Michelle Moriarty v. Bayside Insurance Associates
20-56139
9th Cir.Sep 7, 2021Background
- In September 2012 Moriarty’s husband bought a life insurance policy from American General Life Insurance Co. (AGLIC) through Bayside Insurance; Moriarty was the sole beneficiary.
- Premiums went unpaid for several months in 2016; the policy lapsed nine days before the husband died.
- Moriarty emailed Bayside seeking information so she could tender overdue premiums and prevent lapse; Bayside replied with the payment information and said it was “trying to have a team follow up on status” but never followed up.
- Moriarty sued AGLIC (putative class action) and brought professional negligence and negligent misrepresentation claims against Bayside alleging a duty to investigate and notify about forfeiture and to advise steps to avoid termination.
- The district court granted summary judgment for Bayside on professional negligence for lack of duty; negligent misrepresentation was later dismissed by stipulation. The Ninth Circuit affirmed.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Whether Bayside owed a general or special duty to investigate policy status and notify Moriarty of impending forfeiture | Bayside had a duty to investigate, follow up with the insurer, and promptly communicate steps to avoid lapse | An agent’s duty is limited to using reasonable care in procuring insurance; no duty to monitor or notify of cancellations | No general or special duty existed; summary judgment affirmed |
| Whether Bayside assumed a special duty by promising to follow up, holding itself out as a life‑insurance expert, or via a special relationship/Rowland factors | A promise to “try to have a team follow up” or Bayside’s role created an assumed duty; duties to the insured extend to beneficiary under Biakanja | No express agreement was made; vague statement is not an assumed duty; Bayside was not a life‑insurance specialist nor in a unique position; Rowland cannot create an independent duty | Bayside did not assume a special duty; it was not a specialist and no special relationship existed; Rowland not freestanding to impose duty |
Key Cases Cited
- Fitzpatrick v. Hayes, 67 Cal. Rptr. 2d 445 (Ct. App. 1997) (sets narrow circumstances when an agent owes a special duty)
- Kotlar v. Hartford Fire Ins., 100 Cal. Rptr. 2d 246 (Ct. App. 2000) (no general duty to notify insured of cancellation for nonpayment)
- Pac. Rim Mech. Contractors, Inc. v. Aon Risk Ins. Servs. W., Inc., 138 Cal. Rptr. 3d 294 (Ct. App. 2012) (agent’s duty is generally limited to reasonable care in procuring coverage)
- Murray v. UPS Capital Ins. Agency, Inc., 269 Cal. Rptr. 3d 93 (Ct. App. 2020) (specialization/holding out can create a special duty)
- Brown v. USA Taekwondo, 483 P.3d 159 (Cal. 2021) (Rowland factors are not an independent basis for duty; used to limit duties from other sources)
- Rowland v. Christian, 443 P.2d 561 (Cal. 1968) (multifactor test historically used in duty analysis)
- Biakanja v. Irving, 320 P.2d 16 (Cal. 1958) (factors for extending duties to third parties such as beneficiaries)
- Ericksson v. Nunnik, 120 Cal. Rptr. 3d 90 (Ct. App. 2011) (duty is an essential element of professional negligence)
- Eddy v. Sharp, 245 Cal. Rptr. 211 (Ct. App. 1988) (same)
- Free v. Republic Ins., 11 Cal. Rptr. 2d 296 (Ct. App. 1992) (illustrative of misrepresentation creating special duty)
- Paper Savers, Inc. v. Nasca, 59 Cal. Rptr. 2d 547 (Ct. App. 1996) (misrepresentations inducing purchase can create liability)
