Mealey's Insurance Pleadings

  • February 12, 2024

    Insureds File Suit, Seek Coverage For Costs Incurred To Remediate Riverbank

    SAN FRANCISCO — Insureds filed suit against their umbrella liability insurer in California federal court, alleging that the insurer breached its contract and acted in bad faith by relying on the policy’s pollution exclusion to deny coverage for costs incurred in remediating a riverbank.

  • February 12, 2024

    Insured Seeks Rehearing, Certification Of Questions In Opioid Coverage Dispute

    SAN FRANCISCO — A prescription drug distributor insured on Feb. 9 asked the Ninth Circuit U.S. Court of Appeals to reconsider its ruling that there is no coverage owed for underlying lawsuits prompted by the opioid epidemic because the underlying claims “describe exclusively deliberate conduct,” arguing that a panel rehearing or rehearing en banc is warranted so the panel can certify two “undecided, critical questions of California law” to the California Supreme Court.

  • February 12, 2024

    Condo Association Says It Settled Hurricane Coverage Row With Guaranty Association

    SANFORD, Fla. — A condominium association notified a Florida state court of its settlement with the Florida Insurance Guaranty Association (FIGA), the receiver for the now-insolvent commercial property insurer that the condo association sued seeking coverage for damage caused by Hurricane Irma.

  • February 09, 2024

    Insurer Petitions 9th Circuit For Panel Rehearing Of Pollution Exclusion Ruling

    SAN FRANCISCO — A district court’s ruling that a pollution exclusion bars coverage for an underlying toxic exposure suit stemming from the cleanup of wildfire debris should be affirmed because a panel majority of the Ninth Circuit U.S. Court of Appeals failed to consider two applicable California appellate decisions before concluding that the insurer’s pollution exclusion does not apply to toxic dust, an insurer argues in its petition for panel rehearing.

  • February 09, 2024

    LTD Benefits Owed For Post-COVID-19 Syndrome, Claimant Says In Complaint

    NEW YORK — A former regional sales manager filed suit in New York federal court, seeking a ruling that he is entitled to long-term disability (LTD) benefits for post-COVID-19 syndrome under a disability plan sponsored by his employer because the plan administrator’s denial of benefits was contrary to the weight of the medical and vocational evidence.

  • February 08, 2024

    Homeowners Tell 9th Circuit Insurer Wrongly Denied Coverage To Subcontractor

    SEATTLE — A federal judge in Washington incorrectly found that an insurer did not breach its duty to defend an insured subcontractor against homeowners’ construction defect claims, the homeowners tell the Ninth Circuit U.S. Circuit Court of Appeals, calling the insurer’s alleged breach of the duty to defend “unreasonable, frivolous, and unfounded.”

  • February 08, 2024

    Disability Plan Says Lower Court Erred In Entering Judgment For Claimant

    PHILADELPHIA — A district court’s judgment in favor of a disability claimant should be reversed because substantial evidence shows that the claimant did not meet her burden of proving that she was disabled from performing the duties of her own occupation following three ankle surgeries, the disability plan says in its appellant brief filed in the Third Circuit U.S. Court of Appeals.

  • February 07, 2024

    Disability Claimant Says Insurer Fails To Show Policy Rider Is Clear, Unambiguous

    SAN FRANCISCO — A disability insurer fails to show that a rider included in its disability income policy is not ambiguous and should be enforced, a disability claimant says, maintaining in his appellant reply brief filed in the Ninth Circuit U.S. Court of Appeals that a district court incorrectly interpreted the policy’s monthly benefit rider.

  • February 06, 2024

    Disability Insurer Breached Fiduciary Duty In Terminating Benefits, Claimant Says

    DENVER — A disability insurer breached its fiduciary duty in terminating a claim for long-term disability (LTD) benefits because the insurer mischaracterized the claimant’s medical condition and failed to follow the plan’s guidelines and procedures in handling the claim, a disability claimant alleges in a complaint filed Feb. 5 in Colorado federal court.

  • February 06, 2024

    Disability Insurer Improperly Terminated Benefits, Claimant Alleges In Complaint

    DENVER — A disability claimant alleges in a Feb. 5 complaint filed in Colorado federal court that a disability insurer acted improperly, arbitrarily and capriciously in terminating her long-term disability (LTD) benefits based on a finding that she was not disabled from performing the duties of any occupation.

  • February 02, 2024

    Insured Seeks Coverage For Claims It Violated BIPA By Using Biometric Time Clocks

    CHICAGO — An insured filed a breach of contract lawsuit in an Illinois federal court, seeking a declaration as to coverage for an underlying putative class lawsuit alleging that it violated the Illinois Biometric Privacy Act (BIPA) by using biometric time clocks to track employee working hours.

  • January 31, 2024

    Service Is Key Issue In Suit Against Reinsurer For Settlement Reimbursement

    OMAHA, Neb. — Whether a Brazil-based reinsurer was properly served has become a key issue in a suit seeking reimbursement for a settlement reached with Montana regarding alleged asbestos exposure, with an insurer telling the Nebraska federal court in a reply brief that precedent supports its bid for default judgment.

  • January 31, 2024

    4th Circuit Hears $524M Guaranty Case Involving Reinsurance Agreement

    RICHMOND, Va. — In oral argument before a Fourth Circuit U.S. Court of Appeals panel, the issuer of a guaranty contended that a judgment against him enforcing an arbitration award for $524 million plus interest should be overturned, and a Puerto Rico-based insurer countered that the terms of the agreements in question and res judicata both support affirmation.

  • January 31, 2024

    Bermuda Entities Spar In 2nd Circuit Over Bid To Revive Arbitrator Bias Row

    NEW YORK — Arguing in part that “[s]ubject matter jurisdiction could not be clearer,” a Bermuda-based reinsurer urged the Second Circuit U.S. Court of Appeals to reject a bid to revive a case involving an arbitrator and two reinsurance contracts with a Bermuda-based insurer.

  • January 31, 2024

    Insurer Amends Complaint In Coverage Dispute Over State’s Suit Against Puppyland

    TACOMA, Wash. — A commercial insurer amended its complaint seeking dismissal of the insureds’ counterclaims in its federal lawsuit seeking a declaratory judgment that its policy does not cover Washington’s unfair trade practices claims against Puppyland stores, reiterating its argument that it has no duty to defend or indemnify because the underlying claims arise out of conditions that are not covered or are specifically barred from coverage.

  • January 30, 2024

    Insurer Files Subrogation Suit Seeking $3M For Manufacturer’s Contamination Losses

    PITTSBURGH — An insurer filed a subrogation suit on behalf of its sports nutrition snack manufacturer insured in a Pennsylvania court, seeking more than $3 million for the insured’s losses arising from its use of contaminated collagen in its manufacturing process.

  • January 30, 2024

    Pollution Exclusion Bars Coverage For Chemical Explosion, Insurer Says

    HOUSTON — No coverage is owed to an insured for underlying lawsuits stemming from an explosion following the release of toxic chemicals at an oil refinery because the insured failed to provide timely notice of the incident and the policy’s pollution exclusion precludes coverage, an excess liability insurer says in a complaint filed in Texas federal court.

  • January 29, 2024

    Judge Stays Deadlines Pending Mediation Of Directors And Officers Coverage Dispute

    FORT MYERS, Fla. — A federal judge in Florida granted a joint motion filed by primary and excess directors and officers liability insurers and a global medical device company insured to stay deadlines pending their mediation to resolve the insured’s breach of contract lawsuit seeking coverage for defense and settlement costs arising from an underlying False Claims Act lawsuit.

  • January 29, 2024

    Burger King Franchisee Seeks Coverage For Suit Alleging BIPA Violations

    CHICAGO — A franchisee of the Burger King chain sued its umbrella insurer in Illinois federal court for breach of contract, seeking a declaration that the insurer has a duty to defend it against an underlying putative class lawsuit alleging that it violated the Illinois Biometric Information Protection Act (BIPA).

  • January 26, 2024

    Washington High Court To Decide Whether Condo’s Water Damage Is Covered By Policy

    OLYMPIA, Wash. — The Washington Supreme Court heard arguments from an all-risk insurer seeking the reversal of an appeals court ruling that reversed a lower court’s grant of summary judgment in the insurer’s favor in a coverage dispute stemming from condensation damage to a condominium’s roof, along with arguments from the condominium company that the reversal should be upheld.

  • January 25, 2024

    Homeowners Again Appeal Dismissal Of Defects Coverage Suit To 9th Circuit

    TACOMA, Wash. — More than seven months after the Ninth Circuit U.S. Court of Appeals dismissed for failure to prosecute homeowners’ appeal of various rulings in their suit against insurers in a coverage dispute stemming from a construction defects lawsuit over the construction of homes in a housing development, the homeowners filed a new notice of appeal in a federal court in Washington, appealing the same rulings as well as a December order dismissing the case with prejudice.

  • January 24, 2024

    Dismissal Of Construction Defects Suit Again Appealed After Reconsideration Denied

    PHILADELPHIA — A property owner has appealed to the Third Circuit U.S. Court of Appeals a district court’s second denial of his motion for reconsideration of a ruling dismissing his suit against the commercial general liability insurer of a construction company found to have performed defective renovation work on his property, adding the reconsideration denial to the appeal he filed of the lower court’s ruling granting the insurer’s motion for summary judgment.

  • January 24, 2024

    Viacom Dismisses Another Insurer From D&O Coverage Dispute In Delaware Court

    WILMINGTON, Del. — Viacom Inc. and QBE Insurance Corp. stipulated and agreed to dismiss without prejudice all claims against QBE 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.

  • January 24, 2024

    Doctors, Practices Seek Denial Of Reconsideration Or Appeal In GEICO’s RICO Suit

    TRENTON, N.J. — Doctors and their practices asked a New Jersey federal court to deny GEICO’s motion for reconsideration or interlocutory appeal of the court’s order dismissing in part GEICO’s suit alleging fraudulent billing for unnecessary medical and chiropractic services for people injured in auto accidents and eligible for no-fault coverage.

  • January 24, 2024

    Insurers Seek Interlocutory Appeal Of Delaware Judge’s Ruling Granting New Trial

    WILMINGTON, Del. — Insurers applied for certification of an interlocutory appeal of a Delaware judge’s ruling that granted the insured’s motion for a new trial in a professional liability coverage dispute arising from a Medicaid fraud investigation, arguing that the judge’s stated bases for her “extraordinary” order are both “unprecedented and at odds with settled law.”

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