California Court Holds Pre-Loss Preventative Measures To Avert A Collapse Are Not Covered as Mitigation.

Last week in Grebow v. Mercury Ins. Co., 2015 Cal. App. LEXIS 948, 2015 WL 6166610 (Cal.App., Oct. 26, 2015), a unanimous panel of California’s intermediate level appellate court rejected arguments that expenses incurred to prevent the collapse of a portion of the policyholders’ house were covered as mitigation.  The court held that the policy provision requiring an insured to protect the property from further damage was not analogous to a sue and labor provision and did not apply until after a loss that already occurred because to hold otherwise would effectively convert the contract of insurance into a maintenance agreement.

shutterstock_107775200The insureds owned a house in Tarzana.  In early 2013, concerned over recurring watermarks, they had a general contractor and a structural engineer inspect the rear deck on the home.  The consultants found severe decay from corrosion in steel beams beneath the structure in an area concealed by the deck floor, and they advised the policyholders that the upper portion of the house was in danger of falling.  The insureds immediately took steps to remediate the home, and they ultimately spent $91,000 in doing so.  Read more ›

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Posted in Ambiguity, Collapse, Corrosion, Hidden Decay, Homeowners Coverage, Preservation and Protection, Sue and Labor

New Jersey Panel: If a Flood Is Excluded, So Are the Unhealthy Water-Borne Substances that It Leaves Behind

Yesterday, a unanimous panel of New Jersey’s intermediate level appellate court rejected policyholder arguments that even though flood was excluded, the proximate cause of their Superstorm Sandy loss was the non-excluded peril of damage from “unhealthy water-borne substances” left behind by the receding water.  In Riccio v. Allstate N.J. Ins. Co., 2015 WL 6181466, 2015 N.J. Super. LEXIS 2417 (N.J. App., Oct. 22, 2015), the judges recognized that to hold otherwise would render the flood exclusions in homeowner’s policies meaningless.

shutterstock_262378883The insureds owned a home in Little Silver that was inundated by 20”-36” of water when a creek behind their property overflowed its banks during Superstorm Sandy on October 29, 2012.  They initially attempted to clean the house themselves, removing the carpeting and hiring a certified cleaning and restoration company.  When the president of the clean-up concern visited the site, however, he told everyone to stop what they were doing, saying that the water was “very unhealthy and dangerous.”  He later opined that it was Category 3 water – a substance that is “highly contaminated and could cause death or serious illness if consumed by humans.” Read more ›

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Posted in Contamination, Flood, Homeowners Coverage, Microorganisma, Superstorm Sandy, Water

California Court Adopts Expansive Reading of Contamination and Product Recall Coverage

shutterstock_259947617Two weeks ago in Foster Poultry Farms, Inc. v. Certain Underwriters at Lloyd’s, London, 2015 U.S. Dist. LEXIS 138609, 2015 WL 5920289 (E.D.Cal., Oct. 9, 2015), a California Court applying New York law found coverage under a product contamination insurance policy for a loss of poultry caused by salmonella.  The Court allowed the recovery of decontamination expenses as “accidental contamination,” holding that the policyholder need only prove that there was a “reasonable probability” that consumption of its processed chicken would lead to bodily injury or sickness.  In addition, the Court rejected the insurers’ arguments that the undefined term “recall” was only applicable if the loss involved the of destruction of product already in the hands of customers, and it thereby allowed recovery for a substantial amount of product still in the insured’s warehouse.

The insured was a poultry producer with a processing plant in Livingston.  In October of 2013, the U.S. Department of Agriculture (USDA) notified the policyholder that it was considering suspending the assignment of inspectors to the plant and withholding marks of inspection for any chicken processed there, making it ineligible for sale.  The reason was a high incidence of salmonella in the facility’s poultry products and the likelihood that they were linked to 15-state outbreak of salmonella illness.  After several months during which the insured unsuccessfully attempted to rectify the problem, the USDA shut the plant down with a Notice of Suspension (NOS) on January 8, 2014.  The policyholder ultimately destroyed 1.3 million pounds of chicken still in its possession, and the plant remained closed for two weeks for fumigation and implementation of a remediation program that was deemed acceptable by the government.

The insured made a $12 million claim under its product contamination insurance policy, contending that the monies expended to decontaminate its equipment were covered as “accidental contamination” and that the value of the destroyed poultry products was covered as “government recall.”  The insurers denied the claim. Read more ›

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Posted in Ambiguity, Contamination, Contamination and Product Recall, Product Recall, Uncategorized

Utah Court: Seepage Over A Months-Long Period Is Excluded As Moral Hazard

Two weeks ago in Wheeler v. Allstate Ins. Co., 2015 WL 5714392, 2015 U.S. Dist. LEXIS 131736 (C.D.Utah, Sep. 29, 2015), a Utah court barred coverage for a mold loss caused when a vacant log cabin suffered a long-term water leak.  The policy excluded “seepage or leakage over a period of weeks, months or years,” and the judge held that that language embodied the concept that such a loss was a moral hazard – a preventable risk best assumed by the policyholder rather than by his or her homeowners insurer.

shutterstock_112937398The insured owned a seasonal cabin in Duck Creek that was not used during the winter months, and his practice was to leave both the water and the heat turned on.  At some point during the early months of 2011, a valve under the sink in the basement wet bar failed.  The consequences were discovered when the wife of one of his employees visited the building in April, 2011.  According to the insurance adjuster’s report, there was “extensive mold damage throughout the house” and “[m]old upstairs on every wall and ceiling in [the] home.”  Water district records showed that the policyholder’s water bill had jumped from $15 in January to $93.75 in March, but this went unnoticed because the bills were “automatically paid” by his office. Read more ›

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Posted in Ambiguity, Exclusions, Inherent Vice and Latent Defect, Mold, Moral Hazard, Seepage or Leakage, Water, Wear and Tear

ISO Issues Countrywide Revision to the Definition of a “Residence Premises” in its HO Program

The “where you reside” language in the homeowners forms that the Insurance Services Office (ISO) has published since 1991 have spawned litigation around the country for over 20 years, given the number of scenarios which could see the named insured either temporarily or permanently not “in residence” at the property covered by his or her homeowners carrier.  In an effort to remedy that, ISO has now released new forms that revise the definition of a “residence premises;” they had an effective date of October 1st in most states.

shutterstock_121000303The problematic portion of the old forms was the three-word phrase “where you reside.”  The homeowners insuring agreement in the existing ISO program recited that coverage was afforded for “the dwelling on the ‘residence premises’ shown in the Declarations[.]”  “Residence premises” was then defined as follows:

“Residence premises” means:

  1. The one-family dwelling where you reside;
  2. The two-, three-, or four-family dwelling where you reside in at least one of the family units; or
  3. That part of any other building where you reside; and which is shown as the “residence premises” in the Declarations. Read more ›
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Posted in Conditions, Homeowners Coverage

Massachusetts Court Refuses to Apply Discovery Rule to Commencement of the Suit Limitations Period

Yesterday in Nurse v. Omega U.S.  Insurance., Inc., 2015 Mass. App. LEXIS 158, 2015 WL 5774390 (Mass.App., Oct. 5, 2015), a unanimous panel of Massachusetts’ intermediate level appellate court held that the two-year suit limitation provision in a first-party contract of insurance was not subject to a discovery rule.  The decision was a case of first impression in the Bay State’s courts (although two federal cases in the Commonwealth had split on the issue).

shutterstock_46670137The insured owned a three-unit residence in Boston which was vacant in December of 2009.  The heat was turned off at the time.  On December 19th, records from the city’s Water and Sewer Commission showed that the rate of water usage at the property “increased dramatically” in the words of the opinion – it jumped seventeen-fold.  The policyholder visited two days later on December 21st, but he did not go into any of the individual units and saw no damage.  On December 28th, the Commission notified that insured of the spike in usage, and he returned to the property and found a leak under a sink in the third floor apartment and substantial water damage to the structure. Read more ›

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Posted in Ambiguity, Freezing, Homeowners Coverage, Suit Limitation, Water

Florida to Decide What Test Applies When Concurrent Multiple Perils Cause a Loss

shutterstock_141950806For years, Florida courts have been seesawing between two different doctrines to determine whether there is coverage under a property policy when two perils – one excluded and one included — combine to cause a loss.  Two districts of the state’s intermediate level appellate court have applied one test and a third has applied another, with the most recent decision being American Home Assur. Co. v. Sebo, 141 So.3d 195 (Fla.Ct.App., Sep. 18, 2013).  On October 7th of last year, the state’s highest court accepted review in the Sebo matter, and oral argument was conducted on September 2, 2015.  Some clarity will finally emerge in the Sunshine State with respect to this issue.

When multiple perils combine to cause a loss under a first-party insurance policy, two prevailing theories are employed by virtually all of this country’s courts to decide whether coverage is afforded.  A majority of states – 34 as of 2007 – have adopted the efficient proximate cause doctrine for analyzing this issue.  Under that test, the finder of fact must determine the peril that was the most substantial and responsible factor in the loss.  If that factor – the efficient proximate cause – is a covered peril, the loss is covered.  Conversely, if it is an excluded peril, the loss is not covered.

The other theory is the concurrent cause doctrine.  When multiple perils act in concert to cause a loss and at least one of the perils is insured, the loss is covered even if the insured peril is not the prime or efficient cause.  This is the clear minority rule, employed in only seven states as of 2007. Read more ›

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Posted in Anti-Concurrent Causation, Efficient Proximate Cause, Faulty Workmanship or Design, Homeowners Coverage, Hurricane Wilma, Water

Under Illinois Law, Mine Subsidence Held to Be a Type of Excluded Earth Movement

Ever since Mattis v. State Farm Fire & Cas. Co., 118 Ill.App.3d 612, 73 Ill.Dec. 907, 454 N.E.2d 1156 (1983), Illinois courts have held that an earth movement exclusion contained in a first-party policy applies only to earth movement due to natural causes.  At the beginning of this month, however, a federal court in Missouri construing Illinois Law found otherwise with respect to mine subsidence.  In Hutchinson v. Pacific Indem. Co., 2015 WL 5139183, 2015 U.S. Dist. LEXIS 112239 (E.D.Mo., Sep. 1, 2015), the court held that an earth movement exclusion was unambiguous and clearly barred coverage for such a loss.

shutterstock_312182402The policyholders owned a home in Alton, Illinois that was totally destroyed by “a mine subsidence event” on May 28, 2011.  The contract of insurance – a Chubb Masterpiece Policy with “Deluxe House Coverage” – afforded $3,236,000 in dwelling coverage, but it excluded “any loss caused by earth movement, including volcanic eruptions, landslides, mud flows, and the sinking, rising, or shifting of land[.]”  Illinois’ Mine Subsidence Act required that the insurer afford $750,000 in coverage for loss by that peril, however.

The carrier paid $750,000 to the insureds, but they contended that their loss was covered under both the statutorily-required mine subsidence coverage and the basic grant of “all risk” Deluxe House Coverage.  The policyholders therefore sought to recover the overall limit of liability in the amount of over $3M, and they brought suit after the insurer balked. Read more ›

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Posted in Ambiguity, Earth Movement, Exclusions, Subsidence

Tennessee Court: Requirement that Insurers “Make Available” Sinkhole Coverage Does Not Require Policyholders Be Notified

Since 2007, Tennessee statutes have required that homeowners carriers “make available” insurance coverage for sinkhole losses.  Last Friday in  Patterson v. Shelter Mut. Ins. Co., 2015 Tenn. App. LEXIS 734, 2015 WL 5320231 (Tenn.Ct.App., Sep. 11, 2015), a unanimous panel of the state’s intermediate level appellate court rejected arguments that this required that policyholders be notified of that fact, however, finding that the term meant only that such coverage must be “accessible or obtainable” upon request.

shutterstock_173866826The insureds alleged that their home was damaged by sinkhole activity in March of 2011.  The insurer denied, contending, inter alia, that while the contract of insurance did not expressly include or exclude sinkhole loss, it did bar coverage for damage caused by “the sinking, rising, shifting, expanding, or contracting, of earth or any other supporting, or surrounding, material.”  The policyholders then brought suit.  When the contract of insurance incepted, Tenn.Code Ann. § 56-7-130(b) recited that “[e]very insurer offering homeowner property insurance in this state shall make available coverage for insurable sinkhole losses on any dwelling.”  It was undisputed that the carrier never informed the insureds that they could purchase sinkhole coverage, and their complaint asserted that that was a violation of the statute. Read more ›

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Posted in Earth Movement, Homeowners Coverage, Regulation, Sinkhole

Colorado Court Conducts a Clinic on Explosions

Earlier this month in Paros Properties v. Colorado Cas. Ins. Co., 2015 WL 5139293, U.S. Dist. LEXIS 116939 (D.Colo., Sep. 2, 2015), a federal court in Colorado addressed what constitutes an explosion.  After a mudslide knocked down part of its building, the insured contended that the structure had sustained a “violent breaking apart” and therefore an explosion, but the judge held otherwise.  In her opinion, the term “explosion” required that a force from within the object cause it to expand violently and burst apart in all directions.

shutterstock_219519070The insured owned a commercial building in Boulder, a city which experienced unprecedented rainfall in September of 2013.  On September 12th, “a violent flow of water, mud, rocks, trees, and other debris traveled down a nearby hillside [and this] knocked down a wall of the building, causing the building to partially collapse.”

The contract of insurance contained a water exclusion endorsement barring coverage for loss from “flood [or] surface water. . . mudslide or mudflow, [or] waterborne material carried or otherwise moved by” such water.  The policyholder conceded that this was applicable.  It argued, however, that an exception to the exclusion where any of the enumerated perils resulted in “explosion” operated to restore coverage.  According to the insured, “the force of the impact with the building was so abrupt and strong, and the damage so immediately catastrophic that the impact” could fairly be described that way.  The contract of insurance did not define the term “explosion.” Read more ›

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Posted in Collapse, Exclusions, Explosion, Mudslide, Water
About The Property Insurance Law Observer

For more than five decades, Cozen O’Connor has represented all types of property insurers in jurisdictions throughout the United States, and it is dedicated to keeping its clients abreast of developments that impact the insurance industry. The Property Insurance Law Observer will survey court decisions, enacted or proposed legislation, and regulatory activities from all 50 states. We will also include commentary on current issues and developing trends of interest to first-party insurers.

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