Insurance Coverage of BIPA Claims – The Next Frontier
In recent years, privacy law has exploded both here in America and abroad. Two of the most prominent examples include the California Consumer Privacy Act of 2018 and the General Data Protection Regulation in the European Union. Likely because of the focus of these well-known pieces of legislation, most people tend to associate modern privacy laws with internet history and data stored in phones or other devices. Some privacy laws, however, concern a much more personal type of data—your physical features.
Beware of “Insurers Bearing Gifts”
Your insurers are not necessarily your friends. Their practical goal is to avoid paying money on any claim made by the insured. Despite the friendly, customer-first appearance they cultivate, many seemingly generous offers are often illusionary. A few common traps to be wary of are: (1) re-definition of policy terms which imbed limitations to coverage without expressly adding policy exclusions; (2) withholding of advice that an insured is entitled to independent counsel despite issuing a comprehensible reservation of rights that allows the insurer to change its mind about coverage as new facts come to light; and (3) reticence to truly pay defense fees or to advance payment of necessary sums to settle.
Securing Policy Benefits Beyond Insurer Shell Games
What’s the best approach to choosing an insurer based on policy language or service? As policy holder insurance coverage counsel, I am occasionally asked to assist policy holders in procuring coverage. In that capacity, I have analyzed a number of risks under CGL/Umbrella/Excess, D&O, E&O, Media, Cyber Media, Technology, IP, EPLI, Fiduciary, Crime, and a host of other forms of insurance coverage. My primary focus is policy language. That is what a court must interpret. Nonetheless, insurers that allow policyholder to retain independent counsel, where the law allows it, at rates they validate, and extend authority to resolve litigation within policy limits receive my recommendation.
Disputes Over Control of Counsel Between Policyholders and Insurers
Because the insurer has a duty to defend if a claim is even potentially covered, insurers usually take on defense of a claim that may be covered. However, if an insurer disputes coverage, it may initiate a Declaratory Judgment Action to determine whether it owes a duty to defend the policyholder in the underlying action. Alternatively, it could simply decline coverage altogether, in which case the policyholder may file a declaratory judgment action (or a third-party declaratory judgment claim in the underlying action) or wait until the underlying litigation ends and file suit against the insurance company seeking reimbursement (also called recoupment of defense).
Settlement May Be Recoverable Against a Non-Defending Insured Without a Trial
If the underlying case settles before judgment is issued, the court assessing the insurer’s duty to indemnify monies paid in settlement may not have the benefit of adjudication for liability or damages in the underlying action. Such an insurer, therefore, must assess the its obligation to compensate the insured for amounts it paid in settlement based on the insured's potential for liability in the underlying action. This determination is made based on the facts established in the case at the point of settlement, including the facts that were assumed by the parties and formed the basis for the settlement.
Do Not Accept No for an Answer If Insurers Deny Coverage for IP Claims
Commercial General Liability policies (“CGL”) have wrestled with articulating limits for coverage triggered under its “advertising injury” coverage since its inception in 1976 as an add-on element to the standard form CGL policy. As such, courts have had to assess their scope when analyzing what intellectual property torts might fall within their ambit. Especially where facts, not labels, are causes for actions that control and the duty to defend is adjudged from the layman’s perspective in reading policy language, this has led to inconsistent decisions, reversals upon further review of the nature of the torts claims asserted and their intersection with the insured’s coverage law, and uncertainty.
Coverage for Patent Infringement Lawsuits under CGL Policies
Most Commercial General Liability (“CGL”) policies do not explicitly include patent infringement as a covered offense. Also, many policies expressly exclude patent infringement coverage in an Intellectual Property (“IP”) exclusion. Based thereon, insurers will often deny coverage for patent infringement claims because they fall outside the coverage scope of its CGL policy. Patent infringement claims, however, can still secure coverage under various pathways.
Battling for Equity-Securing Appropriate Fee Rates in C. C. §2860 Disputes
The rates insurers pay their appointed counsel to defend similar actions in similar communities sets the benchmark when California Civil Code § 2860 is applied. To pay a rate less than the reasonable rate virtually every other forum requires strict and complete compliance with California Civil Code § 2860.
Arbitrator Rules Delay in Paying Defense Fees Constitutes Bad Faith
Where an insurer withholds policy payments on grounds that are unreasonable or without proper cause, the insurer tortuously breached the implied covenant of good faith and fair dealings. A recent arbitration decision – Independent Physicians Associates Medical Group, Inc. dba AllCare IPA v. Ironshore Specialty Insurance Co. – clarifies why delaying defense fees payments while pursuing another insurer for contribution, or negotiating a settlement of defense fees due, breached of the insurer’s duty of good faith and fair dealing.
Insurance Coverage for Antitrust Disputes
Express coverage for antitrust lawsuits arise under a variety of policy forms that do not expressly reference antitrust tort. Potentially applicable policies include: Directors and Officers (“D&O”), Errors and Omissions (“E&O”), Commercial General Liability (“CGL”), and, on occasion, Media[1] policies as well as sublimited antitrust policies or endorsements.
Deadline Looms for Business Interruption Insurance Coverage COVID-19 Claims
Counsel who seek to benefit from any coverage recognition by their property insurer to secure business interruption loss reimbursement arising from COVID-19 events must make a critical decision soon. Drafting a complaint in an appropriate forum is critical before the deadline. For most property policies, that is 3/19/2022 — two years from civil authority shut down.
Delaware Superior Court Rules Pursuit of Affirmative Claims Was Strategically Defensive
On February 8, 2022, the Delaware Commercial Court, in Legion Partners Asset Management, LLC v. Underwriters at Lloyds of London, ordered payment of the principal amount of $1, 186, 946.08 plus prejudgment interest for defense fees at the legal rate of 5.25% pursuant to Delaware statute, 6 Del. C. sec. 2301(a) for a total sum of $1, 249, 260.75 accruing from the date of presentment of the fees to Underwriters.
In so ruling, it brought to a conclusion a coverage dispute addressing claims for wrongful conduct by an ex-employee held compensable after a counterclaim in the employment arbitration dispute incorporated mirror image fact allegations to those addressed in a stayed state court action for “breach of fiduciary” duty by an ex-employee.
Requiring Insurers to Protect Policyholders in "Mixed Action" Cases as They Head to Trial
Allocation issues involving “mixed actions” have emerged as a potent source of controversy. A developing body of case law addressing allocation limits the right of insurers to prorate their defense payment where the policies don’t allocate 100% of defense fees to the insurers.
BUSINESS OWNER’S GUIDE TO INSURANCE COVERAGE
Business owners are often confronted by the need to explore insurance coverage to evaluate whether claims or problematic events arose requiring insurer involvement and subsequently, insurance coverage expertise. Policyholders need to be mindful and may need to seek counsel expertise to properly clarify and structure their claim submission to avoid traps posed by policy exclusions and conditions in their insurance policy.
Insurance Coverage for Vehicular Accidents
Plaintiff’s lawyers often seek damages beyond those available under Defendant’s individual automobile policies. Where Defendants are working for an employer at the time of an accident, separate coverage under the Commercial General Liability (“CGL”) policy of the Defendant’s employer, which include Commercial Automotive coverage may be implicated.
Narrowly Construing COVID-19 Business Interruption Insurance Coverage
A 4th District, Division 1, California Court of Appeals panel, in The Inns by The Sea v. California Mutual Ins. Co., decided that civil authority coverage cannot be implicated because “bodily injury” or “property damage” was not the triggering event, but rather the authority’s announcement of a shutdown in mid-March of 2020. The court’s analysis emphasizing the non-event essential espouses that the egg came into life, full force, without the chicken.
When Insurance Coverage Arises for Implicit As Well As Direct Disparagement
Implicit disparagement is an insurance coverage doctrine often overlooked or misapplied. It first surfaced within the final decade of the last millennium. The reasoning was always there. But, coverage practitioners had not presented the available arguments that demonstrated that “disparagement” offense policy did not require that the allegations addressed all elements to evidence common trade libel law or product disparagement to establish coverage under offense “d”.
TRIGGERS FOR RECOVERY OF PREJUDGMENT INTEREST
Where an insurer had denied a claim and many years have ensued until an adjudication of its duty to defend, prejudgment interest recovery can be significant. This, in turn, can make choice of the forum to pursue a coverage case, as well as what law that forum may apply, a critical decision element for coverage litigation.
The “Advertiser’s Exclusion” Doesn’t Bar Coverage for Advertisers Who Act Beyond Its Scope
A number of insurers issue standard ISO policies that exclude conduct committed by an insured whose business is advertising, broadcasting, publishing or telecasting. This exclusion can be circumvented, however, where the nature of their conduct of an advertiser is not their principal business.
Insurance Coverage for COVID-19 Infection Claims by Employees Returning to Work
Businesses are beginning to re-open and their employees are returning to work. Employers need to be prepared for the evolving threat of COVID-19 infection and employee infection claims. Learn more about how to find insurance coverage when workers’ compensation may not be not enough.