Mealey's California Insurance : Mealey's : Legal News & Analysis

Mealey's California Insurance

December 20, 2022
California Federal Judge Enters Judgment For Insured In Water Damage Suit

LOS ANGELES — A California federal judge entered judgment in favor of an insured in a water damage dispute after a jury awarded the insured $125,000 for water damage sustained in the insured’s home as a result of a water leak in the insured’s home.
December 20, 2022
Lack Of Reinsurance Claim Cited In Breach Of Contract Suit Against Medical Group

LOS ANGELES — Asserting that it expects to prove damages of more than $1 million, the operator of an independent physician’s association (IPA) sued a medical group in California state court over a deal including reinsurance of a shared risk incentive pool, alleging claims including breach of written contract and breach of the implied covenant of good faith and fair dealing.
December 16, 2022
Panel Reverses Dismissal Of Restaurant’s UCL Claim For Denial Of COVID-19 Coverage

LOS ANGELES — A California appellate court panel reversed a trial court’s grant of an insurer’s demurrer to claims that it violated California’s unfair competition law (UCL) and breached an Italian restaurant’s business interruption insurance policy by denying a claim for physical damage from the COVID-19 virus based on the restaurant’s forced closure, writing that the claims were “sufficient to withstand demurrer.”
December 15, 2022
Certiorari Sought Over Prior Exclusive Jurisdiction Ruling In Conservatorship Row

WASHINGTON, D.C. — Seeking U.S. Supreme Court review in an insurance conservatorship dispute, petitioners argue that the challenged affirmation of dismissal “conflicts with longstanding precedent of this Court and various circuit courts as to the scope of two judge-made rules governing when federal courts must abstain from adjudicating constitutional claims against state officials under” 42 U.S. Code Section 1983.
December 12, 2022
Arbitrator Disclosures Are Among Disputed Issues In Fight Over Award

SANTA ANA, Calif. — Parties in a California appellate case challenging confirmation of an arbitration panel’s ruling against a university are disputing issues including deadlines and disclosures by an arbitrator whose firm had worked for reinsurers of the appellant.
December 08, 2022
Motion To Remand Disability Suit Denied; Diversity Of Citizenship Exists, Judge Says

LOS ANGELES — A California federal judge denied a disability claimant’s motion to remand a breach of contract and bad faith suit after determining that complete diversity of citizenship exists between the parties because the claimant fraudulently joined an individual who conducted surveillance video on behalf of the disability insurer in an attempt to avoid federal jurisdiction.
December 07, 2022
Judge: Insured’s Material Misrepresentation On Auto Policy Bars Accident Coverage

ORANGE COUNTY, Calif. — A California judge granted an automobile liability insurer’s motion for summary judgment in its declaratory judgment lawsuit disputing coverage for an accident, concluding that the insured made a material misrepresentation as to the use of his vehicles on the insurance application.
December 07, 2022
9th Circuit: Forklift Parade Did Not Trigger Policy’s Mobile Equipment Exclusion

PASADENA, Calif. — The Ninth Circuit U.S. Court of Appeals reversed a lower court’s summary judgment ruling in favor of an insurer in a coverage dispute over a personal injury lawsuit arising from an injury that happened during a “forklift parade,” finding that the policy’s mobile equipment exclusion does not apply to the insureds’ conduct.
December 07, 2022
Panel Remands TCPA Coverage Suit To Determine Yahoo’s Reasonable Expectations

SAN FRANCISCO — Following the California Supreme Court’s answer to a certified question, the Ninth Circuit U.S. Court of Appeals on Dec. 6 reversed and remanded a coverage dispute between Yahoo! Inc. and its commercial general liability insurer over claims brought under the Telephone Consumer Protection Act (TCPA) to determine Yahoo’s reasonable expectations as to coverage.
December 07, 2022
Claimant Met Burden Of Showing She Is Disabled From Sedentary Occupation

LOS ANGELES — A disability claimant is entitled to long-term disability (LTD) benefits, a California federal judge said after determining that the claimant showed by a preponderance of the evidence that she is more than likely disabled from performing the duties of a sedentary occupation.
December 06, 2022
9th Circuit Sets Oral Argument In Mortgagors’ Appeal Of Class RESPA Suit Ruling

SAN FRANCISCO — Oral argument in an appeal of a ruling in a long-running Real Estate Settlement Procedures Act (RESPA) class action involving captive reinsurance agreements has been scheduled for Feb. 17 before a Ninth Circuit U.S. Court of Appeals panel.
December 05, 2022
Judge Denies Insurer’s Motion For New Trial In Equipment Loss Coverage Suit

LOS ANGELES — A California federal denied a commercial property insurer’s renewed motion for judgment as a matter of law and/or motion for a new trial in an equipment breakdown coverage dispute after determining that expert testimony submitted by the insured was admissible and that the time limits imposed by the court during trial were proper.
December 05, 2022
Illinois Law Applies To Breach Of Contract, Bad Faith Claims In Disability Suit

LOS ANGELES — A California judge determined that Illinois law must be applied to breach of contract and bad faith claims in a suit filed against a disability income insurer because the policy was issued in Illinois, includes a choice-of-law provision designating Illinois law as the applicable law and does not contravene any fundamental policy of California.
December 02, 2022
Federal Judge Refuses To Dismiss Napa Wineries’ Wildfire Coverage Dispute

SAN FRANCISCO — A federal judge in California denied an insurer’s motion to dismiss the insured’s lawsuit seeking coverage for property damage to its Napa County wineries caused by two wildfires, rejecting the insurer’s contention that the complaint is neither ripe nor sufficient.
December 02, 2022
Insureds’ Bad Faith Claim Stemming From Wildfire Damage Cannot Proceed

SACRAMENTO, Calif. — A California federal judge granted a commercial property insurer’s motion to dismiss a bad faith claim alleged by insureds in a dispute over coverage for property damages incurred by a 2018 wildfire because the insureds failed to allege sufficient facts in support of their argument that the insurer unreasonably withheld benefits owed under the policy.
December 01, 2022
Contractor Appeals Dismissal Of Faulty Workmanship Coverage Suit To 9th Circuit

LOS ANGELES — A subcontractor will appeal to the Ninth Circuit U.S. Court of Appeals the dismissal of its coverage dispute with its commercial general liability insurer stemming from the faulty installation of a foundation system for a new airport concourse and related improvements at Los Angeles International Airport (LAX), according to a notice of appeal filed in California federal court.
December 01, 2022
California Judge Cites FAA In Declining To Compel Consolidated Arbitration

SACRAMENTO, Calif. — Noting that the arbitration provision in one agreement specifies that the Federal Arbitration Act (FAA) applies, a California judge denied a joint powers authority’s request to compel consolidated arbitration proceedings in a coverage dispute involving two reinsurers.
November 29, 2022
9th Circuit Dismisses Disability Insurer’s Appeal Pursuant To Stipulation

SAN FRANCISCO — The Ninth Circuit U.S. Court of Appeals dismissed a disability insurer’s appeal of a district court’s judgment entered in favor of a disability claimant following the disability insurer’s filing of a stipulation to dismiss the appeal with prejudice.
November 23, 2022
District Court Improperly Engaged In New Determination Of Claimant’s Disability

PASADENA, Calif. — The Ninth Circuit U.S. Court of Appeals determined that a district court’s finding that a disability insurer correctly denied a claim for long-term disability (LTD) benefits must be reversed because the court improperly engaged in a new determination regarding the claimant’s disability rather than simply examining the insurer’s rationale for denying the benefits claim.
November 23, 2022
Settlement Agreement Noted In Mortgage Loan, Force-Placed Insurance Row

SACRAMENTO, Calif. — The remaining parties in a putative class suit over home mortgage loan servicing and a reinsurance program in which the claims surviving dismissal include violation of California’s unfair competition law (UCL) have reached an unspecified settlement, they tell a California federal court in a Nov. 22 joint notice.
November 23, 2022
Judge Dismisses In Row Over LTC Insurance, Finds No Elder Abuse In Coverage Denial

SANTA ANA, Calif. — A California federal judge granted a long-term care (LTC) insurer’s dismissal motion in a breach of contract and elder abuse suit filed against it by an insured seeking coverage for his stay at a residential care facility for the elderly (RCFE), finding that the policy provisions were sufficient to provide the insured with notice of coverage limitations and that the elder abuse claim failed because the insured was not deprived of personal property since the insurer “properly” denied benefits.
November 22, 2022
Pollution Exclusions Bar Coverage For Underlying Contamination Judgment

LOS ANGELES — No coverage is afforded for an underlying judgment entered against an insured in an environmental contamination dispute because pollution exclusions included in the applicable policies clearly bar coverage, a California federal judge said in entering summary judgment for the insurers.
November 21, 2022
Judge Conditionally Dismisses Insurer’s Tile Defects Coverage Suit

OAKLAND, Calif. — A federal judge in California issued a conditional order dismissing with prejudice a breach of contract insurance action filed by an insurer against additional insured subcontractors and others related to an underlying action against a general contractor alleging defective tile installation at a housing development after the remaining parties agreed to settle their claims.
November 21, 2022
Insurer Acted In Bad Faith In Denying Claim For Water Damages, Insureds Say

LOS ANGELES — A homeowners insurer breached its contract and acted in bad faith by denying coverage for $200,000 worth of water damage sustained in an insured home and should be ordered to pay $2 million in punitive damages, the insureds maintain in a complaint filed in California state court.
November 18, 2022
California High Court Answers Certified Question In Yahoo’s TCPA Coverage Suit

SAN FRANCISCO — The California Supreme Court on Nov. 17 answered a certified question from the Ninth Circuit U.S. Court of Appeals in a coverage dispute between Yahoo! Inc. and its commercial general liability insurer arising from claims brought under the Telephone Consumer Protection Act (TCPA), finding that the CGL policy language at issue can cover liability for right-of-seclusion violations assuming “such coverage is consistent with the insured's objectively reasonable expectations.”