Baugh Construction Company vs. Granite State Insurance Company Year: 1996 Court: California Court of Appeal, 3rd District Case Number: C023071 Issue: Bad Faith State: California Under New Jersey law, the obligation of good faith and fair dealing extends to the assertion, settlement and litigation of contract claims
Basich vs. Allstate Insurance Company, et al. Year: 2000 Court: California Court of Appeal, 2nd District, Division 3 Case Number: B132634, LASC Case No. BC 167194 Issue: Statute of Limitations State: California Statute of Limitations-equitable estoppel
Anderson, Thomas vs. Allstate Insurance Company Year: 2000 Court: U.S. Court of Appeals, 9th Circuit Case Number: 01-15145, 01-15246, 01-15307 & 01-15330 Issue: Mold State: California Insurer cannot use toxic mold protection act to shield itself from bad faith liability in a claim regarding remediation of mold. /thorough investigation/legal treatises.
American Insurance Association vs. Garamendi Year: 2003 Court: California Court of Appeal, 3rd District Case Number: 45000 Issue: "Use it and Lose it"Claims and Cancellation State: California Attempt to stop insurer’s from engaging in the practice know as “Use it and lose it.”
AICCO, Inc. vs. INA Financial Corporation Year: 2000 Court: California Court of Appeal, 1st District, Division 5 Case Number: A092096 Issue: Corporate Restructuring - Assignment of Liabilities State: California An insurance company cannot avoid coverage in a class policies simply restructuring itself and assigning its liabilities to another company without first obtaining the consent of its policyholders.
Aerojet-General Corporation vs. Transport Indemnity Insurance Company Year: 1996 Court: California Supreme Court Case Number: S054501 Issue: Allocation State: California Insurance companies should not be allowed to profit from inconsistent coverage positions. / Allocation
Chateau Chamberay Homeowners Association v. Associated International Insurance Co. Year: 2000 Court: California Court of Appeal, 2nd District, Division 3 Case Number: B137320 Issue: Bad Faith State: California Insurance companies should not be allowed to escape liability simply by hiring an expert. As a matter of law, the insurance company must conduct a fair and thorough investigation or whether or not it has acted in bad faith is a question of fact, and…
Cassim, Fareed vs. Allstate Insurance Company Year: 2003 Court: California Supreme Court Case Number: S109711 Issue: Attorney's Fees State: California Insureds should have the right to recover attorney’s fees incurred to recover unpaid benefits.
Carrington, Harold J. vs. Superior Court of CA Year: 2002 Court: California Court of Appeal, 1st District, Division 4 Case Number: 104694 Issue: Long-term care State: California Insurer should not be able to deny long term care policy years later on basis of alleged misrepresentation on application where insured now has Alzheimer’s. (Post claims underwriting)
California Medical Association vs. Aetna U.S. Healthcare of California Year: 2001 Court: California Supreme Court Case Number: S103631 Issue: Bad Faith State: California Health Plans play the same function as health insurers and should be held to the same standards. Policyholders reasonably expect adequate payment by health plans for their healthcare. Because inadequate payment to physicians could compromise the quality of healthcare, underfunding intermediaries and not paying physicians…
California Consumer Health Care Council, Inc. vs. California Department of Managed Care et al. Year: 2001 Court: California Court of Appeal, 3rd District Case Number: C041091 Issue: Private right of enforcement State: California Writ of Mandate requiring California Dept. of Managed Health Care to obey and enforce Health & Safety Code section 137.30(h) (Knox-Keene Act). Policyholders should be able to obtain documents from the CDMHC in connection with their appeal of an HMO denial to ensure that policyholder’s…
California Auto Insurance Company v. Hogan Year: 2003 Court: California Supreme Court Case Number: S120950 Issue: Auto insurance State: California California motor vehicle insurance provides coverage for injuries bearing almost any causal relationship to the vehicle.
Buss, Jerry H. and California Sports, Inc. vs. Superior Court State of California Year: 1996 Court: California Supreme Court Case Number: S052844 Issue: Duty to Defend State: California Under California law an insurer has a duty to defend the entire case as long as there is a potential for coverage of even one claim. Insurer can request an allocation of costs after defense is complete. Allocation—covered vs. uncovered.
Blue Ridge v. Jacobsen Year: 2000 Court: California Supreme Court Case Number: 98-55052 Issue: Duty to Defend State: California Letter brief requesting rehearing–scope of duty to defend
Delgado vs. Interinsurance Exchange of the Automobile Club of Southern California Year: 2007 Court: California Supreme Court Case Number: S155129 Issue: Duty to Defend State: California This case concerns the proper scope of an insurer’s duty to defend its insured in circumstances indicating that the insured may have acted in self-defense. United Policyholders takes the position that whenever the lawsuit contains factual allegations or extrinsic evidence from which the insurer can…
DeBruyn vs. Superior Court (Farmers Group, Inc.) Year: 2007 Court: California Supreme Court Case Number: S161000 Issue: Insurance Code Section 530Proximate Cause State: California DeBruyn presents a critical issue regarding the rule of efficient proximate cause and Insurance code section 530 in the aftermath of this Court’s opinion in Julien v. Hartford Underwriters Insurance Company (2005) 35 Cal.4th 747. It is important for this Court to grant the petition…
Davis vs. Ford Motor Credit Company Year: 2009 Court: California Supreme Court Case Number: S179049 Issue: Standing State: California Resolves the important question of what standard should apply when a consumer (as opposed to a business) brings a claim challenging an alleged “unfair” business practice in violation of the Unfair Competition Law, Business and Professions Code section 17200, et seq. (“UCL”) This brief was…
Davaloo vs. State Farm Insurance Company Year: 2004 Court: California Supreme Court, 2nd District, Division 7 Case Number: B171352 Issue: Sufficiency of pleadings State: California The Davaloo opinion is a pleading case arising out of a property insurance dispute. The opinion concerns whether or not an original complaint contained sufficient factual allegations such that an amended complaint would timely relate back.