A Tangled Tale of Choice of Laws Cases

        I often receive phone calls from adjusters asking for coverage advice with respect to matters pending in Massachusetts that, in fact, have little to do with Massachusetts insurance coverage principles. While it’s hardly intuitive, the location of the accident giving rise to an insurance coverage dispute often makes little difference with respect to which state’s law should apply. This is because of the crucial role that state “choice of laws” rules play in such cases. Thus, the fact that an Ohio manufacturer has been sued for copyright infringement in Massachusetts rarely means that Massachusetts law will apply to the issue of whether liability insurance is available for the Massachusetts litigation.

       The problem with “choice of laws” is how different the rules are from state to state. The traditional rule was lex loci contractus, that is to say, the law of the place of contracting. Generally, this resulted in the selection of the law where the insured was headquartered and the policy issued, although some courts have since refined the doctrine to use out of state laws where the loss involves an insured facility in a state other than that where the insured is headquartered. See, e.g. Diamond International Corp. v. Allstate Ins. Co., 712 F.2d 1498, 1502 (1st Cir. 1983)(applying New Hampshire law to loss arising out of insured facility in New Hampshire even though the policy was issued in New York).   Other courts evolved a variation of this approach in the context of environmental claims during the past two decades and held that the “law of the site” should control, even if it was not an insured facility.

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Upcoming Massachusetts Reinsurance Symposium

The Massachusetts Reinsurance Bar Association (MReBA), of which I am the Secretary, is hosting its third annual claims symposium at the Harvard Club in Boston.  Registration is $150 for industry people and $250 for others.  To register, go to the MReBA web site:  www.mreba.org

This year's keynote speaker will be Tracey Laws, Senior Vice President and General Counsel of the Reinsurance Association of America. She will focus her remarks on the current regulatory climate in which all of us conduct business.

The focus of this year's symposium will be on communications, relationships and privilege issues.  In the wake of last year's Regence debacle, there is great urgency to finding ways to preserve traditional means of communication, auditing and claims association without imperilling the cedent's defenses by forfeiting attorney-client privileges.

The symposium will feature three panels where outside counsel and senior industry claims people will discuss:

1. Protecting Attorney-Client Privilege in Communications Among Cedents and Reinsurers

This panel will explore the balance between a reinsurer’s need for information about an underlying claim and the risks of losing attorney-client privilege when information is conveyed to a reinsurer.

2. “Right of Association” and “Claims Control” Clauses

This panel of MReBA members will address the contractual wordings that govern the relative rights and responsibilities of cedents and reinsurers in handling underlying claims, including the practical realities of sharing responsibility for the resolution of those claims.

3. Interactive Workshop

This year the audience participation part of our program challenges you to find solutions to the thorny issues presented by our first two panels. We look forward to your input on improving the working relationship between cedents and reinsurers when difficult problems arise in underlying claims.

The symposium will conclude with remarks from David Brummond, the U.S. Treasury Department’s Senior Sanctions Advisor on OFAC who will discuss emerging regulatory trends and the growing role of the federal government as an insurance rulemaker. 

I hope to see many of you there!

Sex, Files and Videotape: The Conclusion

Back in January,we posted a story concerning an ugly bit of litigation in New York City between Liberty Mutual and one of its defense firms in which a dispute concerning overdue fees had degenerated into allegations that a senior claims executive ("Mr. X") was demanding kickbacks for assigning more files and the law firm was trying to blackmail the carrier by revealing details of Mr. X's use of a lawyer's apartment for sexual trysts.

We are happy to report that this tawdry mess that was Michael J. Devereaux & Associates vs. Liberty Insurance Underwriters,has come to a conclusion.  It was reported this week that the parties have come to terms and agreed to settle.  In a statement to the press, Michael J. Devereaux claimed that Liberty Mutual had agreed to pay the firm's fees.  “Our attorney’s fees and costs are being paid,” said Mr. Devereaux. “I consider it a vindication of our firm” he said, adding Mr. X has been fired.  For its part, Liberty Mutual said, “We are pleased that litigation has been resolved, and that we have concluded our relationship with the Devereaux firm.”

The issue of possible kickbacks and corrupt relationships between claims adjusters and outside counsel is a serious one that companies take pains to police and prevent.   I myself have always made it a policy to keep my guest bedroom so messy that no self-respecting clients would want to use if for a tryst.

 

 

16 Separate Claims of Embezzlement Treated as a Single Related Claim

 

Not all courts read policies with a blind eye or with a goal of maximizing coverage. In Continental Casualty Company v. Howard Hoffman and Associates, 2011 IL App (1st) 100957 (August 15, 2011),sixteen different probate estates filed claims against a law firm for embezzling funds from their accounts. The amounts at issue far exceeded $300,000. The perpetrator of the embezzlement, a probate paralegal at the firm, pled guilty to 11 separate charges of theft and a judgment for restitution was entered in favor of each of the 11 different estates involved in the criminal charges. 

 

The insured’s professional liability policy had limits of liability of $100,000 per claim and $300,000 in the aggregate. The court found that the “per claim” limit of liability of $100,000 applied to all of the civil claims asserted against the firm, and not the aggregate limits, as all of the insured’s acts or omissions were connected to one overall scheme of the insured’s probate paralegal to divert funds fraudulently from the estates to herself. As such, the claims of all of the estates should be treated as a single, ”related claim” under the policy.

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