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Dale Fossen v. Caring for Montanans, Inc.
617 F. App'x 737
9th Cir.
2015
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Background

  • Plaintiffs (the Fossens) sued insurer Caring for Montanans, Inc. (CFM), asserting CFM violated Mont. Code Ann. § 33-18-206(2) (a UTPA provision prohibiting unfair premium discrimination) and thus created a private right of action/breach of contract.
  • Montana law was amended in 1987 to explicitly authorize private claims only for six specified UTPA violations in § 33-18-242(1); other UTPA enforcement is vested in the Insurance Commissioner.
  • The Fossens did not identify any clause in their insurance policies that incorporated the UTPA or otherwise created contractual remedies based on § 33-18-206(2).
  • The district court granted summary judgment for CFM, rejecting the Fossens’ attempt to sue privately under § 33-18-206(2); the court retained pendent state claims during four years of proceedings.
  • The Ninth Circuit affirmed, concluding Montana precedent declines to recognize a private cause of action for UTPA provisions other than those listed in § 33-18-242(1), and no contractual incorporation existed to create such a claim.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Whether an insured can bring a private right of action against an insurer based solely on an alleged violation of Mont. Code Ann. § 33-18-206(2) Fossens: § 33-18-206(2) violation gives rise to a private cause of action / breach of contract remedy CFM: Montana law limits private UTPA claims to the six provisions in § 33-18-242(1); other enforcement is for the Insurance Commissioner Held for CFM: No private right of action based solely on § 33-18-206(2)
Whether an alleged statutory UTPA violation can independently support a contractual breach claim absent incorporation of the statute into the policy Fossens: statutory violation equates to contract breach CFM: no policy term incorporates UTPA; absent express incorporation, no contractual cause based on statute Held for CFM: no breach of contract from statutory violation without contractual incorporation
Whether the district court abused its discretion by retaining jurisdiction over pendent state-law claims Fossens: implied challenge to retention CFM: retention proper given lengthy federal proceedings and federal-preemption issues Held for CFM: retention was not an abuse of discretion
Whether the Ninth Circuit should certify the unsettled question of state law to the Montana Supreme Court Fossens: sought certification (implicit) CFM: certification unnecessary because Montana precedent suffices Held for CFM: certification declined; existing Montana decisions control

Key Cases Cited

  • Thomas v. Northwestern Nat’l Ins. Co., 973 P.2d 804 (Mont. 1998) (state precedent that 1987 amendment did not abrogate preexisting common-law causes)
  • State ex rel. Farm Credit Bank of Spokane v. District Court, 881 P.2d 594 (Mont. 1994) (statute can create contract remedies if parties incorporate statute into contract)
  • Brewington v. Employers Fire Ins. Co., 992 P.2d 237 (Mont. 1999) (permitting bad-faith claim based on common-law tort rather than UTPA violation)
  • Williams v. Union Fidelity Life Ins. Co., 123 P.3d 213 (Mont. 2005) (insurer liability allowed where claim is common-law breach of contract supported by, but not premised on, UTPA)
  • Riordan v. State Farm Mut. Auto. Ins. Co., 589 F.3d 999 (9th Cir. 2009) (standards for certifying state-law questions to state supreme court)
  • Long v. City & Cty. of Honolulu, 511 F.3d 901 (9th Cir. 2007) (district court’s discretion to retain jurisdiction over pendent claims)
  • Mackey v. Pioneer National Bank, 867 F.2d 520 (9th Cir. 1989) (retention of jurisdiction can serve judicial economy)
  • United Mine Workers v. Gibbs, 383 U.S. 715 (U.S. 1966) (pendent jurisdiction doctrine)
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Case Details

Case Name: Dale Fossen v. Caring for Montanans, Inc.
Court Name: Court of Appeals for the Ninth Circuit
Date Published: Jun 30, 2015
Citation: 617 F. App'x 737
Docket Number: 14-35077
Court Abbreviation: 9th Cir.