Insurance Journal

JANUARY 30, 2025

filed a racketeering lawsuit against a group of law firms, doctors and pain-management clinics it claims staged fake car accidents and performed unnecessary surgeries to take advantage of New York’s lucrative no-fault insurance policies. Ride-sharing giant Uber Technologies Inc. Since …

Injury 274

Injury Insurance Policy Claim Policy 274

Property Insurance Coverage Law

JANUARY 26, 2025

Is an Invasion Covered Under a Commercial Insurance Policy? where I gave a short explanation of the day: Tampas Mayor refused to hand over the keys to the city on Tuesday to … The post Pirates Invade Tampa! appeared first on Property Insurance Coverage Law Blog.

Commercial Insurance 202

Commercial Insurance Insurance Policy Commercial Policy 202

Property Insurance Coverage Law

APRIL 9, 2025

Sometimes, decisions come along that make me wonder if judges are reading the same insurance policies and insurance laws the rest of us are. The recentFloridaClark opinion 1 is one of them.

Claim 133

Claim Property Insurance Insurance Policy Insurance Companies 133

Prof. Allan Manning

FEBRUARY 10, 2025

I recall the very first business interruption claim I did was for a risk in Toowoomba and to my horror found that the Insured had only declared 3 months insurable gross profit with a 3-month Indemnity Period. Fast forward 40 or so years and in Vanuatu last week with the earthquake claims I saw many occasions of the very same issue.

Business Interruption 189

Business Interruption Claim Insured Insurance 189

Property Insurance Coverage Law

MARCH 11, 2025

All insurance policies include a section placing specific responsibilities and obligations on policyholders to act in a certain way before entitling them to policy benefits for what should be a covered loss.

Policyholder 129

Policyholder Claim Property Insurance Insurance Policy 129

Insurance Journal

AUGUST 12, 2024

Claims that a workers’ compensation insurer’s conduct after it canceled a policy were negligent are for a court, not the state’s workers’ compensation board, to decide, the Connecticut Appellate Court has ruled. Liberty Mutual Insurance Co. had succeeded before both …

Policy 264

Policy Compensation Claim Workers Compensation 264

Prof. Allan Manning

JULY 29, 2024

Realising the importance of ongoing learning, LMI held their annual conference for the claims team in Sydney last week. During the conference it was appropriate to acknowledge and present 10 year service awards to Caroline Stevens from LMI Forensics and Georg Froeschl from LMI Claims.

Claim 214

Claim Business Interruption License Policy 214

Insurance Journal

AUGUST 27, 2024

Lowe’s Cos. is scaling back its diversity, equity and inclusion programs, the latest American company to end such initiatives following a series of activists attacks on firms that promote DEI. The home-improvement retailer will no longer participate in surveys for …

Policy 290

Policy Claim Liability 290

Insurance Journal

DECEMBER 25, 2024

At what point does a demand from an injured party constitute an insurance claim? In the case of a Georgia-based sperm bank, it’s when the injured party sends the letter a date that came before the clearly worded policy …

Policy 246

Policy Insurance Claim Claim Insured 246

Insurance Journal

SEPTEMBER 25, 2024

Florida’s largest insurer, has suspended policy binding ahead of predicted Hurricane Helene, and a board member asked if the carrier could do more to help policyholders manage flood insurance claims from the looming storm. Citizens Property Insurance Corp., “My question …

Claim 279

Claim Policyholder Property Insurance Insurance Claim 279

Insurance Journal

OCTOBER 16, 2024

The Pennsylvania Supreme Court has let stand a state appeals court ruling that tackled for the first time what is meant by “your computers” under electronic data coverage in a commercial property policy. The case involves claims by Bible video …

Commercial Property 274

Commercial Property Claim Commercial Policy 274

Property Insurance Coverage Law

FEBRUARY 2, 2025

Ropicky, 1 the court held that insurers may not deny legitimate claims based on policy exclusions that the insurer has broadly applied. In a recent case from the Wisconsin Court of Appeals, Cincinnati Insurance Company v.

Property Insurance 182

Property Insurance Policy Insurance Companies Claim 182

Property Insurance Coverage Law

MARCH 11, 2025

All insurance policies include a section placing specific responsibilities and obligations on policyholders to act in a certain way before entitling them to policy benefits for what should be a covered loss.

Policyholder 100

Policyholder Claim Property Insurance Insurance Policy 100

Property Insurance Coverage Law

FEBRUARY 16, 2025

California fire insurance policies must provide an insured a minimum of 12 months from the inception of the loss to bring any suit or action on the policy for recovery of any claim. Code 2071.

Claim 100

Claim Property Insurance Insurance Policy Policy 100

Property Insurance Coverage Law

SEPTEMBER 22, 2024

A recent ruling by a federal trial court stated that the policyholder claimed that a severe hailstorm on May 28, 2021, caused extensive damage to his property, including damage to the roof, vents, flashings, windows, window screens, fascia, gutters, downspouts, and HVAC system. appeared first on Property Insurance Coverage Law Blog.

Claim 187

Claim Policy Policyholder Damage 187

Property Insurance Coverage Law

SEPTEMBER 25, 2024

In my basic course about property insurance coverage to public adjusters, and as a standard issue regarding case intake at Merlin Law Group, I first emphasize to always make certain the named insureds and clients have a right to bring the claims. appeared first on Property Insurance Coverage Law Blog.

Property Insurance 203

Property Insurance Insurance Policy Policy Insured 203

Property Insurance Coverage Law

FEBRUARY 5, 2025

A recent viral social media post following the California wildfires has brought to light a critical issue: homeowners are finding their insurance claims denied because their properties are held in trusts, yet the trusts are not listed on their insurance policies.

Insurance Claim 100

Insurance Claim Claim Insurance Policy Insured 100

Property Insurance Coverage Law

MARCH 26, 2025

Property insurance adjustersboth company-employed and independentserve as the backbone of the claims process, ensuring that policyholders receive the full benefits of their coverage as swiftly and fairly as possible.

Property Insurance 128

Property Insurance Policyholder Damage Claim 128

Property Insurance Coverage Law

MARCH 26, 2025

Property insurance adjustersboth company-employed and independentserve as the backbone of the claims process, ensuring that policyholders receive the full benefits of their coverage as swiftly and fairly as possible.

Property Insurance 128

Property Insurance Policyholder Damage Claim 128

AMAXX

MARCH 18, 2025

Many companies operate under an unwritten rule: accept every workers compensation claim, no questions asked. A well-managed workers compensation program should pay 100% of legitimate claimsand 0% of the claims that arent. Employees come to believe that every claim will be accepted, regardless of the circumstances.

Workers Compensation 71

Workers Compensation Compensation Claim Workers Comp 71

Property Insurance Coverage Law

NOVEMBER 5, 2024

A recent Indiana Court of Appeals decision where Merlin Law Group’s Ed Eshoo was counsel for the policyholder provides a textbook example of how an insurance company’s conduct can waive strict policy requirements, even when attempting to preserve those rights through reservation letters.

Claim 203

Claim Policyholder Insurance Companies Property Insurance 203

The Property Insurance Law Observer

MARCH 20, 2025

Consequently, the plaintiff was not entitled to indemnity for damage to the property it purported to insure under a commercial property insurance policy. [1] During the policy term, the business claimed that the properties suffered damage caused by a hurricane and submitted a claim to the insurer. Hawley Insurance Co.

Property Damage 130

Property Damage Damage Insured Insurance 130

Insurance Journal

JANUARY 9, 2025

If insurance carriers want to have dibs on a company’s assets as premium security or collateral, they had better specify that those assets include potential tort-claim settlements, a federal appeals court said Wednesday. In a case that involved a Florida …

Claim 246

Claim Insurance Carrier Premium Workers Compensation 246

The Property Insurance Law Observer

FEBRUARY 25, 2025

However, the court granted summary judgment in favor of the insurer on the bad faith claim, emphasizing that a thorough investigation into a questionable claim does not amount to bad faith Background Spinnaker Insurance Company (Spinnaker) issued a homeowners policy to Donald Jackson (Jackson) for a designated residence premises.

Claim 130

Claim Policy Insurance Companies Damage 130

Insurance Journal

DECEMBER 8, 2024

When hurricanes hit coastal areas, property insurers often breathe a sigh of relief when much of the damage appears to be the result of storm surge and flooding losses that aren’t covered by most homeowners’ policies. But after Hurricane …

Claim 246

Claim Damage Property Insurance Policy 246

AMAXX

MARCH 4, 2025

Research has shown that fear of being fired is one of the top predictors of negative claim outcomes, including increased litigation rates and extended time off work. By understanding the role fear plays in workers compensation claims, employers can implement strategies to foster trust, improve outcomes, and reduce costs. Heres how: 1.

Workers Compensation 82

Workers Compensation Compensation Claim Workers Comp 82

Insurance Journal

NOVEMBER 19, 2024

Insurance carriers may want to examine policy language – and what information they request from insureds – after the U.S. Supreme Court let stand a lower court’s ruling which could force Argo Group to cover claims that a wood-treating company …

Insurance Carrier 246

Insurance Carrier Claim Policy Insured 246

Insurance Journal

AUGUST 22, 2024

The West Virginia insurance commissioner’s office has adopted a new policy: It will soon begin destroying workers’ compensation claim files that are 10 years old or older. “Given increasing cybersecurity concerns and the type of information contained in the closed …

Workers Comp 279

Workers Comp Cyber Compensation Risk 279

Insurance Journal

AUGUST 25, 2024

revived the district’s lawsuit against Amazon.com Inc on Thursday, saying it plausibly claimed the online retailer’s pricing policies illegally stifle competition. An appeals court in Washington, D.C. The District of Columbia Court of Appeals reversed a ruling that had dismissed …

Claim 278

Claim Policy 278

Distinguished

MARCH 10, 2025

While adding these items to a property or package policy might seem convenient, museums face unique exposures that such generalized policies often fail to address. A stand-alone Fine Art & Collectibles insurance policy is designed to provide museums with comprehensive coverage of the items and their vulnerabilities.

Policy 52

Policy Deductible Damage Claim 52

Property Insurance Coverage Law

SEPTEMBER 3, 2024

On February 5, 2019, Opera Block’s owner, Timothy … The post Order and Bind Insurance Before the Loss—Commercial Policy Covers Water Damage Under Drain Backup Endorsement appeared first on Property Insurance Coverage Law Blog.

Commercial 203

Commercial Damage Policy Property Insurance 203

Insurance Journal

NOVEMBER 17, 2024

From streamlining claims processing to creating personalized policies, AI has quickly become a vital tool for insurers striving to stay … The insurance industry is in the midst of a digital revolution, with artificial intelligence (AI) at the heart of it.

Insurance Industry 255

Insurance Industry Insured Insurance Insurer 255

Insurance Journal

FEBRUARY 27, 2025

French insurer AXA reported better-than-expected full-year earnings on Thursday, boosted by increased premiums from individual insurance policies and fewer claims for natural catastrophes. Full-year net income jumped by 10% from a year earlier to 7.89 billion euros ($8.28 billion), beating …

Claim 147

Claim Premium Insurance Policy Policy 147

The Property Insurance Law Observer

OCTOBER 9, 2024

GeoVera Specialty Insurance Company (2024 WL 3952571), the court affirmed that unambiguous policy limits remain enforceable even when an appraisal award exceeds those limits. This decision provides valuable guidance for insurers handling post-catastrophe claims. The appraisal award exceeded the policy limits for certain items.

Policy 130

Policy Damage Insured Insurance 130

The Property Insurance Law Observer

MARCH 12, 2024

The Court considered whether the Plaintiffs’ loss was caused by theft or vandalism, as neither term was defined in the policy. In Cheung, the Plaintiffs, who resided in California, purchased property in scenic Mount Vernon, Washington, in July 2021, and insured the property through a policy of insurance issued by Allstate.

Theft 130

Theft Insurance Policy Policy Personal Property 130

Insurance Journal

AUGUST 4, 2024

I’m seeing more cases of carriers rescinding policies for application errors, fraud or outright lies (call it what you will) than I’ve ever seen, and these are situations when there is an errors and omission (E&O) claim against the agent.

Agents 246

Agents Claim Policy 246

Property Insurance Coverage Law

MARCH 29, 2025

When policyholders file an insurance claim, they expect their insurer to pay losses. Most policyholders have never read their policy nor would appreciate what it even means with nuanced coverage causation rules applying that vary from state to state.

Policyholder 100

Policyholder Property Insurance Insurance Claim Claim 100