Justia Insurance Law Opinion Summaries

Articles Posted in Supreme Court of Appeals of West Virginia
by
The case involves Brian Frye, a homeowner who claimed that his property had suffered damage due to underground mine subsidence. He submitted a claim to his home insurer, Erie Insurance Company, and notified the Board of Risk Insurance and Management (BRIM) of the damages. Both Erie and BRIM investigated the claim, but both denied it, stating that the damage was not due to mine subsidence. Frye then sued Erie for breach of contract and other claims. The Circuit Court of Ohio County granted summary judgment to Erie, concluding that Erie functioned as BRIM’s agent in the adjustment of Frye’s claim. Frye moved the court to alter or amend that judgment, arguing that it threatened the constitutionality of certain West Virginia statutes.The Supreme Court of Appeals of West Virginia vacated the lower court's decision and remanded the case for further proceedings. The court found that the lower court erred by failing to notify the Attorney General of the constitutional questions raised in Frye’s motion to alter or amend the summary judgment order. The court concluded that the appropriate remedy was to vacate the lower court’s order denying Frye’s motion and to remand the matter to permit the lower court to notify the Attorney General of these proceedings in accordance with Rule 24(c) of the West Virginia Rules of Civil Procedure. View "Frye v. Erie Insurance Company" on Justia Law

by
The case in question arose from a multi-million-dollar loss suffered by Westlake Chemical Corporation and Axiall Corporation (the respondents) at their chlorine manufacturing plant in Natrium, West Virginia. The loss occurred when 90 tons of liquid chlorine leaked from a rupture in a railroad tanker car that had been recently repaired by third-party contractors. The liquid chlorine vaporized into a cloud or plume that caused corrosion damage to the equipment at the plant. The respondents claimed the damage costs from their insurance companies (the petitioners). However, the insurance companies denied coverage based on three exclusions in the insurance policies relating to corrosion, faulty workmanship, and contamination. The case reached the Supreme Court of Appeals of West Virginia, which was asked to review three orders of the Circuit Court of Marshall County, West Virginia, Business Court Division. The lower court had granted partial summary judgment to the respondents, finding that none of the three exclusions barred the respondents’ coverage claims. The Supreme Court of Appeals of West Virginia concluded that the lower court's orders were not final orders subject to appeal at this stage of the proceedings. This was due to unresolved issues of causation and damages, and because the orders did not conclusively determine the disputed controversy, resolve an important issue completely separate from the merits of the action, or were effectively unreviewable on appeal from a final judgment. Therefore, the court dismissed the appeal, without prejudice. View "NATIONAL UNION FIRE INSURANCE COMPANY OF PITTSBURGH, PA. v. WESTLAKE CHEMICAL CORPORATION" on Justia Law

by
The Supreme Court concluded that under the continuous-trigger theory, when an insurance claim is made by alleging a progressive injury caused by chemical exposure or other analogous toxic, injurious substance, damages that are caused, continuous, or progressively deteriorating throughout successive policy periods are covered by all the occurrence-based policies in effect during those periods.This case involved claims against a standardized commercial general liability (CGL) policy alleging that long-term exposure to chemicals caused a disease to develop over a number of years before being diagnosed. The exposure to the chemicals and the development of the disease, however, happened across numerous CGL policy periods. Insurer denied coverage under its CGL policies and filed a complaint for declaratory relief. The district court granted a judgment in favor of Insured, finding that Insurer owed Insured a duty to defend and indemnify under all of its policies. The Supreme Court answered a certified question that, under the continuous-trigger theory, when a claim is made alleging a progressive injury caused by chemical exposure or other analogous harm, every occurrence-based policy in effect from the initial exposure, through the latency and development period and up to the manifestation of the bodily illness, is triggered and must cover the claim. View "Westfield Insurance Co. v. Sistersville Tank Works, Inc." on Justia Law

by
The Supreme Court reversed the judgment of the circuit court affirming the rules of the West Virginia Health Care Authority (WVHCA) denying War Memorial Hospital, Inc.'s (Hospital) certificate of need exemption application that would have allowed Hospital to acquire and utilize a fixed magnetic resonance imagining (MRI) scanner at its medical office building, holding that the circuit court erred.The WVHCA denied the Hospital's exemption application on the grounds that the MRI device would not be used in the Hospital's facility but, rather, that the Hospital intended to place the MRI device in a building in another country that was owned by the Hospital's parent corporation. The circuit court affirmed. The Supreme Court reversed, holding that there is no location-specific requirement in W. Va. Code 16-2D-11(c)(27) that the MRI the Hospital sought to acquire be utilized at its "primary hospital location." View "War Memorial Hospital v. W. Va. Health Care Authority" on Justia Law

by
The Supreme Court reversed the judgment of the circuit court concluding that that an insurance policy's "Employer's Liability" exclusion (ELE) was inapplicable to Plaintiff's wrongful death action against Defendant, holding that the circuit court erred.Jeremy Neice was killed in Pennsylvania while working in an underground coal mine owned by Dana Mining Company of Pennsylvania, LLC. The circuit court concluded that Federal Insurance Company owed Dana Mining defense and indemnity pursuant to a liability insurance policy under which Dana Mining was a named assured and that the policy's ELE was inapplicable to the wrongful death action brought by Jenny Neice, the administrator of Jeremy's estate. The Supreme Court reversed, holding that Pennsylvania courts would adhere to the majority rule in their interpretation and application of the ELE at issue, finding that it barred coverage for Dana Mining as to Plaintiff's claims. View "Federal Insurance Co. v. Neice" on Justia Law

by
Supreme Court affirmed in part and reversed in part three orders issued by two separate judges presiding over two separate but related cases in the circuit court, holding that remand was required.Specifically, the Supreme Court held that the circuit court (1) did not err in denying Praetorian Insurance Company's motion to intervene in Plaintiff's wrongful death action against its insured, Air Cargo Carriers, LLC for lack of standing to assert Air Cargo's right to workers' compensation immunity; (2) erred in denying Praetorian's motion for summary judgment as to count one of its declaratory judgment complaint; and (3) correctly dismissed count two of Praetorian's declaratory judgment complaint on the grounds that Praetorian lacked standing. View "Praetorian Insurance Co. v. Chau" on Justia Law

by
The Supreme Court answered a certified question from the United States Court of Appeals for the Fourth Circuit concerning the amount of motor vehicle liability insurance coverage, if any, that Insurer must provide to a non-employee permissive user of an insured vehicle who caused personal injuries to an employee of a named insured under a standard commercial automobile insurance policy.The Fourth Circuit determined that an employee indemnification and employer's liability's exclusion in the policy at issue was void and unenforceable under the mandatory omnibus requirements of W. Va. Code 33-6-31(a). The Supreme Court answered (1) the void exclusion may not be invoked to limit the amount of coverage available to a permissive user of a vehicle insured by Insurer's policy; and (2) Insurer must afford the permissive user with liability coverage up to the full limits available under the insurance policy for any proven damages. View "Ball v. United Financial Casualty Co." on Justia Law

by
The Supreme Court reversed the circuit court's grant of summary judgment in favor of Allstate Vehicle and Property Insurance Company's decision to rescind an insurance policy purchased for a derelict house Homeowner intended to remodel, holding that questions of material fact existed precluding summary judgment.After a fire occurred, damaging the house and some of its contents, Allstate announced that it was rescinding the homeowners' insurance policy issued to Homeowner, asserting that Homeowner digitally signed an application in which he falsely answered a request as to whether he would occupy the house within thirty days. Plaintiffs, including Homeowner, sued Allstate for breach of contract and unfair trade practices. The circuit court granted Allstate's motion to rescind the policy, concluding that there was no factual dispute that Homeowner had made false statements on his insurance application. The Supreme Court reversed and remanded the case for further proceedings, holding that questions of material fact existed regarding whether Plaintiff's answer to Allstate's thirty-day-occupancy question was false and whether the question was material to Allstate's issuance of the policy. View "McDowell v. Allstate Vehicle & Property Insurance Co." on Justia Law

by
The Supreme Court reversed the judgment of the circuit court granting Respondents' motion for partial summary judgment in this insurance dispute, holding that the circuit court's order failed to set forth factual findings sufficient to permit meaningful appellate review.State Farm Fire and Casualty Company appealed the circuit court's partial summary judgment, arguing that the circuit court erred in finding coverage for a bat infestation under a rental dwelling policy it issued to Respondents. The Supreme Court reversed and remanded this action to the circuit court for further development, holding that the circuit court's order was not adequately set forth, leaving the Court unable to determine whether Respondents' motion for partial summary judgment was correctly granted. View "State Farm Fire & Casualty Co. v. Nathaniel Realty, LLC" on Justia Law

by
In this insurance dispute, the Supreme Court affirmed the orders of the circuit court granting partial summary judgment to Insured, denying summary judgment to Insurer, and awarding Insured her attorney's fees, holding that there was no error.At issue in this case was the "medical payments coverage" provision in Insured's automobile insurance contract that required that Insurer reimburse Insured for any medical expenses she "incurred" in an accident. The circuit court concluded that the contract obligated Insurer to reimburse Insured the full amount of Insured's medical bill she received after an automobile accident and further concluded that Insurer was required to reimburse Insured for her attorney's fees. The Supreme Court affirmed, holding (1) there was no error in the circuit court's interpretation of the medical payments provision in the insurance contract; and (2) there was no error in the circuit court's rulings on costs and attorney's fees. View "Auto Club Property Casualty Insurance Co. v. Moser" on Justia Law