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Gausman v. Prudential Insurance Co. of America

Citation: 22 F. App'x 864Docket: No. 00-56240; D.C. No. CV-00-00380-CAS

Court: Court of Appeals for the Ninth Circuit; December 13, 2001; Federal Appellate Court

Narrative Opinion Summary

Cheryl Gausman appeals a summary judgment in her class action against Prudential Insurance Company of America, claiming improper reduction of her disability benefits under California Insurance Code Section 10369.6. The court reviews the summary judgment de novo and affirms the lower court's decision. A key issue is whether the statute applies to group disability insurance. The court determines that Section 10369.6 is applicable only to individual insurance, thus Prudential is not obligated to adhere to its requirements for Gausman’s group policy. Consequently, all other issues raised in the appeal are rendered moot, as Gausman failed to demonstrate that Prudential's group policies violate the statute. The judgment is affirmed, and the disposition is not for publication or citation in this circuit except under specific Ninth Circuit rules.

Legal Issues Addressed

Application of California Insurance Code Section 10369.6

Application: Section 10369.6 is interpreted as applying solely to individual disability insurance policies, thereby excluding group policies from its requirements.

Reasoning: The court determines that Section 10369.6 is applicable only to individual insurance, thus Prudential is not obligated to adhere to its requirements for Gausman’s group policy.

Mootness of Related Claims

Application: Since Section 10369.6 does not apply to group policies, all additional issues raised in the appeal are considered moot.

Reasoning: Consequently, all other issues raised in the appeal are rendered moot, as Gausman failed to demonstrate that Prudential's group policies violate the statute.

Publication and Citation Restrictions

Application: The judgment is restricted from publication or citation within the circuit, except under specific Ninth Circuit rules.

Reasoning: The judgment is affirmed, and the disposition is not for publication or citation in this circuit except under specific Ninth Circuit rules.

Summary Judgment Review Standard

Application: The court applies a de novo standard of review to the summary judgment, assessing the lower court's decision without deference.

Reasoning: The court reviews the summary judgment de novo and affirms the lower court's decision.