Aspen American Insurance Company v. MF Acquisition Inc.
1:21-cv-00738
W.D. Mich.Sep 28, 2023Background
- Ohana operated three underground storage tanks (USTs); MF Acquisition (agent) handled UST insurance renewals since 2008 and Nick Holton managed the account.
- Insurer issued a Notice of Non-Renewal in March 2020 and a renewal quote in April 2020 that expressly expired at 5:00 p.m. on June 24, 2020; MF did not forward these to Ohana.
- Holton emailed a binder to Ohana at 4:52 p.m. on June 23, 2020, with an attached package that incorrectly stated the quote was valid for 30 days; Ohana returned signed forms on July 8, 2020, after the June 24 deadline.
- The issuer refused to renew; MF covertly attempted to place substitute coverage July–December 2020 but did not inform Ohana the policy had lapsed until December 22, 2020.
- Ohana sued MF in New Jersey (March 2021) for alleged fraud and related claims; MF tendered defense to its E&O carrier, Aspen, which issued a policy effective November 9, 2020, after MF answered “no” to a question asking whether it knew of any circumstance that might result in a claim.
- Aspen sought a declaratory judgment that coverage is excluded under the policy’s prior-knowledge exclusion and alternatively that the policy is void for material misrepresentation; the court granted Aspen summary judgment and denied MF’s cross-motion.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Prior-knowledge exclusion | Aspen: MF (via Holton) knew or should have foreseen a claim before Nov 9, 2020; exclusion bars coverage | MF: Could not reasonably foresee the particular suit; prior renewal practice negated foreseeability | Court: Exclusion applies — MF knew or reasonably should have foreseen a claim once renewal was missed and Ohana was kept unaware |
| Material misstatement / rescission | Aspen: Foster’s "No" on application to Question 35 was a material misrepresentation; Aspen relied on it and would have declined or altered terms | MF: Answer was not materially false; Aspen failed to properly identify its corporate rep so affidavit on reliance should be excluded | Court: Misstatement was material; Price affidavit admissible; rescission (policy voidable) supports judgment for Aspen |
Key Cases Cited
- Ann Arbor Pub. Sch. v. Diamond State Ins. Co., [citation="236 F. App'x 163"] (6th Cir. 2007) (interpretation of exclusionary clause and enforcement)
- Auto-Owners Ins. Co. v. Churchman, 489 N.W.2d 431 (Mich. 1992) (exclusionary clauses strictly construed in favor of insured)
- Taft Broad. Co. v. United States, 929 F.2d 240 (6th Cir. 1991) (summary judgment standard for cross-motions)
- Lake States Ins. Co. v. Wilson, 586 N.W.2d 113 (Mich. 1998) (insurer entitled to rescind for material misrepresentation in application)
- Oade v. Jackson Nat. Life Ins. Co. of Michigan, 632 N.W.2d 126 (Mich. 2001) (materiality measured by insurer’s likely reliance)
- Lash v. Allstate Ins. Co., 532 N.W.2d 869 (Mich. 1995) (rescission may be justified despite innocent misrepresentation if insurer relied)
