Indiana Supreme Court Finds Insured Afforded Coverage For “Professional Services”

In Wellpoint, Inc. v. National Union Fire Insurance Company of Pittsburgh, PA, No. 49S05-1404-PL-244 (Ind. Apr. 22, 2015) the Indiana Supreme Court reversed the trial court and granted summary judgment for Anthem, Inc.against numerous reinsurers (Excess Reinsurers), finding that Anthem was afforded coverage in the underlying litigation under the reinsurance policies.

Anthem, a large managed health care organization, was self-insured for E&O liability. It purchased policies from other insurers to reinsure its E&O liabilities. The underlying litigation consisted of several lawsuits filed against …

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Seventh Circuit Holds Insurance Adjusters Owe No Legal Duty to the Insured

In Lodholtz v. York Risk Services Group, Inc. (Feb. 11, 2015), the Seventh Circuit afforded liability protection to outside claims adjusters by holding that they owe no legal duty to the insured. As background, York Risk Services Group, Inc. (“York”) was an insurance adjuster retained by Granite State Insurance Company (“Granite”), the insurer of Pulliam Enterprises, Inc. (“Pulliam”). Robert Lodholtz, the plaintiff, sustained injuries in a factory belonging to Pulliam and subsequently sued Pulliam. There was some confusion with regard to whether Granite would provide …

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