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New Decisions Impacting Insurance Law

New Decision Update

 Two well-reasoned decisions from the Western District of Washington have recently provided clarity to Washington law on a pair of subjects that have been of particular interest in the insurance industry in the past several years in this jurisdiction.

These decisions further support our office’s frequent advice that the Federal District Court is a forum that insurers should consider in disputed coverage matters.

The Cox Decision Involving the Scope of IFCA 

Kathryn Cox, et al., v. Continental Casualty Company, 2014 U.S. Dist. 68081 (W.D. Wash. May 16, 2014) reconsideration denied, 2014 U.S. Dist. LEXIS 78457 (W.D. Wash. June 6, 2014)

On May 16, 2014, Judge Marsha Pechman issued an order clarifying the scope of the Washington Insurance Fair Conduct Act (IFCA), RCW 48.30.015  The Court ruled that based on the express statutory language, an IFCA cause of action is not available to an insured in the context of a third-party liability claim.  In a coverage and extra-contractual lawsuit brought by an insured alleging bad faith and IFCA violation by the insurer arising from the manner in which the insurer attempted to negotiate the settlement of a third-party claim, the Court held that the insured had no standing to bring an IFCA cause of action and dismissed the IFCA claim.  On a motion for reconsideration, the Court was pointed in its analysis in affirming its initial ruling.

The Court reasoned that the text of the statute gives rise to a cause of action for any “first party claimant” who is unreasonably denied benefits.  “First party claimant” is defined as someone “asserting a right to payment” under a policy.  A third-party policy does not grant a right to payment to its holder.  Rather it applies to indemnify the holder for third-parties damages.  As such, the policyholder has no right of payment as required under the statute, and therefore no standing to assert an IFCA claim.

The MKB Decision on the Applicability of Cedellin Federal Court

MKB Constructors v. Am. Zurich Ins. Co., 2014 U.S. Dist. LEXIS 78883 (W.D. Wash. May 27, 2014).

             On May 27, 2014, Judge James Robart issued a decision on an insured’s motion to compel the production of documents from the defendant insurer based on the Washington State Supreme Court decision in Cedell v. Farmers Insurance Company of Washington, 176 Wn.2d 686, 295 P.3d 239 (Wash. 2013).  Specifically, the insured sought the production of documents identified in the insurer’s privilege log based on the position that under cedell those documents were presumptively not privileged.  The insured sought in the alternative an in camera review of those documents by the Court in order to determine whether the assertion of privilege was appropriate.

The Court rejected the insured’s arguments and took the opportunity it the written decision to provide a detailed analysis of Cedelland its applicability in the federal courts under the Erie doctrine.  The Court begins by addressing the substantive requirements of Cedellconcerning the attorney-client privilege and acknowledges that underCedell an insurer must demonstrate that the attorney was not engaged in the “quasi-fiduciary tasks of investigating and evaluating or processing” a claim.  The question then was the mechanism by which the insurer could meet this burden.

The Court rejected the Cedell mandate that an the trial court must review any disputed documents in camera holding that this requirement is procedural in nature and is not required of the federal courts under the federal rules.  Ultimately, the Court held that while it is within the federal court’s discretion to require an in camera review, it is not required to do so and it may require insurers to meet the burden by other means, including through the identification of the disputed documents in a privilege log.

The Court then addressed the Cedell case in the context of assertions of protection under the Work-Product Doctrine.  The Court heldCedell is inapplicable in federal court when the work-product doctrine is invoked.  As a result, assertions of protection from disclosure of work-product material will be controlled by the federal rules of civil procedure and none of the Cedell presumptions or procedural requirements will be applicable in the federal courts.

Taking Lether & Associates to “New Heights”

Climbing Mt. Rainier

On Saturday June 21, 2014 at 5:30 am two paralegals from Lether & Associates reached the summit of Mt. Rainier. Andrei Teretchenko and Hugh Engel started their ascent from Camp Muir early Saturday morning, and returned to base camp after reaching the summit Saturday afternoon. Everyone here at Lether & Associates would like to congratulate them on their accomplishment and we are very happy they are members of our team!

LA1

Congratulations, Tom Lether!

Tom Lether, along with Lether & Associates has been awarded the Washington State Dispute Resolution Award: Insurance Litigator of the Year!

 

The Dispute Resolution Awards identify the main players in what is a fiercely competitive market. With a culmination of peer reviews and in-house research they pinpoint leading individuals and firms across a range of industries. Acquisition International prides itself on the validity of its awards and its winners. They are given solely on merit and recognition of leaders in their respective fields.

Excess and Reinsurance Issues

Excess and Reinsurance Issues are increasingly important topics that are prevalent in insurance litigation across the country. We have knowledge and experience dealing with these complex matters.  If you have any question or concerns please feel free the contact Lether & Associates.

Excess Insurance Issues

Lether & Associates offers a wide array of services for clients dealing with excess insurance issues.  Given the exposures involved in these claims, assessing and advising our clients impacting multiple layers of coverage is crucial.  We have significant experience in dealing with allocation disputes across layers of coverage, exhaustion issues, drop-down issues, primary insurer insolvency issues, self-insured retention issues, and the interpretation of “following form” and “other insurance” provisions.  Lether & Associates represents primary and excess insurers in coverage and contribution actions as well as in direct actions by or against insureds.  We are available to provide comprehensive representation, from consultation through litigation and appeals, on any excess insurance issue.

Reinsurance Issues

As the insurance industry continues to expand, Lether & Associates has become adept at representing clients in the reinsurance market.  Lether & Associates represents both underlying insurers and reinsurers in regard to all manner of reinsurance issues.  We represent clients in navigating the unique standards and practices applicable to the reinsurance market from the inception of claims through their conclusion.  Lether & Associates provides advice as to the operation of reinsurance agreements, the complex coverages provided by those agreements, and the rights and obligations of the parties to those agreements.  Lether & Associates also provides assistance with the drafting, negotiating, structuring, and regulatory approval of reinsurance agreements and forms.

Seahawks Blue and Green in New York

The Empire State building in New York was Blue and Green Monday and Tuesday night as part of the #whosgonnawin promotion put on by Verizon.

This picture was taken by Lether & Associates Attorney Brian Donovan right outside the New York Office.

NFL & Brain Injury Claims

Recently, a slew of national attention has been directed at brain injuries.  From former NFL players and professional boxers suffering from the effects of chronic brain damage, to the dangers of concussions suffered during youth athletics, concern is growing over the protection of the brain.  This has resulted in an increase of Traumatic Brain Injury (TBI) claims.
While legal claims for injury to the brain have long been commonly asserted in bodily injury actions, we expect an increase in these claims as public awareness of brain injuries has risen. Brain injury claims are complicated and require knowledgeable legal representation.  Lether & Associates has experience successfully defending such claims in both liability and coverage matters. Please do not hesitate to contact us with your questions or concerns.