No Premium No Policy

0
3كيلو بايت
No Bad Faith if No Breach of Contract

Read the full article at https://lnkd.in/gvfwTDaA and at https://zalma.com/blog plus more than 4150 posts.

Chemical Equipment Labs, Inc. (“CEL”) sued Travelers Property Casualty Company of America (“Travelers”) seeking insurance coverage pursuant to two policies. Travelers’ crossclaimed for declaratory judgment, contending there was no coverage under either policy, and seeking reimbursement for costs incurred while defending Plaintiff in a prior arbitration proceeding regarding the cargo at issue. In Chemical Equipment Labs, Inc. v. Travelers Property Casualty Company Of America, Civil Action No. 19-3441, United States District Court, E.D. Pennsylvania (April 1, 2022) the USDC dealt with the claims of breach of contract and bad faith.
Statement of Undisputed Facts

The SMA panel held Plaintiff breached its contractual obligations and awarded Pioneer a total of $855,918.88: $598,721 for lost profit, $127,000 for attorney’s fees, $96,197 for interest, and $34,000 for arbitral fees.

After the award Travelers notified Plaintiff it was declining coverage under the Liability Policy for all damages set forth in the final award.
Discussion

Travelers asserted there is no coverage because: Plaintiff failed to pay the premiums; Plaintiff did not have an insurable interest; there was no “physical loss or damage,” as required under the policy; and,
coverage was excluded under the F. C. & S. Clause. The Court found Plaintiff failed to pay the premium on the cargo, Defendant’s remaining three arguments are rendered moot.

Because the Court determined Plaintiff is not entitled to insurance coverage as a matter of law, Plaintiff’s claim for bad faith necessarily fails.

The USDC concluded that an insurer may not obtain reimbursement of defense costs for a claim for which a court later determines there was no duty to defend, even where the insurer attempted to claim a right to reimbursement in a series of reservation of rights letters.

While the Court subsequently found that Defendant had no duty to defend under the Liability Policy, the absence of an express reimbursement provision precludes Defendant from recovering those costs.

ZALMA OPINION

The case should have ended with the decision that premium was not paid. The lack of a condition in the policy that if there is no coverage defense costs advanced must be reimbursed the claim for return of defense costs failed. Travelers should amend its contract wordings in the future to include the right to return of defense costs advanced and found, later, to not be owed.

(c) 2022 Barry Zalma & ClaimSchool, Inc.

Barry Zalma, Esq., CFE, is available at http://www.zalma.com and [email protected].

Subscribe to Zalma on Insurance at locals.com https://lnkd.in/gn5WAi6C.

Subscribe to Excellence in Claims Handling at https://lnkd.in/gNm9EWKJ.
إعلان مُمول

We are 100% funded for October.

Thanks to everyone who helped out. 🥰

Xephula monthly operating expenses for 2024 - Server: $143/month - Backup Software: $6/month - Object Storage: $6/month - SMTP Service: $10/month - Stripe Processing Fees: ~$10/month - Total: $175/month

Xephula Funding Meter

Please Donate Here

البحث
الأقسام
إقرأ المزيد
أخرى
Zalma on Insurance Claims Second Edition
Ten Volumes Needed by Everyone Interested or Involved in Insurance Claims Read the full article...
بواسطة Barry Zalma 2020-11-04 16:16:12 0 3كيلو بايت
Health
Another very important piece of information regarding coronavirus (covid-19)
Another very important piece of information regarding coronavirus (covid-19): It turned out all...
بواسطة Medic Ineman9 2020-09-12 09:15:12 0 9كيلو بايت
Health
Coronavirus - die Pandemie muss ENDLICH für BEENDET erklärt werden!!!
Hier ein Fundstück aus einem anderen Forum, das dokumentiert, dass es „langsam“...
بواسطة Medic Ineman9 2020-09-28 19:27:22 0 9كيلو بايت
أخرى
Insured Obligated to Set Policy Limit
Insured Obligated to Set Policy Limits Read the full article at https://lnkd.in/gH6NPReP, see the...
بواسطة Barry Zalma 2023-05-23 12:44:41 0 4كيلو بايت
Health
Top-Lawyer Dr. Reiner Fuellmich: "Those responsible for the corona fraud scandal must be criminally prosecuted for crimes against humanity"
Top-Lawyer Dr. Reiner Fuellmich: "Those responsible for the corona fraud scandal must be...
بواسطة Medic Ineman9 2020-10-16 20:34:34 0 7كيلو بايت