Justia Insurance Law Opinion Summaries

An attorney with over two decades of experience brought suit against an insurance company and its agent after his life insurance policy lapsed due to a missed payment. He claimed to have cured the lapse by paying the overdue premium and submitting required information, and alleged that the insurer confirmed reinstatement before later refunding his payment and rescinding the reinstatement. The insurer denied ever reinstating the policy and asserted it had expired by its own terms. The attorney filed suit in state court, alleging breach of contract and other claims. After removal to federal court, the parties mediated and signed a settlement memorandum outlining five essential terms, including a $10,000 payment to the plaintiff and mutual releases. The memorandum stated that final settlement language would use standard contractual terms.After mediation, the plaintiff refused to sign the draft settlement agreement, objecting to a non-reliance clause he claimed was not discussed during mediation. He also began raising new questions about the status of his insurance policy. He moved to vacate the settlement and sought further discovery, while the defendants moved to enforce the settlement. The United States District Court for the Western District of Missouri held an evidentiary hearing, which the plaintiff missed, and then granted the defendants’ motion to enforce the settlement and denied the plaintiff’s motions. The plaintiff’s motion for rehearing was also denied.On appeal, the United States Court of Appeals for the Eighth Circuit held that the settlement memorandum contained all essential terms and that the non-reliance clause in the draft agreement was standard language, not a material new term. The court found no clear error in the district court’s factual findings and no abuse of discretion in denying a new hearing. The Eighth Circuit affirmed the district court’s judgment enforcing the settlement. View "Schlecht v. Goldman" on Justia Law

Nearly a million barrels of crude oil owned by a U.S. company were seized from a vessel in Venezuelan waters by Venezuelan authorities under threat of force. The oil was insured under a marine cargo reinsurance policy that covered losses arising from war-related risks, including “insurrection.” The insured company claimed that the political turmoil in Venezuela, including the contested presidency and violent suppression of opposition, constituted an insurrection as defined by the policy. The reinsurers denied coverage, arguing that the events did not meet the policy’s definition of insurrection, leading to litigation.The United States District Court for the Southern District of New York reviewed cross-motions for summary judgment. The court found the term “insurrection” in the policy to be ambiguous and, applying New York law and the doctrine of contra proferentem, construed the ambiguity in favor of the insured. The court held that the Maduro regime’s actions constituted an insurrection within the meaning of the policy. The case proceeded to trial on causation and damages, where the jury found in favor of the insured on most issues, awarding over $54 million in damages plus interest.On appeal, the United States Court of Appeals for the Second Circuit considered challenges to the district court’s summary judgment ruling, judicial notice orders, and jury instructions on causation. The Second Circuit held that the district court did not err or abuse its discretion in any of the challenged rulings. It affirmed that the policy’s “arising from” language required only but-for causation, not proximate causation. The court affirmed the district court’s judgment in all respects, upholding the award to the insured. View "CITGO Petroleum Corp. v. Ascot Underwriting Ltd." on Justia Law

A law firm sought defense and indemnification from its professional liability insurer after being sued in New York state court by a judgment creditor of its client. The creditor alleged that the firm facilitated the sale of the client’s diamond ring and received a portion of the proceeds to satisfy past fees and as a retainer for future services, despite a restraining notice prohibiting the client from transferring assets due to an unpaid judgment. The state court complaint accused the firm of fraudulent conveyance, tortious interference with judgment collection, and contempt of court.The United States District Court for the Western District of New York dismissed the law firm’s claims for defense and indemnification and denied its motion for partial summary judgment regarding the insurer’s duty to defend. The district court found that the policy’s misappropriation exclusion applied, concluding that the firm’s handling of the sale proceeds was unauthorized in light of the restraining notice, regardless of the client’s consent.On appeal, the United States Court of Appeals for the Second Circuit reviewed the district court’s rulings de novo. Applying New York law, the Second Circuit held that the allegations in the underlying complaint involved the provision of professional services by the law firm and did not constitute “misappropriation” as commonly understood, since there was no allegation that the firm acted without its client’s authorization. The court found the term “misappropriation” ambiguous and construed it in favor of the insured. The Second Circuit vacated the district court’s dismissal, reversed the denial of partial summary judgment on the duty to defend, and remanded with instructions to enter partial summary judgment for the law firm on the insurer’s duty to defend. The court did not address other policy exclusions or the insurer’s ultimate duty to indemnify. View "Marcus & Cinelli, LLP v. Aspen Am. Ins. Co." on Justia Law

A serious automobile accident occurred in June 2018 involving Tommi Hummel, who was insured by Standard Fire Insurance Company. The accident resulted in severe injuries to Bradley Baldwin and John Hopkins, both of whom were involved in the crash, while a third passenger, Jill McCarty, left the scene. Hummel’s insurance policy provided $50,000 per person and $100,000 per accident in bodily injury liability coverage. After the accident, Baldwin sued the Hummels for negligence and made a time-limited settlement demand for the $50,000 per-person policy limit. Standard Fire, recognizing that multiple claims could exceed the policy limits, rejected Baldwin’s demand and instead filed an interpleader action, depositing the $100,000 policy limit with the trial court and naming all potential claimants.The Marshall County Circuit Court granted summary judgment for Standard Fire, finding that it had not breached any duty to its insureds and was released from further liability. The Indiana Court of Appeals affirmed in part but reversed on the issues of breach of the duty of good faith and bad faith, holding that genuine issues of material fact existed regarding Standard Fire’s rejection of Baldwin’s settlement demand and its conduct in filing the interpleader action.The Indiana Supreme Court reviewed the case and affirmed the trial court’s grant of summary judgment for Standard Fire. The Court adopted Section 26 of the Second Restatement of Liability Insurance, establishing that an insurer facing multiple claims against insufficient policy limits fulfills its duty of good faith by filing an interpleader action, naming all known claimants, depositing policy limits with the court, and continuing to defend the insured. The Court held that Standard Fire’s actions satisfied this standard and did not constitute a breach of the duty of good faith or bad faith. View "Baldwin v. The Standard Fire Insurance Co." on Justia Law

Nilfisk, Inc. leased a large warehouse building in Springdale, Arkansas from Fort Worth Partners, LLC under an industrial lease that required Nilfisk to maintain property insurance covering the full replacement cost of the building, excluding certain foundation and below-grade structures. In March 2022, a tornado destroyed the building, and Nilfisk’s insurance coverage at the time was significantly less than the full replacement cost required by the lease. Fort Worth Partners sued Nilfisk and its parent company for breach of contract, seeking damages equal to the full replacement cost that would have been covered by adequate insurance.The United States District Court for the Western District of Arkansas reviewed cross-motions for summary judgment. It denied Nilfisk’s motion and granted Fort Worth Partners’ motion in part, finding Nilfisk had breached its insurance obligation under the lease. The court held a bench trial to determine damages, considering expert testimony from both parties. It awarded Fort Worth Partners damages for the building’s replacement cost, excluding foundation damages per the lease, and also awarded attorney’s fees and costs, with reductions for limited success and prevailing local rates. Nilfisk appealed the denial of summary judgment and the damages award, while Fort Worth Partners cross-appealed aspects of the damages and fee awards.The United States Court of Appeals for the Eighth Circuit affirmed the district court’s grant of partial summary judgment for Fort Worth Partners and its denial of Nilfisk’s summary judgment motion. The appellate court held that Fort Worth Partners’ claim was timely, as each deficient insurance policy constituted a separate breach with its own limitations period. The court also affirmed the district court’s interpretation of the lease excluding all foundation damages and upheld the reduction in attorney’s fees. However, it reversed and remanded the damages award for unrebutted costs, instructing the district court to make specific factual findings supporting that portion of the award. View "Fort Worth Partners, LLC v. Nilfisk, Inc." on Justia Law

This case arises from a 2004 automobile accident in which one driver, LaMoin Larkin, died. Larkin’s insurer paid benefits to his estate and then sued the surviving driver, Jared Weston, for negligence, also seeking a declaratory judgment that Weston was insured by Farmers Insurance Exchange at the time of the accident. Farmers Insurance Exchange denied coverage, claiming the policy had been cancelled prior to the accident. Weston filed a crossclaim against Farmers, alleging breach of the duty to defend. Weston and Larkin’s insurer arbitrated the negligence claim, resulting in a finding of liability against Weston and a judgment entered in 2009.The Third District Court, Salt Lake County, confirmed the arbitration award and entered judgment. It later held a bench trial to resolve whether Farmers had properly cancelled Weston’s policy, ultimately finding the cancellation was valid and that Weston was not insured at the time of the accident. The court also granted summary judgment that Farmers had breached its duty to defend Weston, as the complaint raised a genuine issue regarding cancellation. Subsequent proceedings addressed damages, including emotional distress and attorney fees. The district court found Weston failed to prove emotional distress caused by the breach and reduced damages to zero. The court also ruled that the 2009 judgment had not expired, allowing it to be amended to include interest and costs.The Utah Court of Appeals affirmed the district court’s findings on cancellation, breach of duty to defend, and emotional distress, but reversed on consequential damages, holding Farmers liable for the arbitration judgment and related attorney fees. On certiorari, the Supreme Court of the State of Utah held that the 2009 judgment expired in 2017 under Utah law, reversing the court of appeals on that issue and vacating the award of damages and attorney fees based on the expired judgment. The Supreme Court affirmed that Farmers breached its duty to defend but found no basis for damages or attorney fees due to the expiration of the judgment. View "Farm Bureau v. Weston" on Justia Law

L Squared Industries, Inc., a Florida-based operator of gas stations, purchased a storage tank liability insurance policy from Nautilus Insurance Company to cover cleanup costs resulting from pollution caused by underground storage tank discharges. In 2018, after a consultant’s report identified groundwater contamination at one of its stations, L Squared did not notify Nautilus of the pollution condition until eight months later, despite a policy requirement to provide notice within seven days of becoming aware of such a condition. L Squared subsequently sought indemnification from Nautilus for cleanup and defense costs, but Nautilus denied coverage.L Squared filed suit in Florida state court, seeking a declaration of coverage and damages for breach of contract. The case was removed to the United States District Court for the Middle District of Florida. Both parties moved for summary judgment. The district court granted summary judgment to Nautilus, finding that L Squared failed to comply with the policy’s seven-day notice provision, and thus Nautilus had no duty to defend or indemnify. L Squared’s motion for reconsideration was denied, and it appealed.The United States Court of Appeals for the Eleventh Circuit reviewed the district court’s summary judgment order de novo. The appellate court held that, under Florida law, when an insured breaches a prompt-notice provision but provides notice within the policy period, coverage is not automatically forfeited; rather, the insurer is presumed prejudiced, but the insured may rebut this presumption. In this case, L Squared failed to timely raise arguments or evidence to rebut the presumption of prejudice. The Eleventh Circuit affirmed the district court’s grant of summary judgment in favor of Nautilus, holding that L Squared’s failure to comply with the seven-day notice provision barred coverage. View "L. Squared Industries, Inc. v. Nautilus Insurance Company" on Justia Law

A group of insurance policyholders, known as subscribers, challenged the actions of a company that manages a reciprocal insurance exchange. The subscribers alleged that the company, acting as attorney-in-fact, breached its fiduciary duty by setting its management fee at the maximum allowed percentage and by failing to implement procedures to address conflicts of interest in 2019 and 2020. These claims arose after the company had previously changed its fee practices, which had already prompted earlier lawsuits by other subscribers over different time periods and types of fees.Prior to the current appeal, the United States District Court for the Western District of Pennsylvania had dismissed earlier lawsuits—Beltz and Ritz—on grounds including the statute of limitations and claim preclusion. In the Ritz case, the court found that the claims were precluded because they could have been brought in the earlier Beltz litigation, and that the parties were in privity. The Stephenson plaintiffs, whose claims were based on later events, filed suit in state court. The company then sought and obtained a preliminary injunction from the District Court to prevent the Stephenson plaintiffs from proceeding, arguing that the prior federal judgments had preclusive effect.The United States Court of Appeals for the Third Circuit reviewed the District Court’s order granting the preliminary injunction. The Third Circuit held that the prior federal judgments did not have claim or issue preclusive effect over the Stephenson plaintiffs’ claims, as those claims were based on events that occurred after the earlier lawsuits were filed. The court concluded that the District Court abused its discretion in granting the preliminary injunction and vacated the order, remanding the case for further proceedings. View "Erie Indemnity Co v. Stephenson" on Justia Law

A Tennessee resident insured by State Farm had her vehicle declared a total loss after an accident. State Farm calculated the payout for her claim using a valuation method provided by Audatex, which included a “Typical Negotiation Adjustment” (TNA) that reduced the value based on the assumption that used cars typically sell for less than their advertised price. The plaintiff argued that this adjustment did not reflect actual market practices and unfairly reduced the payout, constituting a breach of contract and a violation of Tennessee law. She filed a class action on behalf of similarly situated State Farm policyholders in Tennessee who received payouts calculated with the TNA.After the plaintiff filed suit in Tennessee state court, State Farm removed the case to the United States District Court for the Western District of Tennessee. The district court denied State Farm’s initial summary judgment motion but enforced the policy’s appraisal provision, leading to an appraisal process in which the plaintiff ultimately received a higher payout. State Farm then argued that the plaintiff’s claims were moot or lacked standing because she had been paid the appraised value, but the district court rejected this argument, finding her claims for breach of contract and consequential damages survived. The district court certified a class of Tennessee policyholders who received payouts reduced by the TNA, finding the requirements of Federal Rule of Civil Procedure 23 were met.The United States Court of Appeals for the Sixth Circuit reviewed the class certification. The court held that the plaintiff had standing to pursue her claims and that the class satisfied the requirements of numerosity, commonality, typicality, adequacy, predominance, superiority, and ascertainability. The court distinguished its approach from other circuits, emphasizing that common questions about the propriety of the TNA predominated over individualized damages issues. The Sixth Circuit affirmed the district court’s order certifying the class and remanded for further proceedings. View "Clippinger v. State Farm Automobile Insurance Co." on Justia Law

Curtis Diblin and Monee Gagliardo were housemates when Diblin attacked Gagliardo with a rubber mallet, causing significant injuries. Diblin was criminally prosecuted and pled guilty to assault with intent to commit a sexual crime. Gagliardo then filed a civil suit against Diblin, alleging several intentional torts and negligence, all based on the attack. The operative complaint at trial did not allege any facts suggesting accidental conduct or negligence unrelated to the assault. Diblin’s homeowners insurance policy with State Farm covered injuries arising from an “occurrence,” defined as an “accident,” and excluded coverage for intentional or willful acts.In the San Diego County Superior Court, a jury found Diblin liable for gender violence (an intentional tort) and negligence, awarding Gagliardo over $2.5 million in compensatory damages. The jury also found Diblin acted with malice and oppression, supporting punitive damages, though Gagliardo later waived her right to punitive damages. State Farm, having defended Diblin under a reservation of rights, filed a declaratory relief action seeking a determination that it owed no duty to indemnify Diblin for the judgment.The California Court of Appeal, Fourth Appellate District, Division One, reviewed the trial court’s judgment in favor of State Farm. The appellate court held that the jury’s findings in the underlying action established Diblin’s conduct was intentional, not accidental, and therefore not a covered “occurrence” under the policy. The court rejected arguments that the negligence finding mandated coverage or that the concurrent independent causes doctrine applied, finding the injury-producing conduct was not independent of the intentional act. The court also found no need for a new jury to determine intent for exclusion purposes. The judgment in favor of State Farm was affirmed. View "State Farm Fire and Casualty Co. v. Diblin" on Justia Law