Justia Insurance Law Opinion Summaries

Jon and Winifred Prime brought suit against Dawn Harlor stemming from a dispute over the Primes’ right to use a dock according to an easement Harlor had granted the the Primes. At all relevant times, Harlor was insured by Amica Mutual Insurance Company under a homeowner’s insurance policy providing that Amica would defend Harlor against claims that may result in covered damages. Amica denied Harlor’s request that Amica provide a defense in the underlying suit based on its conclusion that the suit could not result in covered damages. After Harlor settled the suit with the Primes, Harlor brought suit against Amica alleging that Amica breached the policy by failing to defend her in the underlying lawsuit. The superior court granted summary judgment for Amica, concluding that any damages that might have resulted from the underlying suit would not be covered by Harlor’s policies and, therefore, did not give rise to a duty to defend. The Supreme Court vacated the summary judgment and remanded for the entry of summary judgment in favor of Harlor, holding that Amica breached its duty to defend. Remanded for further proceedings regarding Amica’s duty to indemnify Harlor for any or all of the amount that she paid to settle the underlying action. View "Harlor v. Amica Mutual Insurance Co." on Justia Law

Plaintiff, who was injured when the car she was driving was rear-ended by an underinsured motorist, claimed uninsured/underinsured motorist coverage and medical payments coverage under two State Farm Mutual Automobile Insurance Company policies. An arbitration panel found that the accident caused Plaintiff $378,000 in damages, $125,000 of which were identified as medical costs. The parties' dispute regarding the extent of coverage available to Plaintiff proceeded to trial. The superior court determined that only one of the State Farm policies covered Plaintiff, deferred to the arbitration award as to Plaintiffs' actual damages, established the amount owed by State Farm, and reduced the arbitration award accordingly. The Supreme Court affirmed in part and vacated in part, holding (1) the superior court correctly determined that only one of the policies covered Plaintiff, but (2) the court’s decision regarding the amount due under that policy was in error. Remanded. View "Graf v. State Farm Mut. Auto. Ins. Co." on Justia Law

Plaintiff was driving her car when she was struck from behind from an underinsured motorist. Plaintiff claimed uninsured/underinsured (UM/UIM) coverage and medical payments under two State Farm Mutual Automobile Insurance Company policies and filed a complaint against State Farm seeking coverage pursuant to both policies. The parties agreed to arbitrate the amount of damages caused by the accident but to have a court decide any issues relating to the amount of UM/UIM coverage available to Plaintiff through the policies. An arbitration panel found that the accident caused Plaintiff damages of $378,000. Thereafter, the superior court concluded that Plaintiff had UM/UIM coverage under only one of the State Farm policies, deferred to the arbitration award as to Plaintiff’s actual damages, determined that she was entitled to $250,000 from State Farm, and reduced the arbitration award accordingly. The Supreme Judicial Court affirmed in part and vacated in part, holding that the superior court did not err in concluding that Plaintiff was entitled to coverage under only one of the State Farm policies but erred in deciding calculating the amount due under that policy. Remanded. View "Graf v. State Farm Mut. Auto. Ins. Co." on Justia Law

Arthur Murdock, then a lieutenant with the Maine State Police, was injured when his cruiser was struck by another vehicle after Martin Thorne indicated that Murdock could turn in front of him into an intersection. Murdock filed a four-count complaint alleging negligence against Castigliola and Thorne and seeking uninsured motorist coverage from the Maine Department of Public Safety (DPS). The superior court granted the motions for summary judgment filed by both DPS and Thorne. Murdock appealed, and DPS cross-appealed. The Supreme Judicial Court dismissed the appeals, holding that the superior court improvidently granted Murdock’s motion to enter final judgment on Murdock’s claims against Thorne and DPS pursuant to Me. R. Civ. P. 54(b)(1). View "Murdock v. Thorne" on Justia Law

Paul Galipeau was involved in a fatal accident while riding his motorcycle. Galipeau and his wife were insured under four vehicle policies issued by State farm, one on the motorcycle and the others covering three different vehicles. Each of the policies provided uninsured motorist (UM) coverage with a per-person limit of $100,000. The Estate demanded from State Farm the aggregate of each policy’s UM coverage limit, less the $50,000 recovered from the tortfeasor. State Farm paid the differential between the motorcycle policy UM limit and the amount already recovered by the Estate and otherwise refused the demand. The Estate subsequently sued State Farm for wrongful denial of coverage. The superior court entered judgment for State Farm, ruling that coverage under the three non-motorcycle policies was precluded by an “other-owned-vehicle” exclusion that each policy contained. The Supreme Court affirmed, holding that the superior court did not err in entering summary judgment for State Farm on the ground that the other-owned-vehicle exclusion in the four policies precluded coverage under the three non-motorcycle policies. View "Estate of Galipeau v. State Farm Mut. Auto. Ins. Co." on Justia Law

William Googins committed an intentional assault of Eric Benson, which resulted in Benson’s death. Benson’s estate sued Googins in tort. Googins consented to a judgment in favor of the Estate and assigned to the Estate all rights he may have had against Metropolitan Property and Casualty Insurance Company, whose potential liability stemmed from a homeowner’s policy it issued to Goggins’s grandmother that was active at the time of the assault. Pursuant to the agreement, the superior court entered a judgment against Googins, after which the Estate filed a reach-and-apply action against Metropolitan. Metropolitan filed a complaint for declaratory judgment seeking a determination as to its obligation to indemnify Googins. The superior court granted summary judgment in favor of Metropolitan, declaring that it had no contractual obligation to indemnify Googins. Specifically, the court found that the claim was precluded by an intentional loss exclusion because Googins intentionally assaulted Benson. The Supreme Judicial Court affirmed, holding that the superior court did not err in determining that Googins’s conduct was within the scope of the intentional loss exclusion. View "Metro. Prop. & Cas. Ins. Co. v. Estate of Benson" on Justia Law

Wife was a passenger on a motorcycle operated by Husband when she was injured in an accident. At the time, Wife and Husband were named insureds on a motorcycle insurance policy from Insurer. Wife filed a complaint against Husband alleging negligence in connection with the accident. A jury found Husband negligent and awarded Wife $50,000 in damages. Husband moved to amend the judgment to obtain a credit for the amount in prejudgment payments that the Insurer had made to Wife. The superior court granted Husband’s motion to amend the judgment. Wife appealed, arguing that the court erred in interpreting Me. Rev. Stat. 24-A, 2426 to allow Husband a credit against the judgment for the medical payments maximum coverage of what Insurer had already paid to Wife’s medical providers before this action was commenced. The Supreme Judicial Court vacated the order amending judgment, as the court did not determine whether the payments Insurer paid Wife’s medical providers were medical or liability payments. Remanded for a factual determination of the type of prepayments Insurer made, whether liability payments pursuant to Husband’s policy, medical payments pursuant to Wife’s policy, or some other type of payment. View "Wood v. Wood" on Justia Law