{"id":1197,"date":"2021-10-25T03:50:34","date_gmt":"2021-10-25T03:50:34","guid":{"rendered":"https:\/\/crowdsourcelawyers.com\/judicial-council-california-civil-jury-instructions-caci\/?page_id=1197"},"modified":"2022-05-05T16:31:02","modified_gmt":"2022-05-05T16:31:02","slug":"caci-2309-termination-of-insurance-policy-for-fraudulent-claim","status":"publish","type":"page","link":"https:\/\/crowdsourcelawyers.com\/judicial-council-california-civil-jury-instructions-caci\/caci-2309-termination-of-insurance-policy-for-fraudulent-claim\/","title":{"rendered":"CACI 2309 Termination of Insurance Policy for Fraudulent Claim"},"content":{"rendered":"\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kum7akdy-60a85d4a69b089e6262fb6568bd31e5c\">\n#top .av-special-heading.av-kum7akdy-60a85d4a69b089e6262fb6568bd31e5c{\npadding-bottom:10px;\n}\nbody .av-special-heading.av-kum7akdy-60a85d4a69b089e6262fb6568bd31e5c .av-special-heading-tag .heading-char{\nfont-size:25px;\n}\n.av-special-heading.av-kum7akdy-60a85d4a69b089e6262fb6568bd31e5c .av-subheading{\nfont-size:15px;\n}\n<\/style>\n<div  class='av-special-heading av-kum7akdy-60a85d4a69b089e6262fb6568bd31e5c av-special-heading-h1 blockquote modern-quote  avia-builder-el-0  el_before_av_hr  avia-builder-el-first '><h1 class='av-special-heading-tag '  itemprop=\"headline\"  >CACI 2309 Termination of Insurance Policy for Fraudulent Claim<\/h1><div class='av-subheading av-subheading_below'><p>California Civil Jury Instructions CACI<\/p>\n<\/div><div class=\"special-heading-border\"><div class=\"special-heading-inner-border\"><\/div><\/div><\/div>\n<div  class='hr av-av_hr-91d7ccd583a503147498e120fee2ff9b hr-default  avia-builder-el-1  el_after_av_heading  el_before_avia_sc_search '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" 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action='https:\/\/crowdsourcelawyers.com\/judicial-council-california-civil-jury-instructions-caci\/' id='searchform_element' method='get' class='' data-element_id='av-avia_sc_search-f7f83518637509acfac1c9900b84c1e7' ><div class='av_searchform_wrapper'><input type='search' value='' id='s' name='s' placeholder='Search CACI' aria-label='Search CACI' class='av-input-field ' required \/><div class='av_searchsubmit_wrapper '><input type='submit' value='Find' id='searchsubmit' class='button ' title='View results on search page' aria-label='View results on search page' \/><\/div><input type='hidden' name='numberposts' value='8' \/><input type='hidden' name='post_type' value='page' \/><input type='hidden' name='results_hide_fields' value='post_titles,meta,image' \/><\/div><\/form><\/search><\/div>\n<section  class='av_textblock_section av-av_textblock-e878f05c31dff72941bf1e49a00d9ff5 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><ul>\n<li><a href=\"https:\/\/crowdsourcelawyers.com\/judicial-council-california-civil-jury-instructions-caci\/\">CACI Jury Instructions Index<\/a><\/li>\n<li><a href=\"https:\/\/caci-fillable-forms.crowdsourcelawyers.com\/\">App: CACI Jury Instructions Fillable Forms Word Format<\/a><\/li>\n<\/ul>\n<\/div><\/section>\n<div  class='hr av-av_hr-91d7ccd583a503147498e120fee2ff9b hr-default  avia-builder-el-4  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-kum7c3rj-744362c6d14a34c47ccaf69aef59916d\">\n#top .av_textblock_section.av-kum7c3rj-744362c6d14a34c47ccaf69aef59916d .avia_textblock{\nfont-size:20px;\n}\n<\/style>\n<section  class='av_textblock_section av-kum7c3rj-744362c6d14a34c47ccaf69aef59916d '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><h2 class=\"SS_Banner\">2309\u00a0Termination of Insurance Policy for Fraudulent Claim<\/h2>\n<hr \/>\n<p><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">[<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">Name of insurer<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] claims that [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of insured<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] [is not entitled to recover under\/is not entitled to benefits under] the insurance policy because [he\/she\/<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">nonbinary pronoun<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] made a false claim. To establish this claim, [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of insurer<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] must prove all of the following:<\/span><\/p>\n<p><span class=\"SS_ListLabel\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">1.<\/span><\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">That [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of insured<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] made a claim for insurance benefits under a policy with [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of insurer<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">];<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">2.<\/span><\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">That [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of insured<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] represented to [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of insurer<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] that [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">insert allegedly false representation<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">];<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">3.<\/span><\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">That [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of insured<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">]\u2019s representation was not true;<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">4.<\/span><\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">That [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of insured<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] knew that the representation was not true;<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">5.<\/span><\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">That [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of insured<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] intended that [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of insurer<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">] rely on this representation in [investigating\/paying] [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">name of insured<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">]\u2019s claim for insurance benefits; and<\/span><\/span><\/p>\n<p><span class=\"SS_ListLabel\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">6.<\/span><\/span><span class=\"SS_ListItemContent\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">That the representation that [<\/span><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">insert allegedly false representation<\/span><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\">], if true, would affect a reasonable insurance company\u2019s [investigation of\/decision to pay] a claim for insurance benefits. <br class=\"avia-permanent-lb\" \/><br class=\"avia-permanent-lb\" \/><\/span><\/span><\/p>\n<hr \/>\n<div class=\"SS_Note\">\n<h2 class=\"SS_HideShowSection SS_Expandable\"><\/h2>\n<div id=\"TRNotes_n_1\">\n<p><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">New September 2003 <br class=\"avia-permanent-lb\" \/><br class=\"avia-permanent-lb\" \/><\/span><\/p>\n<hr \/>\n<p><a href=\"https:\/\/crowdsourcelawyers.com\/\">Crowdsource Lawyers<\/a><\/p>\n<p><a href=\"https:\/\/crowdsourcelawyers.com\/judicial-council-california-civil-jury-instructions-caci\">https:\/\/crowdsourcelawyers.com\/judicial-council-california-civil-jury-instructions-caci<\/a><span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\"><br class=\"avia-permanent-lb\" \/><\/span><\/p>\n<hr \/>\n<\/div>\n<\/div>\n<div class=\"SS_Note\">\n<h2 class=\"SS_HideShowSection SS_Expandable\">Directions for Use<\/h2>\n<div id=\"TRNotes_n_2\">\n<p>If the insured\u2019s misrepresentation or concealment in the insurance application is raised as an affirmative defense by the insurer, this instruction may be modified for use. The elements of the defense would be the same as stated above. <br class=\"avia-permanent-lb\" \/><br class=\"avia-permanent-lb\" \/><\/p>\n<hr \/>\n<\/div>\n<\/div>\n<div class=\"SS_Note\">\n<h2 class=\"SS_HideShowSection SS_Expandable\">Sources and Authority<\/h2>\n<div id=\"TRNotes_n_3\">\n<p><span class=\"SS_ListLabel\">\u2022<\/span><span class=\"SS_ListItemContent\">Rescission of Contract.\u00a0Civil Code section 1689(b)(1).<\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2022<\/span><span class=\"SS_ListItemContent\">Intentional Omission of Information Tending to Prove Falsity.\u00a0Insurance Code section 338.<\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2022<\/span><span class=\"SS_ListItemContent\">False Representation: Time for Rescission.\u00a0Insurance Code section 359.<\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2022<\/span><span class=\"SS_ListItemContent\">\u201cThe materiality of a representation made in an application for a contract of insurance is determined by a\u00a0<span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">subjective<\/span>\u00a0standard (i.e., its effect on the\u00a0<span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">particular<\/span>\u00a0insurer to whom it was made) and rescission will be allowed even though the misrepresentation was the result of negligence or the product of innocence. On the other hand, in order to void a policy based upon the insured\u2019s violation of the standard fraud and concealment clause \u2026, the false statement must have been knowingly and wilfully made with the intent (express or implied) of deceiving the insurer. The materiality of the statement will be determined by the\u00a0<span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">objective<\/span>\u00a0standard of its effect upon a\u00a0<span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">reasonable<\/span>\u00a0insurer.\u201d (<span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">Cummings v. Fire Insurance Exchange<\/span>\u00a0(1988) 202 Cal.App.3d 1407, 1415, fn.7 [249 Cal.Rptr. 568], original italics, internal citation omitted.)<\/span><\/p>\n<p><span class=\"SS_ListLabel\">\u2022<\/span><span class=\"SS_ListItemContent\">\u201cThe consequence of rescission is not only the termination of further liability, but also the restoration of the parties to their former positions by requiring each to return whatever consideration has been received.\u2009\u2026 [T]his would require the refund by [the insurer] of any premiums and the repayment by the [insureds] of any proceed advance which they may have received.\u201d (<span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">Imperial Casualty &amp; Indemnity Co. v. Sogomonian<\/span>\u00a0(1988) 198 Cal.App.3d 169, 184 [243 Cal.Rptr. 639], internal citation omitted.) <br class=\"avia-permanent-lb\" \/><br class=\"avia-permanent-lb\" \/><\/span><\/p>\n<hr \/>\n<\/div>\n<\/div>\n<h2 class=\"SS_Heading\"><span class=\"SS_bf\" data-housestyle=\"EMPHASIS_bf\"><span class=\"SS_ib\" data-housestyle=\"EMPHASIS_ib\">Secondary Sources<\/span><\/span><\/h2>\n<div>Croskey et al., California Practice Guide: Insurance Litigation, Ch. 5-F,\u00a0<span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">Rescission by Insurer<\/span>, \u00b6\u00b6\u20095:143\u20135:146, 5:153\u20135:159.1, 5:160, 5:249\u20135:260.5, 15:241\u201315:256 (The Rutter Group)<\/div>\n<div>2 California Liability Insurance Practice: Claims &amp; Litigation (Cont.Ed.Bar) Rescission and Reformation, \u00a7\u00a7\u200921.2\u201321.4, 21.35\u201321.37<\/div>\n<div>2 California Insurance Law &amp; Practice, Ch. 8,\u00a0<span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">The Insurance Contract<\/span>, \u00a7\u20098.10[1] (Matthew Bender)<\/div>\n<div>26\u00a0California Forms of Pleading and Practice, Ch. 308,\u00a0<span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">Insurance<\/span>\u00a0(Matthew Bender)<\/div>\n<div>12\u00a0California Points and Authorities, Ch. 120,\u00a0<span class=\"SS_it\" data-housestyle=\"EMPHASIS_it\">Insurance<\/span>, \u00a7\u00a7\u2009120.250\u2013120.251\u00a0(Matthew Bender)<\/div>\n<div class=\"SS_Note\">\n<div id=\"TRNotes_n_3\"><\/div>\n<\/div>\n<\/div><\/section>\n<div  class='hr av-78o0zx-59bf24765a70f966eee2e27ca62781e3 hr-default  avia-builder-el-6  el_after_av_textblock  el_before_av_textblock '><span class='hr-inner '><span class=\"hr-inner-style\"><\/span><\/span><\/div>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-5eewst-ab0087a870a327ec6f92d233f4784e1c\">\n#top .av_textblock_section.av-5eewst-ab0087a870a327ec6f92d233f4784e1c .avia_textblock{\nfont-size:22px;\n}\n<\/style>\n<section  class='av_textblock_section av-5eewst-ab0087a870a327ec6f92d233f4784e1c '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/CreativeWork\" ><div class='avia_textblock'  itemprop=\"text\" ><p><a href=\"https:\/\/crowdsourcelawyers.com\/\">CrowdSourceLawyers.com<\/a><\/p>\n<\/div><\/section>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":3,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1197","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.4 - 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