American Family Mutual Insurance Co. v. Verdugo
691 F. App'x 387
| 9th Cir. | 2017Background
- Moreno’s grandson died from abuse inflicted by Karlo Osuna Medina; Moreno obtained a negligence jury verdict against the Verdugos (Moreno’s daughter’s parents) for failing to report or prevent Medina’s abuse.
- The Verdugos sought personal liability coverage under their American Family homeowners policy for the judgment against them.
- American Family filed for declaratory relief seeking a ruling that the policy’s "abuse exclusion" barred coverage for any bodily injury "arising out of or resulting from" sexual molestation, corporal punishment, or physical/mental abuse.
- The district court granted summary judgment to American Family and denied summary judgment to the Verdugos; the Verdugos appealed.
- The Ninth Circuit predicted Arizona law would follow Arizona Court of Appeals precedent treating negligent supervision/entrustment claims as deriving from the excluded abusive conduct and therefore barred by an abuse exclusion.
- The Ninth Circuit affirmed, holding the exclusion unambiguous and not violative of the Verdugos’ reasonable expectations of coverage.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether the policy’s abuse exclusion bars coverage for Moreno’s negligence claims against the Verdugos | American Family: exclusion bars coverage because Moreno’s claims arise from Medina’s abusive conduct | Verdugos: their negligence claims are separate torts (negligent supervision/entrustment) and not barred by the exclusion | Court: exclusion bars coverage; claims "necessarily include" and cannot exist apart from the excluded abuse |
| Whether the abuse exclusion is ambiguous | American Family: exclusion is plain and unambiguous | Verdugos: exclusion ambiguous and should be construed in their favor | Court: exclusion is unambiguous and applies as written |
| Whether application of the exclusion violates reasonable expectations doctrine under Arizona law | American Family: no reasonable expectation of coverage because terms are clear and there was notice/no inducement | Verdugos: exclusion frustrates their reasonable expectations of coverage | Court: doctrine inapplicable—limited circumstances not met; exclusion does not violate reasonable expectations |
| Whether attorneys’ fees should be awarded to American Family under Arizona law | American Family sought fees under A.R.S. § 12-341.01 | Defendants opposed | Court: declined to award fees, exercising discretion against fee award |
Key Cases Cited
- Trishan Air, Inc. v. Fed. Ins. Co., 635 F.3d 422 (9th Cir. 2011) (federal court must predict state supreme court law when unresolved)
- Vestar Dev. II, LLC v. Gen. Dynamics Corp., 249 F.3d 958 (9th Cir. 2001) (apply state substantive law in diversity actions)
- Lumbermens Mut. Cas. Co. v. Kosies, 602 P.2d 517 (Ariz. Ct. App. 1979) (negligence claims tied to excluded conduct are barred by exclusion)
- Behrens v. Aetna Life & Cas., 736 P.2d 385 (Ariz. Ct. App. 1987) (negligent supervision/entrustment cannot exist apart from excluded abusive conduct)
- Am. Fam. Mut. Ins. Co. v. White, 65 P.3d 449 (Ariz. Ct. App. 2003) (parental negligent supervision claim excluded when derived from excluded conduct)
- Martinez v. Asarco Inc., 918 F.2d 1467 (9th Cir. 1990) (follow intermediate appellate decisions absent persuasive data of contrary state supreme court view)
- Gordinier v. Aetna Cas. & Sur. Co., 742 P.2d 277 (Ariz. 1987) (limited application of reasonable expectations doctrine)
- Associated Indem. Corp. v. Warner, 694 P.2d 1181 (Ariz. 1985) (trial court has broad discretion in awarding attorneys’ fees)
