CHOY, Senior Circuit Judge:
This appeal concerns the ability of the district court, sitting in California under diversity jurisdiction, to assert personal jurisdiction and to apply California regulations against a foreign insurance company which was designed not only to indemnify California physicians, but also to avoid the reach of California law. The district court, concluding that personal jurisdiction could be exercised and that the state’s regulations were applicable, granted summary judgment against the insurer. The court also ordered the insurer to pay attorney’s fees under California Insurance Code § 1619. We affirm the grant of summary judgment and the award of attorney’s fees.
I
BACKGROUND
In early 1977, Harold Nachtrieb, attorney for the Sierra-Nevada Memorial Miners’ Hospital (“Hospital”), went to the Cayman Islands to arrange for the formation of the Grass Valley Medical Reimbursement Fund, Ltd. (“Fund”). The purpose of the Fund was to provide self-funding indemnity insurance for doctors at the Hospital. Approximately twenty-two of the Hospital’s physicians were insured by the Fund. The Hospital is located in Nevada City, California. The insureds are California residents. Among those insured was Dr. C.G. McClure.
The Fund was carefully and deliberately established to appear to be doing business only in the Cayman Islands. The Fund was incorporated in the Cayman Islands, where it maintains its sole office. Its directors meetings are held there. All transactions and communications (e.g. the issuance and delivery of the policy, the payment of premiums and claims) are conducted in the Cayman Islands. The insureds work through an attorney-in-fact or agent in the Cayman Islands. The Fund contends that it does not solicit business or advertise in California. By this elaborate structure, the Fund deliberately intended to avoid California insurance regulations, while at the same time, providing physicians at the Hospital with malpractice insurance.
The Fund contends that the type of insurance that it provides is a form of self-funding reimbursement, or indemnity, insurance. Premiums from the California doctors are the sole source of funds to pay out claims. The Fund is obligated to pay only if the doctor has first paid pursuant to a judgment or if the Patient Care Committee of the Grass Valley Medical Quality Association (“Association”) (a unit of the Hospital under which staff physicians were organized) has approved a settlement.
The insurance contract provides that it would be governed by Cayman Island law. However, disputes between the insured and the Fund are to be determined in arbitration, following California arbitration law.
In 1978, the plaintiff’s wife, Jean Hais-ten, commenced a malpractice action against Dr. McClure and ultimately was awarded $185,000 in binding arbitration. In 1983, Dr. McClure filed for bankruptcy, and was granted discharge from his obligation to Mrs. Haisten. The plaintiff, Mitchell Haisten, administrator of his now deceased wife’s estate, brought action against the Fund for satisfaction of the prior judgment in accordance with California law, which requires the insurer to pay the outstanding judgments of a bankrupt insured. The district court granted Hais- *1396 ten’s motion for summary judgment, and also ordered the Fund to pay attorney’s fees under Cal.Ins.Code § 1619. The Fund appeals.
II
PERSONAL JURISDICTION
A. Standard of Review
Haisten bears the burden of proving by preponderance of the evidence facts which substantiate the exercise of jurisdiction by the district court.
Data Disc, Inc. v. Systems Technology Associates, Inc., 557
F.2d 1280, 1286 n. 2 (9th Cir.1977).
1
A district court’s determination that personal jurisdiction can be properly exercised is a question of law, reviewable
de novo
when the underlying facts are undisputed.
Pacific Atlantic Trading Co. v. M.V. Main Express,
B. The Due Process Test
In order to establish the existence of personal jurisdiction in a diversity of citizenship ease, the plaintiff must show, first, that the state statute of the forum confers personal jurisdiction over the nonresident defendant and, second, that the exercise of jurisdiction accords with federal constitutional principles of due process.
Flynt Distributing Co., Inc. v. Harvey,
It is axiomatic that due process “does not contemplate that a state may make binding a judgment in personam against an individual or corporate defendant with which the state has no contacts, ties, or relations.”
International Shoe Co. v. Washington,
A state may assert either general or specific jurisdiction over a nonresident defendant. If the defendant’s activities in the state are “substantial” or “continuous and systematic,” general jurisdiction may be asserted even if the cause of action is unrelated to those actvities.
Data Disc,
If the defendant’s activities are not so pervasive to subject him to general jurisdiction, then a court may still assert jurisdiction for a cause of action which arises out of the defendant’s forum-related activities. We have established a three-part test for determining whether such limited jurisdiction may be exercised:
1. The nonresident defendant must do some act or consummate some transaction with the forum or perform some act by which he purposefully avails himself of the privilege of conducting activities in the forum, thereby invoking the benefits and protections of its laws.
2. The claim must be one which arises out of or results from the defendant’s forum-related activities.
3. Exercise of jurisdiction must be reasonable.
Pacific Atlantic,
However, recent Supreme Court cases indicate that modification of our three-prong test is appropriate. In particular, within the rubric of “purposeful availment” the Court has allowed the exercise of jurisdiction over a defendant whose only “contact” with the forum state is the “purposeful direction” of a
foreign
act having
effect
in the forum state.
See, e.g., Calder v. Jones,
1. Act Requirement
This case for the most part turns on a finding that the Fund performed some act by which it purposefully availed itself of the privilege of conducting activities in California. The Fund correctly contends that it did everything “humanly possible” to avoid the benefits and protection of California’s laws. It maintains no offices in California. Directors’ meetings and decision-making are conducted outside the state. Moreover, the Fund argues that its policies of insurance have not been solicited, issued, delivered, or paid for in California. In short, no part of the transaction for insurance took place in the forum state.
However, activity by the defendant need not physically take place in the forum state so as to constitute sufficient contact under the due process test. The purposeful availment requirement ensures that a defendant will not be haled into a jurisdiction solely as a result of random, fortuitous, or attenuated contacts, or of the unilateral activity of another party or a third person.
Burger King Corp. v. Rudzewicz,
We look toward the economic reality of the Fund’s activities and conclude that the Fund “purposefully directed” its commercial efforts toward California residents. The substance, not form, of the defendant’s activities is dispositive.
See Southern Machine Company v. Mohasco Industries, Inc.,
According to the contract of insurance, funding for reimbursement made by the Fund is generated exclusively from premiums paid by the members of the Grass Valley Medical Quality Association who are insured by the Fund and the earnings from such premiums. The Fund, then, provides a self-contained plan, whereby premiums from California physicians are disbursed to California physicians who suffer loss due to malpractice liability. Moreover, the district court found that the reason for the Fund’s existence was “for the benefit of California residents; to wit, California doctors.” The Fund presents no evidence which challenges this fact. Indeed, the Fund admits that it was created with the purpose of providing a certain type of indemnity insurance sought by a group of physicians at Sierra Nevada Memorial-Miners Hospital. Thus, despite the formal manner in which the transactions between the Fund and its insureds were conducted, as a matter of commerical actuality and of placing substance over form, we find that the Fund’s outside activity was “purposefully directed” toward participation in the California insurance market.
In addition, the insurance agreement explicitly concerned the indemnification of
California
physicians against liability solely under
California
malpractice law. Thus, the effect in California was not only foreseeable, it was contemplated and bargained for. A defendant who enters into an obligation which she knows will have effect in the forum state purposely avails herself of the privilege of acting in the forum state.
See Calder v. Jones,
The Fund argues that the application of the “purposeful direction” analysis to sustain the exercise of jurisdiction where, as here, there are
no
physical contacts between the forum state and the defendant should be restricted to the products liability area,
see Pacific Atlantic Trading Co. v. M/V Main Express,
We reject this argument and find the application of the foreign-act-with-forum-effect standard appropriate in the insurance context presented by the instant case. As in the products liability area, the state has a manifest interest in providing its residents with a forum for reaching insurance companies who refuse to honor legitimate claims.
See McGee v. International Insurance Co.,
Moreover, the “substantial connection” of a single contract with a forum state,
see, e.g., McGee v. International Life Insurance Co.,
The Fund argues that the mere fact that the insureds who signed the contract happen to be residents of California is insufficient to support jurisdiction. The Fund contends that the decision to practice medicine in California was the insured’s, and that to base jurisdiction on the insured’s choice would “shift the focus of the inquiry from the relationship among the defendant, the forum, and the litigation to that among the plaintiff, the forum, the insure[d] and the litigation.”
Rush v. Savchuk,
Finally, the Fund points to the choice of law provision, which states that the contract is to be “governed under the
*1400
laws of the Cayman Islands, British West Indies.” While this provision should not be ignored in determining purposeful availment, it alone will not suffice to block jurisdiction in California where other facts indicate that the Fund has purposely directed its activities toward insuring California physicians.
See Burger King,
Because the sum and substance of the Fund’s transactions to insure California doctors against loss from medical malpractice exclusively in California indicate that the Fund purposely directed its activities toward California residents, we conclude that the Fund purposely availed itself of the benefit and privilege of conducting activities in California. In light of its substantive connection with California, the Fund should have reasonably anticipated being haled into court there.
2. Arising Out of Forum-Related Activities
Haisten claims that according to California law, the Fund’s contract with Dr. McClure is deemed to include a provision that the insurer must satisfy judgment entered against the insured when the insured is relieved of its obligation through bankruptcy. Thus, Haisten is suing the Fund on the basis of its contract to provide indemnity to the California physician. As discussed above, the Fund’s forum-related activity consists of the contract to indemnify specifically California physicians against loss from California malpractice liability. Because Haisten’s claim arises out of the insurance contract between Dr. McClure and the Fund, which constitutes in substance the Fund’s contact with California, we hold that Haisten meets the second prong of the limited jurisdiction test.
See Pacific Atlantic Trading Co. v. M/V Main Express,
3. Reasonableness
A finding of minimum contacts “may be considered in light of other factors to determine whether the assertion of personal jurisdiction would comport with ‘fair play and substantial justice.’ ”
Burger King,
This circuit has considered reasonableness a separate factor in determining limited personal jurisdiction.
See Pacific Atlantic Trading Co.,
Because we hold that the Fund established minimum contacts with California through its purposefully directed activity of contracting to insure California residents against loss from malpractice liability in California, the Fund must present a compelling case that jurisdiction would be unreasonable.
Burger King,
Purposeful Interjection.
The Fund contends it did not purposefully interject itself into California affairs. Indeed, it argues
*1401
that it intended to avoid California jurisdiction as much as possible. Nevertheless, our finding that the Fund
purposefully directed
its efforts toward California residents militates against use of the purposeful interjection factor on the Fund’s behalf.
Cf. Burger King,
We also note that the Fund’s contact with California consists of more than a single contract with effects in the forum state. The Fund insures at least twenty-two California physicians, and indeed, depends on the premiums paid by those Cai-fornia physicians to provide the funds in the event that indemnity is necessary. Thus, while it may be true that a court should exercise caution in supporting jursi-diction over a foreign defendant for its foreign acts with forum effects,
Pacific Atlantic,
Moreover, an intention to avoid jurisdiction is not the equivalent of an intention to avoid the benefits of the California insurance market. Transactions by the Fund were intentionally constructed to avoid California; nevertheless, they were also intended to provide California doctors with indemnity insurance against loss from malpractice liability in California. It is the direction of its interjection, not its form that is of consequence.
Forum State Interest.
Furthermore, California has a strong interest in providing an effective means of redress for its residents when their insurers refuse to pay claims.
McGee v. International Life Insurance Co.,
The Fund argues that if California wished to avoid the effects of a doctor’s filing for bankruptcy (i.e. the preclusion of recovery by the victim), it could have enacted legislation requiring doctors to carry malpractice liability. However, the state interest involved is not only to provide recovery for malpractice injury; it is also to protect state residents from the unscrupulous behavior of insurance companies, such as the avoidance of paying liability claims through the bankruptcy of a tortfeasor-in-sured, while at the same time benefiting from the income derived from California premiums.
In
McGee,
the insured designated the plaintiff as his beneficiary; California had an interest in providing the plaintiff with a forum against the insurance company for payment under the policy.
Conflict with a Foreign State’s Sovereignty.
The Fund argues that the risk of conflict with a foreign sovereignty is substantial, undermining the reasonableness of personal jurisdiction.
See Pacific Atlantic,
Burden of Defense. The Fund also states that because the distance between the Cayman Islands and California is great, the burden of defense is considerable. However, it gives no evidence as to the extent of that burden. Indeed, the issue in this case is primarily one of law, i.e. whether Section 11580 can be applied to the insurance policy. There is no dispute about the policy terms (as they are written) or the fact that Dr. McClure was insured by the Fund.
Efficiency of Resolution.
Finally, the Fund claims that California would be an inefficient forum, because of the possibility of the unenforceability of a judgment against a foreign corporation. However, the Fund has posted a bond insuring the collectibility of any judgment which Hais-ten may recover. Moreover, there exists no threat that sovereign immunity will bar enforcement of a California judgment against the Fund, since the Fund is a purely private corporation.
Compare Insurance Company of North America v. Marina Salina Cruz,
Because the Fund purposefully directed its activities toward California residents, and because the Fund has not shown a compelling reason that the exercise of jurisdiction in California would be unreasonable, we hold that the district court properly exercised jurisdiction over the Fund.
Ill
APPLICABILITY OF SECTION 11580
Haisten’s substantive claim is that California insurance law requires that the Fund’s contract of insurance with Dr. McClure include “[a] provision that the insolvency or bankruptcy of the insured will not release the insurer from the payment of damages for injury sustained or loss occasioned during the life of such policy.” Cal.Ins.Code § 11580(b)(1) (West Supp. 1985). If applicable, Section 11580 would give Haisten, a third party victim, a right of action against the Fund, in order to satisfy his judgment against Dr. McClure up to the amount of indemnification specified in the policy.
We review a district court’s interpretation of state law
de novo. The Union Central Life Insurance Co. v. Wernick,
The contract of insurance specifies that disputes regarding the contract should be governed under Cayman Island laws. In diversity cases, federal courts apply the conflict-of-law principles of the forum state.
S.A. Empresa de Viacao Aerea Rio Grandense v. Boeing Company,
Section 11580 applies to policies “issued or delivered to any person in” California, which insure “against loss or damage resulting from liability for injury suffered by another person.” Cal.Ins.Code § 11580(a) (1). The district court concluded as a matter of law that the Fund’s issuance and delivery of a policy to Dr. McClure, at the time a California resident, through his attorney-in-fact in the Cayman Islands, constituted issuance and delivery within the meaning of Section 11580. While the Fund complains that this conclusion alone cannot support personal jurisdiction, it does not contest the conclusion itself. Thus, the issue of applicability centers on whether the Fund’s contract to indemnify Dr. McClure against loss (money paid) resulting from a judgment of malpractice liability is within the scope of the statute.
The Fund strongly argues that a distinction exists between indemnity against actual loss and indemnity against liability, and that Section 11580 applies only to the latter. The Fund describes its policies as indemnity against loss, specifically, a reimbursement of sums paid by doctors as a result of malpractice liability. The Fund does not assume the liability; rather, its obligations accrue upon the occurrence of the physicians’ actual loss of property (here, money paid). The Fund argues that to require it to assume liability would collapse true indemnity into liability insurance, not only against public policy, but in contradiction of statutes which provide for the existence of true indemnity insurance.
The Fund, however, neglects the history of statutes like Section 11580, and attempts instead to second guess their purpose and sensibility. The California Supreme Court explained the problem which the predecessor to Section 11580 attempted to address:
Before its enactment, the insolvency of the assured was equivalent in effect to a release of the surety. The policy was one of indemnity against loss suffered by the principal, and loss to him there was none if he was unable to pay.
Hynding v. Home Ace. Ins. Co.,
The Fund argues that such a finding would eliminate indemnity insurance, in effect transforming all indemnitors into liability insurers. However, Section 11580 is limited to policies insuring against loss or damage from “liability for injury suffered by another person ” and from the operation of vehicles. The Fund’s contention that indemnity against loss from liability for property damage would be forbidden is incorrect. While it is true that the statute requires policies to state that “an action based upon ... property damage ... may be brought against the insurer,” the only policies to which this applies are those in *1404 volving personal injury and the operation of vehicles.
The policy behind the statute affirms this interpretation. The statute is aimed not only at giving injured victims a remedy for an insured’s misconduct, but also at preventing insurance companies from avoiding responsibility for the reduced degree of care taken by those whom the company insures. The Supreme Court recognized that someone who is protected by insurance will have in mind a sense of immunity from liability, increasing the possible danger that the insured will exercise a lesser degree of care had he or she not been insured.
Merchants Mutual Automobile Liability Insurance Co. v. Smart,
The Fund argues that because the state does not require doctors to obtain malpractice liability insurance, we should not create such insurance through interpretation of Section 11580. However, interpreting Section 11580 to apply to the indemnity contract in this case does not create mandatory malpractice liability insurance. Doctors are free not to have such insurance. It is only when they do obtain insurance that the statute applies. Indeed, the statute has most often been applied to automobile insurance policies, which are not mandatory in Californa.
The Fund relies heavily on
San Pedro Properties, Inc. v. Sayre & Toso, Inc.,
203 Gal.App.2d 750,
To construe Section 11580 as exempting policies which indemnify insureds for loss (of money) resulting from personal injury liability would allow insurers to escape regulation and thwart clearly articulated and long-standing state interest by careful construction of their insurance transactions. We therefore hold Section 11580 applicable to a policy indemnifying loss from liability for personal injury.
IV
CONSTITUTIONALITY OF APPLYING CALIFORNIA LAW
The Fund contends that the application of Sections 11580 and 1619 of the California Insurance Code to a contract entered into and performed in the Cayman Islands gives unconstitutional extraterritorial effect to California laws. Specifically, the Fund argues that because the Due Process Clause guarantees the right of a state citizen to contract outside his state for insurance on his property and places limits on the ability of a state to control persons and activities outside its borders, state insurance laws cannot serve to rewrite that contract, exposing the company to greater risk and liability for attorney’s fees.
The constitutionality of applying California’s insurance statutes to a contract of insurance transacted outside the state is a question of law, which this court may review
de novo. See United States v. McConney,
*1405
Under the Due Process Clause, a state may not restrict or control the obligation of contracts executed and to be performed outside of the state.
Alaska Packers Assn. v. Industrial Accident Commission of California,
The case at bar is analogous to Watson to the extent that we are presented with an insurance contract with intended effects in California. Indeed, Haisten’s case is stronger because the contract concerns the practice of medicine specifically in California. In Watson, the policy covered transitory risks, i.e. tort liability which might have occurred anywhere in the United States or Canada.
Moreover, California’s interest in ensuring that tort victims be able to reach insurers on a contract to insure services provided in the state is a strong factor supporting California’s power to regulate.
See Hoopeston Canning Co. v. Cullen,
While California has not sought to prohibit the making of insurance contracts beyond its borders, it claims an interest in the risks attendant to these contracts which affect specifically California residents and the provision of services specifically in California.
See Osborn v. Ozlin,
The Fund argues that California law should not apply because the Fund does not “do business” in California. However, as we have shown above the formalities of contract formation and execution are not dispositive where the substance and circumstances surrounding the transaction indicate that a company is doing business in the regulating state.
See Hoopeston Can
*1406
ning Co.,
Moreover, the test is not whether a foreign party does business in the regulating state, but rather, whether there is a sufficient connection between the object regulated and the forum state.
See Hartford Accident and Indemnity Co. v. Delta and Pine Land Co.,
The Fund points to a line of cases in which the Supreme Court has invalidated the application of a forum state’s law to contracts made wholly outside of the state’s borders.
See, e.g., State Board of Insurance v. Todd Shipyards,
Thus, in light of the strong state interest in regulating insurance which concerns the “lives and limbs” of the public, and the fact that the intended object of the Fund’s activities is to provide and profit from the sale of such insurance in California, we conclude that the application of Section 11580 to the Fund’s contract of insurance is constitutional.
V
APPLICABILITY OF SECTION 1619
The district court awarded attorney’s fees pursuant to Gal.Ins.Code § 1619 which provides that attorney’s fees may be awarded if an insurer has “failed for thirty days after demand prior to the commencement of the action to make payment in accordance with the terms of the contract, and it appears to the court that such refusal was vexatious and without reasonable cause.”
See Songer v. State Farm Fire & Casualty Co.,
VI
CONCLUSION
The district court judgment, including the award of attorney’s fees, is AFFIRMED.
Notes
. Haisten argues that he need only establish a prima facie case supporting in personam jurisdiction, citing
Pacific Atlantic Trading Company v. M/V Main Exp.,
. The Fund presented evidence challenging any assertion by Haisten that any physical part of the insurance transaction occurred in California. Therefore, to prevail in this appeal of a grant of summary judgment, Haisten must show the existence of personal jurisdiction for reasons apart from the formal transaction.
. In
Coleman v. New Amsterdam Casualty Co.,
the defendant insurer issued a policy of insurance “indemnifying the assured against loss from the liability imposed by law ... as a result of any error or mistake ... in the preparation of drugs or medicines or in filling any prescription or order for the same.”
. Under Louisiana law, contracts of insurance were deemed to include a provision which allowed a tort victim to bring an action directly against an insurer without first obtaining judgment against the tortfeasor. While the case at bar does not concern a so called "direct action” statute, it nevertheless deals with a similar provision, which allows residents to sue insurers in California where tortfeasors are insolvent or bankrupt.
