Old Republic Insurance v. Griffin ( 2005 )


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  •                    FOR PUBLICATION
    UNITED STATES COURT OF APPEALS
    FOR THE NINTH CIRCUIT
    OLD REPUBLIC INSURANCE COMPANY,             No. 03-16671
    Plaintiff-Appellee,           D.C. No.
    v.                         CV-02-00252-LRH
    ROBERT GRIFFIN,
    Defendant-Appellant,              ORDER
    CERTIFYING A
    and                          QUESTION TO
    THE SUPREME
    LOIS JENSEN,                                  COURT OF
    
    Defendant.            NEVADA
    Filed March 16, 2005
    Before: Dorothy W. Nelson, William A. Fletcher and
    Raymond C. Fisher, Circuit Judges.
    ORDER
    We respectfully certify to the Nevada Supreme Court the
    question of law set forth in Section III of this order, pursuant
    to Nevada Rule of Appellate Procedure 5. The question of law
    will be determinative of the matter pending before this court,
    and there is no clearly controlling precedent in the decisions
    of the Nevada Supreme Court.
    All further proceedings in this case are stayed pending
    receipt of the answer to the certified question. This appeal is
    withdrawn from submission and will be submitted after
    receipt of the Nevada Supreme Court’s opinion on the ques-
    tion certified. This panel retains jurisdiction over further pro-
    ceedings in this court. The parties will notify the Clerk of this
    court within one week after the Nevada Supreme Court
    3307
    3308           OLD REPUBLIC INSURANCE v. GRIFFIN
    accepts or rejects the certification and again within one week
    after that court renders its opinion.
    I.   Background
    In September 2001, Kevin Jensen was piloting a plane and
    approaching the runway of the Carson City Airport when his
    plane crashed in the backyard of appellant Robert Griffin, pin-
    ning Griffin down and causing him to sustain severe injuries.
    His medical expenses topped $200,000. Jensen had purchased
    the plane only a few months earlier and had bought insurance
    through Old Republic Insurance Company.
    In April 2002, Griffin filed suit in state court against Jensen
    and his wife, seeking recovery for damages from the crash.
    Shortly thereafter, Old Republic filed an action for a declara-
    tory judgment that it had no obligation to pay any damages to
    Griffin or Jensen because the accident was excluded from
    coverage. Specifically, the company alleged that because Jen-
    sen failed to have an annual inspection performed on the air-
    craft as required by the airworthiness provisions of the policy,
    the accident was excluded from coverage. Griffin argued, in
    turn, that the airworthiness exclusion was unreasonable and
    could not be interpreted to require an annual inspection. He
    also contended that Nevada law supported adopting a causal
    connection requirement, thus permitting coverage exclusion
    only if the failure to comply with the policy led to the acci-
    dent.
    Old Republic’s policy does not cover the aircraft when “the
    Airworthiness Certificate of the aircraft is not in full force and
    effect” or “the aircraft has not been subjected to appropriate
    airworthiness inspection(s) as required under current applica-
    ble Federal Air Regulations for the operations involved.” Jen-
    sen had initialed a clause in the application stating that there
    would be no coverage “unless a standard airworthiness certifi-
    cate is in full force and effect.”
    OLD REPUBLIC INSURANCE v. GRIFFIN                  3309
    Further, the aircraft purchase agreement also required the
    buyer to acknowledge “that he or his authorized mechanics/
    agents, have fully inspected the described aircraft, related air-
    worthy paperwork, log books, etc. and have determined that
    this aircraft is in airworthy condition.” Jensen signed a deliv-
    ery and acceptance agreement indicating that he had complied
    with the requirements described above.
    The certificate remains in full force and effect as long as
    the plane complies with FAA maintenance regulations. See 14
    CFR § 21.181 (stating that “[s]tandard airworthiness certifi-
    cates issued for restricted or limited category aircraft are
    effective as long as the maintenance, preventive maintenance,
    and alterations are performed in accordance with Parts 43 and
    91 of this chapter and the aircraft are registered in the United
    States”). Specifically, “no person may operate an aircraft
    unless, within the preceding 12 calendar months, it has had
    . . . an annual inspection in accordance with . . . this chapter.”
    See 14 CFR § 91.409. Under FAA regulations, another annual
    inspection was required by July 31, 2001. It is undisputed that
    at the time of the crash, the plane had not been inspected for
    more than 12 months. The plane’s logbook revealed that the
    last inspection had been conducted on July 13, 2000. Thus,
    Jensen was in violation of the insurance policy at the time of
    the crash.
    It is unclear whether the annual inspection might have pre-
    vented the crash. Jensen speculated that the accident was
    caused by sediment that clogged the fuel lines and prevented
    fuel from feeding the engine. The National Transportation
    Safety Board, in its accident report, determined that the prob-
    able cause of the crash was “[t]he pilot’s incorrect setting of
    the fuel selector valve during the prelanding checklist to a
    position between usable tanks, resulting in fuel starvation.”1
    1
    Should a causal connection be required, resolution of relevant disputed
    facts would be the province of the finder of fact in the district court.
    3310              OLD REPUBLIC INSURANCE v. GRIFFIN
    Old Republic moved for summary judgment, which the dis-
    trict court granted. The court concluded that the policy exclu-
    sion was unambiguous and that a “lay person would
    reasonably expect after reading the exclusion (both in the
    application and policy) that coverage would be denied if the
    airworthiness certificate was not in effect, regardless of
    whether the insured had knowledge that it was not in effect.”
    On the issue of causality, the court ruled as a matter of first
    impression that Nevada law did not call for such a require-
    ment. It noted the strong public policy considerations of
    enforcing an airworthiness provision, whether or not it was
    causally related to the crash. The court concluded that the
    “clear purpose behind these exclusions . . . is to encourage the
    safe operation of aircraft. . . . Enforcement of such a provision
    serves to encourage compliance with the Federal Aviation
    Regulations, which serve an important safety function.”
    On appeal to this court, Griffin challenged the interpreta-
    tion of the airworthiness exclusion provision and argued that
    Nevada law compelled a causal connection requirement
    between the policy exclusion and the reason for the accident.
    We affirm the district court’s conclusion that the policy exclu-
    sion at issue here is unambiguous and is properly interpreted
    to include an annual inspection. Therefore, the question of
    causation will be determinative of the appeal.2
    II.    Discussion
    Appellant argues that Old Republic is trying to use an
    inconsequential violation — failure to meet the airworthiness
    standard by not conducting an annual inspection — to avoid
    its obligations under the policy. The question of whether cau-
    sality is a required element to deny coverage is a matter of
    2
    Should a causal connection be required, we would then remand the
    case to the district court for a trial to determine causation. See 
    n.1, supra
    .
    If no causal connection is required, we would affirm the judgment of the
    district court in full.
    OLD REPUBLIC INSURANCE v. GRIFFIN                3311
    first impression in Nevada, as recognized by the district court.
    The court reasoned that the Nevada Supreme Court would
    reject such a requirement, based on the state’s public policy
    interests and the practice of other jurisdictions.
    As a starting matter, Nevada statutory and case law do not
    clearly indicate whether the state Supreme Court would
    impose such a requirement on insurers. Appellant claims that
    Nevada law supports a causal connection requirement, relying
    in part on Nevada’s insurance code, which contains an anti-
    technicality provision. N.R.S. 687B.110. Under the provision:
    All statements and descriptions in any application
    for an insurance policy or annuity contract, by or in
    behalf of the insured or annuitant, shall be deemed
    to be representations and not warranties. Misrepre-
    sentations, omissions, concealment of facts and
    incorrect statements shall not prevent a recovery
    under the policy or contract unless either (1)
    [f]raudulent; or (2) [m]aterial either to the accep-
    tance of the risk, or to the hazard assumed by the
    insurer; or (3) [t]he insurer in good faith would
    either not have issued the policy or contract, or
    would not have issued a policy or contract in as large
    an amount, or would not have provided coverage
    with respect to the hazard resulting in the loss, if the
    true facts had been made known to the insurer as
    required either by the application for the policy or
    contract or otherwise.
    
    Id. Appellant reasons
    that this provision demonstrates
    Nevada’s support for a causal connection requirement to pre-
    vent insurers from evading their obligations based on techni-
    cal violations of a policy.
    However, we find the provision to be inconclusive on the
    causal connection issue for several reasons. First, the statute
    on its face does not speak to the relationship between exclu-
    3312          OLD REPUBLIC INSURANCE v. GRIFFIN
    sion provisions of a policy and the cause of an accident. This
    is in contrast to other state laws, which address the issue of
    causality more directly and therefore provide greater support
    for imposing a causal connection requirement. For example,
    in Pickett v. Woods, a Florida court rejected the insurer’s
    attempt to deny coverage based on an airworthiness exclusion
    where the accident was attributed to pilot error. 
    404 So. 2d 1152
    , 1153 (Fla. Dist. Ct. App. 1981). The court reached its
    decision relying on a state statute, under which:
    A breach or violation by the insured of any warranty,
    condition, or provision of any wet marine or trans-
    portation insurance policy, contract of insurance,
    endorsement, or application therefore shall not ren-
    der void the policy or contract, or constitute a
    defense to a loss thereon, unless such breach or vio-
    lation increased the hazard by any means within the
    control of the insured.
    
    Id. at 1152-53)
    (quoting Fla. Stat. ch. 627.409 (1979)); see
    also Puckett v. U.S. Fire Ins. Co., 
    678 S.W.2d 936
    , 938 (Tex.
    1984) (adopting a causal connection requirement based on an
    anti-technicality provision covering fire insurance which
    stated that any violation of a policy would not “void the pol-
    icy or contract, or constitute a defense to a suit for loss
    thereon, unless such breach or violation contributed to bring
    about the destruction of the property”) (quoting Tex. Ins.
    Code Ann. § 6.14 (2002) (repealed 2003)). Nevada’s anti-
    technicality statute, in contrast, does not directly support a
    causal connection requirement.
    Nevada case law also does not clearly suggest that the anti-
    technicality provision should have such a broad reach or that
    causation is required to exclude coverage. In Randono v.
    CUNA Mutual Ins. Group, the Nevada Supreme Court held
    that an insurer could deny insurance proceeds because of the
    insured’s omission of his hypertension on his application
    form, even though this condition was not related to his cause
    OLD REPUBLIC INSURANCE v. GRIFFIN                   3313
    of death. 
    793 P.2d 1324
    (Nev. 1990). In discussing the appli-
    cation of N.R.S. 687B.110, the court noted that the introduc-
    tory language of the statute “offers hope to consumers that
    insurance contracts will not be made voidable by inaccuracies
    and omissions in their applications, but the exceptions . . .
    largely consume the rule. The exceptions would appear to
    deny, in most situations, the protection and relief that the stat-
    ute may have been attempting to grant.” 
    Id. at 1327.
    Thus, it
    is hard to read the limited anti-technicality statute as support-
    ing a broad causal connection requirement.
    Additionally, another case suggests that the state court has
    taken a more permissive view on the issue of causation in the
    insurance context. In McDaniel v. Sierra Health and Life Ins.
    Co., the Nevada court construed causation loosely in a policy
    that excluded coverage based on the insured’s commission of
    a felonious act. 
    53 P.3d 904
    , 908 (Nev. 2002). The court held
    that the insurer had no financial obligation where the insured
    was driving drunk and failed to make a proper turn. The car
    flipped over, killing the insured and injuring the passenger-
    claimant. 
    Id. The court
    rejected the beneficiary’s argument
    that because the statute treated drunk driving as felonious
    based on the harm caused to another, the death of the insured
    was not sufficiently related to the felonious conduct to trigger
    the exclusion. 
    Id. at 907.
    Instead, the court adopted the more
    expansive majority approach of interpreting felony exclusions
    to apply “when the loss is remotely connected to any aspect
    of the insured’s felonious conduct.” 
    Id. In sum,
    Nevada statutory and case law do not provide a
    definitive answer to the question of whether a causal connec-
    tion between the policy violation and the accident must exist
    to exclude coverage. We look now to the practice of other
    states, some of which have imposed a causal connection
    requirement to limit the instances in which an insurer may
    avoid coverage under a policy.3 In Puckett v. U.S. Fire Ins.
    3
    We decline to adopt the characterizations of the parties as to the “ma-
    jority” practice or the “modern trend” among jurisdictions.
    3314           OLD REPUBLIC INSURANCE v. GRIFFIN
    Co., the Texas Supreme Court concluded that “an insurer can-
    not avoid liability under an aviation liability policy unless the
    failure to inspect is either the sole or one of several causes of
    the 
    accident.” 678 S.W.2d at 938
    . It held that allowing the
    insurance company to avoid liability for an accident caused
    by pilot error based on the lack of an airworthiness certificate
    violated public policy.
    An Illinois district court, in a matter of first impression,
    concluded that Illinois state law called for a causal connection
    between the accident and the reason for the exclusion. Am.
    State Ins. Co. v. Byerly Aviation, Inc., 
    456 F. Supp. 967
    (S.D.
    Ill. 1978). The court reached the result based on Illinois law
    requiring insurance policies to be construed liberally in favor
    of the insured and a state appellate court decision calling for
    a causal connection between the accident and a provision of
    a motor vehicle insurance policy. 
    Id. at 969-70;
    see also
    Bayers v. Omni Aviation Managers, Inc., 
    510 F. Supp. 1204
    ,
    1207 (D. Mont. 1981) (holding that a policy claiming to limit
    coverage where a pilot did not have a proper medical certifi-
    cate did not meet the causal connection requirement because
    the pilot’s medical condition did not cause the crash).
    The Colorado Supreme Court adopted a slightly different
    approach in O’Connor v. Proprietors Ins. Co., 
    696 P.2d 282
    (Colo. 1985). The court concluded that if the regulation is
    clearly safety related — as in the case of an airworthiness
    requirement — then the exclusion should apply unless the
    insured can show the violation was not the cause of the acci-
    dent. 
    Id. at 286.
    In that case, the insured party had not met its
    burden to demonstrate that his violation of an airworthiness
    provision did not cause the accident and therefore should not
    exclude coverage. 
    Id. at 285-86
    (noting that “the FAA regula-
    tion violated relates so directly to the safe operation of the
    plane that the violation could have contributed to or prevented
    discovery of an unsafe condition that may have caused the
    accident”).
    OLD REPUBLIC INSURANCE v. GRIFFIN            3315
    However, many states have rejected a causal connection
    requirement, especially where the insurance policy exclusions
    are unambiguous and clearly delineate the conduct that will
    trigger a violation. See, e.g., Security Ins. Co. of Hartford v.
    Andersen, 
    763 P.2d 246
    , 249 (Ariz. 1988) (finding no causal
    connection required but limiting its holding to cases “where
    the exclusion was narrow and specifically delineated what
    was and what was not covered, where the relevant clause was
    an exclusion of coverage (as opposed to some kind of condi-
    tion subsequent), and where the exclusion was completely
    unambiguous”); National Union Fire Ins. Co. v. Miller, 
    192 Cal. App. 3d 866
    , 872-73 (1987) (finding no need for a causal
    relationship between an exclusion and the accident in a case
    in which the policy did not cover claims if the pilot’s medical
    certificate was not current); Hollywood Flying Serv., Inc. v.
    Compass Ins. Co., 
    597 F.2d 507
    , 508 (5th Cir. 1979) (treating
    insurance policy as suspended when not in compliance with
    government regulations per the terms of the exclusion).
    We conclude that the case law on this issue is sufficiently
    divergent to leave open the question of whether Nevada
    would or would not adopt such a requirement based on its
    own public policy goals. We further note that the appellant in
    this case is a third party, who was injured when a plane fell
    on him in his own backyard. As such, the state may weigh dif-
    ferently the public policy considerations of precluding cover-
    age in this type of case, where the party seeking coverage had
    no way of ensuring compliance with the policy or preventing
    the crash. Thus, because this question represents an issue of
    first impression and has significant implications for Nevada’s
    insurance coverage law, and we cannot be certain how the
    Nevada Supreme Court would resolve the matter, we believe
    certification on this question of law to be appropriate.
    III.   Question of Law
    The question of law we hereby certify is:
    3316             OLD REPUBLIC INSURANCE v. GRIFFIN
    Under Nevada law, may an insurer deny coverage under an
    aviation insurance policy for failure to comply with an unam-
    biguous requirement of the policy or is a causal connection
    between the insured’s noncompliance and the accident
    required?4
    IV.    Conclusion
    Griffin’s appeal presents an issue of Nevada state law
    which will be determinative of an issue essential to the par-
    ties’ dispute and as to which there is no clearly controlling
    precedent from the Nevada Supreme Court. For this reason,
    we request that the Nevada Supreme Court accept and decide
    the question herein certified. We agree to abide by the Nevada
    Supreme Court’s decision as specified by Rule 5 of the
    Nevada Rules of Appellate Procedure, which states that “[t]he
    written opinion of the Supreme Court stating the law govern-
    ing the questions certified . . . shall be res judicata as to the
    parties.”
    Party Names
    The names of the appellant and appellee are as follows:
    Appellant: Robert Griffin
    Appellee: Old Republic Insurance Co.
    Counsel for the Parties
    The names and addresses of the parties’ counsel are as fol-
    lows:
    4
    If a causal connection is required, which party bears the burden of
    showing causation? Also what degree of causation must be shown, i.e.
    must the failure to comply be the sole cause of the accident or just a pre-
    ventable cause of the accident?
    OLD REPUBLIC INSURANCE v. GRIFFIN             3317
    Counsel for appellant: Day R. Williams
    Attorney at Law
    204 N. Minnesota St.
    Carson City, NV
    89703-4151
    Counsel for appellee:     Stephen S. Kent
    Woodburn & Wedge
    6100 Neil Road, Suite 500
    Reno, NV 89511
    The clerk of this court is hereby directed to file in the
    Nevada Supreme Court, under official seal of the Ninth Cir-
    cuit Court of Appeals, copies of all relevant briefs and an
    original and ten copies of this request with a certificate of ser-
    vice on the parties. IT IS SO ORDERED.
    Respectfully submitted, Dorothy W. Nelson, Senior Circuit
    Judge, William A. Fletcher and Raymond C. Fisher, Circuit
    Judges.
    ____________________________
    The Honorable Raymond C. Fisher
    United States Circuit Judge
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