SDV Insights

Second Circuit Holds That Employer's Liability Exclusion Does Not Bar Coverage Due to its Ambiguity

In Hastings Development, LLC v. Evanston Insurance Company,1 the United States Court of Appeals for the Second Circuit held that an Employer's Liability Exclusion in a commercial general liability policy does not bar coverage of an underlying personal injury lawsuit because of the ambiguity within the language of the exclusion.

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Washington Policyholders Can Sue Insurance Adjusters Personally for Bad Faith Claims Handling

In a new decision, a Washington State appellate court ruled recently that insureds may sue an insurance adjuster personally for bad faith claims handling. The decision is unusual and has interesting implications for policyholders and insurance companies nationwide.

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Interpreting "Prior Knowledge" Clauses in Claims-Made Policies: When Knowing Too Much Can Hurt You

Claims-made insurance policies are designed to protect policyholders from liability for claims brought during the relevant policy period. From the perspective of the insurer, these policies have the distinct advantage of providing certainty that when the policy period ends without a claim having been made, the insurer will not be exposed to any further liability.

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Insureds Failure to Timely Report Claim Eliminates Coverage

A recent federal court decision, applying California law to directors and officers liability policies, addressed two important issues: the importance of a policyholder's strict compliance with a claims-made-and-reported policy's notice provision, and the importance of accurate representations in an insurance application.

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The Outer Limits: Indiana Federal Court Refuses to Apply Interrelated Wrongful Acts Exclusion in D&O Coverage Dispute

In a recent pro-policyholder decision, an Indiana federal court held that a common, broadly-worded exclusion in Directors & Officers ("D&O") insurance for "Interrelated Wrongful Act[s]" did not preclude coverage, since a literal interpretation would produce "absurd" results. In the past, the all-encompassing language of the exclusion has been abused by insurers who have sought to construe the concept of "interrelation" so broadly as to exclude coverage for otherwise covered claims.

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New York Court of Appeals Addresses Choice of Law Challenges

In June, the New York Court of Appeals examined the application of a New York Choice of Law provision in a contract - a determinative issue for the case. In Ontario, Inc. v. Samsung C&T Corp., the issue was whether the plaintiff's claims were subject to Ontario, Canada's 2-year statute of limitations or New York's 6-year statute of limitations for breach of contract where the contract contained a broad New York Choice of Law provision.

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The Sixth Circuit Weighs in on "Direct Loss" Issue for Cyber Fraud Coverage

Earlier this month, SDV reported on a recent Second Circuit case where the court broadly interpreted the "direct loss" requirement to find coverage for a cyber fraud, email spoofing scam. Now, the Sixth Circuit Court of Appeals has issued a similar opinion in American Tooling Center, Inc. v. Travelers Casualty & Surety Company, finding coverage for a company that lost $834,000 to a similar scam. These recent decisions may indicate a trend in favor of policyholders on the "direct loss" issue.

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Second Circuit Court Differentiates the Standard for Determining Evident Partiality for a Neutral Arbitrator and a Party-Appointed Arbitrator

In June, the New York Court of Appeals examined the application of a New York Choice of Law provision in a contract - a determinative issue for the case. In Ontario, Inc. v. Samsung C&T Corp., the issue was whether the plaintiff's claims were subject to Ontario, Canada's 2-year statute of limitations or New York's 6-year statute of limitations for breach of contract where the contract contained a broad New York Choice of Law provision.

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Second Circuit Finds Coverage in Cyber Fraud Case

On Friday, July 6, 2018, the United States Court of Appeals for the Second Circuit held that a fraudulent email that caused a company to transfer $4.8 Million to the fraudster was a "direct loss" and was, therefore, covered by the company's computer fraud insurance.

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If it Quacks Like a Duck...Ontario's Newest Views on Self-Insured Retentions and Deductibles

Self-insured retentions ("SIRs") and deductibles are often confused with one another. In a recent decision, Henry v. Thyssenkrupp Elevator (Canada) Limited, the Ontario Superior Court of Justice found that an SIR is similar and functionally related to a deductible. Although the policy in question was subject to an SIR, the Court treated it like a deductible. This case may prove helpful to Canadian policyholders seeking additional insured coverage.

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