I have in my office a copy of a Travelers claims manual from the 1980s. In discussing the duty to defend, the manual says, in part: “Ambiguity…means that the words are capable of being understood in two or more reasonably logical ways. Ambiguity should be resolved in favor of the insured. Prompt decisions must be
Contract construction
A potential business insurance coverage trap: the Professional Services Exclusion
When my daughter was little, we loved putting jigsaw puzzles together. We would dump the pieces on the floor and spend hours trying to figure out how they fit. Sometimes there would be a “gap” in the puzzle, and we’d eventually get frustrated and assume that we were missing a piece. But somehow, the missing…
Is “occurrence” an ambiguous term?
There’s a famous (apocryphal?) story about Cato the Elder, one of the leaders of ancient Rome. Cato was obsessed with destroying Carthage (now Tunis), the Roman Empire’s rival. He would end every speech (and apparently most conversations) with “Carthago delenda est” – Carthage must be destroyed. The story goes that when Demosthenes (a prominent Greek…
Enforcing insurance coverage for “intentional” business torts
The other day, I was talking with a lawyer who represented a plaintiff in litigation relating to a failed business transaction. He was lamenting the fact that, if he were to take judgment against the defendants, there wouldn’t be insurance to help satisfy the claim, since, according to him, “no insurance company is ever going…
Beware the Strict Interpretation of Notice Provisions in Claims-Made Policies
A few years back, a major financial institution retained us to review its insurance coverage program. After checking the main items I usually look for, I asked the Risk Manager whether the heads of the organization’s various business units knew the basics of the notice provisions in the company’s major coverages. I could see her…
Recent Developments in Business Interruption Claims
Arnold Palmer once described golf as “deceptively simple and endlessly complicated.” That’s a good description for insurance also. (Fortunate for me, since I get paid to figure it out.) Given the rules of construction, ambiguities (even latent ambiguities) in insurance policies are supposed to be construed against the carrier. I’ve therefore always wondered why the…
Can an insurance company depreciate labor costs in determining actual cash value?
Years ago, there was a comedy ensemble variously called “The Dead End Kids,” “The East Side Kids,” and, finally, “The Bowery Boys.” (They were made famous in the 1938 Cagney/Bogart film, “Angels With Dirty Faces.”) The protagonist of the group was a character named “Slip” Mahoney, played by the actor Leo Gorcey. Slip would routinely…
Beware the differences between indemnity agreements and insurance policies
I used to know a guy who worked for a major, nationally known public adjustment company. In years where there were no major hurricanes or tornado incidents, he would literally walk around looking like he had the weight of the world on his shoulders. He never overtly wished death or destruction on anyone (as far…
Insurance Coverage for Premises Liability
I admit it, I admit it – I’m addicted to the TV show “Bar Rescue.” (When my daughter was about 12 years old, and my wife was out shopping for the day, we once binge-watched about six hours straight, which probably could get me into trouble with the child welfare authorities.) The idea…
The Illegal Acts Exclusion and “Entrustment” of Property
There’s an excellent, but sad and haunting, nonfiction book written by Jeff Hobbs called “The Short and Tragic Life of Robert Peace.” It’s about a kid who grew up among poverty, gangs and tough guys in a rough section of Newark, but who was naturally gifted and ended up at Yale. Unfortunately, he couldn’t outrun…