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204 A.3d 1109
Vt.
2018
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Background

  • Rainforest Chocolate LLC (insured) transferred $19,875 after an employee received an email impersonating the manager; the bank froze the account and limited the loss to $10,261.36.
  • Rainforest claimed coverage under its business-owner policy for Forgery, for Money and Securities, and for Computer Fraud; Sentinel denied coverage relying chiefly on a False Pretense exclusion for "physical loss or physical damage."
  • The trial court granted Sentinel’s summary-judgment motion, finding the policy unambiguous and the False Pretense exclusion applicable; Rainforest appealed.
  • The core dispute is contractual interpretation: whether the False Pretense exclusion (which bars recovery for "voluntarily parting" with property induced by fraud) requires a "physical" loss and thus excludes an electronic transfer of bank funds.
  • The Vermont Supreme Court adopted reasoning from a recent Montana federal decision that reached the opposite conclusion and held the False Pretense exclusion ambiguous as applied to electronic funds.
  • Court concluded the exclusion is ambiguous and must be construed for the insured, so the exclusion did not bar coverage; Computer Fraud coverage was inapplicable because it requires "physical loss," and the case was remanded to decide coverage under Forgery and Money & Securities provisions.

Issues

Issue Plaintiff's Argument Defendant's Argument Held
Does the False Pretense exclusion bar Rainforest’s loss? Exclusion applies only to "physical loss or physical damage;" electronic transfer is intangible, so exclusion doesn't apply. The business lost actual, physical control/possession of its money and thus exclusion applies. Ambiguous language; construed for insured — exclusion does not bar coverage.
Is an electronic transfer of bank funds a "physical loss" of "money" under the policy? Electronic funds are intangible and not "physical," so no physical loss occurred. Funds in a bank are "money" and loss of control is effectively a physical loss. Two reasonable interpretations exist; ambiguity resolves in favor of insured — loss not "physical."
Does the Computer Fraud provision cover this loss? (Plaintiff) Computer Fraud covers transfers via computer. (Defendant) Computer Fraud requires "physical loss of or physical damage to 'money'" and is inapplicable if loss is not physical. Not covered — provision requires physical loss and court found loss was not physical.
Are other coverages (Forgery; Money & Securities) available? Forgery and Money & Securities cover losses of money even if non-physical. Defendant preserved denial but argued exclusions apply; district court had denied coverage. Remanded to trial court to determine in the first instance whether those provisions cover the loss.

Key Cases Cited

  • In re Oakley, 344 F.3d 709 (7th Cir. 2003) (treats bank-account funds as interchangeable with tangible money for loss analysis)
  • Robben & Sons Heating, Inc. v. Mid-Century Ins., 74 P.3d 1141 (Or. Ct. App. 2003) (concludes bank-held funds fall within ordinary meaning of "money")
  • Sentience Studio, LLC v. Travelers Ins., 102 Fed. Appx. 77 (9th Cir. 2004) (finds "physical loss" requires tangibility; intangible funds not subject to physical loss)
  • Florists’ Mut. Ins. Co. v. Ludy Greenhouse Mfg. Corp., 521 F. Supp. 2d 661 (S.D. Ohio 2007) (holds funds in bank accounts lack physical existence and are not susceptible to physical loss)
Read the full case

Case Details

Case Name: Rainforest Chocolate, LLC v. Sentinel Insurance Company, Ltd.
Court Name: Supreme Court of Vermont
Date Published: Dec 28, 2018
Citations: 204 A.3d 1109; 2018 VT 140; 2018-095
Docket Number: 2018-095
Court Abbreviation: Vt.
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