Friday, December 19, 2014

Insurance Coverage Update November 2014

insurance
NEW JERSEY                                                                                November 2014

Priority of Coverage - Excess Insurance
True Excess Policy Takes Priority of Coverage Over Primary Liability Policy Containing Excess Other Insurance Clause

Encompass Ins. Co. v. Quincy Mutual Fire Ins. Co., 2014 N.J. Super. Unpub. LEXIS 2684 (App. Div., November 14, 2014)

The New Jersey Appellate Division ruled that an excess policy that generally provided that its  "[c]overage is excess over any other insurance" was not superseded in priority of coverage by virtue of a primary policy that contained an excess "other insurance" clause.  The Court also remanded so the trial court could further consider whether attorney's fees and/or prejudgment interest were appropriate.

The claim arose in connection with a traffic accident in which a motorcyclist was severely injured after colliding with a motor vehicle driven by a real estate agent returning to her office from a title closing. The motorcyclist brought a claim against the real estate agent and her employer, and both defendants sought coverage from their respective insurers.


Apportionment - Multiple Policies
District Court Untangles Six-Way Priority of Coverage Dispute Arising from Multi-Million Underlying Personal Injury Settlement

Carolina Cas. Ins. Co. v. Travelers Prop. Cas. Co., 2014 U.S. Dist. LEXIS 150002 (D.N.J. Oct. 22, 2014)

The District Court apportioned liability in connection with a $5,000,000 personal injury settlement among six insurance policies.  In so doing, it examined how the New Jersey Omnibus motor vehicle insurance law and a subcontracting agreement interacted with policy terms.

An employee of a subcontractor hired to pick up concrete road barriers from a construction staging area suffered a severe injury to his foot while the general contractor's employees moved materials into his trailer.  The employee's subsequent negligence claim settled for $5,000,000.

The general contractor's liability insurer contributed its $1,000,000 limit to fund the settlement while the remaining $4,000,000 was paid by the general contractor's excess liability insurer.  Both contributing insurers sought to recover amounts under other primary and excess policies covering, respectively, the subcontractor (who owned the trailer) and a third party (who leased the tractor to the subcontractor). 
  

NEW YORK

Claims Made and Reported - Interrelated Wrongful Acts
Court Finds Letter Seeking Information from the Insured and Requesting Insured Cease Business Operations Constitutes a Demand for Injunctive Relief

Weaver v. Axis Surplus Ins. Co., 2014 U.S. Dist. LEXIS 154746 (E.D.N.Y. Oct. 30, 2014)

The EDNY found that no Directors & Officers coverage was available to an insured for an indictment related to its business as the claim and a prior demand letter constituted interrelated wrongful acts first made prior to the inception of the policy period.

The insured, the President and CEO of a vending machine sales company, sought insurance coverage under a Director & Officers Claims Made Coverage Policy following the receipt of an indictment filed in the United States District Court for the Southern District of Florida (hereinafter the "2012 claim").  The indictment contained allegations of conspiracy, mail fraud and wire fraud.  Shortly before the indictment was filed, the insured received a letter informing him that he was identified as a "target of a federal grand jury investigation in the Southern District of Florida with respect to possible criminal violations including mail fraud, write fraud and conspiracy."  The insured forwarded this to the insurer whom denied coverage.  Upon receipt, the insurer denied coverage on the following bases: (1) the claim was not first made during the policy period as it arose from the same "wrongful acts" as a prior claim, a 2007 letter from the Securities Division of the Office of the Attorney General of Maryland (hereinafter the "2007 claim"); and (2) the 2007 claim occurred prior to the "Pending or Prior Claim Date" and the 2007 claim and the 2012 claim constitute interrelated wrongful acts.


Allocation
New York Trial Court Finds Policyholder Responsible for Allocated Share of Environmental Liabilities Attributable to Period of Self-Insurance Pursuant to New York Regulation Prohibiting Coverage for Sudden and Accidental Pollution

Keyspan Gas E. Corp. v Munich Reins. Am., Inc, 2014 N.Y. Misc. LEXIS 4469 (N.Y. Sup. Ct. Oct. 17, 2014)

The New York Supreme Court finds that pro rata time on the risk allocation methodology applies to long-tail environmental contamination claim, with the insured being responsible for the period of 1971-1982 when pollution coverage was barred by statute but finds a question of fact regarding the insured's failure to purchase coverage when it was available in the marketplace.

An excess insurer sought a declaration that a pro rata time on the risk approach should be applied to property damage at two manufacturing plants and that the insurer's share should not include those damages that occurred outside its policy periods.  Further, the insurer argued that the insured should be considered self-insured for those years in which the insured declined to purchase coverage that was available in the marketplace and those years - - 1971 to 1986 - - in which Insurance Law § 46 prohibited the issuance of pollution insurance.  In opposing summary judgment, the insured argued that New York follows the "availability of insurance" allocation methodology and as such, should allocate costs in those periods.  Furthermore, the insured argued it was the insurer who bears the burden of demonstrating the availability of insurance.


This newsletter contains summaries of New York and New Jersey insurance coverage decisions entered during the previous month. If you see a topic that interests you, click the link to read more and obtain a full copy of the case.
For further information, please contact the Newsletter Editors, Jonathan McHenry, Neil Mody, William P. Krauss 
and William D. Deveau at (973) 535-0500 or email us by clicking here.
The cases annexed to this newsletter have been reproduced by Connell Foley LLP with the permission of LexisNexis. Copyright 2014, LexisNexis, a division of Reed Elsevier Inc. No copyright is claimed as to any part of the original work prepared by a government officer or employee as part of that person's official duties.

©2014 Connell Foley.

The information contained in this electronic message and any attached document(s) is intended for the personal use of designated recipients. This document is for informational purposes only, and is a means of disseminating general information about judicial insurance coverage law developments. It is not to be interpreted as legal advice, which must always be tailored to individual needs and particular circumstances.
 
Should you wish to unsubscribe from this list, and remove yourself from future Connell Foley mailings, please reply to contact@connellfoley.com,
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Tuesday, November 4, 2014

Insurance Coverage Update October 2014

insurance
NEW JERSEY                                                                                 October 2014

Allocation
New Jersey Appellate Division Touches Upon Various Issues Regarding Allocation and Exhaustion in a Long-Tail Environmental Claim

IMO Indus., Inc. v. Transamerica Corp., 2014 N.J. Super. LEXIS 132 (App. Div. Sept. 30, 2014)

The Appellate Division: rejected an insured's contention that it's insurer must cover defense costs for an endless time until it has actually paid the indemnification limits of its policies; annualized occurrence and aggregates limits for multi-year policies; stub policies would be treated as having separate annual aggregate limits; the insured's payment of SIR was outside policy limits; and ruled that that coverage issues would not be re-litigated for each individual asbestos claim based on the excess insures decision to not associate with the underlying claims.  
  

Hurricane Sandy Litigation
New Jersey District Court Dismisses Counts from Insureds' Hurricane Sandy Coverage Suit

Gilliam v. Liberty Mutual Fire Ins. Co., Civil Action No. 14-cv-00361 (D.C.N.J., September 26, 2014)

New Jersey District Court dismisses counts of insureds' claim that sought, in the context of damage stemming from Hurricane Sandy, recovery on the basis of the Consumer Fraud Act and the policy's implied covenant of good faith and fair dealing. The Court also rejected the insureds' bid for punitive damages and attorney's fees as inappropriate in a first-party insurance claim setting. 


Defective Products Coverage
New Jersey Appellate Division Finds No Coverage for Costs of Accepting Return of Defective Product

Titanium Industries, Inc. v. Federal Ins. Co., 2014 N.J. Super. Unpub. LEXIS 2208 (App. Div., September 10, 2014)

The New Jersey Appellate Division finds insured not covered for costs related to the return of defective titanium it sold to a third party. The law of warranty rather than that of insurance coverage guides the apportionment between transacting parties of this type of loss.

An insured incurred liability when it sold defective titanium to a manufacturer of orthopedic implants and devices. In particular, the titanium material contained a defect called "alloy segregation" - or, the failure of alloys in the metal to completely melt, causing the alloy to separate over time. The manufacturer consequently scrapped items already made with the defective metal and returned the raw material to the insured.    

NEW YORK

Late Notice Defense
No Prejudice Requirement Added to New York Common Law Late Notice Standard

Indian Harbor Ins. Co. v. The City of San Diego, 2014 U.S. App. LEXIS 18986 (2d Cir. October 2, 2014)

The United States Court of Appeals for the Second Circuit finds no coverage for an insured who delayed fifty-eight days in notifying its insurer, clarifying that New York's common law does not require insurers asserting a late notice defense to show prejudice in addition to untimely notice.

The insured, a City, sought coverage in relation to three late-notified claims, including one in which the City waited fifty-eight days to notify its insurer of the relevant claim. The insurer in response filed a declaratory judgment action, arguing that late notice precluded coverage, though it did not argue it had suffered prejudice because of the insured's delay.

Environmental Liability Allocation
New York Judge Addresses Allocation of Continuous Trigger Liability

Keyspan Gas East Corp. v. Munich Reinsurance America, Inc., et al., 2014 N.Y. Misc. LEXIS 4469 (Sup. Ct. New York County, October 14, 2014)

Judge Scarpulla of the New York County Supreme Court reaffirms that allocation of continuous trigger environmental liability generally does not include years in which coverage was unavailable in the marketplace, but also decides that in this case a, 1971 law operated to force the insured to bear liability incurred during a period when coverage was commercially unavailable.

An insured incurred liability in connection with environmental cleanup at two former manufactured gas plant sites. It sought coverage from an insurer who had, between 1953 and 1969, issued the insured's predecessor-in-interest eight excess liability policies.

 

This newsletter contains summaries of New York and New Jersey insurance coverage decisions entered during the previous month. If you see a topic that interests you, click the link to read more and obtain a full copy of the case.
For further information, please contact the Newsletter Editors, Jonathan McHenry, Neil Mody, William P. Krauss 
and William D. Deveau at (973) 535-0500 or email us by clicking here.
The cases annexed to this newsletter have been reproduced by Connell Foley LLP with the permission of LexisNexis. Copyright 2014, LexisNexis, a division of Reed Elsevier Inc. No copyright is claimed as to any part of the original work prepared by a government officer or employee as part of that person's official duties.

©2014 Connell Foley.

The information contained in this electronic message and any attached document(s) is intended for the personal use of designated recipients. This document is for informational purposes only, and is a means of disseminating general information about judicial insurance coverage law developments. It is not to be interpreted as legal advice, which must always be tailored to individual needs and particular circumstances.
 
Should you wish to unsubscribe from this list, and remove yourself from future Connell Foley mailings, please reply to contact@connellfoley.com,
 contact@connellfoley.com, with UNSUBSCRIBE
 in the subject line. 

Monday, October 6, 2014

Insurance Coverage Update September 2014

insurance

NEW YORK                                                                              September 2014

Directors & Officers Coverage - Related Claims
Court Applies Factual Nexus Test to Exclude Coverage for Related Claims

Nomura Holding Am. v. Fed. Ins. Co., 2014 U.S. Dist. LEXIS 127574 (S.D.N.Y. Sept. 11, 2014)

The Southern District of New York finds no coverage for RMBS claims under "related acts" provision in D&O policy, but strictly construes a separate manuscripted endorsement designed to preclude coverage for a known RMBS consolidated lawsuit and related claims. 

This action involves claims for coverage for five lawsuits initiated between 2011 and 2012 against the insured arising out of various securitizations of residential mortgage-backed securities ("RMBS").  Previously, in 2008, the insured had separately been named as a defendant in a different consolidated action which also arose from RMBS.  (the "2008 RMBS Consolidated Action").


Discovery - Reserve Information
Southern District Permits Discovery Reflecting Reserve Information But Defers Ruling on Admissibility

Nat'l Union Fire Ins. Co. v. H&R Block, Inc., 2014 U.S. Dist. LEXIS 123966 (S.D.N.Y. Sept. 4, 2014)

An insurer initiated this action seeking declaration that it has no obligation to indemnify its insured in connection with either the settlement of or the defense costs incurred in connection with an underlying action.  The insurer had disclaimed coverage for the underlying action on the basis that the alleged damages did not constitute personal injury and advertising injury and further, that the insured's failure to cooperate barred coverage.  In this action, the insured filed a counterclaim, arguing that it did not violate the policy's cooperation provision and that any failure to provide information was based on the insurer's refusal to sign the protective order that was entered in the underlying action and common interest agreement.  The underlying action was settled prior to the commencement of this action. 


NEW JERSEY

Duty to Defend
Appellate Division Finds No Duty to Defend Non-Covered Contract Claims

Selective Ins. Co. v. Hospicomm, Inc., 2014 N.J. Super. Unpub. LEXIS 2315 (App. Div. Unpub. 2014)

The New Jersey Superior Court, Appellate Division, ruled that the liability insurer for a general contractor was not obligated to defend (reimburse defense costs) the general contractor for breach of warranty and other contract claims asserted against it in a suit arising from damage caused by a malfunctioning fire suppression system.  The decision also confirmed that certificates of insurance are not proof of a party's status as an additional insured.

The general contractor agreed to build a nursing home facility and subcontracted the installation of a fire suppression system.  Improper installation by the subcontractor resulted in the fire suppression system activating and causing water damage.  The owner of the nursing home, and later its subrogating property insurer, filed suit against the general contractor and the subcontractor, alleging breach of contract, breach of implied and express warranties and negligence.
   

Lawsuit Limitation
Insureds Lose Coverage by Violating Policy's Lawsuit Limitation Provision

Rihanna Corp. v. Certain Underwriters at Lloyd's of London, 2014 N.J. Super. Unpub. LEXIS 2216 (App. Div. Sept. 11, 2014)

A group of insureds were denied coverage in connection with a fire at their restaurant because they failed to comply with their policy's lawsuit limitation and their delay in filing suit was not excused by equitable considerations.

Plaintiff insureds, the owners of a restaurant, suffered a fire loss on October 3, 2008 and sought coverage under their insurance policy. The insurer issued a reservation of rights letter on January 7, 2009 and, on October 29, 2009, disclaimed coverage because of "concealment, misrepresentation or fraud," as suspicion existed regarding whether the restaurant's owner purposefully set the fire. The insurer also pointed to the insureds' failure to "submit to examinations under oath" in connection with an adjuster's investigation of the fire.

 

This newsletter contains summaries of New York and New Jersey insurance coverage decisions entered during the previous month. If you see a topic that interests you, click the link to read more and obtain a full copy of the case.
For further information, please contact the Newsletter Editors, Jonathan McHenry, Neil Mody, William P. Krauss 
and William D. Deveau at (973) 535-0500 or email us by clicking here.
The cases annexed to this newsletter have been reproduced by Connell Foley LLP with the permission of LexisNexis. Copyright 2014, LexisNexis, a division of Reed Elsevier Inc. No copyright is claimed as to any part of the original work prepared by a government officer or employee as part of that person's official duties.

©2014 Connell Foley.

The information contained in this electronic message and any attached document(s) is intended for the personal use of designated recipients. This document is for informational purposes only, and is a means of disseminating general information about judicial insurance coverage law developments. It is not to be interpreted as legal advice, which must always be tailored to individual needs and particular circumstances.
 
Should you wish to unsubscribe from this list, and remove yourself from future Connell Foley mailings, please reply to contact@connellfoley.com,
 contact@connellfoley.com, with UNSUBSCRIBE
 in the subject line. 

Tuesday, September 2, 2014

Insurance Coverage Update August 2014

insurance

NEW JERSEY                                                                                 August 2014

Directors' and Officers' Liability Insurance
Directors' and Officers' Liability Coverage Not Available When Policyholder Committed No "Wrongful Act" against Third Party

PNY Techs., Inc. v. Twin City Fire Ins. Co., 2014 U.S. Dist. LEXIS 96489 (D.N.J. July 16, 2014)

The District Court of New Jersey granted summary judgment to an insurer because the policyholder corporation's bad foreign exchange deal was not an "entity claim for a wrongful act," as the counterparties' "entity claims" were traceable to a legitimate contract rather than a "wrongful act" committed by the policyholder.

The former CFO of the insured corporation entered into several foreign exchange transactions with four banks.  The deals eventually exposed the insured to payment demands from those banks.  The insured in turn submitted claims to its directors' and officers' liability insurer, who denied coverage responsibility in relation to the transactions.


Reasonableness of Underlying Settlements
Settlement Agreement Upheld as Reasonable under Griggs Standard

Travelers Prop. Cas. Co. of Am. v. USA Container Co., 2014 U.S. Dist. LEXIS 99635 (D.N.J. July 21, 2014)

Judge Linares found in a New Jersey District Court opinion that an insurer challenging the reasonableness of its insured's underlying settlement did not meet its burden under Griggs by questioning the structure of the deal and pointing out that the insurer failed to provide an expert report.

The insured -- a company engaged in the business of supplying industrial containers, logistical services, and warehousing -- subcontracted with a third party to transfer corn syrup from rail cars to drums.  The subcontractor overheated the corn syrup, thereby causing the insured's client to incur approximately $700,000 in damages.  The client in turn demanded that the insured compensate it for its loss.


Insurance Coverage - Proper Forum
Insurer's Fraudulent Joinder Argument Ineffective in Preventing Remand to State Court

Saddy Family, LLC v. Loud  2014 U.S. Dist. LEXIS 88366 (D.N.J. June 30, 2014)

District Court Judge Joel Pisano remanded this insurance coverage dispute to New Jersey state court, as he found Plaintiff had not fraudulently joined a non-diverse Defendant for the sole purpose of defeating federal jurisdiction.

The insured's Seaside Heights commercial buildings were damaged by wind and flooding during Superstorm Sandy. The insurer denied each of the insured's resultant claims, including one based on lost business income. The insured then filed an insurance coverage action in New Jersey Superior Court. The insurer in response removed the dispute to federal court on the basis of diversity jurisdiction. 
  

NEW YORK


Privilege - Claim Files
Claim Documents Prepared by Attorney May Be Discoverable Where Counsel Primarily Engaged in Claims Handling

National Union Fire Ins. Co. of Pittsburgh, Pa. v TransCanada Energy USA, Inc., 2014 N.Y. App. Div. LEXIS 5536 (N.Y. App. Div. 1st Dep't July 31, 2014)
  
First Department Appellate Division affirms trial court's ruling that insurers could not satisfy burden of demonstrating that certain documents prepared by in-house lawyers were privileged under the attorney-client privilege or work-product privilege. 
  
A group of insurers sought reconsideration of a special discovery masters finding that documents that pre-date a claim rejection are not protected from disclosure.  The insurers collectively argued that the documents sought were protected by the attorney-client privilege, the work-product doctrine, and the common-interest doctrine. The lower court, after an in camera review, found that the only documents that were protected from disclosure were those documents that contained actual legal advice.  Turning to the other documents, the lower court "found that the majority of the documents sought to be withheld are not protected by the attorney-client privilege or the work product doctrine or as materials prepared in anticipation of litigation."  
   

This newsletter contains summaries of New York and New Jersey insurance coverage decisions entered during the previous month. If you see a topic that interests you, click the link to read more and obtain a full copy of the case.
For further information, please contact the Newsletter Editors, Jonathan McHenry, Neil Mody, William P. Krauss 
and William D. Deveau at (973) 535-0500 or email us by clicking here.
The cases annexed to this newsletter have been reproduced by Connell Foley LLP with the permission of LexisNexis. Copyright 2014, LexisNexis, a division of Reed Elsevier Inc. No copyright is claimed as to any part of the original work prepared by a government officer or employee as part of that person's official duties.

©2014 Connell Foley.

The information contained in this electronic message and any attached document(s) is intended for the personal use of designated recipients. This document is for informational purposes only, and is a means of disseminating general information about judicial insurance coverage law developments. It is not to be interpreted as legal advice, which must always be tailored to individual needs and particular circumstances.
 
Should you wish to unsubscribe from this list, and remove yourself from future Connell Foley mailings, please reply to contact@connellfoley.com,
 contact@connellfoley.com, with UNSUBSCRIBE
 in the subject line.