New Hampshire Ins Co v. C'est Moi, Inc.

CourtCourt of Appeals for the Ninth Circuit
DecidedMarch 19, 2008
Docket06-55031
StatusPublished

This text of New Hampshire Ins Co v. C'est Moi, Inc. (New Hampshire Ins Co v. C'est Moi, 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
New Hampshire Ins Co v. C'est Moi, Inc., (9th Cir. 2008).

Opinion

FOR PUBLICATION UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT

NEW HAMPSHIRE INSURANCE CO.,  No. 06-55031 Plaintiff-Appellee, v.  D.C. No. CV-05-00243-DOC C’EST MOI, INC., OPINION Defendant-Appellant.  Appeal from the United States District Court for the Central District of California David O. Carter, District Judge, Presiding

Argued and Submitted August 9, 2007—Pasadena, California

Filed March 20, 2008

Before: Alex Kozinski, Chief Judge, Johnnie B. Rawlinson, Circuit Judge, and Miriam Goldman Cedarbaum,* Senior District Judge.

Opinion by Chief Judge Kozinski

*The Honorable Miriam Goldman Cedarbaum, Senior United States District Judge for the Southern District of New York, sitting by designa- tion.

2723 2726 NEW HAMPSHIRE INS. v. C’EST MOI, INC. COUNSEL

Robert G. Dyer, Law Offices of Robert G. Dyer, San Diego, California, for the defendant-appellant.

Neil S. Lerner and Benjamin A. Shapiro, Sands Lerner, Los Angeles, California, for the plaintiff-appellee.

OPINION

KOZINSKI, Chief Judge:

We consider the doctrine that’s on everyone’s lips: uberri- mae fidei.

Facts

Lawrence O’Rourke purchased C’Est Moi, Inc. (C’Est Moi) in 1986, and became its president and sole shareholder. As part of this purchase, O’Rourke acquired a yacht owned by C’Est Moi, and subsequently insured it through Washington International Insurance Co. (Washington International). A fire destroyed the yacht in 1992, and Washington International paid O’Rourke $450,000 for the loss. O’Rourke reacquired the yacht from Washington International at salvage, paid off a loan and began restoring it. Washington International stopped insuring the yacht after the fire, and it remained unin- sured until 2001, when C’Est Moi obtained insurance from New Hampshire Insurance Company (NHIC).

In 2004, the yacht sank in calm waters while docked at Newport Beach, California. O’Rourke, on behalf of C’Est Moi, filed an insurance claim. NHIC investigated and deter- mined that the likely cause was a malfunctioning bilge pump. NHIC then sued C’Est Moi to rescind the insurance policy, and the district court granted summary judgment in favor of NEW HAMPSHIRE INS. v. C’EST MOI, INC. 2727 NHIC, holding that uberrimae fidei applied and that C’Est Moi misrepresented material facts on its insurance applica- tion. C’Est Moi appeals.

Analysis

[1] 1. Uberrimae fidei is a “longstanding federal mari- time doctrine” that “applies to marine insurance contracts.” Certain Underwriters at Lloyds, London v. Inlet Fisheries Inc., No. 06-35383, slip op. at 1857, 1874 (9th Cir. Feb. 11, 2008); see also Cal. Ins. Code § 1900. Uberrimae fidei “im- poses a duty of utmost good faith,” Inlet Fisheries, slip op. at 1864, so “an applicant for a marine insurance policy is bound to reveal every fact within his knowledge that is material to the risk,” Cigna Prop. & Cas. Ins. Co. v. Polaris Pictures Corp., 159 F.3d 412, 420 (9th Cir. 1998) (emphasis added). If an insured fails to do so, the insurer may rescind the policy, even if the material misrepresentation wasn’t intentional. Id.

C’Est Moi argues that paragraph 10 of the insurance poli- cy’s General Conditions and Exclusions section supersedes its uberrimae fidei obligation by substituting a different, and lower, standard:

10. CONCEALMENT OR MISREPRESENTA- TION:

Any relevant coverage(s) shall be voided if you intentionally conceal or misrepresent any material fact or circumstance relating to this insurance, or your insurance application, before or after a loss.

(Emphasis added.) C’Est Moi reads this clause as allowing NHIC to rescind the insurance policy only for a material mis- representation that is intentional.

[2] It’s an open question in this circuit whether parties may modify or eliminate an insured’s uberrimae fidei obligation 2728 NEW HAMPSHIRE INS. v. C’EST MOI, INC. through terms in the insurance policy. However, if this were possible at all, it would certainly require very clear policy lan- guage, unequivocally disclosing a mutual intent to supersede the insured’s common law obligation. Uberrimae fidei is a well-entrenched doctrine that protects not merely the insurer but also the integrity of the risk pool; only “an unambiguous statement” in the policy, purporting to supersede the doctrine in express terms, would be sufficient to accomplish that pur- pose. T. Schoenbaum, The Duty of Utmost Good Faith in Marine Insurance Law: A Comparative Analysis of American and English Law, 29 J. Mar. L. & Com. 1, 13 (1998). The clause here comes nowhere close: It does not mention uberri- mae fidei or its colloquial equivalent, the “duty of utmost good faith,” and it doesn’t purport to supersede other rights and responsibilities that the parties may have vis-a-vis each other by operation of law. In short, nothing in paragraph 10 of the policy indicates that it is meant to displace rights or responsibilities imposed by operation of law rather than create an additional set of rights and responsibilities.

We acknowledge that the Eleventh Circuit in King v. All- state Insurance Co., 906 F.2d 1537, 1539-41 (11th Cir. 1990), held that a policy clause similar to paragraph 10 was suffi- cient to supersede the insured’s duty under uberrimae fidei, but (for reasons explained above) we are unpersuaded and decline to follow the Eleventh Circuit. We hope, rather, that our colleagues there will reconsider this question the next time they have occasion to rule on it.

[3] 2. The district court correctly found that there is no factual dispute as to whether C’Est Moi made material mis- representations in the insurance policy application. “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.” Freeman v. Allstate Life Ins. Co., 253 F.3d 533, 536 (9th Cir. 2001) (quoting Thompson v. Occidental Life Ins. Co., 9 Cal. 3d 904, 915 (1973) (in bank)). Here, NHIC’s insurance application asked NEW HAMPSHIRE INS. v. C’EST MOI, INC. 2729 for the yacht’s purchase price and present insurer, and C’Est Moi misrepresented both facts, thereby making material mis- representations as a matter of law.1

[4] C’Est Moi listed the yacht’s purchase price in 1986 as “$450,000 ++,” while O’Rourke only paid about $300,000 for the yacht when he bought it in 1986. C’Est Moi doesn’t dis- pute that the yacht’s purchase price was $300,000. Instead, it argues that the $450,000 figure is accurate because it reflects the amount that O’Rourke had spent restoring the vessel, and that the purchase price wasn’t material because the yacht was destroyed by the 1992 fire. But when a marine insurance application “specifically asks for the purchase price,” the insured may not substitute, without a clear explanation, the “present market value” for the “actual purchase price.” Cer- tain Underwriters at Lloyd’s v. Montford, 52 F.3d 219, 222 (9th Cir. 1995) (emphasis omitted). The purchase price of a vessel “is unquestionably a fact material to the risk,” id., as it provides an objective measure of the vessel’s worth and the corresponding risk of insuring the vessel.

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