Foremost Ins. Co. Grand Rapids v. Jimmy Enriquez
679 F. App'x 538
| 9th Cir. | 2017Background
- Enriquez was involved in a motocross motorcycle accident that injured third parties; underlying plaintiffs sued Enriquez for negligent supervision and related personal injury claims.
- Foremost Insurance issued a policy to Enriquez; the policy excluded coverage for injuries that arose out of recreational land motor vehicles, entrustment of such vehicles, and negligent supervision related to such vehicles.
- Foremost defended Enriquez under a reservation of rights while disputing indemnity based on the recreational vehicle exclusion; Foremost later sought partial summary judgment on its duty to indemnify and brought unjust enrichment claims seeking reimbursement.
- Enriquez argued a potential concurrent independent cause (e.g., fireworks or truck/trailer distraction) that might create coverage, and he asserted waiver/estoppel based on alleged inconsistent insurer statements.
- The district court granted Foremost partial summary judgment on indemnity and denied Foremost reimbursement, but granted summary judgment to Enriquez on the duty to defend; Enriquez’s counterclaims for breach of contract and bad faith were denied for lack of coverage.
Issues
| Issue | Enriquez's Argument | Foremost's Argument | Held |
|---|---|---|---|
| Duty to indemnify | Injury may have been caused by an independent concurrent act (fireworks or truck/trailer) creating coverage despite RV involvement | Injury arose out of recreational land motor vehicle use/entrustment/negligent supervision excluded by policy | No duty to indemnify; exclusion applies and Enriquez failed to produce non‑speculative evidence of a concurrent independent cause |
| Waiver / Estoppel | Foremost’s inconsistent statements (two instances) waived reservation of rights or estopped denial of coverage | Foremost consistently communicated reservation of rights; isolated statements insufficient for waiver; estoppel cannot create coverage | Waiver/estoppel rejected; insurer preserved rights and estoppel cannot create coverage that the policy does not provide |
| Duty to defend and reimbursement | Policy required defense only if claim potentially covered; Enriquez argued original complaint alleged negligent supervision (potentially covered) and extrinsic facts created coverage possibility; no reimbursement owed | Foremost knew police report mentioned recreational vehicle and argued no potential for coverage, so defense not owed or reimbursement appropriate | Duty to defend exists because complaint alleged negligent supervision and extrinsic facts raised a potential for coverage; Foremost not entitled to reimbursement of defense or settlement costs |
| Bad faith / breach of contract | Foremost breached contract and implied covenant by denying coverage and seeking reimbursement | No coverage under the policy, so no contract or bad faith liability | Claims for breach of contract and bad faith fail because there was no policy coverage |
Key Cases Cited
- Stanford Univ. Hosp. v. Fed. Ins. Co., 174 F.3d 1077 (9th Cir. 1999) (choice‑of‑law for insurance policy interpretation in diversity case)
- Cafasso v. Gen. Dynamics C4 Sys., Inc., 637 F.3d 1047 (9th Cir. 2011) (summary judgment requires non‑speculative evidence of specific facts)
- State Farm Mut. Auto. Ins. Co. v. Partridge, 514 P.2d 123 (Cal. 1973) (insurer liable if one of concurrent causes is covered)
- Waller v. Truck Ins. Exch., Inc., 900 P.2d 619 (Cal. 1995) (standards for waiver of reservation of rights)
- Blue Ridge Ins. Co. v. Jacobsen, 22 P.3d 313 (Cal. 2001) (prerequisites for insurer reimbursement of noncovered claims)
- Scottsdale Ins. Co. v. MV Transp., 115 P.3d 460 (Cal. 2005) (duty to defend arises when claim is potentially covered and lasts until no potential for coverage)
- Hartford Cas. Ins. Co. v. Swift Distribution, Inc., 326 P.3d 253 (Cal. 2014) (insurer owes duty to defend potentially covered claims)
- Kransco v. Am. Empire Surplus Lines Ins. Co., 2 P.3d 1 (Cal. 2000) (no bad faith liability without coverage)
