U.S. Court of Appeals for the Ninth Circuit
|
Case Name: MCHUGH V USAA |
Case Number: |
Date Filed: |
97-35019 |
01/06/99 |
|
FOR PUBLICATION
UNITED
STATES COURT OF APPEALS
FOR THE NINTH
CIRCUIT
FRANK J. MCHUGH, husband; MARY
S. MCHUGH,
wife,
No. 97-35019
Plaintiffs-Appellants,
D.C. No.
v.
CV-95-05702
UNITED SERVICE AUTOMOBILE
OPINION
ASSOCIATION, a Texas
corporation,
Defendant-Appellee.
Appeal from the United
States District Court
for the Western District of Washington
J. Kelley
Arnold, Magistrate Judge, Presiding
Argued and Submitted
June
4, 1998--Seattle, Washington
Filed January 6,
1999
Before: Donald P. Lay,* Harry Pregerson and
Susan P.
Graber, Circuit Judges.
Opinion by Judge Lay; Dissent by Judge
Graber
_________________________________________________________________
SUMMARY
The summary, which does not constitute a part of the opinion of the
court,
is copyrighted C 1999 by West Group.
_________________________________________________________________
Insurance/Homeowners
The
court of appeals reversed a judgment of the district
court. The court held
that under the doctrine of
reasonable
_________________________________________________________________
*Honorable
Donald P. Lay, Senior Circuit Judge for the Eighth Circuit,
sitting by
designation.
51
expectations, coverage in a standard flood
insurance policy
(SFIP) for losses from "mudslide" may apply to
property
damage caused when a saturated mixture of soil and other
earth
components moves downslope after heavy rains and
impacts the insured's
house.
The Federal Emergency Management Agency (FEMA)
is
authorized to provide, through private insurers, federally sub-
sidized
flood insurance to homeowners. The language of the
SFIP is prescribed by
statute and FEMA regulations.
The SFIP defines "flood" to
include mudslides, i.e., mud-
flows that are proximately caused by flooding
and are "akin
to" a river of liquid and flowing mud on the surfaces of
nor-
mally dry areas. Among losses that are not covered, the SFIP
includes
those caused by "landslide" or other earth move-
ment, except mudslides or
erosion covered under the flood
peril.
Following heavy rains
in the area of their house, appellants
Frank and Mary McHugh submitted a
claim under their SFIP
issued by appellee United Service Automobile
Association
(USAA). They reported that their house, located at the base
of
a steep-sloping hill, was knocked off its foundation and
partially destroyed
when a saturated mixture of soil, gravel,
rock, and vegetation moved down the
hill and impacted the
house.
USAA's geotechnical engineer
wrote in his report that the
slide was caused by a combination of factors,
including satu-
ration of surface soils by heavy rainfall, and a buildup
of
groundwater in underlying sand and gravel. He concluded that
the soil
instability was classified as a landslide, not a
mud-
slide.
The McHughs hired their own geotechnical
engineer, who
reached the conclusion that the damage to the house
was
52
caused by a mudslide precipitated by soil
saturation and sur-
face water runoff from a natural drainage
channel.
USAA rejected the McHughs' claim. They sued on
the
SFIP. On cross-motions for summary judgment, USAA and
the McHughs
tendered the testimony of their geotechnical
experts, who both characterized
the event as "a saturated mass
of soil and trees." The district court found
that soil saturation
was the primary cause of the damage and ruled for
USAA.
The McHughs appealed.
[1] Under the SFIP, a "landslide
" as opposed to a mudflow
is excluded from coverage. Yet the term landslide
is not oth-
erwise defined in the policy. Webster's dictionary defines
a
landslide as "the rapid downward movement under the influ-
ence of
gravity of a mass of rock, earth, or artificial fill on
a
slope.
[2] However, the fundamental question in this case
was not
so much the interpretation of the exclusionary clause, but
whether
a mudflow was the proximate cause of the damage to
the house. The definition
of "mudflow" as set forth in the pol-
icy and regulation is reinforced by the
common usage of that
term. According to Webster's Ninth New Collegiate
Dictio-
nary, "mudflow" is defined as "a moving mass of soil made
fluid by
rain or melting snow." There was nothing in the pol-
icy or regulations that
defined "mudflow" any differently
from the common usage of the
term.
[3] Under the terms of the policy, "liquid and flowing
mud"
surely meant nothing more than a saturated soil mass moving
by
liquidity down a slope. The McHughs' house was hit by
a saturated mixture of
soil, gravel, vegetation, and rock, and
was knocked off its foundation. The
policy described a mud-
flow "as when earth is carried by a current of water
and
deposited along the path of the current." This was no different
than
the Webster's definition of mudflow.
53
[4] The Act mandates that coverage under the term
"flood"
includes "inundation from mudslides which are proximately
caused
by accumulations of water on or under the ground.
Even the district court's
conclusion that soil saturation was
the predominant cause of the damage fit
within the partial def-
inition of a mudslide proximately caused by
accumulations of
water on or under the ground.
[5] The policy
was not ambiguous in its terms. The occur-
rence was "akin to a river of
liquid, flowing mud," and consti-
tuted "earth carried by a current of water
and deposited along
the path of the current." These definitions simply mean
that
coverage will be extended to the common usage of the term
"mudflow,"
as when damage is proximately caused "by a
moving mass of soil made fluid by
rain." [6] Under the undis-
puted historical facts, the coverage of the SFIP
clearly
extended to the flooding, i.e., mudflow, that proximately
caused
the damage to the McHughs' home.
Judge Graber dissented, writing
that the majority's opinion
was inconsistent with the record, conflicted with
precedent on
important matters of federal law, modified a valid federal
reg-
ulation, and reached an unjust
result.
_________________________________________________________________
COUNSEL
Matthew
T. Boyle, Mitchell, Lang & Smith, Seattle, Wash-
ington, for the
plaintiffs-appellants.
D. Bradley Hudson, Hudson Youngblood,
Seattle, Washing-
ton, for the
defendant-appellee.
_________________________________________________________________
OPINION
LAY,
Circuit Judge:
Frank and Mary McHugh filed a complaint for a
declara-
tory judgment against the United Service Automobile
Associ-
54
ation insurance company ("USAA") and the Director
of the
Federal Emergency Management Agency ("FEMA") alleging
that (1)
their beach house which was insured by USAA under
a Standard Flood Insurance
Policy ("SFIP") was damaged by
a mudslide, (2) they made a claim to USAA
under the SFIP,
and (3) USAA improperly denied their claim. The
district
court granted summary judgment for USAA, holding that the
damage
to the McHughs' home was caused by a landslide
which is not covered by the
policy. We reverse the decision
of the district
court.
BACKGROUND
Under the National Flood
Insurance Act of 1968 ("Act"),
codified at 42 U.S.C. SS 4001 et seq. (1994),
the FEMA is
authorized to provide federally subsidized flood insurance
to
individual homeowners. The language of the SFIP is pre-
scribed by the
Act and FEMA regulations, although the policy
itself is issued through a
private insurer. Frank and Mary
McHugh purchased a SFIP from USAA to provide
coverage
for their beach house located on the Hood Canal in
Seabeck,
Washington.
The McHughs' Flood Policy defines
"Direct Physical Loss
By or From Flood" as "any loss in the nature of actual
loss
of or physical damage, evidenced by physical changes, to the
insured
property . . . which is directly and proximately caused
by a `flood' (as
defined in this policy)." ER at 31. The policy
also defines "Flood"
as:
A. A general and temporary condition of
partial or
complete inundation of normally dry land
area
from:
1. The
overflow of inland or tidal waters.
2. The
unusual and rapid accumulation or
runoff of surface
waters from any
source.
55
3. Mudslides
(i.e., mudflows) which are
proximately caused by
flooding as
defined in subparagraph A-2 above
and
are akin to a river of liquid and flowing
mud on the surfaces of normally dry
land
areas, including your premises, as
when earth is carried
by a current of
water and deposited along the path
of
the current.
B.
The collapse or subsidence of land along the
shore of a
lake or other body of water as a result
of erosion or
undermining caused by waves or
currents of water
exceeding the cyclical levels
which result in flooding
as defined in subpara-
graph A-1
above.
ER at 31-32 (emphasis added).
The Flood
Policy also contains the following exclusion:
We only provide coverage for direct physical loss by
or from flood which means we do not cover:
. . .
B. Losses from other
casualties, including loss
caused
by:
1. Theft, fire, windstorm, wind,
explo-
sion, earthquake, land sinkage,
landslide, destabilization or movement
of land
resulting from the accumulation
of water in subsurface
land areas, grad-
ual erosion, or any other earth
move-
ment except such mudslides (i.e.,
mudflows) or erosion as is covered
under the
peril of flood.
56
ER at 32-33 (emphasis added).
The
federal courts have stated that flood insurance polices
normally are subject
to limitations on coverage imposed by
applicable federal regulations. See
Carneiro Da Cunha v.
Standard Fire Ins. Co./Aetna Flood Ins. Program, 129
F.3d
581, 585 (11th Cir. 1997) (stating that "[t]here is no dispute
that
the policies at issue are subject to limitations on coverage
imposed by
federal statute and regulations"); Criger v.
Becton, 902 F.2d 1348, 1351 (8th
Cir. 1990) (stating that
FEMA's interpretation of its own regulations
regarding cover-
age is entitled to great deference). However, this makes
little
difference in the instant case because the definitions of the
terms
"flood" and "flooding" in the policy are the same in all
material respects as
the definitions found in the regulations.
The regulations defining mudslide
state:
Mudslide (i.e., mudflow) describes a
condition where
there is a river, flow or inundation of
liquid mud
down a hillside usually as a result of a dual
condition
of loss of brush cover, and the subsequent
accumula-
tion of water on the ground preceded by a
period of
unusually heavy or sustained rain. A mudslide
(i.e.,
mudflow) may occur as a distinct phenomenon
while
a landslide is in progress, and will be recognized
as
such by the Administrator only if the mudflow,
and
not the landslide, is the proximate cause of
damage
that occurs.
44 C.F.R. S 59.1
(1997).
On December 28, 1994, the McHughs reported to
USAA
that their beach house had been damaged by a flood-related
mudslide
that occurred after heavy rains and an overflow of
a drainage ditch situated
at the top of the slope on which the
house was located. The house, located at
the base of a steep
sloping hill, was knocked off its foundation and
partially
destroyed after being hit by a saturated mixture of soil,
gravel,
57
vegetation, and rock. After receiving the McHughs'
claim
under the SFIP, USAA hired an independent adjustor, who
took several
photographs,1 and then hired Martin Page from
the geo-technical engineering
firm of Shannon & Wilson to
determine the exact cause of the damage to
the McHughs'
house. In a written report, Page concluded that the slide
was
caused by a combination of factors including saturation of the
surface
soils by heavy rainfall and a build-up of groundwater
in the underlying sand
and gravel. Page's report concludes,
however, that "it is our opinion that
the soil instability that
occurred at the subject site is classified as a
landslide, not a
mudslide." ER at 16.
The McHughs hired their
own geo-technical engineer, Rob-
ert Pride, to assess the cause of the
damage. Contrary to
Page's report, Pride found that the damage to the beach
house
was caused by a mudslide, not a landslide, precipitated by
soil
saturation and surface-water runoff from a natural drainage
channel
above the slide area.
In December 1995, the McHughs filed a
complaint against
USAA and the director of FEMA seeking coverage for
dam-
age to the beach house.2 USAA moved for summary judgment
in November
1996 to dismiss all claims with prejudice. The
McHughs filed a cross-motion
for summary judgment a
month later asking the district court to hold that
their claim
was covered by the policy as a matter of law.
On
December 6, 1996, the district court3 granted USAA's
motion for summary
judgment, holding the damage to
the
_________________________________________________________________
1 We
have attached as an Appendix to the opinion four of those photo-
graphs which
visibly demonstrate part of the debris and saturated soil
mass which pushed
the home off its foundation.
2 The director of FEMA was dismissed as a party
on March 11, 1996.
3 The parties consented for U.S. Magistrate Judge Kelley
Arnold for the
Western District of Washington, to hear and decide the
cross-motions for
summary judgment.
58
McHughs' home was caused by a landslide, not
a mudslide,
and therefore was excluded from coverage under the SFIP.
See
McHugh v. United Service Automobile Ass'n, No. C95-
5702JKA (W.D. Wash. Dec.
6, 1996) (Order Granting Defen-
dant's Motion for Summary Judgment). This
appeal followed.
DISCUSSION
The law is clear
that, as contracts, SFIPs issued under the
National Flood Insurance Program
("NFIP") are governed by
federal law applying standard insurance law
principles. See,
e.g., Brazil v. Giuffrida, 763 F.2d 1072, 1075 (9th Cir.
1985);
Carneiro Da Cunha, 129 F.3d at 584. Federal common law
therefore
controls the interpretation of these insurance poli-
cies. Sodowski v. Nat'l
Flood Ins. Program of Federal Emer-
gency Management Agency, 834 F.2d 653,
655 (7th Cir.
1987). Furthermore, the interpretation of the insurance
policy
is a question of law for the court and is reviewed de novo.
See
Stanford Ranch, Inc. v. Maryland Cas. Co., 89 F.3d 618, 624
(9th Cir.
1996) (stating that "[t]he interpretation of an insur-
ance policy is a
question of law"); Sodowski , 834 F.2d at 655
(analyzing the application of
the SFIP as a matter of law on
de novo review); Brazil, 763 F.2d at 1075
(stating that a
reviewing court reviews de novo the district court's
interpreta-
tion of an insurance policy).
There were two
diverging expert testimonies in this case.
Although experts may disagree in
their conclusions, their tes-
timony cannot be used to provide legal meaning
or interpret
the policies as written. See Crow Tribe of Indians v.
Racicot,
87 F.3d 1039, 1045 (9th Cir. 1996) (stating that expert
testi-
mony is not proper for issues of law because the role of
experts is
to interpret and analyze factual evidence and not to
testify about the law);
Maffei v. Northern Ins. Co. of New
York, 12 F.3d 892, 898-99 (9th Cir. 1993)
(holding that an
insurance expert's declaration that sulphur dioxide cloud
con-
stituted a "hostile fire" as described in insured's policies
was
improper expert testimony); Aguilar v. Int'l
Longshoremen's
59
Union Local No. 10, 966 F.2d 443, 447 (9th Cir.
1992) (stat-
ing that matters of law are "inappropriate subjects for
expert
testimony"). Therefore, we view the experts' testimony in this
case
as only relevant for the historical facts that they observed
and not for
their legal conclusions as to what conditions were
covered or excluded under
the terms of the policy.
The historical facts of this case are
not in dispute. Robert
Pride, the McHughs' expert, characterized the event as
a
"saturated soil mass that flowed down towards the
[McHughs'] house." ER
at 138. He stated that this signified
to him the fluid movement of saturated
soils, whatever their
makeup. ER at 125-26. The insurance company's expert
did
not differ from this observation. In fact, Martin Page,
the
defendant's geo-technical engineer, also characterized the
event as "a
saturated mass of soil and trees" that slid down the
slope. ER at 16-17. Page
stated in his report:
The slide debris
generally consists of gravel and
sand mixed with surface
vegetation, several large
tree stumps, and previously
cut tree tops. In our
opinion, the presence of cut trees
and decayed tree
stumps on the surface of the slope may
also have
contributed to the instability. . . . The
soils that have
accumulated against the side of the
beach house
appear to have slid down the slope as a
saturated
mass of soil and trees.
ER at
16-17 (emphasis
added).4
_________________________________________________________________
4
The experts, however, disagreed about whether mud flowed around the
house.
During Pride's deposition, he was asked whether the debris flowed
around the
sides of the house. In response, Mr. Pride stated that "at the
time that I
was there, no, the material had been removed away from the
north side. Frank
McHugh had indicated there was some materials that had
been taken away to
gain access, but how much of it, I didn't see." ER
at
124.
This contradicted Page's statement, "There was no
evidence of soils
having flowed around the sides of or into the house, as
would have
occurred if there had been significant flowing of wet or saturated
soils."
ER at 17.
60
Pride also observed that the "slide was not
a`landslide' "
because the "slide did not involve a deep-seated earth
move-
ment or other geo-technical conditions associated with
landslides."
ER at 116.5 Furthermore, in his report, Pride
stated "[l]andslides are
typically in excess of five to fifteen
feet deep, usually involve large
quantities of earth or rock,
and may move downslope with much of the slide
mass rela-
tively intact." ER at 22.
[1] It is a fundamental
principle that unless the contract
terms are specifically different than the
common usage of the
terms, that the common usage of the terms will be
adopted.
For example, under the SFIP, a "landslide" as opposed to
a
mudflow is excluded from coverage. Yet the term landslide is
not
otherwise defined in the policy. Webster's dictionary
defines a landslide as
"the rapid downward movement
under
_________________________________________________________________
5
In his initial report, Pride, stated that the saturated soil mass was
a
"sand-gravel flow," not a landslide:
Once saturated, the outer weathered zone gained weight and lost
strength, resulting in the soil, rock and debris flow. If the
satu-
rated soils on the slope consisted of silts and
clays, or even sands
and silts, the failure most
certainly would have been labeled a
"mudflow." Saturated
fine-grained soils would behave more like
a slurry
because of its particle size, strength and viscosity charac-
teristics. In contrast, these soils on your slope are basically
coarse-grained granular materials with higher strength
and
greater resistance to failure--thereby resulting in
steeper natural
slopes. The causes of failure are the
same (i.e.: rainfall, surface
runoff and groundwater
seepage), but the appearance is different.
Saturated
sands and gravels are not carried as far by water flow,
nor do they create mud or slurry-like consistencies. Although
excess surface water runoff is more readily absorbed by the
native granular soils, the net effect of saturated soils on
your
steep slope is a "sand-gravel flow"
instead of a "mudflow."
ER at 21.
In his
deposition, Pride explained that a "sand-gravel flow" would be
included
within "the generic sense of mudflow. " ER at 32. As we discuss,
however,
neither expert was qualified to give an opinion as to whether the
occurrence
was covered or excluded under the terms of the policy.
61
the influence of gravity of a
mass of rock, earth, or artificial
fill on a slope." Webster's Third New
International Dictionary
1269 (1981).
[2] However, the
fundamental question involved here is not
so much the interpretation of the
exclusionary clause but
whether a mudflow occurred and was the proximate
cause of
the damage to the house. The definition of "mudflow" as set
forth
in the policy and regulation is reinforced by the common
usage of that term.
According to Webster's Ninth New Colle-
giate Dictionary 778 (1984),
"mudflow" is defined as "a mov-
ing mass of soil made fluid by rain or
melting snow. " We find
nothing in the policy itself or in the regulations
which defines
"mudflow" any differently than the common usage of the
term.
Under the common usage, the "saturated soil mass" that
destroyed the McHughs'
house was a mudslide.
[3] The dissent faults our interpretation
of the record on the
basis that there is no evidence offered by the McHughs
to
show that there was a "liquid river of mud." 6 However, we
think that
common sense and common meaning must prevail.
Under the terms of the policy,
"liquid and flowing mud"
surely means nothing more than a saturated soil mass
moving
by liquidity down a slope. The torrential rain and the overflow
of
the natural drainage channel formed a liquidity which
flowed down the slope
and brought with it a saturated soil
mass composed of soil, sand, gravel, and
underbrush. As a
result, the McHughs' house was hit by this saturated
mixture
of soil, gravel, vegetation and rock, and was knocked off
its
foundation. The policy itself describes a mudflow "as when
earth is
carried by a current of water and deposited along the
path of the current."
This statement is no different than the
definition of the mudflow quoted from
Webster's that it is "a
moving mass of soil made fluid by rain or melting
snow."
_________________________________________________________________
6
The regulation reads "a river, flow or inundation of liquid mud . . ."
44
C.F.R. S 59.1 (1997).
62
The district court found that "soil saturation was
the pre-
dominant cause" of the event which occurred. In denying
cov-
erage, however, the district court relied upon Wagner v.
Director,
Federal Emergency Management Agency, 847 F.2d
515, 521 (9th Cir. 1988). The
Wagner case is clearly distin-
guishable from the facts adduced in this case.
First and fore-
most, as the Wagner court points out, in that case
the
plaintiffs admitted that floodwaters did not damage their prop-
erty
directly and all of their losses were caused by the shifting
of the saturated
earth beneath their home. Unlike the facts in
Wagner, the McHughs' home was
hit by the liquid flow of
soil mass which in turn knocked the home off its
foundation.
There is no evidence that the saturation of the land
underneath
the McHughs' home gave way or was caused to move by rea-
son of
that saturation. The pictures submitted to the court by
exhibit clearly
demonstrate to the contrary. Neither expert tes-
tified that saturation of
the land underneath the house caused
the movement of the
house.
In the Wagner case, the court stated that "the courts
have
all but universally held, federal flood insurance policies do
not
cover losses stemming from water-caused earth
movements." Wagner, 847 F.2d at
522. It is clear from the
facts involved and the cases cited to support this
statement,
that the court did not mean to exclude water-caused mud-
flows.
In other words, Wagner's statement was not intended
to change the policy
terms which define mudflow "as when
earth is carried by a current of water. .
. ." ER at 32.
The Wagner court finds support for its statement
in the cir-
cuit court opinions of Sodowski v. National Flood Ins.
Pro-
gram of Federal Emergency Management Agency, 834 F.2d
653, 657-59
(7th Cir. 1987),7 and West v. Harris, 573 F.2d
873 (5th Cir. 1978). However,
the facts in Sodowski and West
demonstrate that these cases are completely
distinguishable
_________________________________________________________________
7
The SFIP policy issued to the plaintiff in these cases was worded
dif-
ferently than the McHughs' current policy.
63
from the present case. Neither
Sodowski or West involved a
soil mass flowing down a hill caused by heavy
rains and over-
flow of a drainage ditch. As the court pointed out
in
Sodowski:
In West, the court was
faced with two similar factual
situations, both
involving houses built on concrete
slabs. There, as in
this case, flooding occurred in the
area surrounding the
two dwellings, and in one
instance water also inundated
the house. The soil
under the insureds' structures
became saturated with
water and eventually the soil
settled causing struc-
tural damage to the dwelling. The
court stated that
"[r]egardless of whether this
settlement had been in
process over a long period of
time or whether it
occurred immediately after the flood
and draining of
the canals, it was still the result of
earth movement."
West v. Harris, 573 F.2d at 877. The
court, giving
full effect to the earth movement
exclusion and dis-
allowing the plaintiffs' claims, held
that "[t]he policy
does not cover loss caused by earth
movement in the
form of soil settlement." Id. [footnote
omitted].
Sodowski, 834 F.2d at 656-57.
The
court in Wagner also compared the case to Atlas Pal-
let, Inc. v. Gallagher,
725 F.2d 131, 137 (1st Cir. 1984),
which held that a SFIP does not cover
damage caused by a
flood induced mill dam collapse. A reading of the
Gallagher
case, however, clearly shows that the issue in that case
was
whether the mill dam was a structure covered by the policy.
There is
no question of similar issues of coverage in the pres-
ent
case.
Under the reading of the policy urged by USSA, a
policy-
holder whose home was inundated with flood waters mixed
with fine,
granular soil would receive coverage, while a
homeowner unfortunate enough to
be located below a slope
64
with sand and gravel where flood waters are mixed
with fine,
granular soil would be denied coverage. While FEMA should
be
free to draw a mudslide/landslide distinction when allocat-
ing its flood
coverage, as a matter of fairness such a distinc-
tion should not lead to
such a seemingly arbitrary result.
[4] The Act mandates that
coverage under the term "flood"
includes "inundation from mudslides which are
proximately
caused by accumulations of water on or under the ground.
. .
." 42 U.S.C. S 4121(b) (1994) (emphasis added). See also
42 U.S.C. S 4001(f)
(1994) (providing "It is therefore the fur-
ther purpose of this chapter to
make available . . . protection
against damage and loss resulting from
mudslides that are
caused by accumulations of water on or under the
ground.")
(emphasis added). Even the district court's conclusion that
soil
saturation was the predominant cause of the damage at
the McHughs' property
fits within the partial definition of a
mudslide proximately caused by
accumulations of water on or
under the
ground.
CONCLUSION
As we earlier observed,
whether coverage exists under an
insurance policy is a question of law. The
historical facts in
the present case are not materially disputed by the
experts'
reports and depositions. What is disputed is their legal
conclu-
sions as to whether the facts fall within the terms of
"mudflow"
or the exclusion of a "landslide " within the policy.
This is a question of
law for the court to be decided from the
definitions within the policy as
reinforced by the common
usage of the terms. The following facts are
undisputed:
(1) At the time of the damage to McHughs' home,
there
was a heavy rainfall and overflow of waters from a drainage
ditch
located above the house and slope.
(2) The waters came down the
slope, inundated the slope,
and carried a mass of saturated soil, gravel,
vegetation and
rock.
65
(3) The saturated soil mass flowed down the slope,
hit the
McHughs' home, and knocked it off its foundation. (See
Appendix
A).
(4) The damage to the foundation did not occur because
of
settlement of saturated soil underneath the house. Cf. Wagner
and
Sodowski, supra.
[5] We conclude that the policy is not
ambiguous in its
terms. We also conclude that the occurrence was "akin to
a
river of liquid, flowing mud" and constituted "earth carried by
a
current of water and deposited along the path of the
current." These
definitions simply mean that coverage will be
extended to the common usage of
the term "mudflow " as
when damage is proximately caused "by a moving mass
of
soil made fluid by rain."
[6] We, therefore, conclude that
under the undisputed his-
torical facts the coverage of the SFIP policy
clearly extends
to the flooding (i.e., mudflow) that proximately caused
the
damage to the McHughs' home. We vacate the judgment of
the district
court and remand the case for entry of judgment
in favor of the
plaintiffs.
_________________________________________________________________
GRABER,
Circuit Judge, dissenting:
I respectfully dissent. The
majority's opinion is inconsistent
with the record, conflicts with precedent
on important matters
of federal law, modifies a valid federal regulation,
and
reaches an unjust result.
THE INSURANCE POLICY AND
THE
GOVERNING REGULATIONS
This appeal involves the
interpretation of a Standard Flood
Insurance Policy (SFIP), the wording of
which is prescribed
66
by the National Flood Insurance Act of 1968 (Act)
and by
Federal Emergency Management Agency (FEMA) regula-
tions, found at
44 C.F.R. Pt. 61, App. A(1). The Act grants to
the Director of FEMA the
authority to promulgate regulations
pertaining to SFIPs. 42 U.S.C. S
4121(a)(1). The SFIP is a
single-risk insurance policy that "only provide[s]
coverage for
direct physical loss by or from flood." 44 C.F.R. Pt. 61,
App.
A(1) (emphasis in original).1 The emphasized phrase is
defined as
"any loss in the nature of actual loss of or physical
damage, evidenced by
physical changes, to the insured prop-
erty (building or personal property)
which is directly and
proximately caused by a flood." Id. (emphasis added;
empha-
sis omitted).
FEMA regulations define the terms
"flood" and "flooding"
to include:
(a) A general and temporary condition of partial
or complete inundation of normally dry land areas
from:
. . . .
(3) Mudslides (i.e., mudflows) which are proxi-
mately caused by flooding as defined in paragraph
(a)(2) of this definition and are akin to a river of liq-
uid and flowing mud on the surfaces of normally dry
land areas, as when earth is carried by a current of
water and deposited along the path of the
current.
44 C.F.R. S 59.1 (emphasis added). "Inundation" is
not
defined in the regulations, but commonly means, as pertinent,
"a
rising and spreading of water over land not usu[ally]
submerged." Webster's
Third New Int'l Dictionary 1188
(unabridged ed.
1993).
_________________________________________________________________
1
Except as noted, the terms of plaintiffs' SFIP are identical to
FEMA's
regulations.
67
The regulations further define "mudslide (i.e.,
mudflow)"2
as
a condition where there is
a river, flow or inundation
of liquid mud down a
hillside usually as a result of
a dual condition of loss
of brush cover, and the sub-
sequent accumulation of
water on the ground pre-
ceded by a period of unusually
heavy or sustained
rain. A mudslide (i.e., mudflow) may
occur as a dis-
tinct phenomenon while a landslide is in
progress,
and will be recognized as such by the
Administrator
only if the mudflow, and not the
landslide, is the
proximate cause of damage that
occurs.
44 C.F.R. S 59.1 (emphasis added). That regulatory
definition
of "mudslide (i.e., mudflow)" as "a river, flow or
inundation
of liquid mud" is very similar to the SFIP's definition of
that
term as "akin to a river of liquid and flowing mud." Under
either
definition, a "mudslide (i.e., mudflow) " must consist of
liquid
mud.
THE ISSUE FOR DECISION AND THE FACTS IN
THE
RECORD
We must decide whether, based on the evidence in
this
record, a "mudslide" directly caused the damage to
plaintiffs'
property. If so, defendant must provide insurance coverage.
If
not, defendant need not provide coverage.
The majority
correctly notes (Slip op. at 59-60) that the
legal conclusions of the experts
involved in this case are enti-
tled to no consideration because, as this
court has held, expert
testimony is inappropriate in matters of law that are
reserved
for the court's determination. G.F. Co. v. Pan Ocean
Shipping
Co., 23 F.3d 1498, 1507 n.6 (9th Cir. 1994). The majority
also
correctly recognizes that the material historical facts of
this
_________________________________________________________________
2
Plaintiffs' SFIP does not contain this additional
definition.
68
case are undisputed. Slip op. at 60. Those facts
show, how-
ever -- without contradiction -- that the direct damage
to
plaintiffs' property did not involve an inundation of liquid
mud. That
being so, the majority's conclusion that plaintiffs'
injury was caused by a
mudslide or mudflow is erroneous as
a matter of
law.
Defendant's geotechnical engineer unequivocally
con-
cluded that plaintiffs' property damage was the result of
a
landslide, not a mudslide. His report stated in
part:
The slide debris generally consists
of gravel and
sand mixed with surface vegetation,
several large
tree stumps, and previously cut tree tops.
In our
opinion, the presence of cut trees and decayed
tree
stumps on the surface of the slope may also
have
contributed to the
instability.
. . . .
Based on our visual evaluation of the property, it is
our opinion that the soil instability that occurred at
the subject site is classified as a landslide, not a
mudslide. The soils that have accumulated against
the side of the beach house appear to have slid down
the slope as a saturated mass of soil and trees . There
was no evidence of soils having flowed around the
sides of or into the house, as would have occurred if
there had been significant flowing of wet or satu-
rated
soils.
(Emphasis added.)
Plaintiffs' expert, in
his report, presented " arguments for
classifying this slope failure as a
`mudslide' in accordance
with [defendant's] flood policy terminology. "
(Emphasis
added.) Notwithstanding the availability of those
"arguments,"
however, plaintiffs' expert, too, ultimately con-
69
cluded that the directly
damage-causing event was not a mud-
slide:
If the saturated soils on the slope consisted of silts
and clays, or even sands and silts, the failure most
certainly would have been labeled a "mudflow. " Sat-
urated fine-grained soils would behave more like a
slurry because of its particle size, strength and vis-
cosity characteristics. In contrast, these soils on your
slope are basically coarse-grained granular
materials with higher strength and greater resistance
to
failure -- thereby resulting in steeper natural
slopes.
The causes of failure are the same (i.e.: rain-
fall,
surface runoff and groundwater seepage), but
the
appearance is different. Saturated sands and
gravels are
not carried as far by water flow, nor do
they create mud
or slurry-like consistencies.
Although excess surface
water runoff is more readily
absorbed by the native
granular soils, the net effect
of saturated soils on
your steep slope is a "sand-
gravel flow" instead of a
"mudflow."
(Emphasis added.) Plaintiffs' expert did not refer to
the mass
of material that directly damaged the house as "liquid mud"
or
even "mud." Rather, the words that he used in his report
to describe the
material include "sand," "gravel," "rock,"
"vegetation," "coarse-grained
granular materials," and
"debris."
Nowhere in the record is
there any indication that the
directly damage-causing material was liquid mud
or that it
flowed or resembled a river at any time, as required by
the
definition of "mudslide" in the SFIP and the FEMA regula-
tions. In
colloquial terms, it rained a lot. The rain caused the
hill behind
plaintiffs' house to fail, and the hill -- soil, rock,
gravel, sand, trees,
plants, and debris -- fell on the house.
That kind of earth movement is not a
"mudslide, " because it
70
lacks the essential characteristic of a "mudslide "
as defined in
the SFIP and the regulations -- liquidity.
The
majority writes that "[t]he torrential rain and the over-
flow of the natural
drainage channel formed a liquidity which
flowed down the slope and brought
with it a saturated soil
mass composed of soil, sand, gravel, and underbrush.
" Slip
op. at 62 (emphasis added). This passage still means that
rain
caused the ground to get wet and give way, and that the wet
ground
then damaged plaintiffs' house. Using the word
"liquidity" in the sentence
does not change the nature of the
directly damage-causing event from a slope
failure to a mud-
flow.
FEDERAL JUDICIAL INTERPRETATION OF
THE SFIP
"As the courts have all but universally held, federal
flood
insurance policies do not cover losses stemming from water-
caused
earth movements." Wagner v. Director, Fed. Emer-
gency Management Agency, 847
F.2d 515, 522 (9th Cir.
1988). That is so because of the SFIP's requirement
that prop-
erty damage be caused "directly and proximately " by a
flood.
See SFIP, Art. 2, at 1 (so providing); 44 C.F.R. Pt. 61, App.
A(1)
(same). Because of that requirement, it is not enough for
heavy rainfall to
cause an earth movement and for the earth
movement in turn to cause property
damage. Rather, the flood
must be the immediate and actual cause of the
damage. As
this court observed in Wagner, 847 F.2d at 522, other
courts
that have considered the question have concluded that SFIPs
do not
provide coverage for water-caused earth movements.
See, e.g., Sodowski v.
National Flood Ins. Program, 834 F.2d
653, 657-59 (7th Cir. 1987) (holding
that the SFIP does not
cover structural damage caused by soil settlement
that, in
turn, resulted from a flood); Beck v. Director, Fed.
Emer-
gency Management Agency, 534 F. Supp. 516 (N.D. Ohio
1982)
(holding that the SFIP does not cover damage to the
plaintiffs' house caused
by slippage of a hillside following
heavy rainfall).
71
Except for a belated legal
opinion offered by plaintiffs'
expert (which, as noted, can be given no
weight), the evidence
does not conflict. The reports from both parties'
experts sup-
port only one ultimate conclusion: that the directly
damage-
causing event was not a "mudslide (i.e., mudflow) " within
the
meaning of the SFIP. That being so, defendant properly
denied
coverage, and the district court properly granted sum-
mary judgment in
defendant's favor. The majority's contrary
holding (1) effectively removes
the SFIP's and the regula-
tion's requirement of direct flood damage, and (2)
conflicts
with precedent.
CONTRACTUAL AND REGULATORY
DEFINITION OF
TERMS
When an insurance policy defines a term,
the court is
bound by that definition. Enterprise Tools, Inc. v.
Export-
Import Bank, 799 F.2d 437, 439 (8th Cir. 1986). The SFIP
defines
"flood" and "mudslide (i.e., mudflow)." As noted ear-
lier, the policy covers
"[m]udslides (i.e., mudflows) which are
. . . akin to a river of liquid and
flowing mud on the surfaces
of normally dry land areas, as when earth is
carried by a cur-
rent of water and deposited along the path of the
current."
Although the majority recognizes that a court must
employ
the contractual definition of a term when that definition dif-
fers
from common usage, the majority conducts its analysis
using the common
meaning of "mudflow," after asserting that
the contractual and common
definitions match. Slip op. at 62.
That reasoning is flawed, because the
contractual definition
and the common meaning of "mudflow" differ
materially.
The SFIP's narrow definition of "mudslide (i.e.,
mudflow)"
requires liquidity. The majority, instead, adopts a
broader
meaning for "mudflow" as " `a moving mass of soil made
fluid by
rain or melting snow.' " Slip op. at 62 (quoting
Webster's Ninth New
Collegiate Dictionary 778 (1984)). The
majority thereby ignores the
contractual requirement that a
mudslide "be akin to a river of liquid and
flowing mud," and
72
contradicts the precedential requirement that a
contractual
definition govern, when it says that "common sense and
com-
mon meaning must prevail." Slip op. at 62.
There is a
second flaw in the majority's analysis of terms:
By adopting the "common
meaning" of terms for interpreting
SFIPs, the majority unjustifiably modifies
a valid FEMA
regulation.3 The SFIP's definition of "mudflow" derives
from
and is mandated by a FEMA regulation, 44 C.F.R.S 59.1.
Regulations
issued by an agency pursuant to statutory author-
ity have the force and
effect of law. Batterton v. Francis, 432
U.S. 416, 425 (1977). A court has no
power to set aside valid
administrative regulations simply because it would
interpret
differently the statute under which they were promulgated.
Id.
Indeed, the majority recognizes that it is eschewing the
reg-
ulatory definition when it rejects defendant's reliance on
the
pertinent FEMA regulations: "While FEMA should be free to
draw a
mudslide/landslide distinction when allocating its
flood coverage, as a
matter of fairness such a distinction
should not lead to such a seemingly
arbitrary result." Slip op.
at 65.
It is true that SFIPs are
governed by federal common law,
and courts are charged with creating that
common law. See
Sodowski, 834 F.2d at 655 (holding that federal common
law
controls the interpretation of SFIPs). However, the power to
create
federal common law is not absolute. We have said that
"[t]he authority of
courts to develop a `federal common law'
. . . is not the authority to revise
the text of the statute."
Peterson v. American Life & Health Ins. Co., 48
F.3d 404,
411 (9th Cir. 1995) (quoting Mertens v. Hewitt Assocs., 508
U.S.
248, 259 (1993)). By enlarging the unambiguous terms
of the SFIP, which FEMA
mandates, the majority is
altering
_________________________________________________________________
3
No party challenges the validity of the FEMA regulations that are
implicated
here. For purposes of this case, therefore, the regulations must
be deemed to
be valid and binding.
73
valid regulations simply because it would interpret
the statu-
tory concept of "flood" differently. The majority is thus
doing
to the Act what Peterson forbids.
UNFAIR
RESULT
As noted, the majority uses the common, rather than
the
contractual and regulatory, definition of the term "mudflow"
to avoid
a "seemingly arbitrary result." Slip op. at 65.
Although what befell
plaintiffs was unquestionably a disaster,
disallowing recovery under an
insurance policy that plainly
does not cover their loss is entirely
reasonable and just.
Simply put, it is not unjust to deny
coverage when the
insured has not bought coverage for the particular kind
of
disaster that occurred. The majority thinks it unfair that
"a
policyholder whose home was inundated with flood waters
mixed with
fine, granular soil would receive coverage, while
a homeowner unfortunate
enough to be located below a slope
with sand and gravel where flood waters
are mixed with fine,
granular soil would be denied coverage." Id.
Although that
result surely is unfortunate for the second homeowner, it
is
not unfair. The first homeowner bought insurance that cov-
ered the
damage, while the second did not.
Indeed, the opposite result is
what would be unfair. Others
who have purchased flood insurance must pay for
the claim
in the form of increased premiums. Purchasers of flood
insur-
ance agree to share only the risk of flood, not any of the
many
other risks for which other forms of insurance are
designed.
CONCLUSION
For the foregoing reasons,
I must dissent. The majority can
reach the conclusion that it does only by
bending the facts
(which show unequivocally that liquid was the indirect,
but
not the direct, cause of damage) or the law (which
requires
74
that liquid be the direct cause of damage). The
judgment of
the district court should be affirmed.
75
APPENDIX
A
76
77