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You are here: Home / Archives for Exclusions/Exceptions

Exclusions/Exceptions

NY Appellate Court Rules “Blanket Ordinance or Law Coverage” not as Blanket as Insured Hoped

May 13, 2016 by John A. Camp

In 1947, some Bedouin shepherd boys were tending their sheep and goats near the ancient settlement of Qumran, near the Dead Sea.  One of the boys threw a rock into an opening on the side of a cliff and heard something break.  Curious, they entered what was a small cave.  Inside, they discovered a large clay vessel that had been broken by the thrown rock.  It contained several scrolls.  This led to the discovery of more clay jars and more scrolls, what would later be come ... Keep Reading »

Grateful Marijuana Grower Scores Coverage Victory in Colorado Federal Court

April 20, 2016 by John C. Pitblado

The refusal of the Senate to fill a Supreme Court vacancy has put gridlock back on the front page, as it leaves important questions about immigration and clean energy unresolved. Uncertainty about federal policy is also affecting other areas of American life, including one of our most popular pastimes. Recently, in The Green Earth Wellness Center, LLC v. Atain Specialty Ins. Co., No. 13-cv-03452-MSK-NYW (D. Colo. Feb. 17, 2016), a federal court in Colorado held that the ... Keep Reading »

Ninth Circuit Leaves it to Policyholder to Pay Eddie Haskell’s Attorneys’ Fees

April 15, 2016 by Meredith Whigham Caiafa and Robert D. Helfand

Eddie: Well, look, there's nothin' to be so shook about. Lumpy's insurance'll take care of it. Moral hazard lurks around the edges of many disputes about liability coverage. Everyone agrees in principle that insurance shouldn’t help bad actors benefit from their wrongdoing, but parties often clash over where the principle applies.  Some courts have addressed the problem by asking if the insured has suffered an insurable “loss.”  E.g., Ryerson Inc. v. Federal Ins. Co., ... Keep Reading »

None Of Your Business: Eleventh Circuit Enters A Gray Area For Contract Liability Exclusions

April 7, 2016 by Blaise Gamba

Businesses have responsibilities; they buy liability insurance to cover losses that arise if they fail to perform them all.  Businesses  also “assume” responsibilities under contracts; those responsibilities are typically excluded from coverage. Sometimes the two kinds of responsibility overlap. Last month, in Payroll Management, Inc. v. Lexington Ins. Co., No. 15-10314 (11th Cir. March 1, 2016), the U.S. Court of Appeals rejected an insured’s attempt to exploit that ... Keep Reading »

Arise and Exclude: Artful Pleading Fails to Circumvent Contractual Liability Exclusion

December 18, 2015 by Stephen J. Bagge

Smokey Sam simulated anti-aircraft missile

Awake, arise or be forever fall'n. - John Milton It's not uncommon for plaintiffs to couch their pleadings in terms that attempt to avoid exclusions in defendants' liability coverage. The plaintiffs in Bond Safeguard Ins. Co. v. National Union Fire Ins. Co. of Pittsburgh, Pa., No. 14-15233 (11th Cir. Oct. 5, 2015), appear to have had this goal in mind when they sought to recover payments it had made under certain surety bonds. The plaintiffs sued for negligence, but ... Keep Reading »

No Contractor Is An Island: Florida Court Narrowly Applies “Your Work” Exclusion

December 11, 2015 by John A. Camp and Robert D. Helfand

Picture of a Jumping Contractor

When an insurer issues a Commercial General Liability policy to a contractor, the policy typically excludes coverage for the cost of repairing or replacing the contractor's own defective work, but covers the cost of repairing damage to other parts of the property which the defective component might cause. As this blog has explained, the "your work" exclusion serves to distinguish a liability policy from "a performance bond or warranty of a contractor's product." But ... Keep Reading »

As TCPA Class Actions Soar, Issues Emerge in TCPA Coverage for Claims

December 7, 2015 by Elizabeth M. Bohn and John C. Pitblado

Picture of Postcard for Candlestick Telephones

Both the number of cases under the Telephone Consumer Protection Act (TCPA) and the types of practices that those cases challenge have mushroomed within the last several years. Yet a dedicated form of insurance against TCPA claims has not yet developed. Instead, businesses seeking defense and indemnification of TCPA suits have resorted to traditional policy provisions dealing with property damage, personal and advertising injury, and (more recently) the language of ... Keep Reading »

Wall-to-Wall Ads: Florida Court’s Broad Definition of “Advertisement” Expands Scope of Advertising Injury Coverage

November 13, 2015 by Daniel G. Enriquez and Robert D. Helfand

“Advertising injury” can be tricky. In theory, the term applies to the type of harm that can be inflicted through advertising media—defamation, disparagement, violation of privacy rights or misappropriation of intellectual property. Because trademark infringement injures plaintiffs in a different way, trademark claims are generally excluded from coverage—except where the insured has used an infringing text or trade dress in an advertisement. That wrinkle makes it ... Keep Reading »

Additional Insureds Deserve Attention Too: New York Court Finds Insurer’s Reservation of Rights to Named Insured Did Not Constitute Notice to Additional Insured Under § 3420(d)(2)

November 5, 2015 by Nora Valenza-Frost

Liability insurers issuing or delivering policies in New York are well apprised of the statutory requirement that the insured is to be provided written notice of a disclaimer or denial of a bodily injury or death claim “as soon as is reasonably possible.” N.Y. Ins. Law § 3420(d)(2). Also well-known is that an insurer may face severe consequences from delaying issuance of a disclaimer on a ground that is known to be valid, while still investigating other possible grounds ... Keep Reading »

“Contractor?” I Do Not Think That Employers’ Liability Exclusion Means What You Think It Means

October 30, 2015 by Jonathan Sterling

Picture of Mandy Patinkin

Over the summer, this blog reported on how the Supreme Court of Pennsylvania managed to parse an employer's liability exclusion to find that it did not exclude claims by employees of additional insureds. As the leaves started to turn, the U.S. Court of Appeals for the First Circuit put an employer's exclusion under a similar microscope. In United States Liab. Ins. Co. v. Benchmark Constr. Svcs., Inc., No. 14-1832 (1st Cir. Aug. 12, 2015), a case arising out of a home ... Keep Reading »

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