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ruled that an excess policy that generally provided that its  "[c]overage is excess over any other insurance" was not superseded in priority of coverage by virtue of a primary policy that contained an excess "other insurance" clause.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.

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