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Planning Ahead: Thoughts on Successful Strategies in Co-Insurer Disputes Greg Taylor Skip Scott Andy Ryan Diamond McCarthy LLP 25 April 2008 Planning Ahead: Thoughts on Successful Strategies in Co-Insurer Disputes Greg Taylor Skip Scott Andy Ryan Diamond McCarthy LLP 25 April 2008
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Who We Are Commercial Litigation Boutique Offices Dallas, Houston, & Austin New York Litigate throughout North America, Europe, and Asia Analyze insurance issues routinely Coverage issues in fiduciary litigation Subrogation Bad faith
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Creation of an Adversarial Landscape Systemic Problems in Co-Insurance Coverage issues are theoretically straightforward But convoluted in practice U.S. legal system compounds matters Expense Hostile forum Damage issues Result: Increasing Number of Co-Insurer Disputes “Deny first, pay later” Hold-out carriers take advantage Freeloading
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Recent Case Example Lloyd’s v. NUFIC Our initial role: D&O defense counsel Pressed for subrogation lawsuit against hold-out carrier Recouped nearly all of market’s loss Lessons learned: why we’re here
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Surveying the Adversarial Landscape Co-insurer’s “deny first” policy places you in a precarious position To pay or not to pay? Potential bad faith exposure Denying Coverage is Deciding to Litigate Will it be your decision or theirs?
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Possible Options Option #1: Resolution through coverage counsel Different Focus Too entrenched in coverage position Be mindful of the litigation picture Must be acutely aware of pitfalls and future strategy
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Possible Options Option #2: Cover and File Suit Remember: it’s either your litigation decision or theirs Must protect your claim Reservation of rights against hold-out carrier Consistent coverage approach Allocation issues Covered v. Uncovered Claims Covered v. Uncovered Insureds Offensive v. Defensive Claims Fees and Loss Prove Up: Need for Internal Documents
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Texas-Sized Pitfalls to Option #2 Three Main Pitfalls under U.S. Law: Bad Faith Claims: Can a co-insurer bring them? Statutes of Limitation: How long can you wait to sue? An Insured Made Whole: Do you have a subrogation or contribution claim?
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Pitfall #1: Can You Own Your Insured’s Bad Faith Claim? Bad faith claim provides tremendous leverage Bad Publicity Not re-insured Policy’s Subrogation Clause “All Claims” Language Includes Bad Faith Claim should belong to insurer…
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Pitfall #1: Can You Own Your Insured’s Bad Faith Claim? But, some U.S. courts strike down assignment See, e.g., GreatAmerican Insurance Co. Holding: because bad faith claims are personal, they cannot be assigned Result: Claim reverts back to insured Pitfall: Paying insurer needs to maintain good relations with its insured
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Pitfall #2: When to Sue How long do you have to sue? Bad faith– usually 1 or 2 years Breach of contract– usually 4 or 6 years What if you wait until the entire loss is paid? When does the clock start ticking?
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Pitfall #2: When to Sue Does the claim accrue at denial? Minority view Or, does the claim accrue once the underlying lawsuit terminates? Majority view: New York, Maryland, Washington, Alaska, California, Ninth Circuit (Federal) Rationale: Ongoing Duty to Defend Texas: On the Fence Murray v. San Jacinto Agency, Inc. Compare with All-Tex Roofing, Inc. v. Greenwood Ins. Group (Indemnity Only)
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Pitfall #3: An Insured Made Whole Option #2 requires a paying co-insurer to cover all of the insured’s loss Result: Paying insurer should have a subrogation or contribution claim against non- paying insurer Pitfall: New decisions limiting these claims when an insured suffers no damages of its own
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Pitfall #3: An Insured Made Whole Firemen’s Fund (California): “Where there are several policies of insurance on the same risk and the insured has recovered the full amount of its loss from one or more, but not all, of the insurance carriers, the insured has no further rights against the insurers who have not contributed to its recovery. Similarly, the liability of the remaining insurers to the insured ceases, even if they have done nothing to indemnify or defend the insured.” Liberty Mutual (Texas): Supreme Court opinion adopts this language
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Pitfall #3: An Insured Made Whole Avoiding this pitfall Focus on Facts Find Equitable Causes of Action Subrogation Equitable contribution (California)
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Recommendation: Cover and Sue Take the battle to the American insurers More control of the litigation Denying coverage is inherently defensive: tie favors the insured Investigate and exhaust all recovery options Change perception through repetition Exploit the Market’s institutional advantages Less bureaucracy & more autonomy Say you’ll go to trial– and mean it Build an intelligence network
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Conclusion Questions? Feel free to contact us Greg Taylor gtaylor@diamondmccarthy.comgtaylor@diamondmccarthy.com Skip Scott sscott@diamondmccarthy.comsscott@diamondmccarthy.com Andy Ryan aryan@diamondmccarthy.comaryan@diamondmccarthy.com www.diamondmccarthy.com
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