1,035 results for 'nos:"Insurance - Contract"'.
J. Nye denies in part an employer's and insurer's motion to dismiss a father and employee's allegations of violation of The Mental Health Parity and Addiction Equality Act (MHPAEA) after his son, a beneficiary of the plan, was denied benefits for inpatient and outpatient mental health treatment following the son's suicide attempt. The father "has presented a plausible cause of action that Defendants violated the MHPAEA by requiring more of persons seeking mental health/substance abuse treatment than other medical treatments."
Court: USDC Idaho, Judge: Nye, Filed On: May 2, 2024, Case #: 1:23cv221, NOS: Insurance - Contract, Categories: Erisa, Insurance
J. Cole grants, in part, the insurer's motion for judgment on the pleadings, ruling the policyholder's failure to include in its complaint an allegation that it complied with occurrence notice provisions in the life insurance policy renders its contract claim defective; therefore, the complaint will be dismissed.
Court: USDC Southern District of Ohio, Judge: Cole, Filed On: May 1, 2024, Case #: 1:23cv407, NOS: Insurance - Contract, Categories: Insurance, Contract
J. Cartwright grants the hotel partial summary judgment for its claim that the insurance company wrongfully denied the hotel coverage for property damaged caused by water on the basis that the damage occurred before the policy date. Undisputed facts show that some damage happened after the police period began, such as the new instances of interior damage that began in heavily trafficked areas of the hotel, which is enough to trigger coverage.
Court: USDC Western District of Washington, Judge: Cartwright, Filed On: April 30, 2024, Case #: 2:22cv1344, NOS: Insurance - Contract, Categories: Insurance, Contract
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J. Africk denies summary judgment to an insurer and its insured homeowners on claims the insurer acted in bad faith by failing to pay for hurricane damages within 30 days upon proof of loss. “Although the question is close,” the facts of the payment at issue are sufficient to create a genuine dispute as to whether the original inspection constituted satisfactory proof of loss.
Court: USDC Eastern District of Louisiana , Judge: Africk, Filed On: April 30, 2024, Case #: 2:23cv377, NOS: Insurance - Contract, Categories: Insurance, Damages
J. Rayes grants an insurance company's motion for summary judgment concerning claims that it has no duty to indemnify a human tissue laboratory owner, who engaged in misuse of donated bodies. The insurance company sufficiently showed in court that the laboratory owner was not insured under the policy at the time he was encouraging people to donate relatives bodies for alleged scientific research.
Court: USDC Arizona, Judge: Rayes, Filed On: April 30, 2024, Case #: 2:21cv1251, NOS: Insurance - Contract, Categories: Insurance, Indemnification
J. Dick grants, in part, an insurer's motion for summary judgment, dismissing two Louisiana property owners’ counterclaims for fire damage. The insured couple are not able to produce sufficient evidence they resided at the house at the time of the blaze, as required by their insurance policy. The couple’s claims for fire-damaged contents remain.
Court: USDC Middle District of Louisiana, Judge: Dick, Filed On: April 29, 2024, Case #: 3:23cv584, NOS: Insurance - Contract, Categories: Civil Procedure, Evidence, Damages
J. Immergut grants the insurance company's motion to compel arbitration in the insured's lawsuit alleging that the insurance company wrongfully disagreed with the value of the insured's claim for the injuries she sustained while pregnant during an accident with an at-fault, underinsured motorist. The insured implicitly agreed to arbitration when her demand letter stated that she “demands, consents, offers and commits to arbitration," so no new consideration is required. The insured also limited her ability her recovery attorney fees when she instituted arbitration proceedings.
Court: USDC Oregon, Judge: Immergut, Filed On: April 26, 2024, Case #: 3:24cv25, NOS: Insurance - Contract, Categories: Arbitration, Insurance, Attorney Fees
J. Kugler allows plaintiff to continue claims challenging an insurer's decision to lower the actual cash value for a vehicle involved in an accident because the appraisal report listed a price higher than the amount the insured received for the vehicle.
Court: USDC New Jersey, Judge: Kugler , Filed On: April 26, 2024, Case #: 1:22cv6228, NOS: Insurance - Contract, Categories: Insurance
J. Fitzwater finds that an insurance company’s claim that it is entitled to recission of a policy because the policy holder misrepresented circumstances related to a building damaged by a tornado cannot be decided at summary judgment. Whether or not the policy holder misrepresented the circumstances of the damage must be determined at trial. The insurance company’s motion for summary judgment is denied.
Court: USDC Northern District of Texas , Judge: Fitzwater, Filed On: April 26, 2024, Case #: 3:20cv3718, NOS: Insurance - Contract, Categories: Civil Procedure, Insurance
J. Carlos grants an insurance company’s motion for default judgment stating that it has no duty to defend or indemnify a construction company in an underlying state court matter in which a worker was severely injured when the below-ground-level trench collapsed on him. The construction company eventually stopped all communication with its counsel, opposing counsel, and the court, supporting an entry of default judgment.
Court: USDC Eastern District of Pennsylvania, Judge: Carlos, Filed On: April 26, 2024, Case #: 2:22cv4936, NOS: Insurance - Contract, Categories: Insurance, Tort, Indemnification
J. Hall grants the insurer's and the beneficiaries' joint motion for discharge, dismissal and disbursement of $87,000 in interpleader funds to the new primary beneficiary in a life insurance dispute. Judgment is entered in favor of the insurer against the initial primary beneficiary as to the interpleader relief and in favor of beneficiaries on their crossclaim. The initial primary beneficiary failed to respond to the action or the crossclaim. There is no evidence the decedent was incompetent at the time he executed a third change of beneficiary request form, therefore the form is valid and the new primary beneficiary is entitled to the funds.
Court: USDC Southern District of Georgia, Judge: Hall, Filed On: April 26, 2024, Case #: 1:23cv63, NOS: Insurance - Contract, Categories: Insurance
J. Hall grants the insureds' motion to exclude certain costs from the insurer's bill of costs after a ruling in the insurer's favor was entered in a breach of contract action. Costs for e-discovery processing, data hosting fees, vendor research, postage, copying and document loading fees are not taxable. The clerk is ordered to tax costs in the amount of $883 against the insureds.
Court: USDC Southern District of Georgia, Judge: Hall, Filed On: April 26, 2024, Case #: 1:21cv19, NOS: Insurance - Contract, Categories: Civil Procedure, Contract
J. Norris grants in part the competing motions for summary judgment in this lawsuit concerning coverage under an insurance policy. The underlying matter involves a former employee's alleged violation of the plaintiff paper company's conflict of interest policy and the subsequent settlement agreement. The plaintiff paper company's motion is granted as to certain affirmative defenses asserted by the defendant insurance company.
Court: USDC Western District of Tennessee , Judge: Norris, Filed On: April 25, 2024, Case #: 2:22cv2789, NOS: Insurance - Contract, Categories: Civil Procedure, Insurance
J. Smith denies the insurer’s motion for summary judgment in this insurance dispute stemming from an uninsured motorist claim related to a collision involving the insured vehicle caused by another vehicle driver that fled the scene in Texas. The insurer argues the policy does not cover hit-and-runs in another state because the insured misrepresented the fact the vehicle would be garaged in Alabama and failed to timely provide the change in garaging. There is a genuine issue of material fact on if the policy was void from the beginning and that the evidence presented by the insurer fails to show that the vehicle was not at the policy’s garaged location.
Court: USDC Northern District of Alabama , Judge: Smith, Filed On: April 25, 2024, Case #: 5:23cv934, NOS: Insurance - Contract, Categories: Insurance, Vehicle
J. Brailsford denies in part an insurance company's motion for summary judgment regarding an insurance coverage dispute following a plane crash. While the pilot walked away unharmed, the plane, which crashed shortly after takeoff, sustained extensive damage. The plane owner alleges that the insurer has not paid for certain repairs in violation of the insurance policy. A genuine dispute of material fact remains as to whether the insurer paid the amount required under the insurance policy. Because the insurance company has waived its right to compel arbitration, its motion for summary judgment on the contract claim is denied.
Court: USDC Idaho, Judge: Brailsford, Filed On: April 24, 2024, Case #: 1:22cv176, NOS: Insurance - Contract, Categories: Arbitration, Insurance, Contract
J. Cooper grants the employer's motion for partial summary judgment and denies the employee's motion for summary judgment in a suit alleging that the employee reneged on an obligation to return a bonus when she left her role as the employer's subsidiary's president. The pay schedule provisions of the employee's bonus contract is enforceable, and the employee breached them by failing to return an accelerated payment. The doctrine of unclean hands also does not apply in this case. The employer's request for fees incurred in summary judgment briefing as a sanction for the employee's litigation conduct is denied.
Court: USDC District of Columbia, Judge: Cooper, Filed On: April 23, 2024, Case #: 1:22cv2574, NOS: Insurance - Contract, Categories: Employment, Choice Of Law, Contract
J. Copenhaver grants the insurance carrier’s motion for summary judgment in the property management company's suit seeking declaratory judgment the carrier was obligated to defend it in a counterclaim Union Carbide filed against the company claiming it bore partial responsibility for damage to not only its property, but also the nearby Davis Creek Watershed from the run-off of toxic chemicals. Since the company has failed to not only prove the existence of a policy from 1987 through 2005, but also any of the policy's material terms, the carrier has no duty to defend or indemnify it.
Court: USDC Southern District of West Virginia, Judge: Copenhaver , Filed On: April 23, 2024, Case #: 2:22cv135, NOS: Insurance - Contract, Categories: Insurance, Business Practices, Contract
J. Brennan denies the insurer's motion to compel discovery and the completion of an appraisal of reconstruction costs for the apartment building, ruling language in the parties' contract renders any appraisal signed by both parties final and binding. Therefore, the insurer cannot challenge any costs included in the appraisal, which was completed by an independent panel and signed by both parties.
Court: USDC Northern District of Ohio, Judge: Brennan, Filed On: April 23, 2024, Case #: 1:21cv1032, NOS: Insurance - Contract, Categories: Evidence, Insurance, Discovery
J. Young grants the insurance company's motion to dismiss an indemnification suit. The transport manager hired to haul construction equipment suffered an injury offloading when the site supervisor improperly used a Bobcat to take heavy amounts of rebar off a truck bed. The improper use, failing to lower the hydraulic lift cylinder to balance the weight of the load, caused the Bobcat to tip over, releasing the stack of rebar onto the manager. This caused a fractured left ankle, a fractured arm requiring surgery and permanent crush injuries to his left foot. The manager's insurance policy covered incidents from the insured tractor-trailer, not the Bobcat.
Court: USDC Eastern District of Virginia, Judge: Young, Filed On: April 23, 2024, Case #: 3:23cv67, NOS: Insurance - Contract, Categories: Construction, Insurance, Indemnification
J. Tostrud partially grants the insurer's motion for summary judgment in the homeowners' association's suit seeking reimbursement for the cost to replace undamaged, non-color-matching siding on buildings damaged by hail. There is no genuine dispute of material fact that the association did not actually and necessarily spend more than the value of its loss, and it filed suit more than two years after providing notice of its claim, precluding pre-award interest. An appraisal panel's award and subsequent clarification on the issue of whether the association is entitled to matching costs for the siding were ambiguous, so that issue remains live.
Court: USDC Minnesota, Judge: Tostrud, Filed On: April 22, 2024, Case #: 0:22cv2027, NOS: Insurance - Contract, Categories: Insurance, Contract