Key Amendments to Insurance Claims-Handling Regulations in Puerto Rico

Policyholders in Puerto Rico should be aware of significant benefits provided by recent amendments to the Insurance Code. New rules establish an expedited method of property insurance dispute resolution, mandatory expedited partial payments in the event of catastrophic events, and protection against bad faith claims handling by insurers. Appraisal Process with a Puerto Rican Twist […]

Colorado Supreme Court Decision Could Tarnish Appraisal Process for Policyholders

On June 24, 2019, the Colorado Supreme Court ruled that the plain language of appraisal provisions in insurance policies, requiring “impartial appraisers,” direct appraisers to be “unbiased, disinterested, and unswayed by personal interest,” regardless of who hires them, and prohibits the party-appointed appraisers from acting as advocates. A common and attractive alternative dispute resolution option, […]

California Supreme Court Decision on TCPA Liability Could Provide Open Season for Policyholders

The California Supreme Court recently accepted a certified question from the Ninth Circuit regarding coverage for claims arising under the Telephone Consumer Protection Act (“TCPA”). The Court will determine whether a commercial general liability (“CGL”) policy’s modified personal and advertising injury coverage clause includes claims based on the insured’s sending of unsolicited text messages that […]

Connecticut Crumbling Concrete Cases Not Covered Under “Collapse” Provision in Homeowner’s Policy

What do you do when your house falls out from underneath you? Over the last few years, homeowners in northeastern Connecticut have been suing their insurers for denying coverage for claims based on deteriorating foundations in their homes. The lawsuits, which have come to be known as the “crumbling concrete cases,” stem from the use […]

Construction Defect Dispute Governed by Contract Disputes Act not yet Suited to being a “Suit”

The Southern District of California recently held that a series of demands for a general contractor to investigate and repair several construction defects at a U.S. Army facility did not constitute a “suit” within the meaning of the general contractor’s commercial general liability (“CGL”) policy. In Harper Construction Co., Inc. v. Nat’l Union Fire Ins. Co. […]

Wisconsin Tests Breadth of Duty to Defend: Declines to Strip Wholesaler of Defense

Wisconsin’s Supreme Court recently held that even where a complaint generally alleges a company acted wrongfully and with intent to defraud, a single potentially covered claim still triggers the duty to defend. The case is yet another in a long line of state high court decisions finding that the duty to defend is exceedingly broad […]

Project-Specific Commercial General Liability Insurance

Many markets which provide insurance for construction projects include an endorsement providing coverage for “repair work” as part of their standard policy. “Repair work” endorsements are largely misunderstood by policyholders and the insurance broker community. They are typically assumed to be coverage enhancements, but many provide no additional coverage and actually risk reduction of coverage […]

The Notice-Prejudice Rule Lives on in California

The California Court of Appeals recently confirmed California’s support for the notice-prejudice rule. The notice-prejudice rule requires insurers that deny coverage based on a failure to provide notice under the policy to show that they have been prejudiced by the untimely or insufficient notice. The Court held that a policyholder who failed to notify her […]

Ohio State Court Provides a Bit of Clarification on Virtual Currency Coverage

An Ohio court recently determined that Bitcoin constitutes covered “property,” rather than “money,” under the terms of a homeowners’ insurance policy, such that coverage for its loss was not restricted to a policy sublimit for monetary losses.1 In Kimmelman v. Wayne Ins. Group, the court considered a coverage action based on a theft of approximately $16,000 […]

Second Circuit Relies on Capstone’s Subjectivity Standard in Upholding Coverage for Priest Sexual Abuse Settlement

In Hartford Roman Catholic Diocesan Corp. v. Interstate Fire & Casualty Co., Docket No. 16-2999-cv, 17-2484-cv (2d Cir. 2018), the United States Court of Appeals for the Second Circuit affirmed the trial court’s decision that the assault and battery exclusion in an excess liability policy did not exclude coverage for claims made against the Archdiocese for […]

Top 10 Insurance Cases of 2018

2018 was a year of landmark decisions regarding insurance coverage for a variety of emerging claims, including cyber fraud, the “Me Too” movement, and wildfires. Read on to learn more as well as to find out what cases you should keep your eye on as 2019 unfolds. *The authors wish to thank Andrew Heckler, an […]