Skymont Farms et al v. Federal Crop Insurance Corporation et al
Filing
80
MEMORANDUM AND ORDER Signed by Magistrate Judge Susan K Lee on 4/10/12. (GRE, )
UNITED STATES DISTRICT COURT
EASTERN DISTRICT OF TENNESSEE
AT WINCHESTER
SKYMONT FARMS, et al.,
Plaintiffs,
v.
FEDERAL CROP INSURANCE
CORPORATION, et al.,
Defendants.
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4:09-cv-65
Lee
MEMORANDUM AND ORDER
Before the Court are three motions for summary judgment: one filed by Plaintiffs Skymont
Farms, Anthony Wanamaker, Catrenia Wanamaker, and Dusty Wanamaker [Doc. 50]; one filed by
Defendants Federal Crop Insurance Corporation (“FCIC”), Risk Management Agency (“RMA”) and
the United States Department of Agriculture (“USDA”) (collectively “federal Defendants”) [Doc.
54]; and one filed by Defendant NAU Country Insurance Company (“NAU”) [Doc. 56]. For the
reasons explained below, the Court will GRANT the motions for summary judgment filed by federal
Defendants and NAU [Docs. 54 & 56] and will DENY the motion for summary judgment filed by
Plaintiffs [Doc. 50].
I.
FACTS AND PROCEDURAL BACKGROUND
A.
Complaint Allegations and Background Facts
Plaintiffs Anthony Wanamaker (“Anthony”) and Catrenia Wanamaker (“Catrenia”) are
husband-and-wife owners of several farms which grow nursery crops, and they run their own
nursery business, Dry Shave Nursery, which sells nursery crops [Doc. 53 at PageID#: 211].
Anthony and Catrenia wanted to get their sons involved in the nursery business and, to that end,
gave the nursery crop on a farm called Skymont Farms (“Skymont Farms crop”) to son Dusty
Wanamaker (“Dusty”) so he could start his own nursery business [id.]. Anthony and Catrenia gifted
the Skymont Farms crop to Dusty while remaining owners of the underlying land at Skymont Farms,
but no document setting forth this transfer was created [Doc. 55 at PageID#: 407]. There was an
understanding in the Wanamaker family, however, that if the Skymont Farms nursery business
became a success, Dusty would help his parents pay down any debt they had incurred to procure and
plant the Skymont Farms crop [id.].
Dusty’s ownership of the Skymont Farms crop began prior to the 2006 crop year, but he
began doing business under the name “Skymont Farms Nursery”1 for the 2006 crop year [Doc. 53
at PageID#: 211]. It was the first year any business in that name was in operation to sell trees or
plants and the first year letterhead and materials with the Skymont Farms Nursery name were
created or used [id.]. Beginning with the 2006 crop year, Dusty opened a banking account in his
name doing business as Skymont Farms Nursery, managed the labor on the Skymont Farms
property, determined what payments to make to laborers, and signed checks [id. at PageID#: 212].
Dusty did not own any equipment at that time and had not secured any debt in the name of the
nursery [Doc. 55 at PageID#: 407].
Dusty sought to insure the Skymont Farms crop for the 2006 year, and insurance agent
Richard Mackie brought him an application and plant inventory value report (“PIVR”) forms to
prepare and sign [Doc. 53 at PageID#: 213]. Dusty submitted the completed PIVR and application,
and on February 15, 2006, he received a letter from NAU which confirmed a policy had been issued
to him for the 2006 crop year [id.]. Dusty received another document from NAU dated the same day
1
The Court will generally refer to the land and crops at issue as “Skymont Farms” or “the
Skymont Farms crop,” but Skymont Farms Nursery is the name for Dusty’s nursery business.
2
that was titled “Confirmation” which indicated the insurance application had been accepted [id.].2
On or about April 7, 2006, a hailstorm damaged the Skymont Farms crop and Dusty filed a
claim pursuant to the insurance policy issued by NAU [Doc. 1 at PageID#: 6]. The RMA joined
NAU in the adjustment process due to the large size of the claim and Dusty’s claim was denied by
letter of June 2007 [id. at PageID#: 8; Doc. 57 at PageID#: 444]. In the letter, RMA informed Dusty
the claim was being denied, in relevant part, because Dusty provided no evidence that he owned an
insurable interest in the Skymont Farms crop and Dusty failed to provide valuation information as
to plant sales for the previous three years as required [Doc. 57 at PageID#: 444-45; Doc. 58-5].
Plaintiffs timely appealed the denial of the claim to the National Appeals Division and, after a two
day evidentiary hearing and a telephonic hearing, the hearing officer upheld the decision to deny the
claim [Doc. 1 at PageID#: 8; Doc. 57 at PageID#: 445; Doc. 58-6]. Thereafter, Plaintiffs sought
Director Review from the USDA, and the director upheld the denial of Plaintiffs’ claim, which
finalized the determination that the policy issued to Plaintiffs was void because Dusty d/b/a Skymont
Farms Nursery failed to show he had a 100% insurable share of his nursery enterprise [Doc. 58-7].
As a result of the Director Review, Plaintiffs filed two separate cases: this case against NAU,
FCIC, RMA, and USDA, and another case, Civil Case No. 4:09-cv-77, against the insurance agency
and the agents who sold Dusty the policy in question. In the instant case, Plaintiffs allege the crop
insurance claim was properly asserted under the policy and that Defendants breached their
contractual obligation to Plaintiffs by failing to pay the insurance claim, such that they are jointly
and severally liable for Plaintiffs’ damages [Doc. 1 at PageID#: 7]. Plaintiffs further assert that
2
The Complaint alleges that NAU, in conjunction with FCIC and RMA, sold and issued a
policy of insurance to Skymont Farms through Skymont Farms’ authorized agent, Dusty
Wanamaker, to insure the Skymont Farms crop for the 2006 crop year [Doc. 1 at PageID#: 6].
3
Defendants are liable for bad faith insurance settlement practices and bad faith refusal to pay
pursuant to state statutes [id. at PageID#: 7-8].
B.
Procedural Posture
By Order of April 27, 2011, and at the parties’ request, the Court set a briefing schedule to
address what the parties determined was a threshold issue to insurance coverage: whether Plaintiffs
had an insurable interest in the subject property [Doc. 43]. All three sets of parties (Plaintiffs, the
federal Defendants, and NAU) filed dispositive motions on the topic of whether Dusty had a 100%
insurable interest in the subject property [Docs. 50, 54 & 56] and oral argument on the motions was
held in January 2012. This threshold and dispositive issue is now ripe for review.
II.
STANDARD OF REVIEW
Summary judgment is mandatory where “there is no genuine dispute as to any material fact”
and the moving party “is entitled to judgment as a matter of law.” Fed. R. Civ. P. 56(a). A
“material” fact is one that matters—i.e., a fact that, if found to be true, might “affect the outcome”
of the litigation. Anderson v. Liberty Lobby, Inc., 477 U.S. 242, 248 (1986). The applicable
substantive law provides the frame of reference to determine which facts are material. Anderson,
477 U.S. at 248. A “genuine” dispute exists with respect to a material fact when the evidence would
enable a reasonable jury to find for the non-moving party. Id.; National Satellite Sports, Inc. v.
Eliadis Inc., 253 F.3d 900, 907 (6th Cir. 2001). In determining whether a dispute is “genuine,” the
court cannot weigh the evidence or determine the truth of any matter in dispute. Id. at 249. Instead,
the court must view the facts and all inferences that can be drawn from those facts in the light most
favorable to the non-moving party. Matsushita Elec. Indus. Co. v. Zenith Radio Corp., 475 U.S.
574, 587 (1986); National Satellite Sports, 253 F.3d at 907. A mere scintilla of evidence is not
4
enough to survive a motion for summary judgment. Anderson, 477 U.S. at 252; McLean v. 988011
Ontario, Ltd., 224 F.3d 797, 800 (6th Cir. 2000).
The moving party bears the initial burden of demonstrating no genuine issue of material fact
exists. Celotex Corp. v. Catrett, 477 U.S. 317, 323 (1986); Moore v. James, No. 7:09-CV-98 (HL),
2011 WL 837179, at *1 (M.D. Ga. Feb. 2, 2011). The movant must support its assertion that a fact
is not in dispute by “citing to particular parts of materials in the record.” Fed. R. Civ. P. 56(c). If
the moving party carries this burden, the opposing party must show that there is a genuine dispute
by either “citing to [other] particular parts of materials in the record” or “showing that the materials
cited do not establish the absence . . . of a genuine dispute. Id. In reply, the movant may then
attempt to show that the materials cited by the nonmovant “do not establish the . . . presence of a
genuine dispute.” Id. A party may also attempt to challenge the admissibility of its opponent’s
evidence. Id.
The court is not required to consider materials other than those specifically cited by the
parties, but may do so in its discretion. Id. If a party fails to support its assertion of fact or to
respond to the other party’s assertion of fact, the court may “(1) give an opportunity to properly
support or address the fact; (2) consider the fact undisputed for purposes of the motion; (3) grant
summary judgment if the motion and supporting materials . . . show that the movant is entitled to
5
it; or (4) issue any other appropriate order.” Fed. R. Civ. P. 56(e).3
III.
ANALYSIS
A.
Overview of Parties’ Arguments
Unlike the situation in most motions for summary judgment, the parties here conceded at oral
argument that the material facts are not in dispute. However, the Court will briefly review the facts
relied upon by the various parties in support of their respective arguments.
1.
Plaintiffs’ Motion
Addressing certain undisputed facts, Plaintiffs argue that Dusty could insure property that
he received as a gift; that he qualified as an “operator” of the nursery and thus he could properly
obtain insurance for the Skymont Farms crop; and that Rob Young, NAU’s Regional Claims
Manager, did not identify any issues with Dusty’s ownership of the nursery during the claims
adjustment process [Doc. 53 at PageID#: 220-23]. Plaintiffs further argue that Dusty satisfied all
the requirements to have insurance attach–the completed application, the PIVR, nursery catalogs or
a price list, and substantial beneficial interest information–and that he was thus entitled to coverage.
3
The applicable standard of review in the instant case, which has an administrative record,
is less easily determined. In a motion to withdraw the administrative record, the parties noted “this
Court ruled that the case will be heard de novo and not on the record” and referenced a prior order
issued by the Court before the parties consented to proceeding before the magistrate judge [Doc. 39].
In the prior order, however, the Court did not explicitly state that the standard of review would be
de novo. The pleading at issue in the prior order was a motion to set a briefing schedule on the
administrative record [Doc. 31]. This motion came on the heels of a motion to strike Plaintiffs’ jury
demand [Doc. 14], which the Court had already denied [Doc. 28]. When the Court upheld the law
of the case (that Plaintiffs’ jury demand would not be stricken) in denying the motion to set a
briefing schedule or proceeding on the administrative record, it did so without making a ruling
regarding the standard of review. In any event, the parties have presented their summary judgment
motions utilizing a de novo standard of review and, therefore, the Court will utilize a de novo
standard as well. In doing so, the Court reaches a similar conclusion to that reached in both the
administrative Appeal Determination and the Director Review Determination; that is, the policy is
void because Dusty did not have a 100% insurable share [Docs. 58-6 & 58-7].
6
In addition, Plaintiffs assert an estoppel argument and contend that because NAU accepted Dusty’s
application and verified that he had coverage for the Skymont Farms crop, NAU should be estopped
from denying coverage, as the grounds for denying coverage identified after the insurance claim was
submitted stemmed from NAU’s agent’s faulty direction and guidance [id. at PageID#: 228-33].4
2.
Federal Defendants’ Motion
The federal Defendants argue the undisputed facts do not indicate a valid transfer of the
Skymont Farms crop to Dusty and, as such, Dusty does not qualify as an individual with a relevant
share to insure in the crops [Doc. 55 at PageID#: 409]. This argument is based in the premise that
the Skymont Farms crop could not have been transferred as a gift without a transfer of the
underlying land as well [id. at PageID#: 410-11]. The federal Defendants make other arguments
with respect to the family’s failure to file any federal gift tax return; Anthony and Catrenia’s
ownership of the land; the reversibility of any gift made; and the overlap between the Skymont
Farms nursery business and Anthony and Catrenia’s nursery operations [id. at PageID#: 412]. The
federal Defendants also argue that Dusty misrepresented a material fact on his application when he
stated that he had a 100% interest in the Skymont Farms crop [id. at PageID#: 411-12]. Finally, the
federal Defendants argue that even if Dusty’s misrepresentation of his 100% interest was innocent,
the policy is still properly voided because his parents are in fact the true owners [id. at PageID#:
413]. The federal Defendants acknowledge that Dusty may have had some interest in the Skymont
Farms crop, but assert that it was never 100% [id.].
4
As to the other grounds upon which coverage was denied, Plaintiffs argue that Dusty had
no obligation to report sales for the past three years on his application because he was a new
applicant and the insurance company can inspect the nursery to verify the inventory listed on the
PIVR; here, NAU conducted no inspection, but accepted his application even though it did not
indicate Dusty’s sales for the past three years [Doc. 53 at PageID#: 224-26].
7
3.
NAU’s Motion
In addition to the above facts, NAU asserts other undisputed facts are relevant to the
insurable interest issue. For instance, NAU states that Skymont Farms has never been incorporated,
has never been a partnership, and may never have filed any tax returns [Doc. 57 at PageID#: 445].
All sales of nursery crops planted on Skymont Farms land were made through Anthony and
Catrenia’s nursery because Dusty did not have a license to sell nursery products at the time [id. at
PageID#: 446]. Dusty borrowed all equipment used on Skymont Farms from his parents [id.].
Skymont Farms did not have a bank account or any material bearing its name at the time Dusty
applied for crop insurance [id.]. Catrenia handled all the bookkeeping for the Skymont Farms crop
and nursery business and had power of attorney over the bank account Dusty opened months after
submitting his insurance application [id. at PageID#: 446-47]. Anthony and Catrenia added funds
to the Skymont Farms bank account when necessary to cover expenses [id. at PageID#: 447]. Dusty
never received any salary or other distribution from Skymont Farms and instead continued to receive
his hourly wage from his parents’ nursery [id.]. NAU further asserts that Mr. Young testified he
worked with Anthony 90% of the time during the claim adjustment process, Anthony was heavily
involved on behalf of the Skymont Farms insurance claim, and Mr. Young does not remember ever
meeting with Dusty without Anthony present [id.]. Mr. Young’s notes reference meetings with
Anthony, but not Dusty, and Anthony was the individual who contacted the experts to evaluate
damage to the Skymont Farms crop [id.].
NAU argues the named insured on a crop insurance policy must be an owner-operator,
landlord, tenant, or sharecropper with a bona fide insurable interest to purchase coverage, and the
undisputed facts show that Dusty did not have a bona fide insurable interest [Doc. 57 at PageID#:
8
449-50]. NAU asserts there was no legitimate transfer of the Skymont Farms crop because there is
nothing in writing to document this gift and no gift tax was ever paid [id. at PageID#: 452].
Moreover, Anthony and Catrenia maintained their substantial or total interest in the Skymont Farms
crop by virtue of their control over Skymont Farms’ finances, their agreement that Dusty would
repay his parents if the Skymont Farms nursery business became profitable, their payment of the
insurance premium for the policy, Anthony’s involvement in the claim adjustment process, and their
involvement in the instant lawsuit [id. at PageID#: 452-53]. NAU further contends Skymont Farms
was never established as a corporation, had no employees, paid no salaries (not even to Dusty), did
not have a bank account at the time of the application, owned no equipment, and had no sales of its
own [id. at PageID#: 453]. Also, Dusty has realized no financial gain or loss from the Skymont
Farms nursery business in the past five years and, as noted above, continues to draw a wage from
his parents’ nursery [id. at PageID#: 454].
As such, NAU argues the weight of the undisputed evidence demonstrates Plaintiffs had no
bona fide interest in the Skymont Farms crop. As such, NAU argues the crop insurance policy was
void because there was not a legitimate transfer of the Skymont Farms crop to Dusty, Anthony and
Catrenia maintained a financial and controlling role with the Skymont Farms nursery business–and
certainly had more than a 10% interest in the crop that should have been disclosed on the
application, Skymont Farms does not operate as a legitimate separate business, and Dusty had little
financial stake in the business [id.].
B.
Applicable Law
The applicable insurance policy provisions for crop insurance policies are codified in the
Code of Federal Regulations (“C.F.R.”). The preliminary language in the section of the C.F.R.
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setting out the policy provisions states that “[a]pplication for insurance. . . must be made by any
person who wishes to participate in the program, to cover such person’s share in the insured crop
as landlord, owner-operator, crop ownership interest, or tenant. No other person’s interest in the
crop may be insured under an application unless that person’s interest is clearly shown on the
application and unless that other person’s interest is insured in accordance with the procedures of
the Corporation.” 7 C.F.R. § 457.8(a). This section also sets forth the “Basic Provisions” that are
included in each crop insurance policy, and the Basic Provisions define certain relevant terms as
follows:5
Insured - The named person as shown on the application accepted by
us. This term does not extend to any other person having a share or
interest in the crop (for example, a partnership, landlord, or any other
person) unless specifically indicated on the accepted application.
...
Share - Your percentage of interest in the insured crop as an owner,
operator, or tenant at the time insurance attaches. . . .
Substantial beneficial interest - An interest held by any person of at
least 10 percent in you. The spouse of any individual applicant or
individual insured will be considered to have a substantial beneficial
interest in the applicant or insured. . . .
The policy provisions also contain the following with respect to the voidance of policies:
27. Concealment, Misrepresentation or Fraud.
(a) If you have falsely or fraudulently concealed the fact that you are
ineligible to receive benefits under the Act or if you or anyone
5
The regulations in effect for the 2006 crop year did not define “insurable interest,” but it
is now defined as “[y]our percentage of the insured crop that is at financial risk.” 7 C.F.R. § 457.8.
It is also defined in 7 C.F.R. § 400.651 as “[t]he value of the producer’s interest in the crop that is
at risk from an insurable cause of loss during the insurance period. The maximum indemnity
payable to the producer may not exceed the indemnity due on the producer’s insurable interest at
the time of loss.”
10
assisting you has intentionally concealed or misrepresented any
material fact relating to this policy:
(1) This policy will be voided; and
(2) You may be subject to remedial sanctions in accordance
with 7 CFR part 400, subpart R.
(b) Even though the policy is void, you may still be required to pay
20 percent of the premium due under the policy to offset costs
incurred by us in the service of this policy. If previously paid, the
balance of the premium will be returned.
(c) Voidance of this policy will result in you having to reimburse all
indemnities paid for the crop year in which the voidance was
effective.
(d) Voidance will be effective on the first day of the insurance period
for the crop year in which the act occurred and will not affect the
policy for subsequent crop years unless a violation of this section also
occurred in such crop years.
[Doc. 74-1 at PageID#: 655-56, 678], 7 C.F.R. § 457.8.
C.
Analysis
The Court now turns to the threshold issue: Did Dusty had an insurable interest in the
Skymont Farms crop for the 2006 crop year? While the Court finds Dusty did have an insurable
interest, it also finds Dusty’s interest was not a 100% insurable interest as represented in the policy
application. Because this misrepresentation was material, the policy was properly voided.
1.
Insurable Interest
The notion of an insurable interest has been interpreted by only a few courts in conjunction
with the crop insurance regulations cited above. The courts that have addressed this notion have
generally agreed that benefit and loss are key elements of an insurable interest finding: “It is well
settled that one has an insurable interest in property by the existence of which he receives a benefit,
11
or by the destruction of which he suffers a loss, regardless of whether he has title to the property.”
Parks v. Fed. Crop Ins. Corp., 416 F.2d 833, 839 (7th Cir. 1969). “All that is necessary is an
interest in property by . . . which (the insured) receives a benefit, or by the destruction of which he
will suffer a loss . . . [n]either legal title nor possession is required.” Prince v. Royal Indem. Co.,
541 F.2d 646, 649 (7th Cir. 1976) (citations and internal quotations omitted). “An insured must
have an insurable interest in the crop in order for insurance to attach. Under the policy, an insured
is the ‘named person’ as shown on the application . . . accept[ed] and the term does not extend to any
other person or entity having an interest in the crop. Crop insurance only attaches to the share that
the person completing the application has in the crop.” Great Am. Ins. Co. v. Mills, No. 4:06-cv01971-RBH, 2008 WL 2250256, at *6 (D.S.C. May 29, 2008).
Although Defendants have based much of their argument on the possibly incomplete gift of
the Skymont Farms crop, Dusty’s ownership of the Skymont Farms crop, or lack thereof, is not of
utmost importance. The regulations specify the categories of possible insureds as “landlord, owneroperator, crop ownership interest, or tenant,” but the definition of “share” in the Basic Provisions
reads “[y]our insurable interest in the insured crop as an owner, operator, or tenant at the time
insurance attaches.” 7 C.F.R. § 457.8 (emphasis added). Mr. Young testified that the operator of
a nursery could have an insurable share in the crop if they were named on the application [Doc. 5328 at PageID#: 383]. Based on the undisputed facts, Dusty could, at the very least, qualify as an
operator because he was the main individual responsible for the day-to-day operations of Skymont
Farms. He opened a bank account for the nursery business that would sell the Skymont Farms crop,
hired employees to work at the nursery, ordered payment of those workers from the aforementioned
bank account, and worked at Skymont Farms himself [Doc. 53-1 at PageID#: 240-43; Doc. 53-2 at
12
PageID#: 253-54; Doc. 53-3 at PageID#: 261-63; Doc. 53-6 at PageID#: 287-88; Doc. 53-7 at
PageID#: 294; Doc. 53-9 at PageID#: 307]. Dusty reported his profit and loss from the operation
of Skymont Farms on a 2006 Schedule F form attached to his 2006 federal tax return, which
indicated he paid laborers for Skymont Farms $35,000.00 and incurred additional expenses for a
total of $59,728.00; sales for the year are recorded as $59,704.00 [Doc. 53 at PageID#: 214; Doc.
53-18 at PageID#: 335]. Although the facts do not establish that Dusty was the sole owner of the
Skymont Farms crop, his parents’ ownership of the underlying land and their participation in the
financial affairs of the nursery does not negate Dusty’s insurable role in the Skymont Farms nursery
business as either an operator of Skymont Farms or as having some other kind of “crop ownership
interest.”6
In addition, under the benefit/loss analysis noted above, there are additional facts which
might speak to the insurable interest issue. It appears there was some informal agreement between
Dusty and his parents whereby Dusty might give money to his parents to pay off their line of credit
if the Skymont Farms nursery business was successful, and he would be able to give the Skymont
Farms crop back to his parents if it proved unsuccessful [Doc. 53-8 at PageID#: 303; Doc. 55-2 at
PageID#: 435-36]. Furthermore, Dusty did not take on any debt in the Skymont Farms name, did
not own equipment used for Skymont Farms, and did not draw a salary from Skymont Farms [Doc.
53-1 at PageID#: 239-40; Doc. 55-1 at PageID#: 422; Doc. 58-8 at PageID#: 504]. Nonetheless, as
the individual in charge of daily operations at Skymont Farms, Dusty stood to benefit from the
6
For reasons explained in more detail below, the Court need not make a determination as
to whether Dusty owned the Skymont Farms crop. The undisputed facts establish that Dusty had
some insurable interest in the crop even if he did not own the crop, but the facts also establish that
Anthony and Catrenia had an insurable interest in the crop. The exact percentages of those interests
in the Skymont Farms crop are not determinative in the Court’s analysis which will focus instead
on a material misrepresentation made in Dusty’s insurance application.
13
success of the nursery crop, as presumably he would have eventually drawn a salary from Skymont
Farms. In addition, one of the main reasons Anthony and Catrenia wanted to start Dusty with his
own nursery business was so he could pay off his house [Doc. 53-3 at PageID#: 263; Doc. 53-7 at
PageID#: 292-93; Doc. 55-2 at PageID#: 435-36]. Therefore, if the Skymont Farms nursery
business proved unsuccessful, Dusty could return the Skymont Farms crop to his parents and would
presumably cease the daily operation of the nursery business, which could have resulted in financial
loss to him in terms of lost salary and the inability or reduced ability to pay down his own debt.
Based on the undisputed facts, the Court concludes Dusty had an insurable interest in the
Skymont Farms crop and was entitled to insure his share in the crop for the 2006 crop year.
2.
Misrepresentation
Because the Court has concluded that Dusty had some insurable share in the Skymont Farms
crop, the Court must next address whether Dusty made any material misrepresentations on his
insurance application. In the Court’s view, the most significant possible misrepresentation
Defendants have asserted is Dusty’s failure to specify Anthony and Catrenia as other individuals
with a substantial beneficial interest in the Skymont Farms crop. If Dusty did not have a 100% share
in the crop, as Defendants argue, he had to disclose any person or entity with an interest of more
than 10% in the Skymont Farms crop. If he failed to make this necessary disclosure, the policy
could be voided if this failure constituted a material misrepresentation.
There are several undisputed facts in the record which support a finding that Anthony and
Catrenia maintained a substantial beneficial interest of more than 10% in the Skymont Farms crop.
Anthony and Catrenia owned the underlying land at Skymont Farms [Doc. 53-6 at PageID#: 286;
Doc. 53-7 at PageID#: 291; Doc. 58-8 at PageID#: 497]; it appears no one filed a federal gift tax
14
return for the exchange of the nursery stock, which may put Dusty’s ownership of the Skymont
Farms crop in question [Doc. 55-1 at PageID#: 419]; Catrenia handled many of the financial
transactions for Skymont Farms in addition to the other family nurseries and had power of attorney
for the Skymont Farms account [Doc. 53-3 at PageID#: 262; Doc. 53-8 at PageID#: 302; Doc. 58-8
at PageID#: 504]; the plants sold from Skymont Farms were actually sold through Anthony and
Catrenia’s nursery business because Dusty did not have a nursery license for the 2006 crop year
[Doc. 58-8 at PageID#: 500, 504]; Dusty borrowed equipment from his parents for the work on
Skymont Farms [Doc. 53-1 at PageID#: 239]; Dusty and his parents had an agreement of sorts by
which he would pay towards their line of credit if the Skymont Farms nursery business proved
successful [Doc. 53-8 at PageID#: 303; Doc. 58-8 at PageID# 503-04]; the insurance adjusters
communicated extensively with Anthony about the insurance claim on the policy covering the
Skymont Farms crop [Doc. 53-2 at PageID#: 249; Doc. 58-8 at PageID#: 505; Doc. 58-10 at
PageID#: 518-21]; and Anthony and Catrenia have joined in this lawsuit because of time and stress
involved in processing the insurance claim and based on their expectation that Dusty might pay part
of their line of credit [Doc. 58-9 at PageID#: 515].
These undisputed facts establish that Anthony and Catrenia maintained a significant share
in the Skymont Farms crop. The ownership of the underlying land and their expectation to reap
some of the success from the nursery would give them a financial interest. In addition, their
involvement with the insurance claim adjustment process and participation in this lawsuit suggest
that they seek to protect their own financial interest in the Skymont Farms crop. Although the
family and the community may have regarded Dusty as the owner and operator of Skymont Farms,
the undisputed facts, reviewed in the context of an insurable interest analysis, establish that Anthony
15
and Catrenia were still extensively involved with the Skymont Farms crop and the Skymont Farms
nursery business. As such, the Court finds that Anthony and Catrenia had an interest in the Skymont
Farms crop that exceeded 10% and they should have been named as individuals with a substantial
beneficial interest in Dusty’s insurance application for the 2006 crop year. The Court further finds
that Dusty’s failure to disclose Anthony and Catrenia’s interest was a misrepresentation on the
application.7
3.
Materiality
The relevant question next becomes whether this misrepresentation was a material one, such
that Defendants could properly void the policy pursuant to section 27 of the insurance policy, which
governs concealment, misrepresentation, and fraud. Initially, the issue of materiality was not fully
addressed in the parties’ briefs. The federal Defendants merely claimed in response to Plaintiffs’
motion that the misrepresentation of a 100% crop share causes there to be no insurable interest [Doc.
59 at PageID#: 557] and only addressed materiality in their own brief by stating that the
“misrepresentation materially effected the policy by allowing him a 100% share payment despite
the policy’s requirements to cover only a ‘person’s share in the insured crop’” and stating that the
7
As will be discussed infra, whether a misrepresentation has been made is a question of fact
under Tennessee law. See Morrison v. Allen, 338 S.W.3d 417, 428 (Tenn. 2011).
16
true owner was a material fact that required disclosure [Doc. 55 at PageID#: 413-14].8 NAU argued
in response to Plaintiffs’ motion that Dusty must have had at least a 90% interest in the Skymont
Farms crop to make the application valid and that his contention that he had an insurable interest as
an “operator” would not support an application asserting a 100% share [Doc. 64 at PageID#: 58384].9 NAU did not, however, make any argument about why this misrepresentation would be
material (even though a chart contained in its brief reads that “insurance obtained by
misrepresentation of a material fact is voidable”) and simply stated that the policy would be void
8
The federal Defendants cited to Parks v. Fed. Crop Ins. Corp., 416 F.2d 833, 839-40 (7th
Cir. 1969) for this proposition, but Parks does not say that the true owner is a material fact. In
Parks, the plaintiffs had entered into contracts with an agricultural association whereby the
association would provide corn and labor for planting and detasseling and, in exchange for plaintiffs
providing the land and satisfactorily planting and harvesting the crop, plaintiffs would be paid per
acre plus a bonus amount for each bushel produced in excess of 20 bushels an acre. Id. at 835. The
plaintiffs represented their shares in the corn crop as either 100% or 50% in their insurance
applications (but did not reference the growing contracts with the association), and the district court
found that the policies were voidable because the association had the entire interest in the corn and
plaintiffs only had an interest in profit for bonus bushels. Id. at 836-37.
On appeal, the Seventh Circuit found that the plaintiffs did bear a financial risk due to the
minimum and maximum amounts payable on the crop and that they were producers of the crops,
such that they could insure the crops. Id. at 838. Having resolved the insurable interest question,
the Parks court turned to whether the failure to disclose the association’s interest was a
misrepresentation of a material fact. Id. at 839. The Seventh Circuit noted that “[t]he test of
materiality in insurance law is whether the facts if truly stated might reasonably have influenced the
insuror in deciding whether it should reject or accept the risk, and whether a higher premium should
be charged” and that the plaintiffs’ misrepresentations as to the share of the association, if any, were
not misrepresentations of material facts and the policies were not voidable. Id. at 839-40. The court
noted that defendant “failed to show how the growing contracts . . . would have influenced the
decision to issue policies of insurance to these plaintiffs” and, in fact, the contracts may have made
the insurance risk more attractive because the minimum compensation per acre lowered the
insurance company’s loss. Id. at 840.
9
NAU did not specifically address whether Dusty could have an insurable interest as an
operator and, instead, continued to assert that Dusty had no insurable interest. NAU acknowledged
Plaintiffs’ argument with respect to Dusty being an operator, but only to address it in the context of
its argument that being an operator is contrary to the assertion that Dusty had a 100% share in the
Skymont Farms crop.
17
based on the lack of a 100% share [id. at PageID#: 584].
To further address the issue of materiality, the Court held oral argument on the parties’
motions on January 12, 2012. Prior to holding argument, the Court asked the parties to be prepared
to set forth the federal or state statute, regulation, or policy provision which might define materiality
and address the materiality of any misrepresentation on Dusty’s application [Doc. 71]. During
argument, Plaintiffs asserted that Dusty had a 100% share in the Skymont Farms crop as an owner
and 100% share as an operator. Plaintiffs indicated they believed only federal law could apply to
define material, but could not refer the Court to any definition of material in the federal regulations,
policy provisions, or statute. Plaintiffs agreed that materiality is a question of law.
In lieu of providing a definition of material, Plaintiffs produced the RMA Final Agency
Determination (“FAD”) 018, which was made Exhibit 1 to the hearing. FAD-018 states that
“[f]ailure to comply with the policy requirements constitutes a breach of the insurance contract and
could jeopardize receipt of any indemnity if such breach is determined to be substantive.” Final
Agency Determination: FAD-018, http://www.rma.usda.gov/regs/533/2003/fad-018.html. Plaintiffs
argued that “material” could be equated with “substantive” such that any misrepresentation would
need to be substantive in order to permit the voiding of the policy. Plaintiffs argued that there was
no dispute about the amount of loss or the existence of the loss, and that the only dispute was,
essentially, who would receive the money from the loss if Dusty did not have a 100% interest, such
that any misrepresentation was secondary, and therefore not substantive or material.
NAU similarly could not provide the Court with any definition of materiality in the
regulations, policy provisions, or federal statutes, but agreed that “material” and “substantive” would
likely have the same meaning. NAU argued, however, that the identification of who owns the crops
18
at issue is always material because the insurance company has a right to know who they’re insuring.
In reference to the statements in FAD-018, NAU argued that nonsubstantive misrepresentations
would be clerical or typographical errors; the misrepresentation in this case, however, would directly
affect the loss and the amount of loss because the insured would get 100% of the payment for less
than 100% of the insured’s share in the crops. Although NAU agreed the misrepresentation in this
case may not have made a difference in the premium charged on the policy and agreed that the
catastrophic coverage would not necessarily lead to a difference in the risk at the inception of the
insurance policy, as such an event would be outside anyone’s control and not dependent on the
owner, NAU pointed out that Anthony took a very active role in the adjustment of the claim for the
Skymont Farms crop and the insurance company would have liked to know if Anthony had the true
ownership interest in the Skymont Farms crop. NAU asserted that many variables are involved in
adjusting loss, and it is material for the insurance company to know the owner of the crops to
properly investigate and adjust a claim based on the owner's history and reputation. NAU claimed
that even if Dusty could qualify as an operator, he would not have a 100% interest in the Skymont
Farms crop, which was what he certified to NAU on his policy application.
The federal Defendants first argued that no operator or tenant could ever have a 100% share
in the Skymont Farms crop because whoever owned the underlying land would have an interest by
virtue of any money they received from that arrangement. As such, the federal Defendants argued
Dusty could not have had a 100% share, as he certified on the insurance application, and that he
could not recover for a share amount that he did not have. The federal Defendants believed the
Court could look to state law for a definition of material, and the parties agreed the policy was issued
in Tennessee such that Tennessee law could apply. The federal Defendants pointed the Court to
19
Acuity Mut. Ins. Co. v. Frye, 699 F. Supp. 2d 975 (E.D. Tenn. 2010) for an overview of the
Tennessee law on materiality, and argued that because the policy states one can only insure one’s
share, a representation that an insured has a 100% share when he does not must be material. The
federal Defendants noted that unlike most insurance, crop insurance policies are written by
Congress, insureds must comply with the rules outlined by Congress, and only Congress can address
any issues of fairness. The federal Defendants argued that if the insured represents that he is the
100% owner of the crop when is not, Congress dictates the policy is voidable and the insured can
recover nothing.
The general powers in the Federal Crop Insurance Act (“FCIA”) state that
“[s]tate and local laws or rules shall not apply to contracts, agreements, or regulations of the
Corporation or the parties thereto to the extent that such contracts. . . provide that such laws or rules
shall not apply, or to the extent that such laws or rules are inconsistent with such contracts. . . .” 7
U.S.C. § 1506(l). The policy provisions state, “[i]f the provisions of this policy conflict with statutes
of the State or locality in which this policy is issued, the policy provisions will prevail. State and
local laws and regulations in conflict with federal statutes, this policy, and the applicable regulations
do not apply to this policy” [Doc. 74-1 at PageID#: 679].
The Court has located only one definition of “material” in the crop insurance regulations,
although it does not appear that this definition existed at the time the policy was issued and may not
apply to the instant case. This newer provision defines “material” as “a violation that causes or has
the potential to cause a monetary loss to the crop insurance program or it adversely affects program
integrity, including but not limited to potential harm to the program’s reputation or allowing persons
to be eligible for benefits they would not otherwise be entitled.” 7 C.F.R. § 400.452. Otherwise,
“material” does not seem to be defined in the regulations, in the FCIA, or otherwise in the applicable
20
policy provisions. Therefore, the Court can assume that state insurance law on the issue of
materiality would not conflict with the federal regulations or statute, and the Court can look to
definitions of material stemming from the insurance law of the state in which the policy was issued.
As the parties have agreed that the insurance policy was issued in Tennessee, the Court will
look to Tennessee law on this issue. As noted above, whether a misrepresentation was made is a
question of fact, and the Court has already determined a misrepresentation was made as a matter of
undisputed fact. See Williams v. Tennessee Farmers Life Reassurance Co., No. M2010-01689COA-R3-CV, 2011 WL 1842893, at *3 (Tenn. Ct. App. May 12, 2011) (“to avoid coverage based
on an allegation of misrepresentation in the application for insurance, the insurer first must
demonstrate that the insured provided an answer that was false . . . [w]hether an answer was false.
. . [is a] question[] of fact. . .”). “Once it has been determined that a misrepresentation exists, it is
a question of law for the Court to decide whether the misrepresentation increases the risk of loss to
the insurer.” Acuity, 699 F. Supp. 2d at 985; see also Morrison, 338 S.W.3d at 428.
After reviewing the facts and considering the parties’ arguments, the Court concludes that
Dusty’s misrepresentation was material such that the policy could be properly voided. Even if Dusty
had an insurable interest as an operator, as the Court has found, it cannot be a 100% interest because
his parents’ ownership of the land and heavy involvement with the Skymont Farms crop would give
them some interest (certainly more than 10%) in the crop as well. Dusty’s failure to disclose his
parents’ substantial beneficial interest is material because the insurance company needs to know who
it is insuring when it executes the policy. While it is true that the ownership of the crop would not
have an impact on the existence or amount of the loss when operating under a catastrophic coverage
policy, the adjustment of the loss would certainly be affected if the named insured was not truly the
21
owner of the crop. The insurance company has a legitimate interest in determining whether the
amount of the claimed loss is accurate, which is informed by the reputation of the crop owner and
any past claims made. Therefore, if the insured represented himself as the owner but the crops were
instead owned by someone else, the facts involved could be very different, and the Court can
conceive of ways in which this type of misrepresentation could increase the insurance company’s
risk of loss. Indeed, the facts of this case establish that Anthony took a leading role during the
adjustment process and worked with the adjusters far more than Dusty did, presumably to protect
his undisclosed share in the Skymont Farms crop.
Although this case presents what is perhaps an unusual circumstance in which any award for
the loss might be going to the same “pot” due to the overlapping nature of the Wanamaker family’s
nurseries and the nurseries’ financial structure, this circumstance does not lessen the material impact
of Dusty’s misrepresentation. The federal Defendants noted at oral argument that if an insured
represents a 100% share and does not have a 100% share, it does not matter what amount of share
the insured actually has because the policy provisions dictate that the policy may be voided and the
recovery will be zero. Finally, as the federal Defendants argued, the policy terms, knowledge of
which is imputed to the participants of the crop insurance program, clearly state one can only insure
one’s share in the crops. Thus, attempting to insure more than one’s share (and receive more than
one’s share of any loss) is material.10
The Court concludes that Dusty made a material
misrepresentation on his insurance application by claiming he had a 100% share in the Skymont
Farms crop. Accordingly, the policy insuring the Skymont Farms crop for the 2006 crop year was
10
The applicable policy provision states that “[i]nsurance will attach only to the share of the
person completing the application and will not extend to any other person having a share in the
crop” unless certain conditions are met in a partnership, landlord-tenant, marriage, or crop share
context [Doc. 74-1 at PageID#: 665].
22
properly voided pursuant to section 27 of the insurance policy.
4.
Plaintiffs’ Estoppel Argument
Plaintiffs agreed at oral argument that none of the state law claims asserted against any of
the Defendants in this case would survive a determination that the policy was properly voided. In
Plaintiffs’ brief, however, they argued that even if the policy could be voided, the insurance
company should have notified Dusty within 30 days after submission of the insurance application
if there was a problem with the Skymont Farms crop and, in the absence of such a notification or
the denial of Dusty’s application, and because Dusty relied on the insurance coverage attaching,
Defendants should be estopped from denying or voiding coverage [Doc. 53 at PageID#: 231-32].
Plaintiffs assert Dusty relied on the direction of NAU’s insurance agents as to the information
needed on the application, PIVR, and other documents and NAU is therefore bound by the actions
of those agents [id. at PageID#: 233].
In response, the federal Defendants argued that estoppel was not available in a claim against
the government and, in any event, no government agent was involved in making any representations
to Dusty with regard to his insurance application [Doc. 59 at PageID#: 557-59]. The federal
Defendants contend that while NAU’s agents are, by extension, working for the federal agencies by
submitting applications for crop insurance, allowing such agents’ actions to cause the federal
agencies to be estopped from denying coverage would be untenable [id. at PageID#: 558-59]. The
federal Defendants further argue that NAU’s agents could not expand the scope of coverage or
modify the regulations to permit coverage to an individual without an insurable interest [id. at
PageID#: 559].
NAU contends that Dusty is charged with knowledge of the federal crop insurance program
23
and that, as such, he cannot establish as a matter of law that he relied upon an insurance agent’s
instructions or statements [Doc. 64 at PageID#: 585]. NAU argues Dusty had a duty to submit
correct information to NAU and neither NAU or its agent had a duty to investigate the information
before issuing insurance [id. at PageID#: 586]. Plaintiffs argue, in contrast, that the Nursery Crop
Underwriting Guide11 does contemplate that the insurance company will inspect the nursery
operations for any new nursery before accepting an insurance application [Doc. 68 at PageID#: 60809].
Pursuant to Fed. Crop Ins. Corp. v. Merrill, 332 U.S. 380 (1947), there is no estoppel against
the federal Defendants in a case involving crop insurance policies. In Merrill, the plaintiff was told
by an agent of the FCIC that he could insure the entire crop of spring wheat planted when, in fact,
he could not insure the acres planted on reseeded winter wheat. Id. at 382. The plaintiff discovered
the agent erred when a drought destroyed most of the crop and he unsuccessfully attempted to
collect on the loss. Id. The United States Supreme Court held that the insurance regulations were
binding on all who sought insurance under the FCIA regardless of actual knowledge, noting the duty
of the courts “to observe the conditions defined by Congress for charging the public treasury” and
uphold the terms and conditions imposed by Congress to create government liability for crop
insurance policies. Id. at 385.
The principles outlined in Merrill have been employed to prevent litigants from asserting
11
Plaintiffs attached portions of the Nursery Crop Insurance Underwriting Guide to the
memorandum in support of their motion [Docs. 53-23, 53-24, 53-30, & 53-31]. The applicable
portion states that an inspection must occur for the first year a nursery operation is insured to verify
that the nursery crop inventory exists and the reported values are reasonable, the risk is acceptable,
and to ensure that insurability requirements are met [Doc. 53-30 at PageID#: 395-97]. The Guide
states that the inspection must be completed before accepting an application for insurance [id. at
PageID#: 395].
24
estoppel arguments against the government in a variety of factual scenarios, and it is generally
settled that the United States cannot be estopped by acts of its individual officers or agents. See
Office of Personnel Mgmt. v. Richmond, 496 U.S. 414, 420 (1990); United States v. River Coal Co.,
Inc., 748 F.2d 1103, 1108 (6th Cir. 1984). The reasoning for the prohibition against estoppel stems
from a “concern that government agents. . . by their statement or conduct might waive or revise the
laws as enacted by Congress. . . [and] might . . . give away assets or funds that the government holds
for the public good under congressional mandate.” Housing Authority of Elliott Cnty. v. Bergland,
749 F.2d 1184, 1190 (6th Cir. 1984). Courts have acknowledged, however, that estoppel might arise
in circumstances involving “affirmative misconduct” by the government. River Coal, 748 F.2d at
1108; Rogers v. Tenn. Valley Authority, 692 F.2d 35, 37-38 (6th Cir. 1982).
In the instant case, the insurance agent alleged to have inadequately guided Plaintiffs through
the insurance process was an agent of NAU, not the government. This agent’s alleged failure to
direct Plaintiffs to provide the correct information on the application would not fall under any
exception for affirmative misconduct because he is not a government agent and, as recognized in
Merrill, Plaintiffs are charged with knowledge of the applicable regulations when dealing with the
government (and a government sponsored program such as crop insurance). Accordingly, Plaintiffs’
estoppel argument fails as to the federal Defendants, as these federal agencies cannot be estopped
under circumstances involving possible misrepresentations by an agent of a private insurance
company which issued a crop insurance policy reinsured by the FCIC.
As for NAU, the success or failure of Plaintiffs’ estoppel argument is somewhat less clear
cut. NAU is not the government or an agency of the government, it is NAU’s agent who allegedly
guided Plaintiffs in filling out the insurance application, NAU issued the policy to Dusty with no
25
inspection of the Skymont Farms crop and no identification of problems with the application, and
NAU’s adjuster testified he identified no problems with the ownership of the Skymont Farms crop
while adjusting Dusty’s claim. In addition, Merrill was decided prior to the advent of private
insurance companies issuing crop insurance policies which were reinsured by the FCIC, and the
Supreme Court noted in Merrill that “the respondents reasonably believed that their entire crop was
covered by petitioner’s insurance . . . so we assume that recovery could be had against a private
insurance company.” Merrill, 332 U.S. at 383.
Nonetheless, in the context of federally reinsured crop insurance policies, courts have
generally held that the private insurance company is still protected from coverage by estoppel
because “[t]he statements of an insurance company employee cannot be applied to extend coverage
where there is none because the doctrine of estoppel cannot extend coverage beyond that authorized
by the policy.” William J. Mouren Farming, Inc. v. Great Am. Ins. Co., No. CV F 05-0031 AWI
LJO, 2005 WL 2064129, at *10 (E.D. Cal. 2005) (citing Mann v. FCIC, 710 F.2d 144, 147 (4th Cir.
1983)). In Walpole v. Great Am. Ins. Co., 914 F. Supp. 1283 (D.S.C. 1994), the court addressed the
very question of whether the prohibition against estoppel outlined in Merrill would apply to
reinsured policies (and private insurance companies) as well as FCIC-issued policies, and the court
determined that the statements at issue, although made by defendant insurance company’s adjuster,
could not extend coverage where coverage did not exist because of the estoppel doctrine, thereby
adopting the Merrill principles as applicable to the private insurance company defendant. Id. at
1290 (citing Mann v. FCIC, 710 F.2d 144, 147 (4th Cir. 1983)).
As to the crop insurance policy at issue, then, if the policy was properly voided, neither the
federal Defendants nor NAU can be estopped from denying coverage based on any reliance by
26
Plaintiffs on NAU’s confirmation that insurance attached. Dusty made a material misrepresentation
on the policy application by failing to disclose his parents’ substantial beneficial interest in the
Skymont Farms crop, and he is charged with knowledge that such disclosure was necessary pursuant
to the applicable regulations. To allow NAU’s agent’s representations or NAU’s acceptance of the
insurance policy to allow coverage under a federally reinsured crop insurance policy when it was
properly voided would contravene the prohibition against estoppel.
The prohibition against estoppel that extends equally to NAU, however, does not necessarily
mean that NAU can be absolved of all possible liability to Plaintiffs. Several courts have noted that
insureds can maintain state law claims against private insurance companies which issue reinsured
crop insurance policies. “[T]he RMA has not extinguished state law causes of action that may arise
from tortious conduct by private companies selling RMA-approved reinsurance contracts.” Farmers
Crop Ins. Alliance v. Laux, 442 F. Supp. 2d 488, 491 (S.D. Ohio 2006); see also Mills, 2008 WL
2250256, at *8 (the FCIA does not preempt “state common law claims against a private insurance
company for negligence, breach of contract, bad faith refusal to pay, and unfair trade practices”).
“[F]armers are not prevented from suing their private crop insurance company under state law when
that insurance company denies the farmer’s claim.” Laux, 442 F. Supp. 2d at 498. The United
States Court of Appeals for the Eighth Circuit also recognized that general contract principles could
apply to the FCIC even in the absence of the ability to estop the government, stating that “[w]hile
we do not hold the government liable under an estoppel theory. . . the factual background regarding
the FCIC’s course of dealing with these growers must be considered under basic principles of good
faith and fairness. One may have to turn ‘square corners’ when dealing with a governmental entity,
but this does not mean the government may operate so recklessly so as to put parties dealing with
27
it entirely at its mercy.” A.W.G. Farms, Inc. v. Fed. Crop Ins. Corp., 757 F.2d 720, 728-29 (8th Cir.
1985); see also Wiley v. Glickman, No. A3-99-32, 1999 WL 33283312, at *13-14 (D.N.D. Sept. 3,
1999).
Plaintiffs have conceded, however, that if the policy was properly voided, they have no other
state law claims in this action that would survive. While Plaintiffs have asserted a variety of state
law claims in a separate case against the local agent and insurance agency through which crop
insurance was obtained, in this case the Complaint asserts no state law claims against NAU that
survive a finding the policy was properly voided. As such, and because the Court has determined
that the policy was properly voided and the Defendants cannot be estopped from denying coverage,
there are no claims that remain against any of the Defendants named herein.
IV.
CONCLUSION
For the reasons explained above, the Court ORDERS that the motions for summary
judgment filed by federal Defendants and NAU [Docs. 54 & 56] are GRANTED and the motion
for summary judgment filed by Plaintiffs [Doc. 50] is DENIED. The Clerk is directed to close this
case.
SO ORDERED.
ENTER:
s/fâátÇ ^A _xx
SUSAN K. LEE
UNITED STATES MAGISTRATE JUDGE
28
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