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28 Jun 2007, 2:43 pm
In the result, the Court denied the Insured’s petition, finding that the claims of the Owner were not within the coverage provided by the policy and that the Insurer did not have a duty to defend. [read post]
29 Mar 2010, 10:39 am
”) The insurers now seem to be saying that rather than refuse to cover treatment for a pre-existing condition, the company “might simply deny coverage for the child or the family” until 2014, when they are required to provide coverage. [read post]
1 Mar 2017, 9:10 pm
Business interruption coverage provides protection against loss of income when a business suffers property damage from an insured peril (e.g., fire, water loss) that interrupts the operation of the business.1 A typical business interruption policy form provides that the insurer will pay the actual loss of business income the insured sustains during the necessary suspension … Continue Reading . [read post]
19 Jul 2014, 6:37 am
An "unfair or deceptive act or practice in the business of insurance" includes engaging in "unfair settlement practices with respect to a claim by an insured," which, in turn, includes (1) misrepresenting to a claimant a material fact or policy provision relating to coverage at issue; (2) failing to attempt in good faith to effectuate a prompt, fair, and equitable settlement of: (A) a claim with respect to which the insurer's liability has become… [read post]
13 Jan 2012, 8:59 am
The Department of Insurance’s hotline is a good starting point if you are unhappy or feel cheated by your insurance provider, as CDI is tasked with things like ensuring consumers are being treated fairly and imposing penalties for legal violations. [read post]
What Consitutes Prejudice to a Liability Insurer? A Default Judgment Taken Against its Insured Does.
11 Nov 2011, 7:13 am
New York Insurance Law § 3420(a)(5) now provides that qualifying liability policies issued or delivered in New York State on or after January 17, 2009 must contain a provision that failure to give any notice required to be given by such policy within the time prescribed therein shall not invalidate any claim made by the insured, injured person or any other claimant, unless the failure to provide timely notice has prejudiced the insurer,… [read post]
21 Feb 2012, 2:16 pm
A Standing Committee on Insured Benefits ("SCIB") was established with a mandate to make recommendations to the province with respect to benefits provided under the plan. [read post]
2 Aug 2012, 7:29 am
The court therefore held that Infinity Insurance need not provide coverage in an underlying motor vehicle accident litigation as a result. [read post]
31 Dec 2010, 3:56 am
The record did not establish a past practice of providing prescription drug coverage with a co-payment at a fixed cost to employees of no more than $3 for generic prescriptions and $5 for brand name drugs; and 2. [read post]
18 May 2010, 3:46 pm
Provides an overview of the governing law of workers’ compensation insurance in California. [read post]
4 Nov 2014, 6:00 am
Courts who follow this approach have found that the obligation of an insurer to pay under MCS-90 is triggered only when (1) the underlying insurance policy, to which the endorsement is attached, does not otherwise provide coverage and (2) no other insurer is available to satisfy the judgment or the insurance coverage is insufficient to satisfy the federally prescribed minimum levels of financial responsibility. [read post]
4 Nov 2014, 6:00 am
Courts who follow this approach have found that the obligation of an insurer to pay under MCS-90 is triggered only when (1) the underlying insurance policy, to which the endorsement is attached, does not otherwise provide coverage and (2) no other insurer is available to satisfy the judgment or the insurance coverage is insufficient to satisfy the federally prescribed minimum levels of financial responsibility. [read post]
17 Feb 2012, 10:23 am
Whereas prior reports had given a settlement value of $500,000 or less, the March 19, 2004 report concluded that the case had a value of $3 million to $4 million, the first indication that Great American’s excess policy might be implicated. [read post]
17 Feb 2011, 6:45 am
He also provided counsel in $12 billion of public and private debt financing, a $400 million bulk insurance transaction, and legal issues that confront state government - such as immunity, public records, procurement, and government ethics. [read post]
19 Mar 2012, 2:33 pm
Hamilton Meats & Provisions, Inc., which held that a plaintiff’s recovery for medical damages is limited to the amount the medical care provider accepted for medical services. [read post]
8 Mar 2012, 5:56 am
In August 2009, Plaintiff was first diagnosed with an injury or illness to his spine at Lumbar 3 (L-3) and Lumbar 4 (L-4), which eventually led to his being totally disabled. [read post]
11 Aug 2015, 12:16 pm
At issue in the Bryant case was whether driver’s personal automobile insurance policy would provide coverage for this wrongful death. [read post]
26 Sep 2017, 11:03 am
The purpose of insurance is to provide financial protection for your family. [read post]
25 Jun 2011, 5:37 am
Steven Venook, the president of Florida’s Advocate Claims Services, provided a perspective of what is happening in the field when claims are adjusted and investigated. [read post]
10 Jan 2014, 12:09 pm
Disability insurance attorneys Dell & Schaefer warn disability insurance claimants that the recent disability insurance scam in New York will raise the level of claim scrutiny by disability insurance companies. [read post]
