Justia Insurance Law Opinion Summaries

Cross-defendant Michael Tope appealed the grant of summary judgment in favor of First American Title Insurance Company in a cross-action to recover money under a title insurance policy after default on a real estate loan to purchase and rehabilitate a home. The property was subject to a notice of abatement action issued by San Joaquin County requiring repair of defects in the rehabilitation of the residence. The subject of the suit was that First American allegedly breached the title insurance policy by failing to provide coverage for the notice of abatement action. Plaintiffs, investors in a real estate loan, sued defendants and cross-complainants Stockton Mortgage Real Estate Loan Servicing Corporation (SMRELS), Stockton Mortgage, Inc., Stockton Management & Development, Inc., and Ross Cardinalli Jr. (collectively cross-complainants) for damages arising from cross-complainants' alleged failure to follow up on the status of the release of a notice of abatement action. Cross-complainants, in turn, initiated this suit against First American, Alliance Title Company, and two of Alliance's employees for damages, indemnity, and declaratory relief arising out of First American's refusal to provide coverage under the title insurance policy, and Alliance's alleged representation, on behalf of First American, that it would obtain a release of the notice of abatement action prior to the close of escrow. First American moved for summary judgment mainly on grounds that the notice of abatement action was not covered under the title insurance policy, cross-complainants were not insured under the title insurance policy, and the preliminary title report relied on by cross-complainants was not a contract. The trial court granted First American's motion and entered summary judgment in its favor. Cross-complainants appealed. Finding no reversible error, the Court of Appeal affirmed the judgment. View "Stockton Mortgage, Inc. v. Tope" on Justia Law

In 2002, Ruth McCormick slipped and fell while working at a McDonald’s restaurant. McCormick received temporary total disability (TTD) compensation until 2010, when the Industrial Commission terminated McCormick’s benefits based on a doctor’s opinion that McCormick had reached maximum medical improvement. McCormick filed a complaint for a writ of mandamus, alleging that the Commission's decision to terminate benefits was not supported by the evidence, was contrary to law, and was an abuse of discretion because the doctor’s opinion that she had reached maximum medical improvement was factually inaccurate. The court of appeals denied the writ. The Supreme Court affirmed, holding that the doctor’s report that McCormick had reached maximum level improvement was valid evidence supporting the Commission’s decision to terminate TTD compensation. View "State ex rel. McCormick v. McDonald’s" on Justia Law

One evening, Shawn McKiernan drove by Kevin Hough several times in an automobile owned by Rita Bower and taunted Hough as he drove past. McKiernan subsequently exited the insured vehicle and punched Hough, who was knocked to the pavement. Hough suffered a serious head injury as a result of the assault and battery. Hough filed a negligence complaint against Bower as the vehicle owner, alleging liability under the provisions of R.I. Gen. Laws 31-33-6, which imputes vicarious liability upon the owner of a vehicle for its consensual use or operation. Due to the subsequent death of Bower, Quincy Mutual Fire Insurance Company, the insurer of the vehicle, was substituted as a party defendant. The trial justice granted judgment as a matter of law in favor of Quincy. The Supreme Court affirmed, holding that Plaintiff failed to establish the causal relationship between the use of the vehicle and the injuries sustained by Plaintiff required to impute liability under section 31-33-6. View "Hough v. McKiernan" on Justia Law

Johnson’s trucking business operated 1986 and 1987 semi-tractor trucks, with one truck at a time insured through Acuity. In 2009, Johnson called Acuity’s agent, Holden, to switch insurance coverage to the 1987 truck. The 1987 truck broke down the next day. Johnson called Holden to switch the insurance back to the 1986 truck. A year later, Johnson's 1986 truck, pulling a J&B trailer, collided with Marlow’s vehicle, causing her death. Western insured the trailer. Holden claimed that Johnson had called in February 2010 and requested to switch coverage to the 1987 truck. Johnson denied ever making that request. At trial, Johnson pointed out that the 1987 truck remained inoperable; Johnson operated the 1986 truck throughout 2010. Johnson’s February 2010, renewal policy identified the 1986 International as covered. Johnson advised J&B that he would use the 1986 truck. Acuity and Johnson settled. The court denied Acuity’s motion to dismiss Johnson. Western's cross-claim against him remained pending; Johnson had assigned his claims against Western to Acuity and Acuity agreed to indemnify Johnson. Acuity paid $561,000 to Marlow’s estate and sought reimbursement. The court viewed the dispute as whether Johnson instructed Holden to change the coverage and rejected Acuity’s claim that Western lacked standing. The jury found that Johnson did not request a change. The court declared that Acuity had to provide primary insurance coverage. The Eighth Circuit affirmed, agreeing that the controversy did not concern contract reformation and upholding the district court's decision to allow Johnson to participate at trial. View "ACUITY v. Johnson," on Justia Law

Employee-petitioner Judy Barnes was employed as an administrative assistant at Charter 1 Realty. On the day of her injury, Barnes was asked to check the e-mail of one of the realtors before noon. Around 11:30 a.m., Barnes left her desk and walked toward the realtor's office. However, she stumbled, fell, and sustained serious injuries: a broken left femur, broken left humerus and a torn rotator cuff.Barnes subsequently filed a claim for workers' compensation. At the hearing, Barnes testified she was hurrying to the realtor's office to check her e-mail and that caused her to fall. Evidence was also introduced that her husband did not like the shoes she wore, and he had told her she needed to pick up her feet when she walked. The single commissioner and appellate panel found that her fall was idiopathic and therefore noncompensable. The court of appeals affirmed. The Supreme Court disagreed with the commissioner and appellate panel's findings, reversed, and remanded the case for further proceedings. View "Barnes v. Charter 1 Realty" on Justia Law

Claimant-petitioner Carolyn Nicholson, a supervisor in the investigations area of child protective services for the South Carolina Department of Social Services (DSS), was on her way to a meeting when her foot caught on the hall carpet and she fell. She received treatment for pain to her neck, left shoulder, and left side connected with her fall. Nicholson's claim for workers' compensation was denied by the single commissioner because she failed to prove a causal connection between her fall and employment. The commissioner held there was nothing specific to the floor at DSS which contributed to Nicholson's fall and that she could have fallen anywhere. The question this case presented for the Supreme Court's review was whether petitioner was entitled to workers' compensation. "Despite how straightforward this issue appears to be," both the commissioner and the court of appeals found petitioner was not entitled to recover. The Supreme Court disagreed with both, reversed, and remanded the case for further proceedings. View "Nicholson v. SC Dept. of Social Services" on Justia Law

In 2002 an uncontrolled, runaway commercial aircraft at Las Vegas’s McCarran International Airport came to a rest at the bottom of an embankment. A maintenance worked had failed to properly engage the parking brake. The resulting property damage and loss-of-use of the aircraft totaled more than $10 million. The aircraft’s owner, Northwest Airlines, obtained a default judgment in Minnesota state court against PALS, the maintenance company responsible for the wreck, then commenced a garnishment action to recover part of the amount from PALS’s insurer, Westchester, which argued that PALS’s failure to provide notice and to cooperate extinguished Westchester’s payment obligation. While acknowledging unanswered questions of state law, the Eighth Circuit affirmed judgment in favor of Northwest. A Clark County ordinance mandates hangar-keepers liability insurance to protect parties like Northwest. Given this purpose, insurance coverage could not be avoided for an insured’s simple failure to satisfy the technical post-loss conditions on statutorily mandated coverage. View "NW Airlines, Inc. v. Westchester Fire Ins. Co." on Justia Law

Petitioner Cogswell Farm Condominium Association filed a declaratory judgment action with respect to two exclusions in insurance policies issued by respondents Tower Group, Inc. and Acadia Insurance Company. The trial court held that the two exclusions at issue precluded coverage for petitioner's underlying lawsuit against Lemery Building Company, Inc. In 2009, Cogswell sued Lemery and others, alleging negligence, breach of contract, and negligent supervision in the construction of 24 residential condominium units. Cogswell asserted that the "weather barrier" components of the units – including the water/ice shield, flashing, siding, and vapor barrier – were defectively constructed and resulted in damage to the units due to water leaks. Because the units were sold at different times and the policies were in effect during two different time periods, the Supreme Court concluded that the trial court erred in holding that one policy exclusion served as a bar for coverage for each unit after it was sold. Furthermore, the Court found that the other exclusion was subject to more than one reasonable interpretation, the Supreme Court concluded the trial court erred in granting respondents summary judgment with respect to that exclusion. The trial court was reversed and the case remanded for further proceedings. View "Cogswell Farm Condominium Ass'n v. Tower Group, Inc." on Justia Law

Plaintiff filed suit against Reliance Standard after she was denied extended long-term disability benefits. The district court granted summary judgment in favor of Reliance Standard and plaintiff appealed. The court concluded that Reliance Standard's decision to deny benefits was supported by substantial evidence where the record demonstrated that plaintiff can perform all of the job duties of a sedentary vocation on a full-time basis before discontinuing benefits; Reliance Standard provided a full and fair review of plaintiff's claim; Reliance Standard's decision was not "procedurally unreasonable;" and Reliance Standard did not improperly fail to allow plaintiff to supplement the administrative record. Accordingly, the court affirmed the judgment. View "Killen v. Reliance Standard Life Ins. Co." on Justia Law

PIC sought a declaratory judgment to determine whether PIC was required to defend and indemnify its insured, LSi, a computer and technology company with respect to a lawsuit filed by Hodell, concerning business software developed and sold by LS. The district court found LSi did not have coverage under either of its consecutive policies with PIC because it did not provide notice of Hodell’s claims or potential claims to PIC as required. There were regular email references to possible legal action as early as March, 2007. On November 21, 2008, Hodell filed suit against LSi. On December 8, 2008, LSi first notified PIC of Hodell’s claims. The Eighth Circuit affirmed judgment in favor of PIC, reasoning that a claim was made while the 2007 policy was in place, but LSi did not properly give notice under that policy. View "Philadelphia Cons. Holding Corp. v. Hodell-Natco Indus., Inc." on Justia Law