Thursday, September 3, 2020

 


ODD-BALL "PROFESSIONAL" LIABILITY COVERAGE: KEYS & THE BIZ

Michael Sean Quinn, Ph.D, J.D. C.P.C.U., Etc.*

A very large number of American families have young (or young-ish) children, dogs as pets, and both parents working. Forget about the covet-19 disaster; this too shall pass eventually. Now think about family economics before it and afterward. Part of it will involve families taking trips where they are away from the house.

Clearly, in that social system, there have been and there will be people who make their living (or part of it, anyway) by taking care of other people's pets.  There are sitters; there are walkers; there are trainers; there are keepers (kennels), canine hoteliers, equine boarding houses, as it were (popularly known as stables), and so forth. Now, ignore vets; they are a different breed, as it were. 

Still, even ignoring potential vet negligence, there is a whole genre of coverage sometimes called "pet care insurance." (There is even a company by that name.) As with many other small businesses, there is liability insurance for these folks.  There will be general liability insurance (CGL), bonds for dishonesty, coverage for negligent bailment e.g., food poisoning, letting the cat be run over, letting Elenor's miniature poodle gets bitten by a snake, failure to prevent a "dog war" where the walker is walking six dogs, two of which don't like each other, and so forth. 

One of the oddest components of these coverages is coverage for lost keys. I suppose it's obvious enough when you think of it, but in these policies, there is often coverage for lost keys. Chelsea is sitting the three dogs of the Strump family, and the keys disappear.  It has been estimated that more than 20% of all covered losses are for this kind of event and the resultant damage-expenses there might be. Furthermore, I suppose that if Chelsea loses the Strump keys and there is a break-in at the house, Chelsea might have extensive liability. (Granted, it might involve a subrogation action by the homeowner's carrier or its fine arts policy.) 

Why else? Because, whatever happens,  all the locks which the lost keys fit and operate will have to be replaced. If you have a large house with expensive locks, the size of the compensable injury would go up pretty fast. Maybe the doors would also have to be repaired or replaced. Imagine that the locks cannot be removed without tearing-up the expensive paint on the doors. (Even routine key cases might well involve several thousand dollars, and if the sitter is working her way through college, that loss might be something like overwhelming.  These small business persons are going to need very small copays.)

Now, start multiplying the relative size of the operation. Imagine that the business has a number of part-time sitters and that there must be coverages for each of them. 

Odd-ball? Sure. Surprising coverage? No doubt. Necessary for this unusual looking business? Probably. Not everything is odd-ball, however. It should surprise not coverage lawyer that policies specify that what is being "sat" is "truly a pet." I think this means that if Chelsea is sitting the Strump's pig, Ivan, but he is not simply a member of the household, as it were, but also a commercial active entity, then there would be no pet sitting coverage for Chelsea, unless the Stump's has a second real pet. 

One may remember that the 2012 Republican candidate for president is said to have driven on a family vacation trip with the large family dog strapped to the roof of the car. Many doubt this actually happened. There was considerable campaign disagreement about this at the time. "Animal cruelty, by God!" said some. But one lesson for sure. Leave the dog at home; hire at least one sitter; and make sure s/he has coverage--after all, you have to hand-over your keys. 


                                                              Quinn & Carmona, LLP
                                                                       P.O. 162344
Austin, Texas 78716
(512) 768-6840
FAX (512) 768-6842
quinn@QClaw-adr.com

www. QClaw--adr.com

Satellite Office :
1300 West Lynn Suite 208
Austin, Texas 78703
(512) 656-0503

Resumes easily found online.



Wednesday, September 2, 2020

 

DOG INSURANCE: 

THREE BITES, WHICH COVERED?

AN ABSTRACT DISCUSSION


Michael Sean Quinn*

This post is are thoughts on coverage in the abstract. Another post will be about some concrete sides of these oddball coverages. 

Suppose the large dog, Ruffian, belonging to A bit B three times in A's front yard, where A and B were having a hostile but peaceful conversation. In other words, the two disagreed and argued their cases.

Here are the three bites; they all take place within about 3 minutes of each other. 

(1) A is not paying attention and for some reason, say, as B wags his finger at A, Ruffian leaps up and bits B on his wrist.  Mind you this is a firm bite. B injured; skin broke; the arm bled; nerve was more than just touched.  A is obviously negligent. 

(2) B is pissed and begins shouting, and A is also upset all the way around. However, A reaches out and pushes B, while yelling at B, "Makes friends with Ruffian 'Asshole' and do it quickly. Reach out and pet him, and do it now, Buttwipe." Shouting continues, and A does not reach for Ruffian to get him under control, even though A knows that this sort of thing has happened at least twice before. Same arm bitten; further up it; nerve damage more severe.  Assume that A is thereby reckless.

(3a) Shouting goes up and continues. B takes a step toward A, though without fists clenched or up, and A says to his dog, "Ruffian, get him." A does not know full well that Ruff will leap and bite. Still, he exactly directs an event that hurting B pretty badly further up the same arm; same nerve system; dog's head shook and twisted; a good deal of blood spilled this time. This is clearly a deliberate act. 

(3b) A knows full-well that Ruff will do as he is commanded and do so vigorously, aka ruffly. 

So, what's covered and what's not? (1) Obviously covered. (2) Probably covered, except for punitive-exemplary damages. (3a) Deliberate act by A and hence not covered at all, probably. (3b) Certainly not covered. Keep in mind, however, that these three bites are all part of the same event and that it is mind-numbing--or at least counter-intuitive--to say that they are separate occurrences. Also, keep in mind that B's ultimate injuries get worse from the separate bites, but it is at least virtually impossible to divide them up.


*Quinn & Carmona, LLP
P.O. 162344
Austin, Texas 78716
(512) 768-6840
FAX (512) 768-6842
quinn@QClaw-adr.com

www. QClaw--adr.com

Satellite Office :
1300 West Lynn Suite 208
Austin, Texas 78703
(512) 656-0503




 


INSURANCE LAWYERING:
               SOME CURRENTS

Michael Sean Quinn, Ph.D., J.D., C.P.C.U. Etc.*

Insurance law and practice haven’t changed much in the last couple of decades. In part that is because insurance law itself is in the doldrums. Doctrinal stagnation has been inflicted upon the practice inflicted upon the community of coverage. Some have always regarded  the practice of insurance law as old fashioned and boring. To some extent, however, things are changing.

So what’s new? There are a number of currents affecting practice. There are several mild currents; some are subtle expressions of change. Not everyone sees these mild changes or fully grasps their significance.  I will discuss major changes in another essay. For this essay I will use events and trends in Texas a potentially suggestive paradigm of what’s going on all over the country. Major and revolutionary changes will be discussed in another essay. 

First current: Texas insurance lawyers, as well as other states, now have specialized professional firms representing policy-holders. Some of these are larger firms representing larger clients in lots of area; some are tiny, so-called boutique firms represent clients both large and small in special areas; some are specialized departments in mega-firms, and so forth. The rise of the policyholder firm is one of the most significant developments of the last 30 years (plus a few more, maybe). Anderson Kill, perhaps the first of the bunch, was created in 1969. It has been without question the best at self-promotion. 

In fact, the surge of such firms is certainly one of the most interesting developments of our era so far.  For one thing, it has increased the quality of performance. Now its specialist against specialist; the learned against the learned. Complexities and subtleties are known and appreciated across the board. It's not just large specialty firms that are part of this trend. Many large commercial firms now have insurance departments. This trend is growing. One large, well known Texas firm within the last year created an insurance department and hired a virtually famous coverage lawyer to become its first member. These types of firms almost uniformly represent business policyholders against insurers. Of course, this development is not restricted to Texas.

Second, source of change: another current in Texas practice, I think, has been the UT-CLE on Insurance Law, already mentioned, which began to develop around 20+ years ago. In the last few years the Insurance Section and UT-Law-CLE have cooperated in putting together and producing the programs to great effect.  The same sort of thing is surely available for the ABA and perhaps other state bar associations.

Third change: auditorium CLEs are no longer the only educational sources dished out by insurance lawyers to themselves, other lawyers, and to some of their clients. There are also original online CLEs; formerly live CLEs are re-offered online; there are webinars, and law firms put on their own courses available to their customers and clients, but therefore also often made available also to lawyers. Online, there are all sorts of short publications (blogs) regarding cases, statutes, rules, philosophy, techniques, and more.   Often they present how-to tips to other lawyers and/or “civilians.” The truth is, I learn much from them about the many things of which I know nothing or little, and/or have rather thin and/or faulty knowledge.   Excellent examples of these sorts of publications are those on the Deep Water Horizon cases put out by Haynes and Boone and by several other law firms. A great many more law firms are now involved producing blogs, often called “Alerts,” on a variety of insurance law topics, often among others.  By mid-2020 there were all sorts of ZOOM-type way to do CLE. During much of 2020, auditorium CLEs were canceled and became ZOOM CLE's.

Fourth, in Texas, we now have “The Insurance Section of the State Bar of Texas,” and other states are developing similar new specializations, thougth4e ABA has not. Participatory activity in it has spread rapidly across both sides, as it were, of the central aisle.  All of this might strike one as the natural evolution of the practice—simply a routine economic cycling of the organization of the lawyer-insurance joint industry. But that’s not how it happened, and it’s not how it continues to happen.  (Keep in mind that insurance companies are probably sued more than any other set of organized companies and that they are involved in lawsuits at a rate several times that size.)

The section has made “insurance law workers,” as a Marxist observer might put it, much more of a learned, interactive, friendly, politely argumentative, “discussion-ing” (or “dialogic”), somehow and to some extent, unified  bunch, and that has been, is and will continue to be exciting.  Judges love to come and talk at our CLEs, more than they do others, I’ve heard, and I even witnessed and illustrative event once. The Section has a quarterly journal with plenty to publish; delivery is now available online; and—perhaps most interestingly--it has a digital archive of all sorts of interesting writings.  People active in the section love it, and rightly so! This very CLE program illustrates my point nicely. These phenomena not true only in Texas, though, I’m sure Texas has done it best.

This CLE also illustrates a fifth point, and that is the extent to which the necessary use of insurance law (and therefore the practice of insurance law) has become a genuinely diverse and pervasive specialty for a whole variety of professionals. Over the last 15 years or so, the practice of insurance law now permeates virtually all other areas of the law. Where here is risk—where there are perils—there is insurance. Where lawyering is afoot, insurance is always nearby--sometimes clearly perceivable, sometimes in the bushes. Virtually all large business deals, for example, mergers or/and acquisitions, whether purely domestic or international, have complex insurance components, and they are more and more being turned over to what I’m calling specialists in insurance contracts and their provisions.  Virtually all large companies have insurance lawyers in their General Counsel Office, and it amazing how many lawyer are to be found in specialty departments of large insurance brokerage houses and accounting firms.

Seventh, one of the most interesting purely intellectual events of the last couple of decades is the developing drafts of the RESTATEMENT (THIRD) OF THE LAW OF LIABILITY INSURANCE. This has certainly been an important process, and its official publication will be a significant event. The American Law Institute, its organizer, sustainer and eventual publisher describes it as a “Restatement [that] covers the law of contracts in the liability insurance context, liability insurance coverage, and the management of insured liabilities.”[1] Interesting, but not much used yet, and no revolution to be found here, even upon publication. It will certainly not trigger the shock in the legal system that happened with the RESTATEMENT (SECOND) OF THE LAW OF TORTS.[2]  (There is no “FIRST.” Talk about bad ideas. “Here is the second of the first book. It is not a revision of anything, since there was no first edition.” Very strangely, the ALI brackets “First,” “Second” and “Third” by dates and not by edition number. )

On the surface, then, it appears that not much new that is striking and hugely transformative has happened or is happening. Or so it might seem. Of course, there are “old-time” cases grinding along; this will go on forever, or so long as there a people in conflict.  The apparently increasing number of huge storms with origins at sea and hail damages starting in many places both seem to be increasing first party, tangible property insurance work. Most of these cases are relatively small; in contrast, controversies arising out of Sandy were keeping some Eastern seaboard coverage lawyers working well over full time, plus a few from elsewhere.  Insurers are taking lots more legal work in-house and that seems to be having an impact on the business side of the profession. Serious insurer bad faith cases appear to be dropping. The number of new, large companies—some coming from mergers, takeovers, and the like--are impacting the work of some sophisticated coverage lawyers, mostly at large firms. And demands by insurers for appraisals is diminishing must coverage work.

I am not suggesting that there are not marvelous, older-type complex cases flowing down the pipeline and there are truly excellent opinions being written.[3] A number will be studied in the next generation of law school case books. A number of the opinions are masterful and some are quite subtle.[4] And a few are now famous, such as In re Deepwater Horizon,[5] together with a string of related cases. Alas, fame seldom lasts.

A big difference is emerging in complex, big-to-huge old-time coverage and that is the emergence of e-discovery where there are piles upon piles of electronically stored information.

The aging of some (a big sum) of the legal profession is noticeable. Experienced coverage advocates turn gray, though—one would like to believe—slower than most others.  I’m not sure what the effect of this generational change will be over the short run-a decade or so.  Over the long run, it will have no impact whatever, except that the names of some law firms might change a little. 



*Michael Sean Quinn, Ph.D., J.D. , CPCU, ETC.

                                                
Quinn & Carmona, LLP
P.O. 162344
Austin, Texas 78716
(512) 768-6840
FAX (512) 768-6842
quinn@QClaw-adr.com

www. QClaw--adr.com

Satellite Office :
1300 West Lynn Suite 208
Austin, Texas 78703
(512) 656-0503

Resumes easily findable online










[1] Drafts of versions of parts of it can easily be found on the Internet. Use “Restatement of the Law: Liability Insurance.”
[2] Not even it shocked the legal world quickly. Part of the problems is that lawyer are largely uninterested in reading and studying restatements of the law in general.  This has been a professional mistake. The ALI has been publishing Restatements since the 1920s and they are marvelous learning tools, and in a few cases transformative tools.  I have never understood why lawyers don’t love them. Nothing provides better systematic orientation that a relevant restatement.
[3] U.S.Metal, Inc. v. Liberty Mutual Group, #14-0753 (Tex. December 4, 2015)(CGL coverage).
[4] AIG Speciality Ins. Co. v. Tesoro, #15-50953 (5th Cir. October 17, 2016)(discovery rule).
[5] In re Deepwater Horizon, #13-0770 (Tex. 2015)(oil spill and additional insured)

 


INSURANCE LAWYERING:
               SOME CURRENTS

Michael Sean Quinn, Ph.D., J.D., C.P.C.U. Etc.*

Insurance law and practice hasn’t changed much in the last couple of decades. In part that is because insurance law itself is in the doldrums. Doctrinal stagnation has been inflicted upon the practice inflicted upon the community of coverage. Some have always regarded  the practice of insurance law as old fashioned and boring. To some extent, however, things are changing.

So what’s new? There are a number of currents affecting practice. There are several mild currents; some are subtle expressions of change. Not everyone sees these mild changes or fully grasps their significance.  I will discuss major changes in another essay. For this essay I will use events and trends in Texas a potentially suggestive paradigm of what’s going on all over the country. Major and revolutionary changes will be discussed in another essay. 

First current: Texas insurance lawyers, as well as other states, now have specialized professional firms representing policy-holders. Some of these are larger firms representing larger clients in lots of area; some are tiny, so-called boutique firms represent clients both large and small in special areas; some are specialized departments in mega-firms, and so forth. The rise of the policyholder firm is one of the most significant developments of the last 30 years (plus a few more, maybe). Anderson Kill, perhaps the first of the bunch, was created in 1969. It has been without question the best at self-promotion. 

In fact, the surge of such firms is certainly one of the most interesting developments of our era so far.  For one thing, it has increased the quality of performance. Now its specialist against specialist; the learned against the learned. Complexities and subtleties are known and appreciated across the board. It's not just large specialty firms that are part of this trend. Many large commercial firms now have insurance departments. This trend is growing. One large, well known Texas firm within the last year created an insurance department and hired a virtually famous coverage lawyer to become its first member. These types of firms almost uniformly represent business policyholders against insurers. Of course, this development is not restricted to Texas.

Second, source of change: another current in Texas practice, I think, has been the UT-CLE on Insurance Law, already mentioned, which began to develop around 20+ years ago. In the last few years the Insurance Section and UT-Law-CLE have cooperated in putting together and producing the programs to great effect.  The same sort of thing is surely available for the ABA and perhaps other state bar associations.

Third change: auditorium CLEs are no longer the only educational sources dished out by insurance lawyers to themselves, other lawyers, and to some of their clients. There are also original online CLEs; formerly live CLEs are re-offered online; there are webinars, and law firms put on their own courses available to their customers and clients, but therefore also often made available also to lawyers. Online, there are all sorts of short publications (blogs) regarding cases, statutes, rules, philosophy, techniques, and more.   Often they present how-to tips to other lawyers and/or “civilians.” The truth is, I learn much from them about the many things of which I know nothing or little, and/or have rather thin and/or faulty knowledge.   Excellent examples of these sorts of publications are those on the Deep Water Horizon cases put out by Haynes and Boone and by several other law firms. A great many more law firms are now involved producing blogs, often called “Alerts,” on a variety of insurance law topics, often among others.  By mid-2020 there were all sorts of ZOOM-type way to do CLE. During much of 2020, auditorium CLEs were canceled and became ZOOM CLE's.

Fourth, in Texas, we now have “The Insurance Section of the State Bar of Texas,” and other states are developing similar new specializations, thougth4e ABA has not. Participatory activity in it has spread rapidly across both sides, as it were, of the central aisle.  All of this might strike one as the natural evolution of the practice—simply a routine economic cycling of the organization of the lawyer-insurance joint industry. But that’s not how it happened, and it’s not how it continues to happen.  (Keep in mind that insurance companies are probably sued more than any other set of organized companies and that they are involved in lawsuits at a rate several times that size.)

The section has made “insurance law workers,” as a Marxist observer might put it, much more of a learned, interactive, friendly, politely argumentative, “discussion-ing” (or “dialogic”), somehow and to some extent, unified  bunch, and that has been, is and will continue to be exciting.  Judges love to come and talk at our CLEs, more than they do others, I’ve heard, and I even witnessed and illustrative event once. The Section has a quarterly journal with plenty to publish; delivery is now available online; and—perhaps most interestingly--it has a digital archive of all sorts of interesting writings.  People active in the section love it, and rightly so! This very CLE program illustrates my point nicely. These phenomena not true only in Texas, though, I’m sure Texas has done it best.

This CLE also illustrates a fifth point, and that is the extent to which the necessary use of insurance law (and therefore the practice of insurance law) has become a genuinely diverse and pervasive specialty for a whole variety of professionals. Over the last 15 years or so, the practice of insurance law now permeates virtually all other areas of the law. Where here is risk—where there are perils—there is insurance. Where lawyering is afoot, insurance is always nearby--sometimes clearly perceivable, sometimes in the bushes. Virtually all large business deals, for example, mergers or/and acquisitions, whether purely domestic or international, have complex insurance components, and they are more and more being turned over to what I’m calling specialists in insurance contracts and their provisions.  Virtually all large companies have insurance lawyers in their General Counsel Office, and it amazing how many lawyer are to be found in specialty departments of large insurance brokerage houses and accounting firms.

Seventh, one of the most interesting purely intellectual events of the last couple of decades is the developing drafts of the RESTATEMENT (THIRD) OF THE LAW OF LIABILITY INSURANCE. This has certainly been an important process, and its official publication will be a significant event. The American Law Institute, its organizer, sustainer and eventual publisher describes it as a “Restatement [that] covers the law of contracts in the liability insurance context, liability insurance coverage, and the management of insured liabilities.”[1] Interesting, but not much used yet, and no revolution to be found here, even upon publication. It will certainly not trigger the shock in the legal system that happened with the RESTATEMENT (SECOND) OF THE LAW OF TORTS.[2]  (There is no “FIRST.” Talk about bad ideas. “Here is the second of the first book. It is not a revision of anything, since there was no first edition.” Very strangely, the ALI brackets “First,” “Second” and “Third” by dates and not by edition number. )

On the surface, then, it appears that not much new that is striking and hugely transformative has happened or is happening. Or so it might seem. Of course, there are “old-time” cases grinding along; this will go on forever, or so long as there a people in conflict.  The apparently increasing number of huge storms with origins at sea and hail damages starting in many places both seem to be increasing first party, tangible property insurance work. Most of these cases are relatively small; in contrast, controversies arising out of Sandy were keeping some Eastern seaboard coverage lawyers working well over full time, plus a few from elsewhere.  Insurers are taking lots more legal work in-house and that seems to be having an impact on the business side of the profession. Serious insurer bad faith cases appear to be dropping. The number of new, large companies—some coming from mergers, takeovers, and the like--are impacting the work of some sophisticated coverage lawyers, mostly at large firms. And demands by insurers for appraisals is diminishing must coverage work.

I am not suggesting that there are not marvelous, older-type complex cases flowing down the pipeline and there are truly excellent opinions being written.[3] A number will be studied in the next generation of law school case books. A number of the opinions are masterful and some are quite subtle.[4] And a few are now famous, such as In re Deepwater Horizon,[5] together with a string of related cases. Alas, fame seldom lasts.

A big difference is emerging in complex, big-to-huge old-time coverage and that is the emergence of e-discovery where there are piles upon piles of electronically stored information.

The aging of some (a big sum) of the legal profession is noticeable. Experienced coverage advocates turn gray, though—one would like to believe—slower than most others.  I’m not sure what the effect of this generational change will be over the short run-a decade or so.  Over the long run, it will have no impact whatever, except that the names of some law firms might change a little. 



*Michael Sean Quinn, Ph.D., J.D. , CPCU, ETC.

                                                
Quinn & Carmona, LLP
P.O. 162344
Austin, Texas 78716
(512) 768-6840
FAX (512) 768-6842
quinn@QClaw-adr.com

www. QClaw--adr.com

Satelite Office :
1300 West Lynn Suite 208
Austin, Texas 78703
(512) 656-0503










[1] Drafts of versions of parts of it can easily be found on the Internet. Use “Restatement of the Law: Liability Insurance.”
[2] Not even it shocked the legal world quickly. Part of the problems is that lawyer are largely uninterested in reading and studying restatements of the law in general.  This has been a professional mistake. The ALI has been publishing Restatements since the 1920s and they are marvelous learning tools, and in a few cases transformative tools.  I have never understood why lawyers don’t love them. Nothing provides better systematic orientation that a relevant restatement.
[3] U.S.Metal, Inc. v. Liberty Mutual Group, #14-0753 (Tex. December 4, 2015)(CGL coverage).
[4] AIG Speciality Ins. Co. v. Tesoro, #15-50953 (5th Cir. October 17, 2016)(discovery rule).
[5] In re Deepwater Horizon, #13-0770 (Tex. 2015)(oil spill and additional insured)