Recent Publications


“Prior Publication” Exclusion Bars Advertising Injury Coverage, Court Finds
September 27, 2013 | Insurance Coverage

A federal district court in Pennsylvania has ruled that “prior publication” exclusions in a commercial general liability and commercial umbrella liability policies barred coverage of an action against the insured that sought damages for advertising injury allegedly begun before the policies’ inception date.  

The Case

The Navajo Nation sued Urban Outfitters and its wholly-owned and

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Growing Role of Discovery in Providers’ Cases Seeking No-Fault Benefits
September 6, 2013 | Appeals | Insurance Coverage

In recent years, more and more no-fault[1] insurance carriers and health care providers have become parties to an escalating battle over providers’ requests to obtain payment from no-fault insurers for care the providers allegedly provided to injured people (so-called “assigned first-party no-fault benefits”). At the heart of the dispute is State Farm Mutual Automobile Ins.

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New York Insurance Coverage Law Update
September 1, 2013 | Insurance Coverage

New York’s Highest Court Grants Reargument in Controversial K2 Case

The New York Court of Appeals has agreed to hear reargument of the controversial decision in which it held that “when a liability insurer has breached its duty to defend its insured, the insurer may not later rely on policy exclusions to escape its

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City Limits
August 31, 2013 | Insurance Coverage

Please click the link below to view City Limits. Adobe Reader is required to view the bulletin. If Adobe Reader is not installed on your PC, click here to download and install.

City Limits

Copyright © 2013 by A.M. Best Company, Inc.  Reprinted with permission.  All rights reserved.

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Court Dismisses Breach of Fiduciary Duty Claim against Disability Plan Administrator for Failing to Provide Plan Summary
August 31, 2013 | Appeals | Labor & Employment | Insurance Coverage

After her claim for benefits was denied, the plaintiff in this case, a former employee of Corning Incorporated and a participant in the Corning Incorporated Long Term Disability Plan, sued the plan administrator – the Corning Benefits Committee – for breach of fiduciary duty by virtue of its alleged failure to furnish her with a

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Breach of Duty to Defend Stands Out Among Noteworthy Issues
August 26, 2013 | Appeals | Insurance Coverage

The past term’s significant insurance law decisions by the New York Court of Appeals resolved a variety of issues that will alter the practice of insurance law in important ways. Among the most notable of these decisions was K2 Investment Group, LLC v. American Guarantee & Liability Ins. Co.,[1] where the court evaluated the consequences to

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Email Can Constitute Binding Enforceable Stipulation of Settlement
August 20, 2013 | Professional Liability | Complex Torts & Product Liability | Intellectual Property

Plus ça change, plus c’est la même chose.[1]

It is a lesson that lawyers should take to heart when incorporating technology in their every day best practices.  Technology may have changed the speed, immediacy, and even the formality of communication, but the effect of the communication will be determined by its content as interpreted by

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New York Insurance Coverage Law Update
August 1, 2013 | Insurance Coverage

Appellate Court Upholds Jury Decision Finding Health Care Provider’s Fraudulent Incorporation

The Appellate Term, Second Department, upheld a jury verdict finding that a health care provider was ineligible to recover $18 million in no-fault insurance benefits because it was fraudulently incorporated. The appellate court found “ample evidence” that the provider failed to comply with New

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Circuit Upholds Sanctions against Plaintiff’s Attorney in Case Involving Alleged Breach of Disability Insurance Policy
July 31, 2013 | Appeals | Labor & Employment | Insurance Coverage

The plaintiff in this case sued Paul Revere Life Insurance Co., alleging that Paul Revere had engaged in bad faith and that Paul Revere had breached his disability insurance policy by terminating his disability benefits. The district court dismissed the plaintiff’s bad faith claim, and denied the plaintiff’s two motions for reconsideration.

Shortly before trial

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Insurer Not Obligated to Defend Apartment Building Owner Where Tenants Complained of Asbestos and Other Contaminants after Renovation of Their Unit
July 31, 2013 | Insurance Coverage

A federal district court in California has ruled that claims of asbestos and other contamination brought by tenants against the owner of their apartment building after it renovated their unit were not covered by the owner’s insurance policy.   

The Case 

Parklyn Bay Company, LLC, owned an apartment building in San Francisco. After

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First-Party Mold Damage Claim Was Not Covered by Premises Liability Endorsement
July 31, 2013 | Insurance Coverage

A federal district court in Connecticut has ruled that a homeowner’s first-party claim for mold damage and remediation was not covered by a Limited Fungi, Wet or Dry Rot, or Bacteria Endorsement. The endorsement only covered premises liability claims, the court decided. 

The Case 

After Homestead Country Properties, LLC, found mold in

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Business Owner’s Policy Does Not Cover Claims Alleging that Plaintiffs Had Been Injured By Employee Driving His Own Truck from a Party
July 31, 2013 | Insurance Coverage

A federal district court in Tennessee has ruled that a business owner’s insurance policy did not cover claims brought by people who alleged they had been injured in an accident with the insured’s employee, who left a holiday party in his own truck after drinking.  

The Case 

J. O. Adams, who owned

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Umbrella Policy Excluded Coverage for Costs Incurred in Aftermath of Gas Well Blowout
July 31, 2013 | Insurance Coverage

A federal district court in Louisiana has ruled that an umbrella insurance policy excluded coverage for costs incurred in the aftermath of a gas well blowout.  

The Case 

Pioneer Exploration, LLC, operated a gas well in Louisiana under a mineral lease. The well suffered a blowout. After Pioneer incurred costs to remediate the

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A Party Who Voluntarily Discontinues An Underlying Action and Foregoes An Appeal Does Not Abandon His Or Her Right To Pursue A Claim …
July 31, 2013 | Professional Liability | Complex Torts & Product Liability | Insurance Coverage

A party who voluntarily discontinues an underlying action and foregoes an appeal does not abandon his or her right to pursue a claim for legal malpractice.

While a party who agrees to dismiss an appeal pursuant to a settlement agreement may, under some circumstances, be precluded from pursuing a legal malpractice claim against

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Statute and Common Law Provide Immunity for Insurers Reporting Fraud
July 5, 2013 | Appeals | Insurance Coverage

After a fire damaged a house in Wilson, North Carolina, that was owned by Cully’s Motorcross Park, Inc., its president and sole stockholder, Laurie Volpe, submitted a claim to North Carolina Farm Bureau Mutual Insurance Company, the insurer for Cully’s. Farm Bureau began an investigation and ultimately denied the claim, citing its suspicion that the

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