Mealey's Catastrophic Loss : Mealey's : Legal News & Analysis

Mealey's Catastrophic Loss

August 21, 2023
California High Court Agrees To Review Tribe’s Coronavirus Coverage Dispute

SAN FRANCISCO — The California Supreme Court granted an Indian tribe insured’s petition to review a state appellate court’s finding that the insured and its experts failed to present sufficient evidence to demonstrate that the coronavirus caused property damage to the tribe’s casino and resort.
August 18, 2023
Hurricane Coverage Suit Dismissed After Guaranty Association Added As Defendant

NEW ORLEANS — A Louisiana federal judge granted a homeowner’s motion to add the Louisiana Insurance Guaranty Association (LIGA) as a defendant and dismissed the homeowner’s breach of contract suit against LIGA and a now-insolvent insurer, finding that the court no longer has subject matter jurisdiction because the homeowner and LIGA are both citizens of Louisiana.
August 15, 2023
Judge Stays Wind Damage Case Against Homeowners Insurer, Cites Receivership Filing

McALLEN, Texas — A Texas federal judge on Aug. 14 stayed a breach of contract case against a homeowners insurer related to its purported failure to adequately cover a claim for wind damages, finding that a stay is merited because the Florida Department of Financial Services’ (DFS) “filing of the petition for receivership operates as an automatic stay under Florida law.”
August 14, 2023
Trial Court Erred In Denying Request To Add Punitive Damages Claim, Panel Says

DAYTONA BEACH, Fla. — A trial court erred in denying an insured’s motion for leave to amend a breach of contract and bad faith complaint to add a claim for punitive damages because the insured presented sufficient evidence in support of her contention that the insurer misrepresented the available coverage under the policy and that the insurer’s failure to properly investigate her claim was a general practice of the insurer.
August 11, 2023
Georgia Panel Affirms Dismissal Of Coronavirus Coverage Dispute

ATLANTA — A Georgia appeals panel affirmed a lower court’s grant of insurers’ motion to dismiss their mutual insured’s breach of contract lawsuit seeking coverage for its losses arising from the COVID-19 pandemic, saying the “overwhelming majority” of federal and state courts have rejected similar pandemic coverage claims.
August 09, 2023
Urban Outfitters Asks 3rd Circuit To Stay Appeal Of Coronavirus Coverage Suit

PHILADELPHIA — URBN US Retail LLC (Urban Outfitters) asked the Third Circuit U.S. Court of Appeals to stay its appeal of a lower federal court’s dismissal of its coverage lawsuit arising from the COVID-19 pandemic until the Pennsylvania Supreme Court has decided two cases that involve “the same issues of insurance law.”
August 08, 2023
Panel: Louisville Restaurant Owner Fails To Allege Loss In Coronavirus Coverage Suit

FRANKFORT, Ky. — A Kentucky appeals panel affirmed a lower court’s summary judgment ruling in favor of an insurer in a Louisville restaurant insured’s lawsuit seeking coverage for its lost income when it limited operations in response to the COVID-19 pandemic, finding the insured failed to assert a “loss” as defined by the policy.
August 07, 2023
Connecticut Judge Rules For Insurer In Coronavirus Coverage Dispute

HARTFORD, Conn. — A Connecticut judge granted a business owner insurer’s motion for summary judgment in its insured’s lawsuit seeking coverage for its losses arising from the coronavirus pandemic, rejecting the insured’s argument that the adhesion of coronavirus-infected respiratory droplets to its property caused direct physical loss or damage.
August 04, 2023
Federal Judge Grants University’s Motion To Remand Coronavirus Coverage Dispute

SEATTLE — A federal judge in Washington granted The Board of Regents of the University of Washington’s motion to remand its breach of contract and bad faith lawsuit seeking coverage for the alleged losses to its medical and athletic properties arising out of the coronavirus pandemic, finding that for the purposes of diversity jurisdiction, the university is an “arm of the state.”
August 03, 2023
Federal Judge Grants Insured’s Appraisal Motion In Hurricane Ida Coverage Dispute

NEW ORLEANS — A federal judge in Louisiana granted a commercial property owner insured’s motion to compel appraisal and stay its coverage lawsuit pending completion of appraisal, finding that the appraisal request complied with the insurance policy’s requirements for invoking appraisal and the insurers failed to contend otherwise.
August 02, 2023
Quoting A Showtune, 5th Circuit Affirms Ruling In Hurricane Sally Coverage Dispute

NEW ORLEANS — Opening with a quote of “Hello, Dolly” from the Broadway show with the same name and using a few nautical puns, the Fifth Circuit U.S. Court of Appeals on Aug. 1 affirmed a Louisiana federal court’s various rulings in favor of an insurer in its lawsuit alleging that a policy that insured the yacht HELLO DOLLY VI was void ab initio because the insured breached the warranty under the Hurricane Questionnaire/Plan.
August 02, 2023
Breach Of Contract, Bad Faith Claims Fail In Water, Mold Damage Suit

MOBILE, Ala. — Breach of contract and bad faith claims against a homeowners insurer fail because the insureds did not show that their home sustained a direct physical loss as a result of a hurricane or that a material issue of dispute exists as to whether the insurer acted in bad faith in investigating and adjusting their claim for water and mold damages, an Alabama federal judge said in granting the insurer’s motion for summary judgment.
August 01, 2023
Panel Affirms Ruling In Insurer’s Favor In Medical Provider’s COVID-19 Suit

PORTLAND, Ore. — After the Oregon Supreme Court declined to answer a certified question in a coronavirus coverage dispute, the Ninth Circuit U.S. Court of Appeals on July 31 reassumed jurisdiction and concluded that the Oregon high court would interpret the phrase “direct physical loss or damage” to require physical alteration of the insured property and affirmed a federal court’s finding that a medical provider insured failed to state a claim for coverage for its losses arising from the pandemic.
July 31, 2023
Federal Judge Dismisses Hurricane Harvey Coverage Dispute Between Insureds, Broker

HOUSTON — A federal judge in Texas dismissed with prejudice a Hurricane Harvey coverage dispute the same day the insureds and their insurance broker filed a joint stipulation of dismissal.
July 28, 2023
Federal Judge Remands Hailstorm Damage Suit Against Homeowners Insurer, Agency

OKLAHOMA CITY — An Oklahoma federal judge remanded a lawsuit filed by insureds against their homeowners insurer and insurance agency after determining that the insurer failed to carry its burden of proving that the agency was fraudulently joined to the breach of contract and bad faith suit to defeat federal diversity jurisdiction.
July 28, 2023
Breach Of Contract, Bad Faith Suit To Remain In Oklahoma Federal Court

OKLAHOMA CITY — A breach of contract and bad faith suit filed against a homeowners insurer will remain in Oklahoma federal court because at the time of removal from state court, the insurer made a plausible showing that the amount in controversy exceeded the federal jurisdictional minimum of $75,000, an Oklahoma federal judge said in denying the insureds’ motion to remand.
July 26, 2023
Magistrate Denies Request To Add Guaranty Association In Hurricane Coverage Suit

LAKE CHARLES, La. — A Louisiana federal magistrate judge denied homeowners’ motion to amend to add the Louisiana Guaranty Association (LIGA) as a defendant in a suit against their now-insolvent insurer over failure to adequately compensate them for hurricane-related losses, finding that amendment would be “futile” because it would require dismissing the suit “for lack of subject matter jurisdiction.”
July 25, 2023
Texas High Court Accepts Certified Question As To TPPCA In Tornado Coverage Dispute

AUSTIN, Texas — The Texas Supreme Court accepted a certified question from the Fifth Circuit U.S. Court of Appeals in an insured’s lawsuit alleging that its insurer violated the Texas Prompt Payment of Claims Act (TPPCA), agreeing to answer whether an insurer’s payment of a full appraisal award for tornado damage plus any possible statutory interest bars the insured’s recovery of attorney fees.
July 24, 2023
No Coverage Owed For Gas Station’s Losses Arising From Coronavirus, Panel Affirms

PASADENA, Calif. — The Ninth Circuit U.S. Court of Appeals affirmed a lower federal court’s dismissal of a gas station owner insured’s lawsuit seeking coverage for its economic losses arising from the coronavirus pandemic, concluding that the virus exclusion bars coverage because COVID-19 “is the efficient proximate cause” of the insured’s purported losses.
July 24, 2023
Panel Affirms Dismissal Of Claims Against Broker In Hurricane Maria Coverage Suit

CHICAGO — An Illinois appeals panel held that a mall owner failed to allege that an insurance broker owed it a duty of care arising from a professional relationship, affirming a lower court’s dismissal of professional negligence and tortious interference of contract claims brought against the broker in a lawsuit arising from Hurricane Maria damage.
July 24, 2023
No Additional Abrupt Collapse Coverage Owed, Insurer Argues To 10th Circuit

DENVER — An insurer and its claims service manager argue to the 10th Circuit U.S. Court of Appeals that a building owner insured is owed no coverage under an insurance policy’s additional abrupt collapse coverage, contending that the insured’s building “did not collapse because its structural capacity was not ‘substantially’ or ‘significantly’ impaired.”
July 24, 2023
District Court Erred In Reducing Contract Damages Award In Silo Collapse Suit

RICHMOND, Va. — A district court erred in reducing a jury’s $7.6 million award in favor of an insured in a coverage dispute arising out of the collapse of the insured’s silo because the court did not properly calculate the period of restoration pursuant to the policy’s terms, the Fourth Circuit U.S. Court of Appeals said in reversing a portion of the lower court’s ruling following the jury verdict.
July 24, 2023
Magistrate Allows Insurer To Add Overpayment Claim In Hurricane Coverage Row

NEW ORLEANS — A Louisiana federal magistrate judge granted an insurer’s motion to add a counterclaim in homeowners’ suit against the insurer to recover alleged hurricane-related damages, finding “no substantial reason” to deny the motion to add a counterclaim for overpayment based upon the homeowners’ alleged material misrepresentations.
July 20, 2023
Insured’s Motion To Amend Hurricane Irma Complaint Was Unduly Delayed, Panel Says

ATLANTA — The 11th Circuit U.S. Court of Appeals held that a lower federal court was within its discretion to determine that an insured’s filing of its motion to amend a Hurricane Irma coverage complaint was unduly delayed, affirming the lower court’s denial of the insured’s motion to amend.
July 19, 2023
Judge Denies Motions To Amend In Hurricane Coverage Suit Against Insolvent Insurer

LAFAYETTE, La. — A Louisiana federal judge denied a homeowner’s motions to amend and file a supplemental complaint in his suit against a now-insolvent insurer for failure to cover damages purportedly caused by Hurricanes Laura and Delta, finding that adding the Louisiana Insurance Guaranty Association (LIGA) “would be futile” because it would destroy diversity jurisdiction and require dismissal.