Mealey's Insurance Pleadings

  • June 10, 2024

    Insurer Seeks Dismissal Of Contractor From Coverage Dispute While Appeal Continues

    CHEYENNE, Wyo. — A subrogated homeowners insurer filed a stipulation of dismissal in a Wyoming federal court, seeking dismissal with prejudice of all its claims against a general contractor, while the insurer’s appeal of a Wyoming federal judge’s ruling that its claim against an engineer that designed a home’s plumbing is time-barred remains pending.

  • June 10, 2024

    Insureds Urge 8th Circuit To Find Pollution Exclusion Does Not Bar Coverage

    ST. LOUIS — A pollution exclusion does not bar coverage for an underlying bodily injury claim stemming from carbon monoxide exposure because the pollution exclusion applies only to traditional environmental pollution claims, the insureds claim in their appellant reply brief filed in the Eighth Circuit U.S. Court of Appeals.

  • June 10, 2024

    Coverage Excluded For Child’s Injury Caused By Chemical In Mints, Insurer Says

    ST. LOUIS — No coverage is owed to insureds for an underlying suit seeking damages caused by a child’s ingestion of liquid breath mints that contained a chemical that damaged the child’s esophagus because the policy’s pollution exclusion applies as a bar to coverage, an insurer says in a complaint filed in Missouri federal court.

  • June 07, 2024

    Disability Claimant Says Any-Occupation Benefits Are Owed By Disability Insurer

    SAN DIEGO — A disability insurer abused its discretion in determining that a disability claimant is not disabled from performing the duties of any occupation based on symptoms related to the claimant’s diagnoses of fibromyalgia and ankylosing spondylosis because the medical evidence submitted by the claimant supports a finding that the claimant is disabled from performing the duties of any occupation, the claimant maintains in a June 6 complaint filed in California federal court.

  • June 05, 2024

    Illinois Supreme Court Considers Whether Insurer Is Entitled To Subrogation

    SPRINGFIELD, Ill. — The Illinois Supreme Court heard arguments over whether an insurer can pursue subrogation on behalf of an entity it did not have a contract with based only on an “insurable interest” as the court considered whether an insurer met the prerequisites for equitable subrogation in a coverage case stemming from flooding of a Chicago college building.

  • June 03, 2024

    Relator In FCA Suit Alleging Medicare Advantage Fraud Seeks To Compel Discovery

    TAMPA, Fla. — Medicare Advantage (MA) insurers and a relator in a qui tam suit brought on behalf of the federal government filed separate motions to compel discovery in a Florida federal court in a relator’s suit alleging that medical providers and the insurers violated the federal False Claims Act (FCA) by conspiring together to increase risk adjustment scores of MA patients to obtain more federal funding than was owed.

  • June 03, 2024

    Constructive Denial, Other Issues Disputed In Appeal Over Crop Insurance Probe

    CINCINNATI — In a Sixth Circuit U.S. Court of Appeals crop insurance case where farmers who sued over a “never-ending stalled investigation” are seeking partial vacatur of a dismissal ruling, federal regulators, the insurer and the farmers have filed briefs disputing issues including sovereign immunity waivers and constructive denial.

  • May 31, 2024

    Fund Defends Bad Faith, Other Claims Against Dismissal Bid In Reimbursement Case

    MONTGOMERY, Ala. — Urging an Alabama federal court to deny dismissal motions in a dispute over reimbursement for workers’ compensation claims, the plaintiff argues in part that a bad faith claim is proper because it “is not an ‘insurer’ under Alabama law and is not a party to a reinsurance contract with Defendants.”

  • May 29, 2024

    Winemaker Adds Bad Faith Claim In Washington Coverage Suit Over Defective Wine

    SEATTLE — A wine producer amended its complaint in a Washington court adding claims against its insurer for breach of the duty of good faith and fair dealing and violations of Washington’s Consumer Protection Act and the Insurance Fair Conduct Act in its lawsuit seeking coverage for the “tragic damage to 320,922 cases of premium Washington wine” that resulted in a loss of more than $8 million.

  • May 28, 2024

    Estate Seeks Panel Rehearing In Coverage Dispute Arising From Wrongful Death

    CINCINNATI — An estate that brought an underlying wrongful death lawsuit against an insured asked the Sixth Circuit U.S. Court of Appeals to reconsider its ruling that affirmed the part of a lower federal court’s order that determined that a commercial general liability insurance policy’s assault and battery exclusion relieved the insurer of its duty to indemnify.

  • May 22, 2024

    2 More Insurers Dismissed In Viacom’s D&O Coverage Dispute In Delaware Court

    WILMINGTON, Del. — Viacom Inc. and two more of its insurers stipulated and agreed to dismiss with prejudice the claims against the insurers in Viacom’s lawsuit seeking directors and officers liability coverage for underlying claims that its directors, officers and controlling shareholders breached their fiduciary duties in connection with a 2019 merger with CBS Corp.

  • May 17, 2024

    Burger King Franchisee Seeks Summary Judgment In BIPA Violations Coverage Suit

    CHICAGO — A franchisee of the Burger King chain moved for summary judgment in its breach of contract lawsuit asking an Illinois federal judge to declare that an excess insurer has a duty to defend it against an underlying putative class lawsuit alleging that it violated the Illinois Biometric Information Protection Act (BIPA).

  • May 17, 2024

    Pollution Exclusion Bars Coverage For Carbon Monoxide, Insurer Tells 8th Circuit

    ST. LOUIS — A pollution exclusion clearly bars coverage for an underlying bodily injury claim stemming from carbon monoxide exposure because carbon monoxide qualifies as a contaminant or irritant under the pollution exclusion, an insurer says, noting in its May 16 appellee brief filed in the Eighth Circuit U.S. Court of Appeals that its interpretation of the pollution exclusion is consistent with North Dakota law.

  • May 16, 2024

    Contractor Says 7th Circuit Opinion Conflicts With Illinois Insurance Law

    CHICAGO — A general contractor petitioned the Seventh Circuit U.S. Court of Appeals for en banc rehearing, arguing that a recent opinion in which a panel found that the contractor was not owed a defense or indemnification because defective welding it performed at O’Hare International was not “property damage” under the terms of insurance policies cannot be squared away with “well settled Illinois law requiring insurers to defend policyholders unless the underlying facts pled preclude any possibility of coverage.”

  • May 16, 2024

    Guaranty Association Says It Reached Settlement With Homeowner Over Unpaid Claim

    FORT MYERS, Fla. — The Florida Insurance Guaranty Association (FIGA) notified a Florida state court that it reached a settlement in a suit filed against it by a homeowner seeking indemnification for an unpaid claim for home damage after her insurer was ordered into liquidation.

  • May 15, 2024

    On Appeal, Parties Argue Property Interest In ACA Reinsurance Takings Case

    WASHINGTON, D.C. — Arguing primarily that the Transitional Reinsurance Program (TRP) of the Patient Protection and Affordable Care Act (ACA) “did not implicate a cognizable property interest,” the government filed an appellee brief urging the Federal Circuit U.S. Court of Appeals to affirm rulings against two self-insured group health plan trusts.

  • May 14, 2024

    Multifamily Housing Lessor Seeks Coverage For Antitrust Conspiracy Claims In MDL

    DENVER — A multifamily housing lessor insured sued its primary and excess data protection liability insurers in a Colorado federal court for breach of contract and bad faith, seeking coverage for an underlying multidistrict litigation alleging that it was involved in an antitrust conspiracy when it used a revenue management software to artificially inflate multifamily housing rents above market across the country.

  • May 14, 2024

    4 Entities Hurt By Vesttoo Collapse Sue China Construction Bank, Others For Fraud

    NEW YORK — Asserting that they were some of the “biggest victims” of the alleged fraud underlying the collapse of Vesttoo Ltd., entities including Porch Group Inc. and Homeowners of America Insurance Co. (HOA) sued China Construction Bank Corp. (CCBC) and related parties in a New York federal court for fraud and negligent supervision and retention.

  • May 14, 2024

    Insureds Take No Position On Motion For Interlocutory Appeal In Contamination Suit

    EAST ST. LOUIS, Ill. — Insureds embroiled in an environmental contamination coverage dispute responded to their insurers’ motion to certify an Illinois federal judge’s choice-of-law ruling for interlocutory appeal to the Seventh Circuit U.S. Court of Appeals, noting that while they disagree with the insurers’ factual and legal analysis in the motion to certify, they understand the insurers’ desire to have the issue reviewed and take no position on the motion for leave to file an interlocutory appeal.

  • May 13, 2024

    Appellant Seeks Rehearing Of No Coverage Ruling In Dispute Over Gold Treasure

    SEATTLE — An appellant on May 10 asked the Ninth Circuit U.S. Court of Appeals to rehear its April 26 opinion that affirmed a lower federal court’s summary judgment ruling in favor of an ocean marine general liability insurer in a declaratory judgment lawsuit disputing coverage for an underlying $7.5 million covenant judgment that resolved claims that the appellant was denied possession and use of the tangible and intangible work product that was created during gold salvage expeditions.

  • May 13, 2024

    Insured Opposes Interlocutory Appeal, Says No Controlling Question Of Law Exists

    NEW YORK — An insured says a commercial lines insurer’s motion for interlocutory appeal of a New York federal judge’s ruling to the Second Circuit U.S. Court of Appeals should be denied because no controlling question of law exists regarding whether a policy’s communicable disease exclusion applies as a bar to coverage for three underlying lawsuits alleging that residents of the insured properties contracted Legionnaires’ disease.

  • May 13, 2024

    Citing Jury Verdict, Plaintiffs Seek Attorney Fees From U.S. In Microcaptive Row

    FORT MYERS, Fla. — Following a Florida federal jury ruling against the government in consolidated cases over whether the plaintiffs’ involvement with purported microcaptive insurance companies constituted promotion of abusive tax shelters, the corporate plaintiffs are seeking approximately $600,000 in attorney fees and costs, and the government is countering in part that its position was “substantially justified.”

  • May 13, 2024

    Parties Brief Summary Judgment Arguments On Reinsurance Loss Allocation

    MONTGOMERY, Ala. — In renewed briefing, parties in a suit over multiple reinsurance disputes make summary judgment arguments on a single breach of contract claim, with the reinsurer arguing that the loss for the lawsuit at issue “was properly ceded to the two impacted Treaties” and the insurer contending that the policy requires the two events at issue in the lawsuit “to be treated as one Wrongful Act.”

  • May 10, 2024

    Pharmacy Distributor Appeals No Coverage Ruling In Suit Prompted By Opioid Epidemic

    VALDOSTA, Ga. — A pharmacy distributor insured indicated to a Georgia federal court that it is asking the 11th Circuit U.S. Court of Appeals to review the court’s grant of summary judgment in favor of its commercial general liability and umbrella insurers in a coverage dispute arising from the opioid epidemic.

  • May 10, 2024

    Attorney Says Termination Of Disability Benefits Was Arbitrary, Capricious

    PHILADELPHIA — A disability insurer acted arbitrarily and capriciously when it terminated an attorney’s long-term disability (LTD) benefits because the insurer failed to consider the actual duties of the claimant’s occupation when it determined that the claimant was no longer disabled from her own occupation as an attorney, the attorney says in a complaint filed in Pennsylvania federal court.