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Monday, July 23, 2018

The Sixth Circuit Weighs in on the “Direct Loss” Issue for Cyber Fraud Coverage

Published on sdvlaw.com

Earlier this month, the Second Circuit case broadly interpreted the “direct loss” requirement to find coverage for a cyber fraud, email spoofing scam. Now, the Sixth Circuit Court of Appeals has issued a similar opinion in American Tooling Center, Inc. v. Travelers Casualty & Surety Company, finding coverage for a company that lost $834,000 to a similar scam. These recent decisions may indicate a trend in favor of policyholders on the “direct loss” issue.

The Fraud and Insurance Claim


The plaintiff, American Tooling Center, Inc. (“American Tooling”), a tool and die manufacturer, outsources a number of its manufacturing orders to overseas companies such as YiFeng, an automotive die vendor. Under normal circumstances, American Tooling would submit orders to YiFeng and YiFeng would start production and bill American Tooling in stages. Upon receiving a bill, American Tooling would wire payment. At some point, a fraudster hacked the email of a YiFeng employee and sent several invoices to American Tooling, directing another American Tooling employee to wire payments to a different account. American Tooling discovered the fraud when YiFeng sent the actual invoices, but by then it had already wired $834,000 into the fraudulent accounts.

American Tooling made a claim for the loss under the “Computer Fraud” provision of its Travelers “Wrap+” business insurance policy. Travelers denied the claim, arguing, among other things, that American Tooling did not suffer a “direct loss”; the fraudster’s conduct did not constitute “Computer Fraud”; and that the loss was not “directly caused by Computer Fraud.” The district court agreed with Travelers and granted summary judgment.

The Ruling


The Sixth Circuit reversed, holding that the policy did indeed afford coverage for American Tooling’s loss.

In its decision, the Sixth Circuit first discussed Travelers’ claim that there was no “direct loss.” Just like the court in Medidata, this Court held that American Tooling had suffered an immediate and direct loss. The Sixth Circuit reached the same conclusion as the Second Circuit by equating “proximate cause” with “direct cause” for purposes of Computer Fraud protection. 

The Sixth Circuit also held that the fraudster’s conduct constituted “Computer Fraud”: 

Travelers’ attempt to limit the definition of “Computer Fraud” to hacking and similar behaviors in which a nefarious party somehow gains access to and/or controls the insured’s computer is not well-founded. If Travelers had wished to limit the definition of computer fraud to such criminal behavior it could have done so. Because Travelers did not do so, the third party’s fraudulent scheme in this case constitutes “Computer Fraud” per the Policy’s definition.”