3:19-cv-01667
S.D. Cal.Mar 19, 2021Background
- Sentynl Therapeutics marketed two FDA‑classified opioid products during the policy period: Levorphanol and Abstral.
- US Specialty Insurance Co. (USSI) issued a Directors & Officers/Organization liability policy (1/31/2018–1/31/2019) that excludes "Loss in connection with a Claim arising out of ... any goods or products ... marketed [by] the Insured Organization."
- The U.S. Attorney’s Office Opioid Task Force served subpoenas requesting documents about Sentynl’s promotion, marketing, distribution, and related payments tied largely to Levorphanol (and later Abstral).
- Sentynl sought coverage for defense costs; USSI denied coverage, invoking the Goods and Products Exclusion.
- Sentynl sued for breach of contract, bad faith, and declaratory relief; both parties moved for summary judgment on whether the exclusion barred coverage for the Investigation.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Scope of “arising out of” in a products/goods exclusion | "Arising out of" should be read narrowly—limited to product‑liability style claims; otherwise exclusion would eliminate meaningful insurance for a product company | Under California law the phrase is broad: "originating from, growing out of, flowing from" and is not limited to defective‑product theories | Court: "Arising out of" is broad and unambiguous; not limited to products‑liability theories (adopts broad construction) |
| Whether the Opioid Task Force Investigation is a Claim "arising out of" Sentynl's products | The Investigation is not a products claim and seeks coverage for defense costs | The Investigation targets allegedly unlawful marketing/distribution tied to the opioids’ addictive properties and thus originates from Sentynl’s products | Court: Undisputed facts show the Investigation arises out of Sentynl’s opioid products; exclusion applies; USSI entitled to summary judgment |
| Effect of Electronic Purification and concern that exclusion would "eliminate practically all meaningful insurance" | The exclusion should be limited by precedent (Electronic Purification) to avoid sweeping away coverage for routine business activities | The Policy’s caption and the unambiguous phrase "arising out of" control; activities unrelated in origin to products remain covered | Court: Electronic Purification is distinguishable; difference between acts merely related to doing business and acts that originate from the products; Sentynl’s activity here originates from its opioid products |
Key Cases Cited
- Fibreboard Corp. v. Hartford Accident & Indemnity Co., 16 Cal. App. 4th 492 (1993) (defines the "core factual nucleus" test for "arising out of")
- Continental Cas. Co. v. City of Richmond, 763 F.2d 1076 (9th Cir. 1985) (construed "arising out of" as unambiguous and broadly phrased)
- Travelers Prop. Cas. Co. of Am. v. Actavis, Inc., 16 Cal. App. 5th 1026 (2017) (marketing‑based opioid claims found to "arise out of" the opioids even without defect allegations)
- Ins. Co. of N. Am. v. Electronic Purification Co., 67 Cal. 2d 679 (1967) (interpreting scope of a "Products Hazard" exclusion where caption and text limit application)
- MacKinnon v. Truck Ins. Exchange, 31 Cal. 4th 635 (2003) (principles of insurance contract interpretation under California law)
- Fireman’s Fund Ins. Cos. v. Atlantic Richfield Co., 94 Cal. App. 4th 842 (2001) ("arising out of" requires more than but‑for causation)
- Atlantic Mutual Ins. v. J. Lamb, Inc., 100 Cal. App. 4th 1017 (2002) (insurer must establish undisputed facts that eliminate potential for liability to avoid defense duty)
