Karen Kane Inc. v. Reliance Insurance Company, a Corporation, Opinion

202 F.3d 1180, 2000 Cal. Daily Op. Serv. 872, 2000 Daily Journal DAR 1307, 2000 U.S. App. LEXIS 1281, 2000 WL 121821
CourtCourt of Appeals for the Ninth Circuit
DecidedFebruary 2, 2000
Docket98-55589
StatusPublished
Cited by32 cases

This text of 202 F.3d 1180 (Karen Kane Inc. v. Reliance Insurance Company, a Corporation, Opinion) 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
Karen Kane Inc. v. Reliance Insurance Company, a Corporation, Opinion, 202 F.3d 1180, 2000 Cal. Daily Op. Serv. 872, 2000 Daily Journal DAR 1307, 2000 U.S. App. LEXIS 1281, 2000 WL 121821 (9th Cir. 2000).

Opinion

O’SCANNLAIN, Circuit Judge:

We must decide, under California law, whether an insurer for incidents of employee dishonesty properly refused to pay the coverage limit for the first two of three separate one-year policy periods, in connection with an employee’s fraudulent scheme that spanned all three periods.

I

Karen Kane, Inc. (“Kane”), a California corporation, is a Los Angeles-based apparel manufacturer. Rebanee Insurance Company (“Reliance”) is a Pennsylvania corporation authorized to sell insurance in the State of California. Reliance issued Kane a package of commercial insurance policies that included coverage for “employee dishonesty,” with a crime coverage limit of $250,000. Rebanee issued Kane three employee dishonesty policies for the following one-year policy periods: (1) December 1993 to December 1994 (“1993-94”); (2) December 1994 to December 1995 (“1994-95”); and (3) December 1995 to December 1996 (“1995-96”). Although *1182 Reliance issued Kane three separate policies, one for each period, the policies each employ the exact same policy language.

Norris Dantzler, one of approximately 225 Kane employees, began working in Kane’s trim department in 1987. In late 1992, Dantzler began to engage in a scheme to defraud Kane by having it pay for trim items that it did not order and did not receive. Dantzler was assisted in this scheme by confederates outside of Kane who controlled companies that were some of Kane’s current or former suppliers. Dantzler’s confederates would prepare falsified invoices for trim goods that Kane had supposedly ordered and received. In some cases, the amount of merchandise on the invoice had been falsified, so that Kane received some but not all of the listed merchandise; in other cases, the entire invoice was for merchandise never ordered nor received by Kane. Dantzler would then arrange to have an authorized Kane officer approve a check request for payment of the invoice, often “walking through” the request himself to avoid detection of the scheme. Finally, Dantzler’s co-conspirators would negotiate Kane’s checks at a check-cashing service. This scheme began in late 1992 and continued until May 1996, when it was discovered by Kane’s president, Lonnie Kane.

In June 1996, pursuant to the employee dishonesty insurance provided by Reliance, Kane filed separate Property Loss Notices with Reliance for the policy periods 1994-95 and 1995-96. Reliance assigned Russell LaDue to process Kane’s claims. In July 1996, Kane submitted to Reliance a Fidelity Proof of Loss in the amounts of $239,879.15 for 1995-96 and “at least $250,-000” for 1994-95. In August 1996, Kane submitted a Fidelity Proof of Loss in the amount of $484,978.07 for 1993-94. Kane subsequently reduced its claim for 1995-96 to $222,481.15 after collecting $17,398 from two of Dantzler’s co-conspirators. The parties have stipulated that Kane suffered losses in connection with Dantzler’s scheme of $434,978 in 1993-94, $767,298 in 1994-95, and $213,737 in 1995-96.

In a letter dated August 21, 1996, Kane stated to Reliance its view that A.B.S. Clothing Collection, Inc. v. Home Insurance Co., 34 Cal.App.4th 1470, 41 Cal.Rptr.2d 166 (1995), required Reliance to pay the $250,000 coverage limit for each of three separate policy periods. LaDue responded that Reliance was rejecting any claim under the 1993-94 policy because “it is part of the loss of ... 1995-96,” citing for support the policy’s definition of the word “occurrence.” The policy defines “occurrence” as “all loss caused by, or involving, one or more employees, whether the result of a single act or series of acts.” Reliance informed Kane that under Reliance’s interpretation of the policy, “even though [the loss from Dantzler’s scheme] took place over a span of 3 years, it’s considered 1 occurrence and the insurance company would be liable for the limits of the policy during the policy period of 12-19-95 to 12-19-96.” Reliance also cited for support Paragraph B.9 of the Crime General Provisions (the “prior loss provision”), which provides as follows:

A. General Conditions
9. Loss Covered Under This Insurance and Prior Insurance Issued by Us or Any Affiliate;
If any loss is covered:
a. Partly by this insurance; and
b. Partly by any prior canceled or terminated- insurance that we or any affiliate had issued to you or any predecessor in interest:
the most we will pay is the larger of the amount recoverable under this insurance or prior insurance.

Kane subsequently sent a letter objecting to Reliance’s interpretation, relying once again on the A.B.S. decision. Reliance responded by letter arguing that the case was distinguishable because the policy in A.B.S. involved “different policy numbers,” while the policy at issue here “was renewed each year using the same policy number, and therefore, we feel this indicates a continuing policy and the insured *1183 would be limited to coverage for one policy period only, as this would be one occurrence under the terms of the policy.” Before the district court, however, Reliance conceded that each of the one-year policies it issued to Kane constituted a separate policy, rather than one part of a single continuous policy.

On October 31,1996, Reliance paid Kane $250,000 under the 1995-96 crime coverage, stating that $250,000 represented the “policy limits of this loss.” Kane accepted this payment but reserved the right to sue Reliance for breach of contract and wrongful denial of coverage.

On March 3, 1997, Kane filed suit against Reliance in California Superior Court for declaratory relief, breach of contract, and tortious breach of the covenant of good faith and fair dealing. Reliance removed the case to federal court on May 2, 1997. On cross-motions for summary judgment, the district court granted summary judgment in favor of Reliance, 1 holding that the policy’s definition of “occurrence” and the prior loss provision clearly limited Kane’s recovery to the liability limit for the last of the three policies, for 1995-96. The district court dismissed all of Kane’s claims in a judgment entered February 18, 1998. Kane filed a timely notice of appeal.

II

The first issue presented is whether the district court erred in holding, under California law, that the policy’s definition of “occurrence” and its “prior loss” provision precluded any recovery by Kane under the first two of three insurance policies (for 1993-94 and 1994-95). Kane contends that the district court erred (1) by misapplying California law in interpreting the policy and (2) by misinterpreting the policy’s definition of the term “occurrence.” We address these contentions in turn.

A

Kane’s primary contention on appeal is that the district court erred through misapplying California law. More specifically, Kane argues that the district court should have followed the analysis of A.B.S. Clothing Collection, Inc. v. Home Insurance Co., 34 Cal.App.4th 1470, 41 Cal.Rptr.2d 166 (1995).

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202 F.3d 1180, 2000 Cal. Daily Op. Serv. 872, 2000 Daily Journal DAR 1307, 2000 U.S. App. LEXIS 1281, 2000 WL 121821, Counsel Stack Legal Research, https://law.counselstack.com/opinion/karen-kane-inc-v-reliance-insurance-company-a-corporation-opinion-ca9-2000.