Ernst & Haas Management Co. v. Hiscox, Inc.

23 F.4th 1195
CourtCourt of Appeals for the Ninth Circuit
DecidedJanuary 26, 2022
Docket20-56212
StatusPublished
Cited by4 cases

This text of 23 F.4th 1195 (Ernst & Haas Management Co. v. Hiscox, Inc.) 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
Ernst & Haas Management Co. v. Hiscox, Inc., 23 F.4th 1195 (9th Cir. 2022).

Opinion

FOR PUBLICATION

UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT

ERNST AND HAAS MANAGEMENT No. 20-56212 COMPANY, INC., Plaintiff-Appellant, D.C. No. 2:20-cv-04062- v. AB-PVC

HISCOX, INC., Erroneously Sued As Hiscox Insurance Company Inc., OPINION Defendant-Appellee,

and

DOES, 1 through 10, Defendants.

Appeal from the United States District Court for the Central District of California Andre Birotte, Jr., District Judge, Presiding

Argued and Submitted October 19, 2021 Pasadena, California

Filed January 26, 2022 2 ERNST & HAAS MGMT. CO. V. HISCOX

Before: Ryan D. Nelson and Lawrence VanDyke, Circuit Judges, and Karen E. Schreier, * District Judge.

Opinion by Judge VanDyke

SUMMARY **

Insurance Law

The panel reversed the district court's order dismissing Ernst and Haas Management Company, Inc.’s diversity insurance coverage action, and remanded for further proceedings.

Hiscox, Inc. sold Ernst a commercial crime insurance policy in 2012. In 2019, an Ernst accounts payable clerk, in response to a fraudulent email, wired payments to a fraudulent actor she believed to be the founder and managing broker of Ernst. In 2019, Ernst submitted a $200,000 claim under the policy. Hiscox denied Ernst’s claim because purportedly the funds transfer fraud portion of Ernst’s policy did not cover the fraud here because an employee had taken action to initiate the wire transfer.

Two provisions of the parties’ 2012 insurance policy were disputed: the “Computer Fraud” provision, and the “Funds Transfer Fraud” provision.

* The Honorable Karen E. Schreier, United States District Judge for the District of South Dakota, sitting by designation. ** This summary constitutes no part of the opinion of the court. It has been prepared by court staff for the convenience of the reader. ERNST & HAAS MGMT. CO. V. HISCOX 3

The panel held that the district court erred when it held that neither disputed provision in the 2012 crime insurance policy covered Ernst’s $200,000 loss.

First, the district court incorrectly interpreted the 2012 Computer Fraud provision for two reasons: (1) the district court wrongly relied on facts analyzed in Pestmaster Servs., Inc. v. Travelers Cas. & Sur. Co. of Am., 656 Fed. App’x 332 (9th Cir. 2016), which were dispositively different than the facts here; and (2) improper reliance on Pestmaster’s embezzlement-based analysis led to a flawed interpretation of the computer fraud provision and how it applied to the pleaded facts of this case. Here, Ernst immediately lost its funds when the funds were transferred as directed by the fraudulent email, and there was no intervening event. The panel held that, taking the pleaded facts as true, Ernst suffered a loss resulting “directly” from the fraud, arguably entitling Ernst to coverage under the policy. The panel remanded with instructions to reconsider the case with the recognition that Ernst’s loss fell within the Computer Fraud provision of the 2012 policy.

The panel held that the Funds Transfer provision also covered Ernst’s loss resulting directly from the fraudulent email instruction. The district court erred when it reasoned that Ernst’s alleged loss did not result directly from fraudulent instructions. Here, the fraudulent email directed the Ernst employee to transfer funds, provided wire details, and provided fraudulent authorization. The Ernst employee initiated a wire pursuant to the fraudulent authorization, resulting in Ernst’s loss. The panel remanded with instructions to reconsider the case with recognition that, under the facts as alleged by Ernst, Ernst’s loss fell within the Funds Transfer fraud provision in the 2012 policy. 4 ERNST & HAAS MGMT. CO. V. HISCOX

COUNSEL

Robert L. Bastian Jr. (argued), and Marina R. Dini, Law Offices of Bastian & Dini, Beverly Hills, California, for Plaintiff-Appellant.

Albert K. Alikin (argued), Joseph A. Oliva (argued), and Kent V. Grover, Goldberg Segalla LLP, Los Angeles, California, for Defendant-Appellee.

OPINION

VANDYKE, Circuit Judge:

Ernst and Haas Management Company, Inc. (Ernst) appeals the district court’s order dismissing this action pursuant to Fed. R. Civ. P. 12(b)(6). On appeal, we must decide whether the district court incorrectly interpreted the “Computer Fraud” and “Funds Transfer Fraud” provisions in a 2012 commercial crime insurance policy issued to Ernst by Hiscox, Inc. The parties dispute whether these provisions cover funds lost by an Ernst employee who was directed by fraudulent email requests and payment invoices to transfer the funds to a swindling third party. The district court, relying on a distinguishable unpublished case, found that neither provision covered Ernst because Ernst’s alleged loss resulted from an employee initiating a wire, not from the fraudulent email directing her to do so. But the insurance policy itself is not so limited. We reverse the district court’s decision because both disputed provisions could cover Ernst’s alleged loss. ERNST & HAAS MGMT. CO. V. HISCOX 5

BACKGROUND

I. Ernst Loses $200,000 After Receiving Fraudulent Emails Directing an Employee to Transfer Funds.

Ernst is a property management company located in California. Hiscox is an insurance company, who sold Ernst a Commercial Crime Insurance Policy in 2012. In 2019, Ernst suffered a loss and submitted a claim under the policy.

At the time, Krystale Allen was an Accounts Payable Clerk for Ernst. On March 12, 2019, Allen received an email purporting to be from her superior, David Hass, directing her to make a payment. As the accounts payable clerk, Allen regularly disbursed payments according to Ernst’s protocols. But this email was different. Unbeknown to Allen, the email was sent by a fraudulent actor (Fake David). And unfortunately for Allen, she believed the email was authentic and from the founder and managing broker of Ernst, David Hass (Real David). The email included an invoice for $50,000, which Allen was directed to pay to Zang Investments, LLC (Zang) by wire transfer. Believing the email instruction was from Real David, Allen processed the payment by wire transfer to Zang.

After the first transfer, Allen received two more email instructions from Fake David, for payments of $150,000 and $470,000. Allen completed the same steps for the $150,000 payment and wired the money to Zang. But before authorizing the $470,000 payment, Allen’s suspicions were raised, and she emailed Real David to confirm the authenticity of the invoice. Upon receiving Allen’s email, Real David informed her that he had not requested the prior transfers. Allen attempted to stop the previous wire payments from the bank, but because the $50,000 and 6 ERNST & HAAS MGMT. CO. V. HISCOX

$150,000 wire transfers had already been completed, Ernst could not recover the funds.

II. Hiscox Denies Ernst’s $200,000 Claim for Computer Fraud and Funds Transfer Fraud.

As mentioned above, Ernst had contracted with Hiscox for a Crime Insurance Policy in 2012. The insurance policy included coverage for computer fraud and funds transfer fraud. After realizing it could not recover the funds it lost in March 2019 from the bank, Ernst filed a claim under the policy. Hiscox denied Ernst’s claim on June 10, 2019. Hiscox stated that the funds transfer fraud portion of Ernst’s policy did not cover the fraud here because an employee had taken action to initiate the wire transfer. Ernst challenged the denial, but Hiscox replied that Ernst should have purchased more comprehensive coverage. At this point, Ernst realized that Hiscox was relying on language from an updated policy that (in Ernst’s view) reduced coverage (the 2019 policy).

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23 F.4th 1195, Counsel Stack Legal Research, https://law.counselstack.com/opinion/ernst-haas-management-co-v-hiscox-inc-ca9-2022.