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No. 10370544
United States Court of Appeals for the Ninth Circuit
Pamela Siino v. Foresters Life Insurance and Annuity Company
No. 10370544 · Decided April 1, 2025
No. 10370544·Ninth Circuit · 2025·
FlawFinder last updated this page Apr. 2, 2026
Case Details
Court
United States Court of Appeals for the Ninth Circuit
Decided
April 1, 2025
Citation
No. 10370544
Disposition
See opinion text.
Full Opinion
FOR PUBLICATION
UNITED STATES COURT OF APPEALS
FOR THE NINTH CIRCUIT
PAMELA SIINO, Individually and on No. 23-16176
behalf of the Class,
D.C. No.
Plaintiff-Appellee, 4:20-cv-02904-
v. JST
FORESTERS LIFE INSURANCE
AND ANNUITY COMPANY, a New OPINION
York Company,
Defendant-Appellant.
Appeal from the United States District Court
for the Northern District of California
Jon S. Tigar, District Judge, Presiding
Argued and Submitted January 14, 2025
Pasadena, California
Filed April 1, 2025
Before: JOHNNIE B. RAWLINSON and MILAN D.
SMITH, JR., Circuit Judges, and JED S. RAKOFF, *
District Judge.
Opinion by Judge Milan D. Smith, Jr.
*
The Honorable Jed S. Rakoff, United States District Judge for the
Southern District of New York, sitting by designation.
2 SIINO V. FORESTERS LIFE INS. AND ANNUITY CO.
SUMMARY **
California Insurance Law / Declaratory Relief
The panel affirmed in part and reversed in part the
district court’s summary judgment in favor of Pamela Siino
in her action for declaratory relief challenging Foresters Life
Insurance and Annuity Company’s termination of her policy
for nonpayment of premiums.
Siino’s claims were premised on the insurer’s violation
of two statutes, sections 10113.71 and 10113.72 of the
California Insurance Code (the Statutes), which set forth a
pretermination notice scheme designed to minimize the
chance that policy holders would inadvertently
default. Siino alleged that the insurer violated the Designee
Notice Requirement (requiring insurers to notify policy
owners of their right to designate at least one person to
receive notice of lapse or termination of policy for
nonpayment of premium) and the Pretermination Notice
Requirement (requiring insurers to provide notice regarding
impending termination for nonpayment at least 30 days
before termination). Siino sought a declaration that (1) the
insurer failed to comply with the Statutes in terminating her
policy, (2) her policy remained valid and enforceable, (3) the
insurer could not require her to pay back her overdue
premiums. The district court granted the request in part,
declaring that the insurer had wrongfully terminated Siino’s
policy and that her policy would remain valid so long as
Siino tendered all unpaid premiums.
**
This summary constitutes no part of the opinion of the court. It has
been prepared by court staff for the convenience of the reader.
SIINO V. FORESTERS LIFE INS. AND ANNUITY CO. 3
The panel disagreed with the insurer that Siino’s request
for declaratory relief was duplicative of her breach of
contract claim, and concluded that the district court did not
abuse its discretion in entertaining the request. Applying
Small v. Allianz Life Insurance Co. of North America, 122
F.4th 1182 (9th Cir. 2024), the panel held that the district
court did not err in granting the first portion of Siino’s
requested relief—a declaration that the insurer violated the
Statutes—because Siino provided all necessary evidence to
support the claim. The district court did not err in finding
that the insurer violated the Statutes’ Pretermination Notice
Requirement and Designee Notice Requirement.
However, the panel held that the district court erred in
granting the second portion of Siino’s requested relief—a
declaration that her insurance policy remained valid—
because this declaration required evidence of causation that
Siino failed to provide. Even if the insurer had sent Siino
the requisite notices, they would not have reached her where
the record makes clear that Siino moved and failed to
successfully update her address on file.
Because all of Siino’s other claims were dismissed with
prejudice, the panel remanded to the district court solely for
the purpose of entering final judgment.
COUNSEL
Benjamin I. Siminou (argued) and Jonna D. Lothyan,
Singleton Schreiber LLP, San Diego, California; Alex
Tomasevic, Nicholas & Tomasevic LLP, San Diego,
California; Sarah Ball and Jack B. Winters Jr., Winters &
Associates, La Mesa, California; for Plaintiff-Appellee.
4 SIINO V. FORESTERS LIFE INS. AND ANNUITY CO.
Jarrett E. Ganer (argued) and Thomas F. A. Hetherington,
McDowell Hetherington LLP, Houston, Texas; James M.
Chambers, McDowell Hetherington LLP, Arlington, Texas;
Jodi K. Swick, McDowell Hetherington LLP, Oakland,
California; for Defendant-Appellant.
OPINION
M. SMITH, Circuit Judge:
In this insurance action arising under Sections 10113.71
and 10113.72 of the California Insurance Code, Defendant-
Appellant Foresters Life Insurance and Annuity Company
(FLIAC) challenges the district court’s entry of summary
judgment in favor of Plaintiff-Appellee Pamela Siino. Siino,
whose FLIAC policy was terminated for nonpayment of
premiums in 2018, sought a judicial declaration that
(1) FLIAC failed to comply with the Insurance Code in
terminating her policy, (2) her policy remained valid and
enforceable, and (3) FLIAC could not require her to pay
back her overdue premiums. The district court granted this
request in part, declaring that FLIAC had wrongfully
terminated Siino’s policy and that her policy would remain
valid so long as Siino tendered all unpaid premiums. FLIAC
argues that this result was erroneous, first, because Siino’s
requested relief was duplicative of her other claims, and,
further, because Siino failed to establish all necessary
elements to support her requested declaratory relief.
We disagree with FLIAC that Siino’s requested relief
was duplicative and conclude that the district court did not
abuse its discretion in entertaining the request. Nevertheless,
following our recent opinion in Small v. Allianz Life
SIINO V. FORESTERS LIFE INS. AND ANNUITY CO. 5
Insurance Co. of North America, 122 F.4th 1182 (9th Cir.
2024), we reach a mixed result on the merits of the relief that
the district court granted. We conclude that the district court
did not err in granting the first portion of Siino’s requested
relief—a declaration that FLIAC violated the Insurance
Code—because Siino provided all necessary evidence to
support this claim. But we find that the district court did err
in granting the second portion of Siino’s requested relief—a
declaration that her insurance policy remained valid—
because this declaration required evidence of causation that
Siino failed to provide. As a result, we affirm in part and
reverse in part the declaratory relief that the district court
granted. Because all of Siino’s other claims were dismissed
with prejudice, we remand to the district court solely for the
purpose of entering final judgment.
FACTUAL BACKGROUND
In 2010, Siino and her husband, nonparty Salvatore
Siino, each purchased a life insurance policy from FLIAC.
Siino’s policy was a twenty-year level term policy with
$100,000 in face value, meaning that during the first twenty
years of the policy, Siino could maintain coverage by paying
a fixed annual premium. The policy provided a “[g]race
[p]eriod of 31 days . . . for payment of each premium,” and
stated that, although the “Policy w[ould] continue in force”
during the grace period, “coverage . . . w[ould] terminate” if
a “[g]race [p]eriod end[ed] without the payment of the
required premium.” Siino’s annual premium payment was
due on January 26 of each year.
From 2010 to 2018, FLIAC sent Siino annual physical
notices regarding her upcoming premium payments.
However, in 2014, Siino moved away from the address that
FLIAC had on file, and although she attempted to submit a
6 SIINO V. FORESTERS LIFE INS. AND ANNUITY CO.
change-of-address request, it was deemed invalid because
she did not sign it. 1 As a result, although FLIAC continued
to send Siino annual premium due notices, Siino no longer
received them, and she ultimately failed to pay her premium
due on January 26, 2018. FLIAC followed up by letter on
February 26, 2018, notifying Siino that her policy had
“lapsed” and stating that she “still ha[d] the opportunity to
reinstate [her] policy by sending in the premium . . . within
30 days,” or by March 28, 2018. But Siino again did not
receive the letter, and she failed to submit her overdue
premium by the March deadline.
In 2019, Siino’s husband realized that Siino may have
missed a premium payment and reached out to the couples’
FLIAC agent, Austin Batista, to “check into” the status of
her policy. Batista responded that Siino’s policy had lapsed
in 2018 due to her failure to pay the premium due that year.
He explained that Siino “c[ould] submit a reinstatement
application,” including an updated medical examination, “in
order to get [her policy] in force.” But Siino declined to
submit a reinstatement application or to proffer the premium
payments she had missed. Instead, some time before March
2020, she purchased a new life insurance policy from
another provider. 2
1
Although Siino’s change-of-address request was deemed invalid, her
husband submitted a valid change-of-address request with respect to his
own policy. He continued to receive notices regarding his policy going
forward, including an advisement regarding his right to designate a third-
party addressee on his policy.
2
In April 2020, Batista followed up again, explaining that “[a]ll [Siino]
would need to do” to “reinstate[]” her policy was “send the 3 years worth
of missed premiums.” The notice was too late, as Siino had already
purchased her new life insurance policy from another provider.
SIINO V. FORESTERS LIFE INS. AND ANNUITY CO. 7
PROCEDURAL BACKGROUND
In April 2020, Siino filed a putative class action suit
against FLIAC in the United States District Court for the
Northern District of California. In the action, Siino brought
claims for declaratory relief under state and federal law,
breach of contract, and violations of California’s Unfair
Competition Law (UCL). Her claims were premised on
FLIAC’s alleged violation of two statutes, Sections
10113.71 and 10113.72 of the California Insurance Code,
that the California Legislature enacted in 2012 (the
Statutes). 3
The Statutes set forth a “single, unified pretermination
notice scheme” consisting of “three components” designed
to minimize the chance that policy holders would
inadvertently default. McHugh v. Protective Life Ins. Co.,
12 Cal. 5th 213, 240 (2021). First, the Statutes require
insurers to give policy owners a 60-day grace period to pay
a missed premium payment (the Grace Period Requirement).
Cal. Ins. Code § 10113.71(a). Second, they require insurers
to notify policy owners of their right to designate a third
party to receive notices regarding overdue premiums or
impending terminations of their policy (the Designee Notice
3
Although the issuance of Siino’s policy preceded the enactment of the
Statutes, the California Supreme Court held in McHugh v. Protective Life
Insurance Company, 12 Cal. 5th 213, 222 (2021), that the Statutes “apply
to all life insurance policies in force as of January 1, 2013,” the date on
which the Statutes went into effect. There is thus no dispute that, under
McHugh, the Statutes apply to Siino’s policy, and its regulatory
requirements are therefore “deemed to be incorporated into [her] policy.”
Id. at 224; see Cal-Farm Ins. Cos. v. Fireman’s Fund Am. Ins. Cos., 25
Cal. App. 3d 1063, 1071 (1972). As a result, the parties agree that any
violations of the Statutes by FLIAC are substantively equivalent to a
breach of FLIAC’s policy, i.e., its contract, with Siino.
8 SIINO V. FORESTERS LIFE INS. AND ANNUITY CO.
Requirement). Id. § 10113.72(a), (b). Third, and finally, the
Statutes require insurers to provide notices regarding any
unpaid premium, within 30 days of the missed payment, and
notices regarding impending termination for nonpayment, at
least 30 days before termination (the Pretermination Notice
Requirement). Id. §§ 10113.71(b), 10113.72(c). Siino
specifically alleged that FLIAC violated the latter two
requirements, i.e., the Designee Notice Requirement and the
Pretermination Notice Requirement.
In June 2020, FLIAC moved to dismiss for lack of
standing; the district court granted the motion only as to
Siino’s request for injunctive relief under the UCL, which it
dismissed without prejudice. Siino declined to amend her
complaint or reincorporate the claim, and the parties
proceeded to discovery. Siino then moved for class
certification in April 2021. The district court denied Siino’s
motion on the ground that damages could not be calculated
on a class-wide basis. Finally, in December 2022, Siino
moved for summary judgment on her claim for federal
declaratory relief under the Declaratory Judgment Act
(DJA), 28 U.S.C. § 2201, et seq. Through her motion, Siino
sought a declaration that (1) FLIAC failed to comply with
the Statutes in terminating her policy, (2) her policy
remained valid and enforceable, and (3) FLIAC could not
require Siino to pay back her missed premiums.
The district court granted Siino’s motion in part and
denied it in part. It found that Siino’s requested declaratory
relief was not duplicative of her other claims and therefore
was appropriately before the court. It further found that
Siino was not required to prove all the elements of a breach
of contract claim in order to obtain her requested declaratory
relief. Applying that understanding, the district court held
that FLIAC failed to comply with the Statutes in terminating
SIINO V. FORESTERS LIFE INS. AND ANNUITY CO. 9
Siino’s policy and that Siino’s policy remained valid and
enforceable. The district court held, however, that because
the declaratory relief Siino sought was akin to specific
performance, Siino was required to tender all overdue
premiums to FLIAC in order to maintain her policy going
forward. The district court ordered the parties to meet and
confer regarding the total amount of overdue premiums that
Siino owed and the deadline by which she would tender that
amount to FLIAC.
Following the summary judgment ruling, the parties
stipulated that Siino would tender $978 to FLIAC,
encompassing the six premium payments she had missed
from 2018 to 2023, along with six percent interest. Siino
complied with the stipulation by timely submitting this sum
to FLIAC. Thereafter, the parties stipulated to the voluntary
dismissal, with prejudice, of Siino’s remaining claims for
breach of contract, state-law declaratory relief, and
violations of the UCL. With Siino’s federal-law declaratory
judgment claim resolved by the court’s summary judgment
ruling, and all other claims dismissed, the parties jointly
requested the entry of final judgment. The district court
granted the request and entered judgment in August 2023.
FLIAC timely appeals from that result, raising two
primary challenges to the district court’s summary judgment
ruling. First, FLIAC contends that the district court abused
its discretion by entertaining Siino’s requested declaratory
relief because it was duplicative of her breach of contract
claim. Second, FLIAC contends that the district court erred
by granting this declaratory relief without a proper
evidentiary record. FLIAC specifically contends that,
because Siino’s requested declaratory relief overlapped with
her claim for breach of contract, Siino was required to prove
all the elements of breach of contract, including causation,
10 SIINO V. FORESTERS LIFE INS. AND ANNUITY CO.
in order to achieve her requested relief. FLIAC argues that
Siino failed to make this showing because the undisputed
evidence reflects that FLIAC did not breach its contract with
Siino and that, even if it did, its actions were not the legal
cause of Siino’s injury.
While FLIAC’s appeal was pending, we issued our
opinion in Small. That opinion, which concerned the
certification of a class seeking relief under the Statutes,
addressed a split among courts in our circuit as to whether
questions of causation are relevant to breach of contract
claims brought pursuant to the Statutes. Small, 122 F.4th at
1192. As Small noted, one group of courts in our circuit had
adopted a “violation-only” approach under which an
insurer’s violation of the Statutes was adequate to support a
breach of contract claim, irrespective of the plaintiff’s ability
to show a causal relationship between the violation and any
resulting injuries. Id. Other courts applied a standard
“causation” approach, requiring “that the plaintiff . . . not
only allege a violation of the Statutes, but . . . also show that
the violation caused them harm.” Id. at 1193. Small adopted
the latter theory. Id. It held that courts must “apply the usual
requirements for a breach of contract claim in cases based on
claimed violations of the Statutes.” Id. at 1195.
JURISDICTION AND STANDARD OF REVIEW
We have jurisdiction to review the district court’s
summary judgment ruling pursuant to 28 U.S.C. § 1291.
Richardson-Merrell, Inc. v. Koller, 472 U.S. 424, 429–30
(1985). “We review de novo a district court’s grant or denial
of summary judgment.” Botosan v. Paul McNally Realty,
216 F.3d 827, 830 (9th Cir. 2000). “Thus, on appellate
review, we employ the same standard used by the trial court
under Federal Rule of Civil Procedure 56(c).” Animal Legal
SIINO V. FORESTERS LIFE INS. AND ANNUITY CO. 11
Def. Fund v. U.S. Food & Drug Admin., 836 F.3d 987, 988
(9th Cir. 2016). Under that standard, “[s]ummary judgment
is appropriate only if, taking the evidence and all reasonable
inferences drawn therefrom in the light most favorable to the
non-moving party, there are no genuine issues of material
fact and the moving party is entitled to judgment as a matter
of law.” Furnace v. Sullivan, 705 F.3d 1021, 1026 (9th Cir.
2013) (quoting Torres v. City of Madera, 648 F.3d 1119,
1123 (9th Cir. 2011)); see Orloff v. Cleland, 708 F.2d 372,
375 (9th Cir. 1983).
“[O]ur review of a district court’s decision to entertain
an action under the Declaratory Judgment Act is deferential,
under the abuse of discretion standard.” Gov’t Emps. Ins.
Co. v. Dizol, 133 F.3d 1220, 1223 (9th Cir. 1998); see Wilton
v. Seven Falls Co., 515 U.S. 277, 289–90 (1995).
ANALYSIS
I. The District Court Did Not Abuse Its Discretion by
Entertaining Siino’s Requested Declaratory Relief.
FLIAC first argues that the district court abused its
discretion by entertaining Siino’s request for declaratory
relief under the DJA. As FLIAC notes, the DJA creates a
permissive scheme under which a district court “may,” but
need not, “declare the rights and other legal relations of any
interested party.” 28 U.S.C. § 2201(a); see Gov’t Emps. Ins.,
133 F.3d at 1223. Thus, “the district court has discretion to
determine whether maintaining jurisdiction over the
declaratory action would be appropriate.” Allstate Ins. Co.
v. Herron, 634 F.3d 1101, 1107 (9th Cir. 2011). In
evaluating the propriety of a declaratory action, the “district
court is to consider a variety of factors, including whether
retaining jurisdiction would . . . risk duplicative
12 SIINO V. FORESTERS LIFE INS. AND ANNUITY CO.
litigation . . . [or] serve a useful purpose in clarifying the
legal relations at issue.” Id.
FLIAC argues that Siino’s requested declaratory relief
was not appropriately before the district court because it was
duplicative of the breach of contract claim that Siino asserted
in her complaint. FLIAC contends that, due to the close
similarities between the two claims, the district court was
foreclosed from adjudicating both. Siino responds that,
although the district court had the power to set aside her
request for declaratory relief, it did not abuse its discretion
by declining to do so because the claim was not superfluous.
Thus, the relevant question is whether any substantive
differences exist between the two claims.
We conclude that the two claims are substantively
different. As noted, Siino, through her claim for declaratory
relief, sought a legal declaration that: (1) “Foresters did not
comply with all of the provisions of [the Statutes] before it
terminated Mrs. Siino’s Policy on February 26, 2018”;
(2) “Mrs. Siino’s Policy remains valid and enforceable”; and
(3) “Foresters may not require Mrs. Siino to pay ‘back
premiums’ accruing since January 2018 in order to revive
the Policy.” By contrast, through her claim for breach of
contract, Siino sought damages based on her contention that
FLIAC “breached and continue to breach the express terms
of their life insurance policies, including Plaintiff’s Policy,
as well as the statutory mandates regarding such policies.”
These claims are not coextensive because they answer
different questions and turn on different considerations. For
example, whereas Siino’s declaratory relief claim concerns
her entitlement to a legal declaration of her rights and
obligations with respect to her FLIAC policy, Siino’s breach
of contract claim concerns her entitlement to damages based
SIINO V. FORESTERS LIFE INS. AND ANNUITY CO. 13
on FLIAC’s contractual violations. The difference between
these two inquiries is material, affecting not only how
Siino’s injuries are remedied but also what is required to
access those remedies. A claim for breach of contract, for
instance, requires evidence of damages, Bramalea Cal., Inc.
v. Reliable Interiors, Inc., 119 Cal. App. 4th 468, 473 (2004),
while parts of Siino’s requested declaratory relief does not.
Similarly, while portions of Siino’s declaratory relief focus
only on FLIAC’s actions, Siino’s breach of contract claim
focuses on the effects and consequences of those actions. In
this way, the simultaneous adjudication of both claims
would involve different inquiries and present a low risk of
“duplicative litigation.” Allstate Ins. Co., 634 F.3d at 1107.
Further, even if Siino’s claims are slightly duplicative,
the adjudication of both could “serve a useful purpose in
clarifying the legal relations at issue.” Id.; see, e.g., Steen v.
Am. Nat’l Ins. Co., 609 F. Supp. 3d. 1066, 1073 (C.D. Cal.
2022). In particular, although Siino’s declaratory relief and
breach of contract claims could both result in a
determination that her policy was improperly terminated,
only Siino’s declaratory relief claim carries that idea one
step forward by asking whether Siino is obligated to pay
back her overdue premiums. That question speaks to the
future obligations of the parties, an issue that would not be
addressed by Siino’s breach of contract claim. Therefore,
for this reason alone, the adjudication of Siino’s declaratory
relief claim would not be a waste of judicial resources. See
Gov’t Emps. Ins., 133 F.3d at 1225–26.
For the foregoing reasons, we conclude that the district
court did not abuse its discretion by entertaining Siino’s
request for declaratory relief. We proceed to evaluate the
merits of the relief that the district court granted.
14 SIINO V. FORESTERS LIFE INS. AND ANNUITY CO.
II. The District Court Erred in Part by Granting
Siino’s Requested Declaratory Relief.
After electing to entertain Siino’s request for declaratory
relief, the district court proceeded to grant it, at least in part,
by holding that FLIAC failed to comply with the Statutes in
terminating Siino’s policy and that, as a result, her policy
remained effective. In reaching this conclusion, the district
court noted the overlap between Siino’s declaratory and
breach of contract claims, and it evaluated evidence
pertaining to whether FLIAC had violated the Statutes.
Nevertheless, the district court declined to consider the
traditional elements of breach of contract, such as causation
and damages, explaining that they did not bear on its
decision whether to grant declaratory relief. See Miles v.
Deutsche Bank Nat’l Tr. Co., 236 Cal. App. 4th 394, 402
(2015). FLIAC contends that this was erroneous and that
Siino was required to prove all the elements of breach of
contract in order to secure her requested declaratory relief.
FLIAC further asserts that, had the district court insisted
upon the proper presentation of evidence, Siino’s declaratory
claim would have fallen short. We evaluate these issues in
turn.
a. Relief Under the DJA is Context-Specific.
As noted, we begin by reviewing the legal framework
and requirements for declaratory relief. Although the DJA
allows a court to “declare the rights and other legal relations
of any interested party,” 28 U.S.C. § 2201(a), it “does not
create new substantive rights,” Republic of Marsh. Is. v.
United States, 865 F.3d 1187, 1199 n.10 (9th Cir. 2017).
Instead, the DJA is a purely remedial statute that “provides
an affirmative remedy only when a cause of action otherwise
exists.” City of Reno v. Netflix, Inc., 52 F.4th 874, 876 (9th
SIINO V. FORESTERS LIFE INS. AND ANNUITY CO. 15
Cir. 2022) (per curiam); see also Schilling v. Rogers, 363
U.S. 666, 677 (1960) (relief under the DJA “presupposes the
existence of a judicially remediable right”). Frequently, as
in the present action, the cause of action accompanying a
request for declaratory judgment is breach of contract, for
which the declaratory judgment serves as a remedy. See,
e.g., Allstate, 634 F.3d at 1108. In such cases, the
declaratory judgment may be used to affirm the existence of
a breach of contract or to clarify any attending contractual
obligations. See Dizol, 133 F.3d at 1222 n.2, 1225–26.
Yet the fact that declaratory relief must arise from a
“valid legal predicate,” such as breach of contract, Chevron
Corp. v. Naranjo, 667 F.3d 232, 244 (2d Cir. 2012), does not
necessarily mean that declaratory relief requires proving the
underlying claim. FLIAC suggests, for example, that
because Siino seeks declaratory relief arising from her
breach of contract claim, Siino must prove each of the
elements of breach of contract to earn her requested
declaratory relief. But this contention, which is at the core
of FLIAC’s appeal, is without support. FLIAC provides no
authority or case that is on point. To the contrary, and as
Siino points out, the only decisions that have opined on the
legal requirements for declaratory relief have described the
necessary showing in broad strokes. One such decision held
simply that declaratory relief requires no more than “a
substantial controversy, between parties having adverse
legal interests, of sufficient immediacy and reality to warrant
the issuance of a declaratory judgment.” MedImmune, Inc.
v. Genentech, Inc., 549 U.S. 118, 127 (2007) (quoting Md.
Cas. Co. v. Pac. Coal & Oil Co., 312 U.S. 270, 273 (1941));
16 SIINO V. FORESTERS LIFE INS. AND ANNUITY CO.
see Boeing Co. v. Cascade Corp., 207 F.3d 1177, 1192 (9th
Cir. 2000). 4
Nevertheless, “[e]ven the most liberal construction that
can be placed upon [the DJA] will not warrant the courts in
granting affirmative relief by way of a declaratory judgment
in the absence of pleading and proof warranting such relief.”
See Mackay v. Whitaker, 116 Cal. App. 2d 504, 510 (1953)
(quoting 1 Anderson, Declaratory Judgments § 198 (2d ed.
1951)). Thus, a plaintiff seeking declaratory relief must
adduce an evidentiary record sufficient to support the terms
of their requested declaration. The evidentiary record that is
required will depend on “the nature of the relief asked for
and granted[,]” as opposed to the precise claim underlying
the declaratory judgment remedy. Pac. Portland Cement
Co. v. Food Mach. & Chem. Corp., 178 F.2d 541, 546 (9th
Cir. 1949); see, e.g., Hoeck v. City of Portland, 57 F.3d 781,
787 (9th Cir.), as amended (July 10, 1995). In other words,
what a claimant must prove to earn declaratory relief is
context-specific: It may overlap entirely with the underlying
claim, as FLIAC suggests, or it may turn on certain smaller
issues or topics to which the desired declaration pertains.
Two recent examples help to illustrate this principle. In
Drummond Coal Sales, Inc. v. Norfolk S. Ry. Co., 3 F.4th
605 (4th Cir. 2021), the plaintiff, seeking to be excused from
making required payments pursuant to a contract, requested
4
California courts are in accord that declaratory relief need not hew
exactly to the underlying claim. See Meyer v. Sprint Spectrum L.P., 45
Cal. 4th 634, 647 (2009) (“[California law] does not require a breach of
contract in order to obtain declaratory relief, only an ‘actual
controversy.’” (quoting Cal. Civ. Proc. Code § 1060)); see, e.g.,
Fujimoto v. W. Pioneer Ins. Co., 86 Cal. App. 3d 305, 313 (1978)
(evaluating declaratory relief arising from breach of contract without
considering causation or damages).
SIINO V. FORESTERS LIFE INS. AND ANNUITY CO. 17
a declaration that the defendant had “materially breached the
agreement.” Id. at 609–10, 613–14. In requesting this
declaration, the plaintiff “did not seek a sword—it neither
alleged a breach of contract claim nor sought declaratory
relief on all the elements of such a claim.” Id. at 613.
Instead, it sought a “shield”—a “statement of its rights and
responsibilities based on its belief that [the defendant]
breached the [a]greement.” Id. As a result, when reviewing
the jury verdict on appeal, the court only evaluated the
sufficiency of the evidence regarding breach, and it rejected
the defendant’s argument that the plaintiff had been required
to introduce “evidence on all the elements of an action for
breach of contract,” including causation and damages. Id.
The court found that, “[w]hile [the defendant] would have
[it] analyze whether the jury properly found all elements met
for a breach of contract claim, that is not the question the
jury was asked because that is not the claim [the plaintiff]
brought.” Id.
These circumstances contrast with those in Small. There,
a putative class seeking relief under the Statutes sought “a
declaration that their life insurance policies were improperly
lapsed by [the defendant] because it failed to strictly comply
with the Statutes before it lapsed those policies.” Small, 122
F.4th at 1190. Like in Drummond, the district court awarded
the requested declaration without considering evidence of
causation or damages. Id. at 1201; see Drummond, 3 F.4th
at 613–14. But we reversed. Small, 122 F.4th at 1203.
Scrutinizing the terms of the class’s requested relief, we
reasoned that it effectively sought a “declar[ation] that
the[ir] policies ‘improperly lapsed,’” and thus remained
valid, “because [the defendant] failed to comply with the
Statutes.” Id. at 1201. In other words, the requested relief
did not stop at the question of breach—whether the
18 SIINO V. FORESTERS LIFE INS. AND ANNUITY CO.
defendant violated the Statutes or not—but, instead, further
implicated the practical effects of that breach—whether the
violation of the Statutes had resulted in the continued
validity of the class’s policies. Id. Because the declaration,
in this way, functionally “adjudicate[d] the breach of
contract claim,” we concluded that the district court could
not grant the declaration in the absence of evidence
supporting all elements of breach of contract, including
“causation and damages.” Id.
b. Different Portions of Siino’s Requested
Declaratory Relief Required Different
Evidentiary Showings.
This background informs our analysis of Siino’s
requested declaratory relief. As noted, there were two main
components to that relief. First, Siino sought a declaration
that FLIAC failed to comply with the Statutes when
terminating her policy. Second, Siino sought a declaration
that, as a result of FLIAC’s failure to comply with the
Statutes, FLIAC’s termination of her policy was improper
and ineffective; Siino’s policy remained valid and
enforceable; and Siino was not required to tender any
overdue premium payments. As illustrated by Drummond
and Small, these declarations correspond to different issues,
and, accordingly, require different forms of evidence.
The first portion of the declaration, regarding FLIAC’s
failure to comply with the Statutes, is most analogous to
Drummond. This declaration pertains narrowly to the
limited question of breach—whether FLIAC, in terminating
Siino’s policy, did so in a way that was or was not compliant
with the applicable rules set forth in the Statutes. Thus, as
in Drummond, the requested declaration is not an offensive
“sword” that Siino could use to collect damages, but, instead,
SIINO V. FORESTERS LIFE INS. AND ANNUITY CO. 19
only a “shield” that Siino might use “to protect [herself]
should [FLIAC] seek payment” of overdue premiums. 3
F.4th at 613. As a result, before awarding this portion of the
declaration, the district court was not required to analyze all
the elements of breach of contract. Id. Instead, because the
requested relief purely corresponded to the question of
breach, that is the sole element that Siino was required to
establish. See id.; see also, e.g., Fujimoto, 86 Cal. App. 3d
at 313.
The outcome is different with respect to the second
portion of Siino’s requested declaration, regarding the
effects of FLIAC’s contractual breach and the continued
viability of Siino’s policy. Like the requested declaration in
Small, this declaration raises the question whether Siino’s
policy remains valid “because [FLIAC] failed to comply
with the Statutes.” Small, 122 F.4th at 1201. Therefore, in
contrast with Drummond and the first portion of Siino’s
requested declaration, the second portion of the requested
declaration is not limited to the question of breach—whether
FLIAC failed to comply with the Statutes—but goes further
to probe the consequences of that breach—whether FLIAC’s
failure to comply means that Siino’s policy was “improperly
lapsed” and remains valid going forward. Id. As a result, as
in Small, this requested declaration functionally
“adjudicate[s] [Siino’s] breach of contract claim” and
therefore turns on Siino’s ability to prove the elements of
breach of contract, including causation and damages. Id.
c. The District Court Did Not Err by Granting the
First Portion of Siino’s Requested Declaratory
Relief.
We next evaluate Siino’s presentation of evidence,
focusing first on the first portion of her requested declaratory
20 SIINO V. FORESTERS LIFE INS. AND ANNUITY CO.
relief—the declaration that FLIAC failed to comply with the
Statutes in terminating Siino’s policy. As discussed, we
have concluded that this relief pertained only to the question
of breach, and the district court found that Siino established
that element through evidence that FLIAC violated the
Statutes’ Pretermination Notice and Designee Notice
Requirements. We discern no error in these findings.
Accordingly, we affirm the district court’s decision to grant
the first portion of Siino’s requested relief.
i. Pretermination Notice Requirement
We first conclude that the district court did not err by
finding that FLIAC violated the Statutes’ Pretermination
Notice Requirement. This rule requires that insurers provide
insureds with a “notice of pending lapse and termination” at
least 30 days prior to terminating a policy for unpaid
premiums. Cal. Ins. Code §§ 10113.71(b)(1), 10113.72(c).
Whether FLIAC satisfied this rule turns on the details of the
notice it sent to Siino on February 26, 2018, following her
failure to pay her premium payment due on January 26,
2018. 5 The notice stated that “[t]he 31 day grace period on
[Siino’s] policy ha[d] expired and [the] policy ha[d] now
lapsed.” It then stated that Siino “still ha[d] the opportunity
to reinstate [her] policy by sending in the premium” before
March 28, 2018. The notice concluded with the statement
that “[i]f [Siino] fail[ed] to make a payment within the
specified timeframe, [her] policy w[ould] still be considered
lapsed.”
FLIAC’s notice to Siino does not satisfy the
Pretermination Notice Requirement because it was not sent
5
It is undisputed that FLIAC sent no other notice to Siino that might
satisfy the Pretermination Notice Requirement.
SIINO V. FORESTERS LIFE INS. AND ANNUITY CO. 21
“at least 30 days prior to the effective date of termination.”
Cal. Ins. Code § 10113.71(b)(1). According to the notice’s
own description, Siino’s policy had already “lapsed” at the
time the notice was sent. Thus, whereas an appropriate
pretermination notice would have advised Siino about the
“pending lapse” of her policy and reminded her to pay her
premium before it lapsed, id., FLIAC’s notice did exactly the
opposite—it advised Siino that her policy had already
“lapsed” and offered her a retroactive opportunity to
“reinstate” the lapsed policy by submitting her overdue
payment. This notice failed to provide Siino with the
pretermination warning she was owed under the Statutes.
See id.
FLIAC responds that, even though its notice stated that
Siino’s policy had lapsed, its own records show that Siino’s
policy remained in force at the time of the notice, such that
FLIAC would have paid a claim if Siino had submitted one
at that time. However, as the district court correctly noted,
this consideration is not relevant to whether FLIAC
complied with the Pretermination Notice Requirement. As
noted, that requirement mandated that FLIAC’s
pretermination notice advise Siino about the “pending lapse
and termination” of her policy. Id. Thus, even if Siino’s
policy had not truly lapsed as of February 26, 2018, the only
way for FLIAC to satisfy its statutory obligations was to
warn her, within 30 days of termination, that lapse was
imminent. Because FLIAC did not do so, we conclude that
there is no genuine dispute of fact that FLIAC violated the
Pretermination Notice Requirement.
ii. Designee Notice Requirement
We further conclude that the district court did not err by
finding that FLIAC violated the Statutes’ Designee Notice
22 SIINO V. FORESTERS LIFE INS. AND ANNUITY CO.
Requirement. This rule requires that insurers provide policy
owners “the right to designate at least one person . . . to
receive notice of lapse or termination of a policy for
nonpayment of premium.” Cal. Ins. Code § 10113.72(a).
The insurer shall, upon the initiation of a new policy,
“provide each applicant with a form to make the
designation.” Id. Thereafter, the insurer shall “notify the
policy owner annually of the right to change the written
designation or designate one or more persons.” Id.
§ 10113.72(b). Since the Statutes took effect on January 1,
2013, FLIAC was obligated to provide these notices to Siino
each year from 2013 onward. McHugh, 12 Cal. 5th at 220,
225.
In connection with her motion for summary judgment,
Siino affirmatively declared that FLIAC had not satisfied the
Designee Notice Requirement. Specifically, she stated that
“at no time in or since 2013 did [FLIAC] advise [her] of [her]
right to designate another person to receive important policy
notices, like notices of premiums being due, premiums being
missed, or impending lapse.” FLIAC did not rebut this
declaration. Instead, it introduced the deposition testimony
of David Schimmel, a corporate representative of FLIAC,
who stated that he could not “confirm or deny whether”
Siino received “any notice in writing that she had a right to
designate another individual to receive notices before her
policy would be lapsed or terminated.” Schimmel further
testified that FLIAC had unsuccessfully “exhausted all
options” to “ascertain” whether Siino had received a
designation notice.
Because Siino affirmatively declared that FLIAC never
sent her notice of the right to designate, and FLIAC failed to
bring forward opposing evidence suggesting that it did so,
there is no genuine dispute of fact that FLIAC violated the
SIINO V. FORESTERS LIFE INS. AND ANNUITY CO. 23
Designee Notice Requirement. See Fed. R. Civ. P. 56(c)(1),
(e); United States v. Falcon, 805 F.3d 873, 876 (9th Cir.
2015). FLIAC nevertheless contends that it was not required
to bring forward opposing evidence because Siino, having
moved from her address on file with FLIAC, “lack[ed] the
personal knowledge necessary to say that FLIAC did not
send the designation notice to her address of record.”
FLIAC suggests that because Siino’s declaration was “self-
serving” in this way, it was not required to rebut it.
FLIAC’s argument is not persuasive because the
undisputed evidence at summary judgment reflected that
Siino, despite her move, retained access to mail sent to her
original address—the one that was on file with FLIAC—
until 2015. FLIAC does not dispute that its obligation to
begin sending Siino annual notices of her right to designate
commenced in 2013. Therefore, although there could be
reason to doubt Siino’s declaration that she did not receive
notices from 2015 onward, there is no reason to doubt her
declaration that she did not receive notices in 2013 and 2014.
With this consideration in mind, we conclude that there is no
genuine issue of fact that FLIAC violated the Designee
Notice Requirement.
Because we agree with the district court that FLIAC
violated two of the requirements set forth in the Statutes, we
affirm the district court’s decision to grant the first portion
of Siino’s requested declaratory relief. 6
6
FLIAC also argues that the district court erred by granting this relief
without considering its affirmative defenses, including waiver,
ratification, and failure to mitigate. FLIAC is correct that a district court
must “provide [an appellant] an opportunity to present affirmative
defenses to liability.” Walgreen Ariz. Drug Co. v. Levitt, 670 F.2d 860,
863 (9th Cir. 1982). But as we have explained, the first portion of Siino’s
24 SIINO V. FORESTERS LIFE INS. AND ANNUITY CO.
d. The District Court Erred by Granting the
Second Portion of Siino’s Requested
Declaratory Relief.
Finally, we turn to the second portion of Siino’s
requested declaratory relief—the declaration that Siino’s
policy remained valid and enforceable. As discussed, we
conclude that this relief required Siino to prove all the
elements of breach of contract, including causation. Miles,
236 Cal. App. 4th at 402. Although the district court did not
address this element, it presents a straightforward inquiry in
the context of Siino’s claims: By failing to comply with the
Pretermination Notice and Designee Notice Requirements
set forth in the Statutes, did FLIAC practically cause the
harm of which Siino now complains, i.e., the termination of
her FLIAC policy?
Such causation questions can prove challenging in the
many cases in which policyholders intentionally allow their
policies to lapse or otherwise fail to manage their policies.
“For example, ‘although the Statutes require Insurers to give
Insureds an opportunity to designate a designee, if the
Insured would never have designated a designee anyway,
then . . . damages cannot be said to result from the Insurer’s
failure to provide an opportunity to designate.’” Small, 122
F.4th at 1191–92 (quoting Steen v. Am. Nat’l Ins. Co., No.
20-CV-11226-ODW, 2023 WL 4004192, at *12 (C.D. Cal.
June 14, 2023)). Similarly, although the Statutes require
insurers to provide notice before terminating a policy for
unpaid premiums, if the insured intentionally declined to pay
declaratory relief corresponded only to the question of breach and did
not adjudicate Siino’s underlying breach of contract claim. Therefore,
the affirmative defenses that FLIAC asserted were not relevant to the
district court’s decision to grant this relief.
SIINO V. FORESTERS LIFE INS. AND ANNUITY CO. 25
their premiums, the eventual termination of the policy
cannot be fairly characterized as the fault of the insurer. See
id.
As previously noted, the difficulty of these cases
prompted a doctrinal split among courts in our circuit, under
which some courts began to ignore questions of causation
entirely. Id. at 1192. This split was unresolved at the time
the district court issued its summary judgment ruling in this
case. However, this split was resolved by Small, which
concluded “that a breach of contract claim in this context
should operate [no] differently than it usually would: by
requiring a breach that caused the plaintiff’s injury.” Id. at
1193–94. Under this rule, a plaintiff pursuing a breach of
contract claim under the Statutes must show not only that the
defendant failed to comply with the Statutes, but, further,
that this lack of compliance is the but-for and proximate
cause of the plaintiff’s injury. Id. Making this showing
requires the plaintiff to “demonstrate that they did not
knowingly or intentionally let the[ir] policy lapse such that
the Insurer’s compliance with the Statutes would have
caused the plaintiff to pay their premiums and retain the
policy.” Id. at 1193. Stated differently, the plaintiff must
prove that they did not engage in any conduct that could have
severed the causal relationship between the defendant’s
actions and the plaintiff’s injury. Id.
That standard is not satisfied here. As noted, Siino’s
claimed injury is the improper termination of her policy, and
she claims that this injury is the result of FLIAC failing to
provide her with pretermination notice and notice of her
designation rights, as the Statutes require. But even if
FLIAC had sent Siino these notices, they would not have
reached her: Because the record makes clear that Siino
moved in 2014 and failed to successfully update her address
26 SIINO V. FORESTERS LIFE INS. AND ANNUITY CO.
on file, there is no dispute that any additional notices sent by
FLIAC would have been directed to an old address where
Siino would not have received them. Against this
background, the ultimate termination of Siino’s policy
“cannot be said to result from [FLIAC]’s failure to provide”
its statutorily required notices. Small, 122 F.4th at 1192
(quoting Steen, 2023 WL 4004192, at *12). Instead, the only
action with a causal effect on the termination of the policy is
Siino’s own: her unresolved failure to pay her annual
premium in 2018.
For the foregoing reasons, we conclude, based on the
undisputed evidence presented before the district court, that
FLIAC’s violations of the Statutes were not the legal cause
of Siino’s injury. Thus, we reverse the district court’s
decision to grant the second portion of Siino’s requested
declaratory relief. 7
CONCLUSION
We conclude that the district court did not abuse its
discretion by entertaining Siino’s request for declaratory
relief. We further conclude that the district court did not err
by granting the first portion of Siino’s requested declaratory
relief—a declaration that FLIAC failed to comply with the
Statutes. Because this declaration pertained solely to the
question of breach, that is the sole element that Siino was
7
Because we find that Siino failed to establish causation, we do not reach
FLIAC’s additional arguments that Siino failed to establish the elements
of damages and specific performance. INS v. Bagamasbad, 429 U.S. 24,
25 (1976) (“As a general rule courts . . . are not required to make findings
on issues the decision of which is unnecessary to the results they reach.”).
We also do not reach FLIAC’s argument that the district court erred by
failing to consider its affirmative defenses to this portion of Siino’s
relief.
SIINO V. FORESTERS LIFE INS. AND ANNUITY CO. 27
required to establish. We find that Siino established this
element through undisputed evidence that FLIAC violated
two provisions of the Statutes: (1) the requirement that it
provide notice prior to terminating a policy for unpaid
premiums and (2) the requirement that it provide notice
regarding designation rights. Therefore, we affirm the
district court’s decision to grant the first portion of Siino’s
requested declaratory relief.
Nevertheless, we conclude that the district court erred in
granting the second portion of Siino’s requested declaratory
relief—a declaration that her policy remained valid despite
FLIAC’s improper attempts to terminate it. We find that, as
in Small, this declaration functionally adjudicated Siino’s
breach of contract claim, and Siino was therefore obligated
to establish all elements of breach of contract, including
causation, to support the requested declaration. 122 F.4th at
1201. We find that Siino failed to establish those elements
because the undisputed evidence reflects that FLIAC’s
violations of the Statutes were not the legal cause of Siino’s
injury. Therefore, we reverse the district court’s decision to
grant the second portion of Siino’s requested declaratory
relief.
In conclusion, we affirm in part and reverse in part the
district court’s summary judgment ruling. Because all of
Siino’s other claims were dismissed with prejudice, we
remand to the district court solely for the purpose of entering
final judgment.
REVERSED in part, AFFIRMED in part, and
REMANDED.
Each side shall bear its own costs on appeal.
Plain English Summary
FOR PUBLICATION UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT PAMELA SIINO, Individually and on No.
Key Points
01FOR PUBLICATION UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT PAMELA SIINO, Individually and on No.
02JST FORESTERS LIFE INSURANCE AND ANNUITY COMPANY, a New OPINION York Company, Defendant-Appellant.
03Tigar, District Judge, Presiding Argued and Submitted January 14, 2025 Pasadena, California Filed April 1, 2025 Before: JOHNNIE B.
04Rakoff, United States District Judge for the Southern District of New York, sitting by designation.
Frequently Asked Questions
FOR PUBLICATION UNITED STATES COURT OF APPEALS FOR THE NINTH CIRCUIT PAMELA SIINO, Individually and on No.
FlawCheck shows no negative treatment for Pamela Siino v. Foresters Life Insurance and Annuity Company in the current circuit citation data.
This case was decided on April 1, 2025.
Use the citation No. 10370544 and verify it against the official reporter before filing.