An insurer’s most basic duty under a commercial general liability insurance policy is to defend and indemnify covered claims. In the case where an insurer wrongfully denies coverage, a policyholder must often resolve the claim itself, and then seek contribution from the insurer after-the-fact. An insurer may not then contest coverage on the grounds that it did not get the opportunity to control the litigation. Certainly, a breaching insurer should not subsequently get two bites at the apple, that is, a new trial to present more evidence to avoid coverage. An insurer instead must defend from the beginning, under a reservation of rights or seek a declaratory judgment that it owes no coverage. Further UP argued that a financial incentive test, as adopted by the Court here, which requires a significant financial stake in order for the proceeding to be adversarial, disadvantages policyholders who lack financial assets. When the policyholder then attempts to seek coverage from the insurer, under the Court’s new financial incentive test, it may now face an inquiry into whether it had sufficient assets to constitute a stake in the outcome of the underlying case, dragging the policyholder through even more needless litigation.
Great American lnsurance Company, et al. v. Glen Hamel
Year
2017
Court
Texas Supreme Court
Case Number
14-1007
Issue
- Duty to Defend
State
- Texas