BLISS SEQUOIA INSURANCE V. ALLIED PROPERTY & CASUALTY INS

CourtCourt of Appeals for the Ninth Circuit
DecidedOctober 27, 2022
Docket20-35890
StatusPublished

This text of BLISS SEQUOIA INSURANCE V. ALLIED PROPERTY & CASUALTY INS (BLISS SEQUOIA INSURANCE V. ALLIED PROPERTY & CASUALTY INS) 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
BLISS SEQUOIA INSURANCE V. ALLIED PROPERTY & CASUALTY INS, (9th Cir. 2022).

Opinion

FOR PUBLICATION FILED UNITED STATES COURT OF APPEALS OCT 27 2022 MOLLY C. DWYER, CLERK U.S. COURT OF APPEALS FOR THE NINTH CIRCUIT

BLISS SEQUOIA INSURANCE & RISK No. 20-35890 ADVISORS, INC.; HUGGINS INSURANCE SERVICES, INC., D.C. No. 6:20-cv-00256-MC

Plaintiffs-Appellants, OPINION v.

ALLIED PROPERTY & CASUALTY INSURANCE COMPANY,

Defendant-Appellee.

Appeal from the United States District Court for the District of Oregon Michael J. McShane, District Judge, Presiding

Argued and Submitted January 18, 2022 Honolulu, Hawaii

Before: Diarmuid F. O’Scannlain, Eric D. Miller, and Kenneth K. Lee, Circuit Judges.

Opinion by Judge Miller; Dissent by Judge O’Scannlain SUMMARY *

Oregon Insurance Law

The panel affirmed the district court’s summary judgment in favor of Allied Property & Casualty Insurance Company in a diversity insurance action concerning coverage for any liability that Bliss Sequoia Insurance and Risk Advisors might incur for damages because of bodily injury.

One of Bliss Sequoia’s clients was a water park, and after a park guest was injured, the park sued Bliss Sequoia for professional negligence, alleging that the coverage limits on the park’s liability insurance were too low. In 2014, Bliss Sequoia procured coverage on behalf of the water park with an overall limit of $5 million. A year later, a boy was seriously injured at the park, and his family ultimately settled for $49 million. Facing liability well in excess of its insurance coverage, the water park sued Bliss Sequoia for professional negligence. Bliss Sequoia sought coverage from its general liability insurer, Allied Property, which denied coverage. Bliss Sequoia filed this action seeking a declaratory judgment that Allied had a duty to defend and indemnify.

Allied’s policy provided that it covered any sums Bliss Sequoia was “legally obligated to pay as damages because of ‘bodily injury’ or ‘property damage.’” Bliss Sequoia alleged that the bodily injury at issue was a “but-for” cause of Bliss Sequoia’s professional-negligence liability. The panel held that pure but-for causation would result in infinite liability for all wrongful acts, and therefore, the law almost never employs that standard without limiting it in some way. The law cuts off remote chains of causation by applying common law principles of proximate causation.

The panel considered the central question posed by the case: Would Oregon courts construe “because of bodily injury” in the policy to refer to pure but-for causation, or would they impose some more restrictive causation standard? The Oregon Court of Appeals in Holman Erection Co. v. Employers Insurance of Wausau, 920 P.2d 1125 (Or. Ct. App, 1996), held that policy coverage for damages

* This summary constitutes no part of the opinion of the court. It has been prepared by court staff for the convenience of the reader. “because of bodily injury” did not extend to a breach-of-contract suit another step removed from any injury. Pure but-for causation was not enough. The panel held that although there was no Oregon Supreme Court case directly on point, nothing in Oregon jurisprudence suggested that Oregon courts would depart from the general principles of causation that American courts apply in this and other contexts. In addition, the Oregon Supreme Court has applied those principles to the interpretation of insurance contracts in Oakridge Community Ambulance Service, Inc. v. United States Fidelity & Guaranty Co., 563 P.2d 164 (Or. 1977) (providing that a pure but- for causation analysis has no place in Oregon insurance law). In light of this authority, the panel saw little reason to delay the resolution of the case by certifying the question to the Oregon Supreme Court. The panel concluded that the phrase “because of bodily injury” in Bliss Sequoia’s insurance policy included only damages that reasonably or foreseeably resulted from bodily injury—not just any that may arise in a daisy chain of lawsuits connected in some way to someone’s injury. Accordingly, the personal-injury lawsuit against the water park arose “because of bodily injury,” but the claims of professional negligence did not. Because Bliss Sequoia’s policy did not cover those claims, Allied had no duty to defend or indemnify Bliss Sequoia against them.

Judge O’Scannlain dissented. Because there is no controlling precedent in the decisions of Oregon appellate courts on the question of whether, under Oregon insurance law, there is “any reasonable doubt” as to the meaning of the term “because of,” he would certify this case to the Supreme Court of Oregon. He dissented from the majority’s decision to reach the merits.

COUNSEL

Syed S. Ahmad (argued), Hunton Andrews Kurth LLP, Washington, D.C.; David Parker, Hunton Andrews Kurth LLP, Richmond, Virginia; Rachel E. Hudgins, Hunton Andrews Kurth LLP, Atlanta, Georgia; Cody B. Hoesly, Larkins Vacura Kayser LLP, Portland, Oregon; Michael L. Huggins, Hunton Andrews Kurth LLP, San Francisco, California; for Plaintiffs-Appellants. Owen R. Mooney (argued), Bullivant Houser Bailey PC, Seattle, Washington; R. Daniel Lindahl, Michael A. Guadagno, and Richard Williams, Bullivant Houser Bailey PC, Portland, Oregon; for Defendant-Appellee. MILLER, Circuit Judge:

Bliss Sequoia Insurance and Risk Advisors held an insurance policy from

Allied Property and Casualty Insurance covering any liability that Bliss Sequoia

might incur for “damages because of ‘bodily injury.’” One of Bliss Sequoia’s

clients was a water park, and after a park guest was injured, the park sued Bliss

Sequoia for professional negligence, alleging that the coverage limits on the park’s

liability insurance were too low. This appeal presents the question whether that

negligence claim arose “because of” the guest’s “bodily injury” and is therefore

covered by Bliss Sequoia’s policy. We agree with the district court that the answer

is no.

This case begins with Cowabunga Bay Water Park in Henderson, Nevada,

and the first of two insurance policies. In 2014, the operator of the park sought

professional risk-management advice from Bliss Sequoia Insurance and Risk

Advisors, Inc. and Huggins Insurance Services, Inc. (collectively, Bliss Sequoia)

regarding the nature and amount of insurance that would be sufficient to insure the

water park. Bliss Sequoia procured coverage on behalf of the water park with an

overall limit of $5 million.

Just one year later, six-year-old Leland Gardner was seriously injured in a

near-drowning incident at the water park, allegedly due to the park’s insufficient

2 staffing of lifeguards. The boy’s family sued the park, which ultimately settled for

$49 million. Its liability coverage, however, was $44 million shy.

Facing liability well in excess of its insurance coverage, the water park sued

Bliss Sequoia for professional negligence. (It also asserted a claim of negligent

misrepresentation, but the distinction between the two claims is irrelevant to this

appeal.) As part of a settlement agreement with the Gardners, the water park

assigned its claims against Bliss Sequoia to the family. Shortly after that

settlement, the Gardners brought their own third-party complaint asserting the

assigned claims and alleging harms “[a]s a result of the insufficient and

substandard risk management and insurance brokerage advice and

recommendations given by [Bliss Sequoia].”

In response, Bliss Sequoia turned to its general liability insurer, Allied

Property and Casualty Insurance, to defend and indemnify it against the

professional-negligence claims.

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BLISS SEQUOIA INSURANCE V. ALLIED PROPERTY & CASUALTY INS, Counsel Stack Legal Research, https://law.counselstack.com/opinion/bliss-sequoia-insurance-v-allied-property-casualty-ins-ca9-2022.