This matter was referred to the undersigned United States Magistrate Judge pursuant to the provisions of 28 U.S.C. § 636(c)(1) and Rule 72 of the Rules of the United States District Court for the Eastern District of Virginia.
I. PROCEDURAL BACKGROUND
On September 21, 2000, the Court heard argument on the motion of U.S. Specialty Insurance Company (“U.S.Specialty”) for summary judgment pursuant to Federal Rule of Civil Procedure 56(b). Albert M. Orgain, IV, Esq. represented U.S. Specialty. Joseph Gawrys, Esq. represented Skymaster of Virginia, Inc. (“Skymaster”) and Gary Howard Johnson Poulin (“Mr.Poulin”). Carl R. Stone, Esq. represented Jane Ann Poulin, Ginger Marie Poulin, Eric Andrew Poulin and Ruth Hodges. The Official Court Reporter was Diane Gray.
U.S. Specialty filed a Petition for Declaratory Judgment on January 19, 2000 alleging that Mr. Poulin and Skymaster fraudulently misrepresented and concealed information pertinent and material to the issuance of an insurance policy, and failed to cooperate with U.S. Specialty following a loss. U.S. Specialty seeks a declaratory judgment that the insurance policy at issue affords no coverage of any kind to Sky-master or others, and that the insurance policy is void.
On August 22, 2000, U.S. Specialty filed a Motion for Summary Judgment (“Motion”). Skymaster and Mr. Poulin filed an opposition to the motion (“Skymaster Opposition”) with an affidavit (“Poulin Affidavit”) in support on September 5, 2000 to which U.S. Specialty replied on September 13, 2000. The remaining defendants filed an opposition to the motion on September 8, 2000 to which U.S. Specialty replied on September 18, 2000. A hearing was held on September 21, 2000 before the undersigned, and the Court heard argument on the motion for summary judgment.
After a review of the memoranda submitted by the parties, and the applicable statutory and case law, the Court ORDERS that U.S. Specialty’s Motion for Summary Judgment is GRANTED.
II. FACTUAL BACKGROUND
Skymaster is a Virginia corporation which was formed for the purpose of owning a 1973 Cessna 3376 aircraft (“Aircraft”). Complaint ¶ 2. On June 12, 1998, Mr. Poulin, the secretary-treasurer of Sky-master and one of its shareholders, applied for insurance on the Aircraft. Complaint Exhibit B. The application was forwarded to U.S. Specialty which issued an insurance policy (“Policy”) on the Aircraft for June 12, 1998 through June 12, 1999. Complaint Exhibit A. The Policy covered property damage, personal injury liability, and medical payments. Mr. Poulin crash landed the Aircraft on August 9, 1998. Complaint ¶ 14. Jane Ann Poulin, Ginger Marie Poulin, Eric Andrew Poulin and Ruth Hodges were passengers in the Aircraft at the time of the crash. Complaint ¶ 16. Mr. Poulin as well as some of the passengers sustained substantial injuries, and the Aircraft sustained substantial damage. Complaint ¶¶ 15-16.
Following the crash, Federal Aviation Administration (“FAA”) inspectors examining the crash site found prescription medication for Mr. Poulin, including insulin. Motion Exhibit 9, pp. 189, 193. The Policy issued by U.S. Specialty required Mr. Poulin and Skymaster to submit to an examination under oath in the event of an accident or occurrence. Complaint Exhibit A, p. 4. Mr. Poulin was examined under oath on July 21, 1999, and refused to answer several questions by asserting his Fifth Amendment privilege to prevent self-incrimination. Motion Exhibit 2. Many of the questions which Mr. Poulin refused to answer pertained to his diabetic condition and his Federal Aviation Administration
Mr. Poulin was deposed on August 1, 2000, and the following information was discovered. Motion Exhibit 9. Mr. Poulin was diagnosed with diabetes mellitus in 1987, and has suffered from the disease ever since. Poulin Affidavit ¶ 1. Mr. Pou-lin went to Dr. Royer, an FAA Medical Examiner, to have his FAA Third Class Medical Certificate renewed in May of 1996 and May of 1998. Poulin Affidavit ¶ 4; Skymaster Opposition p. 3. Pilots over the age of forty must have their Third Class Medical Certificate renewed every two years. See 14 C.F.R. § 61.3(c)(1). Even though Mr. Poulin had an established medical history of diabetes mellitus which required insulin or some other type of hypoglycemic drug to control the condition, he did not disclose this information to Dr. Royer in May of 1996 or May of 1998. Skymaster Opposition p. 3; Motion Exhibit 1, ¶¶ 2, 4; Exhibit 4, ¶ 11. Further, he did not disclose this information on the application forms for renewal of the certificate, which specifically asked whether the applicant suffered from diabetes. Motion Exhibit 9, pp. 185-88. Skymaster Opposition p. 3 and Exhibit 3. Mr. Poulin’s Third Class Medical Certificate was renewed on both occasions.
Mr. Poulin was using insulin or some other hypoglycemic drug to control his diabetes on August 9, 1998, the date of the crash. Following the crash, the FAA required Mr. Poulin to surrender his Medical Certificate or face a legal enforcement ac1 tion. Complaint Exhibit C. Mr. Poulin subsequently applied for a Medical Certificate with a waiver attached due to his diabetic condition, and the application was denied. Motion Exhibit 7; Motion Exhibit 9, pp. 193-97.'
At the time of the crash, Mr. Poulin was the secretary-treasurer of Skymaster, and one of its shareholders. Motion Exhibit 2, p. 7. Mr. Poulin is now the sole shareholder of Skymaster. Motion Exhibit 1 ¶ 16.
III. MOTION FOR SUMMARY JUDGMENT
Under Rule 56 of the Federal Rules of Civil Procedure, summary judgment should be granted only if “there is no genuine issue as to any material fact and the ... moving party is entitled to judgment as a matter of law.” Fed.R.Civ.P. 56(c).' For the evidence to present a “genuine” issue of material fact, it must be “such that a reasonable jury could return a verdict for the non-moving party.”
Anderson v. Liberty Lobby, Inc.,
In deciding a summary judgment motion, the court must view the record as a whole and in the light most favorable to the non-moving party.
Terry’s Floor Fashions, Inc. v. Burlington Indus., Inc.,
Rule 56 mandates a grant of summary judgment against a party who “fails to make a showing sufficient to establish the existence of an element essential to that party’s case and on which that party will bear the burden of proof at trial.”
Celotex, 477
U.S. at 322,
When a motion for summary judgment is made and supported by affidavits as provided for in Rule 56, an adverse party may not rest upon mere allegations or denials of the moving party’s pleadings. Rather, the rule requires the nonmoving party’s response, by affidavits or as otherwise provided for in Rule 56, to set forth specific facts showing that there is a genuine issue for trial. If the adverse party does not so respond, summary judgment, if appropriate, should be entered against the nonmoving party. Fed.R.Civ.P. 56(e);
Atkinson v. Bass,
In addition, the opposing party is entitled under Rule 56(f) to set forth in an affidavit reasons why he is presently unable to present by evidentiary affidavit facts essential to justify his opposition. Fed.R.Civ.P. 56(f);
Atkinson,
With these controlling principles in mind, the Court turns to the merits of the motion for summary judgment.
IV. ANALYSIS
A. Requirement that Pilot Possess a Current and Proper Medical Certificate
It is undisputed that the Policy excludes coverage of the pilot, the. passengers, and the Aircraft if the pilot does not have a current and proper medical certificate. Following are the pertinent sections of the insurance policy issued by U.S. Specialty. See Complaint Exhibit A. The “Coverage Identification Page” of the Policy states at Item 9,
The aircraft must be operated in flight only by a person shown below, who must have a current and proper (1) medical certificate and (2) pilot certificate with necessary ratings required by the FAA for each flight. There is no coverage under the policy if the pilot does not meet these requirements.
Part One of the Policy entitled “General Provisions and Conditions” states in paragraph 3:
You must make certain that the pilot operating the aircraft in flight meets the requirements shown in Item 9 of the Coverage Identification Page. There is no coverage under the policy if the pilot does not meet these requirements.
Part Two of the Policy entitled “Aircraft Physical Damage” states in paragraph 4(a):
We will not pay for physical loss of or damage to your aircraft ... unless the requirements of the Coverage Identification Page regarding Pilots (Item 9) and Use (Item 10) are met; ...
Part Three of the Policy entitled “Liability to Others” states in paragraph 4(a):
We do not cover any ... bodily injury or property damage unless the requirements of the Coverage Identification Page regarding Pilots (Item 9) and Use (Item 10) are met; ...
1. Mr. Poulin Did Not Possess a Current and Proper Medical Certificate
Mr. Poulin’s medical certificate was not current and proper due to the misrepresentations made- to Dr. Royer regarding his diabetic condition and his failure to disclose his condition on the medical certificate renewal form.
The general medical standards for a third-class airman medical certificate are defined in 14 C.F.R. § 67.313. The first medical standard addressed is: “(a) No established medical history or clinical diagnosis of diabetes mellitus that requires insulin or any other hypoglycemic drug for control.” Mr. Poulin has admitted that he did not disclose his diabetic condition or the fact that he was taking insulin to control his diabetes to Dr. Royer; or, disclose his diabetic condition on the forms for renewal of his medical certificate up to and including the renewal of his certificate on May 21,1998.
In
Ranger Insurance Company v. Bowie,
[t]he “pilot clause” in this case clearly contemplates a Valid medical certificate, one which has been granted on the basis of health deemed suitable by the Federal Aviation Administration for the command of an aircraft, not one granted upon the basis of a fraudulent misrepresentation .... Merely the fact that it had not been canceled by the FAA does not make the medical certificate valid. Since the medical certificate was not valid, the plane was not piloted by a person who qualified under the “pilot clause” of the policy.
Id. at 542. Similarly, Mr. Poulin did not possess a “proper and current” medical certificate on the date of the accident as required by the U.S. Specialty Policy.
Due to Mr. Poulin’s repeated misrepresentations when renewing his medical certificate, the medical certificate he possessed on the date of the crash was not proper and current as required by the U.S. Specialty Policy. Further, Mr. Poulin applied for a medical certificate with a waiver for his diabetic condition following the crash, and his application was denied. Because Mr. Poulin did not hold a current and proper medical certificate at the time of the accident, there was no coverage for injuries suffered by Mr. Poulin and the passengers, or for damage to the Aircraft under the terms of the Policy.
See United States Fire Insurance Company v. Producciones Padosa, Inc.,
2. Exclusion is Permitted Under Virginia Code § 38.2-2227
Defendants argue that U.S. Specialty cannot deny coverage under the Policy based on the requirement of a current and proper medical certificate due to a Virginia statute enacted in 1970 entitled “Aircraft liability policy not to deny coverage for violation of federal or civil regulations, etc.; permitted exclusions or conditions”:
No insurance policy issued or delivered in this Commonwealth covering loss, expense, or liability arising out of the loss, maintenance, or use of an aircraft shall act to exclude or deny coverage because the aircraft is operated in violation of federal or civil regulations or any state or local ordinance. This section does not prohibit the use of specific exclusions or conditions in any policy that relates to any of the following:
1. Certification of an aircraft in a stated category by the Federal Aviation Administration;
2. Certification of a pilot in a stated category by the Federal Aviation Administration;
3. Establishing requirements for pilot experience; or
4. Restricting the use of the aircraft to the purposes stated in the policy-
Virginia Code § 38.2-2227. Whether possessing a current and proper medical certificate is part of the “certification of a pilot in a stated category by the Federal Aviation Administration” is an issue of first impression in Virginia.
The FAA regulations at issue are codified in § 61.3 of the Code of Federal Regulations entitled “Requirement for certificates, ratings, and authorizations.” Subsection (a) Pilot Certificate states, “a person may not act as pilot in command or in any other capacity as a required pilot flight crewmember of a civil aircraft of U.S. registry, unless that person has a valid pilot certificate or special purpose pilot authorization issued under this part-” Subsection (c) Medical Certificate states, “a person may not act as pilot in command or in any other capacity as a required pilot flight crewmember of an aircraft, under a certificate issued to that person under this part, unless that person has a current and appropriate medical certificate.... ” The remaining subsections refer to the following: (c) pilot certificate for operating a foreign-registered aircraft, (d) flight instructor certificate, (e) instrument rating, (f) category II pilot authorization, (g) category III pilot authorization, (h) category A aircraft pilot authorization, (i) ground instructor certificate, (j) age limitation for certain operations, (k) special purpose pilot authorization, and (Z) inspection of certificate. The structure of the regulation does not help clarify what is meant by “certification in a stated category.” It appears that for a pilot to meet all requirements of a pilot in command of an aircraft, that pilot must have a pilot certificate, medical certificate, the appropriate instrument rating depending on weather conditions, and the appropriate authorization for the type of aircraft and operations to be undertaken. A reasonable interpretation of the regulation is that a pilot must qualify under several of the subsections to be properly certified in a stated category.
Georgia has enacted a statute identical to Virginia Code § 38.2-2227.
See
O.C.G.A. § 33-24-30 (1982). The Middle District of Georgia has addressed the issue in this case, and determined that for a pilot to be “validly certified at all,” he must have a proper medical certificate.
Monarch Insurance Company of Ohio v. Polytech Industries, Inc.,
[t]he coverage afforded by this policy shall not apply unless the aircraft is operated in flight by the following pilots warranted they hold valid and effective pilot and medical certificates with ratings as required by the Federal Aviation Administration for the flight involved ....
Monarch Insurance Company of Ohio v. Polytech Industries, Inc.,
The Court found that the above policy provision was permitted by the statute’s authorization of exclusions for “establishing requirements for pilot experience” and “[certifying] a pilot in a stated category by
California has a statute similar to Virginia Code § 38.2-2227 which prohibits exclusions or denial of coverage for losses “arising out of the ownership, maintenance, or use of an aircraft ... operated in violation of federal or civil air regulations.”
See Threlkeld v. Ranger Insurance Company,
Skymaster argues that the statute only allows an exclusion of coverage for failure to possess a pilot certifícate, and that a medical certificate is a separate certificate not included in the pilot certificate. Skymaster cites three cases holding provisions in insurance contracts which require a valid pilot’s certificate do not require a current medical certificate.
See Royal Indemnity Company v. John F. Cawrse Lumber Company,
The Georgia cases discussing a statute identical to Virginia Code § 38.2-2227 are
B. Causal Connection
Next, Skymaster asserts that in order for U.S. Specialty to void the policy, there must be a causal connection between the loss and the associated insurance policy exclusion.
See
Skymaster Opposition p. 17. The Supreme Court of Virginia rejected plaintiffs argument that there must be a causal connection between the automobile insurance policy exclusion and the loss in
Holland Supply Corporation v. State Farm Mutual Automobile Insurance Company,
[t]his action is not based upon tort, in which one of the determinate factors is proximate cause, but upon contract. This contract does not purport to cover all operations of the truck insured. There are several operations which are expressly excluded; namely, ... (2) While the truck is being operated by any person in violation of law as to driving license.
The premiums paid for insurance are, in a large measure, based upon the fact that the policy does not cover certain more hazardous risks.
Id.,
Similarly, in
Mutual Benefit Health and Accident Association v. Alley,
The Fourth Circuit has addressed the issue of causal connection in two appeals from the Western District of Virginia.
See Provident Life & Accident Ins. Co. v. Eaton,
Skymaster cited one Virginia case requiring a causal connection between the policy exclusion and the death of the insured.
Metropolitan Life Insurance Co. v. Goodwin,
C. Virginia Code § 38.2-2226 Notice Requirement
Jane Ann Poulin, Ginger Marie Poulin, Eric Andrew Poulin, and Ruth Hodges assert that U.S. Specialty failed to give them notice of its intention to rely on a breach of the terms or conditions of the Policy within 45 days after discovery of the breach as required by Virginia Code § 38.2-2226. They contend U.S. Specialty has waived the defense of breach of the Policy as to their claims.
Virginia Code § 38.2-2226 states in pertinent part:
Whenever any insurer on a policy of liability insurance discovers a breach of the terms or conditions of the insurance contract by the insured, the insurer shall notify the claimant or the claimant’s counsel of the breach. Notification shall be given within forty-five days after discovery by the insurer of the breach or of the claim, whichever is later.... Failure to give the notice within forty-five days will result in a waiver of the defense based on such breach to the extent of the claim by operation of law.
The uncontradicted assertion at the summary judgment hearing was that Jane Ann Poulin, Ginger Marie Poulin, Eric Andrew Poulin, and Ruth Hodges had not filed a proof of claim with U.S. Specialty. The only Proof of Claim filed was filed by Skymaster for damage to the Aircraft. See also Motion Exhibit 9, p. 165. Counsel for Jane Ann Poulin, Ginger Marie Poulin, Eric Andrew Poulin, and Ruth Hodges stated that they have filed a suit in state court against Mr. Poulin and Skymaster. However, they have not yet served Mr. Poulin or Skymaster with that action.
Therefore, the 45 day notification period had not begun to run as of the date of the summary judgment hearing, and U.S. Specialty has not waived any defense based on Mr. Poulin’s breach of the Policy.
U.S. Specialty has asserted two additional claims in support of its motion for summary judgment: the Policy was breached due to Skymaster’s failure to cooperate with the investigation following the crash, and the defendants are not entitled to coverage based on the common law maxim that no person should be permitted to profit by his own wrong. Because summary judgment is granted on the basis of Mr. Poulin’s failure to possess a current and proper medical certificate, it is not necessary to address these additional arguments.
V. ORDER
For the foregoing reasons, the Court orders that U.S. Specialty’s Motion for Summary Judgment is hereby GRANTED.
The Clerk shall mail a copy of this Order to all counsel of record.
