v. Syufy Enterprises, 69 Cal. App. 4th 321, 328 (1999).

      The underlying action arises from the insolvency of Caduceus, a medical

malpractice self-insurance fund. The Florida Department of Insurance, acting as

Caduceus’ receiver, initially sued Spear Safer (the “receiver action”). The receiver

action set forth allegations that Spear Safer’s “unqualified opinions on Caduceus’

financial statements, among other things, enabled Caduceus to continue to rewrite

existing policies, write new insurance policies and leverage its capital well in

excess of that allowed under Florida law and past the point of insolvency to the

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detriment of Caduceus, its policyholders and claimants.” Spear Safer then filed the

underlying action against Bickerstaff, seeking contribution and alleging that

Bickerstaff’s “reserve reviews and rate level recommendations . . . directly

impacted and caused the insolvency of Caduceus.”

      Bickerstaff’s reliance on Marquez Knolls Property Owners Ass’n, Inc. v.

Executive Risk Indem., Inc., 153 Cal. App. 4th 228 (2007) is misplaced. The

Marquez Knolls court concluded that, in the context of the particular insurance

policy at issue, an exclusion applied only to claims stemming from the plaintiff’s

own activities. Id. at 235. By contrast, the exclusion in Bickerstaff’s policy covers

“the insolvency or bankruptcy of the Insured or any other person, firm or

organization.” (emphasis added). As a general matter, the Marquez Knolls court

reinforced California’s broad interpretation of “arising out of” language in

insurance policy exclusions. Id. at 236. Therefore, the receiver and underlying

actions, which together allege that Bickerstaff played a causal role in Caduceus’

insolvency, satisfy California’s definition of the term “arising out of,” and trigger

the exclusion. See Syufy, 69 Cal. App. 4th at 328.

      Bickerstaff argues that the complaint in the receiver action alleges that

Caduceus’ insolvency occurred in 1993, before Bickerstaff was retained. Thus it

characterizes the underlying action as a standard malpractice claim based on work

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performed for an already insolvent client. Bickerstaff misreads the allegation in

the receiver action; it in fact alleges that Caduceus was either “statutorily impaired

or insolvent” by 1993. (emphasis added). Moreover, the legal definition of

insolvency describes an ongoing process in which an entity is unable to meet its

liabilities “as they mature.” Berg & Berg Enterprises, LLC v. Boyle, 178 Cal. App.
4th 1020, 1042 n.23 (2009) (quoting Cal. Corp. Code § 501); see also In re Dill,

731 F.2d 629, 632 (9th Cir. 1984); Black’s Law Dictionary at 867 (9th ed. 2009)

(defining insolvency as the “condition of being unable to pay debts as they fall due

or in the usual course of business” or the “inability to pay debts as they mature”).

Therefore, even if Caduceus were insolvent in 1993, the exclusionary provision

would still apply because the allegation is that Bickerstaff contributed to

Caduceus’ worsening financial condition.

      2. The doctrine of concurrent causation does not apply because the alleged

conduct excluded by the policy was the same as, and not independent of, the

covered conduct. Under the doctrine, “[c]overage cannot be defeated simply

because a separate excluded risk constitutes an additional cause of the injury”

independent of the covered risk. State Farm Mut. Auto. Ins. Co. v. Partridge, 514
P.2d 123, 125 (Cal. 1973). Here the receiver and underlying actions both allege

that Bickerstaff’s work contributed to Caduceus’ insolvency, and therefore the

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covered risk of malpractice “did not exist independently of the other risk[] not

covered by the policy” but rather was “directly connected to the excluded risk[]” of

insolvency. Medill v. Westport Ins. Corp., 143 Cal. App. 4th 819, 835 (2006).

Bickerstaff erroneously relies on Conestoga Servs. Corp. v. Exec. Risk Indemnity,

Inc., 312 F.3d 976, 983 (9th Cir. 2002), which applied the doctrine where the

excluded risk of bankruptcy and the insured risk of malpractice both independently

contributed to a third party’s damages, but distinguished a scenario similar to

Bickerstaff’s in which the insured is sued “because [the third party] went

bankrupt.”

      3. While an insurer’s duty to defend is broader than its duty to indemnify,

neither the allegations in the complaints nor any extrinsic facts known to Zurich

“give rise to the potential of liability under the policy.” Gray v. Zurich Ins. Co.,

419 P.2d 168, 177 (Cal. 1966). The potential of liability that would trigger the

duty to defend can be found based on either a comparison of the allegations of the

complaint with the terms of the policy, or consideration of extrinsic facts that

“reveal a possibility that the claim may be covered by the policy.” Montrose

Chemical Corp. v. Superior Court, 861 P.2d 1153, 1157 (Cal. 1993). Here, the

complaints in the receiver and underlying actions together allege that Bickerstaff’s

conduct contributed to Caduceus’ insolvency, thus squarely falling under the terms

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of the policy exclusion. Bickerstaff suggests that there is a potential of liability

under the policy because Caduceus’ financial situation might improve, and

therefore the pleadings could be amended to reflect that it is no longer insolvent.

However, an “insured may not trigger the duty to defend by speculating about

extraneous ‘facts’ regarding potential liability or ways in which the third party

claimant might amend its complaint at some future date.” Gunderson v. Fire Ins.

Exchange, 37 Cal. App. 4th 1106, 1114 (1995).

      Because we conclude that the policy excludes coverage for Spear Safer’s

contribution action, we affirm the district court’s conclusion that Zurich did not

have a duty to indemnify Bickerstaff, or to provide it with a defense.

      AFFIRMED.

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