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Winter 2010 - Vol. 2, Issue 4
In This Issue
Plaintiffs Can Maintain A Direct Action Against Insurers To Recover Med Pay Benefits
 
Insurer or Reinsurer? Make Sure The Definition Of Insurer Is Clear And Unambiguous 
 
Is The Duty To Defend The Duty To Commit Hari Kari?
 
The Importance Of Adhering To The Notice Provisions Of Your Reinsurance Policy
Team
 Somers
James V. Somers, Esq.
Executive Editor
 
 Duncan
Coleman C. Duncan, Esq., Co-Managing Editor
 
montalbano
Tracy L. Montalbano, Esq., Co-Managing Editor
Meet Our Insurance Law Group
Plaintiffs Can Maintain A Direct Action Against Insurers To Recover Med-Pay Benefits 
By: Joseph J. Andriola and Michael F. MacDonald 
 
Falling on iceIn a case of first impression in Connecticut, the court in Alexander v. W.F. Schuck Petroleum Co., 2009 Conn. Super. LEXIS 2096 (Conn. Super. Ct. Aug. 3, 2009) (Tanzer, J.), held that a plaintiff is permitted to bring a direct action against the insurer of the alleged tortfeasor under the medical payments coverage portion of a liability insurance policy.   
 
Insurer Or Reinsurer? Make Sure The Definition Of Insurer Is Clear And Unambiguous
By: Theresa W. Hajost 
 
Insurance Policy - magnifying glassA recent federal case held that the wording of an insurance policy was unclear and ambiguous as to whether the defendant, Swiss Re, was an insurer or a reinsurer, and therefore allowed the insured to maintain its action against Swiss Re.  Felman Production Inc. v. Industrial Risk Insurers, Westport Insurance Company and Swiss Reinsurance America Corporation, 2009 U.S. Dist. LEXIS 97936 (S.D.W.V. Oct. 19, 2009).  After the insured sued the listed defendants for coverage under its insurance policy, Swiss Re moved to dismiss the complaint on the ground that it was a reinsurer of the policy, not an insurer, and therefore could not be sued directly by the insured as there was no privity of contract between them.
 
Is The Duty To Defend The Duty To Commit Hari Kari? 
By: Meg R. Reid
 
Although the duty to defend is broader than the duty to indemnify, it "is not the duty to commit hari kari" and limitations exist as to the extent of the duty in all phases of a lawsuit, including appeals.  West Haven v. Commercial Union Ins., 894 F.2d 540, 544-45 (D.Conn 1990) (citations omitted).  The duty to defend is said to last "until the state of proceedings is reached when it is clear that no element of the subject matter of the suit is within the scope of the policy." 
 
The Importance Of Adhering To The Notice Provisions Of Your Reinsurance Policy
By: Rebecca Bailey Jacobsen
 
The decision in Continental Casualty Company v. ACE American Insurance Company, 2009 U.S. Dist. LEXIS 29018 (S.D.N.Y. Mar. 31, 2009), illustrates the problem caused by failure to provide your reinsurer proper notice under the provisions of your policy.  In 1999, Continental Casualty Company ("Continental") issued to ACE American Insurance Company ("ACE") a policy of insurance (the "Policy") covering ACE against bad faith claims handling.  Id. at 3.  The terms of the Policy included a $10 million deductible, a consent-to-settlement provision and an allocation provision.