Archives: Insurance

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Crumbling Foundation and the Collapse Provision in a Homeowners Policy

Recently, Connecticut has had an increase in insurance claims for crumbling foundations due to faulty foundations poured in the 1980s and 1990s. Some foundations poured during this time frame contained a mineral, pyrrhotite, which can cause cracking when it reacts with oxygen and water. It is estimated nearly 20,000 foundations poured contain the mineral.… Continue Reading

Homeowners and Renters May Soon Qualify for Policy Discounts

In 2016, New York Governor Andrew Cuomo signed legislation that permits insurers that provide homeowners and renters insurance for residential real property to offer discounts. Discounts will be offered to consumers who complete approved courses and/or install home improvements that mitigate damage to insured property caused by natural disaster and/or any other insurable event.… Continue Reading

You’re Invited – American Bar Association Property Law Insurance Committee’s Spring CLE

Have you ever wondered about when an insurer is obligated to issue payment for a covered loss, or what the necessary conditions are to trigger that obligation? What about the considerations, pros and cons, of submitting a proof of loss? Or how insureds can effectively use coverage extensions, additional coverages and sublimit in their claims?… Continue Reading

Ex-Chubb Vice President of Claims Says Company Destroyed Pertinent Litigation Documents

Anthony Guerriero, a former vice president in charge of claims, filed a lawsuit in Union County Superior Court, New Jersey, claiming he was fired after raising concerns that Chubb destroyed documents related to insurance claims litigation and asked him to keep quiet about it. He alleges that company officials disregarded legal department notices about preserving … Continue Reading

Is a “Matching” Dispute Appropriate for Appraisal?

In my last blog post, I discussed Windridge of Naperville Condominium Association v. Philadelphia Indemnity Insurance Company,1 and the issue whether appraisal is appropriate to resolve a dispute over the need for a general contractor to perform repairs following a covered loss. Windridge of Naperville also involved whether appraisal is appropriate to resolve a dispute … Continue Reading

Depreciation of Labor Costs

A common question by insureds has to do with depreciation, and how it is defined when calculating an Actual Cash Value (“ACV”) payment for property loss. For an underlying discussion of Depreciation Values, I direct you to Chip Merlin’s post on November 21, 2016: Determining Depreciation–Are Policyholders Getting Ripped Off?… Continue Reading

Does a Partial Denial and Jury Demand Prohibit the Insurer From Proceeding with Appraisal?

It happens frequently: The insurance company admits the policy covered part of the loss but refuses payment at the time because the amount of the loss falls below the deductible. The insurer then admits the insured also suffered other damages to the property, but denies coverage for this damage for a variety of exclusions or … Continue Reading

Proof of Loss: Can an Insurer Deny Coverage and Later Argue the Claim is Barred Because the Insured Did Not Comply with the Proof of Loss Condition?

Insurers on occasion deny coverage or make claim decisions based on one ground, and then later, during litigation, seek to avoid liability based upon an entirely new defense theory. Although coverage decision letters regularly throw in boilerplate language seeking to avoid waiving coverage defenses, I was recently asked whether an insurer can deny coverage or … Continue Reading

Is a Dispute Over General Contractor Overhead and Profit Appropriate for Appraisal?

In Windridge of Naperville Condominium Association v. Philadelphia Indemnity Insurance Company,1 a federal district court in Illinois recently addressed the issue whether appraisal is appropriate to resolve a dispute over the need for a general contractor to perform repairs following a covered loss. There, hail damaged townhome buildings, requiring repairs. Philadelphia paid for losses it … Continue Reading
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