Brown & James
General Defense & Insurance
Law Symposium
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 January 23, 2014 Brown & James presents its annual Symposium on trends in the law at the Sheraton Westport Hotel.
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Declarations Page Does Not Create Ambiguity In Underinsured Motorist Coverage
The Missouri Court of Appeals in Becker v. Allied Prop. & Casualty Co., No. ED99394 (Mo. App. E.D. Dec. 10, 2013), held the interplay of the policy's declarations page with limitations on coverage contained within the policy's UIM coverage part did not result in an ambiguity that required the policy to be construed in favor of stacking. The Court, in a well reasoned opinion, focused on the fact that the policy's declarations contained a single "per policy" UIM limit, and did not separately restate the UIM limit for each vehicle insured under the policy. The Becker decision stands in contrast to the decisions in Miller v. American Family Mut. Ins. Co., 400 S.W.3d 779 (Mo. App. W.D. 2013), and Fanning v. Progressive Northwestern Ins. Co., 412 S.W.3d 360 (Mo. App. W.D. 2013), in which the courts focused on the declarations to find ambiguities in UIM coverage parts. The Becker decision, thus, provides insurers with guidance on how to rewrite their declaration pages to avoid ambiguity challenges to their UIM coverage parts. This decision, together with the recent decision in Kennedy v. Safeco Ins. Co. of Ill., 413 S.W.3d 14 (Mo. App. S.D. 2013), which upheld a UIM anti-stacking disclaimer, offers insurers hope that Missouri courts may afford insurers some relief from the many recent pro-policyholder decisions handed down in UIM cases.
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Derivative Action Subject To "Each Person" Policy Limit
In Shelter Mut. Ins. Co. v. MacVittie, No. WD76401 (Mo. App. W.D. Dec. 24, 2013), the Missouri Court of Appeals, in addressing the amount of coverage available under an automobile liability policy, held that a loss of consortium claim is not a separate and distinct bodily injury claim from the injured spouse's claim. Therefore, the court held the wife's consortium claim was subject to the same single "each person" limit as her husband's bodily injury claim. The court, in so ruling, explained that the wife's consortium claim was a derivative action that did not entitle her to a separate and additional policy limit.
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Broker Liable For Failure To Procure Requested Coverage
When a broker fails to procure the requested insurance coverage, the broker has a duty to timely notify the insured that the insurance for the property for which the insured had sought coverage was not obtained. In the most recent case in a line of broker liability cases, the Missouri Court of Appeals, in Bucksaw Resort, LLC v. Mehrtens, No. WD75877 (Mo. App. W.D. Nov. 19, 2013), reiterated the longstanding rule that a broker has a duty to its client to inform the client that the requested coverage was either unavailable or not procured.
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Wrongful Death Action Class Member Does Not Have An Independent Uninsured Motorist Claim
The Missouri Court of Appeals, in Floyd-Tunnell v. Shelter Mut. Ins. Co., No. WD75725 (Mo. App. W.D. Nov. 12, 2013), reaffirmed the rule in Missouri that the decedent's spouse and child did not have standing as "insureds" to bring an independent claim for UM coverage based on the decedent's wrongful death. The court explained that the husband, who was killed in a collision with an uninsured motorist, was "the insured" for purposes of determining the extent of UM coverage available to his wife and daughter under two automobile policies that covered vehicles other than the one that the insured was driving at the time of his death, rather than the wife, who was also a named insured under each policy, but who was not occupying any car at the time. Therefore, the court held that the UM coverage available to the wife and daughter was limited under each policy to the statutory minimum of $25,000.
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Material Misrepresentation In Claim Barred Recovery
The insureds, in their first-party insurance claim, represented that their $200,000 RV accidentally jumped into gear, rolled down a ravine, and was thus destroyed. In American Family Mut. Ins. Co. v. Coke, No. ED98871 (Mo. App. E.D. Nov. 12, 2013), the Missouri Court of Appeals held that circumstantial evidence of the insureds' financial condition and their requested increase in insurance coverage constituted substantial evidence sufficient to support the jury's verdict that their loss was not accidental. The Court also approved the jury instruction for use in a material misrepresentation case.
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Assault And Battery Exclusion Upheld As Unambiguous
In Kotini v. Century Surety Co., No. ED99520 (Mo. App. E.D. Oct. 22, 2013), the Missouri Court of Appeals upheld an assault and battery exclusion as a complete defense to coverage for injuries sustained by a tavern patron when he was removed from the premises by the insured's bouncer. The court, in so ruling, rejected the patron's contention that the exclusion was ambiguous because it contained undefined terms, explaining that when those terms are given their ordinary meaning according to standard dictionary definitions, the patron's claim plainly fell under the exclusion. The court also held the policy's expected and intended injury exclusion did not render the policy ambiguous when the policy was read as a whole.
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Court Reaffirms Immunity Of Religious Organizations In Sexual Predator Cases
The Missouri Court of Appeals, in D.T. v. Catholic Diocese of Kansas City-St. Joseph, No. WD76025 (Mo. App. W.D. Nov. 12, 2013), reaffirmed the Missouri Supreme Court's decision in Gibson v. Brewer, 952 S.W.2d 239 (Mo. banc 1997), which, on First Amendment freedom of religion grounds, barred claims against church organizations for negligence in failing to supervise, retain, hire, and ordain clergy persons. In addition, the court reaffirmed the rule in Gibson that liability in intentional tort claims requires the underlying misconduct to take place on church property. This case is recommended reading for a complete review of Missouri law governing clergy sex abuse cases.
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Ken Burke received a defense verdict in a medical malpractice case involving a fetal exposure to medical ionizing radiation. At trial, the plaintiffs sought $10 million in damages. |
In a large business litigation case involving alleged damages in excess of $6 million, Tim Wolf and Cynthia Juedemann, after a two-week trial, convinced a federal jury to find for their defendant client, an interstate manufacturer that had been sued for illegally terminating a dealership.
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Joe Swift and Scott Morgan obtained a defendant's verdict in a toxic chemical exposure claim tried in Jefferson County, Missouri. The plaintiff claimed he was totally disabled by the release of chlorine gas at a national restaurant chain.
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Jon Morrow successfully defended his insurance company client in an arson and fraud case, persuading a state-court jury that the fire was not accidental. |
Corey Kraushaar and Sam Vincent upheld on appeal a defense verdict in a serious personal injury action arising from a car/motorcycle collision. At trial, the plaintiff claimed over $6 million in damages.
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Mike Maguire and Nick Loyal obtained summary judgment for their homeowner client against a guest who fell off their client's patio and became a quadriplegic. The plaintiff had claimed over $8 million in actual and projected damages. In obtaining summary judgment, Mike and Nick demonstrated that the plaintiff was a licensee and that the alleged defect was an open and obvious one. |
Joe Swift obtained a defendant's verdict in a serious personal injury action tried in Phelps County arising from an accident in which the defendant's tractor trailer "rear ended" the plaintiff's vehicle.
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In a co-employee liability claim, Brad Hansmann and John Greffet obtained summary judgment for their client, a co-employee driver who ran over the plaintiff while on the job. The court found that Brad's client was immune from civil liability based on Missouri's workers' compensation law.
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In a case where a severely injured passenger in a one-car rollover accident had obtained a $2.5 million judgment against the insured driver, Russ Watters and Cynthia Juedemann obtained summary judgment for their insurance company client. They established there was no coverage under the policy because the insured driver was engaged in a criminal act at the time of the accident ( i.e., transportation of 200 pounds of marijuana) and had also misrepresented to the insurer his purpose for procuring the insurance.
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Joe Swift and Scott Morgan obtained a defendant's verdict in a slip and fall case tried in St. Louis County for their client, a national restaurant chain. The plaintiff had claimed permanent and total disability.
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Kristie Crawford and Mike Ward persuaded the Missouri Court of Appeals to reverse the summary judgment entered against their insurance company client on a UIM stacking claim. On appeal, the appellate court ruled that the policy's UIM anti-stacking disclaimer language provided an unambiguous defense to the insured's stacking claim.
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Upcoming Speaking Engagements and Events
St. Louis principal Tim Wolf has been asked to speak at the 2014 CLM Annual Conference in Boca Raton, Florida on April 10. The topic is "Dealing with TPAs in 2014 - Reporting, Medicare and Beyond." Tim will be speaking with Sean Mastin, Risk Manager for Roto-Rooter Service Company and Ressie Ragland, Attorney/Adjuster for Affirmative Risk Management. The panel will address the purpose of TPA reporting guidelines and how panel counsel can meet the expectations of TPAs and their clients in the litigation context.
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About Us
Brown & James, P.C. is a Midwest regional law firm with more than 100 attorneys representing companies in litigation, appeals and insurance coverage matters.
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Contact Us
If you have any questions:
Managing Principal
314-242-5306
Principal
314-242-5252
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