HNRK Coverage Corner

A recent decision from the U.S. District Court of Western District of Washington  touches on a number of important insurance coverage issues:  policy reformation, the effect of an insured’s late notice of a claim, and the insurer’s burden to prove applicability of a policy exclusion. In General Casualty Company of Wisconsin v. Reed Hein & Assoc. LLC et al., the court’s consideration of these issues resulted in opposite outcomes for two insurers. While the insured’s CGL carrier (General Casualty) successfully avoided a duty to defend, the D&O insurer (RSUI) was found to have ...

Today at the Coverage Corner, we examine a Fifth Circuit decision that ponders a fundamental question: What is a “suit”? A complaint filed in court or arbitration demand seeking money damages should qualify. But what about a pre-lawsuit ADR procedure? Like all questions of policy interpretation, the answer lies in the policy language, construed in accordance with the established rules of policy interpretation (including, for example, the canon that ambiguities are construed “in favor of the insured”).

At issue in BPX Prod. Co. v. Certain Underwriters at Lloyd’s ...

On February 13, 2024, the New York Appellate Division, First Department, issued a decision in Bay Plaza Mall, LLC v. Argonaut Ins. Co., holding that evidence regarding an insurer’s handling of “prior similar claims” was a relevant consideration in construing a CGL policy.

This coverage action arose from “two underlying personal injury actions brought by individuals who were injured while working on a project at premises owned by plaintiffs.” Affirming the motion court’s decision denying the insurers’ motion for summary judgment, the First Department noted that ...

On September 16, 2020, Judge Failla of the SDNY issued a decision in Philadelphia Indemnity Ins. Co. v. Streb, Inc., Case No. 19-CV-366 (KFP), ruling that a CGL carrier had no duty to defend a personal injury action because undisputed “extrinsic evidence” (i.e., facts not alleged in the complaint) conclusively established that an exclusion applied.

The insured (Streb, Inc.), a not-for-profit dance and performance company, was a defendant in a personal injury action brought by a participant in an aerobics class who was severely injured on a trampoline.  Streb’s CGL policy ...

On April 9, 2020, the Second Circuit issued a decision in Brooklyn Center of Psychotherapy, Inc. v. Philadelphia Indemnity Ins. Co., Docket No. 19-2266-cv, certifying the following question to the New York Court of Appeals:  Can a discrimination claim based on a “failure to accommodate” theory trigger coverage under a general commercial liability policy?

The coverage dispute in this case arose from a disability discrimination lawsuit brought by a deaf woman, who alleged that the Brooklyn Center for Psychotherapy discriminated against her, in violation of state and federal ...