Atain Specialty Insurance Co. v. Lake Lindero Hoa

CourtCourt of Appeals for the Ninth Circuit
DecidedFebruary 7, 2022
Docket21-55319
StatusUnpublished

This text of Atain Specialty Insurance Co. v. Lake Lindero Hoa (Atain Specialty Insurance Co. v. Lake Lindero Hoa) is published on Counsel Stack Legal Research, covering Court of Appeals for the Ninth Circuit primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Atain Specialty Insurance Co. v. Lake Lindero Hoa, (9th Cir. 2022).

Opinion

NOT FOR PUBLICATION FILED UNITED STATES COURT OF APPEALS FEB 7 2022 MOLLY C. DWYER, CLERK U.S. COURT OF APPEALS FOR THE NINTH CIRCUIT

ATAIN SPECIALTY INS. CO. No. 21-55319

Plaintiff-Appellee, D.C. No. 2:19-cv-09824-DSF- MRW v.

LAKE LINDERO HOA, LORDON ENTERPRISES, INC. d/b/a LORDON MEMORANDUM* MANAGEMENT,

Defendants-Appellants.

Appeal from the United States District Court For the Central District of California Dale S. Fischer, District Judge, Presiding

Argued and Submitted January 12, 2022 Pasadena, California

Before: RAWLINSON and WATFORD, Circuit Judges, and RAKOFF, ** District Judge.

A California homeowners association and its contracted management

company appeal the district court’s grant of summary judgment in favor of its

* This disposition is not appropriate for publication and is not precedent except as provided by Ninth Circuit Rule 36-3. ** The Honorable Jed S. Rakoff, United States District Judge for the Southern District of New York, sitting by designation. Page 2 of 5

liability insurance carrier, which sued for rescission of a non-profit organization

liability insurance policy. Atain Specialty Insurance Company (“Atain”) contends

that the Lake Lindero Homeowners Association (“LLHOA”) concealed facts in

response to two questions on the application for the disputed insurance policy and

asserts that those facts were material to its underwriting decision. Atain filed this

suit seeking a release from any duty to defend or indemnify LLHOA in a state court

breach of contract action filed by its former property management company after

LLHOA’s newly elected board terminated a property management contract with

decades left to run. We affirm, though on different grounds.

1. We review de novo the district court’s grant of summary judgment, see Nigro

v. Sears, Roebuck & Co., 784 F.3d 495, 497 (9th Cir. 2015), and we “may affirm

based on any ground supported by the record.” Oyama v. Univ. of Hawaii, 813 F.3d

850, 860 (9th Cir. 2015).1 Therefore, we must determine, “viewing the evidence in

the light most favorable to [LLHOA], the non-moving party, whether there are any

genuine issues of material fact and whether the district court correctly applied the

substantive law.” Olsen v. Idaho St. Bd. of Med., 363 F.3d 916, 922 (9th Cir. 2004).

2. In California, the “rule in insurance cases is that a material misrepresentation

or concealment in an insurance application, whether intentional or unintentional,

1 Unless otherwise specified, all internal quotation marks, alterations, emphases, elisions, and citations are omitted from all sources cited herein. Page 3 of 5

entitles the insurer to rescind the insurance policy ab initio.” W. Coast Life Ins. Co.

v. Ward, 132 Cal. App. 4th 181, 186–87 (2005); Cal. Ins. Code § 331. Concealment

is defined as “[n]eglect[ing] to communicate that which a party knows, and ought to

communicate.” Cal. Ins. Code § 330.

Question 19 on the application for the disputed policy asked for disclosure of

“any fact, circumstance or situation which may result in a claim against the

Organization or any of its Directors . . . [or] Officers.” LLHOA disclosed nothing in

response. But there is no genuine dispute that on May 8, 2018, when a newly elected

LLHOA board member completed the Atain application, there existed a situation

that was likely to give rise to a claim against LLHOA. Specifically, the new LLHOA

board president had run on a platform of terminating LLHOA’s contract with its

existing management company, and before the application was submitted the new

board sent the management company at least eight notices alleging breach and

threatening termination. LLHOA had also received a written warning from one of

its resident members that he would “personally take legal action” against the Board

if it terminated the management contract. These circumstances clearly presented

risks that claims would be filed against LLHOA or its directors. It is irrelevant that

these risks had not yet materialized; the question’s purpose was to enable Atain to

assess the risks it was underwriting. See Williamson & Vollmer Eng’g, Inc. v.

Sequoia Ins. Co., 64 Cal. App. 3d 261, 271-272 (1976). Nor can it be genuinely Page 4 of 5

disputed that the board members knew that termination of the management contract

would likely lead LLHOA to be sued. If the board members were aware, so was

LLHOA. See Cal. Civ. Code § 2332 (imputation of knowledge). Thus, LLHOA’s

nondisclosure of the likely contract termination thus amounted to a concealment.

3. We also find that LLHOA’s concealment in response to question 19 was

material to Atain’s decision to issue the policy. Under California law, the materiality

of a concealment “is to be determined not by the event, but solely by the probable

and reasonable influence of the facts upon the party to whom the communication is

due, in forming his estimate of the disadvantages of the proposed contract, or in

making his inquiries.” Cal. Ins. Code § 334. While materiality may be decided as a

matter of law where the issue is not subject to a genuine dispute of material fact,

materiality may also be a factual question. See Mitchell v. United Nat’l Ins. Co., 127

Cal. App. 4th 457, 475 (2005). “The fact that the insurer has demanded answers to

specific questions in an application for insurance is in itself usually sufficient to

establish materiality as a matter of law.” LA Sound USA, Inc. v. St. Paul Fire &

Marine Ins. Co., 156 Cal. App. 4th 1259, 1268 (2007). However, California courts

have been equally clear that “a mere incorrect answer on an insurance application

will [not] give rise to a defense of fraud, where the true facts, if known, would not

have made the contract less desirable to the insurer.” Imperial Cas. & Indem. Co. v.

Sogomonian, 198 Cal. App. 3d 169, 181 (1988). Page 5 of 5

Here, a declaration filed by an Atain employee responsible for underwriting

was the primary evidence regarding materiality. The declaration stated that Atain’s

underwriting guidelines would have led it not to have issued the policy, had LLHOA

disclosed the possibility that a claim would be filed against it by the management

company and by a homeowner if LLHOA terminated the management contract. It is

well established that evidence for materiality on summary judgment may come from

the declaration of an insurer’s underwriter, but of course “the trier of fact is not

required to believe the ‘post mortem’ testimony of an insurer’s agents that insurance

would have been refused had the true facts been disclosed.” Imperial Cas. & Indem.

Co., 198 Cal. App. 3d at 181. Here, however, LLHOA’s counsel was unable to

identify during argument any evidence in the record controverting the materiality

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Related

Imperial Casualty & Indemnity Co. v. Sogomonian
198 Cal. App. 3d 169 (California Court of Appeal, 1988)
Williamson & Vollmer Engineering, Inc. v. Sequoia Insurance
64 Cal. App. 3d 261 (California Court of Appeal, 1976)
West Coast Life Insurance v. Ward
33 Cal. Rptr. 3d 319 (California Court of Appeal, 2005)
Mitchell v. United National Insurance
25 Cal. Rptr. 3d 627 (California Court of Appeal, 2005)
La Sound USA, Inc. v. St. Paul Fire & Marine Insurance
67 Cal. Rptr. 3d 917 (California Court of Appeal, 2007)
Mark Oyama v. University of Hawaii
813 F.3d 850 (Ninth Circuit, 2015)
Nigro v. Sears, Roebuck & Co.
784 F.3d 495 (Ninth Circuit, 2015)

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