Miller v. Hartford Life Insurance Co. Year: 2010 Court: Supreme Court of Hawaii Case Number: SCCQ-11-0000329 Issue: Bad FaithEmotional Distress State: Hawaii A showing of bad faith is not contingent on the presence of any economic loss. Rather, UP argued, a claim of bad faith should rest on improper claim-handling alone.
Kenneth John Nardelli and Tammy M. Nardelli, v. Metropolitan Group Property and Casualty Insurance Company Year: 2011 Court: Arizona Supreme Court Case Number: CV-12-0180-PR Issue: Punitive Damages State: Arizona Should a jury verdict and Court of Appeals finding of clear and convincing evidence to support a punitive damages award result in a reduction of the award simply because it was in excess of a single digit ratio to compensatory damages?
U.S. Fidelity And Guarantee Co. V. U.S. Sports Specialty Ass’n Year: 2011 Court: Utah Supreme Court Case Number: WL 192793 Issue: Duty to Settle State: Utah In this case an insurer went after its insured to recoup monies it had paid (over policy limits) as part of a settlement. UP argued that because the insurer had initiated the settlement and because there was no right of restitution expressly stated in the…
Skinner v. Northrop Grumman Year: 2011 Court: U.S. Court of Appeals, 9th Circuit Case Number: 10-55161 Issue: ERISA State: United States Employees had received informational documents from their employer that alluded to certain levels of benefits (“annuity equivalent offset”). UP’s brief argued that any discrepancy between the information documents and the internal plan documents should be resolved in favor of the beneficiary’s reasonable expectations, citing the…
Association of California Insurance Companies et al v. Jones Year: 2011 Court: Court of Appeal of the State of California, Second Appellate District, Division One Case Number: B239943 Issue: Agent DutyHome Replacement Cost EstimatingRegulatory AuthorityUnderinsurance State: California UP filed a brief with the California Court of Appeal in Association of California Insurance Companies v. Jones addressing the legality of regulations put forth by the California Department of Insurance to compel sellers of home insurance to properly estimate home replacement values when initiating…
Chubb Custom Ins. Co., et al. v. Space Systems/Loral, Inc. Year: 2010 Court: U.S. Court of Appeals, 9th Circuit Case Number: 11-16272 Issue: CERCLA State: California UP’s brief argued that insurers should not be allowed to recoup funds under subrogation in CERCLA cases, arguing that allowing otherwise would create the risk of a windfall gain to insurers and that the intent of CERCLA was to maximize the amount of funds available…
Charles Mitchell Hart and Lisa Marie Hart v. TICOR Title Insurance Company Year: 2011 Court: Hawaii Supreme Court Case Number: SCWC-29467 Issue: Duty to DefendTitle Insurance State: Hawaii The policyholders’ land was insured under a title insurance policy they’d bought from TICOR. When the State of Hawaii filed a suit against them related to the land, they turned to TICOR for a defense, but it denied their claim. In an amicus brief drafted…
Mountain States Mutual Casualty Co. v. Roinestad Year: 2010 Court: Colorado Supreme Court Case Number: 2010SC853 Issue: Pollution Exclusion and Coverages State: Colorado An insurer denied coverage under the pollution exclusion following the physical injuries sustained by exposure to naturally occurring sewer gas subsequent to a plumbing mishap. The insurance company alleged that the Absolute Pollution Exclusion (APE) applied; UP addressed the history and scope of the APE…
Auto Flat Car Crushers, Inc. v. Hanover Ins. Co. Year: 2014 Court: Supreme Judicial Court of Massachusetts Case Number: 11477 Issue: Duty to Defend State: Massachusetts When an insured files suit against an insurer for unfair or deceptive practices (under Massachusetts’ Unfair Claims Settlement Practices Act) and the insurer answers and tenders unilateral payments, the insured may still maintain a cause of action for multiple damages. UP argued in its brief…
Owner’s Insurance Company v. Jim Carr Homebuilder et al. Year: 2014 Court: Alabama Supreme Court Case Number: 1120764 Issue: Faulty Workmanship as an "Occurrence"Petition for Re-hearing State: Alabama In a recent decision, the Alabama Supreme Court left the ranks of the outlier courts, holding that faulty workmanship can be a covered “occurrence” under Commercial General Liability insurance policies. The insurer has filed a petition for re-hearing, which UP opposes. Read a recent decision…
Tidyman’s Management Services v. Davis et al. Year: 2013 Court: Montana Supreme Court Case Number: DA 12-0228 Issue: Duty to Defend State: Montana Under Montana law, if a carrier refuses to defend under a reservation of rights, it does so at its own peril and is liable for all damages resulting from an unjustified breach of the duty to defend. UP argued in it’s brief that when a…
Stephens v. Fireman’s Fund Insurance Company Year: 2014 Court: California Court of Appeal, First District, Division One Case Number: A135938/A136740 Issue: Insurer's Duties/PreventionReplacement Cost Value State: California Insurers owe special duties to policyholders, including the duty to communicate policy requirements and settle claims fairly. Policyholders have a reasonable expectation that their policy benefits will be paid, provided they themselves comply with the requirements of the policy. In cases where the insurer prevents…
Lemy v. Direct General Finance Company Year: 2014 Court: U.S. Court of Appeals, 11th Circuit Case Number: 12-14794-FF Issue: Surplus Lines State: Florida UP weighed in to prevent insurers from abusing the surplus lines marketplace to circumvent consumer protections and sell policies to Florida consumers that the former FL Insurance Commissioner labeled as a “scam.” In UP’s amicus brief, we point out that the lower court’s holding will…
The Babcock and Wilcox Company, et al. v. American Nuclear Insurers, et al. Year: 2014 Court: Pennsylvania Supreme Court Case Number: 2 WAP 2014 Issue: Recovery of Reasonable SettlementReservation of Rights State: Pennsylvania In an issue of first impression, the Pennsylvania Supreme Court considered whether an insured can recover reasonable settlement amounts if the insurer refuses to consent to settlement, in cases where the insurer defends its insured under a reservation of rights. UP argued in its brief…
Dean Craft v. Philadelphia Indemnity Insurance Company Year: 2014 Court: Colorado Supreme Court Case Number: 2014SA43 Issue: Notice-prejudice State: Colorado The notice-prejudice rule supports insurance consumers by avoiding disproportionate forfeiture when an insured fails to report a claim within the time stated in the policy. UP argued in its brief that insurers may not avoid responsibility for a covered claim unless the insurer can show…
Executive Plaza, LLC v. Peerless Insurance Co. Year: 2013 Court: New York Court of Appeals Case Number: CTQ-2013-00005/12-1470cv Issue: Construing ambiguitiesPolicy deadlines for collecting Replacement Value State: New York Some insurers play fast and loose with the phrase “replacement cost” to their customers’ detriment. They advertise “replacement cost” (RC) coverage as being superior to “actual cash value” (ACV) coverage, and charge more for it as an enhancement. Consumers buy that enhanced protection and reasonably…
Nesmith v. Allstate Year: 2013 Court: New York Supreme Court, Appellate Division, Fourth Department Case Number: 2010-10533 Issue: Ambiguity - what is an “occurrence”? State: New York UP argued in its brief that Allstate’s denial of a claim was improper because it relied on an ambiguous policy definition of an the ambiguity of “occurrence”. Allstate denied a claim for coverage for injuries stemming from lead poisoning citing an exclusion for multiple claims…
Hartford v. Swift Year: 2013 Court: California Supreme Court Case Number: S207172 Issue: Duty to Defend State: California UP urged the California Supreme Court to follow the clear precedent that an insurer’s “duty to defend” extends to both direct and indirect, express and implied, disparagement claims. UP urged the Court to overturn a holding by the Court of Appeal that was inconsistent with…