Full text
James River Insurance Company v. Gear
1 WO
[5] 6 IN THE UNITED STATES DISTRICT COURT 7 FOR THE DISTRICT OF ARIZONA
[8] 9 James River Insurance Company, No. CV-20-01052-PHX-DGC
10 Plaintiff/Counterdefendant, ORDER
11 v.
12 Wendee Thompson, et. al,
13 Defendants/Counterclaimants.
[15] 16 The parties dispute the scope of Phase 1 discovery in this case. The issues are fully 17 briefed. Docs. 72-75. This order resolves the dispute. 18 I. Background. 19 Plaintiff James River Insurance Company issued a medical professional insurance 20 policy to Dr. Phillip Gear and Just for Kids, P.L.C. Wendee Thompson and her parents, 21 Joseph and Mildred, sued Dr. Gear and Just for Kids in state court, asserting medical 22 malpractice claims based on Dr. Gear’s alleged failure to diagnose and provide appropriate 23 care for Wendee’s pregnancy, which resulted from sexual abuse at a long-term care facility. 24 See Thompson v. Gear, No. CV2019-057584 (Maricopa Cty. Super. Ct. Dec. 24, 2019). 25 Plaintiff brought this declaratory judgment action against Dr. Gear and Just for Kids 26 to establish that there is no coverage for the Thompsons’ state court tort claims. Doc. 1. 27 Plaintiff added a recission claim in its amended complaint. Doc. 56. The Court allowed 28 the Thompsons to intervene as Defendants after they dismissed Just for Kids from the state 1 court case and Dr. Gear assigned to the Thompsons his rights under the policy pursuant to 2 a Morris agreement. Docs. 15, 17, 24; see United Servs. Auto. Ass’n v. Morris, 741 P.2d 3 246 (Ariz. 1987).1 Defendants have filed counterclaims for declaratory relief, breach of 4 contract, and bad faith. Docs. 26, 60. 5 In July 2021, the Court entered a case management order governing Phase 1 of the 6 litigation, which is limited to coverage issues raised in the complaint and counterclaims. 7 Doc. 65.2 On August 23, 2021, the parties informed the Court that they had a dispute 8 regarding the scope of Phase 1 discovery. Doc. 68. A telephone conference was held on 9 September 1. Doc. 71. The Court directed the parties to file memoranda addressing: 10 (1) what evidence a court may consider in deciding what is covered by an insurance policy; 11 (2) what additional information the reasonable expectations doctrine makes available for a 12 court to consider in deciding coverage issues; and (3) what additional information a court 13 may consider when a policy provision is ambiguous. Id. The parties have filed their 14 respective memoranda and response briefs. Docs. 72-75. 15 II. Discussion. 16 Plaintiff alleges in count one that a “sexual act” exclusion in the policy bars 17 coverage for the tort claim against Dr. Gear. Doc. 56 ¶¶ 31-35. That exclusion states that 18 the policy does not apply to any claim: 19 Based on or directly or indirectly arising out of or resulting from any sexual act or acts including but not limited to undue familiarity, excessive influence
[20] or power, molestation, assault, battery or harassment, including “claims” of 21 improper or negligent hiring, employment or supervision, failure to protect or warn the other party, failure to prevent the sexual abuse and/or physical
[22] abuse, failure to prevent assault and battery and failure to discharge the 23 employee[.]
[25] 1 When Plaintiff refused to settle Defendants’ tort claims for the $1 million policy 26 limit, Dr. Gear settled with Defendants and agreed to the entry of a $15 million judgment. The state court has found the $15 million to be a reasonable settlement amount. See Docs. 27 64 at 5, 72 at 2. 2 If a finding of coverage is made during Phase 1, Phase 2 of the litigation will 28 include Plaintiff’s rescission claim and Defendants’ bad faith claim and request for punitive damages. See Doc. 64 at 10.
[1] Id.
¶ 29 (quoting policy § I.2.e). Plaintiff alleges that this sexual act exclusion bars
2 coverage for the claim against Dr. Gear because that claim is based on, directly or indirectly 3 arises out of, or results from the sexual assault of Wendee Thompson. Id. ¶ 34; see id. 4 ¶¶ 19-23; Doc. 60 at 57-58. 5 Defendants dispute that the tort claim against Dr. Gear arises from “sexual assault.” 6 Doc. 75 at 5. Defendants contend that the sexual act exclusion does not bar coverage 7 because Dr. Gear never sexually assaulted Wendee and the claim against him alleges only 8 medical malpractice – his failure to diagnose Wendee’s pregnancy and to provide her 9 prenatal and other appropriate medical care. Id.; see also Docs. 60 at 6-7, 19-25; 64 at 6; 10 72 at 2. 11 Defendants have served discovery requests on Plaintiff that seek information and 12 documents concerning the policy and the sexual act exclusion, including drafting histories, 13 claims manuals and files, and underwriting materials. See Doc. 72 at 132-57. Specifically, 14 Defendants seek information on when and why the exclusion was drafted, how it has been 15 applied to other claims and interpreted internally, and what was said between Plaintiff and 16 Dr. Gear (who is now deceased) about the meaning of the exclusion or the scope of 17 coverage. See id. Defendants argue that the information sought is relevant to coverage 18 issues and discoverable under Arizona law and Federal Rule of Civil Procedure 26(b)(1). 19 Id. at 3-10. 20 Plaintiff contends that discovery of extrinsic evidence is not appropriate because the 21 only facts relevant to a coverage determination are the policy itself and the underlying 22 complaint. Doc. 73 at 1-2. Plaintiff believes the case should proceed directly to summary 23 judgment on the coverage issue with no discovery allowed during Phase 1. Id. at 2. 24 A. The Court May Consider Extrinsic Evidence in Deciding What Is Covered by the Policy.
[25] In Arizona, courts should interpret and enforce insurance policies according to the
[26] parties’ intent. See Taylor v. State Farm Mut. Auto Ins., 854 P.2d 1134, 1138 (Ariz. 1993).
[27] The court must decide what evidence, other than the policy itself, “is admissible in the
[28] interpretation process, bearing in mind that the parol evidence rule prohibits extrinsic 1 evidence to vary or contradict, but not to interpret, the agreement.” Id. (citing 3 Arthur L. 2 Corbin, Corbin on Contracts § 543, at 130-34 (1960)). If, after considering relevant 3 extrinsic evidence, the court finds that the policy language “is ‘reasonably susceptible’ to 4 the interpretation asserted by its proponent, the evidence is admissible to determine the 5 meaning intended by the parties.” Id. at 1140 (citing Restatement (Second) of Contracts 6 § 215 cmt. b (1979)); see also Doneson v. Farmers Ins. Exch., 431 P.3d 198, 200 (Ariz. Ct.
7 App. 2018 ) (same, citing Taylor, 854 P.2d at 1140 ); Smith v. Melson, Inc., 659 P.2d 1264 , 8 1266 (1983) (“A contract should be read in light of the parties’ intentions as reflected by 9 their language and in view of all the circumstances. . . . When interpreting an agreement, 10 the court may always consider the surrounding circumstances.”) (citing Restatement 11 § 212). 12 In holding that the parol evidence rule is not violated where extrinsic evidence is 13 used to interpret, not contradict, the policy language, the Arizona Supreme Court provided 14 this explanation: 15 The meaning that appears plain and unambiguous on the first reading of a document may not appear nearly so plain once the judge considers the
[16] [extrinsic] evidence. In such a case, the parol evidence rule is not violated 17 because the evidence is not being offered to contradict or vary the meaning of the agreement. To the contrary, it is being offered to explain what the
[18] parties truly may have intended.
19 Taylor, 854 P.2d at 1140 (noting that “this rule embodies the concepts endorsed by Corbin
[20] and adopted by this court ten years ago in Melson”); see also Darner Motor Sales, Inc. v.
[21] Universal Underwriters Ins. Co., 682 P.2d 388, 395-96 (Ariz. 1984) (recognizing that
[22] while the parol evidence rule precludes parties from varying the terms of an insurance
[23] policy by introducing evidence contrary to the writing, the rule is not “strictly applied” to
[24] enforce a bargain that was never made) (citations omitted); Am. Nat. Fire Ins. Co. v.
[25] Esquire Labs of Ariz., Inc., 694 P.2d 800, 811 (Ariz. Ct. App. 1984) (explaining that
[26] “evidence on surrounding circumstances, including negotiation, prior understandings,
[27] subsequent conduct and the like to determine the parties’ intent . . . may be used to interpret
[28] the meaning of the exclusion in the agreement”); Keggi v. Northbrook Prop. & Cas. Ins. 1 Co., 13 P.3d 785, 788 (Ariz. Ct. App. 2000) (“[W]e will first attempt to discern the meaning 2 of the clause ‘by examining the purpose of the exclusion in question, the public policy 3 considerations involved and the transaction as a whole.’”) (citations omitted); Maricopa 4 Cty. v. Ariz. Prop. & Cas. Ins. Guar. Fund, No. 2 CA-CV 98-0076, 2000 WL 35937314 , 5 at *1 (Ariz. Ct. App. Apr. 27, 2000) (“This appeal raises issues of interpretation and 6 applicability of the ‘pollution exclusion’ in . . . insurance policies. We conclude that, in 7 ruling on those issues, the trial court erroneously refused to consider extrinsic evidence 8 relating to the drafting history and regulatory approval of the exclusion.”); Federico v. 9 Cont’l Cas. Co., 52 F.3d 332, 332 (9th Cir. 1995) (“According to Arizona law, a court may 10 look to extrinsic evidence to determine the parties’ intent in forming the contract. . . . This 11 rule applies whether the insured or the insurer is seeking to present the parol evidence.”) 12 (citing Darner, 682 P.2d at 398 ; Esquire Labs, 694 P.2d at 811 ); Goldberg v. Pac. Indem. 13 Co., No. CV05-2670-PHX-JAT, 2008 WL 508495 , at *13 (D. Ariz. Feb. 21, 2008) 14 (considering “extrinsic evidence put forth by Plaintiffs – Pacific’s insurance manuals, 15 testimony of Pacific’s representatives, and expert testimony” – to interpret a coverage 16 provision); McCarthy v. Scottsdale Unified Sch. Dist. No. 48, 409 F. Supp. 3d 789 , 803 (D.
17 Ariz. 2019 ) (“[T]he Court will interpret the [contract provision] by considering its language 18 and extrinsic evidence concerning the parties’ intent[.]”) (citing Taylor, 854 P.2d at 1139 ); 19 Nammo Talley Inc. v. Allstate Ins. Co., 99 F. Supp. 3d 999, 1004 (D. Ariz. 2015) (“The 20 Taylor court emphasized that, where appropriate, a judge should consider parol evidence 21 to define contractual terms because a ‘court’s proper and primary function’ is to enforce 22 the meaning intended by the contracting parties.”) (quoting Taylor, 854 P.2d at 1140 ). 23 Plaintiff asserts that Arizona courts generally apply the “eight corners” rule in 24 determining whether coverage exists “as a matter of law” – that is, “the Court need only 25 look at the ‘four corners’ of the policy and the ‘four corners’ of the complaint.” Doc. 73 26 at 3-4. But the cases cited in support of this assertion primarily involve the duty to defend, 27 not coverage issues.3 An insurer’s duty to defend “is separate from and broader than its
[28] 3 See id. (citing W. Nat’l Assurance Co. v. Wipf, 702 F. App’x 542, 544 (9th Cir. 1 duty to indemnify, [and] generally arises if the complaint filed against the insured alleges 2 facts that fall within the policy’s coverage.” Teufel v. Am. Fam. Mut. Ins. Co., 419 P.3d 3 546, 548 (Ariz. 2018); see Nat’l Fire Ins. Co. of Hartford v. James River Ins., 162 F. Supp. 4 3d 898, 913-14 (D. Ariz. 2016) (“The duty to defend . . . is distinguishable from the duty 5 to indemnify, and separate analysis of the duty to indemnify is necessary.”) (citing INA Ins. 6 Co. of N. Am. v. Valley Forge Ins. Co., 722 P.2d 975, 982 (Ariz. Ct. App. 1986)). Plaintiff 7 cites no case applying the “eight corners” rule to a coverage determination, and Arizona 8 law clearly permits a court to consider relevant extrinsic evidence in interpreting policy 9 language. See Taylor, 854 P.2d at 1139 (“To understand the agreement, the judge cannot 10 be restricted to the four corners of the document. Again, even under the Corbin view, the 11 court can admit evidence for interpretation[.]”). 12 Plaintiff repeatedly asserts that extrinsic evidence may not be considered in deciding 13 coverage “as a matter of law.” Doc. 73 at 2-7. This is particularly true here, Plaintiff 14 contends, because “the parties agree on the facts to be applied to the policy (i.e., the 15 allegations of the underlying complaint), the policy provisions are clear and unambiguous, 16 and [Defendants] have not even alleged ‘ambiguity[.]’” Id. at 2. Plaintiff notes that the 17 parties “anticipate filing motions and cross-motions for summary judgment on the question 18 of whether Defendants’ claim against Dr. Gear in the underlying action is covered by 19 the . . . policy as a matter of law.” Id. at 3 (quoting Doc. 64 at 7) (emphasis added by 20 Plaintiff).
[21] 2017) (noting that under Washington law the “duty to defend is determined from the ‘eight 22 corners’ of the insurance contract and the underlying complaint”) (citation and alterations omitted); Truck Ins. Exch. v. Teixidor Enters. Inc., No. 1 CA-CV 20-0342, 2021 WL 23 3733194, at *5 (Ariz. Ct. App. Aug. 24, 2021) (“In the third-party liability context, insurers first look to the complaint. . . . If any claim alleged in the complaint is within the policy’s 24 coverage, the insurer has a duty to defend the entire suit.”); Wesco Ins. Co. v. AAA Cab Serv. Inc., 420 F. Supp. 3d 946 , 950 (D. Ariz. 2019) (“Wesco has no duty to defend its 25 insured in the Underlying Action because [the passenger’s] death did not arise out of the use of an automobile.”); United States Liab. Ins. Co. v. Xiangnan Gong, 413 F. Supp. 3d 26 987, 991 (D. Ariz. 2019) (“[I]n similar cases where an insurer sought a declaratory judgment abdicating its duty to defend an insured party, precedent supports addressing a 27 motion for summary judgment independent of the progress in the underlying lawsuit.”); 757BD LLC v. Nat’l Union Fire Ins. Co. of Pitt., PA, 330 F. Supp. 3d 1143, 1152 (D. Ariz. 28 2018) (“[B]ecause the lack of coverage was apparent from the allegations in the Complaint, there was no duty to defend based on these claims.”)). 1 But Plaintiff does not explain why it agreed to a discovery period for Phase 1 (see 2 Doc. 64 at 9) if its position is that only the policy and underlying complaint may be 3 considered in determining coverage. Defendants state that, while they anticipate the filing 4 of summary judgment motions on coverage issues, they did not agree to those issues being 5 decided in a factual void. Doc. 75 at 1. Indeed, Defendants made clear to Plaintiff that they 6 intend to conduct Phase 1 discovery regarding “the formulation, underwriting, 7 implementation, and interpretation of the exclusionary language at issue[.]” Doc. 64 at 8. 8 Moreover, the fact that the parties will move for summary judgment on coverage 9 issues should not preclude Defendants from conducting discovery on the meaning and 10 application of the sexual act exclusion. Were Defendants to discover extrinsic evidence 11 that helps explain the meaning of the exclusion, that evidence may be considered by the 12 Court and could demonstrate a triable issue. See Averett v. Farmers Ins. Co. of Ariz., 869
13 P.2d 505 , 508 (Ariz. 1994) (“[W]e are of the view that the trial court should have permitted 14 a fact finder to decide if, based on all available evidence, the household exclusion in 15 Averett’s policy was ‘beyond the range of reasonable expectations.’”) (quoting 16 Restatement § 211 cmt. f ); Maricopa Cty., 2000 WL 35937314 , at *2 (“Interpretation of 17 an insurance contract generally involves a matter of law . . . . But when the policy language 18 in question, ‘illuminated by the surrounding circumstances, indicates that either of the 19 interpretations offered is reasonable,’ and when ‘extrinsic evidence establishes controversy 20 over what occurred and what inferences to draw from the events, the matter is properly 21 submitted to the trier of fact.’”) (quoting Taylor, 854 P.2d at 1145 ) (alterations omitted); 22 Jacobson v. Am. Fam. Ins. Co., No. CV-17-04373-PHX-MTL, 2020 WL 919173 , at *2 (D. 23 Ariz. Feb. 26, 2020) (“[T]he Court is . . . persuaded that while the actual terms of the policy 24 are undisputed, a jury should decide whether the policy should be reformed to be consistent 25 with Cathy Jacobson’s alleged reasonable expectations.”) (citing Taylor, 854 P.2d at 1145 ); 26 U-Haul Int’l, Inc. v. Clarendon Am. Ins. Co., 381 F. App’x 735, 737 (9th Cir. 2010) (“We 27 agree . . . that if the extrinsic evidence showed that Clarendon’s policy interpretation was 28 plausible, remand would be appropriate to allow a jury to resolve the disputed issue.”) 1 (citing Taylor, 854 P.2d at 1140 ); Federico, 52 F.3d at 332 (“The extrinsic evidence that 2 supports Federico’s interpretation consists of his recollections and his assertions that he 3 was told that the policy covered accidental injury as well as death. CNA submitted 4 evidence that he was not so informed. That is enough to establish a genuine issue of 5 material fact. Therefore Federico was entitled to present his extrinsic evidence to the 6 jury.”) (citing Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 249-50 (1986)). 7 B. Arizona’s Reasonable Expectations Doctrine. 8 In Darner, the Arizona Supreme Court “adopted § 211 of the Restatement as the 9 test to determine whether standardized terms are within the reasonable expectations of the 10 parties and therefore enforceable.” Do by Minker v. Farmers Ins. Co. of Ariz., 828 P.2d 11 1254, 1256 (Ariz. Ct. App. 1991) (citing Darner, 682 P.2d at 396-97 ). Under this doctrine, 12 Arizona courts may consider not only the policy language, but also the insured’s reasonable 13 expectations of coverage. See id. The Darner court explained that “[w]here the other party 14 has reason to believe that the party manifesting . . . assent would not do so if he knew that 15 the writing contained a particular term, the term is not part of the agreement.” 682 P.2d 16 at 396 (quoting Restatement § 211(3)); see also Hanover Ins. Co. v. Vemma Int’l Holdings 17 Inc., No. CV-16-01071-PHX-JJT, 2016 WL 4059606 , at *7 (D. Ariz. July 29, 2016) 18 (explaining that the doctrine “holds the contract drafter to a good faith standard by 19 requiring an interpretation of the contract that accounts for the parties’ reasonable 20 expectations”) (citing Darner, 682 P.2d at 398-99 ). 21 Not long after Darner, the Arizona Supreme Court, in Gordinier v. Aetna Casualty 22 & Surety Co., 742 P.2d 277 (Ariz. 1987), identified a limited variety of situations in which 23 Arizona courts “will not enforce even unambiguous boilerplate terms in standardized 24 insurance contracts”: 25 1. Where the contract terms, although not ambiguous to the court, cannot be understood by the reasonably intelligent consumer who might check on his
[26] or her rights, the court will interpret them in light of the objective, reasonable 27 expectations of the average insured;
[28] 1 2. Where the insured did not receive full and adequate notice of the term in question, and the provision is either unusual or unexpected, or one that
[2] emasculates apparent coverage;
[3] 3. Where some activity which can be reasonably attributed to the insurer
[4] would create an objective impression of coverage in the mind of a reasonable 5 insured;
[6] 4. Where some activity reasonably attributable to the insurer has induced a 7 particular insured reasonably to believe that he has coverage, although such coverage is expressly and unambiguously denied by the policy.
[9] 742 P.2d at 283-84 (citations omitted). 10 Because the first and second Gordinier situations focus on the expectations of an 11 objectively reasonable insured and the policy language itself, Plaintiff contends, they are 12 determined by the Court “as a matter of law.” Doc. 73 at 10. Plaintiff further contends 13 that nothing in the third and fourth situations justify open-ended discovery because “these 14 circumstances merely involve external communications between the insurer and its 15 insured.” Id.
16 Defendants counter that the documents they seek regarding the sexual act exclusion 17 – drafting history; advertising, sales, and underwriting materials; claims manuals; the 18 subject claim file; and other claims involving the exclusion – are discoverable under the 19 third and fourth Gordinier situations. Doc. 72 at 10. Specifically, Defendants argue that 20 the requested documents are relevant to: (1) representations Plaintiff may have made to 21 Dr. Gear regarding the scope of coverage and exclusions; (2) Plaintiff’s knowledge of 22 Dr. Gear’s needs and desires in terms of coverage for his family practice; (3) Dr. Gear’s 23 assertion that he never would have purchased the policy had he been advised of Plaintiff’s 24 broad interpretation of the sexual act exclusion; and (4) whether Plaintiff believes an 25 average physician would assent to purchasing a professional liability insurance policy that 26 eliminates coverage for the negligent provision of otherwise covered professional services 27 because the patient’s condition arose from a sexual act (i.e., pregnancy, sexually 28 transmitted diseases, contraceptive care). Id. at 8-10; see also Doc. 75 at 5 (arguing that 1 Defendants “should be permitted to discover evidence regarding [Plaintiff’s] creation and 2 application of a ‘sexual acts’ exclusion to bar coverage for a medical malpractice claim for 3 failure to diagnose and treat a pregnancy”). 4 The Court agrees with Defendants. “Under Darner, relevant evidence regarding the 5 expectations of the parties includes more than explicit representations by the agent.” Do by 6 Minker, 828 P.2d at 1257. Darner “made it clear that all circumstances should be taken 7 into account in determining the parties’ understanding, including the assertions and 8 conduct of both insurer and insured.” Id. (emphasis in original). Courts should consider 9 “evidence on surrounding circumstances, including negotiation, prior understandings, 10 subsequent conduct, and the like[.]” Id. (quoting Darner, 682 P.2d at 698 ); see also 11 Averett, 869 P.2d at 508 (“When an exclusion . . . runs contrary to what a reasonable 12 insured would expect, or when it significantly diminishes coverage that the policy purports 13 on its face to provide, the surrounding facts and circumstances must be considered to 14 determine whether, and to what extent, there was a meeting of the minds between the 15 contracting parties.”); Maricopa Cty., 2000 WL 35937314 , at *5 (“[W]e conclude that the 16 trial court erred in refusing to consider the proffered interpretive materials relating to the 17 pollution exclusion. Those materials arguably ‘illuminate the meaning of the contract 18 language’ and allegedly demonstrate defendants’ intent when the pollution exclusion was 19 proposed and approved.”). 20 Plaintiff does not dispute that communications between Plaintiff and Dr. Gear are 21 discoverable under Darner and the reasonable expectations doctrine. See Doc. 73 at 10. 22 The drafting history of the sexual act exclusion, sales instructions, and claims manuals and 23 files also may be germane to the interpretation of the exclusion. See Maricopa Cty., 2000
24 WL 35937314 , at *7 (rejecting as incompatible with Darner the argument that drafting 25 history played no part in policy negotiations, and noting that the insured’s lack of reliance 26 on “the interpretive materials when it purchased defendants’ policies does not render the 27 materials irrelevant or unworthy of consideration”); see also Homeland Ins. Co. of N.Y. v. 28 Goldstein, No. 1:15-CV-00031-ABJ, 2019 WL 1506008 , at *5 (D. Wyo. Apr. 5, 2019) 1 (“[T]he circumstances and events surrounding the formation of the Homeland insurance 2 policy is relevant to the issues presented in this Court. Powell is entitled to conduct 3 discovery of those events so that it may prepare and present its position to the Court as to 4 what if any extrinsic evidence should be considered . . . . The underwriting files are 5 relevant to the issues presented in this case and as such are discoverable under Rule 26.”); 6 Martinez v. James River Ins. Co., No. 2:19-cv-01646-RFB-NJK, 2020 WL 1975371 , at *3 7 (D. Nev. Apr. 24, 2020) (“The case law is well settled that claims manuals are generally 8 relevant and discoverable both for bad faith and breach of contract insurance claims.”); 9 Progressive Garden State Ins. Co. v. Metius, No. CV 18-2893 (WJM), 2019 WL 1468155 , 10 at *1 (D.N.J. Apr. 3, 2019) (finding drafting histories, underwriting manuals, claims 11 handling guidelines, and other insurance policies defining the relevant terms to be relevant 12 for discovery purposes); Rembrandt Enters., Inc. v. Illinois Union Ins. Co., No. 15-CV13 2913 (RHK/HB), 2016 WL 6997108 , at *2 (D. Minn. Jan. 13, 2016) (“When a court will 14 be tasked with interpreting an insurance policy, ‘documents regarding similar claims of 15 other insureds, the drafting history of a policy, and claims manuals,’ for example, ‘are 16 relevant and discoverable.’”) (quoting Mariner’s Cove Site B Assocs. v. Travelers Indem. 17 Co., No. 04 CIV.1913 (KMW) (RLE), 2005 WL 1075400 , at *1 (S.D.N.Y. May 2, 2005)); 18 Montrose Chem. Corp. v. Admiral Ins. Co., 913 P.2d 878 , 891 (Cal. 1995) (“Most courts 19 and commentators have recognized . . . that the presence of standardized industry 20 provisions and the availability of interpretative literature are of considerable assistance in 21 determining coverage issues. . . . [W]e find the drafting history relevant in evaluating 22 Admiral’s [public policy] argument[.]”); Nestle Foods Corp. v. Aetna Cas. & Sur. Co., 135
23 F.R.D. 101, 106 (D.N.J. 1990) (finding “materials relating to the manner in which [the 24 insurers] have handled the claims of other insureds with identical policy language . . . 25 relevant for purposes of discovery since [the materials] may show that identical language 26 has been afforded various interpretations by the insurer [and] that the interpretations 27 suggested by the defendants today are not the same as those of the original drafters”); 28 Champion Int’l Corp. v. Liberty Mut. Ins. Co., 129 F.R.D. 63, 67-68 (S.D.N.Y. 1989) (“The 1 Court agrees that inquiries concerning the drafting history of the provisions in question, 2 how-to-sell instructions and claims manuals are clearly germane to the interpretation of 3 [the insurance] policies.”); Nat’l Union Fire Ins. Co. of Pitt., Pa. v. Stauffer Chem. Co.,
[4] 558 A.2d 1091, 1095 (Del. Super. Ct. 1989) (“Stauffer seeks to discover interpretive 5 manuals and other insureds’ claim files in order to see if ambiguities are present in the 6 policies. This Court finds that the claim files and the interpretive materials are relevant to 7 the determination of ambiguity and should be the subject of discovery[.]”). 8 Plaintiff’s reliance on DeTemple v. Southern Ins. Co., 740 P.2d 500 (Ariz. Ct. App. 9 1987), is misplaced. Doc. 73 at 10. That case involved the grant of summary judgment 10 where the insured “did not present evidence that [the agent] misled him into believing that 11 he had other than month-to-month coverage[,]” but instead based “his ‘reasonable 12 expectations’ on what he had told [the agent] and from reading a copy of the insurance 13 policy.” 740 P.2d at 508 . The case did not involve the discovery of extrinsic evidence. 14 C. Ambiguity. 15 In the absence of ambiguity, Plaintiff contends, a request for discovery concerning 16 the meaning of policy terms is without merit. Doc. 73 at 6. “But ambiguity need not exist 17 before courts may consider extrinsic evidence of the parties’ intent.” N. Improvement Co. 18 v. United States, 398 F. Supp. 3d 509 , 520 (D. Ariz. 2019) (citing Taylor, 854 P.2d at 1140 ). 19 The Arizona Supreme Court “clearly has rejected ‘the often repeated and usually over20 simplified construct that ambiguity must exist before parol evidence is admissible’ and has 21 particularly ‘criticized the ambiguity prerequisite in the context of non-negotiated 22 insurance agreements.’” Maricopa Cty., 2000 WL 35937314 , at *4 (quoting Taylor, 854 23 P.2d at 1140); see also State Farm Mut. Auto. Ins. Co. v. Wilson, 782 P.2d 727, 733 (Ariz. 24 1989) (“We once again decline ‘to hold that an unexpected, unknown ambiguity in a clause 25 which the parties did not negotiate should permit them to show the true meaning of the 26 agreement, but that the lack of such an ambiguity prevents them from so doing.’”) (quoting 27 Darner, 682 P.2d at 394). As the Taylor court explained: “[T]he ambiguity determination 28 distracts the court from its primary objective – to enforce the contract as intended by the || parties. Consequently, although relevant, contract ambiguity is not the only linchpin of a court’s decision to admit parol evidence.” 854 P.2d at 1140 ; see also McClure Enters., Inc. v. Gen. Ins. Co. of Am., No. CV 05-3491 PHX SMM, 2007 WL 2154033 , at *4 (D. Ariz. July 24, 2007) (“Although the court may not look to evidence that contradicts or || varies the meaning of an agreement, Arizona has adopted the ‘Corbin approach,’ which || allows the court to look at extrinsic evidence to determine the intent of the parties without || a preliminary finding of ambiguity.”) (citing Taylor, 854 P.2d at 1139-40 ); Greyhound 8 || Lines Inc. v. Viad Corp., 260 F. Supp. 3d 1181, 1190 (D. Ariz. 2017) (“Arizona does not 9|| adhere to the view ‘that ambiguity must exist before parol evidence is admissible.’’’) 10] (quoting Taylor, 854 P.2d at 1140 ).* If. Conclusion. 12 During Phase | of this litigation, Defendants may, subject to other appropriate 13 | objections, discover relevant extrinsic evidence regarding the meaning and application of 14]| the sexual act exclusion, including drafting history; advertising, sales, and underwriting 15 || materials; claims manuals; the subject claim file; and other claims involving the sexual act □□ exclusion. The admissibility of any such evidence, and whether it should be considered in interpreting the policy and sexual act exclusion, will be determined at the appropriate time.° 18 IT IS SO ORDERED. 19 Dated this 13th day of October, 2021. y Cb 6 © Cauphtl
[20] David G, Campbell Senior United States District Judge
[22] 4 Plaintiff notes that other courts have found valid and enforceable certain 23 || exclusions similar to the sexual act exclusion in this case. Doc. 73 at 7-8 (citing Am. Fam. Mut. Ins. Co. v. Verdugo, 691 F. App’x 387, 388 (9th Cir. 2017) ("physica or mental 24 || abuse” exclusion); Travelers Indem. Co. of Am. v. Isom, No. CV-13-00647-PHX-GMS,
2014 WL 1092542 , at *2-3 (D. Ariz. Mar. 20, 2014) (“sexual molestation” exclusion)). As 25 || Plaintiff acknowledges, however, the meaning of the sexual act exclusion should be determined, if appropriate, on summary judgment. Zd. at 7. 26 ° Plaintiff asserts that the policy s. merger and integration clause precludes all discovery because “there is simp y nothing [Defendants] could discover that would 27 override the policy’s express intent.” Doc. 73 at 9. But Plaintiff cites no legal authority suggesting that the clause alters Arizona’s rules of contract interpretation, the reasonable 28 expectations doctrine, or the discovery of extrinsic evidence in this context. See Doc. 75 at 4.
