State Farm's Departure is Problematic--What it Wants is Unclear

The Tampa Tribune ran a story, State Farm’s Exit From Florida Proving to Be a Problem for Some, which demonstrates problems consumers will have obtaining new coverage. The on-line edition of the story is somewhat entertaining because the comments show the disparate results of consumers who are shopping for insurance and confusion about underwriting. What is still unclear and troubling is exactly what State Farm hopes to gain from its announcement that it is leaving Florida. Certainly, it is losing revenue and access to a very large insurance market.

Continue Reading...

Butler Pappas--A Familiar Foe

Paul Butler was my first legal mentor. John Pappas was a classmate of mine at the University of Florida School of Law, and the best man in my wedding. They have built a hundred attorney law firm representing solely insurance companies. We have cases against them all the time. As they are physically located several floors below us in the same office building, and both David Pettinato and I worked at the firm in different eras, we have a pretty good idea of what our familiar foes are about.

Continue Reading...

FEMA Issues 2nd Flood Proof Of Loss Extension For Hurricanes Ike & Gustav

Federal Code and Regulations typically require that Proofs of Loss for National Flood Insurance claims be filed within 60 days following the loss. They have to be done completely and on time. The only exception is a written waiver from the Administrator of the National Flood Insurance Program.

On October 20, 2008, a 120-day extension was issued. That extension was close to expiring, and on February 20, 2009, the NFIP Administrator issued an additional 90-day extension to file proofs of loss for Hurricane Ike and Gustav.

Flood policyholders now have a total of 270 days from the date of loss to submit their proof of loss. For example, a September 11, 2008, Ike-related loss must have a proof of loss submitted by June 8, 2009.

You can read the February 20, 2009, extension letter here.

Surplus Lines Insurers, Sinkholes, and the Law of Mars

Surplus lines insurance companies are a different breed of insurance cat. They are not admitted carriers in the state in which they do business. Thus, most states have consumer protection laws specifically regarding how surplus lines insurance carriers can do business.

Surplus lines carriers are very important to the insurance marketplace. They will often insure the risks many admitted carriers find too risky or novel. For example, when a property owner buys surplus flood insurance or a complex Difference in Conditions policy, it is often sold through the surplus lines market.

Continue Reading...

State Farm Has Agents Spread Propaganda and Bullies North Carolina

State Farm's announcement to leave the Florida property insurance market has plenty of media attention. It is obvious that State Farm's view of its actions is far different than that of its customers.

Continue Reading...

Insurance Company Experts Are Often Biased And Outcome Oriented

Our firm has friends in the insurance industry and other sources of information who have privately provided evidence of wrongdoing by insurance companies. On more than one occasion, documents evidencing wrongful insurance claims conduct have appeared on my front door or in unmarked mail with anonymous notes asking that the information be disseminated. Sometimes, the proof of the current secret claims warfare against policyholders is provided to us by the insurance industry itself. We received such proof last week in an email.

Continue Reading...

State Farm's, Allstate's and Nationwide's Concerted Agenda To Stop Competition And Insure Profits

Free enterprise is great until your competitors beat you. Dominant competitors may find it advantageous to combine interests to prevent new players from entering markets, destroying profit margins, and taking market share. It is amazing that there has not been more investigation and calls for transparency into the major personal lines insurance companies’ discussions and agreements which may reveal such a conspiracy. While anti-trust exemptions exist for insurance companies regarding sharing of loss data for rate making and other rate or form issues, there are no anti-trust exemptions for agreements that otherwise restrain trade and competition through collusion.

Continue Reading...

Mississippi Anticoncurrent Causation Language Is Dead

Mississippi State Senator David Baria admitted that his proposed legislative bill of rights for policyholders is "dead." Mississippi S.B. 2196 would have eliminated anticoncurrent causation exclusionary language from property insurance policies. The Mississippi Senate Insurance Committee failed to act on the bill, thereby killing any attempt to enact a bill of rights.

Unlike other states, the insurance industry dominates Mississippi's Republican party. Accordingly, I was not surprised when the Mississippi Senate killed the bill. Until the Mississippi Republican party frees itself of the very anti-consumer mind set of insurance industry lobbyists or Mississippi changes the balance of power back to the Democratic party, it will be very difficult to achieve meaningful insurance reform there.

Mississippi Insurance Commissioner, Mike Chaney, has his own regulatory version, which is supported by the insurance industry. Julie Pulliam, the director of public affairs (a lobbyist manager) for the American Insurance Association thinks Chaney's "Policyholder Bill of Rights" strikes the right balance. The one thing I have learned from going head to head in politics with the insurance industry is if they think something is the "right balance," then it is bad for policyholders.

It appears that the insurance lobby may have a friend in Mike Chaney. It is obvious they have strong allies with the Mississippi Legislature. It is a shame that some of the nicest people and many lifelong friends have leaders so committed to helping an industry forcefully against their long term economic interests. It makes little common sense. But again, that's politics.

Risk Managers, Property Managers and Condominiums Should Consider Wind Deductible And Vacant Property Coverage

The monthly Florida Underwriter is an excellent publication that I read to stay informed about many current issues facing the Florida insurance market. It is also very good at noting significant legal and political issues which impact insurance. Even the advertisements sometime reflect trends of insurance coverage that are significant to our clients.

Two coverage issues that need to be addressed by many have to do with high deductibles for windstorm loss and the rising tide of vacant structures. For example, Citizens Property Insurance Corporation has a 5% wind loss deductible. Many commercial policies also carry such a deductible. The roof of a building ruined in a windstorm often happens to be approximately 5% of the structure's insured value.

If the property has a significant value, 5% sounds small, but can equal millions. We routinely represent structures insured for more than 50 million dollars. Five percent of that is $2.5 million. Given today's credit markets, many owners of such structures may have a hard time raising sums to cover the deductible cost.

Deductible buy down coverage helps eliminate this problem. For example, Citon Insurance was advertising deductible buy down wind coverage. The cost to insure a $375,000 deductible was $17,941. Not cheap, but it represents a way to cover expenses which may otherwise be unaffordable. Condominium associations may even have fiduciary obligations to purchase the coverage if available.

Vacant property is becoming more common in this economic climate. Most property policies do not cover property which is vacant for more than 60 days. So many agents are selling specialized vacant property coverage.

Proper coverage prevents problems following a loss. It is always a good idea for policyholders to review their properties with their agents to keep fully covered. We strongly recommend that our clients do so before hurricane season. "Just Do It" should be "Just Do It Now" in the insurance world.
 

Florida State Farm Agents and Employees

I wonder how State Farm’s agents and employees really feel about the officers and managers in Bloomington, Illinois. My bet is not much different than the remaining State Farm policyholders--although State Farm agents and employees are probably not going to say much about it until they get a better job.

While I have my differences regarding what they are taught, State Farm employees and agents are probably the most thoroughly trained in the insurance industry. State Farm has operational guidelines regarding every aspect of company activity. Even agent involvement in the political process is outlined in detail for agents to help the company press its agenda.

Accordingly, the front page story in BestWeek, State Farm Florida Customers Survey Property Market, did not surprise me. Jim Graganella, the CEO of a State Farm competitor, said the remaining State Farm policyholders represent the "cream" of State Farm's book of business. He also highly praised State Farm's Florida underwriters and agents, referring to them as "topnotch." This has been my impression of the agents in Florida for a long time. One of them is my insurance agent.

Locke Burt, an insurance executive and a colleague of mine on the Citizens Mission Review Task Force, was quoted as saying about long time State Farm customers, "A lot of customers are shopping. They are mad."

I wonder what we are going to learn from State Farm’s agents, adjusters and other employees as they start shopping and find work with other insurance carriers looking for "top notch" help. My experience is that there will be more transparency about State Farm's motives and operations once its former employees are free to speak their mind.
 

Window, sliding glass door and glazing system damage claims, a big piece of the puzzle

(*Chip Merlin's Note:  A fascinating aspect of our work is learning about many different things that have nothing to do with the law. We have to understand construction, restoration and building repair to be effective for our clients. Our guest bloggers from TSSA Storm Safe know more about glass windows, doors and glazing than anybody that I have ever met. Their two hour lecture to my law firm was eye-opening. While it may seem weird to some that this topic can be so important, we routinely represent clients whose buildings have tens of millions of dollars at stake in litigation regarding glass windows and doors. This discussion is very timely given the disagreements of wind damage caused by Hurricane Ike.)

I am going to ask you to take a moment to look at a structure; it could be your home or the office building where you carve out a living. In essence, it is one big puzzle constructed out of concrete, steel, wood, rebar, aluminum and, last but not least, glass.

Continue Reading...

The Forensic Accountant's Role In Business Interruption And Business Income Claims

(*Chip Merlin’s Note--Bruce D. Smith is a certified public accountant and certified fraud examiner, whose firm’s focus since its founding in 1992, has been forensic and investigative accounting for the insurance industry. He has been involved in claims in both catastrophic and non-catastrophic environments and has been engaged by both insurers and policyholder and their respective representatives. I invited Bruce to write a guest blog on this aspect of business income loss.)

What is a Forensic Accounting?

The Association of Certified Fraud Examiners (ACFE) explains that, “Forensic accounting is the use of professional accounting skills in matters involving potential or actual civil litigation. The word “forensic” is defined by Black’s Law Dictionary as “used in or suitable to courts of law or public debate.” More simply put forensic accounting is litigation support involving accounting.

Continue Reading...

Sandy Burnette Defends Insurance Fraud Fighters

(*Chip Merlin's Note--Sandy Burnette is a prominent insurance defense attorney with exceptional experience in cases where insurance fraud or arson are suspected. I have known Sandy for 27 years. As you can see from his rhetoric, he is a fierce defender for those engaged in the fight against insurance fraud. Keeping with my Fair and Balanced blog, I invited Sandy to compose a guest post reflecting his views and experience.)

Well, seeing my name mentioned in your recent blog on insurance fraud was certainly enough to capture my attention, but the content of your remarks compels me to respond. Nobody who knows the two of us will be surprised to see we disagree, but in this instance you are simply wrong, Chip.

Continue Reading...

Attorney Fees Can Be Recovered For Policyholders In Many Cases

Our clients often ask us the following question: "Is there a chance you can get back your attorney fees from the insurance company?" The short answer is yes. The long answer and accurate answer is: "We try to get back all the fees and costs, and may even have a chance through consumer protection statutes and bad faith claims to get back even more. The chances depend on the facts of the case."

For example, Kristin Demers-Crowell recently won an attorney fee Order against State Farm. Kristi represented a condominium on the East coast of Florida which had been hit by Hurricanes Francis and Jean. State Farm estimated the damages at approximately $716,000. The condominium’s public adjuster claimed more and demanded an appraisal to resolve the differences.

Continue Reading...

Competing Insurers Want State Farm's Business

State Farm has a market share in the property insurance business that its competitors envy. These competitors are taking advantage of State Farm's announcement that it intends to leave Florida’s property insurance market.

Continue Reading...

Views From Hurricane Ike TWIA Insurance Adjusters

A Comment from a previous post, How Ike Insurance Claim Help is Supposed to Be, provided insight to the understanding of the claims process from two adjusters in the insurance industry. The comment is worthy of repeating here:

Continue Reading...

State Farm's Fitness And Trustworthiness To Conduct Business Questioned

Kevin McCarty, of the Florida Office of Insurance Regulation, is not going to get a holiday card from Ed Rust. McCarty issued an order that is an indictment of State Farm's honesty.

Paragraph 9 of the Order states:

State Farm’s cited reasons in the Withdrawal Plan are both disingenuous and misleading to the Office and policyholders they seek to abandon. State Farm created its current “crisis” by failing to pursue the opportunities that were available to reduce its expenses and mitigate its decrease in premium volume. Instead, it chose to attempt to raise rates in order to reduce savings to its policyholders its mitigation discounts provided [sic.] and to seek a profit that was excessive and unreasonable in the current economic conditions while certifying that its rate filing reflected all premium savings that resulted from legislative enactments. State Farm’s actions raise serious questions regarding the fitness and trustworthiness of its officers and directors to engage in the business of insurance.

The findings reminded me of the Utah trial court's order in Campbell vs State Farm. When a judge or official finds dishonesty in a major corporation’s business dealings, it is significant.

McCarty is allowing State Farm to leave Florida under specific conditions. State Farm has a right to challenge the order and the findings of fact, and, indeed, I expect it.

Our firm will certainly raise these factual findings every time we litigate against State Farm. State Farm's Board of Directors should consider whether the management of State Farm should be changed.
 

What is State Farm's Agenda?

Does anybody really know the motivation behind State Farm's announcement that it plans to leave Florida? The executives in State Farm's Bloomington, Illinois, headquarters do, but I doubt many outside of that office understand what State Farm hopes to gain from their announcement.

Continue Reading...

How Ike Insurance Claim Help Is Supposed To Be

I wonder how hard the Hurricane Ike insurance company adjusters are working to pay benefits? I have always found that the harder and longer you work at something, the better the results are.
Similarly, one would expect that the longer an adjuster inspected a structure and looked for damage, the more benefits would be paid.

Continue Reading...

Rules Of Good Faith Claims Handling

This post follows yesterday's discussion regarding good faith. I am about to take a claims adjuster's deposition in Manhattan at the time I am writing this. I will ask a series of questions regarding exactly what good faith in claims handling is.

Continue Reading...

What Is Good Faith Insurance Claims Handling?

Hurricane Ike insurance claims are getting to the point where people are upset that their insurance claims have not been paid. They are seeking answers and looking for help. This is common following disasters.

Usually, the upset policyholder has been through the following: provide notice of the claim, hope the field adjuster gets the Home Office to pay, wait, provide more information, wait some more, call, provide more information, receive a letter (maybe with a small payment) that explains that the investigation is continuing, write a letter in response, wait, call, wait, and then nothing or a denial letter.

Continue Reading...

A New Insurance Industry Slogan

It is funny how often there can be a play on words. Just before the Bad Faith Litigation Group Meeting at the American Association Justice (AAJ), I was given a free cap. Trying to be clever, the AAJ had inscribed the hat, "We Know N.O.," reflecting the AAJ's recognition of New Orleans as the host city for the Winter Convention.

Insurance companies should adopt the motto since they operate that way everyday:

"We Know No!"

Is there a more perfect slogan for the Insurance Claims Industry?

Five Points To Remember Regarding Electronic Discovery Of Insurance Disputes

(*Chip Merlin's Note--Chris Haley of Trial Exhibits, Inc., was on a panel with John Garaffa, of Butler Pappas, and myself at the recent 2009 Windstorm Insurance Conference. Chris is a veteran Consultant and Expert Witness regarding Electronic Discovery. I asked him to provide a Guest Blog on this increasingly important aspect of insurance coverage and claims practice litigation.)

E-Discovery can be a scary and costly factor in litigation, but with proper preparation before a law suit is at your door, you can avoid disaster.

Five Things To Remember:

  1. Have a Retention Policy: Businesses should have retention policies to manage how long paper and electronic documents are kept in the normal course of business. Don't keep what you don't need.
  2. Plan Ahead: Because you must preserve documents when a law suit is reasonably anticipated, businesses should plan ahead what they will do to preserve both paper and electronic documents when that time comes.
  3. Consult With IT: Discuss retention policies and litigation readiness with your IT folks. They hold the keys to the electronic world in your office. You might be surprised to find out what you have and where you have it. IT should be involved with retention policy planning and preservation compliance when litigation is anticipated.
  4. Audit Retention and Preservation Efforts: A plan is only as good as the execution. Businesses must check to be sure that their retention and preservation plans are being followed. It is not enough to simply send a memo. Employees respect what you inspect.
  5. Limit the Scope: When faced with litigation it is easy for a business to decide to keep everything, but that can be very costly and uneccessary. Businesses should identify what issues the litigation covers, the employees/departments involved, time frames of their involvement, and where documents are stored. Using the information gathered along with advice from their attorneys, businesses should be able to limit the scope of preservation, avoid mistakes and keep costs to a minimum. I have created an IT eDiscovery Checklist with questions I recommend asking IT and your employees when creating a preservation plan.

I'm often asked where to find more information about planning ahead, good retention policies and proper preservation techniques. Below are several articles and links to resources that will help you find out more.

Links to Information on E-Discovery:

--Chris Haley

Is The Saffir-Simpson Scale Still Relevant

(*Chip Merlin's Note--Rocco Calaci has been a noted meteorology expert witness in the Katrina Legal Wars. I met him at a recent FAPIA Convention where he presented a speech about hurricanes. I invited Rocco to write on today's topic after he briefly mentioned it in his speech.)

Since the release of the Saffir-Simpson Scale in the late 1960’s, it has been considered the “standard” in how hurricanes have been categorized. It is my personal opinion that the Saffir-Simpson Scale is no longer relevant due to new technologies and the fact that the estimated levels of destruction rarely match the actual destruction observed from hurricanes over the past decade.

The use of the Saffir-Simpson Scale, along with other meteorological “beliefs”, must be put aside and replaced by factual and verifiable research.

Continue Reading...

Bad Faith Litigation Meeting And New Orleans Party

There is nothing like combining business with pleasure. I suppose if your business is fun, you are always having a party at work. Today, I am meeting with my bad faith insurance attorney colleagues. Tonight, I will celebrate the Port of New Orleans litigation with my client, co-counsel and legal staff.

Continue Reading...

State Farm Small Competitors

Americans love to root for underdogs. It is part of our value system that anybody can become successful in this Country through hard, honest work and perseverance. Floridians are rooting for the small competitors of State Farm since State Farm's announcement that it is leaving Florida's property insurance market.

The St Petersburg Times noted that such a small competitor, Security First Insurance, has announced it will take 50,000 State Farm policies. Security First is run by former Florida State Senator Locke Burt, a fellow member of the Citizens Mission Review Task Force, .

Burt is one of the most knowledgeable individuals of the Florida insurance market, with a historical perspective. He was a politician in the 90's when the insurance problems following Hurricane Andrew first arose. During the Task Force meetings, I listened carefully to him for an understanding of tried and failed attempts to correct the insurance problems which still plague Floridians. I also watched out for his attempts to suggest obvious pro-insurer legislation--he runs an insurance company.

While I have a great deal of respect for Locke Burt and wish his company great success, I quite often found myself at odds with him during debates of the Task Force. He was the one that pushed for a suggested law that would have eliminated sinkhole coverage. At one point during the last meeting, I made a rather pointed comment to Burt which suggested that he wanted to pass such legislation so his company and all other insurers never paid claims and would just collect premiums.

The bottom line is that for property coverage to exist in Florida, we need the smaller companies to succeed. I wish Security First great financial success. I also hope that they provide coverages Floridians need and that they manage their customers’ policies and claims with the highest degree of integrity. As I have said in the past, it does not take a rocket scientist to figure out that it is far more profitable to take premiums and not pay fully and promptly, than to do otherwise.
 

March 10th Hurricane Ike National Flood Insurance Deadline Approaches

(IMPORTANT UPDATE TO THIS POST:  On February 20, 2009, the NFIP Administrator issued an additional 90-day extension to file proofs of loss for Hurricane Ike and Gustav.)

Javier Delgado, in our Houston office, called to tell me he had just been retained on several flood insurance claims. I was apprehensive because I know there is a National Flood Insurance deadline quickly approaching. Javier has a lot of work to do in a short period of time. From past experience, I know people will miss the deadline or fail to properly complete the National Flood Proof of Loss form.

Since the deadline is approaching, I suggest everybody interested in this topic read my prior post, A Warning Regarding Federal Flood Proofs of Loss.

Water Loss Denied? Ensuing Loss Provisions May Provide Coverage

"Ensuing loss" provisions are the "Lazarus" clauses in property insurance policies. Property damage claims otherwise excluded from coverage, are raised from the dead and paid as a result of them. They are difficult to understand and the court decisions seem inconsistent. However, when there seems to be an event that is excluded, many times a water damage event, these clauses are often the only means of recovery.

What is an "ensuing loss" clause and where are they found? The following wording is typical of an ensuing loss clause which is typically found at the end of exclusions:

* "...any ensuing loss to property described in Coverages A and B not precluded by any other provision in this policy is covered."

* "Under exclusions ...., any loss that follows is covered unless it is specifically excluded."

These ensuing loss clauses act as exceptions to exclusions. As a matter of practice, all insurance adjusters and those analyzing coverage following loss, should carefully consider how a loss occurred and contemplate how an ensuing loss clause may provide coverage to the policyholder for a loss that at first glance, may appear excluded.

Butler Pappas attorney, Bill Lewis wrote an excellent article, "What The Heck is an Ensuing Loss?". Butler Pappas represents property insurers.

Bill Lewis is a frequent, and able, adversary to our firm. My only caveat of the paper is that it is slightly slanted towards construction that limits coverage--but that should be expected of an advocate for the insurance company. Otherwise, I strongly encourage my fellow "coverage nerds" to read this article regarding a very important aspect of property insurance coverage analysis.

The Mind Of The Insurance Fraud Adjuster And Investigator

I wonder what was in the minds of clerics charged with uncovering witchcraft? Were they true believers or just doing their job? Did they ever question what they did and the impact of their actions on society?

Such thoughts came to my mind as I read Barry Zalma's January and February Insurance Fraud Newsletters. Some may question why I spend time studying the insurance company's perspective. From my viewpoint, even a broken clock is right twice a day. And, I need to understand the mind of my opponent and anticipate his actions to do a better job for my clients.

Barry Zalma makes some legitimate points. Indeed, I purchased his new ebook, The Truth, the Whole Truth, and Nothing but the Truth-II. His legal discussion regarding Examinations Under Oath made the entire $25 purchase worthwhile.

Guy "Sandy" Burnette invited me to speak at the International Association of Special Investigation Units over a decade ago. I was the token insurance attorney for policyholders. During my presentation, I cautioned that the two major human problems facing fraud investigators would be the issue of wrongly accusing innocent people of fraud and the tendency of some in an investigative role to view everybody as a potential crook. Well meaning or not, seventeenth century witch hunts can be repeated by modern groups. If all you concentrate upon in life is uncovering fraud, you may start seeing signs of it everywhere.

During the 1980's, many fires were classified as intentionally set based upon false scientific principles. Many innocent people were accused of arson and insurance fraud based upon junk science, largely made up by the insurance company fire experts. The National Fire Protection Association and physicists eventually published materials debunking the unscientific myths accepted by the insurance fire fraud industry. How many innocent policyholders lost money and their reputations because of the unscientific witch hunts by these overzealous and ignorant insurance fraud investigators?

Today, Barry Zalma calls for complete immunity when he and the insurance companies destroy people's reputations with wrongful accusations of insurance fraud. He calls for criminal prosecution where the chances of success are only 50%. I do not know if he is just pandering to his insurance clients. He may truly believe society would be better off if he and others in the insurance fraud industry escaped accountability for their wrongful actions.

From my viewpoint, it is much better that one be certain, with unshakable proof, that a person has committed insurance fraud before publicly making the accusation. Insurance fraud is wrong, and there is a need for specialized investigation to help uncover it. Rare occurrences of fraud do not justify an open season on policyholders.

Vandalism, Theft And Arson Insurance Claims Rise

The deteriorating economy appears to be having an impact on our business. We are being referred more insurance disputes involving losses that are directly the result of the souring economy.

For the first time in a decade, we have been referred several fire claims that are allegedly of an incendiary (intentionally set) cause.

There are a number of reasons why fires are intentionally set. Statistically, the most common cause is adolescent males simply setting fires to property. Arson for profit is fairly rare, but insurers understandably hire specialized fraud attorneys, such as Barry Zalma, to take Examinations Under Oath and conduct investigation.

More and more buildings are unoccupied or vacant. When a building does not have somebody in it, the structure becomes an easier target for arsonists, vandals, and thieves. Accordingly, there appears to be more of these losses. Since policies often restrict coverage of and have exclusions that apply only to vacant or unoccupied buildings, more insurance coverage disputes occur.

For example, Tina Nicholson, of our Houston office, recently settled a case for a client where numerous break-ins, thefts, and vandalism had resulted in damage to the building. The policy at issue had specific clauses regarding exclusions and exceptions to exclusions pertaining to vandalism, theft and damage caused by burglars breaking in or exiting the building.

The Motion for Partial Summary Judgment and Memorandum of Law filed by Tina analyzes this very complex insurance coverage issue. These pleadings should be read by two types of people--those wanting to understand highly technical differences in the wording of commercial insurance coverage disputes and those that need help going to sleep. For such a commonplace loss scenario in this economic climate, the resolution depends upon which state law applies and the exact language of the policy in question.

If the economy worsens, I expect we will see more of this type of loss. Risk managers and property managers should carefully review their policies to make certain this type of loss is covered. I am fairly certain that adjusters in the industry have been made aware of the limitations in some of the policies.

Getting Insurance Coverage Cases Out Of Federal Court

Insurance disputes often are tried in federal court. The usual reason is that federal courts have jurisdiction over controversies where parties are from different states and there is a sufficient monetary amount in controversy. I have often questioned the logic of allowing insurance companies voluntarily licensed in a state to remove disputes from that state court and into federal court. If an insurer agrees to do business in a particular state and accept regulation by that state, it is only fair that it should not be able to remove itself from that state’s legal system.

David Pettinato recently had such a situation. Rather than accepting the federal jurisdiction, David filed a Motion for Remand, asking the federal court to remand the lawsuit back to state court. The defendant, Liberty Mutual Fire Insurance Company, filed a response, arguing that the amount in controversy was “more likely than not” met. The court was not convinced of Liberty Mutual’s position and issued an Order remanding the lawsuit back to state court.

Sometimes, policyholders would rather fight their insurance coverage disputes in state court. Where appropriate, motions for remand, similar to the one David filed, should be filed immediately. Federal Courts will closely examine the basis for jurisdiction and remand these matters much more often than many think.

State Farm's Freakoutnomics

Can you imagine how “freaked out" twenty-year State Farm policyholders are over State Farm's announcement that it is leaving Florida? Most are asking, “why?” If they look past State Farm’s self serving explanations, the "freaking out" may turn into "furiously upset."

Continue Reading...

Claim Denied? Do Not Give Up!

In Tampa, Super Bowl festivities abound. Parties, celebrities, and fancy dinners for all. My beautiful and too-good-for-me wife. should be with them, but she accompanied me to a quiet dinner with friends who took us to the Tampa Yacht Club.

Continue Reading...