Recent Publications


In “Pollution Buy Back Endorsement” Case, Circuit Looks Beyond Complaint’s Allegations
March 31, 2014 | Insurance Coverage

The U.S. Court of Appeals for the Eleventh Circuit, applying Florida law in a case involving a “pollution buy back endorsement,” has found an exception to the general rule that the duty to defend was determined solely from the allegations of the complaint.

The Case

Two seamen sued Composite Structures, Inc. d/b/a Marlow Marine Sales,

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Pennsylvania Does Not Recognize Multiple Trigger Theory in Property Damage Cases, Appeals Court Decides
March 31, 2014 | Insurance Coverage

A Pennsylvania appellate court has ruled that Pennsylvania law does not recognize a multiple trigger theory in property damage cases. 

The Case                                                                       

After gasoline allegedly leaked from a gas station owned by Thomas F. Wagner and Thomas F. Wagner, Inc. (together, “Wagner”), onto neighboring properties, a number of neighbors sued Wagner and Titeflex Corporation,

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Eleventh Circuit Finds Coverage for Legionnaire’s Outbreak Where Allegations Asserted Negligent Design of Plumbing and Filtration Systems
March 31, 2014 | Insurance Coverage

The U.S. Court of Appeals for the Eleventh Circuit, reversing a district court’s decision, has found coverage for an outbreak of Legionnaire’s disease at a hotel despite the insurance policy’s absolute pollution and fungi or bacteria exclusions because of allegations that the insured had negligently designed the hotel’s plumbing and filtration systems, which the circuit

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Absolute Pollution Exclusion Bars Coverage for Carbon Monoxide Poisoning, Eighth Circuit Rules
March 31, 2014 | Insurance Coverage

The U.S. Court of Appeals for the Eighth Circuit, applying Nebraska law, has ruled that an absolute pollution exclusion barred coverage for indoor air exposure to carbon monoxide.

The Case

John Green, the pastor of Clay Center Christian Church, resided at the church’s parsonage with his wife, Cheryl. After the parsonage’s heating system allegedly malfunctioned

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Circuit Reverses Summary Judgment in Favor of Insurer Where It Failed to Prove Prejudice from Late Notice
March 31, 2014 | Insurance Coverage

The U.S. Court of Appeals for the Tenth Circuit, reversing a trial court’s decision, has decided that an insurance carrier was not entitled to summary judgment in a coverage case for late notice where it had not demonstrated that it had been prejudiced.

The Case

In January 2008, employees of the Lyons Salt Company detected

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Restitution to Insurance Carriers: The New York Rule
March 7, 2014 | Insurance Coverage | Appeals

Several years ago, police investigators in California found a number of stolen vehicles, including some that were being dismantled, on Julio Valdes’ property.  He later pled no contest to owning and operating a chop shop and was sentenced to two years and four months in prison. The trial court then set a victim restitution hearing.

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New York Insurance Coverage Law Update
March 1, 2014 | Insurance Coverage

New York Appellate Division Allows Private Right Of Action Against Health Care Insurer Under Prompt Pay Law

The New York Appellate Division, Second Department, has ruled that Insurance Law § 3224-a, known as the “Prompt Pay Law,” affords claimants a private right of action to recover payment for health care services based on a violation of

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Director of Insurer’s Retirement Plans Business Unit Found Exempt from FLSA Overtime Rules
February 28, 2014 | Insurance Coverage | Labor & Employment | Appeals

The plaintiff in this case was hired by Standard Insurance as Director of Institutional Sales and Product Manager for The Standard’s 403(b) and 457 retirement products shortly after the company introduced a new product into those markets. The plaintiff’s responsibilities included training staff about 403(b) plans, explaining their differences from 401(k) plans, doing what was

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Insured Can Use Third Party Payments to Satisfy SIR Provision, Florida Supreme Court Holds
February 28, 2014 | Insurance Coverage

The Florida Supreme Court, answering a question certified by the U.S. Court of Appeals for the Eleventh Circuit, has ruled that an insured general contractor could use payments to it from a third party subcontractor under a contractual indemnity obligation to satisfy its own insurance policy’s self-insured retention (“SIR”) provision. The circuit court also decided

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Circuit Affirms District Court’s Ruling that Archdiocese Was Not Entitled to Coverage for Claims It Settled for Which It Was Not Legally Liable
February 28, 2014 | Insurance Coverage

The U.S. Court of Appeals for the Eighth Circuit, affirming a district court’s decision, has ruled that the Archdiocese of St. Louis was not entitled to coverage under its insurance policy for a settlement of claims for which it was not legally liable.

The Case

After the Archdiocese of St. Louis and Archbishop Robert J.

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CAFA’s $5 Million Amount-in-Controversy Requirement Can Be Met Where Plaintiff Seeks Only Declaratory Relief, Eleventh Circuit Rules
February 28, 2014 | Insurance Coverage

The U.S. Court of Appeals for the Eleventh Circuit, reversing a district court’s decision, has determined that the $5 million amount-in-controversy requirement under the federal Class Action Fairness Act (“CAFA”) for federal subject matter jurisdiction can be satisfied where a plaintiff seeks only declaratory relief.

The Case

After Florencio Sanchez was injured in an automobile

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Circuit Court Finds that Additional Insured Endorsement Limiting Coverage to Ongoing Operations Did Not Afford Coverage for Construction Defect Claim
February 28, 2014 | Insurance Coverage

The U.S. Court of Appeals for the Fifth Circuit, reversing a district court’s decision, has ruled that an additional insured endorsement that limited coverage to ongoing operations did not afford coverage for a construction defect claim, arising out of completed operations, asserted against a general contractor who was an additional insured on a subcontractor’s commercial

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Texas Supreme Court Decides that Contractual Liability Exclusion Did Not Bar Coverage of Construction Defect Claims against General Contractor
February 28, 2014 | Insurance Coverage

The Texas Supreme Court, answering a question certified to it by the U.S. Court of Appeals for the Fifth Circuit, has ruled that a general contractor that entered into a contract in which it agreed to perform its construction work in a good and workmanlike manner, without more specific provisions enlarging this obligation, did not

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Excess Insurer Not Obligated to Indemnify Insured for Defense Costs to Which It Had Not Consented
February 28, 2014 | Insurance Coverage

A Delaware trial court has ruled that an excess insurance carrier did not have a duty to indemnify its insured for defense costs to which it had not consented. The court also found that there was no requirement that the insurer had to act reasonably when withholding consent.

The Case

Mine Safety Appliances Company (“MSA”)

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New York State and Federal Government Reach Deal on MRT Waiver
February 18, 2014 | Health Services

After months of negotiation, Governor Andrew Cuomo announced on February 13th that New York State has reached an agreement in principle for the Medicaid redesign waiver the Cuomo administration had long-sought. The waiver will allow the state to reinvest $8 billion of federal savings generated by the State back into programs designed to improve health

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