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No. 9367681
United States Court of Appeals for the Ninth Circuit
BLISS SEQUOIA INSURANCE V. ALLIED PROPERTY & CASUALTY INS
No. 9367681 · Decided October 27, 2022
No. 9367681·Ninth Circuit · 2022·
FlawFinder last updated this page Apr. 2, 2026
Case Details
Court
United States Court of Appeals for the Ninth Circuit
Decided
October 27, 2022
Citation
No. 9367681
Disposition
See opinion text.
Full Opinion
FOR PUBLICATION FILED
UNITED STATES COURT OF APPEALS OCT 27 2022
MOLLY C. DWYER, CLERK
U.S. COURT OF APPEALS
FOR THE NINTH CIRCUIT
BLISS SEQUOIA INSURANCE & RISK No. 20-35890
ADVISORS, INC.; HUGGINS
INSURANCE SERVICES, INC., D.C. No. 6:20-cv-00256-MC
Plaintiffs-Appellants,
OPINION
v.
ALLIED PROPERTY & CASUALTY
INSURANCE COMPANY,
Defendant-Appellee.
Appeal from the United States District Court
for the District of Oregon
Michael J. McShane, District Judge, Presiding
Argued and Submitted January 18, 2022
Honolulu, Hawaii
Before: Diarmuid F. O’Scannlain, Eric D. Miller, and Kenneth K. Lee, Circuit
Judges.
Opinion by Judge Miller;
Dissent by Judge O’Scannlain
SUMMARY *
Oregon Insurance Law
The panel affirmed the district court’s summary judgment in favor of Allied
Property & Casualty Insurance Company in a diversity insurance action concerning
coverage for any liability that Bliss Sequoia Insurance and Risk Advisors might
incur for damages because of bodily injury.
One of Bliss Sequoia’s clients was a water park, and after a park guest was
injured, the park sued Bliss Sequoia for professional negligence, alleging that the
coverage limits on the park’s liability insurance were too low. In 2014, Bliss
Sequoia procured coverage on behalf of the water park with an overall limit of $5
million. A year later, a boy was seriously injured at the park, and his family
ultimately settled for $49 million. Facing liability well in excess of its insurance
coverage, the water park sued Bliss Sequoia for professional negligence. Bliss
Sequoia sought coverage from its general liability insurer, Allied Property, which
denied coverage. Bliss Sequoia filed this action seeking a declaratory judgment that
Allied had a duty to defend and indemnify.
Allied’s policy provided that it covered any sums Bliss Sequoia was “legally
obligated to pay as damages because of ‘bodily injury’ or ‘property damage.’” Bliss
Sequoia alleged that the bodily injury at issue was a “but-for” cause of Bliss
Sequoia’s professional-negligence liability. The panel held that pure but-for
causation would result in infinite liability for all wrongful acts, and therefore, the
law almost never employs that standard without limiting it in some way. The law
cuts off remote chains of causation by applying common law principles of proximate
causation.
The panel considered the central question posed by the case: Would Oregon
courts construe “because of bodily injury” in the policy to refer to pure but-for
causation, or would they impose some more restrictive causation standard? The
Oregon Court of Appeals in Holman Erection Co. v. Employers Insurance of
Wausau, 920 P.2d 1125 (Or. Ct. App, 1996), held that policy coverage for damages
*
This summary constitutes no part of the opinion of the court. It has been
prepared by court staff for the convenience of the reader.
“because of bodily injury” did not extend to a breach-of-contract suit another step
removed from any injury. Pure but-for causation was not enough. The panel held
that although there was no Oregon Supreme Court case directly on point, nothing in
Oregon jurisprudence suggested that Oregon courts would depart from the general
principles of causation that American courts apply in this and other contexts. In
addition, the Oregon Supreme Court has applied those principles to the interpretation
of insurance contracts in Oakridge Community Ambulance Service, Inc. v. United
States Fidelity & Guaranty Co., 563 P.2d 164 (Or. 1977) (providing that a pure but-
for causation analysis has no place in Oregon insurance law). In light of this
authority, the panel saw little reason to delay the resolution of the case by certifying
the question to the Oregon Supreme Court. The panel concluded that the phrase
“because of bodily injury” in Bliss Sequoia’s insurance policy included only
damages that reasonably or foreseeably resulted from bodily injury—not just any
that may arise in a daisy chain of lawsuits connected in some way to someone’s
injury. Accordingly, the personal-injury lawsuit against the water park arose
“because of bodily injury,” but the claims of professional negligence did
not. Because Bliss Sequoia’s policy did not cover those claims, Allied had no duty
to defend or indemnify Bliss Sequoia against them.
Judge O’Scannlain dissented. Because there is no controlling precedent in the
decisions of Oregon appellate courts on the question of whether, under Oregon
insurance law, there is “any reasonable doubt” as to the meaning of the term
“because of,” he would certify this case to the Supreme Court of Oregon. He
dissented from the majority’s decision to reach the merits.
COUNSEL
Syed S. Ahmad (argued), Hunton Andrews Kurth LLP, Washington, D.C.; David
Parker, Hunton Andrews Kurth LLP, Richmond, Virginia; Rachel E. Hudgins,
Hunton Andrews Kurth LLP, Atlanta, Georgia; Cody B. Hoesly, Larkins Vacura
Kayser LLP, Portland, Oregon; Michael L. Huggins, Hunton Andrews Kurth LLP,
San Francisco, California; for Plaintiffs-Appellants.
Owen R. Mooney (argued), Bullivant Houser Bailey PC, Seattle, Washington; R.
Daniel Lindahl, Michael A. Guadagno, and Richard Williams, Bullivant Houser
Bailey PC, Portland, Oregon; for Defendant-Appellee.
MILLER, Circuit Judge:
Bliss Sequoia Insurance and Risk Advisors held an insurance policy from
Allied Property and Casualty Insurance covering any liability that Bliss Sequoia
might incur for “damages because of ‘bodily injury.’” One of Bliss Sequoia’s
clients was a water park, and after a park guest was injured, the park sued Bliss
Sequoia for professional negligence, alleging that the coverage limits on the park’s
liability insurance were too low. This appeal presents the question whether that
negligence claim arose “because of” the guest’s “bodily injury” and is therefore
covered by Bliss Sequoia’s policy. We agree with the district court that the answer
is no.
This case begins with Cowabunga Bay Water Park in Henderson, Nevada,
and the first of two insurance policies. In 2014, the operator of the park sought
professional risk-management advice from Bliss Sequoia Insurance and Risk
Advisors, Inc. and Huggins Insurance Services, Inc. (collectively, Bliss Sequoia)
regarding the nature and amount of insurance that would be sufficient to insure the
water park. Bliss Sequoia procured coverage on behalf of the water park with an
overall limit of $5 million.
Just one year later, six-year-old Leland Gardner was seriously injured in a
near-drowning incident at the water park, allegedly due to the park’s insufficient
2
staffing of lifeguards. The boy’s family sued the park, which ultimately settled for
$49 million. Its liability coverage, however, was $44 million shy.
Facing liability well in excess of its insurance coverage, the water park sued
Bliss Sequoia for professional negligence. (It also asserted a claim of negligent
misrepresentation, but the distinction between the two claims is irrelevant to this
appeal.) As part of a settlement agreement with the Gardners, the water park
assigned its claims against Bliss Sequoia to the family. Shortly after that
settlement, the Gardners brought their own third-party complaint asserting the
assigned claims and alleging harms “[a]s a result of the insufficient and
substandard risk management and insurance brokerage advice and
recommendations given by [Bliss Sequoia].”
In response, Bliss Sequoia turned to its general liability insurer, Allied
Property and Casualty Insurance, to defend and indemnify it against the
professional-negligence claims. According to Bliss Sequoia, Allied was obligated
to do so based on the following provision in Bliss Sequoia’s insurance contract
with Allied:
[Allied] will pay those sums up to the applicable Limit of Insurance
that [Bliss Sequoia] becomes legally obligated to pay as damages
because of “bodily injury” or “property damage” to which this
insurance applies. [Allied] will have the right and duty to defend
[Bliss Sequoia] against any “suit” seeking those damages for which
there is coverage under this policy.
3
The policy further specified that “bodily injury” must be “caused by an
‘occurrence,’” including an “accident,” and that “[d]amages because of ‘bodily
injury’ include damages claimed by any person or organization for care, loss of
services or death resulting at any time from the ‘bodily injury.’”
After Allied denied coverage, Bliss Sequoia filed this action in the District
of Oregon. Invoking the district court’s diversity jurisdiction, see 28 U.S.C.
§ 1332, Bliss Sequoia sought a declaratory judgment that Allied has a duty to
defend and indemnify it. The district court granted summary judgment to Allied,
concluding that the claims against Bliss Sequoia do not arise “because of bodily
injury.”
Bliss Sequoia appeals. We review the district court’s grant of summary
judgment de novo. See Stephens v. Union Pac. R.R. Co., 935 F.3d 852, 854 (9th
Cir. 2019). The parties agree that the insurance policy is governed by Oregon law,
so we must construe it as the Oregon Supreme Court would. See Erie R.R. Co. v.
Tompkins, 304 U.S. 64, 78–80 (1938); Norcia v. Samsung Telecomms. Am., LLC,
845 F.3d 1279, 1284 (9th Cir. 2017). In so doing, we are “obligated to follow the
decisions of the state’s intermediate appellate courts” unless there is “convincing
evidence that the state supreme court would decide differently.” Ryman v. Sears,
Roebuck & Co., 505 F.3d 993, 995 (9th Cir. 2007) (quoting Vestar Dev. II, LLC v.
Gen. Dynamics Corp., 249 F.3d 958, 960 (9th Cir. 2001)).
4
The critical language in the policy provides that it covers any sums Bliss
Sequoia is “legally obligated to pay as damages because of ‘bodily injury’ or
‘property damage.’” Bliss Sequoia asserts that the claims against it for professional
negligence arose “because of” Gardner’s bodily injury. And if “because of” is
understood in its broadest possible sense, Bliss Sequoia has a point. Gardner’s
bodily injury caused his family to sue the water park, which in turn caused the park
to sue Bliss Sequoia for professional negligence. No bodily injury, no professional-
negligence claims. To put it in the more technical language often used in tort law,
Gardner’s bodily injury was a “but-for” cause of Bliss Sequoia’s professional-
negligence liability. See United States v. George, 949 F.3d 1181, 1187 (9th Cir.
2020) (explaining that “a but-for cause of a harm can be anything without which
the harm would not have happened”).
But the broadest possible understanding of “because of” is hardly a
reasonable one, and “a but-for cause is not always (in fact not often) a cause
relevant to legal liability.” United States v. Hatfield, 591 F.3d 945, 948 (7th Cir.
2010). Taken literally, but-for causation is an extraordinarily expansive concept.
As the Supreme Court has explained, “[i]n a philosophical sense, the consequences
of an act go forward to eternity, and the causes of an event go back to the dawn of
human events, and beyond.” Holmes v. Securities Inv. Prot. Corp., 503 U.S. 258,
266 n.10 (1992) (quoting W. Keeton et al., Prosser and Keeton on the Law of Torts
5
§ 41, at 264 (5th ed. 1984)). For example, while Bliss Sequoia’s liability would not
have been incurred but for Gardner’s injury at the water park in Henderson,
Nevada, it is equally true that it would not have been incurred but for the
construction of that water park years before; or but for the ingenuity of Herbert
Sellner, who in 1923 obtained the first patent for a water slide in the United States;
or, indeed, but for the late-Miocene rise of the Sierra Nevada Mountains,* which
gave Henderson a hot, dry climate that is well suited to water parks.
To take another example, imagine that a law firm held an insurance policy
with the same language as that held by Bliss Sequoia, and suppose that the firm
was sued for malpractice for its handling of a corporate bankruptcy case. No one
would suggest that such a malpractice claim would reflect “damages because of
bodily injury.” But what if the reason the corporation went bankrupt was that it had
made defective products that injured consumers? Asked that question at oral
argument, Bliss Sequoia embraced the reductio ad absurdum and admitted that, in
its view, the hypothetical malpractice claims would indeed be “because of bodily
injury.”
*
Or perhaps earlier—the elevation history of the Sierra Nevada is the subject of
ongoing research, and “there remains significant disagreement” among geologists.
Hari T. Mix, et al., A Hot and High Eocene Sierra Nevada, 128 Geological Soc’y
of Am. Bull. 531, 531 (2016). We take no position on that controversy.
6
That strikes us as a highly improbable understanding of the scope of the
coverage that Bliss Sequoia bargained for. If “because of” were understood to refer
to literal but-for causation, that is, “to mean just a condition that had to exist for the
event in question to occur,” then “liability insurance companies would have no
way of setting premiums equal to expected cost; they would be insuring against a
range of possible claims so vast that an estimate of the probability that a claim
within that range would actually be filed would be arbitrary.” James River Ins. Co.
v. Kemper Cas. Ins. Co., 585 F.3d 382, 387 (7th Cir. 2009).
Because pure but-for causation “would result in infinite liability for all
wrongful acts,” the law almost never employs that standard without limiting it in
some way. Holmes, 503 U.S. at 266 n.10 (quoting W. Keeton et al., Prosser and
Keeton on the Law of Torts § 41, at 264). Instead, the law cuts off remote chains of
causation by applying “common-law principles of proximate causation.” Id. at 267;
see Associated Gen. Contractors of Cal., Inc. v. California State Council of
Carpenters, 459 U.S. 519, 531–33 (1983). “Generally, proximate causation exists
only when a harm was a foreseeable result of the wrongful act.” George, 949 F.3d
at 1187.
Courts use different labels—such as “proximate,” “foreseeable,” or
“direct”—to refer to the required causal connection, but neither the label nor the
precise contours of the standard need detain us because in this case, there seems to
7
be no dispute that under any standard more restrictive than pure but-for causation,
Bliss Sequoia’s professional-negligence claims do not involve damages “because
of bodily injury.” So the question before us boils down to this: Would Oregon
courts construe “because of” to refer to pure but-for causation, or would they
impose some more restrictive causation standard?
The Oregon Court of Appeals answered that question in Holman Erection
Co. v. Employers Insurance of Wausau, 920 P.2d 1125 (Or. Ct. App. 1996). There,
a subcontractor’s employee sued the general contractor for injuries sustained on the
jobsite. Id. at 1127. Because the subcontractor had failed to procure insurance on
behalf of the general contractor (as it was required to do by the terms of their
contract), the general contractor had to defend and pay claims for the employee’s
injury that otherwise would have been insured. Id. The general contractor, in turn,
brought a breach-of-contract action against the subcontractor for failure to procure
insurance, and the subcontractor asked its own insurer to defend against the general
contractor. Id. But the insurer refused. Id. The only basis for coverage was a policy
clause requiring the insurer to “pay those sums that the insured becomes legally
obligated to pay as damages because of ‘bodily injury.’” Id. at 1128–29 (emphasis
omitted). And the Oregon court rejected an expansive reading of that clause. Id. at
1129. While recognizing that the subcontractor would not have been liable to the
general contractor but for the employee’s bodily injury, the court held that policy
8
coverage for damages “because of bodily injury” did not extend to a breach-of-
contract suit another step removed from any injury. Id. at 1129 & n.8. In other
words, pure but-for causation was not enough.
Not surprisingly, Holman Erection is consistent with the analysis employed
in other jurisdictions. In Horsemen’s Benevolent & Protective Ass’n v. Insurance
Co. of North America, for example, the California Court of Appeal came to the
same conclusion in a situation exactly paralleling this one. 271 Cal. Rptr. 838 (Cal.
Ct. App. 1990). An injured jockey sued the owner and the trainer of the horse he
had been riding; the defendants in that suit turned around and sued the horsemen’s
association (which had procured their insurance policy) for fraud and
misrepresentation related to gaps in the coverage; and the horsemen’s association
in turn sought indemnity under a policy covering damages “because of” personal
injury. Id. at 838–39. But the court held that the policy did not cover the fraud and
misrepresentation claims. Id. at 840–41. It explained that the association was “not
seeking to recover compensation for any personal injury or property damage for
which [it] is legally responsible,” so the “claims cannot be considered as
constituting claims for personal injury” under the policy. Id. (Although the
California Supreme Court later overruled one of the decisions on which the
California Court of Appeal had relied, that decision did not involve the standard of
9
causation, so its overruling has no effect on the analysis here. See Vandenberg v.
Superior Ct., 982 P.2d 229, 246 (Cal. 1999).)
So far as we are aware, no other jurisdiction has adopted a pure but-for
causation test in these circumstances. Various state courts have considered whether
damages “because of bodily injury” include damages for loss of consortium or
other derivative claims. See, e.g., Connecticut Ins. Guar. Ass’n v. Fontaine, 900
A.2d 18, 22, 24 (Conn. 2006) (answering the question in the affirmative because
loss of consortium is “derivative and inextricably attached to the claim of the
injured spouse” (quoting Izzo v. Colonial Penn Ins. Co., 524 A.2d 641, 645 (Conn.
1987)). But in most of those cases, courts did not consider the standard of
causation at all, so their analysis is of minimal relevance here.
In those cases in which courts have considered causation, they have rejected
the position that but-for causation is sufficient. See, e.g., Concord Gen. Mut. Ins.
Co. v. Doe, 8 A.3d 154, 157–58 (N.H. 2010) (explaining that an “injury must
originate from, grow out of, or flow from” a cause, and stating that “we agree with
those jurisdictions that have rejected the ‘but for’ causation test”); State Farm Mut.
Auto. Ins. Co. v. Shaffer, 888 S.W.2d 146, 147, 149 (Tex. App. 1994) (holding that
punitive damages did not arise “because of bodily injury,” even if the injury was
the but-for cause of the punitive damage award); State Cap. Ins. Co. v. Nationwide
Mut. Ins. Co., 350 S.E.2d 66, 69 (N.C. 1986) (stating that establishing a causal
10
connection requires showing that an injury is “the natural and reasonable incident
or consequence of the [cause]”).
In short, state courts have not given a variety of answers to the question
whether but-for causation on its own determines the scope of “because of bodily
injury.” Instead, they have uniformly rejected but-for causation.
Although there is no Oregon Supreme Court case directly on point, nothing
in Oregon jurisprudence suggests that Oregon courts would depart from the general
principles of causation that American courts apply in this and other contexts. To
the contrary, Oregon courts have repeatedly applied those principles. In tort cases,
for example, although Oregon courts do not use the term “proximate cause,” they
still limit liability to situations in which “the harm that the plaintiff suffered was a
reasonably foreseeable result of the defendant’s negligence.” Lasley v. Combined
Transp., Inc., 261 P.3d 1215, 1219 (Or. 2011). Likewise, in construing a statute
requiring that convicted criminals pay restitution equal to the damages that “result
from” their crimes, Or. Rev. Stat. § 137.106, the Oregon Supreme Court has held
that “the legislature intended to apply the traditional civil law concept of
reasonable foreseeability to determine whether claimed damages are ‘too remote’”
to be recoverable, State v. Ramos, 368 P.3d 446, 454–55 (Or. 2016).
And, crucially, the Oregon Supreme Court has applied those principles to the
interpretation of insurance contracts. In Oakridge Community Ambulance Service,
11
Inc. v. United States Fidelity & Guaranty Co., the court considered an insurance
policy held by an ambulance service that covered damage “caused by accident and
[a]rising out of the ownership, maintenance or use of the automobile.” 563 P.2d
164, 166 (Or. 1977). The court recognized that construing the policy required
identifying an appropriate stopping point on what it called a “continuum of causal
connection.” Id. at 167. “On one end of the continuum is the situation in which
insured’s ambulance while being negligently driven hits and injures a party,” while
“[o]n the other end is the situation in which a potential customer, upon entering
insured’s place of business to order an ambulance to take his sick mother to the
hospital, trips over a negligently arranged rug and breaks his leg.” Id. The court
recognized that “[c]overage would exist as a matter of law in the first situation,”
but that “[i]n the latter situation . . . coverage as a matter of law does not exist,
despite the causal connection between the broken leg and the ‘ownership,
maintenance or use’ of the ambulance.” Id. That is so even though, “had it not been
for insured’s ownership, maintenance and use of the ambulance, the customer
would not have been in insured’s office to order an ambulance for his mother and
would not have broken his leg.” Id. In other words, although but-for causation
would exist, the causal connection “would be too attenuated to afford coverage.”
Id. That decision makes clear that a pure but-for causation analysis has no place in
Oregon insurance law.
12
In light of this authority, we see little reason to delay the resolution of this
case by certifying the question to the Oregon Supreme Court, something neither
party has requested. In some cases, certification may promote “comity and
federalism” by allowing state courts to resolve important questions of public policy
implicated by open questions of state law. Busker v. Wabtec Corp., 903 F.3d 881,
882 (9th Cir. 2018). But only by ignoring Holman Erection, Oakridge Community
Ambulance Service, and the other Oregon authorities cited above could one view
this case as presenting a genuinely open question of Oregon law. Certification is
not to be ordered lightly. Murray v. BEJ Mins., LLC, 924 F.3d 1070, 1072 (9th Cir.
2019) (en banc). When there is little reason to doubt the answer to a state-law
question, we ought not outsource our work to a state court simply because we find
the burden of decision unwelcome.
Nor do we think it appropriate to refrain from publishing an opinion because
this case involves an issue of state law. Congress has chosen to extend the
jurisdiction of the federal courts to cover diversity cases, 28 U.S.C. § 1332, and it
has authorized us to hear appeals in those cases, id. § 1291. In common-law
jurisdictions, the traditional way in which courts resolve cases is through decisions
that have precedential effect. See 1 William Blackstone, Commentaries on the
Laws of England 69 (1765). That does not mean that every case requires a
precedential opinion. See 9th Cir. R. 36-3; Hart v. Massanari, 266 F.3d 1155 (9th
13
Cir. 2001). But it does mean that publishing an opinion is hardly an unusual act
that requires a special justification. Nothing in section 1332 or our circuit rules
suggests that the diversity jurisdiction should be a special precedent-free zone so
that each panel—or each district court—may be a law unto itself.
We conclude that the phrase “because of bodily injury” in Bliss Sequoia’s
insurance policy includes only damages that reasonably or foreseeably result from
bodily injury—not just any that may arise in a daisy chain of lawsuits connected in
some way to someone’s injury. Accordingly, the Gardners’ personal-injury suit
against the water park arose “because of bodily injury,” but the claims of
professional negligence did not. And because Bliss Sequoia’s policy does not
cover those claims, Allied has no duty to defend or indemnify Bliss Sequoia
against them.
AFFIRMED.
14
FILED
Bliss Sequoia v. Allied Property, No. 20-35890 OCT 27 2022
MOLLY C. DWYER, CLERK
O’SCANNLAIN, Circuit Judge, dissenting: U.S. COURT OF APPEALS
Regrettably, I cannot join the majority’s Opinion on Oregon law.
The question before us is whether, under Oregon insurance law, there is “any
reasonable doubt” as to the meaning of the term “because of.” See, e.g., N. P. Ins.
Co. v. Hamilton, 22 P.3d 739, 742 (Or. 2001). As the parties and the majority agree,
the question “may be determinative of the cause” now pending before us, and “there
is no controlling precedent in the decisions” of Oregon appellate courts. See Or. Rev.
Stat. § 28.200; § 28.205. Therefore, I would certify this case to the Supreme Court
of Oregon, and thus, respectfully, must dissent from the majority’s decision to reach
the merits.
I
We should have certified this case because it involves an open and hotly
contested state-law issue, which is demonstrated by the fact that many states have
reached a variety of answers to the same question. The majority declines to certify
because, in its view, it would be unreasonable for Oregon’s courts to interpret the
term “because of” to mean direct, “but-for” causation in an insurance policy. Maj.
Op. at 5. That would come as news to the Supreme Court of Connecticut. See Conn.
Ins. Guar. Ass’n v. Fontaine, 900 A.2d 18, 23 (Conn. 2006); Izzo v. Colonial Penn
Ins. Co., 524 A.2d 641, 645 (Conn. 1987). And the Supreme Court of Nebraska.
Wilson v. Cap. Fire Ins. Co. of Lincoln, 286 N.W. 331, 333 (Neb. 1939). Same for
the Supreme Court of Massachusetts. Worcester Ins. Co. v. Fells Acres Day Sch.,
Inc., 558 N.E.2d 958, 972–93 (Mass. 1990). 1 So, too, for the California Courts of
Appeal. See, e.g., Mid-Cent. Ins. Co. v. Bash, 259 Cal. Rptr. 382, 386 (Cal. App. 5th
Dist. 1989); United Services Auto. Ass’n. v. Warner, 135 Cal. Rptr. 34, 36-37 (Cal.
App. 4th Dist. 1976).2
Moreover, some states that have not expressly adopted “but for” causation
standards have nevertheless recognized that the term “because of” is susceptible to
more than one reasonable interpretation, and therefore ambiguous. New York’s
highest court found a policy covering “damages because of ‘bodily injury’” to be
ambiguous. Charles F. Evans Co., Inc. v. Zurich Ins. Co., 731 N.E.2d 1109, 1110
(N.Y. 2000). Texas courts reached the same conclusion. State Farm Mut. Auto. Ins.
Co. v. Shaffer, 888 S.W.2d 146, 148–49 (Tex. App. Hous. [1st Dist.] 1994), writ
denied (Apr. 27, 1995); see Brainard v. Trinity Universal Ins. Co., 216 S.W.3d 809,
1
Several of the cases cited herein concern derivative claims. See, e.g., Fontaine, 900
A.2d. at 23. This does not alter the fact that these cases concern the interpretation of
“because of.”
2
The only case cited by the majority as exemplary of “the analysis employed in other
jurisdictions” is a California Court of Appeal case that was later overruled by the
Supreme Court of California. Compare Vandenberg v. Super. Ct., 982 P.2d 229, 246,
246 n.13 (Cal. 1999) (overruling International Surplus and all “Court of Appeal
decisions adhering to the holding of International Surplus”), with Horsemen's Benv.
& Protective Ass’n. v. Ins. Co. of N.A., 271 Cal. Rptr. 838, 839 (Cal. App. 1st Dist.
1990) (relying exclusively on International Surplus).
2
813 (Tex. 2006) (citing Shaffer approvingly). And other states have adopted all sorts
of expansive causation standards in insurance cases. See Concord Gen. Mut. Ins. Co.
v. Doe, 8 A.3d 154, 157 (N.H. 2010); State Capital Ins. Co. v. Nationwide Mut. Ins.
Co., 350 S.E.2d 66, 69 (N.C. 1986); see also Pope v. Stolts, 712 S.W.2d 434, 437
(Mo. App. E. Dist. 1986).
Perhaps, as the majority suggests, the state courts of Connecticut, Nebraska,
Massachusetts, California, New York, Texas, New Hampshire, North Carolina, and
Missouri are each unreasonable, or all experiencing a sort of mass delusion. I am
inclined to view our state judicial colleagues more charitably. Or, at the very least, I
am inclined to give the courts of Oregon an opportunity to join the folie à neuf.
II
To be sure, Oregon need not say that “but for” is a reasonable reading of
“because of.” Not all states do. See, e.g., Allstate Ins. Co. v. Teel, 100 P.3d 2, 5
(Alaska 2004); Lovewell v. Physicians Ins. Co. of Ohio, 679 N.E.2d 1119, 1122
(Ohio 1997). Had we certified this case to the Supreme Court of Oregon, it would
have had the opportunity to adopt any of these tests, or to articulate a different
standard altogether, anywhere along the spectrum of causation. Or, perhaps the
Supreme Court of Oregon would have, as usual, “consider[ed] differing judicial
interpretations of an insurance policy clause as evidence that that clause is
ambiguous.” Allianz Glob. Risks US Ins. Co. v. Ace Prop. & Cas. Ins. Co., 483 P.3d
3
1124, 1150 (Or. 2021), opinion adhered to as modified on reconsideration, 489 P.3d
115 (Or. 2021).
Indeed, in the absence of state-law guidance, we must leave the balancing of
the pros and cons of a certain interpretation to state courts. Murray v. BEJ Mins.,
LLC, 924 F.3d 1070, 1072 (9th Cir. 2019). Such concerns are heightened in
insurance cases, where states are known to adopt wildly different constructions of
the same term. Compare Queen Anne Park HOA v. State Farm, 183 Wash. 2d 485,
492 (2015), with Doheny W. Homeowners’ Ass’n v. Am. Guarantee & Liab. Ins. Co.,
60 Cal. App. 4th 400, 402 (1997), and with Cent. Mut. Ins. Co. v. Royal, 269 Ala.
372, 375 (1959). Although federal judges may be tempted to take an “Erie guess,”
even the best judges should proceed with caution when filling the void of state law
with our intuition of what is “reasonable.” See, e.g., Emmis Commc’ns Corp. v. Ill.
Nat’l Ins. Co., 929 F.3d 441 (7th Cir. 2019) (failing to apply “the rule favoring
coverage when multiple reasonable readings of an insurance policy might apply”
and rejecting the insured’s proposed interpretation) (Barrett, J.), withdrawn on
rehearing, 937 F.3d 836 (7th Cir. 2019).
4
III
Admittedly, if the Supreme Court of Oregon were to reject certification, we
would have no choice but to decide this case by way of an Erie guess.3 In that event,
it would still be best to do so in an unpublished, non-precedential disposition, as we
typically have done for most purely state-law decisions.4 See Herrera v. Zumiez,
Inc., 953 F.3d 1063, 1080–81 (9th Cir. 2020) (R. Nelson, J., concurring).
IV
For the foregoing reasons, I would simply have asked Oregon’s Supreme
Court whether it wishes to exercise its sovereign authority to expound Oregon law
in this unsettled area.
3
Although rejection is a possibility, we should not be too pessimistic. State courts
have shown that they are willing to accept certification. See Yamashita v. LG Chem,
Ltd., 48 F.4th 993 (9th Cir. 2022) (certifying question); Order Regarding Certified
Questions, Yamashita v. LG Chem, Ltd., SCCQ-XX-XXXXXXX (Sup. Ct. Haw. Sep 21,
2022), Dkt. 4 OAQ (order accepting certification) (filed 13 days after our
certification request).
4
“Anybody,” even a federal judge, “can write [new state law]. It merely requires a
complete ignorance of [federalism and comity].” Oscar Wilde, The Critic as Artist:
With Some Remarks Upon the Importance of Doing Nothing (1891), reprinted in The
Artist as Critic: Critical Writings of Oscar Wilde 341, 358 (Richard Ellman ed.,
1982) (whimsically paraphrased).
5
Plain English Summary
FOR PUBLICATION FILED UNITED STATES COURT OF APPEALS OCT 27 2022 MOLLY C.
Key Points
01FOR PUBLICATION FILED UNITED STATES COURT OF APPEALS OCT 27 2022 MOLLY C.
02COURT OF APPEALS FOR THE NINTH CIRCUIT BLISS SEQUOIA INSURANCE & RISK No.