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Insurance
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March 13, 2024
PNC Bank Can't Get $106M Judgment Covered By Insurers
PNC Bank NA is not entitled to coverage by a group of excess insurers for a $106 million judgment it incurred in an underlying lawsuit alleging the bank's predecessor mismanaged funeral trust accounts, a Pennsylvania federal judge ruled Wednesday, saying the policies' exclusions bar coverage in this case.
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March 13, 2024
AI Auto Damage-Assessing Giant Accused Of Monopoly
Tractable Inc. is hitting back at CCC Intelligent Solutions with counterclaims in an ongoing trade secrets spat, alleging in a new motion CCC has leveraged its dominant share of the auto collision-assessment market to stifle consumer choice and increase prices in violation of antitrust laws.
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March 13, 2024
Judge Says COVID Test Suit Depends On Conn. Justices
A Connecticut federal judge trimmed several claims from a $783,000 suit over a COVID-19 testing bill that a health plan administrator allegedly failed to pay, but declined to rule on certain state law issues until the state's highest court can shed light on the statutes in an upcoming ruling.
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March 13, 2024
Ex-Agent Drops 'Toxic' Claims Against Insurer At Arbitration
A former employee of a Pittsburgh-area insurance agency dropped her claims against her ex-employer the night before the case was scheduled to go to arbitration, and the insurer asked a federal court Wednesday to affirm the arbitrators' ruling dismissing the suit.
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March 13, 2024
Aetna Can't Avoid Bias Suit Over Fertility Treatment Policy
Aetna must face a proposed class action alleging it readily covers fertility treatments for infertile heterosexual women but forces non-heterosexual women to spend thousands out of pocket before paying for their treatments, with a Connecticut federal judge saying it doesn't matter if the insurer didn't control the health plan's terms.
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March 13, 2024
Wash. Law Firm, Travelers Settle $136K Theft Coverage Fight
A Seattle law firm and Travelers settled their coverage dispute over an employee's nearly $136,000 worth of unauthorized charges on a credit card, the parties told a Washington federal court.
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March 13, 2024
Health Plan Provider's Settlement Notice Costs Not Covered
An insurer has no duty to indemnify a health insurance provider for notice costs incurred in a class action over denied medical benefits, a Montana federal court ruled, finding that the costs do not constitute "claim expenses" under the provider's errors and omissions policy.
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March 13, 2024
Ala. Hotelier Says Insurer Must Cover Fire Damage
A Montgomery, Alabama, hotel owner said an insurer must cover a property-destroying fire under a $13 million policy, telling a New York federal court the insurer made "no attempt whatsoever" to meet its obligations despite the hotelier having met all conditions under the policy.
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March 13, 2024
Insurance Firm Lavin Rindner Duffield Adds Wiley Rein Vets
Lavin Rindner Duffield LLC has added two attorneys to its growing boutique insurance team, bringing on a former Washington, D.C., assistant U.S. attorney who is also a Wiley Rein LLP vet, and a former partner at Wiley who will enhance its offerings, the firm said Wednesday.
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March 12, 2024
Geico Policyholders Lose Cert. Bid In Pandemic Premium Suit
An Illinois federal judge on Tuesday denied class certification in litigation claiming that Geico profited off the COVID-19 pandemic by charging excessive car insurance premiums, ruling that the policyholders who filed the lawsuit had not shown that their damages model could be calculated on a classwide basis.
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March 12, 2024
Gunmaker, Insurer Settle Coverage Of NY 'Ghost Gun' Suits
A gunmaker accused by the New York attorney general and two cities of facilitating the creation of so-called ghost guns has reached a coverage settlement with one of its insurers, the parties told a Florida federal court Tuesday, leaving the gunmaker's coverage claims against another insurer still pending.
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March 12, 2024
Ex-Boy Scout Can Seek $120M Award From Insurers
A Delaware bankruptcy judge has ruled that a former Boy Scout can keep suing the organization's insurers to collect a $120 million abuse judgment against his ex-Scoutmaster, even though the court entered an injunction barring similar lawsuits.
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March 12, 2024
La. Property Owners, Insurers Settle $5M Hurricane Ida Fight
Lloyd's of London and other insurers and underwriters have agreed to settle claims by a group of New Orleans-area property owners who allege the insurers wrongly denied more than $5.1 million in claims from Hurricane Ida damage after the insurers demanded the dispute be resolved in arbitration.
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March 12, 2024
Maui Wildfire Case Sent Back To Hawaii State Court
A Hawaii federal judge lobbed to state court a family's suit seeking to hold Maui County, energy utilities, telecommunication companies and others liable for property damage caused by a wildfire that left over 100 people dead, rejecting the defendants' argument this case should be removed and consolidated in federal court.
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March 12, 2024
Pa. Property Owner Knocks Insurer's Early Win Bid
A Pennsylvania property owner urged a federal court to reject its insurer's bid for a pretrial win, arguing that a vacancy provision in its policy is ambiguous and does not preclude coverage of the $5 million in damages it seeks following a warehouse break-in.
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March 12, 2024
Paul Weiss' Digital Tech Chair On AI's Promises And Perils
While generative artificial intelligence promises to increase access to justice and kill the billable hour, we don't know how to prevent it from unleashing misinformation and disinformation on the electorate, says Katherine Forrest, a former Manhattan federal judge who is now chair of Paul Weiss Rifkind Wharton & Garrison LLP's digital technology group.
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March 12, 2024
Colo. Lawmakers OK Multistate Online Insurance Tax Filing
Insurance companies in Colorado would be required to pay some taxes through a multistate third-party online application under legislation approved by the state Senate.
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March 12, 2024
NJ Diocese Asks Court To Toss Insurer's Abuse Coverage Suit
The Catholic Diocese of Trenton asked a New Jersey federal court to toss an insurer's action seeking to escape coverage for more than 200 suits alleging sexual abuse by clergy, saying the coverage dispute is "premature, vague, and ambiguous."
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March 11, 2024
Fla. Biz Owner Says Insurer Left Co. On Hook For $12M Award
The owner of a Florida Keys construction and landscaping company told federal jurors Monday that it made no sense for National Indemnity Company of the South to tender the policy limits to his employee involved in a fatal crash while leaving the company exposed and forced to go to trial, where it was hit with an $11.8 million judgment.
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March 11, 2024
Biden Proposes More Mental Health Expansion In 2025 Budget
The Biden administration's $7.3 trillion fiscal year 2025 spending blueprint unveiled Monday maintains a pledge to transform the nation's mental health system, but contains the least ambitious discretionary budget ask for the U.S. Department of Labor in four years.
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March 11, 2024
Injured Bus Rider Gave Up Right To Sue, Mich. Justices Told
A Detroit public transit authority told the Michigan Supreme Court to affirm that an injured passenger can't pursue the authority for personal injury protection benefits under the state's no-fault law after assigning her right to the benefits to her medical providers.
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March 11, 2024
Prejudice Rule Applies To Property Claims, Colo. Justices Say
A rule excusing some policyholders for filing late claims applies to occurrence-based, first-party homeowners' property policies, a divided Colorado Supreme Court held Monday, reversing two insurers' wins in a pair of coverage disputes over hail damage.
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March 11, 2024
NC Judge Scraps $8M Verdict In AXA Life Insurance Suit
A North Carolina federal judge wiped out an $8 million jury award for historian and investment firm founder Malcolm Wiener in his lawsuit accusing AXA Equitable Life Insurance Co. of sabotaging his insurability with inaccurate health information reporting, finding Wiener had "no baseline" to support the award beyond $1 in nominal damages.
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March 11, 2024
Travelers Owes No Coverage For Mo. Wall Mishap, Judge Says
Travelers has no duty to provide over $1.4 million to a St. Louis area property developer for administrative expenses and loss of rental income stemming from a retaining wall failure, a Missouri federal court ruled Monday, finding such coverage didn't extend to additional insureds on a general contractor's policy.
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March 11, 2024
Atty, Marketing Biz Knock Call To Continue Hurricane Ad Suit
A legal advertising company and an attorney are objecting to a Texas federal judge's recent decision in favor of a woman pressing class claims over legal advertising to Louisiana hurricane victims, arguing that the woman still hasn't shown concrete injury.
Expert Analysis
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How New Lawyers Can Leverage Feedback For Growth
Embracing constructive criticism as a tool for success can help new lawyers accelerate their professional growth and law firms build a culture of continuous improvement, says Katie Aldrich at Fringe Professional Development.
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How Reps And Warranties Insurance Can Aid Sellers In M&A
Amid the current slowdown in the M&A climate, representation and warranty insurance offers sellers a number of advantages, including protection against fraud and possible leverage to insist on a no-seller-indemnity deal, say Alex Leibowitz and Eric Jesse at Lowenstein Sandler.
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Series
ESG Around The World: Australia
Clive Cachia and Cathy Ma at K&L Gates detail ESG-reporting policies in Australia and explain how the country is starting to introduce mandatory requirements as ESG performance is increasingly seen as a key investment and corporate differentiator in the fight for global capital.
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In Ga., Promptness Is Key To Setting Aside Default Judgments
The Georgia Court of Appeals' recent vacating of a lower court's decision to set aside a default judgment against Samsung Electronics America is a reminder of the processes and arguments provided by Georgia's statutes for challenging default judgments — including the importance of responding quickly, says Katy Robertson at Swift Currie.
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Twitter Legal Fees Suit Offers Crash Course In Billing Ethics
X Corp.'s suit alleging that Wachtell grossly inflated its fees in the final days of Elon Musk’s Twitter acquisition provides a case study in how firms should protect their reputations by hewing to ethical billing practices and the high standards for professional conduct that govern attorney-client relationships, says Lourdes Fuentes at Karta Legal.
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Ore. Warranty Ruling Complicates Insurance Classification
The Oregon Court of Appeals' recent TruNorth v. Department of Consumer and Business Services holding that a service contract — commonly referred to as an extended warranty — covering commercial property is subject to the state's consumer service contract laws raises regulatory questions for contract obligors, sellers and administrators, say attorneys at Locke Lord.
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ABA's Money-Laundering Resolution Is A Balancing Act
While the American Bar Association’s recently passed resolution recognizes a lawyer's duty to discontinue representation that could facilitate money laundering and other fraudulent activity, it preserves, at least for now, the delicate balance of judicial, state-based regulation of the legal profession and the sanctity of the attorney-client relationship, say attorneys at Ballard Spahr.
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1st Circ. Harvard Ruling Provides Primer On Policy Provisions
In its recent finding of no coverage for Harvard due to the school's failure to give Zurich American Insurance timely notice of its claim, the First Circuit provides a good analysis of the distinctions between occurrence and claims-made policies, including the rationale for differences in notice provisions, says Andrew Paliotta at Cozen O'Connor.
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A Festival Of Litigation Could Arise From 'Electric Zoo' Fiasco
Over Labor Day weekend, thousands of electronic dance music fans were displeased with the organization of the New York City-based Electric Zoo festival, which quickly elicited comparisons to the 2017 Fyre Festival — and three kinds of litigation could ensue from the debacle, say attorneys at Seiden Law.
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Law Firm Professional Development Steps To Thrive In AI Era
As generative artificial intelligence tools rapidly evolve, professional development leaders are instrumental in preparing law firms for the paradigm shifts ahead, and should consider three strategies to help empower legal talent with the skills required to succeed in an increasingly complex technological landscape, say Steve Gluckman and Anusia Gillespie at SkillBurst Interactive.
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Opinion
9th Circ.'s Latest UBH Ruling Ignores Case's Core Issue
The Ninth Circuit’s recent decision to vacate its earlier opinion in Wit v. United Behavioral Health frustratingly disregards the case’s key issue of benefits coverage for mental health treatment, and illogically elevates an insurer's discretionary authority over the medically necessary needs of patients, says Mark DeBofsky at DeBofsky Law.
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Nev. Insurance Law May Mean Turmoil In Liability Market
Nevada's new law prohibiting insurers from issuing or renewing defense-within-limits liability policies in the state could cause professional liability insurers to withdraw certain products or prohibitively increase premiums — and while an emergency regulation allows for exceptions, the situation remains fluid, says Joshua Leach at Atheria Law.
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SEC's New Rules Likely Will Affect Cyber, D&O Insurance
The U.S. Securities and Exchange Commission recently adopted cybersecurity incident disclosure rules that could create new challenges that affect how public companies assess the risk of securities, corporate governance and cyber-related lawsuits, which may implicate novel insurance coverage issues, say attorneys at Reed Smith.
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Potential Marijuana Status Change Would Shift Industry Risks
Cannabis companies and their insurers should pay close attention to how the U.S. Department of Health and Human Services' move toward marijuana reclassification plays out, and the potential for a shakeup in the landscape for cannabis regulation at the state and federal levels, says Ian Stewart at Wilson Elser.
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Key Provisions In Florida's New Insurer Accountability Act
Florida's recent bipartisan Insurer Accountability Act introduces a range of new obligations for insurance companies and regulatory bodies to strengthen consumer protection, and other states may follow suit should it prove successful at ensuring a reliable insurance market, say Jan Larson and Benjamin Malings at Jenner & Block.