District Court Determined Reinsurer Acted as Malpractice Insurer to Hospitals

Ario v. Reliance Ins. Co.

( Pa. Commw. Ct. September 4, 2009)

The court granted the summary judgment motions of two hospitals seeking treatment as third-party beneficiaries of reinsurance agreements where: (1) the primary insurer acted only as a fronting company in which capacity it did not accept an underwriting risk; (2) the primary insurer entered the transaction to generate fee income, not premium revenue; (3) the reinsurer acted as the direct insurer by funding and processing claims through its affiliate; (4) the hospitals chose

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District Court Vacates Arbitration Panel’s $6 Million Dollar Reinsurance Award

PMA Capital Ins. Co. v. Platinum Underwriters Bermuda, LTD

(Eastern District of Pennsylvania, September 17, 2009)

 

A Reinsurer demanded arbitration, seeking a declaration with respect to calculation of the balance of the Experience Account under the reinsurance contract and that it was entitled to the “benefit deficit carry forward” under a prior contract with a different reinsurer.  The arbitrators awarded the reinsurer $6 million dollars within 30 days and eliminated the deficit carry forward provision in the contract in its entirety.  Finding that the

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Allstate Settles Class Action Discrimination Lawsuit for $4.5 Million

EEOC v. Allstate Insurance

(Eastern District of Missouri, September 14, 2009)

 

On September 14, 2009, Allstate settled an age discrimination action agreeing to pay 90 former employees approximately $4.5 Million. The litigation arose out of Allstate’s efforts to convert its workforce from employees to independent contractors.

 

In order to facilitate the transition, Allstate enacted a hiring moratorium for one year, beginning in 2000. It was alleged that the moratorium had a disparate impact on individuals over 40 years old. In addition to the

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Insurance Legislative Update for All 50 States

Legislation

Alabama

Senate Bill 5

(Introduced May 26, 2009; Last Action May 26, 2009)

This bill prohibits the application of a hurricane deductible for property damage in insurance policies unless the damage arose from a named hurricane or tropical storm.  It requires personal lines insurance policies offering a percentage deductible for the peril of winds and hail to offer a voluntary buy‑back provision and provides penalties for violations.

California

Senate Bill 119

(Introduced February 2, 2009; Last Action May 28, 2009)

This bill extends

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Federal District Court Refuses to Enforce Subpoena for Foreign Insurance Arbitration (Adopts Minority Position)

In re an Arbitration in London, England between Northfolk Southern Corp. et al v. ACE Bermuda LTD  (Northern District Ill., June 15, 2009)

The named insured and named party in a London reinsurance arbritration requested that the district court order a non-party witness to testify in the arbitration.  The movants relied exclusively on 28 U.S.C. §1782, which provides a district court with the inherent power to order a person to testify or provide documents for use in a proceeding in a foreign or international tribunal. 

The non-party

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Goldberg Segalla CaseWatch Insurance

Below are links to cases referenced in the June 21, 200 the Goldberg Segalla CaseWatch Insurance.These cases are posted with the permission of Lexis.

Download ACCC Ins. Co. v. Carter and Dumas

Download Cargil, Inc. v. Ace American Ins. Co., et al.l

Download Jones v. General Insurance Co.

Download Matkin-Hoover Engineering, et al. v. Everest National Ins. Co.

Download Mississippi Phosphates Corp. v. Furnace and Tube Service, et al.

Download National Union Fire Ins. Co. v. Reichhold, et al.

Download Xiong and Burton v. Lincoln National

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U.S. Supreme Court Bars New Manville Asbestos Claims Against Insurer

Travelers Indem. Co. v. Bailey

(S. Ct. June 18, 2009)

 

The Supreme Court upheld a long-standing agreement among insurers, policyholders, and some claimants that allowed Travelers, an insurer of John-Manville Corp., to contribute insurance proceeds to a trust in exchange for immunity from future claims. The arrangement became a model for more than 40 other asbestos cases. Plaintiffs, however, sued Travelers, arguing that it broke consumer protection laws as well as common law by conspiring to hide the dangers of asbestos and failing to warn

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NJ Court Awards Counsel Fees to Prevailing Policyholder For Out of State Declaratory Judgment Actions

Myron Corp. v. Atlantic Mutual Ins. Corp., A-5528-07T2; App. Div. (Reisner, J.A.D.) (June 5, 2009)

Plaintiff policyholder obtained a commercial policy from defendant insurer. As part of the policyholder’s business, it sent various faxes to business throughout the country which prompted lawsuits against it for violation of a federal statute against junk faxes. The policyholder requested defense and indemnification from the insurer for the out-of-state lawsuits. The insurer defended the policyholder, but commenced two  declaratory judgment actions in Illinois seeking a declaration that there was no coverage under its

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Second Circuit Finds Insurer’s Decision Rejecting Life Insurance Benefits Arbitrary and Capricious

Cohen v. Metropolitan Life Ins. Co.

(2nd Cir., June 9, 2009)

The Second Circuit upheld a district court's ruling that an insurer’s denial of life insurance benefits was arbitrary and capricious.  The court, in upholding the district court's decision, concluded that its rationale that it had a “pre-existing condition” was questionable especially when one factors that the insurer was operating under an actual conflict of interest as both an administrator and fiduciary to the plan. 

 

The Second Circuit, however, finds that an award for

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