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Coverage Opinions
Effective Date: November 27, 2013
Vol. 2, Iss. 22
 
   
 
 

Declarations: The Coverage Opinions Interview With Brian Rodgers, Corporate Director of Safety And Risk Management For Butterball, LLC
The Man Who Gets Your Turkey Safely To The Thanksgiving Table

Thanksgiving is a holiday filled with risk. Aunt Gertrude might sit down in front of you, blocking the television and start to ask you how you are doing, just as the Lions have the ball in the red zone and the game has big implications for your fantasy football team. But there is one aspect of Thanksgiving that causes no concern. Nobody ever worries that the turkey won’t be safe. And for that we can thank Brian Rodgers, Corporate Director of Safety and Risk Management for Butterball, LLC and his team of other safety and risk professionals.

Thanksgiving And Insurance Coverage: They Go Together Like Peas And Carrots
Insurance coverage gets no rest – even on one of the most restful and lazy days of the year. Consider the amount of coverage litigation over the years involving Thanksgiving and its many symbols.

Randy Spencer’s Open Mic: Uncomfortable Thanksgiving Tables
Insurance Coverage And Relatives Who Don’t Like Each Other

The reason why the first Thanksgiving was so successful was because the people sitting around the table didn’t know each other well enough to dislike one another. Here are some examples of liability coverage cases involving people who will be having uncomfortable family dinners on Thursday.

Update On The Insurance Personalized License Plate Contest:
Take a look at some real insurance related personalized license plates from Coverage Opinions readers.

P-Ution Exclusion: OK, So Just What Is "Traditional Environmental Pollution?"
Courts usually do a thorough job of interpreting the absolute pollution exclusion. But many that determine to limit its applicability to “traditional environmental pollution” skimp on the definition of that term. By providing nothing more than sound bites as to what qualifies as “traditional environmental pollution,” litigants in future cases are left to guess if the pollution exclusion applies.

CGL Coverage For Cyber And Data Breach Claims
Recent Decision And Article Are Worthy Of Note

Until specialty cyber policies or ISO’s data breach exclusions are widespread, efforts will be made by companies to find coverage for cyber losses under the policies that they do have at their disposal, namely, commercial general liability.

Does "Ongoing Operations” Include “Completed Operations?"
The question whether liability was caused by “ongoing” or “completed” operations has been a significant one in the asbestos arena. The issue also arises in a less high-profile scenario – possibly determining the availability of coverage for an additional insured for a construction defect related claim. The issue is aptly demonstrated in a recent decision.

New York Federal Court Allows For Reimbursement Of Defense Costs
A couple of recent cases (one very recent) demonstrate that New York is starting to gain traction as a state that allows for reimbursement of defense costs.

 
 


Vol. 2, Iss. 22
November 27, 2013

 

Declarations: The Coverage Opinions Interview With Brian Rodgers, Corporate Director Of Safety And Risk Management For Butterball, LLC


The Man Who Gets Your Turkey
Safely To The Thanksgiving Table

Thanksgiving is a holiday filled with risk. There is the risk that crazy Uncle Joe will once again tell wildly inappropriate limericks at the dinner table. And there is the even bigger risk that Aunt Gertrude will sit down in front of you, blocking the television and start to ask you how you are doing, just as the Lions have the ball in the red zone and the game has big implications for your fantasy football team. “Yeah, yeah, I’m fine Aunt Gert. Do you mind sliding over just a bit.”

But there is one aspect of Thanksgiving that causes no concern. Nobody ever worries that the turkey won’t be safe. And for that we can thank Brian Rodgers, Corporate Director of Safety and Risk Management for Butterball, LLC and his team of other safety and risk professionals.

The poultry business is a perilous one. It is considered a high hazardous industry by OSHA. It takes a non-stop effort to keep employees safe and the birds free of problems that can cause injury to consumers. This was all explained by Brian as he spoke to me from Butterball’s Huntsville, Arkansas plant just ten days before Thanksgiving. In fact, the Huntsville plant is one of two where all of Butterball’s fresh turkeys are produced. Just before getting on the phone Brian had been in the processing area looking at turkeys that would be on Thanksgiving tables the following week. Clearly I was speaking to the epicenter for Thanksgiving.

Butterball’s biggest risk is to its reputation. It is not only the largest vertically integrated turkey producer in the United States, accounting for 20 percent of country’s total turkey production, but it is an iconic brand. While the company makes lots of products, its turkeys are synonymous with one of America’s most sacred days. Can you even name another brand of whole turkeys? I can’t.

The job is a big one and the stakes are high. Brian and his team of safety and risk professionals get it done (but hopefully not well done). Brian brings a lot of experience to the table. He has Bachelor’s and Master’s degrees in Public Administration and worked for the California State Police. Prior to joining Butterball seven years ago he held safety and risk management positions at Sun Microsystems, Heinz and Cisco Foods. He also has a Six Sigma Green Belt. If you don’t know what that means it is worth looking up.

From his office at Butterball’s corporate headquarters in Garner, North Carolina, Brian is responsible for insurance and safety/risk management and believes strongly that these two functions must be addressed hand in hand. Butterball has 5,500 employees. Given the nature of the business, which involves a lot of knives and grinding machines, there is a high percentage of musculoskeletal injuries. Needless to say, the worker’s compensation exposure is a serious one. But by taking an active and hands on role in safety, at the ground level, he is able to explain to the company’s worker’s compensation insurers what Butterball is doing to minimize the exposure. It is working. Butterball’s OSHA reportable injury rate is 2 incidents per 100 full-time employees. Compare this to the industry average of 5.8 incidents per 100. Butterball’s worker’s compensation rates are significantly less than those of its peers. Brian’s objective is simple – focus on front-end safety to achieve back-end benefits.

Butterball’s general liability exposure seems fairly low. Brian cited a few incidents a year of a turkey netting breaking and a frozen turkey landing on someone’s foot. And there are some claims for dental injuries on account of someone allegedly eating a Butterball product. Brian couldn’t think of any incidents of injury caused by someone swallowing one of those pop-up timers. While Butterball no longer uses them in its turkeys, the decision to phase them out was not tied to that risk. He also couldn’t think of any claims arising out of Butterball’s famous Turkey Talk Line, the company’s hotline that handles about 100,000 calls per year during the Thanksgiving season concerning turkey preparation (1-800-Butterball). He couldn’t speak highly enough about the “seasoned” pros that field those calls and how knowledgeable they are. All in all, the company seems to have its traditional CGL exposure well under control.

Besides worker safety, the other significant areas for risk are the health of the birds and the need to maintain the company’s seven plants in a condition to ensure safety of the products. Among many other things, the production machinery goes through constant wash down processes and USDA inspectors are ever-present in the plants grading and evaluating birds for consumption.

According to the company’s website, during 2009, all Butterball facilities went through a strenuous third party audit as part of the Global Food Safety Initiative. The GFSI is an international nonprofit foundation created with a mission to work on continuous improvement in food safety management systems to ensure confidence in the delivery of food to consumers.

Butterball selected the British Retail Consortium to certify that its facilities were compliant with the international criteria. The BRC Global Standard for Food Safety is an accredited, certifiable standard, and the first one to be approved by GFSI. It has been adopted by more than 8,000 food businesses in more than 80 countries. The BRC process involves more than 300 elements related to food safety and quality, as well as worker safety, environmental impact and management commitment. All Butterball facilities were certified during the 2009 audit process. It’s one thing for a company to tout its safety record on its website, but another for the company to then link to the audit results, as Butterball does.

Butterball’s involvement in producing turkeys covers every step – from the hatchery (newborn turkeys are called poults, I learned) to the dinner table. Maintaining bird health throughout this multi-step process is a significant risk management function. Despite all that the company does to ensure safety of the birds and the condition of its plants, product recall is an exposure that can’t be ignored. For this the company is self-insured.

Butterball is vigilant in making sure that the Thanksgiving turkey gets to your dinner table safely. The consumer has just one step in the process Brian told me -- cook the bird to 165 degrees.

 
 
 


Vol. 2, Iss. 22
November 27, 2013

 

Thanksgiving And Insurance Coverage: They Go Together Like
Peas And Carrots


You would think that Thanksgiving is one of a few days a year when insurance coverage could just take a break. A day when insurance policies and claims could just sit down on the sofa and drift into a deep turkey-induced nap. But insurance coverage gets no rest – even on one of the most restful and lazy days of the year. Consider the amount of coverage litigation over the years involving Thanksgiving and its many symbols.

Capel v. Plymouth Rock Assurance Corp., 62 A.3d 582 (Conn. Ct. App. Apr. 2, 2013)

Jenkins v. Mayflower Insurance Exchange, 380 P.2d 145 (Ariz. 1963)

Hodgate v. Pilgrim Insurance Company, 2013 WL 812178 (Conn. Super. Ct. Feb. 1, 2013)

Puritan Insurance Co. v. County of Wayne, 536 N.W.2d 777 (Mich. 1995)

Duryee v. Pie Mutual Insurance Co., 1998 WL 832180 (Ohio Ct. App. Dec. 1, 1998)

American Traditions Ins. Co. v. Whirlpool Corp., 2013 WL 4648476 (M.D.Fla. Aug. 29, 2013)

Thanksgiving Home, Inc. v. U.S. Distributing, Inc. v. St. Paul Travelers Companies, 2006 WL 2726139 (N.D.N.Y. Dec. 15, 2006)

Farmers Mutual Hail Insurance Co. v. Fox Turkey Farms, Inc., 301 F.2d 697 (8th Cir. 1962)

State Insurance Fund v. David A. Gobble, 755 P.2d 653 (Ok. 1988)

Corn v. Farmers Insurance Co., 2013 WL 5946942 (Ark. Nov. 7, 2013)

Irwin Potato Farms v. Mutual Service Casualty Ins., 2003 WL 21419427 (Mich. Ct. App. June 19, 2003)

Essex Insurance Co. v. The Great Pumpkin, LLC, 2008 WL 550038 (D.S.C. Feb. 26, 2008)

MISR Insurance Co. v. El-Yam Bulk Carriers, 80 F.R.D. 438 (1978)

Hartford Insurance Co. v. Ocean Spray Cranberries, 1999 WL 529302 (E.D. Pa. July 23, 1999)

Food Parade, Inc. v. Liberty Mutual Fire Insurance Co., 968 A.2d 724 (N.J. Sup. Ct. App. Div. 2009)

Thursday A. Booker v. Classified Insurance Corp., 568 N.W.2d 320 (Wisc. Ct. App. 1997)

John Smith v. Lexington Insurance Co., 2007 WL 4374229 (E.D. La. Dec. 13, 2007)

New World Frontier, Inc. v. Mount Vernon Fire Insurance Co., 676 N.Y.S.2d 648 (App. Div. 1998)

Mom’s Old Fashioned Gravy v. USF&G, 784 P.2d 936 (Mont. 1989)

National Farmers Union Ins. Companies v. Crow Tribe of Indians of Montana, 560 F.Supp. 213 (D. Mont. 1983)

 
 
 


Vol. 2, Iss. 22
November 27, 2013

 

 

Uncomfortable Thanksgiving Tables:
Insurance Coverage And Relatives Who Don’t Like Each Other



 

The reason why the first Thanksgiving was so successful was because the people sitting around the table didn’t know each other well enough to dislike one another. At lots of tables in America on Thursday that won’t be the case. There will be plenty of “pass the stuffing” [thought bubble – you pompous know-it-all] and “ooh, delicious sweet potatoes” [thought bubble – you moron who couldn’t earn a living if you hadn’t married into your wife’s family business.] As the saying goes you can choose your friends but you can’t choose your relatives. For many, what they give thanks for on Thanksgiving is that the holiday comes only once a year.

By its nature, insurance coverage often involves people that don’t get along. And sometimes those people are related. There is a significant amount of insurance coverage litigation involving family fights. And the disputes can arise under a host of policies. But since Coverage Opinions focuses on liability policies, the following are some examples of liability coverage cases involving people who will be having uncomfortable dinners on Thursday. These cases often involve the applicability of intentional acts or similar exclusions. There are so many more, but relatives that simply shoot or stab each other are not that exciting.

The idea for this column came from the first two paragraphs of the Georgia federal court’s November 8, 2013 decision in Nationwide v. O’Neill (2013 WL 5972471): “‘In-laws’ do not always get along, but acrimony rarely escalates to the point that a daughter-in-law sues her own father-in-law. Even rarer are cases in federal court arising from such disputes. But thanks to the possible existence of insurance coverage, this is one. ¶ After a night on the town, John Joseph O’Neill and his daughter-in-law, Jessica Marie O’Neill, got in an altercation in the front seat of Mr. O’Neill’s pick-up truck upon leaving a bar. Jessica sued her father-in-law in state court for personal injuries she allegedly suffered. In that action, Jessica alleges that Mr. O’Neill, while intoxicated, placed her in a headlock, hit her on the head, choked her, and shoved her out of his pick-up truck.” [Are you thinking what I’m thinking? How many father-in-laws and daughter-in-laws do you know who go out drinking together. What’s up with that?]

Preston v. State Farm, 517 So. 2d 1125 (La. Ct. App. 1988): Ex-husband tries to break into his ex-wife’s home and encounters her brother. The two get into a struggle and ex-husband chops off his ex-brother-in-law’s hand with a machete. Well, we know which one will get the job of carving the turkey.

Remy v. Travelers, 2013 WL 2573952 (N.D. Ill. June 11, 2013): Mom out shopping and sisters arguing. Sixteen year old Francesca retaliates against thirteen year old sister, Gabriella, by pushing a lit piece of paper into a vent connecting their bedrooms. Get this -- the house caught fire and was extensively damaged. Francesca was charged with aggravated arson in a juvenile proceeding and pleaded guilty to a reduced charge of criminal damage to property. [I’m thinking that no cell phone for a year was also part of the punishment.]

Alabama Farm Bureau Mutual Casualty v. Dyer, 454 So. 2d 921 (Ala. 1984): Brothers, while drinking vodka, got into a dispute about a prior sale between themselves of a $20 water ski. One brother pulled a .38 revolver out of his pocket, pointed it at his brother, fatally shot him and then fatally shot himself. A friend that witnessed the dispute did not intercede because there was nothing unusual about the brothers arguing or the one brother pointing a gun at the other.

Curtain v. Vanguard Ins. Co., 589 S.W.2d 61 (Mo. Ct. App. 1979): Insured, in the dark, mistook his brother-in-law for an intruder outside his home and struck him with a crowbar – twice. The victim, after being knocked to the ground, called out “Charlie, this is Jim.”

If you are not looking forward to seeing some relatives on Thursday, just think how much worse it could be.

 


That’s my time. I’m Randy Spencer.

Randy.Spencer@coverageopinions.info

 



Vol. 2, Iss. 22
November 27, 2013


Update On The Insurance Personalized License Plate Contest:
Some Real Insurance Plates

Thank you to all who entered the Insurance Personalized License Plate Contest. Not surprisingly there were a ton of great entries and I’m still sorting through them. Winners will be announced in the next issue.

In the meantime, I asked anyone who had a real insurance personalized license plate to please send it in as I’d love to share it with Coverage Opinions readers. I received two.

First, not that anyone needed more proof that Bob Hartwig, President of the Insurance Information Institute (III), is the voice of the P&C industry, but this really seals the deal. Bob has had this plate for about seven years. He told me that an attempt was once made to steal it (not surprisingly, it’s so cool) but the plate held on tight. [It wasn’t me, I swear.]

Another insurance-related license plate comes from Jeff Austin, defense attorney for the Law Offices of Michael Farrell, house counsel for Grange Insurance Companies. He had it for a couple of years and retired it in 2010.
 
 
If you also have an insurance-related license plate, and were shy about sending it in, I hope these two groundbreakers will convince you to change your mind. And, if you prefer, I’ll keep you anonymous.
 


Vol. 2, Iss. 22
November 27, 2013

 

P-Ution Exclusion:
OK, So Just What Is
"Traditional Environmental Pollution?"


The debate over the applicability of the absolute pollution exclusion is as divisive as the designated hitter. If you are reading this then you are probably familiar with the two sides. But let me lay them out here nonetheless, for those who are not and because it is a necessary set up to get to the purpose of this article.

Although adoption of the absolute pollution exclusion in 1986 was supposed to end the split in the states that had surrounded the “sudden and accidental” pollution exclusion, this proved not to be the case. The basic divide is one of whether the pollution exclusion clause is interpreted in a highly textual, broad, literal manner to apply to liability arising out of or related to the discharge of any hazardous substance (the pro-insurer position) or whether the exclusion is construed in a more functional manner focusing on the intent, purpose, reasonable expectations and goal of the exclusion (the pro-policyholder position in most cases). The divide between the courts, regarding application of the pollution exclusion, is also frequently described as one whether the exclusion applies only to what is historically regarded as a pollution claim, such as hazardous waste or industrial pollution, often referred to as “traditional environmental pollution.” Or, on the other hand, whether the exclusion, based on a broad linguistic reading, makes it applicable to claims involving any hazardous substance.

If a court determines to apply the pollution exclusion as written, it will frequently conclude that it bars coverage, given the broad definition of the term “pollutant,” often any “solid, liquid, gaseous or thermal irritant or contaminant, including smoke, vapor, soot, fumes, acids, alkalis, chemicals and waste.” But if a court concludes, fundamentally, that the absolute pollution exclusion should be interpreted narrowly, and limited solely to traditional environmental pollution, it may be inclined to conclude that the exclusion does not bar coverage. After all, if it were so clear that the substance at issue is traditional environmental pollution, then it is unlikely to have been litigated.

It is not unusual for a court to expend significant effort to resolve the fundamental ideological debate at the center of the absolute pollution exclusion. And when it’s finished, while not everyone will agree with the result, the opinion probably cannot be criticized for lack of reasoning. But while courts usually do a thorough job of interpreting the absolute pollution exclusion, many that determine to limit its applicability to traditional environmental pollution skimp on the definition of that term. A popular mantra is that, because the pollution exclusion was adopted by the insurance industry in response to the passage of environmental laws, traditional environmental pollution is “industrial pollution” or the conditions that motivated these laws, especially CERCLA.

A significant reason why litigation surrounding the absolute pollution exclusion often continues unabated, even after a state’s highest court has issued a comprehensive opinion addressing the boundaries of the exclusion, is that many courts that determine to limit the exclusion to traditional environmental pollution pay only lip service to what that term means. By providing nothing more than sound bites as to what qualifies as traditional environmental pollution – such as, industrial pollution or the conditions that led to the enactment of CERCLA -- litigants in future cases are left to guess if the pollution exclusion applies to their particular substance and circumstances. Even the California Supreme Court, despite issuing a unanimous decision in Mackinnon v. Truck Insurance Exchange (2003), that the absolute pollution exclusion is limited to traditional environmental pollution, recognized this precise problem when it stated: “To be sure, terms such as ‘commonly thought of as pollution,’ or ‘environmental pollution,’ are not paragons of precision, and further clarification may be required.”

With this background, turn to the recent decision from the Appellate Court of Illinois in Country Mutual Insurance Company v. Hilltop View, LLC, No. 4-13-0124 (Nov. 13, 2013). At issue was the applicability of the (total) pollution exclusion to a claim by an insured, a hog farm, for coverage for a suit brought by its neighbors, for nuisance and negligence, predicated on odors associated with the farm and the land application of manure.

An insurer for the hog farm argued that, among other reasons, a pollution exclusion precluded coverage. The Hilltop View court explained, at length, the Illinois Supreme Court’s 1997 decision in American States Insurance Co. v. Koloms, which, following an in-depth look at the two competing pollution exclusion arguments, held that the pollution exclusion only applies to those injuries caused by “traditional environmental pollution.” Thus, the task for the Hilltop View court was to determine whether the neighbors’ odor claims concerned ‘traditional environmental pollution.’” Stating the task was the easy part.

This was not the first time that an Illinois appellate court was called on to determine whether substances qualified as “traditional environmental pollution.” Indeed, such court has previously recognized the difficulty of the task. In Connecticut Specialty v. Loop Paper Recycling, Inc. (2005), the Illinois appeals court addressed the pollution exclusion in the context of the release of smoke and hazardous substances caused by a cardboard fire at the insured’s recycling facility.

The Loop Paper court recognized that the starting point for its analysis had to be the Illinois Supreme Court’s decision in Koloms, where the court held that the pollution exclusion did not bar coverage for injury caused by the accidental release of carbon monoxide inside a building because it was not traditional environmental pollution.

The Loop Paper court also noted that, in Kim v. State Farm Fire and Casualty Co. (Ill. 2000), the Illinois Supreme Court held that the absolute pollution exclusion barred coverage to an insured cleaning company because, unlike in Koloms, the hazardous material had escaped beyond the walls of the insured’s building and into the soil below. Therefore, the Kim court found that traditional environmental pollution had occurred. Loop Paper held that, because the toxic smoke containing chemicals emitted from the burning cardboard was not confined to the insured’s facility, but, instead, spread to the surrounding neighborhoods, traditional environmental pollution occurred and the absolute pollution exclusion barred coverage.

The Loop Paper court seemed to sense that its test for determining traditional environmental pollution (indoor versus outdoors) would be met with some criticism. The court stated that “we draw this distinction because we are not satisfied, nor is it helpful, to have a ‘We-know-it-when-we-see-it’ standard for what constitutes traditional environmental pollution.”

Now back to Hilltop View, where the court looked at Kim, Loop Paper and a third Illinois appeals court decision – Village of Crestwood v. Ironshore Specialty (2013). In Crestwood, the court found that the pollution exclusion applied when a long-standing mayor had routinely and knowingly mixed polluted water into the municipal tap water supply to save money for the municipality.

With all of these cases to serve as guidance, the Hilltop View court set out to determine if the odor claims concerned “traditional environmental pollution.” The court held that hogs, their manure and the smells associated with them, did not constitute traditional environmental pollution. The court’s decision was based on the following.

First, the court was impressed by an argument made by the neighbors’ attorney: “I’d like to make it clear about what the plaintiffs in the underlying case are claiming. We have made no claim that anybody’s been hurt. We’ve made no claim that they’re facing the risk of injury. There’s no claim to health, and there’s no claim to injury. It is a very pure claim. And that claim is interference with the enjoyment of property.”

The court concluded: “Hog farms have been around for a long time, and neighbors of hog farms have dealt with the smells created by hog farms ever since. These farms have been traditionally thought of as a source of food, not pollution. This is not to say a hog farm, especially a confinement hog farm, could never pollute. For example, if a hog farmer dumped hog manure into a creek instead of spreading it on his fields, it might be difficult not to categorize the contamination of the creek as a form of traditional environmental pollution. However, we are not faced with that sort of situation in this case.”

The court also rejected the insurer’s arguments that the neighbors’ odor claims are “traditional environmental pollution” based on the Illinois Environmental Protection Act’s treatment of odors as “air pollution.” Further, the court observed, “Even if the odors at issue in this case constituted air pollution for purposes of the Act, this does not mean the odors constitute ‘traditional environmental pollution.’ The statute in question reflects the policy of the General Assembly as to what now constitutes pollution. The fact an odor may now constitute pollution pursuant to statute does not mean it also constitutes ‘traditional environmental pollution.’ Generally speaking, the scope of the things seen as hazardous to the environment, as reflected in environmental protection laws today, is far greater than what we conclude our supreme court had in mind when it spoke of ‘traditional environmental pollution.’”

The moral of Hilltop View is this. The question whether a substance qualifies as “traditional environmental pollution” is as elusive as the number of licks it takes to get to the center of a Tootsie Roll Tootsie Pop. Despite all the effort of the Hilltop View court, when all is said and done, the decision for courts, whether a substance qualifies as “traditional environmental pollution,” still comes with a heavy dose of “We-know-it-when-we-see-it.”

 


Vol. 2, Iss. 22
November 27, 2013

 

CGL Coverage For Cyber
And Data Breach Claims

Recent Decision And Article Are Worthy Of Note


The insurance industry is abuzz these days over protection against the risks of cyber liability – especially data breaches. Think of a computer network that has been hacked or somehow failed, with the result being customers’ personal information, which should have been confidential (credit card, medical, social security, etc.), now being revealed in some manner.

The internet is overflowing with reports and articles, from insurers and brokers, that describe various examples of data breaches, loss of personal identification information and many other types of cyber risks that businesses face, as well as what their financial consequences could be. There is a trove of information out there. And not all of it is consistent.

Insurance Services Office, Inc. does not believe that such cyber claims should be covered under a commercial general liability policy. It is for this reason that ISO recently filed data breach exclusions for certain of its policies.

But it can’t be ignored that, under a CGL policy, coverage is provided for personal and advertising injury, which is defined, in part, as the offense of an oral or written publication, in any manner, of material that violates a person’s right of privacy. Data breach + personal information being revealed = no surprise that attempts have been made, and will continue to be made, to obtain coverage, for such losses, under a provision that addresses violation of the right of privacy. So until specialty cyber policies or ISO’s data breach exclusions are widespread, efforts will be made by companies to find coverage for cyber losses under the policies that they do have at their disposal, namely, commercial general liability.

For an excellent article, recently published, addressing policyholders’ pursuit of coverage for data breaches under non-cyber policies, check out Roberta Anderson’s (K&L Gates, LLP) November 19th piece on Law360 – “Some Traditional Insurance Policies May Cover Data Breach.” Ms. Anderson sums it up like this: “While some companies carry specialty ‘cyber’ insurance policies that are specifically designed to afford coverage for data breaches and other cyber risks, most companies have various forms of ‘traditional’ insurance policies that may cover various types of cyber risks, including CGL, D&O, E&O, property and crime policies, among others. Insureds that refuse to take no for an answer may be able to secure valuable coverage if they effectively pursue their claim for coverage.”

Given the inevitability that cyber and data breach claims will be made under CGL policies, and even if these are square peg and round hole follies, attention should be paid to all decisions these days that address CGL coverage (“personal and advertising injury”) for oral or written publication of material that violates a person’s right of privacy. These are the decisions that are going to be looked at when companies are pursuing coverage for data breach under CGL policies.

Clearly some of these decisions will have more potential relevance to cyber claims than others. A recent one, that may have relevance, is Maxum Indemnity Company v. Eclipse Manufacturing Co., No. 06 C 4946 (N.D. Ill. Nov. 12, 2013). Eclipse is a TCPA [Telephone Consumer Protection Act] (junk fax) coverage case and has nothing at all to do with cyber or data breach. [It occurred to me that these days I see more junk fax coverage cases than I receive actual legitimate faxes.]

Eclipse addressed several legal and practical issues surrounding coverage for a significant TCPA settlement. Of potential relevance to the cyber or data breach world is the court’s conclusion that the TCPA, in addition to individuals, protects a corporation’s or other business entity’s interest in seclusion. It reached this conclusion on the basis that the TCPA makes no distinction among individuals, corporations or other business entities.

If there is a data breach it is very likely that private information of individuals will be compromised more than that of corporations. But corporate information is also surely unlikely to be immune from disclosure. The Eclipse court’s decision, that corporations or other business entities can sustain a privacy-related injury, makes it the type of case that could prove relevant, at some point, in the context of CGL coverage for a data breach claim. It also may amount to nothing. But the point is that, going forward, all CGL privacy coverage cases should be looked at with an eye toward their potential relevance to cyber and data breach claims.

 


Vol. 2, Iss. 22
November 27, 2013


Does "Ongoing Operations" Include "Completed Operations?"

The question whether liability was caused by “ongoing” or “completed” operations has been a significant one in the asbestos arena – possibly impacting whether claims payments are subject to aggregate or only occurrence limits. This question has been hard fought and with a lot at stake.

The issue also arises in a less high-profile scenario – possibly determining the availability of coverage for an additional insured for a construction defect related claim. The issue is aptly demonstrated in the recent decision of Noble v. Ohio Casualty, No. 2012-CA-1269 (Miss. Ct. App. Nov. 19, 2013).

The facts of Noble are typical for a construction defect case. Noble Real Estate hired Harris Construction Company to perform dirt work and site preparation for a new home Noble was building. Harris, as required, obtained an endorsement for its commercial general liability policy with Ohio Casualty that named Noble as an additional insured. But the insurance provided under the endorsement only applied to “liability ... caused in whole or in part by [Harris’s] ongoing operations performed for [Noble].”

Harris’s “ongoing operations” performed for Noble ended in March 2006. Noble then built a house on the site which it sold in September 2007. Before closing, the homeowners noticed cracks in the home, but purchased it anyway. When the cracks got worse, they sued Noble. They alleged foundation issues related to faulty dirt work.

Putting aside a lot of other issues, the court addressed whether Noble was entitled to coverage, from Ohio Casualty, based on the additional-insured endorsement. The endorsement was clear that it only covered liability that arose from “ongoing operations.” And the homeowners’ damage did not arise until well after Harris had completed its operations.

Noting that Harris’s policy did not define “ongoing operations,” and with no Mississippi guidance, the Noble court looked to other jurisdictions that have interpreted “ongoing operations” in similarly worded endorsements. The court held: “After reviewing these precedents, we are persuaded by the courts that have found that, in order for ‘ongoing operations’ to have any meaning, it cannot encompass liability arising after the subcontractor’s work was completed.” The court went on: “Giving ‘ongoing operations’ its plain and ordinary meaning, the Colorado Court of Appeals found this phrase referred to an action ‘actually in process.’” As examples of what would be covered as ongoing operations, the court gave these – if Harris accidentally knocked over a neighbor’s tree with a bulldozer or cut a gas line while performing dirt work.

This all seems simple enough. So what did Noble offer to counter this? “As Noble sees it, if the damage can be traced back to Harris’s active operations, the endorsement covers it.” But the court rejected this: “[T]o accept Noble’s argument, we would have to read the word ‘ongoing’ out of the endorsement and find that Noble is covered for liability caused by Harris’s operations—active or completed. And ‘a court must refrain from altering or changing a policy where terms are unambiguous.’ (citation omitted). So we will not manipulate the endorsement to expand coverage that is clearly and unambiguously limited to liability caused by ‘ongoing operations.’”

 


Vol. 2, Iss. 22
November 27, 2013


New York Federal Court Allows For Reimbursement Of Defense Costs

I’ve been saying for years that reimbursement of defense costs can be an overrated issue. It is the CATS of coverage issues. First, many states – especially lately -- have rejected an insurer’s right to seek reimbursement of defense costs. Second, even in a state where the right exists, it usually has to be a situation where there was a finding of no duty to defend at all, from the get-go – not one where there was only no duty to defend certain counts or where there was a duty to defend but then a later finding of no duty to indemnify. [This is why the right has more bite in California, where Buss gives insurers more options on this issue.] And even if all of this is satisfied, to make it worthwhile the insured has to be financially able to repay the defense costs. Many are unlikely to be. So while reimbursement of defense costs is not without some applicability, the stars need to be aligned just right for the insurer for it to have a practical impact.

Not long ago a New York federal court addressed an insurer’s right to reimbursement of defense costs. As I said, I think the issue is often-times much ado about nothing. While Coverage Opinions strives to examine cases that can have influence beyond their borders, that’s not the situation here. And, on top of these shortcomings, the decision isn’t just from a federal district court, but it’s unpublished too. But despite all these caveats, the fact remains that a lot of people follow reimbursement of defense costs cases, New York is, well, New York, and there is very little law on the issue in the Empire State. So, for these reasons, American Family Home Insurance Co. v. Delia, No. 12-5380 (E.D.N.Y. Nov. 15, 2013) gets some space here.

There isn’t much to say about the background of Delia. American Family undertook Richard Delia’s defense, subject to a reservation of rights, in a bodily injury action. The specifics are not important. American Family denied coverage on the ground that the underlying injury occurred in connection with the “business pursuits” of the insured on “uninsured premises” as defined in the policy. American subsequently commenced a declaratory judgment action with regard to insurance coverage for Delia and to recoup the defense costs paid.

The court held that American had no obligation to defend Delia as the policy, on account of the “business pursuits” exclusion, had no application to a work-related incident that occurred on premises other than those insured. The court then went on to hold that “[b]ecause American had no obligation to defend Delia, it is entitled to reimbursement of the monies it spent on that defense, and the invoices reflecting defense costs in the third party action show the amount owing to be as stated, $41,227.95.” [Query whether American Family will be able to collect this.]

The Delia court did not explain the basis for its decision to allow reimbursement of defense costs. The court simply cited National Union Fire Ins. Co. of Pittsburgh, PA v. Ambassador Group, Inc., 556 N.Y.S.2d 549 (1st Dep’t 1990) and provided the parenthetical that “interim advances on defense costs subject to recoupment where it is determined that coverage was not required.” Ambassador Group, involving a D&O policy, seems a curious case to cite here as support for an insurer’s right to reimbursement of defense costs under a policy that treats defense costs differently.

Granted, there isn’t much New York law on the issue, but a more appropriate case to cite for support would have been Gotham Ins. Co. v. GLNX, Inc., No. 92 Civ. 6415, 1993 WL 312243, (S.D.N.Y. Aug. 6, 1993) (reasoning that the insurer was entitled to reimbursement of defense costs because it explicitly reserved its right to do so if it were determined that no duty to defend existed and insured offered no evidence that it expressly refused to consent to such reservation of rights).

And, more recently, there is Max Specialty Ins. Co. v. WSG Investors, LLC, No. 09–CV–5237, 2012 WL 3150579 (E.D.N.Y. Apr. 20, 2012) (“Here, as in Gotham, Max Specialty made an explicit reservation of the right to pursue recoupment in its letter to WSG disclaiming coverage. . . . Mand has put forth no evidence that WSG objected to this reservation. Therefore, because Max Specialty specifically reserved this right and is entitled to it under New York law, Max Specialty is entitled to a declaration that it may recoup the legal fees it expended in defense of WSG in the underlying action.”).

For those insurers that have the right case, New York is starting to gain traction as a state that allows for reimbursement of defense costs.