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Insurance Law Update
December 2014
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Findings in an Uncontested Section 537.065 Judgment Not Binding on Subsequent Coverage Action
The United States Court of Appeals for the Eighth Circuit in Hudson Specialty Ins. Co. v. Brash Tygr, LLC, Nos. 13-1688 and 13-1742 (8th Cir. Oct. 7, 2014), held that findings of fact entered in an uncontested bench trial following a Section 537.065 agreement were not binding in a subsequent declaratory judgment action addressing whether there was coverage for the occurrence and judgment. The Eighth Circuit held that collateral estoppel did not apply because the insurer was not a party to the underlying action and did not have a full and fair opportunity to litigate the coverage issues. The Eighth Circuit, in so ruling, explained that an insurer should not be bound by the underlying judgment in its separate coverage action when the insurer has "its on-going defense under a reservation of rights terminated by the insured, who then enters into a § 537.065 settlement agreement and, acting in its conflicting self-interest, conspires with the plaintiffs in the underlying action to preclude the insurer from litigating its coverage defenses." The Eighth Circuit also decided the coverage issue for the insurer, finding there was no coverage for the judgment because the driver of a non-owned vehicle was not on the insured's business at the time of the accident.The Eighth Circuit's decision illustrates the importance of litigating insurance coverage issues in federal court.
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Proper Service on an Insurance Company by Service on the Director of Insurance Is Limited to Service by Certified Mail
In Bate v. Greenwich Ins. Co., No. WD76086 (Mo. App. W.D. April 29, 2014), a default judgment was entered against an insurer that failed to respond to an equitable garnishment action seeking $3 million in coverage based on service of process directed to the Director of Insurance, which, in turn, mailed the summons by regular mail to the insurer. The plaintiff then executed on the judgment after a year had passed, when the insurer's recourse to setting aside the judgment was limited to challenging the trial court's jurisdiction to enter the judgment. The insurer argued that it never received the summons and that there was no independent proof that the Director's mail service ever reached the insurer. On appeal, the Missouri Court of Appeals affirmed the trial court's judgment setting aside the default judgment against the insurer. The Court explained that service on the Director of Insurance is only effective when the Director sends the summons by certified mail to the insurer and receives a signed return receipt from the insurer confirming service as required by Mo. Rev. Stat. § 375.261. The Court further explained that service under Mo. Rev. Stat. § 375.906, which permits the Director to send the process to the insurer by regular mail, is enforceable only in those cases in which the insurer accepts such service and actually acknowledges receipt of the service.
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Enforceable Arbitration Agreements Must Be Clear and Unequivocal
Following a long line of recent decisions, the Missouri Court of Appeals in TXR, LLC v. Stricker, No. SD 33036 (Mo. App. S.D. June 11, 2014), upheld the trial court's refusal to dismiss a lawsuit and refer it to arbitration. The Court explained that a general statement in a contract that the agreement is subject to arbitration is insufficient, in the face of conflicting language, to require arbitration absent a clear and unequivocal showing that the parties intended the subject matter of the lawsuit to be resolved by arbitration.
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Missouri's "Borrowing Statute" Upheld to Apply the Statute of Limitations of the State Where the Injury Occurred
The Missouri Court of Appeals in Benton v. Cracker Barrel Old Country Stores, Inc., No. ED 100309 (Mo. App. E.D. April 29, 2014), held that, when a slip and fall accident occurs in Illinois, Illinois's two-year statute of limitations governs the action, even though the plaintiff filed her lawsuit in Missouri, where the applicable statute of limitations is five years. In Benton, the plaintiff, a Missouri resident, was traveling in Illinois when she stopped at a Cracker Barrel restaurant for dinner. She fell and seriously injured herself. She waited four years to file suit in Missouri and argued the five-year Missouri statute should apply because she was a Missouri resident and Cracker Barrel did business and advertised in Missouri. The Missouri Court of Appeals rejected her argument, holding Missouri's "borrowing statute," Mo. Rev. Stat. § 516.190, required application of Illinois's two-year statute of limitations because Illinois was the state where the plaintiff's cause of action originated.
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Court Upholds Arson/Fraud Verdict for Insurer in First-Party Fire Claim
In Farm Bureau Town & Country Ins. Co. of Mo. v. Shipman, No. SD 32416 (Mo. App. S.D. May 6, 2014), the Missouri Court of Appeals upheld the jury's verdict for Farm Bureau in an action brought by Farm Bureau against its insured to recover $320,000 that it had paid to the insured's mortgage company following a fire on the insured's property. The Court outlined the four essential elements necessary to prove that a fire was set or caused to be set by an insured: (1) the fire was incendiary; (2) motive on the insured's part; (3) the opportunity of the insured or someone on the insured's behalf to set the fire; and (4) inculpating circumstances that are relatively strong. The Court ruled that these elements are met so long as the evidence and the reasonable inferences to be drawn from the evidence tend more toward the probability of the insured's involvement in the fire. This case makes for recommended reading for lawyers and claim professionals involved in first-party claims. |
Third-Party Beneficiary under a Construction Contract Has Standing to Recover under Builder's Risk Policy
In Drury Co. v. Missouri United School Ins. Counsel, No. ED100320 (Mo. App. E.D. March 24, 2014), the Missouri Court of Appeals held that even though Drury was only a subcontractor, it had standing to bring a claim under the owner's builder's risk policy because it was a third-party beneficiary under the contract documents. The Court, in finding coverage for Drury, refused to enforce the policy's faulty workmanship exclusion based on the "ensuing loss" exception, and further held that Drury was entitled to damages under Missouri's vexatious-refusal-to-pay statute even though it was not a party to the insurance policy.
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Teacher's Failure-to-Supervise Claim against the Parents of a Child Who Injured the Teacher Upheld
In a case of first impression in Missouri, the Missouri Court of Appeals in Ridgell v. McDermott, No. ED100402 (Mo. App. E.D. April 15, 2014), held that the parents of school children with mental disabilities can be held liable for their children's actions at school when the children injure a teacher or fellow student. The Court explained that even though the school took over control and supervision of the child while at school, the child's parents could still be subject to liability for the injuries sustained by teachers and other students if the parents have knowledge of their child's dangerous propensities, but fail to act reasonably to restrain the child from injuring someone else.
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The Merchant's Privilege Protects Store Owners against False Arrest and Battery Claims
In Barkley v. McKeever Enterprises, Inc., No. WD75944 (Mo. App. W.D. April 15, 2014), the Missouri Court of Appeals expanded the Merchant's Privilege under Mo. Rev. Stat. § 537.125 to provide a store owner with a defense to batteries committed against a suspected shoplifter after the store recovers the property and its investigation has concluded. The Court explained that the privilege immunizes a merchant from false arrest and battery claims arising from the merchant's use of reasonable force to continue the suspect's detention until the police arrive.
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Insurer in Equitable Garnishment Action Bound by Judgment Entered in Prior Garnishment Action
In Gu v. ACE INA Ins. Co. of Canada, No. ED100001 (Mo. App. E.D. April 15, 2014), following a judgment entered for the husband and wife in an uncontested action that was part of a Section 537.065 agreement, the husband, and not the wife, brought an equitable garnishment action to satisfy the $13,803,203.46 judgment that the husband had recovered against the insurer's insured. The trial court entered judgment for the husband and against the insurer, finding coverage because the insurer had untimely asserted an exclusion as an affirmative defense. The wife then filed her own garnishment action to satisfy the $1.5 million judgment entered on her consortium claim to which the insurer, this time, timely advanced its exclusion as a coverage defense. The Court nonetheless ruled for the wife, holding the coverage determination in the husband's original garnishment action was binding on the insurer on res judicata grounds. The Court's decision illustrates, once again, the risks that insurers experience in Missouri when they advance coverage defenses in the face of Section 537.065 agreements.
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Guilty Plea with Suspended Imposition of Sentence Is Not a Conviction for Purposes of Insurance Application
The insureds' home burned down a little over a year after they applied for insurance, and at the time, they represented on their application that they had never been convicted of a felony. After the fire, the insurer learned that the husband had pleaded guilty to the felony of criminal non-support before he signed the application, and that the court had put him on probation, but suspended his sentence pending successful completion of the probation. The husband successfully completed his probation, so the conviction was wiped out from state's perspective. Under these circumstances, the Missouri Court of Appeals in CFM Ins., Inc. v. Hudson, No. WD76882 (Mo. App. W.D. June 3, 2014), ruled there was no material misrepresentation as a matter of law, and that the insurer could not rely upon the representations in the application to deny coverage and rescind the policy because, under Missouri law, the husband had not been convicted, and because the application did not define a conviction to include such a circumstance.
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Brad Hansmann tried a wrongful death case representing a trucking company and convinced the jury to return a defense verdict. At trial, the plaintiff contended the slow movement of the defendant's truck impeded traffic and, thus, caused the collision. The jury sided with the trucking company and against the decedent's widow and children whose counsel asked the jury for $4 million in damages.
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In a case tried in Jefferson County, Missouri, Irene Marusic successfully defended her client, a bar/restaurant, from a plaintiff claiming severe injuries from a fall. Irene convinced the jury that a raised area where the plaintiff fell was not a dangerous condition.
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John McLeod won a defense verdict in the City of St. Louis where he represented just the trucking company at the time of trial. The truck driver passed away from unrelated causes before giving a deposition on an alleged rear-end collision. The plaintiff switched lanes due to another accident and claimed John's client had rear-ended her vehicle. There was no damage to the direct rear of plaintiff's vehicle; the damage was to the rear driver's side corner. The plaintiff claimed a closed head injury with headaches, stuttering, and PTSD, and had asked the jury for over $767,000.
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John Cunningham and Daniel Hasenstab won summary judgment in the Circuit Court of Peoria County, Illinois, in favor of their insurance client in a breach of contract claim filed by a policyholder in relation to damage to his home caused by a partially collapsed brick veneer wall. The court agreed that the damage to the wall did not fit the insurance policy's definition of a covered "collapse" and, thus, the insurance company had no obligation to pay for the damage.
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Tim Wolf prevailed before the Missouri Court of Appeals for his lawyer clients when the Court held that the defendant lawyers were not guilty of breaching their fiduciary duties. The Court so ruled because the lawyers' client had failed to prove any damages proximately caused by the lawyers' alleged malpractice.
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Brad Hansmann and John Greffet successfully defended a landscaping company whose dump truck driver was accused of causing a collision with another driver in Callaway County, Missouri. The plaintiff alleged that Brad's and John's client failed to keep a careful lookout and negligently pulled out onto the highway at a time when it was unsafe to do so. The defense argued that it was the plaintiff who failed to keep a careful lookout, in addition to traveling at an excessive speed and colliding with the rear of the defendant's vehicle. The jury found the plaintiff to be 100% at fault for causing the accident and awarded a defense verdict.
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Chris Vaporean obtained a unanimous defense verdict in a medical malpractice case in St. Louis City. The patient's family alleged that an interventional cardiologist selected an improper method for closure of the access point in the femoral artery through which a cardiac catheterization procedure was performed. The patient suffered a complication from use of the selected closure device and ultimately required amputation of his left leg.
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Kurt Schmid obtained a defense verdict in Boone County, Missouri, where he represented a line haul motor carrier and its driver. After coming up over a hill, the defendant saw that the plaintiff had stopped in traffic. The defendant tried valiantly to avoid the plaintiff's vehicle, but ultimately his pup trailers came around and struck the vehicle. The plaintiff had a large lost income claim and asked the jury for a verdict between $1-$1.5 million.
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The Fifth District Appellate Court of Illinois affirmed a summary judgment order for John Cunningham's and Daniel Hasenstab's insurance client in a breach of contract claim brought by its policyholder. The policyholder argued that the insurance company should have defended it against a separate lawsuit by a homeowner, which alleged that the policyholder built a faulty foundation for a house. The appellate court and the trial court agreed with John's and Daniel's position that the underlying complaint, which sought the repair or replacement of the faulty foundation, did not allege an "occurrence" or "property damage" under the insurance company's policy, and thus had no duty to provide a defense to the policyholder. Notably, these decisions were handed down by judges in Madison County and in the Fifth Appellate District, two venues that have a reputation for being hostile to insurance companies.
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David Bub obtained a defense jury verdict after a three-day trial in the hinterlands of Missouri. The plaintiff alleged that their client had contracted bed bug bites after staying at the defendant's apartment. The defendant offered $15,000 and had made an offer of judgment in that amount. The plaintiff's demand was over $100,000; however, the jury awarded just over $344.
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Taylor Connolly, Associate, Kansas City, was a speaker for the Procrastinators' Ball education event sponsored by Kansas City Chapter of the Construction Specifications Institute, in November. The Ball is designed as a last-minute opportunity for busy design and construction professionals to learn about many complementary subjects under one theme and earn needed AIA/CES continuing education credits before the year-end deadline. This year's event theme was "The Red and Black of Green Buildings."
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Kurt Schmid, Principal, St. Louis, was a speaker for an ALFA webinar, "The Antivenom: Defending Against Reptile Themes in Depositions, Voir Dire, Opening Statements, and Closing Arguments" in November. |
Contact us with any questions:
T. Michael Ward
Managing Principal
314-242-5306
| Russell F. Watters Principal 314-242-5252
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Brown & James, P.C. is a Midwest regional law firm with more than 100 attorneys representing companies in litigation, appeals and insurance coverage matters. www.brownjames.com
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