Engaged by policyholder counsel as an insurance expert witness to analyze Agents Errors & Omissions issues pursuant to an agent’s calculations of replacement cost for a high value dwelling. The agent’s worksheets showed artificially low values for square footage and quality of the home’s features. When a fire destroyed the home during the 3rd policy year, agent’s deficient calculations left the dwelling insured for ~50% of actual replacement cost. Attorney Rick Lombardo, Shafer Lombardo Shurin (816) 931-0500. Tolefree v. Farm Bureau, Case No. 2021-CV-000391 In The District Court Of Douglas County, Kansas.
Insurance Bad Faith Expert Witness Cases
Retained by policyholder counsel as an insurance expert witness to review insurance industry renewal procedures when an agent failed to adequately disclose Business Income insurance being deleted on a renewal policy. Dispute arose following a major fire loss, when the agent finally informed the policyholder clearly that its Commercial Property policy provided only Extra Expense coverage leaving a multi-million dollars claim uncovered. Attorneys Halsey Knapp and Barclay Valloton, Krevolin & Horst, LLC (404) 888-9700. Buckhead v. McGriff Insurance Services, Civil Action File No. 22-GSBC-0004 In The Georgia State-Wide Business Court.
Retained by policyholder counsel as an insurance expert witness to review insurance industry standards of care for claims reporting under Claims-Made policy form relative to Agents Errors and Omissions. Despite clear indications of a pending claim from a flawed acid wash facial treatment, the agent neglected to notify the carrier and further had the insured falsify renewal application information. Attorneys Brady Rife and Paul Belcher, Stephenson Rife, LLP (317) 593-4648. Krambeck v. All Insurance Services, LLC, Cause No. 49D01-2007-PL024354 Indiana Commercial Court In The Marion County Superior Court.
Retained by policyholder counsel as an insurance expert witness to review insurance industry claims handling standards of care for Commercial Property and Business Income losses. Policyholder’s business was highly seasonal with most of the Business Income concentrated in the several months before the Christmas holidays. Dispute arose following a large theft claim at the start of policyholder’s high season, with carrier refusing to consider the policyholder’s seasonal concentration of earnings when calculating the amount of Business Income loss. Attorneys Greg Goodheart and Ed Schreiber (818) 992-4463. Shimony v. State Farm, Case No.: 21CHCV00085 In Superior Court Of The State Of California For The County of Los Angeles.
Engaged by defense counsel as an insurance expert witness to evaluate whether a ship repairer had complied with vendor contract insurance requirements for Commercial General Liability. Dispute arose when a harbor patrol officer capsized an upgraded boat during sea trials, injuring several of the ship repairer’s employees, who eventually sued the City of Norfolk. Attorneys John Buford and Sara Bugbee, Hancock, Daniel & Johnson, P.C. City of Norfolk Virginia v. Willard Marine, Case Nos. 2:17-cv-00109 and 2:17-cv-00110 In United States District Court For The Eastern District of Virginia.
Engaged by policyholder’s General Counsel to analyze and assist with claims-handling issues to settle a multi-million-dollar hail claim which the carrier refused to acknowledge exceeded the deductible. Engagement involved hiring additional roofing consultants and addressing carrier’s badly flawed analysis of the hail damage; claim eventually settled. Attorney Craig Crockett (817) 628-9998. TCRG v. Starr Surplus Lines Insurance Company.
Retained by insurance company defense counsel to examine Homeowners Insurance underwriting and claims handling in response to Insurance Bad Faith allegations against the carrier. The homeowner abandoned the dwelling after a fire, failed to protect the premises from further damage, and insisted the dwelling was a total loss. Carrier made several inspections and calculated the fire damage at far less than a total loss, leading to eventual litigation. Attorney Daena Ramsey, Shields Legal Group (972) 788-2040. Hooks/Davis v. Southern County Mutual, Cause No. CV21-14932 In The District Court 1st Judicial District Newton County, Texas.
Engaged by plaintiff counsel as a consulting expert to evaluate Personal Auto Policy coverage issues following a fatality traffic accident and carrier’s refusal to open a claim. Attorney Eric Edwardson, (409) 924-0845. Rogers v. Allstate, Civil Action No. 4:21-cv-03118 In United States District Court For The Southern District of Texas Houston Division.
Engaged by carrier counsel pursuing an Insurance Agent Errors & Omissions action for Bad Faith to recover claim payments made under a Workers Compensation policy underwritten based on agent’s material misrepresentations on the application. After a tree trimming worker was seriously injured it was discovered the agent had withheld critical underwriting information relative to eligible NCCI classifications and guidelines for the Workers Compensation program. Case required analysis of NCCI class codes and disparate answers provided on multiple Workers Compensation applications. Attorneys Brad Burns and Amanda Newman, Dickinson Wright, PLLC (602) 285-5000. FirstComp v. Ensign, Case No. CV2020-007001 In the Superior Court Of The State of Arizona In And For The County Of Maricopa.
Engaged by defense counsel to respond to policyholder allegations of Bad Faith Claims Handling of a purported Homeowners hail claim. Dispute resulted after carrier’s adjusters could find no visible evidence of hail damage, including after reinspection. Case required analysis of public adjuster’s inflated Xactimate estimates and questionable findings of roof damage. Attorney Carin Marcussen, Lugenbuhl, Wheaton, Peck, Rankin & Hubbard (713) 766-7969. Hughes v. USAA, Cause No. 20-07-08642 In The 284th Judicial District Court of Montgomery County, Texas.
Engaged by policyholder’s defense counsel to analyze whether carrier actions constituted Insurance Bad Faith relative to assigning improper Workers Compensation and Commercial General Liability class codes and processing inaccurate premium audits. Case required analysis of carrier’s failure to determine and apply correct NCCI class codes for 4 years of audits and renewals. These deficiencies resulted in significant lost business opportunities due to wildly inaccurate NCCI Experience Modifiers 50-220% higher than actual, erratic premiums accounting, and disputes over revised audits premiums. Attorneys Lindsay Wright Brett, Brendan Cook and Lola Ojeniyi, Baker & McKenzie (713) 427-5000. Zurich v. TxEx Energy, Case No. 4:20-cv-3622 In United States District Court for the Southern District of Texas Houston Division.
Engaged by policyholder counsel to review claims handling custom and practice for Homeowners Insurance. Litigation resulted following a claim denial after a fire destroyed high value personal property stored off-premises during a home renovation. Case required in depth analysis of policy language relative to limits and coverage for personal property off-premises under specific circumstances and whether the carrier committed Insurance Bad Faith in denying the claim. Attorney David Heller (281) 599-8775. Tavakoli v. Clear Blue Insurance Company, Cause No. 2021-14612 In The 151st Judicial District Court of Harris County, Texas.
Engaged by policyholder counsel to serve as their Property Insurance and Equipment Breakdown / Boiler & Machinery Expert. Case required analysis of claims handling proof of loss issues after a low-pressure underground pipeline was damaged by an over-pressurization event. Case also involved Business Income and Insurance Bad Faith. Dispute resulted following carrier’s claim denial citing an “observable” damage requirement in lieu of technical pressure analysis as proof of loss. NiSource v. FM Global, Case No. 2:20-cv-00572-GCS-CMV in United States District Court for the Southern District of Ohio Eastern Division. Attorneys Brad Nes and Teri Josie-Diaz, Morgan, Lewis & Bockius LLP, (202) 739-3000.
Engaged by policyholder counsel to review issues of Homeowners Insurance Bad Faith claims handling for extensive mold damage to insured’s residence. Attorneys David Schack and Matt Segal, Barnes & Thornburg, LLP (310) 284-3873. Buccholz v. Crestbrook Insurance Company d/b/a Nationwide, Cause No. 1:20-CV-00449-AP In United States District Court for the Western District of Texas.
Engaged by policyholder counsel to analyze Insurance Bad Faith issues relative to Homeowners Insurance claims handling custom and practice for a theft loss. Central to the dispute were the excessive depreciation factors used to calculate Actual Cash Value versus Fair Market Value, the carrier questioning ownership of the stolen contents, and long delays in processing the claim. Attorney Tom Friedman, Brown, Bonn & Friedman, LLP (702) 942-3900. Maxwell v. Travelers, Case No. 2:20-cv-01669-JAD-BNW In United States District Court District of Nevada.
Retained by insurance agency counsel defending alleged Agent Errors and Omissions for failure to procure Business Income coverage for Covid-19 losses under a Commercial Auto (Mobile Operations) endorsement to a Businessowners policy. Case required response to a laundry list of alleged duties owed by the agent far outside the accepted standards of care for a reasonably prudent Texas insurance agent. Case assessment included the lack of physical damage, the standard virus exclusion found in most ISO property forms, and the likelihood of the insured’s failure to read the policy. Attorneys John Nevins and Robert Bragalone, Gordon Rees Scully Mansukhani, LLP, (214) 231-4660. Sanbuco v. Governor Insurance Agency, et al; Civil Action No. SA-20-CV-01045-XR In United States District Court, Western District of Texas San Antonio Division.
Retained by policyholder counsel seeking claim payment for October 2019 tornado losses in Garland, TX. Case required evaluation of Inland Marine, Commercial Property and Business Income clauses and coverage under a Stock Throughput Policy. Litigation ensued following claim denial based principally on nonexistent policy language relative to unscheduled locations and carrier delay/refusal to attempt good faith settlement. Attorneys Darrell Adkerson, Adkerson, Hauder & Bezney, P.C. (214) 740-2500 and Troy Morris, Perez Morris LLC (855) 580-7530. Transform v. Starr Indemnity & Liability Co., Cause No. DC-20-03860 In The 116th District Court, Dallas County, Texas.
Engaged by Surplus Lines intermediary’s defense counsel to evaluate allegations of Agent Errors & Omissions and Insurance Bad Faith involving placement and renewal of a contractor’s Commercial General Liability policies. Analysis involved guardrail operations being excluded, multiple policies and additional insured issues. Litigation followed carrier’s claim denial for a vehicle accident involving guardrail repairs performed by the contractor. Attorney Tom Alleman, Dykema Gossett PLLC (214) 698-7830. Guerra v. US Risk, et al, Cause No. C-3634-18-B In The District Court of Hidalgo County, Texas 93rd Judicial District.
Engaged by policyholder counsel to analyze Ocean Marine coverage issues under a yacht policy following extensive propeller repair delays. Insurance Bad Faith Claims Handling issues arose based on whether a boat remaining outside navigation warranty specified waters was beyond insured’s control and when carrier was informed. Suzam v. ACE, Civil Action No. 19-CV-01832-PAB-NRN In The United States District Court For The District of Colorado. Attorneys Scott O’Sullivan and Cara New, The O’Sullivan Law Firm (303) 388-5304.
Engaged by policyholder counsel alleging Agent Errors and Omissions as its basis to recover coinsurance penalties. Despite assuming duties to set replacement cost limits for a hotel, the insurance agency made material errors resulting in deficient property limits and the property being severely underinsured for a hailstorm claim. Engagement required analysis of agency’s flawed valuation methodology using tax rolls and appraised ‘market value’, coinsurance calculations, and issues involving Ordinance & Law and extended Business Income loss. Attorney Todd Hurd (817) 426-4529. Cornerstone, et al v. Rodda Yates, et al; Cases No. 2015-514,308 In The District Court Of Lubbock County, Texas, 99th Judicial District.
Retained by insurance company defense counsel to examine Homeowners Insurance underwriting and address Insurance Bad Faith allegations against the carrier. Policyholder significantly understated and misrepresented his dwelling square footage on the application resulting in policy limits well below replacement cost. Regardless that the carrier relied on misrepresentations he made on the application to issue the policy, plaintiff now alleges carrier was responsible for calculating replacement cost after a 2017 fire destroyed the structure. Attorney Bill Manning, Van De Poel, Levy, Thomas, Arneal, LLP (925) 034-6102. St. Martin v. IDS Property Casualty Insurance Company, Case No.: SCV-263296, Superior Court of the State of California, County of Sonoma.
Engaged by policyholder counsel to analyze Property and Business Income/Extra Expense coverage issues under Property, Docks & Piers and Excess Ocean Marine policies for two fire losses originating from a tenant’s dockside storage of wood pellets. Case included review of coinsurance issues, tenant’s status as a Dependent Property for Business Income loss plus carrier subrogation against tenant’s Commercial General Liability policy. Travelers (as subrogee of Port of Port Arthur) v. Texas Pellets, et al, Cause No. B-203,222 In 60th Judicial District Court, Jefferson County, Texas. Attorney Clint Brasher, Brasher Law Firm, PLLC. (409) 832-3737
Retained by counsel defending a landlord policyholder against tenant allegations of injury due to negligence following an apartment complex fire loss. Policyholder provided suit papers to the agent, who in turn failed to forward same to carrier resulting in a default judgment being entered in favor of the tenant. Carrier denied coverage based on extreme prejudice for late claim reporting. Case required analysis of issues regarding Agents Errors & Omissions, Insurance Bad Faith and Commercial General Liability. Geier v. Stonewood Apartments v. The Sloan Agency, Case No. 1716-CV25412 In the Circuit Court of Jackson County, Missouri at Kansas City. Attorney Wes Carillo, Ensz & Jester, PC, (816) 474-8010.
Engaged by counsel defending allegations of Agent Errors and Omissions relative to Commercial Auto underlying limits required for Umbrella coverage. Case involved policyholder allowing Commercial Auto policy to cancel for nonpayment and later placing coverage with deficient limits through a different agent. Case required analysis of policyholder’s pattern of conduct and failures to communicate relative to realistic expectations of the agency, plus Umbrella policy language relative to requirements in a construction agreement. Litigation resulted after carrier denied Umbrella coverage following a fatality auto accident. Attorney Shelley Rogers, Sheehy Ware Pappas, (713) 951-1033. ATCI v. Holmes Murphy, et al; Cause No. CC-18-02926-E, In The County Court at Law No. 5, Dallas County, Texas.
Engaged by counsel for carrier as plaintiff seeking Declaratory Judgment confirming its coverage denial. Case involved analyzing underwriting data provided by a group of pharmaceutical entities. The application(s) failed to disclose the true nature of the non-pharmaceutical inventories it was seeking to insure. Hurricanes Irma and Maria hit the insured’s locations in Puerto Rico and Florida resulting in losses under the Property and Inland Marine coverage forms. Carrier denied the claims based on policyholder’s misrepresentations. Attorney Rob Reeb, Marwedel, Minichello & Reeb, P.C. (312) 445-5314. U.S. Specialty Insurance Company v. Atlantic Biologicals, Case No. 18-23276-Civ-Cooke/Goodman, United States District Court For The Southern District of Florida.
Engaged by policyholder counsel to evaluate carrier’s claims handling practices in adjusting a Property and Business Income claim for water damage at an apartments complex. Insurance Bad Faith allegations stemmed from long carrier delays/deficiencies in processing claim information and excessive requests for Business Income claim documentation. Attorneys Brian Enright and Anthony Leony, Halloran Sage (203) 672-5432. Hill v. Providence Mutual, Docket No. NNH-CV 16-6065871-S, Superior Court J.D. of New Haven at New Haven.
Retained by carrier’s defense counsel to review allegations of Insurance Bad Faith Claims Handling for a Workers Compensation claim denial. Case required opinions regarding whether claim denial was reasonable, based on inconsistencies in employee’s version of how and where the injury occurred, and ceasing communications shortly after the alleged injury. Attorneys Paul Gerding and Andrew McNichol, Kutak Rock LLP (480) 429-5000; Ndwiga v. Plaza Insurance Company, Case No. 2:18-cv- 02324-SPL In United States District Court For The District of Arizona.
Engaged by policyholder counsel to opine on Insurance Bad Faith Claims Handling of a Dwelling Policy water loss. Case required analysis of Xactimate estimates and reasonable standards for claims handling custom and practice. Dispute resulted from carrier’s refusal to pay total cleanup and dry out costs, which lead to restoration contractor obtaining a judgment against owner. Attorney Jeremy Hugus, Platte River Injury Law, (307) 840-1064. Zamir v. Central Mutual Insurance Co., Case No. 2018CV130, In District Court, Arapahoe County, Colorado.
Retained as Personal Auto & Insurance Bad Faith Expert by carrier’s counsel defending Stowers Doctrine allegations. Auto accident involved injuries to multiple parties who asserted claims, resulted in hospital liens and unreasonable Stowers demand deadlines. Case required analysis of insurance industry claims handling custom and practice standards. Attorneys Kurt Paxson and Garrett Yancey, Mounce, Green, Myers, Safi, Paxson & Galatzan PC, (915) 532-2000. Romero v. Mid-Century Insurance Co., Cause No. 2015-DCV3394 In 448th Judicial District Court of El Paso County, Texas.
Retained by counsel defending against a third-party landlord’s allegations of Agents Errors & Omissions and Insurance Bad Faith for ‘failure to procure’ additional insured status. Policyholder’s landlord alleged reliance on being a Certificate Holder on ACORD Certificates of Liability Insurance as grounds for being an additional insured under policyholder’s Commercial General Liability and Environmental Liability policies. Engagement required analysis of insurance requirements in the lease, scope of coverage for additional insureds and/or whether landlord ever requested being added as an additional insured. Landlord’s allegations also included Business Income Loss of Rents during site cleanup. HLT v. AssuredPartners, Case No. 1:18-cv-00045-RP, In The United States District Court For The Western District of Texas, Austin Division. Attorney Lisa Yerger, Macdonald Devin P.C. (214) 499-5116
Engaged by policyholder counsel to analyze NFIP, non-NFIP and/or Excess Flood Insurance issues. Case required analysis of NFIP Flood Zones remapping and Flood Insurance Rate Map revisions for a Hurricane Harvey loss at an uninsured location. Agency was retained under terms and conditions of a fee-based insurance and risk management services contract. Attorney Will King, Feldman and Feldman, PC (713) 986-9471. The Harris Center v. Higginbotham, Case No. Case No. 201812120 In 80th District Court, Harris County, Texas.
Engaged by policyholder counsel to analyze issues of Insurance Bad Faith Claims Handling. Case required analysis of damage patterns from straight-line winds and whether construction defect caused the loss. Dispute followed carrier denying most of the damage from a windstorm claim asserting construction defect as the proximate cause of loss. Attorneys. Scott Blass and Erica Cross, Bordas and Bordas Attorneys, PLLC, (304) 242-8410. Thompson v. Allstate, Civil Action No. 5:18-CV-118, In The United States District Court For The Northern District of West Virginia, Wheeling.
Retained by contractor’s defense counsel to review Commercial General Liability policy structure relative to insurance requirements listed in a Subcontract. Dispute involved Workers Compensation and a third party over action. Case required opinions regarding whether the Subcontractor’s policies complied with the Subcontract’s “Additional Insured” language. Moss v. J4 Development, Cause No. 2016DCV4519, In The 327th Judicial District Court of El Paso County, Texas. Attorney Jim Mounts, Ray McChristian & Jeans, PC (915) 832-7253
Engaged by policyholder counsel as their Property Insurance expert to evaluate Bad Faith Claims Handling for a hail damage claim. Independent adjuster’s flawed Xactimate estimate resulted in his seeking a comparative bid by introducing his own roofing contractor. That roofer then performed partial repairs and stole most of the insurance claim proceeds. MLLCA v. Argonaut, Vericlaim, et al; Cause No. CV 17-01-057 In The 271st Judicial District Of Wise County, Texas. Attorney Matt Meyer, Boyd Powers & Williamson (940) 627-8308.
Engaged by lender’s defense counsel to analyze Flood Insurance issues relative to the lapse of a NFIP renewal policy resulting in the dwelling’s Flood Zone being rated in a Special Flood Hazard Area. Engagement required analysis of lender forced place insurance, applicable NFIP rating rules and preparation of proforma NFIP worksheets to compare premium based on the old versus new Flood Zones. Attorneys Leo Ward and Christy McCann, Browning Kaleczyc Berry & Hoven, P.C. (406) 443-6820. Schneidt v. First Interstate Bank
Engaged by counsel defending insurance carrier against allegations of Bad Faith claims handling following denial of an uncovered Flood claim. Case required analysis of NFIP Flood Zone definitions relative to an Inland Marine policy flood exclusion. Attorneys Mike Cawley and Alex Brown, Gordon & Rees | Scully Mansukhani, LLP (215) 561-2300. Vanguard v. Atlantic Specialty Insurance Co. Court of Common Pleas of Philadelphia County, January Term 2017, No. 02023.
Engaged by policyholder counsel to analyze and opine on Agents Errors & Omissions relative to the procurement of a Hole-In-One Special Events policy. The case required analysis of agent’s failure to inform policyholder regarding minimum yardage warranties in the binder. The dispute resulted after two Hole-In-Ones were not covered, requiring the policyholder to pay the prize indemnity award. Old White Charities v. Bankers Insurance; Civil Action No. 5:l7-cv-01375 in the United States District Court for the (Southern) District of West Virginia. Attorneys Lorie Masters and Michael Levine, Hunton Andrews Kurth (202) 955-1500.
Engaged by insurance agent’s defense counsel to analyze allegations of Insurance Agent Errors and Omissions and Insurance Bad Faith. Case involved multiple Commercial Auto policies, Commercial General Liability, Professional Liability and required analysis of coverage grants for loading/unloading. Dispute followed carrier claim denial due to vehicle in question not being described as a ‘Covered Auto’. Attorneys Amanda Harvey and Kayleigh Watson, Wilson Elser Moskowitz Edelman & Dicker LLP (214) 698-8000. National Ambulance v. Hija Insurance Agency, et al. Cause No. 2016-52143 In 11th Judicial District Court, Harris County, Texas.
Retained by defense counsel to provide analysis and opinions regarding Agent Errors & Omissions and Insurance Bad Faith relative to a Professional Liability policy renewal. Case included allegations of failure to procure alongside issues of questionable policyholder Medical Malpractice claims reporting. Surplus Lines carrier renewed a Claims Made policy with a material reduction of coverage; subsequent claim denial resulted in litigation involving multiple parties. Attorneys Paul Gerding and Echo Reynolds, Kutak Rock LLP (480) 429-5000. Infini v. Wells Fargo Insurance Services USA, Inc., et al; Case No. 2:16-cv-03874-PHX-GMS In The United States District Court, District Of Arizona
Engaged by defense counsel to address allegations of Insurance Agent E&O / Bad Faith involving Business Income – Rents insurance. Dispute resulted following a restaurant fire loss and subsequent carrier denial of landlord’s claim for Rents coverage under tenant’s Property insurance policy. Case required analysis of insurance requirements in a building lease, numerous years of tenant and landlord carrier/coverage histories and associated Certificates of Insurance. Attorneys Bill Threlkeld and James Wilcoxen, Fenton, Fenton, Smith, Reneau & Moon, PC, (405) 235-4671. PWB v. Frates Insurance, Case No. CIV-17-387-R, In The United States District Court For The Western District of Oklahoma.
Retained by counsel for carrier seeking to rescind a Commercial General Liability policy based on agent’s failure to disclose material underwriting information on the application. Case required analysis of issues relative to Agents Errors & Omissions, Insurance Bad Faith Claims Handling and Workers Compensation issues involving an injured worker. Atlantic Casualty v. N&A Properties; Case 4:17-CV-368-A in United States District Court for the Northern District of Texas, Fort Worth Division. Attorneys Camille Johnson and Steve Santayana, Savrick, Schumann, Johnson, McGarr, Kaminski & Shirley, LLP, (214) 368-1515.
Engaged by policyholder counsel to analyze and opine on issues relative to Agents Errors & Omissions relative to Business Income coverage. Dispute resulted from Insurance agency’s failure to follow up with policyholder on carrier request for Business Income underwriting information at a new location. This failure resulted in partial denial of a Business Income claim when a building collapsed. Attorneys Mike Abrams and Kim Winter, Lathrop Gage, LLC (816) 460-5530. Axiom v. Marrs & Davolt, Case No. 16CY-CV00586 Division No. 5, In the Circuit Court of Clay County Missouri.
Engaged by defense counsel to analyze Agent Errors & Omissions issues relative to whether the agent was provided a copy of an oil field services Master Services Agreement. Plaintiff had failed to provide the agent with accurate information to obtain Jones Act / USL&H Maritime Workers Compensation and/or Other States coverage. The dispute resulted from the Commercial General Liability carrier denial of a contractual liability indemnity claim (under the customer’s MSA) for an employee injury which occurred over water. Zadok v. Bell Insurance, Cause No. 2016-44757 In 80th Judicial District Court, Harris County, Texas. Attorneys Ryan Brown and Nathan Shackelford, Hermes Law, PC (214) 749-6800.
Engaged by defense counsel to opine regarding Agent Errors & Omissions relative to whether the insurance agent was ever provided a copy of an oil field Master Services Agreement. The dispute resulted from an employee injury, plaintiff’s previous failure to complete required actions to obtain Workers Compensation and carrier denial of a Commercial General Liability claim. Allegations against the agent included failure to procure Commercial Auto and Commercial General Liability to comply with MSA contractual liability insurance requirements. Emperor v. Millennium Insurance Services; Cause No. 2016CI14546 In The District Court of Bexar County, Texas 150th Judicial District. Attorney Frank McNiff, Welder Leshin Lorenz McNiff Buchanan Hawn, LLP, (361) 561-8008.
Engaged by plaintiff counsel to analyze issues of coverage and claims handling under a Union Liability policy. The dispute resulted from carrier denial of labor contract violations claims; policyholder eventually assigned its rights to the third party claimant which pursued its coverage rights under Professional Liability, Directors & Officer and Employment Practices Liability alleging claims handling Insurance Bad Faith. Davis Wire v. Ullico Casualty Group, et al; No. 16-2-24564-1 KNT, Superior Court for the State of Washington In and For The County of King. Attorney Eamon Kelly, Sperling & Slater, PC, (312) 676-5845.
Engaged by policyholder counsel as their designated Property and Business Income expert to opine regarding claims handling for two Business Interruptions resulting from one water loss. Case involved partial claim denial for a furniture store’s second temporary business closure. Attorney Michael Collins, Hill Farrer & Burrill LLP, (213) 620-0460. Leather Expo, Inc. v. California Capital Insurance Co., Case No. BC611176 Superior Court Of The State of California County of Los Angeles Central District.
Designated as an Arbitrator in a carrier dispute with its Managing General Agency / Third Party Administrator relative to a Personal Auto program. Case involved analysis of underwriting criteria, claims handling custom and practice and allegations of Insurance Agent Errors and Omissions. Attorney Dan Vana, Benjamin, Vana, Martinez & Biggs LLP (210) 881-0667. National Unity Insurance Company, Petitioner, v. Tejas Seguros, LLC, Respondent; Proceeding in Arbitration
Engaged by plaintiff counsel as consulting expert to evaluate Agent Errors and Omissions issues relative to Uninsured Motorist bad faith claims handling. Dispute resulted from a motorcycle rider being seriously injured after agent’s failure to procure Personal Auto coverage. Fry v. Colorado Insurance Advisors, Progressive Insurance, et al; Case No. C2017CV30290, Larimer County District Court, State of Colorado, Division 4A. Attorney Phillip Chupik, Metier Law Firm LLC (970) 377-3800.
Engaged by carrier’s defense counsel to evaluate Notice of Cancellation issues for a Personal Auto policy. Petition included allegations of Insurance Bad Faith claims handling for claim denial after a policy cancelled for nonpayment. Attorneys Dawn Goeres and Tom Cooper, Pignato, Cooper, Kolker & Roberson, P.C. (405) 606-3333. Petro v. American Mercury, Case No. CJ-2016-33 In The District Court of Rogers County, Oklahoma.
Engaged by counsel defending insurance carrier against allegations of Bad Faith Claims Handling. Case involved a Motor Truck Cargo total fire loss of load being hauled, and subsequent claim denial by carrier. Two expert reports were required: carrier was initially Defendant (against policyholder allegations) and later Third Party Plaintiff (when it joined the insurance agency as a Third Party Defendant). Case required expertise with Inland Marine policy forms, Motor Truck Cargo coverage placement through a wholesale broker / Purchasing Group master policy and Agent Errors & Omissions regarding non-disclosure of terms & conditions to policyholder. Attorney John Kazen – Kazen, Meurer & Perez (956) 712-1600. Zebra Carriers v. Pennsylvania Manufacturers’ Association Insurance Company v. Solo Trucking Insurance Agency; Cause No. 2015-CVQ-003844-D2 In 111th Judicial District Court, Webb County, Texas.
Engaged by counsel defending insurance carrier against allegations of Bad Faith Claims Handling. Case involved a trucker covered under a specified commodities Motor Truck Cargo policy. Litigation resulted from claim denial for a total fire loss of load based on commodities being hauled had not been declared on the application. Case required scrutiny of Agent Errors & Omissions issues relative to coverage placement under a Purchasing Group master policy, non-disclosure of terms & conditions to policyholder/applicant and expertise with Inland Marine / Motor Truck Cargo policy forms. Attorney Andy Kehagiaras, Roberts & Kehagiaras LLP (310) 642-9800. US Cheeta Trucking v. Valleys Best Insurance, et al, Case No. 34-2015-00184655-U-IC-GDS, Superior Court Of The State of California For The County of Sacramento.
Engaged by policyholder counsel to analyze coverage under a Homeowners policy endorsed to insure a float home. Carrier’s claim denial for windstorm damage to the float home subsequently lead to litigation. Case required expertise with Agent Errors & Omissions relative to covered perils under Homeowners and Marine insurance policy forms. Eismann v. Farm Bureau, Case No. CV-2016-478 In First Judicial District Court Of The State of Idaho, County of Kootenai. Attorney April Linscott, Owens, McCrea & Linscott, PLLC (208) 762-0203.
Engaged by defense counsel to address allegations of Managing General Agent E&O / Bad Faith involving placement of surplus lines. Litigation resulted following claim denial for a vehicle accident involving a city bus being driven by a temporary staff employee. Case involved Non-owned Autos coverage under Commercial Auto and/or as an endorsement to Commercial General Liability policies. Attorneys Heather Duplantis and Kevin Welsh, Phelps Dunbar LLP (225) 346-0285. Johnson v. City of Alexandria, Number 247,208 In 9th Judicial District Court For The Parish Of Rapides, Division “G”, State of Louisiana.
Engaged by defense counsel as their Homeowners Insurance claims handling expert. Case included homeowner allegations of bad faith claims handling regarding hail damage. Case required analysis of hailstorm weather patterns and carrier actions relative to Texas’ statutory timelines for insurance claims handling. Howell v. Germania Mutual, Cause No. 2016-519,324 In The District Court of Lubbock County, Texas, 72nd Judicial District. Attorney Dax Voss, Field, Manning, Stone, Hawthorne & Aycock, P .C. (806) 796-4000.
Retained by policyholder counsel as a Property Insurance Expert to analyze Agents Errors & Omissions and Insurance Bad Faith claims handling issues. Case required analysis of underwriting vs. subsequent denial of a theft claim based on occupancy levels less than vacancy clause requirements. Nayeb v. Travelers, et al; Cause No. 15-05862-442 In The 442nd Judicial District Court Denton County, Texas. Attorney Jeff Atkins, Fell Law Firm (972) 488-8177.
Engaged by counsel for policyholder as their Agent Errors & Omissions and Insurance Bad Faith expert. Case involved analysis of Property and Inland Marine insurance placement issues relative to Livestock mortality for dairy cattle. Dispute arose after claim denial for widespread smothering loss of cattle during a blizzard event. Attorney Brent Hamilton, Brady & Hamilton, LLP (806) 771-1850. CBJ v. Davis; Case 2:16-cv-00109-J In The United States District Court For The Northern District Of Texas, Amarillo Division.
Retained by carrier’s defense counsel as their Insurance Bad Faith and Commercial Auto expert regarding an Uninsured/Underinsured Motorist claim denial. Case required expertise with nuances of coverage afforded the “first named insured contrasted with policy language requiring other claimants to occupy a covered auto. Attorney Melissa England, Graif Barrett & Matura, P.C., (602) 792-5700. Smith v. Auto-Owners, Complaint No. S-1400-CV201500545 In Superior Court of the State of Arizona, In and For The County of Yuma.
Engaged by policyholder counsel to analyze coverage grants and claim denial under a Directors & Officers Liability policy. Engagement required analysis of Professional Liability exposure from litigation resulting from a client’s telemarketing services subcontracted to a third party as well as potential late reporting under Claims Made coverage forms. Attorney Scott Mager, Mager Paruas, LLC (954) 763-2800. Desai, et al v. ADT Security Services, Inc. v. The Elephant Group, Inc., et al v. Direct Savings USA, LLC; Case No. 1:11-cv-1925, United States District Court Northern District of Illinois Eastern Division.
Engaged by policyholder counsel to analyze Agent Errors & Omissions issues regarding failure to procure available NFIP flood insurance. Case involved client request for flood insurance followed by agent initially providing faulty Elevation Certificate/Flood Zone information, and later failing to follow agency procedures regarding offering flood insurance. After an epic flood virtually totaled the client’s bed & breakfast facilities, the Commercial Property carrier denied the claim based on the flood exclusion. Attorney Molly Bowen, Mostyn Law, (832) 964-4830. Chimney Valley Lodge v. Newmark Insurance Services, et al. Cause No. CV08077: 2016EF2833 In the District Court of Blanco County, Texas, 33rd Judicial District.
Engaged by policyholder counsel as their designated expert for Agents Errors & Omissions and Insurance Bad Faith to evaluate issues regarding failure to procure proper insurance coverage. Case involved claim denial of a large wood kiln fire loss due to improperly structured Property. Boiler & Machinery and Business Income Insurance. Attorney Brady Rife, McNeeley Stephenson Attorneys (317) 825-5110. Kustom Kilns v. Nuthak, In Shelby County Superior Court I, State of Indiana, Cause No. 73D01-1502-CT-5.
Engaged by defense counsel for managing general agent as their Workers Compensation and Insurance Bad Faith expert. Case involved allegations by a long haul trucker of Insurance Bad Faith and Agent Errors & Omissions resulting from a Workers Compensation carrier insolvency. Case required analysis of interplay between Commercial Auto and Workers Compensation insurance markets for truckers. Attorneys George Carr, Janik LLP (440) 740-3016 and Joe Nicholas, Mazanec, Raskin & Ryder (440) 287-8320. AIM v. Safe Fleet, et al; Case No. 4:14-cv-02161 United States District Court Northeastern District of Ohio, Eastern Division
Engaged by defense counsel to evaluate Insurance Bad Faith and Agents Errors & Omissions allegations resulting from a dwelling total fire loss. Case required expertise with Homeowners insurance to value / replacement cost software used for underwriting. Attorneys Eric Van Beber and Leilani Leighton (913) 888-1000, Wallace Saunders Attorneys. Lawson v. Standard Fire Insurance Co, Case No. 1416-CV04078 In The Circuit Court of Jasper County Missouri, Division I, at Joplin.
Engaged by policyholder counsel as their Commercial Auto, Agent Errors & Omissions and Insurance Bad Faith expert. Case involved a large deductible Garage Liability policy and renewal changes to “Who is an Insured”. Dispute resulted from higher limits of liability being extended to customers than those provided under prior policies. Group 1 Automotive v. Arthur J. Gallagher Risk Management Services, Inc.; Civil Action No. 1:14cv334HSO-JCG In The United States District Court Southern District of Mississippi Southern Division. Attorneys Fred Feeney and Nathan Burrow, Franke & Salloum, PLLC (228) 868-7070
Engaged by policyholder counsel to analyze and opine on claims handling practices for cattle theft claims under a Farm & Ranch policy. Case required analysis of cattle buy/sell inventory records and inconsistencies in adjuster’s claims log entries. Attorneys Paul Bezney and Marlene Thomson (214) 740-2500, Adkerson, Hauder & Bezney, P.C. Linn v. Oklahoma Farm Bureau, Case No. CJ2014-38 In The District Court of Grady County Oklahoma.
Engaged by policyholder counsel to evaluate Insurance Bad Faith relative to Homeowners policies claims handling custom and practice. Litigation resulted from a near-total dwelling fire loss, followed by a second total fire loss after repairs were substantially completed. The central issue in this matter was how and when limits are reinstated under a Homeowners policy as stages of repairs are completed. Attorney Manny Guerra, Guerra Law Office (713) 993-2342. Treviño v. Travelers; Case No. 7:15-cv-00034, In The United States District Court for the Southern District of Texas, McAllen Division.
Engaged by policyholder counsel to evaluate claims handling practices of excess layers carrier(s). Case involved Energy Exploration and Development/Operators Extra Expense offshore “removal of wreck and debris” claims resulting from Hurricane Ike. Engagement required analysis of Surplus Lines Umbrella policies coverage trigger(s) relative to exhaustion of underlying insurance limits. W&T Offshore v. National Liability & Fire Insurance Co., et al; C.A. NO. 4:14-CV-02740, United States District Court for the Southern District of Texas Houston Division. Attorney Matthew Parrish, Taunton, Snyder & Slade (713) 993-2342.
Engaged by policyholder counsel to analyze primary and excess carriers’ claims handling practices relative to denial of a multi-million dollar claim for theft of bitumen being stored in China. Both Inland Marine and Ocean Marine coverage was afforded under a single Marine Open Cargo policy form. Engagement required analysis of manuscript Marine Insurance policy forms relative to Bulk Oil Clauses, bills of lading and bailee interests. Great American v. Castleton; Civil Action No. 15-cv-03976-JSR In United States District Court For The Southern District of New York. Attorneys John Shugrue and Caroline Upton, Reed Smith, LLP (312) 207-1000.
Engaged by insurance agent’s defense counsel and designated as their Agent Errors & Omissions and Insurance Bad Faith expert. Case involved Certificates of Liability Insurance issued after a policyholder declined renewal of a Commercial Umbrella. Litigation resulted from an injury to a bounce house patron, and whether the successor policyholder had Commercial General Liability with/without Commercial Umbrella coverage. Attorney George Carr, Janik LLP (440) 740-3016. KMAG v. Chubb, Case No. 1:15CV66 in United States District Court Northeastern District of Ohio, Eastern Division.
Engaged by agent’s defense counsel as their designated expert for Agents Errors & Omissions and Insurance Bad Faith. Case involved Property and Business Income Insurance written on a Surplus Lines basis. Dispute resulted from hailstorm claims adjusted on a Per Location/Per Occurrence Wind and Hail deductibles basis. Hipoint v. Pathfinder, et al, Case No. Case No.5: 13-cv-687-D In The United States District Court For The Western District of Oklahoma. Attorney Jim Secrest, Secrest Hill Butler & Secrest, PC (918) 494-5905
Engaged by defense counsel to opine regarding Agent Errors & Omissions relative to placement of a Broker-Dealer/Registered Investment Advisor(s) Professional Liability policy. Case involved evaluation of coverage afforded a named insured vs. additional insured, Surplus Lines, and Claims Made issues. Claims stemming from a Registered Investment Advisor’s fraudulent investment activities and subsequent conviction were denied by carrier which resulted in an Insurance Bad Faith claim against the agent. Onyx v. Indian Harbor, CalSurance, et al; Civil Action No. 3:13-CV-03426-P In The United States District Court For The Northern District of Texas, Dallas Division. Attorney Blake Bailey, Phelps Dunbar LLP, (817) 488-3134.
Engaged by counsel defending allegations of Agents Errors & Omissions and Bad Faith for “failure to advise”. Case required evaluation of Homeowners theft coverage underwriting standards for older homes relative to Replacement Cost vs. Actual Cash Value policies. Attorney Shawna McCalip, Holden & Carr, (918) 295-8888. Allin v. Pritchard; Case No, CJ-2014-100 In The District Court of Comanche County, State of Oklahoma.
Engaged by counsel defending allegations of Agents Errors & Omissions for “failure to procure”. The case required evaluation of Homeowners insurance underwriting standards for Replacement Cost vs. Actual Cash Value policies. Attorney Samantha Horner (816) 979-1522, Case Linden P.C. Blow v. Fairchild Insurance Services, Case No. 14CV31 In The District Court of Pottawatomie County, Kansas.
Engaged by plaintiff counsel to evaluate Insurance Bad Faith issues stemming from “failure to disclose material terms” of Commercial General Liability and Commercial Umbrella Liability over several years’ renewal policies. Case required assessment of Agents Errors & Omissions relative to Surplus Lines renewal procedures for Equine Liability coverage. Attorney Doug Patrick, Covington, Patrick, Hagins, Stern & Lewis, P.A., (864) 242-9000. Lanzone v. BB&T Insurance Services, In The Court of Common Pleas No.: 2013-CP-23-2758, State of South Carolina, County of Greenville.
Engaged by policyholder counsel as their Homeowners Insurance Expert to review allegations of bad faith claims handling resulting from total denial of a theft loss. Case involved contrasting coverage and valuation issues for contents insured as personal property or under inland marine fine arts coverage. Attorney Ned Pillersdorf (606) 886-6090, Pillersdorf, DeRossett and Lane. Dye vs. Kentucky Farm Bureau Insurance Company; Floyd Circuit Court, Civil Action No. 13-CI-529
Engaged by plaintiff counsel pursuing allegations of Bad Faith claims handling under Commercial Auto (Garage Liability) coverage. Case resulted from disputed valuation of physical damage to a heavy truck. Attorney Graham Martin, Martin Law Offices (606) 349-6171. Little v. Martin’s Peterbilt and United Financial Insurance Co.; Case No. 12-CI-262, Commonwealth of Kentucky, Laurel Circuit Court, Division II.
Engaged by counsel defending allegations of bad faith for both Managing General Agent E&O and carrier claims handling practices. Dispute resulted from denial of ‘Well Out of Control’ and pollution claims from a ‘plugged & abandoned well’ fluids release. Case required analysis of an Energy Exploration & Development policy relative to first party property and third party pollution liability coverage. Denbury Resources v. Lloyds of London, et al; Cause No. 2012-10397 In The District Court of Harris County, Texas, 270th Judicial District. Attorneys Bart Hall and Jonathan Womack, Phelps Dunbar LLP (504) 566-1311.
Engaged by plaintiff counsel as their Commercial Auto, Insurance Bad Faith and Workers Compensation expert. Case involved a truck driver fatality and required analysis of Commercial Auto and Workers Compensation coverage and claim denial issues. Dispute resulted from differing positions as to whether trucker was an employee or independent contract driver. Attorney Chris Pinedo, Hilliard Munoz Gonzales, LLP (361) 882-1612. Arca Trucking vs. Hallmark County Mutual Insurance Co.; Cause No. 2014-DCV2416 In The District Court of El Paso County, Texas, County Court at Law 6.
Engaged by policyholder counsel to analyze issues of Insurance Bad Faith claims handling practices relative to Personal Injury Protection coverage under a Personal Auto policy. Attorney Thomas Friedberg, Law Offices of Friedberg & Bunge (619) 557-0101. Schoenfeld v. USAA, Case No. 37-2013-00045246-CU-IC-CTL, Superior Court of The State Of California In And For the County Of San Diego, Central Judicial District.
Engaged by defense counsel to opine on alleged Agents Errors & Omissions stemming from a Homeowners Insurance liability claim denied under the motor vehicle exclusion. Case required knowledge of agent duties of inquiry and coverage procurement. Attorney Eric Edwardson,(409) 924-0845. Texas Farm Bureau v. Broussard; Cause No. 2013-08014 In The District Court of Harris County, Texas 157th Judicial District.
Engaged by defense counsel for Surplus Lines broker as their Agent Errors & Omissions and Insurance Bad Faith expert. Case required analysis of Property, Flood Insurance and Business Income claims issues relative to Statements of Value, Margin Clauses and Scheduled vs. Blanket policies. Litigation resulted from disputed values during flood claim settlement. Attorneys David Clark and Jack Urquhart, Beirne, Maynard, & Parsons, LLP (713) 623-0887. Menard v. Wells Fargo and Swett & Crawford; Civil Action No. 10-cv-7592, State of Wisconsin Circuit Court Milwaukee County.
Engaged by defense counsel as their Flood Insurance and Agent’s Errors & Omissions expert. Case required analysis of Insurance Bad Faith allegations resulting from claim denial for Flood Zone A locations. Claim included loss of Property and Business Income under an Inland Marine policy form. Attorney Tom Cooper, Pignato, Cooper, Kolker, & Roberson, P.C. (405) 606-3333. Coast to Coast Power Sports v. Robert Bates Agency, et al; Case No. CJ-2012-03555 In The District Court In And For Tulsa County, Oklahoma.
Retained by carrier counsel as their Insurance Bad Faith and Property Insurance Expert relative to claims handling Customs and Practices. Case required underwriting expertise when moving coverage from an admitted market Inland Marine builders risk to a Surplus Lines vacant dwelling policy. Litigation resulted when large water loss claim was denied due to vacancy disclosures on the insurance application. Pennink, et al v. Lloyds, et al; Case 1:11-cv-00673-TDS-WWD, North Carolina Durham County In The General Court of Justice Superior Court Division File No. 11-CVS-5555. Attorney Jeremy Stephenson, McNair Law Firm, P.A. (704) 347-6456; Attorney Jon Dryer, Wilson Elser Attorneys (215) 606-3908.
Engaged by policyholder counsel as its Commercial General Liability and Pollution Liability expert relative to Insurance Bad Faith claims handling. Environmental contamination resulted from a pipeline valve failure, requiring site remediation. Litigation resulted following carrier’s denial of the pollution claim based on alleged late reporting. Arrow Pipeline v. National American Insurance Co., et al; Case No. CJ-2012-00313 In the District Court of Tulsa County, State of Oklahoma. Attorney Mark Blongewicz, Hall Estill Attorneys (918) 594-0400.
Retained by counsel defending agent against allegations of Agent Errors & Omissions and Insurance Bad Faith. Litigation resulted following claim denial of a grain bin explosion loss. Engagement required Property Insurance and Surplus Lines expertise. Martinek v. Hertel, et al; Cause No. CV-12-0103 In The District Court of Grayson County, Texas, 59th Judicial District. Attorneys Tom Culpepper and Angela Caffey, Thompson Coe Cousins & Irons (214) 871-8200.
Designated as Insurance Bad Faith and Personal Auto Expert by carrier’s attorney defending Uninsured/Underinsured Motorist coverage claim denial. Case required analysis of carrier underwriting and claims handling practices. Attorney Rick Lyde, Vidaurri, Lyde, Rodriguez & Haynes, L.L.P. (956) 381-6602. Villarreal v. Fred Loya Insurance Agency, Inc.; Cause No. 2011-DCL-8586, In The 444th Judicial District Court of Hidalgo County, Texas.
Retained by policyholder counsel as their Property Insurance Expert to analyze Insurance Bad Faith claims handling issues. Case required expertise with water damage loss and vacancy permits on a Surplus Lines policy. Quackenbush v. Scottsdale; Case No. 2:12-cv-190-J In United States District Court for the Northern District of Texas, Amarillo Division. Attorney Dusty Stockard, Stockard, Johnston & Brown, PC (806) 372-2202.
Engaged by agent’s defense counsel as their Agents Errors & Omissions, Insurance Bad Faith, Business Income and Property Insurance Expert for multiple Hurricane Ike apartment complexes claims. Case involved Surplus Lines, standard of care, and disclosure of material facts relative to coastal windstorm deductibles. Landco v. Consolidated American Services; Cause No. 2010-23329 In The District Court Harris County, Texas, 281st Judicial District. Attorney Kevin Madden, Kane Russell Coleman & Logan PC, (713) 425-7452.
Engaged by counsel for third party as their as Insurance Bad Faith and Personal Auto Expert to provide pre-litigation analysis. Case involved cancellation and rewrite of existing PAP coverage contemporaneous with injured passenger seeking coverage for injuries from an auto accident. Farwell v. American Family Insurance; Attorney Don Murphy, Murphy & Pressentin, (866) 230-2282.
Engaged by policyholder’s outside counsel seeking Commercial General Liability coverage for a fatality claim caused by a tank explosion. Case required evaluation of Insurance Bad Faith and Agents Errors & Omissions “failure to procure” issues. Belken Oil, LLC v. Woodworth Insurance Agency; Attorney Scott Helmholz, Bailey & Glasser, LLP , (217) 528-1177.
Engaged by counsel for third party seeking to compel vicarious liability coverage for a non-owned watercraft accident. Case included issues of Insurance Bad Faith stemming from carrier’s denial of a Commercial Umbrella claim. The Umbrella was placed as Surplus Lines using an ISO-based policy form with a manuscript Marine Liability endorsement. Case required knowledge of the nuances between Commercial General Liability and Excess Marine Liabilities. Antill Pipeline v. Chartis; Civil Action No. 09-3646, c/w 10-2633, and c/w 11-2131 in United States District Court Section C-2 for the Eastern District of Louisiana. Attorneys Bob Reich and Larry Plunkett – Reich, Album & Plunkett, LLC (504) 830-3999.
Engaged by counsel defending allegations of Agent Errors & Omissions and Insurance Bad Faith. Case involved a Named Driver Exclusion and claim denial under a Commercial Auto policy and a Commercial Umbrella policy written as Surplus Lines. Diamond Pump & Transport, LLC v. Allied North American, et al; Cause No. A-126,966-A in the 70th District Court of Ector County, Texas. Defense counsel Kent Krabill, Lynn Tillotson Pinker and Cox, LLP (214) 981-3800.
Engaged by mortgagee’s counsel as their Insurance Agent Error & Omission and Property Insurance Expert. Case required evaluation of agent’s conduct regarding placements, renewals and endorsements of three Inland Marine Builders Risk policies. Allegations by mortgagee of Insurance Bad Faith arose from agent’s misrepresentations on ACORD. Evidence of Property Insurance forms. Attorney David Clement – Clement, Gates & May (504) 598-2220; Baronne v. Assurance Co. of America, et al; Civil District Court for the Parish of Orleans, State of Louisiana, Number: 09-4893 Division “I-14”.
Engaged by tug boat owner listed as third party Additional Assured under an Ocean Marine policy. Case involved Agents Errors & Omissions and Insurance Bad Faith requiring analysis of Hull damage late notice of claim and carrier claims handling practices. Marc Oliver v. Atchafalaya Marine, LLC, et al; Civil Action No. CV: 11-223-KD-C, United States District Court for the Southern District of Alabama, Southern Division. Attorney Margaret Miller, Margaret McDowell Miller, LLC (251) 635-6660.
Consulting expert engaged by counsel for carrier and surplus lines agent pursuing recovery from retail agent. Case involved placement issues for a Food Borne Illness policy covering Trade Name Restoration, Loss of Business Income and Incident Response. Following claim denial for an E-coli outbreak, litigation resulted from retail agent’s “failure to disclose material terms” to restaurant franchisees enrolled under a Master policy. Lloyds and Professional Liability Insurance Services v. IMA of Kansas; Cause no. D-1-GN-10-004172 In District Court of Travis County, Texas, 353rd Judicial District. Attorney Christopher White, Lewis Brisbois Bisgaard & Smith LLP (214) 722-7100.
Designated as Insurance Bad Faith and Personal Auto Expert by attorney for policyholder seeking payment under Uninsured/Underinsured Motorist coverage. Case required analysis of carrier claims handling practices regarding prompt claim settlement. Attorney Brad Johnson (702) 222-4145, Kravitz, Schnitzer, Sloane & Johnson, Jordan v. GEICO; Case No. A-10-627758-C, Dept No. XIX; In The Eighth Judicial District Court, Clark County, Nevada.
Engaged by carrier’s defense counsel as their Insurance Bad Faith, Business Income and Property Insurance Expert. Case required evaluation of claims handling practices relative to partial denial of water damage and mold claims based on a wear and tear exclusion. Eagles Nest Church v. State Auto Insurance, et al; Cause No. 096254334-11 in The 96th Judicial District Court, Tarrant County, Texas. Attorneys Charles Mitchell and Ray Palmer, Naman Howell Smith & Lee, PLLC , (817) 509-2025.
Engaged by agent’s defense counsel as an Ocean Marine Insurance and Agent Errors and Omissions Expert. Case required review of Ocean Marine placement procedures, assignment of loss payee/mortgagee interests and coverage territory issues. Dispute resulted from a hull damage claim denial for a dredge barge which ran aground near Cancun, Mexico. Deep Sea Financing, LLC v. Brennan & Co., Civil Action No. STCV1100702 In The State Court of Chatham County, State of Georgia. Attorney Pat O’Connor, Oliver Maner LLP, (912) 236-3311
Designated as a Property Insurance Expert by policyholder counsel to evaluate claims handling custom & practice. The litigation resulted from Hurricane Rita windstorm damage to a hotel and subsequent claim investigation by carrier. Engagement included review of Insurance Bad Faith issues on the part of a Surplus Lines carrier. Cause No. 12,426; S.A. Hospitality v. Certain Underwriters at Lloyd’s, In the 1st Judicial District Court, Sabine County, Texas. Attorney Chris Leavitt, The Buzbee Law Firm, (713) 223-5393.
Engaged by carrier’s defense counsel to analyze Non-standard Personal Auto coverage following denial of a claim. Pleadings included allegations of Insurance Bad Faith regarding claims handling practices. Cardenas v. Loya Insurance Company, Cause No.. 2010-CCL-00247-A In The County Court at Law No. 1, Cameron County, Texas. Attorney Rick Lyde, Vidaurri, Lyde, Rodriguez, & Haynes, LLP (956) 381-6602.
Retained by carrier’s counsel to provide expert opinions regarding Insurance Bad Faith, reporting form Inland Marine Builder’s Risk and Property Insurance. Dispute involved Agent Errors & Omissions based on agent’s failure to include a mortgagee’s interest when reporting a total fire loss. Seven months after the total fire loss, the agent issued an ACORD Evidence of Property Insurance to the mortgagee, continuing a pattern of misrepresentations. Attorney Larry Fields, Kutak Rock, LLP (816) 960-0090. Assurance Company of America v. O’Connor Insurance Agency; Case No. 4:10CV2204 FRB, United States District Court for the Eastern District of Missouri Eastern Division
Engaged as a Property Insurance Expert by counsel defending allegations of Agents Errors & Omissions and Insurance Bad Faith. Litigation resulted from construction agreement insurance requirements, Inland Marine Builders Risk claim denial, and eventual Homeowners subrogation. Attorney Desmond Cooks, (214) 736-9433 The Willis Law Group; Stevens v. Trujillo Insurance Agency; Cause No. 048-248921-10 In the District Court of Tarrant County, Texas, 48th Judicial District.
Engaged by policyholder’s counsel as its designated expert for Property Insurance, Agents Errors & Omissions and Insurance Bad Faith. Case involved analysis of claim denial issues based on a vacancy clause. Spring Center v. AGCS Marine Insurance Company, et al; Cause No. 2011-09454 In the 11th Judicial District Court of Harris County, Texas. Attorney Brant Durrett, Durrett Law Firm, (713) 623-6881.
Engaged by carrier’s defense counsel as their Workers Compensation expert. Carrier and third party administrator were enjoined in litigation between policyholder and agent following a fatality injury to an out of state employee. Case involved allegations of Agent Errors & Omissions and Insurance Bad Faith relative to “Other States Insurance”, Construction agreements and Certificates of Insurance. Factory Sales and Engineering v. Ellsworth Corporation, et al; Docket No. 2007-15870 Division “D”, 22nd Judicial District Court for the State of Louisiana, Parish of St. Tammany. Attorneys for carrier Heather Blackburn & Janice Unland, Rabalais, Unland, & Lorio, (985) 893-9900.
Engaged as Flood Insurance and Insurance Bad Faith expert by attorney filing a Class Action Complaint for a group of NFIP policyholders. Claims dispute arose over inconsistencies between declarations pages and NFIP Dwelling policy definitions of “Basements” and “Elevated Buildings.” Grigsby, et al v. Fidelity National Property and Casualty Insurance Company; Civil Action No. 4:11-cv-03800, In the United States District Court, Southern District of Texas, Houston Division. Attorney John Grazier, (281) 335-7466.
Retained by policyholder counsel as their Property Insurance Expert to examine Agents Errors & Omissions and Insurance Bad Faith issues. Assignment required expertise with coinsurance penalties applied to claims under a Surplus Lines policy written on a Functional Replacement Cost basis and allegations of failure to disclose material facts. Oklahoma & Texas Panhandle Compress v. Aycock & Fowler Insurance Agency; Cause No. 2010-552,281; In The 72nd Judicial District, Lubbock County, Texas. Attorney Brad Parker, Parker McDonald, P.C., (817) 503-9200.
Engaged by counsel for third party seeking recovery for construction defect claims. Case required coverage analysis of contractor’s Commercial General Liability in contrast to manufacturer’s Products Liability as well as Insurance Bad Faith in regards to carrier claims handling practices. Mid-Continent Casualty v. Advantage Buildings, et al, Case No. 1016-CV21855, Circuit Court of Jackson County Missouri at Kansas City. Attorney David Schatz, Husch Blackwell, LLP , (816) 329-4707.
Engaged by defense counsel for carrier as their Property Insurance Expert. Case required review of carrier’s claims handling practices relative to policyholder allegations of Insurance Bad Faith. The dispute involved carrier claims investigation and claims handling practices following a total fire loss. Majestic Flowers vs. State Auto Insurance, Cause No. 37309; In the 82nd Judicial District Court of Falls County, Texas. Attorney for carrier Charles B. Mitchell, Jr., Naman Howell Smith & Lee, PLLC , (817) 509-2025.
Designated as Agents Errors & Omissions, Insurance Bad Faith and Property Insurance Expert to evaluate policy renewal and claims handling practices. The dispute involved windstorm claims from Hurricane Ike and aspects of failure to disclose Replacement Cost vs. Actual Cash Value. Woodforest Baptist Church v. Scottsdale Insurance Co., et al, No. 2009-37563 in District Court, 157th Judicial District of Harris County, Texas. Attorney for insured Mark Beausoleil, (936) 336-6275.
Engaged by policyholder’s counsel seeking coverage for construction defect claims. Case involved aspects of Agent Errors & Omissions and Insurance Bad Faith resulting from placement of Commercial General Liability and Products Liability Insurance coverage. Central to the dispute were allegations against the agent of failure to disclose material facts. Sanderson v. JDW Insurance, Cause No. 2009-3145, 120th Judicial District Court, El Paso County, Texas. Attorney Jim Martinez, James A. Martinez, P.L.L.C. (317) 637-0700.
Engaged by counsel for policyholder to analyze Personal Auto coverage issues relative to Personal Injury Protection. Case included allegations of Insurance Bad Faith Expert related to claims handling practices of the carrier. Synodis v. Allstate, et al; Case No. A573297 in District Court Clark County, Nevada. Attorney David Boehrer, Richard Harris Law Firm , (702) 385-1400.
Engaged by policyholder counsel as their Inland Marine and Property Insurance Expert. Litigation resulted from partial claim denial following the armed robbery of a jewelry store. Claim denial hinged on effective date of an endorsement to increase a Jewelers Block policy limits. Case required evaluation of Agent Errors & Omissions, Surplus Lines procedures and Insurance Bad Faith claims handling. Eagle Jewelry v. United National Insurance Company, et al; No. 2009-50936 In The District Court of Harris County, Texas, 334th Judicial District. Attorney Bob Tarics, The Tarics Law Firm, PC, (713) 461-9490.
Engaged by policyholder counsel as their Boiler & Machinery and Property Insurance Expert. Case required analysis of Difference-in-Conditions coverage, Business Income and Insurance Bad Faith regarding carrier’s claims handling practices. Case involved Boiler & Machinery cause and origin review of pressure vessel implosion at a Chlor alkali plant near Las Vegas, NV. Olin Chlor Alkali Products v. Continental Casualty, et al, Case No. 2:10-cv-00625-GMN-RJJ in United States District Court for the District of Nevada. Attorney Lorie Masters, Jenner & Block LLP, (202) 639-6076.
Engaged by contractor’s attorney to analyze contractual liability claim denial under Products Liability Insurance. Case involves Agents Errors & Omissions, Surplus Lines, Commercial General Liability, and aspects of Insurance Bad Faith resulting from questionable Certificates of Insurance. Cause No. 2009-65915; High Tech Plumbing v. Colony Insurance Company, et al. In the 127th Judicial District Court of Harris County, Texas. Attorney Kelly Prather, Greenwood Prather Law Firm, (713) 333-3200.
Designated as an Ocean Marine Insurance Expert by counsel for policyholder. Engagement required analysis of seaworthiness and carrier Bad Faith claims handling after a lightning strike damaged a yacht. Attorney Chris Garcia, Mills Shirley, L.L.P. (409) 763-2341; Adams v. One Beacon Insurance, et al; Cause No. 09CV2262 in the 10th Judicial District Court, Galveston County, Texas.
Designated by defense counsel as their Flood Insurance and Agent’s Errors & Omissions expert. Litigation involved Hurricane Ike flood claim disputes. Pleadings included allegations against the agent of Insurance Bad Faith and failure to procure Business Income. Attorney Brendan Cook, Baker & McKenzie, (713) 427-5000. South Coast Cement v. Willis of Texas, et al; Cause No. 60,687 in County Court at Law Number 1, Galveston County, Texas.
Engaged as a Property Insurance Expert by policyholder seeking coverage for Hurricane Ike Builders Risk claims. Case included allegations of Insurance Agent Error & Omission and carrier Insurance Bad Faith. Case required expertise with construction agreements relative to ordinance and law coverage, large Wind and Hail deductibles, and Business Income soft costs under Inland Marine builders risk policies. Attorney Windell Snow (316) 263-5959; Construction Services Bryant v. Cincinnati Insurance Company, Case No. 09 CV 3137 in the Eighteenth Judicial District Court, Sedgwick County, Kansas, Civil Department.
Retained by defense counsel for carrier as their Commercial General Liability and Insurance Bad Faith expert. Case involved carrier standards & practices for claims investigation, setting reserves and claims settlement. Litigation resulted after insurer denied payment of fatality claim in: Allen v. Guide One Insurance Company; Commonwealth of Kentucky, 44th Judicial Circuit, Bell Circuit Court, Civil Action No.: 06-CI-00583. Attorney David A. Trevey, Fulkerson & Kinkel, (859) 253-0523.
Designated by policyholder counsel as their Agents Errors & Omissions, Insurance Bad Faith and Property Insurance Expert. Engagement required expertise with blanket insurance, coinsurance vs. Agreed Value, Business Income, Wet Marine Insurance, and Surplus Lines custom & practice. Claim dispute followed after multi-million dollar flood damage to the largest marina on Lake Texoma. Lake Texoma Highport, LLC v. Lloyd’s of London, et al; Civil Action No. 4:08cv285; In The United States District Court For The Eastern District Of Texas, Sherman Division. Attorney Bart Higgins – Shields, Britton, Frazier (972) 788-2040.
Engaged by policyholder’s counsel to analyze claim issues following a cruise boat sinking. Case included issues of seaworthiness and Insurance Bad Faith claims handling in regards to settlement of a Commercial Ocean Marine loss. Attorney Jim Ross, Jim Ross & Associates, P.C. (817) 275-4100; Admiralty Inland Cruises v. Indemnity Insurance / ACE USA, et al; No.4-08CV-746-A United States District Court for the Northern District of Texas, Fort Worth Division.
Retained by counsel for physician seeking claim payment under his Professional Liability policy. Case required expertise in Claims Made medical malpractice Liability Insurance, Workers Compensation and Insurance Bad Faith. Lowe vs. TMLT, Cause No. 348-223452-07; 348th Judicial District Court of Tarrant County, Texas. Attorney Bill Kirkman – Bourland & Kirkman, LLP (817) 336-2800.
Engaged by defense counsel to opine on issues regarding Commercial Auto, Agent Errors & Omissions, Insurance Bad Faith. Case involved insurance for Mexican truckers operating in the United States and/or Mexico. Defense counsel Elizabeth Christ, (210) 227-3243, Denton, Navarro, Rocha & Bernal, P.C.; Salazar v. Medina; Cause No. 09-02-24170-MCV, 293rd Judicial District Court of Maverick County, Texas.
Case included Agent Errors & Omissions and Insurance Bad Faith allegations by the carrier seeking to recover claim payments for a total fire loss. Engaged by counsel for MGA and carrier as their Property Insurance & Homeowners Insurance Expert. Attorneys Jeanie Tate Goodwin & Jerry Kimmitt (713) 917-0888, Legge, Farrow, Kimmitt, McGrath Attorneys; TSG Insurance & Lloyds London v. Nickes Insurance, Cause No. 2008-76081, 189th Judicial District Court of Harris County, Texas.
Designated by counsel for insured as Commercial Auto, Commercial Umbrella , and Agent Errors & Omissions expert. Case required analysis regarding failure to procure, non-owned autos, contractor’s liability, and additional insured endorsements. Allegations included Insurance Bad Faith. Attorney Charles Fairchild (816) 500-0280. MWR Contractors v. Becker Lassen Insurance Agency, Case No. 07BA-CV 01477 In Circuit Court of Boone County Missouri at Columbia.
Designated as Commercial Auto Insurance expert by counsel for policyholder. Case required expertise in Hired and Nonowned auto coverage, contractual liability, additional insureds and Commercial Umbrella policies. Pleadings involved issues of Agent Errors & Omissions and Insurance Bad Faith. Mick White Renovations v. Affordable Insurance Services, et al; Case No. K.S.A. Chapter 60, In District Court of Johnson County, Kansas. Attorney Charles Fairchild (816) 500-0280.
Retained as a Professional Liability Expert to analyze issues of Insurance Bad Faith and Claims Made policies for Real Estate Brokers & Agents professional liability. Haynes v. Griffin, et al Cause No. 08-13312-G, 134th State District Court of Dallas County, TX. Plaintiff counsel Nathan Ziegler, (806) 765-8801.
Insurance expert witness designation pertaining to Business Auto claim denial for Uninsured/Underinsured Motorist coverage. Case required analysis of interplay between Commercial Auto, Agent Errors & Omissions, Insurance Bad Faith and Workers Compensation. Elizondo v. American International Group, et al; Cause No. 07-62262-1, County Court at Law No. 1, Nueces County, Texas. Plaintiff counsel Doug Allison (361) 215-7802.
Engaged as Property Insurance Expert by a property owner following a fire loss. Case required knowledge of coinsurance, Agents Errors & Omissions, Insurance Bad Faith and Business Interruption. Fuller v. Ramey King and Northfield Insurance; Cause No. 352232972, 352nd Judicial District Court of Tarrant County, Texas. Attorney Barry Hasten, Hasten & Hansen Attorneys, (817) 429-0956.
Expert designation regarding Personal Auto and agent failure to offer Personal Umbrella insurance. Case involved allegations of Agent Errors & Omissions & Insurance Bad Faith after an auto accident resulted in an uninsured multi-million dollar liability award. Currier v. Woodstock Insurance; Docket No. 587-9-07 Wrcv, Windsor Superior Court, SS., Windsor County, VT. Plaintiff counsel Skip Campbell, Krupnick Campbell Attorneys, (954) 712-8608
Retained by policyholder to negotiate a machine shop total fire loss claim with the carrier. Policyholder was General Machined Products; carrier was Sentry Insurance Company. Engagement required Property Insurance ACV and RC calculations of difficult to value inventory, analysis and calculations for Business Income and assessment of potential bad faith claims handling. Settlement was finalized through the Appraisal process. Attorney Craig Crockett, The Crockett Firm PC (817) 810-0400.
Retained as plaintiff counsel’s Insurance expert to provide analysis and opinions regarding Agent Errors & Omissions and Insurance Bad Faith. Case issues involved placement of Claims Made Medical Malpractice insurance and Agent Standard of Care to advise when advising clients of Professional Liability market conditions. during insurance placement. Attorney Michael Hance, Franklin & Hance, PSC (502) 637-6000. Leslie Hill, M.D. v. SCW Agency, et al. Case No. 04-CI-07409 in Jefferson Circuit Court, Division 10, Commonwealth of Kentucky.
Engaged by defense counsel as their Agent Errors and Omissions, Property Insurance and Insurance Bad Faith Expert. Case required expertise with Business Income, Flood Insurance, Surplus Lines & Ocean Marine Insurance. Litigation resulted from partial claim denials for losses during Hurricanes Jeanne and Francis. Attorneys Larry Montgomery & Lee Chase, Glankler Brown, PLLC ( 901) 525-1322 . Dyer Investment Company, LLC, et al v. Marsh & McLennan and Certain Underwriters at Lloyd’s; Case No. 05CV2812-D/P in the United States District Court for the Western District of Tennessee Western Division.
Defense counsel engagement regarding alleged Insurance Bad Faith placement of a loss sensitive insurance program and carrier’s claim reserve methodology. Case required expertise in Commercial General Liability, Workers Compensation, Agent Errors & Omissions. Attorneys Leland de la Garza and David Tabor – Shackelford, Melton & McKinley, LLP (214) 780-1400 Lauren Engineers and Contractors, Inc. v. Hilb Rogal, and St. Paul Insurance , 104th District Court, Taylor County, TX, Cause # 23376-B.
Retained by plaintiff as consulting Property Insurance Expert to analyze issues surrounding claim denial under an Inland Marine Builders Risk policy. Case issues included Additional Insured endorsements, policy exclusions, Agent Errors & Omissions, and carrier Insurance Bad Faith. Attorney Michael Kennedy – Casey Ciklin Lubitz Martens & O’Connell West Palm Beach, FL (561) 832-5900. Suffolk Construction v. Royal Indemnity Co., Brown & Brown, Inc., et al; Cause No. 502002CA012543, 15th Judicial District, Palm Beach County, Florida.
Retained as Personal Auto & Insurance Bad Faith Expert by counsel for plaintiff. Stowers doctrine was applied after improper denial of an auto liability claim. Central to this litigation was a question of fact regarding a Texas 515a Driver Exclusion Endorsement. Attorney Jim Essman – Shafer, Davis, O’Leary & Stoker Odessa, TX (432) 332-0893. White v. State Farm; Cause #MO-06-108, United States District Court, Western District of Texas.
Retained by defense counsel to render opinions in answer to allegations of Insurance Agent Errors & Omissions and Insurance Bad Faith claims misconduct by wholesale broker at Lloyds London. Case issues involved coverage under Lloyds Ocean Marine Insurance Builders Risk coverage form. Attorney Ashley Parrish – Cantey & Hanger, LLP, (214) 978-4145, The Houston Exploration Company v. Tysers International Insurance & Reinsurance Brokers & At Lloyds, et al, Cause No. 2004-61582 in the 234th District Court, Harris County, Texas.
Engaged by plaintiff counsel as their Homeowners Expert regarding Texas Bad Faith claims handling practices by plaintiff’s insurance carrier. Attorney Andy Lydick (214) 739-1355; Cause # 04:05-cv-00046 Jeri James vs. Allstate Insurance, United States District Court Eastern District of Texas Sherman Division.