Justia Insurance Law Opinion Summaries

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The issue this matter presented for the Supreme Court's review centered on a discovery dispute between plaintiff Stephen Rumnock and defendant American Family Mutual Insurance Company. After being ordered to produce documents that Rumnock requested, American Family disclosed some and simultaneously moved for a protective order. The motion sought to preclude Rumnock from using or disclosing the documents (alleged to be trade secrets) outside of this litigation. The trial court granted in part and denied in part, ordering that the alleged trade secrets not be shared with American Family's competitors, but declining to further limit their use. American Family petitioned the Colorado Supreme Court to direct the trial court to enter the protective order. The Supreme Court declined to do so, finding that American Family failed to present to the trial court evidence demonstrating the documents were trade secrets or otherwise confidential commercial information. View "In re Rumnock v. Anschutz" on Justia Law

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Defendants April Steele Benton and John Benton and State Farm Mutual Automobile Insurance Company ("State Farm"), petitioned for a writ of mandamus to direct the Bibb Circuit Court to vacate its July 18, 2016, order denying the Bentons' and State Farm's motion to transfer this action from the Bibb Circuit Court to the Shelby Circuit Court and to enter an order granting the motion. In 2014, April Steele Benton, a resident of Bibb County, and Amir Alan Ebrahimi, a resident of Shelby County, were involved in a two-vehicle collision in Shelby County. Following the collision, Ebrahimi was transported from the scene of the accident by Regional Paramedical Services to the University of Alabama at Birmingham Medical Center ("UAB"), where he received treatment for his injuries. Ebrahimi filed a complaint in the Bibb Circuit Court against April Steele Benton; John Benton, the owner of the car April was driving; and State Farm, Ebrahimi's underinsured-motorist carrier. The Bentons filed a motion to transfer the action to Shelby County based on the doctrine of forum non conveniens. The Bentons argued in their motion that Shelby County had a stronger connection to the case because: (1) the accident occurred in Shelby County; (2) the Pelham Police Department, located in Shelby County, investigated the accident; (3) Ebrahimi resided in Calera, located in Shelby County; (4) the first responders, employees of Regional Paramedical Services, were located in Shelby County; (5) Ebrahimi was treated at UAB, which was closer to Shelby County than to Bibb County; and (6) the only connection this action has with Bibb County was the fact that the Bentons, resided there. The Supreme Court found that the trial court should have granted the Bentons' motion for a change of venue, and accordingly, issued the writ of mandamus to direct the trial court to deny the motion and transfer the action to Shelby County. View "Ex parte Benton et al." on Justia Law

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Plaintiffs brought a purported class action to recover damages resulting from an alleged scheme to inflate the interest rate delinquent property taxpayers in Madison County, Illinois, were compelled to pay to those who purchased delinquent taxpayer debt. Former Madison County Treasurer and Collector (Bathon) had purportedly agreed with certain defendants to manipulate the delinquent tax purchasing system, so that delinquent taxpayers were required to pay the maximum allowable interest to the purchasers of their tax debt to discharge the liens and redeem their properties. The purchasers of the tax debt allegedly provided financial support to Bathon. Plaintiffs brought suit against those involved in the scheme, Madison County, and RLI, the entity acting as surety on Bathon’s statutory public official bond under 55 ILCS 5/3-10003 and 35 ILCS 200/19-40. The bond identified “Madison County Government” as the named obligee. The court dismissed, finding that plaintiffs were not proper claimants under the terms of the public official bond or under the statutes. The appellate court affirmed. The Illinois Supreme Court affirmed. Private citizens are precluded from making claims on the statutorily mandated public official bond at issue. View "Bueker v. Madison County" on Justia Law

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Dakota Mill & Grain, Inc. filed suit against Gateway Building Systems, Inc. Gateway had purchased a commercial general liability insurance policy from Western National Mutual Insurance Company, which was in effect during the period at issue. Western National provided Gateway with a defense in the action but issued a reservation of rights letter. Western National subsequently filed a complaint for declaratory judgment regarding coverage under the policy. The circuit court granted summary judgment in favor of Western National, concluding that the policy between Gateway and Western National provided an initial grant of coverage in the Dakota Mill suit but that exclusions defeated coverage. The Supreme Court reversed, holding that disputed material facts precluded summary judgment in this declaratory action. Remanded. View "Western National Mutual Insurance Co. v. Gateway Building Systems, Inc." on Justia Law

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In 2005, John Sebo purchased a home. American Home Assurance Company (AHAC) provided homeowners insurance as of the date of the purchase. It later became clear that the house suffered from major design and construction defects when water began to intrude during rainstorms. Hurricane Wilma further damaged the residence. AHAC denied coverage for most of the claimed losses. Sebo sued AHAC seeking a declaration that the policy provided coverage for his damages. The jury found in favor of Sebo, and the trial court entered judgment against AHAC. The Second District Court of Appeal reversed and remanded for a new trial, concluding that coverage did not exist under Sebo’s all-risk policy when multiple perils combined to create a loss and at least one of the perils was excluded by the terms of the policy. The Supreme Court quashed the Second District’s opinion, holding that the plain language of the policy did not preclude recovery in this case. View "Sebo v. American Home Assurance Co." on Justia Law

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Magdalena Guardado, an undocumented worker, was employed as a machine manager for Roos Foods when she was involved in a work-related accident. She injured her left wrist and thereafter received total disability benefits. The employer petitioned the Industrial Accident Board (“the Board”) to terminate those benefits on the ground that the worker was no longer disabled and could return to work. The Board found: (1) the employer met its initial burden of showing that the worker was no longer totally disabled; (2) that the worker was a prima facie displaced worker based solely on her status as an undocumented worker; and (3) the employer had failed to meet its burden of showing regular employment opportunities within the worker’s capabilities. Accordingly, it denied the employer’s petition. The questions this case presented for the Delaware Supreme Court's review were: (1) whether an injured worker’s immigration status alone rendered her a prima facie displaced worker; and (2) whether the Board properly found that the employer failed to meet its burden of showing regular employment opportunities within the worker’s capabilities because its evidence failed to take into account the worker’s undocumented status. The Court concluded that an undocumented worker’s immigration status was not relevant to determining whether she was a prima facie displaced worker, but it was a relevant factor to be considered in determining whether she is an actually displaced worker. The Court also concluded that the Board correctly rejected the employer’s evidence of regular employment opportunities for the worker because that evidence failed to consider her undocumented status. View "Roos Foods v. Guardado" on Justia Law

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A fire destroyed a house. The homeowner’s insurer agreed to pay for the damages resulting from the fire, then sued the contractor who installed the fireplace several years earlier, claiming negligence. The contractor tendered defense of the action to its liability insurer, asserting that even though the fire occurred after the relevant policy periods ended, there was a possibility of coverage because the fire may have been the result of ongoing damage to the wood in the chimney during one or more policy periods due to the exposure of that wood to excessive heat from the chimney every time a fire was burned in the fireplace. The issue this case presented for the Court of Appeal’s review was whether, under the standard language of the commercial general liability policy at issue here, did the liability insurer have a duty to defend the contractor? After review of that policy, the Court answered “yes” and reversed the trial court’s judgment that concluded otherwise. View "Tidwell Enterprises v. Financial Pacific Ins. Co." on Justia Law

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Century appeals the district court's final judgment determining that Hipner does have coverage under an umbrella policy entered between the parties. Because Wyoming law had not definitively addressed whether an insurer must be prejudiced before being entitled to deny coverage when the insured has failed to give notice “as soon as practicable,” the court certified the question to the Supreme Court of Wyoming. On certification, the Supreme Court of Wyoming adopted the notice-prejudice rule, holding that “prejudice to the insurer [is required] before coverage may be denied based upon a violation of a notice provision contained in the policy.” Additionally, that court held that “an insurance clause is [not] enforceable where it excludes coverage unless the insured notifies the insurer ‘as soon as practicable . . . whether [the insurer] [is] prejudiced or not.’” In this case, although Hipner did not provide timely notice to Century, the court concluded that Century failed to show how the four-month delay in receiving notice actually prevented it from taking any meaningful investigatory steps that it would have done had there been no delay. Because Century suffered no prejudice from the delay in notice, the court affirmed the judgment. View "Century Surety Co. v. Jim Hipner LLC" on Justia Law

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J & C Moodie Properties, LLC hired Haynie Construction, owned by Kyle Haynie, as general constructor to construct a building for Moodie’s farm equipment dealership. Scottsdale insured Haynie under a policy that was in effect when the building project was completed. Moodie later sued Haynie, asserting construction defect claims regarding the construction project. Scottsdale denied coverage. Haynie and Moodie subsequently filed a stipulated settlement, under which Haynie assigned its rights and interest in the Scottsdale policy to Moodie. The district court then entered judgment in the case against Haynie. Thereafter, Moodie filed a fourth amended complaint requesting a declaratory judgment against Scottsdale, claiming that Scottsdale had breached its duty to defend, Haynie had entered a stipulated judgment due to Scottsdale’s failure to defend, the stipulated judgment was reasonable, and Scottsdale was liable for the stipulated judgment. The district court ruled in favor of Moodie on all issues. The Supreme Court affirmed in part, reversed in part, and remanded, holding that the district court (1) correctly found that Scottsdale breached its duty to defend Haynie; (2) erred by ruling that there were no grounds for a reasonableness hearing regarding the stipulated judgment; and (3) erred by ruling that Scottsdale was not entitled to discovery regarding the reasonableness determination. View "J & C Moodie Properties, LLC v. Deck" on Justia Law

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Plaintiffs were both insured by USAA Casualty Insurance Company under auto insurance policies that provided medical payments coverage. Plaintiffs filed a complaint against USAA arguing that USAA’s practice of sending medical claims to Auto Injury Solutions (AIS) for review was an improper cost containment scheme designed to deprive Montana consumers of their first-party medical pay benefits. Plaintiffs subsequently filed a motion to certify a proposed class. The district court issued its order certifying the class, concluding “all members of the proposed class were subject to the same claims processing procedure of outsourcing claims to AIS. USAA appealed from the certification order. The Supreme Court reversed, holding that the district court abused its discretion by certifying the class under Mont. R. Civ. P. 23(a) and under Mont. R. Civ. P. 23(b)(3). Remanded. View "Byorth v. USAA Casualty Insurance Co." on Justia Law