Recent Publications


Court Validates Another Tool for Insurers in Fight against No-Fault Fraud
May 3, 2013 | Insurance Coverage | Appeals

Over a decade ago, in an effort to reduce no-fault insurance fraud involving the improper ownership or licensing of medical providers, the New York State Insurance Department (the precursor to the New York State Department of Financial Services (“DFS”)), adopted a regulation that declared that a health care services provider was eligible for reimbursement from

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

Verdict in Negligence Suit Did Not Preclude Application of Intended Bodily Injury Exclusion in Coverage Case

After his car was struck by a vehicle driven by Edmund Schwartz, Walter Dreyer allegedly intentionally drove his vehicle into Schwartz. Schwartz sued Dreyer, asserting negligence and intentional tort causes of action. Only the negligence claim was submitted to

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Circuit Upholds Decision Denying Disability Benefits for Employee Who Claimed She Had Fibromyalgia
April 30, 2013 | Insurance Coverage | Labor & Employment | Appeals

The plaintiff in this case worked for American International Group (AIG) and participated in its group long term disability benefit plan, which was governed by the provisions of the Employee Retirement Income Security Act (ERISA) and administered by Hartford Life and Accident Insurance Company. After several hospitalizations, the plaintiff filed a claim for long term

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Insurer Must Pay Attorney’s Fees and Costs Awarded against Insured Even Though Damages Were Not Covered by the Policy
April 30, 2013 | Insurance Coverage

The Idaho Supreme Court has ruled that an insurance company was obligated to pay costs and attorney’s fees awarded in an action against its insured ? even though the compensatory damages awarded against its insured were not covered by the policy.

The Case 

After a fire at their home, David and Kathy Donnelly hired Rimar

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“Owned Property” Exclusion Bars Coverage for Costs to Stabilize and Then Demolish Damaged Building, Circuit Court Rules
April 30, 2013 | Insurance Coverage

The U.S. Court of Appeals for the Eighth Circuit has affirmed a district court’s decision that a building owner’s expenses in seeking to stabilize and then to demolish a building damaged in a windstorm were not covered under its commercial general liability insurance policy.  

The Case 

Several years ago, Clarinet, LLC, purchased a building in

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Finding that Shooting Was Not an “Accident,” Court Holds that Insurance Policy Did Not Cover Judgment against Insured
April 30, 2013 | Insurance Coverage

A federal district court has ruled that a shooting that formed the basis of a state court judgment was not an “accident,” and therefore was not an “occurrence,” for purposes of determining coverage under two homeowner’s insurance policies.  

The Case 

Alexander Yin sued Andrew Pira and his father Richard, alleging that Andrew Pira and some

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Court Rejects Contention that Insured Had Intentionally Destroyed Evidenced by Removing a Wrecked Ship
April 30, 2013 | Insurance Coverage

A federal district court has ruled that an insured did not destroy evidence when it removed a wrecked ship without first notifying its insurer.  

The Case 

During insurance coverage litigation between Starr Indemnity & Liability Company and New York Marine & General Insurance Company (together, “Starr”) and the Continental Cement Co., Starr asserted that Continental

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In Plain English
April 30, 2013 | Insurance Coverage

Please click the link below to view In Plain English. Adobe Reader is required to view the bulletin.

In Plain English

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

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Courts Divide Over Intellectual Property Licensee’s Rights When Bankrupt Licensor Rejects License
April 30, 2013 | Intellectual Property | Insurance Coverage | Corporate

Celeste M. Butera, a partner in the firm’s Insurance Coverage & Litigation and Intellectual Property Practice Groups and Stuart I. Gordon and Matthew V. Spero, members of the firm’s Corporate & Commercial Practice Group, co-authored, “Court’s Divide Over Intellectual Property Licensee’s Rights When Bankrupt Licensor Rejects License,” which appeared in the April/May 2013 issue of Pratts

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Online Retailers Lose Challenge to New York’s Sales Tax
April 16, 2013 | Intellectual Property | Complex Torts & Product Liability | Professional Liability

In a case that has far-reaching ramifications because of the exponential expansion of cyberspace in general, and because of the growth of commerce over the Internet in particular, the New York Court of Appeals has rejected challenges by two major online retailers to New York’s “Internet tax,”[1] which requires collection of a sales tax on

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Courts Divide Over Intellectual Property Licensee’s Rights When Bankrupt Licensor Rejects License
April 1, 2013 | Corporate | Intellectual Property | Insurance Coverage

Suppose that a company licenses a trademark ? or some other form of intellectual property ? from a company that owns a trademark (the “licensor”), the licensor files for bankruptcy protection, and the bankruptcy trustee exercises its rights under the Bankruptcy Code to “reject” (i.e., breach) the trademark license. What are the licensee’s rights and

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New Standards for Medical Monitoring and Fear of Cancer Claims
April 1, 2013 | Complex Torts & Product Liability | Appeals

AMERICAN BAR ASSOCIATION – MASS TORTS & DEVELOPMENTS

Exxon Mobil Corp. v. Ford
No. 16, Sept. Term 2012 (Md. Feb. 26, 2013)

The Court of Appeals of Maryland has adopted standards for medical monitoring and fear-of-cancer claims in a pair of companion decisions regarding alleged exposure to methyl tertiary-butyl ether (MTBE) and benzene arising

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

 No Coverage Where No Written Agreement To Name City As Additional Insured

Harleysville issued general liability insurance policies to Bruno Grgas, Inc. and to Coastal Sheet Metal Corp., providing additional insured coverage where the insured and the organization seeking additional insured coverage agreed in writing that the insured add the organization as an additional insured. 

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“Wrongful Acts” Exclusion Bars Coverage of Claims against Accounting Firm
March 31, 2013 | Insurance Coverage

A federal district court in New York has ruled that the “wrongful acts” exclusion in a professional liability insurance policy issued to an accounting firm excluded coverage for claims against the accounting firm allegedly arising from fraud and misrepresentation by the firm’s clients.

The Case

Customers of Cambridge Credit Counseling Corp. (“CCCC”) and Cambridge/Brighton Budget

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Lack of Insurable Interest Dooms Law Firm’s Coverage Claim
March 31, 2013 | Insurance Coverage

A federal district court in Alabama has ruled that a law firm did not have an insurable interest in a commercial building that was destroyed by fire and it therefore granted summary judgment in favor of the insurer that had issued commercial liability and property insurance policies for the building.  

The Case

Guster Law Firm,

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