21-55370
9th Cir.Mar 9, 2022Background
- Sentynl Therapeutics, an opioid drug maker, received federal subpoenas (2018–2019) in an investigation into illegal profits from opioids.
- Sentynl sought reimbursement under its directors, officers and organization (D&O) policy issued by U.S. Specialty for costs of complying with the subpoenas.
- U.S. Specialty denied the claim based on a policy exclusion for "Loss in connection with a Claim arising out of ... any goods or products manufactured, ... sold, marketed, distributed ... by [Sentynl]."
- Sentynl sued for breach of contract and breach of the implied covenant of good faith; the district court granted summary judgment for U.S. Specialty.
- The Ninth Circuit reviewed de novo and affirmed, holding the subpoena-compliance costs were excluded because the subpoenas arose out of Sentynl’s opioid products.
Issues
| Issue | Plaintiff's Argument | Defendant's Argument | Held |
|---|---|---|---|
| Are subpoena-compliance costs covered despite the goods/products exclusion? | Subpoenas are investigatory, not claims "arising out of" products. | Subpoenas target companies in the opioid market and therefore arise from Sentynl’s products. | Exclusion applies; costs not covered. |
| How should "arising out of" be interpreted? | Ambiguous; exclusion should be narrowly construed against insurer (Partridge). | Phrase is broad and excludes risks with even a slight connection. | "Arising out of" is broad, not ambiguous; construed to mean originating from/flowing from. |
| Does the exclusion require a product defect or characteristic? | Exclusion should be limited to defects/characteristics of the product. | Exclusion covers broader connections, including marketing/statements about products. | Exclusion is not limited to defects; it reaches claims about what seller said/did about products. |
| Does the exclusion render coverage illusory? | A broad exclusion eliminates meaningful coverage. | Exclusion does not eliminate all coverage; other claim types remain covered. | No; exclusion does not render coverage illusory because it does not wipe out all policy coverage. |
Key Cases Cited
- Trishan Air, Inc. v. Federal Ins. Co., 635 F.3d 422 (9th Cir. 2011) (standard of de novo review for summary judgment issues in insurance disputes)
- Continental Cas. Co. v. City of Richmond, 763 F.2d 1076 (9th Cir. 1985) (defines "arising out of" broadly as originating from/flowing from)
- Southgate Recreation & Park Dist. v. Cal. Assn. for Park & Recreation Ins., 106 Cal. App. 4th 293 (Cal. Ct. App. 2003) (California treats "arising out of" as requiring only a slight connection)
- State Farm Mut. Auto. Ins. Co. v. Partridge, 514 P.2d 123 (Cal. 1973) (ambiguities in exclusions are construed narrowly against insurer)
- Travelers Prop. Cas. Co. of Am. v. Actavis, Inc., 16 Cal. App. 5th 1026 (Cal. Ct. App. 2017) (goods/products exclusion can cover claims about seller representations and marketing)
- Los Angeles Lakers, Inc. v. Federal Ins. Co., 869 F.3d 795 (9th Cir. 2017) (give effect to parties' intent in light of broad exclusions)
- Safeco Ins. Co. of Am. v. Robert S., 28 P.3d 889 (Cal. 2001) (coverage is only illusory if an exclusion entirely eliminates coverage)
- Giles v. Gen. Motors Acceptance Corp., 494 F.3d 865 (9th Cir. 2007) (standard for predicting how state high court would decide unsettled state-law issues)
