Articles

There is No Claims File Privilege in Florida, Despite What Insurers Want You to Think

As Florida insurers continue their attempts to narrow protections for policyholders, it is imperative – now more than ever – that insureds be well-informed and know their rights. Most recently, in Florida, insurers are attempting to weaponize the death of Senate Bill 1726 and House Bill 1287 to limit the documents disclosed to policyholders. Specifically, […]
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As the NFL Nears the Endzone, Coverage Uncertainty Awaits – The Insurance Coverage Wake of the NFL Concussion Litigation

On November 21, 2022, in the first case ever to reach a jury against the National Collegiate Athletic Association (“NCAA”), a Los Angeles County jury found the NCAA was not responsible for the death of former University of Southern California linebacker Matthew Gee. Gee played for the Trojans when the team won the Rose Bowl […]
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The Importance of Clearly Stated Life Insurance Beneficiary Designations

The recent case, Prudential Insurance Company of America v. Sheppard,1 decided by the Federal District Court for the Middle District of Florida, highlights the importance of reviewing life insurance policy beneficiary designations for clarity and accuracy, to ensure that death benefits are properly paid to the intended beneficiaries. In this case, an employee of the Mayo Clinic […]
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Washington Supreme Court Interprets Ensuing Loss Exception in All-Risk Property Insurance Policy

The “ensuing loss” clause is a provision that restores coverage for property insurance claims that are subject to certain policy exclusions, such as “faulty workmanship” and “faulty design.” It applies in cases where there is damage from a covered cause of loss that ensues, or results from, the excluded cause of loss. Courts across jurisdictions […]
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One’s Loss is Another’s “Claim”

While analyzing liability policies, courts grapple with a common issue: what constitutes a claim under a claims-made or claims-made-and-reported provision? When third-party claimants file suit, the analysis is often straightforward; the complaint itself is the claim. The analysis becomes murkier, however, when courts must determine whether a pre-suit notice—such as a demand letter—constitutes a claim. […]
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Hawaii Supreme Court Bars Insurers from Billing Policyholders for Uncovered Defense Costs

Across the country, there is a split in authority as to whether an insurance company should be allowed to recoup defense costs where it is ultimately determined that the carrier has no duty to defend under the policy and the policy is silent as to such reimbursement. The Hawaii Supreme Court is the latest to […]
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Life Insurance Contestability Clauses and Post-Claim Underwriting: A Beneficiary’s Pitfall

Insurance is supposed to give us some level of confidence that should coverage be needed, it will be there. Often, however, this expectation does not correlate with reality, and beneficiaries are faced with unexpected denials on technical grounds. Life insurance is no exception. A common life insurance policy provision referred to as a “contestability clause,” […]
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CGL Policy May Not Cover Cybersecurity and Data-Related Losses

The construction industry, like many other industries, has experienced an increased reliance on, and implementation of, technology in the past few years. Smart phones and tablets are used on most project sites, computers are an integral part of the planning process, and various software programs are used throughout the construction process. Likewise, much of the […]
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Safeguarding Coverage Integrity: Vigilance in the Face of Insurance Backtracking

In a lawsuit resulting from Zurich American Insurance Company (“Zurich”) and American Guarantee and Liability Insurance Company’s (“AGLIC”) sudden change in coverage position, the First Circuit recently certified to the Massachusetts Supreme Judicial Court the question of whether rainwater accumulating on a roof meets the definition of ‘surface waters’ under Massachusetts law. Zurich and AGLIC’s […]
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