Mealey's Insurance Pleadings

  • July 02, 2019

    Underwriters: Arbitration Demand Involves Same Claims, Settlement Payments

    BOSTON — In a dispute over outstanding reinsurance billings, underwriters argue in a June 27 reply to a Massachusetts federal court that an insurer’s arbitration demand involves the same settlement payments made to the same group of claimants regarding the same sexual molestation allegations (Century Indemnity Co. v. Certain Underwriters at Lloyd’s London, No. 19-11056, D. Mass.).

  • June 28, 2019

    Insurer: Health Aides Lack Standing To Assert ERISA Violation In Lost Wages Case

    BROOKLYN, N.Y. — In a June 26 motion to dismiss a New York federal court lawsuit alleging that employers’ captive insurance and reinsurance scheme cheated home health aides out of lost wages and benefits, a captive insurer and its affiliates argue that the aides lack standing to assert a claim for engagement in prohibited transactions as nonfiduciary parties-in-interest in violation of Section 406(a) of the Employee Retirement Income Security Act (Ynes M. Gonzalez de Fuente, et al. v. Preferred Home Care of New York LLC, et al., No. 18-6749, E.D. N.Y.).

  • June 26, 2019

    Insurer Seeks Stay Of Case With Reinsurers Due To Rehabilitation Proceedings

    SAN JUAN, Puerto Rico — An insurer asks in a June 20 motion that a Puerto Rico federal judge issue a 90-day stay of its lawsuit against various reinsurers regarding losses from two hurricanes in light of the recent rehabilitation proceedings initiated against the insurer (Integrand Assurance Co. v. Everest Reinsurance Co., et al., No. 19-01111, D. Puerto Rico).

  • June 26, 2019

    Runoff Insurer Opposes Reconsideration Of Ruling On Advancement Of Expenses

    NEW YORK — A run-off insurer argues in a June 21 opposition filed in New York federal court that affiliates of a failed Ponzi scheme strain the language of investment management agreements (IMAs) to support their motion for reconsideration of a ruling on a counterclaim for advancement of expenses (In re:  Platinum-Beechwood Litigation; Senior Health Insurance Company of Pennsylvania v. Beechwood Re Ltd., et al., No. 18-6658, and David Levy v. Senior Health Insurance Company of Pennsylvania, No. 19-3211, S.D. N.Y., 2019 U.S. Dist. LEXIS 81271).

  • June 26, 2019

    9th Circuit Set To Hear Oral Argument In Dispute Over Coverage Exclusion

    SAN FRANCISCO — A panel of the Ninth Circuit U.S. Court of Appeals is set to hear oral argument on July 8 in an insurance coverage appeal brought by judgment creditors who argue that a lower court erred when it failed to hold an insurer to the strict standard it must meet to show that coverage is barred (Bradley Stephen Cohen, et al. v. Berkley National Insurance Company, No. 17-16960, 9th Cir.).

  • June 26, 2019

    MGM Resorts: Insurer’s Refusal To Defend Mass Shooting Claims Is ‘Unconscionable’

    LAS VEGAS — MGM Resorts International and others on June 19 sued their commercial general liability insurer in a Nevada federal court for breach of contract and bad faith, contending that the insurer wrongfully breached its duty to defend them against more than 4,000 claims arising from the Oct. 1, 2017, mass shooting at the Route 91 Harvest Country Music Festival (MGM Resorts International, et al. v. Zurich American Insurance Company, No. 19-01051, D. Nev.).

  • June 25, 2019

    Homeowners Insurer Moves To Dismiss Water Damage Coverage Suit

    CAMDEN, N.J. — A homeowners insurer argues in a June 21 motion to dismiss in a New Jersey federal court that an insured’s breach of contract and bad faith suit stemming from the insured’s water damage claim must be dismissed because no coverage is owed under the policy and the insured failed to prove that the insurer’s denial of coverage was unreasonable (Johann Smith et al., v. State Farm Fire and Casualty Co., No. 19-10319, D. N.J.).

  • June 25, 2019

    Insured: Coverage Was Triggered For $25M Damage Arising From Refinery Fire

    ST. LOUIS — An insured recently asked the Eighth Circuit U.S. Court of Appeals to reverse a lower federal court’s ruling in favor of an insurer in its lawsuit seeking coverage for $25 million in damages arising from a fire at an oil refinery, contending that the lower court failed to recognize that the underlying claims are dependent upon allegations that it was responsible for the failure of the pipe elbow that caused the fire and covered property damage (Murphy Oil Corporation v. Liberty Mutual Fire Insurance Company, No. 19-1140, 8th Cir.).

  • June 24, 2019

    Homeowners Say Water Remediation Didn’t Forfeit All Insurance Rights

    WEST PALM BEACH, Fla. — Two Florida homeowners on Jan. 14 appealed a state trial court ruling that they lack standing to bring an insurance coverage claim because they assigned their insurance rights to a company that performed remediation work on their home (Mohammed Sidiq, et al. v. Tower Hill Select Insurance Company, No. 4D18-2177, Fla. App., 4th Dist.).

  • June 21, 2019

    Insurer, Insured Battle Over Montana Limits On Expense Recovery

    HELENA, Mont. — Two recent briefs filed in the Montana Supreme Court question whether a state statute provides an absolute limit on the types of costs and expenses insureds can recover in suits against insurers or whether an exception permits additional recovery (Kyra King v. State Farm Mutual Automobile Insurance Co., No. DA 18-0503, Mont. Sup.).

  • June 19, 2019

    Parties Ask To Dismiss Runoff Insurer’s Third-Party Aiding, Abetting Claims

    NEW YORK — In seven separate motions, third-party defendants on June 14 asked a New York federal court to dismiss a runoff insurer’s third-party complaint alleging aiding-and-abetting fraud and breach of fiduciary duty in a “massive fraudulent scheme” for failing to make particularized allegations against them (Melanie L. Cyganowski v. Beechwood Re Ltd., et al., No. 18-12018, S.D. N.Y.).

  • June 19, 2019

    Defendants Were Involved In Scheme To Defraud, Insurer’s Receiver Argues To Court

    ANDERSON, S.C. — An insurer’s special deputy receiver in June 14 motions argues that two defendants played a role in an alleged scheme to defraud a multiple-employer self-insured health plan with fraudulent letters of credit (LOC) and, thus, a South Carolina federal court should not dismiss the receiver’s claim under the Racketeer Influenced and Corrupt Organization Act against them (Michael J. FitzGibbons, et al. v. Alton Atkinson, et al., No. 17-2092, D. S.C.).

  • June 18, 2019

    Liquidator: Panel’s Attorney Fees Award To Reinsurer Exceeded Authority

    CHICAGO — An insolvent insurer’s liquidator argues in a June 7 reply filed in Illinois federal court that a panel exceeded its authority when it issued attorney fees in its $437,000 arbitration award to a reinsurer (Catalina Holdings [Bermuda] Ltd. v. Jennifer Hammer, No. 18-5642, N.D. Ill.).

  • June 17, 2019

    Insurer Asks Court Not To Dismiss Reinsurance Billings Case Over Molestation Claims

    BOSTON — Stating that a confirmation proceeding was not a “prior pending action,” an insurer in a June 13 brief opposes a request to dismiss a Massachusetts federal court case seeking to compel arbitration of a dispute over outstanding reinsurance billings for sexual molestation (Century Indemnity Co. v. Certain Underwriters at Lloyd’s London, No. 19-11056, D. Mass.).

  • June 12, 2019

    Public Entities Oppose Reinsurer’s Request To Arbitrate Contract Dispute

    SEATTLE — Citing a reinsurer’s failure to find any reinsurance exemption to Washington’s anti-arbitration regulation, an association of state public entities argues against the reinsurer’s request for arbitration of their breach of contract dispute regarding settlement of a lawsuit over police officers’ alleged excessive force in a June 10 brief in a Washington federal court (Washington Cities Insurance Authority v. Ironshore Indemnity Inc., No. 19-00054, W.D. Wash.).

  • June 12, 2019

    Reinsurer, Affiliates Seek Dismissal Of Counterclaims In Workers’ Comp Dispute

    OMAHA, Neb. — A reinsurer and its affiliates moved to dismiss counterclaims on June 7 in their breach of contract dispute over a workers’ compensation program, telling a Nebraska federal court that the counterclaims “are a hodgepodge of conclusory allegations and unsupported assertions that fail to meet basic pleading standards” (Applied Underwriters Captive Risk Assurance Company Inc. v. Ramesh Pitamber & Kusum Pitamber, et al., No. 17-61, D. Neb.).

  • June 12, 2019

    Parties Dispute Whether UIM Policy Allowed For Stacking Of 3 Vehicles

    ST. LOUIS — An insured who sought coverage after a vehicle accident and an insurer recently submitted briefs to the Eighth Circuit U.S. Court of Appeals disputing whether a lower court’s decision that the policy did not entitle the insured to stack underinsured motorist insurance (UIM) coverage for three vehicles should be reversed (Renae Strain v. Safeco Insurance Company of Illinois, No. 18-1587, 8th Cir.).

  • June 12, 2019

    Insured Says Insurer Deceived It Regarding Policy Claim, Misrepresented Investigation

    NEW ORLEANS — The Fifth Circuit U.S. Court of Appeals was set to hear oral arguments on June 10 in a case in which an insured contends that its insurer engaged in deception by misrepresenting that it was investigating a claim filed by the insured, when the insurer was not.  Consequently, the insurer says that it was forced to conduct its own inquiry to “prove” the cause of a specific loss and the resulting damages (NAZ LLC v United National Insurance Company, No. 18-31008, 5th Cir.).

  • June 12, 2019

    Appellants: Policy Fails To Clearly Establish Liability For Deductible Obligations

    ATLANTA — Appellants recently asked the 11th Circuit U.S. Court of Appeals to reverse a lower federal court’s ruling that they breached their duties to pay workers’ compensation insurance policy deductibles, arguing that the insurer “wrote a confusing, convoluted” policy that fails to “clearly and unambiguously establish” that they are liable for their alleged deductible obligations (Zurich American Insurance Company v. G&S Leasing Group VI Inc., et al., No. 17-15625 consolidated with No. 18-10706, 11th Cir.).

  • June 10, 2019

    Pollution Exclusion Does Not Apply To Oil Contaminated By Insured’s Work, Appellant Says

    LOS ANGELES — A trial court correctly determined that a pollution exclusion does not bar coverage for contamination of oil in a storage tank caused by an insured’s work; however, the trial court incorrectly determined that the insurer was entitled to rescind the insured’s policy, the party seeking coverage for damage caused by the insured’s work argues in a May 22 brief to the Second District California Court of Appeal (NRG Delta LLC v. Endurance American Specialty Insurance Co., No. B285909, Calif. App., 2nd Dist., Div. 5, 2019 CA App. Ct. Briefs LEXIS 1450).

Can't find the article you're looking for? Click here to search the Mealey's Insurance Pleadings archive.