Justia Insurance Law Opinion Summaries

Articles Posted in Personal Injury
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When asked to decide the rate at which interest on a $7.8 million judgment Plaintiff obtained against the State accrued pending appeal, the Supreme Court held that the interest rate prescribed by Ariz. Rev. Stat. 41-622(F) applied to the judgment.Plaintiff filed this negligence action against the state, and the jury awarded her $7.8 million. The State’s appeal was unsuccessful. While the judgment was supposed to be paid from the State’s Risk Management Revolving Fund, the judgment was erroneously paid from the Construction Insurance Fund (CIF). When the mistake was discovered, the CIF was reimbursed from the Revolving Fund. In 2015, the parties filed cross-motions for summary judgment to resolve the calculation of post-judgment interest. At issue was whether, because the judgment had initially been paid from the CIF, it was subject to the rate of interest prescribed by Ariz. Rev. Stat. 44-1201(B) instead of the lower rate prescribed by section 44-622(F) for judgments paid from the Revolving Fund. The superior court concluded that the lower rate applied. The Supreme Court affirmed, holding that section 41-622(F) applied to the entire judgment, including any portion for which the State may be reimbursed by its excess insurance coverage. View "Glazer v. State" on Justia Law

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At issue was the availability of homeowner’s liability insurance coverage for damages resulting from injuries Jonathan Ben-Ami received after Joshua Francoeur, a fellow high-school student, punched Ben-Ami a number of times in the face.Francoeur was the son of the named insured under a policy issued by Vermont Mutual Insurance Company. The superior court entered a declaratory judgment determining that Francoeur’s tortious conduct did not fall within a policy exclusion from coverage for bodily injury that is “expected or intended,” and therefore, that Ben-Ami was entitled to indemnification under the policy. The Supreme Judicial Court vacated the judgment and remanded for entry of judgment for Vermont Mutual, holding that Francoeur’s specific conduct established that the damages he inflicted on Ben-Ami were “expected” and therefore excluded from coverage by the Vermont Mutual policy. View "Vermont Mutual Insurance Co. v. Ben-Ami" on Justia Law

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In this insurance dispute, the Supreme Court reversed in part the entry of summary judgment in Plaintiff’s declaratory action regarding underinsured motorist coverage (UIM) in favor of Farmers Insurance Exchange, holding that the district court erred by holding that Farmers could offset its underinsured motorist coverage (UIM) obligation to Plaintiff dollar-for-dollar with GEICO’s entire UIM payment.Plaintiff was one of five passengers injured in an accident. The tortfeasor was underinsured by $48,686 as to Plaintiff’s damages. The vehicle in which Plaintiff was a passenger was insured by GEICO, and Plaintiff carried personal vehicle coverage with Farmers, including medical payment (MedPay) coverage and UIM coverage. GEICO paid Plaintiff its individual UIM coverage limit and Farmers paid Plaintiff under her MedPay coverage. In total, Plaintiff received payments of $2,500 less than her total stipulated damages. Disputes Plaintiff had with Farmers led Plaintiff to file this declaratory action. The district court held in Farmers’ favor on the two contested issues. The Supreme Court held (1) the policy language did not permit Farmers to offset its UIM obligation dollar-for-dollar with the entire GEICO UIM payment; (2) Farmers was entitled to offset its UIM obligation with its MedPay payments to Plaintiff; and (3) Plaintiff was entitled to recover attorney fees. View "Cramer v. Farmers Insurance Exchange" on Justia Law

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Plaintiffs suffer from asbestos disease as a result of exposure to Grace's Montana mining and processing operations and sought to hold Grace’s insurers (CNA), liable for negligence. CNA sought to enforce a third-party claims channeling injunction entered under Grace’s confirmed plan of reorganization to bar the claims. Bankruptcy Code section 524(g) allows an injunction that channels asbestos mass-tort liability to a trust set up to compensate persons injured by the debtor’s asbestos; channeling injunctions can also protect the interests of non-debtors, such as insurers.The Third Circuit rejected the Plaintiffs’ argument that the Plan and Settlement Agreement’s terms preserved all of CNA’s duties as a workers’ compensation insurer in order to avoid preempting the state’s workers’ compensation laws. The court then applied a three-part analysis: Section 524(g)(4)(A)(ii) allows injunctions to “bar any action directed against a third party who is identifiable . . . and is alleged to be directly or indirectly liable for the conduct of, claims against, or demands on the debtor [that] . . . arises by reason of one of four statutory relationships between the third party and the debtor.” CNA is identified in the Injunction, satisfying the first requirement. Analysis of the second factor requires review of the law to determine whether the third-party’s liability is wholly separate from the debtor’s liability or instead depends on it. The Bankruptcy Court must make that determination, and, with respect to the “statutory relationship” factor, should review the law and determine whether CNA’s provision of insurance to Grace is relevant legally to the Montana Claims. View "W.R. Grace & Co. v. Carr" on Justia Law

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In 2013, Tarinika Smith and twelve minor children (collectively Plaintiffs) were involved in an automobile accident with a vehicle driven by Adlai Johnson. Smith was operating a passenger van owned by Mount Vernon Missionary Baptist Church (Mt. Vernon), located in Rossville, Tennessee, which was transporting the children. The accident occurred in Marshall County, Mississippi. At the time of the collision, Smith was pregnant. Plaintiffs and Johnson were all Tennessee residents. The Marshall County Circuit Court entered an order dismissing Johnson from the suit for Plaintiffs’ failure to timely serve him. Church Mutual Insurance Company (“Church Mutual”), Mt. Vernon's insurer, moved to have the trial court declare that Tennessee substantive law controlled the case. After the trial court so declared, Church Mutual moved for summary judgment based on Tennessee law prohibiting direct actions against insurers for uninsured motorist (“UM”) claims. The trial court then entered summary judgment in favor of Church Mutual. Plaintiffs sought interlocutory review of all three rulings. The Mississippi Supreme Court found no error in the dismissal of Johnson for Plaintiffs’ failure to serve. Furthermore, the Supreme Court found no error with the trial court applying Tennessee law to determine whether the contract provided UM coverage to Plaintiffs. However, the Court determined the trial court erred in applying Tennessee substantive law. Therefore, the Court reversed those judgments of the Marshall County Circuit Court and remand for further proceedings. View "Smith v. Church Mutual Insurance Company" on Justia Law

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Plaintiff Ali Bazzi, was injured while driving a vehicle owned by his mother, third-party defendant Hala Baydoun Bazzi, and insured by defendant Sentinel Insurance Company (Sentinel). Plaintiff sued Sentinel for mandatory personal protection insurance (PIP) benefits under Michigan’s no-fault act, and Sentinel sought and obtained a default judgment rescinding the insurance policy on the basis of fraud. The issue this case presented for the Michigan Supreme Court was whether the judicially created innocent-third-party rule, which precludes an insurer from rescinding an insurance policy procured through fraud when there is a claim involving an innocent third party, survived its decision in Titan Ins Co v. Hyten, 817 NW2d 562 (2012), which abrogated the judicially created easily-ascertainable-fraud rule. The Supreme Court held "Titan" abrogated the innocent-third-party rule but that the Court of Appeals erred when it concluded that Sentinel was automatically entitled to rescission in this instance. Accordingly, the Court affirmed in part, reversed in part, and remanded to the trial court to consider whether, in its discretion, rescission was an available remedy. View "Bazzi v. Sentinel Ins. Co." on Justia Law

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In this insurance dispute brought by Espenschied Transport Corp., the Supreme Court affirmed the judgment of the district court granting summary judgment to Fleetwood Services, Inc. and Wilshire Insurance Company.Espenschied used Fleetwood to procure insurance. In 2003, Fleetwood obtained an insurance policy from Wilshire meant to cover all of Espenschied’s vehicles and trailers, but Fleetwood gave Wilshire an incorrect list not containing all of Espenschied’s insured vehicles. Therefore, Espenschied believed that certain equipment was covered by the insurance policy when, in fact, it was not. One of Espenschied’s trailers that was not on the policy schedule was involved in a deadly accident. In the resulting litigation, Wilshire refused to defend Espenschied, causing Espenschied to incur a consent judgment and attorney fees. Espenschied subsequently sued Fleetwood and Wilshire. In granting summary judgment, the district court concluded (1) Espenschied had suffered no damages; and (2) the trailer was not on Wilshire’s insurance policy and Fleetwood was not Wilshire’s agent, and Wilshire could have no vicarious liability because Fleetwood had no liability. The Supreme Court affirmed, holding (1) Espenschied was unable to raise a dispute of material fact as to damages; and (2) Espenschied failed to argue why Wilshire should have vicarious liability when Fleetwood had no liability. View "Espensched Transport Corp. v. Fleetwood Services, Inc." on Justia Law

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The United States District Court for the District of South Carolina certified a question of law to the South Carolina Supreme Court. Jack Poole and his wife, Jennifer, were riding in a vehicle owned by Doris Knight, Jennifer's mother, when a drunk driver crossed the center line and struck them. The Pooles were both seriously injured in the collision; although Jack survived, Jennifer's catastrophic injuries resulted in her death several days later. In contrast with the substantial bodily injuries, the Pooles sustained minimal property damage because they did not own the vehicle. The at-fault driver's liability carrier tendered its policy limits. Farm Bureau, the insurer on Knight's vehicle, then tendered its underinsured motorist (UIM) policy limits for bodily injury to Jack individually and to Jack as the representative of Jennifer's estate. The Pooles then sought recovery from their own insurer, Government Employees Insurance Company (GEICO), which provided them a split limits UIM policy with bodily injury coverage of up to $100,000 per person and $50,000 for property damage. GEICO tendered the UIM bodily injury limits of $100,000 each for Jack and Jennifer's estate. The Pooles requested another $50,000 from the UIM policy's property damage coverage in anticipation of a large punitive damages award, but GEICO refused. GEICO then initiated a declaratory judgment action with the federal district court to establish that it was not liable to pay any amounts for punitive damages under the property damage provision of the UIM policy because the source of the Pooles' UIM damages was traceable only to bodily injury. The federal court asked the South Carolina Supreme Court whether, under South Carolina law, when an insured seeks coverage under an automobile insurance policy, must punitive damages be apportioned pro rata between those sustained for bodily injury and those sustained for property damage where the insurance policy is a split limits policy? The Supreme Court answered the question, "No." View "Government Employees Insurance Company v. Poole" on Justia Law

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The circuit court erroneously declared the law when it concluded that an employee’s violation of employer’s rules regarding vehicle operation were sufficient to preclude coverage under the omnibus clause of the employer’s insurance policy.James Campbell, an employee of BNSF Railway Company, rear-ended Ricky Lee Griffitts while driving a BNSF company vehicle. Campbell was intoxicated at the time of the collision. Numerous lawsuits ensued. This appeal was from an equitable garnishment action that Griffitts filed against BNSF and its insurer, Old Republic (collectively, Respondents), to collect on an unsatisfied judgment entered against Campbell in an earlier action. In this action, Griffitts claimed that Campbell was a permissive user under the omnibus clause of the insurance policy Old Republic issued to BNSF. The circuit court concluded that Campbell did not have permission to use the company vehicle at the time of the accident due to his violation of BNSF’s policy on the use of alcohol and drugs, and therefore, Campbell was not a permissive user under the omnibus clause. The Supreme Court reversed, holding that Campbell had permission to use the company vehicle at the time of the accident and that it did not matter, for purposes of insurance coverage, that Campbell was drunk. View "Griffitts v. Old Republic Insurance Co." on Justia Law

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In this workers’ compensation case, the issue presented for the Louisiana Supreme Court’s review centered on whether the employer’s appeal, taken with devolutive appeal delays but outside of the suspensive appeal delays, was timely under the special provisions of La. R.S. 23:1310.5(C). While the Court acknowledged La. R.S. 23:1310.5 “is not a model of legislative clarity,” the Court broadly interpreted the statute to find nothing specified the time period in which this appeal have to be filed. The Court found the appeal should have been maintained as timely, but because the appeal was devolutive in nature, the judgment awarding benefits was subject to immediate execution. View "Jackson v. Family Dollar Stores of Louisiana, Inc." on Justia Law