INSURANCE INSIGHTS
Winter 2017



Nicolaides Victory Lap
 
Nicolaides LLP attorneys Matt Fink, Amy Cassidy, Ian Cooper, Tom Arvanitis and Matt Novaria secured dismissal in  Lafarge North America v. American Guarantee and Liability Insurance Co., et al. , case no. 45D11-1310-PL-00092, filed in the Superior Court for Lake County, Indiana. The court granted National Union's motion to dismiss, finding no justiciable controversy between National Union and Zurich as to priority of coverage for National Union's named insured, Lafarge. National Union issued two fully-fronted CGL policies to Lafarge. Lafarge sought coverage as an additional insured under Zurich's CGL and excess policies in connection with an explosion at a slag processing facility. Zurich sought a declaratory judgment Lafarge was required to horizontally exhaust primary liability coverage, including Lafarge's own coverage, before Zurich's excess policy was implicated. We convinced the court Zurich could not maintain a declaratory judgment claim against National Union because the National Union policies were fully-fronted, thus, Lafarge was the only interested party in the coverage dispute.

Scope of Coverage for "Computer Fraud" Limited
 
Interpreting the scope of coverage for "Computer Fraud," the United States Court of Appeals for the Fifth Circuit held there was no coverage under a "Crime Protection Policy," where the fraud resulted only indirectly from the use of a computer. Apache Corp. v. Great Am. Ins. Co., 2016 WL 6090901 (5th Cir. Oct. 18, 2016). 

The Apache case involved a duped employee. An impostor claiming to work for an Apache vendor verbally requested Apache to send its invoice payments to a different account, confirming the request in an e-mail on the vendor's letterhead. Apache complied. Months later, the real vendor sought payment of its delinquent bills. An investigation revealed the $2.4 million fraud. The Great American policy's Computer Fraud provision provided indemnification for loss resulting directly from the use of any computer to fraudulently cause a transfer of property. Great American rejected Apache's claim seeking damages in excess of the policy's $1 million deductible. Apache sued.

The District Court refused to limit the scope of the policy to direct hacking. Instead, that court found that because the e-mail impersonation was a "substantial factor" in causing the loss, the loss resulted "directly from" the use of a computer. On appeal, Great American argued there was no coverage because the phishing e-mail did not "cause a transfer" of funds, and coverage is limited to losses from "hacking and other incidents of unauthorized computer use." Apache argued that the commonly understood meaning of the computer-fraud provision includes "computer use," including the fraudulent e-mail. The Fifth Circuit disagreed and held for Great American finding the e-mail was not directly related to the fraudulent transfer but was "merely incidental to the occurrence of the authorized transfer of money."  

The decision adds support to limiting the plain meaning of the term "computer fraud" to only unauthorized intentional acts of fraudulent use of the computer and not the intentional acts of employees in response to fraudulent directions.

Insurer Uses Extrinsic Evidence to Demonstrate Intent of Policy Provisions

A s a reminder that extrinsic evidence can sometimes make or break a coverage dispute, the District of Colorado granted summary judgment in favor of an insurer based on underwriting communications and contracts contrary to the "more natural reading" of a policy endorsement. National Union Fire Ins. Co. of Pittsburgh, Pa. v. Intrawest ULC, Case No. 13-cv-00079, ECF 785 (Sept. 30, 2016). 

In Intrawest, the court held the completed operations limit of an owner controlled insurance program issued to a resort developer was $5 million total, rather than $5 million at each project. The court explained that while a policy endorsement provided $5 million "separately on a per project basis," the insurance contract also included an Indemnity Agreement and Schedule, which provided a $5 million "all project" maximum. The court ruled that because the contract contained "facially contradictory language" regarding the limit, resort to extrinsic evidence was appropriate. The insurer's initial proposal provided "per location" and "all location" completed operation limits, but "per project" and "all location" ongoing operations limits. The court found the broker's subsequent request for the completed operations limit to apply "on a 'per project' basis similar to the 'primary CGL'" sought to change only the "per location" limit, not the "all location" (maximum) limit. Therefore, the insurer's agreement that the completed operations limit would apply "separately on a per project basis" was not a "sea change" increasing coverage from $5 million to $355 million ($5 million at each of 71 projects).

Underwriting materials, as this decision shows, can be critical to demonstrating the intent and proper interpretation of an insurance program or policy. 

Reservation of Rights Letter Is Not a "Contract" to Pay Defense Costs

The U.S. District Court for the Central District of California has held that an insurer's reservation of rights letters was not a separate "contract" to pay defense costs, and an insurer has no obligation to pay attorneys' fees to the insured or his independent counsel where there was no duty to defend. 

In a prior summary judgment ruling in Robert A. Rizzo v. The Insurance Company of the State of Pennsylvania, Case No. 12-cv-04347, the district court held the insurer had no duty to defend the former city manager of the City of Bell, who had been sued civilly and criminally for using his position to pay himself and his colleagues exponentially more than they should have been paid. On appeal, the Ninth Circuit affirmed the district court's ruling that there was no duty to defend but remanded the case on a narrow issue: the Ninth Circuit found the district court had not ruled upon whether the insurer's reservation of rights letters created a separate "contract" to pay defense costs during the period when the insurer had defended under a reservation of rights. The insurer reserved the right to deny coverage, withdraw from defending, and to be reimbursed any amounts paid on the insured's behalf. 

The insured's defense counsel claimed he was owed more based on the rate paid by the insurer and the application of the policy's self-insured retention. The district court held that under California law, an insurer that agrees to defend under a reservation of rights and obtains a ruling that there is no duty to defend is not obligated to pay the insured or the insured's counsel defense fees or costs. The reservation of rights letter is for the insurer's benefit and does not constitute a separate agreement to pay.

TCPA Claims Are Not "Personal and Advertising Injury" Offenses

With the advent of exclusions that preclude coverage for liability imposed under the Telephone Communications Privacy Act ("TCPA") and other statutes that address or apply to the sending, transmittal of certain materials or information, some of insurers' concern about coverage for that type of liability has waned. Nevertheless, such claims continue to generate coverage issues. In a recent decision before a federal appellate court, insurers prevailed on a key issue - whether TCPA claims potentially involve "personal and advertising injury" arising out of the offense of "oral or written publication of material that violates a person's right of privacy." In Auto-Owners Ins. Co. v. Stevens & Ricci, Inc., 835 F.3d 388 (3d Cir. (Pa.) 2016), the court held that TCPA claims do not involve "personal and advertising injury." 

In affirming summary judgment for the insurer as to its duty to indemnify, the court analyzed the scope of the right-of-privacy offense. Viewed in the context of the other advertising-related offenses, the offense encompasses only those privacy rights that protect a person's right to secrecy, not those that protect a person's right to seclusion. The language of the offense itself cemented the court's conclusion. Applying the "last antecedent" rule, the court concluded that the phrase "that violates a person's right of privacy" serves solely to describe the type of "material" that is encompassed by the offense; it must be the material, rather than its publication, that violates a person's privacy rights. 

The court also analyzed the nature of the underlying TCPA claims. The TCPA shields people from unsolicited messages, therefore, the sole type of privacy the TCPA protects is the right to seclusion -- the right to be left alone -- rather than any right of secrecy. The court observed that, consistent with the TCPA's intent, the underlying claimants complained only that the subject faxes "unlawfully interrupted [their] privacy interests in being left alone" and made no mention whatsoever of their content. Because there was no overlap between the scope of the offense and the TCPA claims against the insured, the court held that the claims did not involve an enumerated offense under Coverage B and did not implicate coverage.

California Finds a Trademark is Not an Advertising Idea

CGL policies often provide "advertising injury" coverage for injury arising out of one or more enumerated offenses. Among these offenses is the "use of another's advertising idea in [the named insured's] 'advertisement'", commonly referred to as the advertising idea offense. Policyholders may look to the advertising idea offense when seeking coverage for claims of trademark infringement. Because "advertising idea" is usually undefined, success can depend upon whether the applicable jurisdiction agrees that a trademark is an "advertising idea." 

The Central District of California weighed in on this issue, which has split various courts. In Infinity Micro Computer, Inc. v. Continental Cas. Co., the court granted summary judgment to the insurer, finding no duty to defend or indemnify the insured in connection with an underlying trademark infringement action. The insured argued that a lawsuit alleging it wrongfully infringed the plaintiff's trademarked logo implicated the advertising idea offense because the plaintiff alleged injury arising out of the use of the plaintiff's advertising idea. The court rejected this argument. The court noted that while the policy did not define advertising idea, it excluded coverage for trademark infringement. Therefore, the insured "could not have reasonably expected trademark infringement to fall within the definition of 'advertising idea.'" The court further noted that the term "advertising idea" would be rendered meaningless if interpreted so broadly as to encompass any act taken in the course of marketing, including the use of a trademarked logo. Infinity Micro Computer, Inc. v. Continental Cas. Co., 2016 WL 5661755, at *5 (C.D. Cal. Sept. 29, 2016).

Spotlight On: Laura Smith

Laura SmithRecently named partner, Laura Smith has been providing reasoned and practical advice to insurers for over 25 years. Laura joined Nicolaides in 2015 to practice with a number of her former colleagues. She helps clients evaluate coverage for a wide variety of matters, articulate positions, navigate independent counsel issues, and resolve claims. Laura enjoys the detail of coverage work, the complexity of the issues on which she assists clients (such as the priority of coverage and interpretation of the scope of new insurance products), and the broad range of claims, including pollution, construction, data breach, avian flu, and embezzlement. She mainly handles California issues, but has significant experience with Nevada and Washington as well.

Outside of Nicolaides: Laura and her husband are recent empty-nesters. They are enjoying exploring three cities that are new to them, namely Seattle WA, Northfield MN, and New London CT, while visiting their daughters in college and beyond. Laura is an avid reader, community volunteer, and container gardener with high hopes of growing the perfect artichoke this summer.

New Partner Announcement

Nicolaides is proud to announce the addition of the following two partners: Laura H. Smith (featured below) practices in the firm's San Francisco office and handles a wide variety of insurance issues under general liability, professional liability, and specialty policies.

Lauren N. Keilin practices in the firm's Chicago office and has litigated a variety of commercial and insurance disputes as well as providing advice and counsel under general liability and professional liability policies.
Nicolaides LLP wishes you a new year filled with possibilities. To view an encore presentation of our animated Holiday Greeting, click here.
Events

Matt Lovell, Samantha Riley and Laura Smith  will provide an in-house CLE seminar to an insurer client in San Francisco regarding the ethical issues that can arise in requesting information from defense counsel in January 2017.

Sara Thorpe, as part of a panel of insurer and policyholder counsel for the San Francisco Bar Association, will present a review of important California insurance coverage decisions on January 20, 2017, in San Francisco.

Monica Sullivan will speak as a panelist at the American Bar Association's (ABA) Tort Trial and Insurance (TIPS) CLE on  January 26, 2017 .

Jeff Labovitch and Amy Cassidy will co-present a two hour seminar on "California Fair Claims Settlement Practices" and "Conflicts in the Tripartite Relationship" in Deerfield, IL on February 1, 2017.

Sara Thorpe will speak at the American College of Coverage and Extra-Contractual Counsel's Law School Symposium on insurance issues at Hastings College of the Law in San Francisco on  February 10, 2017 . As a panelist, Sara will address ethical issues that arise in connection with use of independent counsel.

Daniel Graham, Amy Cassidy and Laura Smith will present "That's not Covered ... Is It?" an introduction to Coverage B (advertising injury and personal injury) risks, exposures, and coverage defenses on February 23, 2017.

Katherine Mast will present "Whistling Past the Graveyard: Obtaining Insurance Coverage for Whistleblower Complaints and Retaliation Claims" during the ABA Insurance Coverage Litigation Committee CLE Seminar in Tucson, AZ on March 3, 2017.

Wen-Shin Cheng and Cody Moon will speak on using intervention and interpleader as tools to help insurers resolve their potential liability for underlying claims at the Defense Research Institute's Insurance Coverage and Claims Institute in Chicago on April 7, 2017.
Notable and International Engagements

In October 2016 Richard Nicolaides  an Robert Marshall presented seminars to insurance companies in Japan on topics ranging from overviews of bad faith and insurance practices to e-discovery procedures, and risks relating to smartphone applications such as Pokémon Go .

In November 2016, Monica Sullivan acted as moderator for a seminar on "Claims & Underwriting: The Strategic Interplay," presented at the CLM Roundtable 2016, hosted by the Bermuda Chapter of CLM.

Richard Nicolaides, Monica Sullivan, Samantha Riley and Lani McCann provided a national perspective on recent insurance decisions impacting Underwriters insuring risks in the U.S. with a focus on general liability, professional liability, and cyber claims, at the Lloyd's Library entitled "Fall 2016 Insurance Coverage Update" in September 2016.

Nicolaides Fink Thorpe Michaelides Sullivan LLP is a global law practice dedicated to representing the interests of insurers and reinsurers. From offices across the U.S., the firm counsels its clients and litigates complex coverage disputes around the world.  The firm's market-leading appellate practice prosecutes and defends a broad spectrum of appeals nationwide, and frequently participates in high exposure trials. 
 
This publication is provided by Nicolaides Fink Thorpe Michaelides Sullivan LLP for educational and informational purposes only and is not intended and should not be construed as legal advice. This newsletter may be considered advertising under applicable state laws.


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