The Duty Of Defense Requires Courts To Look Beyond The Merits In Assessing The True Scope Of "Potentiality"

I. INTRODUCTION

What one judge may categorize as “speculation,” another judge may find falls within the scope of “potentiality.” Potentiality requires a focus on any set of facts consistent with the claims pled that would not trigger exclusion but would still have the coverage provisions implicated. It matters not if the allegations are frivolous, groundless or false or would bar coverage if proven as alleged. The dividing line depends upon what facts may be reviewed in evaluating whether a defense is due.

Depending upon the forum, this may include the facts alleged in the current complaint, the four corners rule (the law in Florida and Texas); facts known to the insurer (the law in Illinois and New York); or facts available to the insurer, implicating a duty to investigate (the law in California and Massachusetts) (where facts “knowable” to the insurer are pertinent).

II. IN ASSESSING POTENTIAL COVERAGE IN “FACTS AVAILABLE” FORUMS, THE FOCUS IS ON THE PERTINENT FACTS THAT EVIDENCE HOW LIABILITY WILL ATTACH IN THE UNDERLYING ACTION

A. A Claimant’s Poor Draftsman Skills Cannot Avoid a Finding of Potential Coverage

An insurer is excused from defending only where “the basis for claiming potential liability under the policy is . . . tenuous and farfetched.” Giddings v. Industrial Indem. Co., 169 Cal. Rptr. 278, 282 (Ct. App. 1980). Insurers who urge a narrow construction of the potentiality doctrine misapprehend its import in light of this case law as a number of courts have found.

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Representations And Warranties Insurance

I. INTRODUCTION

A growing number of insurers, following the lead of AIG (through its subsidiary AIG Mergers & Acquisitions Insurance Group) and Hartford (through its Nutmeg Insurance and Hartford Financial Products, Transactional Risk Group), offer insurance coverage for “representations and warranties” in connection with a merger and acquisition. Although typically issued to buyers, seller’s coverage is also available. As yet, no litigation has arisen over its terms and conditions. Nevertheless, negotiating these policies presents a number of challenges.

II. DOCUMENTS TYPICALLY REQUIRED FOR “REPRESENTATION AND WARRANTY” INSURANCE

A. List of Documents

The following checklist from AIG’s exploration of its policy application highlights that information which underwriters will require to evaluate the “representation and warranty” risk:

1. Draft acquisition agreement and related disclosure schedules;
2. Financial statements of the seller and the acquired company or business;
3. Any offering memorandum or other informational material prepared in connection with the transactions contemplated by the acquisition agreement;
4. Any proxy statement or information statement prepared in connection with the transactions contemplated by the acquisition agreement;
5. Buyer’s due diligence request list and responses thereto, if in writing;
6. Data room index or other due diligence document index prepared in connection with the transactions contemplated by the acquisition agreement;
7. Third party reports, studies or opinions;
8. Working group lists; and
9. Transaction time line.

B. Identifying and Supervising the Delivery of Only Necessary Documents to Underwriting

Typically a warranty and representations insuring agreement will provide, “The Insurer shall indemnify the Insureds for, or pay on their behalf, any Loss in excess of the Retention that is reported by the Named Insured to the Insurer during the Policy Period in accordance with Section 5 of this Policy.” The pertinent coverage is for a breach of a representation warranty. This can occur where there is either an inaccurate statement or a false or misleading one. Thus, AIG defines the breach as an “inaccuracy in the representation.”

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Prospects Brighten In Three Key Jurisdictions For Policyholders In Securing Insurance Coverage For Intellectual Property Lawsuits

(CALIFORNIA/OHIO/TEXAS)

CALIFORNIA

New case law makes the applicability of California coverage law more likely in a number of circumstances.

First, California will rarely recognize the conflict of interests unless the policy issues behind the distinct rule would necessarily create a different result.

Western Int’l Syndication Corp. v. Gulf Ins. Co., 222 Fed.Appx. 589, 594, (9th Cir. (Cal.) 2007).

Second, California coverage law will apply if a conflict of law arises where the underlying suit is in California, as this is the place of performance.

Frontier Oil Corp. v. RLI Ins. Co., 153 Cal. App. 4th 1436, 1461 (Cal. Ct. App. (2d Dist.) 2007)

Third, recent case authority clarifies the right to independent counsel in California. In typical scenarios encountered by litigants in intellectual property disputes, an insurer that asserts an “expected and intended” conduct and knowledge of falsity the “first publication exclusion” creates a conflict entitling the insured to retain independent counsel at the insurer’s expense.

J.R. Marketing, LLC v. Hartford Casualty Ins. Co., 2007 WL 4217443 at *8 (Cal. Ct. App. (1 Dist.) November 30, 2007)

Fourth, recovery of defense fees precipitated by pursuit of intellectual property lawsuits may elicit counterclaims, which are themselves covered, thereby funding the cost of affirmative litigation.

Aurafin-OroAmerica, LLC v. Federal Ins. Co., 2006 WL 1880088 (9th Cir. (Cal.) June 26, 2006)

Adobe Systems, Inc. v. St. Paul Fire & Marine Ins. Co., No. C 07-00385 JSW, 2007 WL 3256492, *9 (N.D. Cal. Nov. 5, 2007)

Fifth, California recently expanded the “genuine dispute doctrine” to permit an award of bad faith damages for reasonable attorney’s fees expended in proving coverage only where insurers withheld benefits.

Wilson v. 21st Century Ins. Co., 42 Cal.4th 713 (Cal. 2007) (“In the insurance bad faith context, a coverage dispute is not ‘legitimate’ unless it is founded on a basis that is reasonable under all the circumstances.”)

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Use Of The Latest Adr Technique, Early Neutral Evaluation, In Insurance Coverage Disputes Re: Intellectual Property/Antitrust And Business Tort Litigation

Procuring an early neutral evaluation can offer parties a reality check on the viability of their legal positions. In an era of increased litigation expense, where one party believes it is more likely to prevail than the other, selecting an early neutral evaluator is a sign of strength. It requires the other party to submit its position to dispassionate neutral analysis and be prepared to explain any shortcomings of its case to its client before it makes the investment to go forward to trial or continue expensive litigation.

For more information regarding ENE, see John S. Blackman’s article, Neutral Evaluation – An Adr Technique Whose Time Has Come, http://library.findlaw.com/1999/Sep/1/128447.html.

The Benefits of Early Neutral Evaluation of Insurance Coverage Disputes of Complex Business Litigation Matters

I have had occasion to serve as an expert witness and consultant in a number of coverage actions where the underlying lawsuits arose out of intellectual property or antitrust/business tort disputes. Knowledge of both the underlying tort and its intersection with insurance coverage generally offers a number of pertinent insights beyond the experience of many courts who do not routinely address such coverage issues...

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Best Practices Internet Media Liability/Cyberspace Policy

I. INTRODUCTION

The international insurance market is grappling with the challenge of creating a policy that adequately addresses the number of risks posed by new technologies and Internet activities in particular. Currently, there is no industry standard policy form. A recent panel of brokers and insurance coverage counsel seeking to evaluate policies offered in the marketplace failed to identify a single best policy form given the wide variance in the coverage that applies. The group recommended that each business examine its particular needs and determine which companies’ products best address such needs.

There is another solution, however: craft a “best practices” policy form from which the majority of businesses may benefit. The concept is much like that which inspired the creation of the Commercial General Liability policy, which was itself a response to the number of variant policy forms issued by carriers – some broker-influenced, others not.

II. “BEST PRACTICES” INSURANCE COVERAGE

ACE: ACE DigiTech Digital Technology & Professional Liability Insurance Policy; ACE Digital DNA Network Risk Insurance Program for Business Interruption Coverage

ACE net Advantage Complete: Internet Media Liability, Internet Professional Services Liability, Cyber Extortion, Information Asset, Business Interruption, Criminal Reward Fund, Crisis Expense

Chubb: Information and Network Technology Errors or Omissions and Endorsements Reputation Injury and Communications Liability Coverage (separate part of GL coverage)

Travelers CyberTech: Technology Errors and Omissions Liability Communications and Media Liability Network and Information Security Liability (CyberTech & General Provisions)

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Why Notifying Insurers Of Claims Is Almost Always The Right Decision

In a “hard market” many brokers and risk managers suggest that policyholders would be better off not giving notice to their insurers of claims, even if they are potentially covered, so as to avoid higher renewal costs. There are a number of problems with this approach. Five concerns are addressed hereafter.

First, if the policy has a “voluntary payments” provision, the failure to provide notice will bar recovery of pre-notice attorneys’ fees and may preclude a right to recover any policy benefits if the notice is delayed until trial is imminent This result may attend even in the majority of jurisdictions that require an insurer to prove prejudice to avoid policy benefits. If the policy is “claims made” (i.e., E&O/D&O) as opposed to “occurrence” based (i.e., CGL/Umbrella), the failure to provide notice of ongoing litigation during the policy period could impact the ability to obtain any coverage.

Second, in the event that the suit leads to a damages award or a sizeable settlement, and these exposures are not covered by insurance because no proper or timely notice was given, such a corporate loss could create a basis for a shareholders’ derivative action against the corporation for “waste” of the insurance policy asset.

Third, many insurers learn about ongoing litigation because it is reported on 10Q or 10K forms filed by the corporation as public records or because all outstanding litigation is reported in D&O renewal applications. Many insurers will already have taken these claims into account and adjusted insurance premiums accordingly. Thus, policyholders will suffer the consequences of reported litigation without obtaining any of the policy benefits which prompt notice would have secured.

Fourth, insurers typically assert that they want notice of all litigation against the company to better assess its risk profile. Brokers and risk managers who suggest that notice to the carrier will raise rates are often speculating. A loss, not a mere claim, is the event typically tracked by most insurers in fixing higher premiums. A risk manager would be hard pressed in a “waste” action to explain why it believed premiums would be higher where there is no tangible evidence that such would be the case. Reliance on a broker’s oral statements to that effect, where that broker did not investigate to see precisely what premium increases would have arisen if notice were provided, is not competent evidence. Even favorable testimony from the broker as to its reasonable expectation that higher premiums would result may provide little comfort to such a corporate policyholder, especially where more diligent inquiry would have revealed even broader replacement insurance coverage at an equivalent or even more favorable price point.

Fifth, in virtually every case, the recoupment of significant fees incurred in intellectual property/antitrust/unfair competition actions significantly outweighs the premium costs that may arise from procuring insurance to cover future claims.

For these and other reasons, unless the policyholder has only one insurance market where it can procure, on an “occurrence” basis, acceptable insurance coverage, there are rarely circumstances where the failure to give notice makes economic sense.

California Dreaming: Striking Gold In The Golden State: Expanded Rights Of Recovery In Insurance Coverage Actions

I. INTRODUCTION

Policyholder counsel may be on the verge of a new gold rush in California. Case law in three significant areas has taken a recently favorable turn for policyholders in California, making it both a more attractive jurisdiction for pursuit of coverage claims as well as one in which greater benefits may arise for policyholders. These developments arise in three distinct areas: First, new case law makes the applicability of California coverage more likely. Second, it clarifies that in a number of business tort cases, the right to independent counsel in California has been expanded from previously perceived limits. Third, the California Supreme Court has clarified the “genuine dispute doctrine” so that an insurer’s disagreement with the insured over the application of coverage law is not sufficient in and of itself to avoid bad faith exposure unless its position is reasonable in light of applicable law.


II. THE APPLICABILITY OF CALIFORNIA COVERAGE LAW UNDER CALIFORNIA CHOICE OF LAW RULES

California will rarely recognize a conflict of interest unless the policy issues behind the distinct rule would necessarily create a different result. Western Int’l Syndication Corp. v. Gulf Ins. Co., 222 Fed. Appx. 589, 594 (9th Cir. (Cal.) 2007) highlights California’s preference for application of its own law. Therein, the court conceded that the late notice rule in New York – the other possible forum – made late notice a condition precedent to limit recovery under the policy, where as California applied the “notice prejudice rule.” The issue was not simply whether the law of the other forum is distinct from that of California, but whether, under the facts applicable in the case, the policy reasons behind the law applied by a distant forum were implicated so as to create a conflict. Thus, the Ninth Circuit reasoned:

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Independent Director Exposure To Post Sarbanes-Oxley Claims Requires Revisitation Of Directors & Officers Insurance Coverage

I. INTRODUCTION

Most Directors & Officers policies include a number of new exclusions. The most troublesome is the “severance” clause which precludes innocent directors and officers from procuring policy benefits where other directors and officers are found liable for wrongful acts in shareholder derivative lawsuits or governmental lawsuits.

Directors and officers, however, need not put their own personal assets at risk. New forms of insurance, like that offered by ACE through its CODA program, offer individual directors independent insurance opportunities that are far more comprehensive in coverage than that offered through the corporation.

These policies should be procured by directors and officers as part of their compensation for taking on the risks associated with serving as an officer or director of public corporations in the new hostile environment. This is especially the case where the Sarbanes-Oxley provisions make procedural compliance critical and where directors, even those highly informed about the company’s operations, may not be able to assure proper procedures are followed in each and every situation. Protection against exposure from these risks is essential, especially for directors who sit on audit committees.

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Insurer Obligations To Fund Defense/Settlements/Judgments

I. DEFENSE FEE REIMBURSEMENT

A. Recovery of Pre-Tender Defense Fees in the Underlying Action

Some states addressing pre-tender fee recovery issues allow policyholders to recover fees expended prior to notifying their insurer of the claim. Recovery will be limited, however, by factors, such as an insurer's proof that its vital interests were prejudiced by the late notice, due to the voluntary payment provisions, lack of timely notice, and rules regarding waiver.

Courts favoring recovery of pre-tender fees have cited the reasonableness of a policyholder's response to the suit against them and the lack of prejudicial harm to the insurer caused by the lack of notice of the claim while the fees were being incurred. When policyholders have acted reasonably in spite of their late notice, and an insurer does not incur a larger burden because of the delay in notification, pre-tender fee recovery has been granted as part of an insurer's obligation to defend the policyholder.

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Nevada Federal District Court Predicts the Texas Supreme Court Will Forbid Reimbursement of Defense Fees Following a Unilateral Reservation of the Right to Reimbursement

The Ohio Casualty Insurance Company v. Biotech Pharmacy, Inc. et al. adv.
U.S.D.C., District of Nevada, Case No. 2:05-CV-1214, RLH-PAL (D. NEV. 4-2-2008)

In the first decision nationally to expressly address an issue of Texas law, the Court predicted that the Texas Supreme Court would, consistent with its prior precedent, find that “a unilateral reservation of rights letter cannot create rights not contained in the insurance policy which include the right to seek reimbursement of defense fees where there was no potential for coverage”. In previous cases, the Texas Supreme Court, following Shoshone First Bank v. Pacific Employers Ins. Co., 2 P.3d 510, 515-16 (Wyo. 2000) found that a unilateral reservation of rights letter cannot create a right for an right for an insurer to seek reimbursement of settlement costs based on the logic of the Shoshone case which had expressly found that right extended to seek reimbursement of defense costs.

The Texas Supreme Court reaffirmed its earlier ruling in Matagorda finding in Excess Underwriters at Lloyd’s, London v. Frank’s Casing Crew & Rental Tools, Inc., No. 02-0730, ___S.W.3d___ ,2008 WL 274878, (Tex., Feb., 2008) that in Texas the same rule applied in a excess policy context.

The court denied a concurrent motion for reconsideration under FRCP rule 69 as moot in light of its finding vis-à-vis reimbursement. It had previously concluded that a 56(f) right to conduct discovery arose in determining whether a copyright infringement claim was based sufficiently on advertising to fall within the pertinent “advertising injury” coverage. 

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Ten Most Common Mistakes Corporations Make Re: Insurance

1. COMPANIES DO NOT TENDER INSURANCE CLAIMS FOR INTELLECTUAL PROPERTY OR ANTITRUST. THESE ARE THE MOST UNDER-TENDERED CLAIMS IN AMERICA

Unless a policyholder knows the claim is not covered and can definitively opine why, it is typically in its interest to promptly give notice of a claim. This is for five reasons:

First, policy provisions require it.

Second, where insurers learn of lawsuits that are not reported, they may claim that subsequent policy applications are inaccurate for failing to disclose same.

Third, cancellation for mere claim reporting may be bad faith in many jurisdictions.

Fourth, the mere reporting of the claim is not a loss, and may never be a loss, unless the insurer is required to pay sums owed to the insured under the policy.

Fifth, if insurance is never used, there is little point in having it in place.

If notice can be established, the benefits to pursuit of claims that the insurer was apprized of can be significant. A number of states have written contract statutes of limitations of significant length: Alaska, California, Rhode Island, Texas and Vermont (four years); Florida, Kansas and Idaho (five years); Wisconsin, Washington, Utah, Pennsylvania, Oregon, New York, New Jersey, Nevada, New Mexico, Minnesota, Michigan, Massachusetts, Maine, Arizona, Alabama and Hawaii (six years); Iowa, Illinois, Louisiana and Wyoming (ten years). Indiana, at 20 years, holds the record, with Kentucky a close second at 15 years.

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Procuring Insurance Information In Fortune 500 Antitrust Lawsuits

Legal pleadings in antitrust litigation do not typically answer key questions asked by an insurance policy. Fact development and clarification of grounds for relief are essential for insurance coverage to be invoked. Our involvement in representing insurance policyholders reveals that the earlier we are involved, the greater the likelihood that we can obtain reimbursement of defense fees and other expenses, including judgments incurred in such litigation. Where the insurer has denied paying the legal fees for a defense, greater benefits may accrue while awaiting completion of the underlying action, so long as pertinent clarifying facts are regularly directed to the insurer during the pendency of the antitrust litigation.

Many courts have upheld coverage under “personal injury” and “advertising injury” provisions in commercial liability policies in a wide range of settings for antitrust claims and other nested alleged business torts. These decisions show how critical it is to investigate this insurance asset and determine if pursuit of claims thereunder is proper. The decisions include:

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Opportunities For Patent Infringement Insurance Coverage Under Commercial Liability Policies May Still Exist

I. INTRODUCTION

Various international commercial general liability insurance policies may cover a broad range of offenses, including patent infringement lawsuits by virtue of their inclusion of the “piracy”offense. A number of courts have found, based on dictionary definitions, as well as the usage of that term, in patent law cases, that “piracy” may encompass patent infringement lawsuits, so long as they are advertising-based and injury arises out of the offense charged.

II. THE 1976 ISO POLICY MAY EMBRACE COVERAGE FOR PATENT INFRINGEMENT LAWSUITS

The 1976 Insurance Services Office (“ISO”) Policy form provides coverage for the offense of “piracy,” for seven distinct reasons:

First, the “offense” of “piracy” is not a defined tort and employs generic language. As any dictionary definition will evidence, it includes patent infringement. RANDOM HOUSE UNABRIDGED DICTIONARY 1475 (2d ed. 1993) (“piracy . . . 2. the unauthorized reproduction or use of a copyrighted book, recording, television program, patented invention, trademarked product, etc.: The record industry is beset with piracy.” (emphasis added)); BLACK’S LAW DICTIONARY 1169 (7th ed. 1999) (“piracy” means: “The unauthorized and illegal reproduction or distribution of materials protected by copyright, patent, or trademark law.” (emphasis added)); WEBSTER’S THIRD NEW INTERNATIONAL DICTIONARY OF THE ENGLISH LANGUAGE UNABRIDGED (1986) (defines “piracy” as “an unauthorized appropriation and reproduction of another’s production, invention or conception . . . .”).

Second, courts often speak of “piracy” as denoting a form of patent infringement in discussing that tort, as well as analyzing insurance coverage for patent infringement lawsuits. Union Ins. Co. v. Land & Sky, Inc., 529 N.W.2d 773, 776-77 (Neb. 1995) (emphasis added):

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The Better-Reasoned Case Law Continues To Affirm That Tcpa/"Blast Fax" Claims Trigger "Invasion Of Privacy" Offense Coverage

Commercial General Liability policies from 1976 on provide coverage for “advertising injury” and “property damage” which include “advertising injury” as well as “personal injury” coverage for “invasion of a person’s right of privacy.” The “advertising injury” coverage requires that it be in the course of advertising.

The TCPA, at 47 U.S.C. § 227(b)(3), states, “A person or entity may . . . bring . . . (B) an action to recover for actual monetary loss from such a [unsolicited fax advertisement] violation, or to receive $500 in damages for each such violation, whichever is greater . . . . If the court finds that the defendant willfully or knowingly violated this subsection or the regulations prescribed under this subsection, the court may, in its discretion, increase the amount of the award to an amount equal to not more than 3 times the amount available under subparagraph (B) of this paragraph.”

An Illinois appellate court recently addressed whether this language covers a claimed TCPA violation, applying Illinois coverage law, in Valley Forge Ins. Co. v. Swiderski Electronics, Inc., 834 N.E.2d 562 (Ill. App. Ct. (2d Dist.) 2005). The appellate court found that, while federal courts are not in agreement as to whether such claims are covered under the advertising injury provisions of a CGL policy, “insurance-policy construction in Illinois compels us to find a duty to defend in this case.” Swiderski, 834 N.E.2d at 571. The appellate court construed the language of the policy, which language is identical to that in most issued policies. The court found that the terms “publication” and “privacy” must be given their plain, ordinary and popular meanings which would reasonably be understood to include the alleged transmission of an unsolicited fax advertisement in violation of the TCPA. Id. at 573.

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Pitfalls And Opportunities In Obtaining Insurance

I. INTRODUCTION

Issues spawned by this complex inter-weaving of elements, as well as by underwriters’ attempts to migrate restrictive language recently developed from commercial liability policies to homeowners policies, has created the need for vigilance in homeowner renewals. Brokers, who are typically a policyholder’s agent, not an insurer’s, may be incapable of appreciating the complexities involved, when advising on the likely impact of policy language.

Again, policy procuring counsel may be the only appropriate resource to clarify these issues.

II. MUST HOMEOWNERS SEEK REVALUATIONS OF REBUILDING COSTS ANNUALLY TO ASSURE THAT THEY PROCURE THE HOMEOWNERS INSURANCE PROMISED THEM?

A. Initial Valuation Followed by Insurer Inspection and Periodic Revaluation Gauged to the Insurer’s Internal Formula Is the Norm

The standard practice in the personal lines industry is that once an initial value is obtained and inspection conducted to assure that it is an appropriate amount, thereafter increases in home valuation are tied to the inflation rate that each individual carrier uses. That rate may be far less than the building replacement cost in light of market conditions.

B. Types of Homeowners Policies Available in California

California attempts to gauge what form of homeowners insurance is being provided by using general categories to describe same.

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Issues And Opportunities Under Homeowners / "Personal Liability" Policies

I. INTRODUCTION

Express personal liability coverage for the offenses of defamation and malicious prosecution should not be impaired by an “intentional acts” exclusion that permits an insurer to bar coverage for the insured’s intentional acts.

Business owners and executives of corporations who are likely recipients of this Newsletter may share in common one defining characteristic: they are likely to be homeowners. Where the residence is in California or other high-value metropolitan locations throughout the United States, that residence may represent a substantial asset. Protecting it can be as significant to the individual fortunes of policyholders as a derivative interest in businesses where they either have ownership stakes or are employees.

This article will explore, in two parts, two problems, using California as an example, and focusing on the products from three principal insurers in that market – AIG, Chubb, and Fireman’s Fund:

First, where “personal injury” liability coverage is expressly extended to the offenses of defamation and malicious prosecution, what rights to a defense and/or indemnity exist where an express “intentional acts” exclusion is also included in the policy?

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Late Notice Issues: Opportunities And Pitfalls

I. INTRODUCTION

Ten key forums will be examined in this article. Each has addressed late notice issues – some more recently than others – in a way that clarifies distinctions between them. Critically, in New York and Texas, late notice of a claim falling within “advertising injury” or “personal injury” coverage, i.e., business tort claims, is likely to be covered by a rigorous forfeiture rule, while Illinois employs a “reasonableness” test that permits prejudice to be an element but does not vary the right of the insured to obtain policy benefits if the date of notice is not itself reasonable. Prejudice is the test in the remaining forums – California, Pennsylvania, Michigan and Massachusetts – while a minority place the burden of showing no prejudice on the insured – Connecticut, Florida and Ohio.

II. LATE NOTICE RULES

A. Survey of Key Jurisdictions’ Late Notice Rules

California: Root v. American Equity Specialty Ins. Co., 130 Cal. App. 4th 926, 30 Cal. Rptr. 3d 631 (2005) (“Under ‘notice-prejudice rule,’ unless an insurer can demonstrate actual prejudice from late notice of a claim, the insured’s failure to provide timely notice will not defeat coverage.”).

Connecticut: National Pub. Co., Inc. v. Hartford Fire Ins. Co., 892 A.2d 261, 285-86 (Conn. App. Ct. 2006) (“ ‘In this state, an insurance policyholder who fails to give an insurer timely notice of an insurable loss does not forfeit his insurance coverage if he can prove that his delay did not prejudice his insurer.’. . . ‘[O]ur Supreme Court held that an insured might be relieved from his contractual obligation to give [its] insurer timely notice of the occurrence of a loss if the insured could show that [its] delay in giving notice did not prejudice the insurer . . . .’ ”).

Florida: Robinson v. Auto Owners Ins. Co., 718 So. 2d 1283, 1284 (Fla. Dist. Ct. App. 1998) (“An insured’s delay in notifying her insurer of an accident gives rise to a presumption that the insurer has been prejudiced. But that presumption may be rebutted by the insured’s demonstration that the insurer was not prejudiced by the late notice.”).

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New Opportunities For CGL Coverage Of Patent Infringement Lawsuits

I. INTRODUCTION

Insurance coverage might arise within a patent infringement context even if the policy at issue has express patent infringement exclusions so long as the policy (like virtually all CGL policies) includes “personal injury” coverage for “defamation” (assuming that courts at issue recognize that companies can defame one another and that this conduct can be true libel as well as trade libel). Under such circumstances, a defense may be triggered where disputes accompany patent infringement litigation.

II. CASE LAW IN CALIFORNIA AND ILLINOIS

A. Aurafin-OroAmerica

In a recent decision by the Ninth Circuit Court of Appeals, Aurafin-Oroamerica, LLC v. Federal Insurance Co., No. 04-56681, 2006 WL 1880088 (9th Cir. (Cal.) June 26, 2006), an appellate panel reversed federal Judge Matz’s denial of a defense which he had reaffirmed after Aurafin’s motion for reconsideration. The Ninth Circuit held that both a business reputation and product might be injured where an insured makes statements to third parties accusing someone of intellectual property infringement. The panel, which included Judge Schwarzer (sitting by designation), reasoned:

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Notice To Broker May Be Notice To The Insurer

I. NOTICE TO BROKER MAY BE NOTICE TO THE INSURER

The CGL policy’s notice requirement may be met by constructive notice under the law of a number of jurisdictions. Where an insured gave notice orally and in writing to its broker, that notice may suffice to place the insurer at risk. Indeed, all four state Supreme Courts to address the issue have found that putting an insurer on notice of a claim constitutes “tender.” The Home Ins. Co. v. National Union Fire Ins. Co., 658 N.W.2d 522, 532 (Minn. 2003). It is not uncommon for brokers to “analyze” coverage and find that a particular exclusion, typically that for “intellectual property,” may bar a defense. More inquiry is often required as coverage analysis is driven by the facts alleged, not the labels of causes of action. Curtis-Universal, Inc. v. Sheboygan Emergency Medical Services, Inc., 43 F.3d 1119, 1122 (7th Cir. (Wis.) 1994).

The complaint may not be clear on its face in answering the questions raised by the policy one way or the other. By analyzing the theories of recovery asserted therein, the statute of limitations pertaining to same, and the actual damage remedies available, it is clear that the earliest date when damages could be cognizable under the theories asserted may go back to a broader policy provision than that analyzed by the broker. 

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Intellectual Property Exclusions And Why They May Not Limit Coverage For Many Intellectual Property Lawsuits

I. NEW INTELLECTUAL PROPERTY EXCLUSIONS HAVE BEEN ADDED BY ISO, AS WELL AS A VARIETY OF INSURERS, TO LIMIT THE SCOPE OF INSURANCE COVERAGE FOR INTELLECTUAL PROPERTY RISKS

A number of insurers who provide coverage to technology companies or other entities subject to a higher incidence of intellectual property claims limit coverage by including express intellectual property exclusions. These exclusions often predate the ISO 2001 CGL intellectual property exclusion which excepts “infringement of copyright, trade dress or slogan in your ‘advertisement.’ ” These policies vary greatly in scope and must be carefully reviewed to ascertain whether coverage is merely prohibited for certain referenced intellectual property torts or for any claim that arises in a lawsuit where an intellectual property tort is asserted.

II. EXCLUSIONARY LANGUAGE FOR WHICH THE INSURED DOES NOT RECEIVE ADEQUATE AND PRIOR NOTICE MAY BE BARRED IN VARIOUS JURISDICTIONS

A. If an Insured Does Not Know That an Exclusion Limits Coverage Because the Insurer Does Not Forcefully Call Attention to This Fact, the Prior Policy Provisions Will Remain in Force

Under California law, notice of a specific reduction in coverage must be brought to the insured’s attention by the insurer when a change in coverage occurs. Thus, in Davis v. United States Auto Assn., 273 Cal. Rptr. 224, 230 (1990), the inclusion of a notice entitled “Important Notice” stating that three new exclusions were added to the policy was held to be insufficient notice to the insured of a change in coverage where the exclusions were placed in a section labeled “Clarification of Coverage” rather than in the “Reduction” section. The court found that: “A general admonition to read the policy for changes is insufficient.”

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Insurance Products That Respond To Intellectual Property Risk

I. INSURANCE TYPE COVERING FORMS OF INTELLECTUAL PROPERTY LIABILITY

General Insurance Policies That Might Offer Limited Protection
Commercial General Liability (CGL) policies
Property insurance with business interruption and extra expense policies
Errors & omissions (E&O/Professional Liability) policies
Umbrella and excess insurance policies
Directors & Officers (D&O) policies
Internet-Specific Policies
Cyberspace/multimedia policies (third party – libel, slander and defamation claims, and IP right infringement coverage)
Internet security policies (unauthorized entry, viruses or employee error; theft of credit data; first- and third-party virus cleanup; and some IP claims)
Intellectual Property Policies
IP coverage (offensive and defensive)

II. SOURCES FOR INSURANCE POLICIES

IP Defensive Policies

XL – General Managing Agent IPISC (www.ipisc.com).
IPISC, for patent infringement coverage, will write only single products for up to $2 million in limits (with some exceptions).
Patent defense policies exclude prior knowledge of loss.
Swiss Re (www.swissre.com) and AIG (www.accessaig.com) (catastrophic patent infringement coverage above a $25M retention; Swiss Re requires other lines of insurance).
Ambridge Partners (www.ambridgepartners. com) and The Hartford Specialty (www.thehartford.com) – deal-specific patent infringement coverage and excess patent enforcement coverage. AIG and The Hartford Specialty offer patent litigation buyout coverage.
IP Offensive Policies
Homestead Insurance Company – general managing agent IPISC (www.ipisc.com).
For patent enforcement coverage, IPISC will write only known enforcement policies for up to $2 million (with some exceptions).

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Challenges For Merger And Acquisition Specialists: Avoiding Legal Malpractice Exposure

I. INTRODUCTION

Knowledge of insurance law, previously considered arcane by some business attorneys, has become increasingly relevant in assessing whether policy forms possessed by clients may respond to a variety of intellectual property/antitrust and other business torts. Heightened awareness of these connections will lessen the potential for malpractice claims against business litigators who fail to consider insurance opportunities when representing defendant/counterdefendants, or even claimant/plaintiff/counterclaimants, in business litigation. In a series of three decisions, first issuing from the California Supreme Court, a serious potential exists that policies issued to an acquired company may not be assignable freely to the acquiring company without the insurer’s express written consent. See Henkel Corp. v. Hartford Acc. & Indem. Co., 62 P.3d 69 (Cal. 2003); Century Indem. Co. v. Aero-Motive Co., No. 1:02-CV-108, 2003 U.S. Dist. LEXIS 24565 (W.D. Mich. Dec. 17, 2003); and Associated Aviation Underwriters, Inc. v. Purex Indus., No. B149365, 2003 Cal. App. Unpub. LEXIS 7501 (Cal. Ct. App. Aug. 4, 2003). Thus, merger and acquisition corporate counsel also need to be sensitive to the insurance implications of their deal-making.

II. HENKEL AND PROGENY: INSURER CONSENT REQUIRED TO ASSIGN INSURANCE BENEFITS

Henkel Corp. v. Hartford Acc. & Indem. Co., 62 P.3d 69 (Cal. 2003) dashed the blithe assumption that the transfer of certain assets and liabilities from one company to another will include an assumption by the acquiring company of the acquired company’s liability insurance, whether or not a claim or lawsuit is pending as of the date of the acquisition. Prior to Henkel, the majority of courts to address this issue held that insurance will follow the liabilities against which it insures for events that arose or liabilities that arose before the transfer as insurance coverage follows the liabilities. The nonassignment clause in the policy did not impact this result.

This is the most logical solution to the problem: Transferring liability once an insured event occurs or liability arises does not change the insurer’s risk. This follows because ownership of the assets and the identity of the acquiring company to which risks are transferred is of no moment.

The acquiring company cannot influence the risk of exposure for such events. Absent such a rule, liability insurers might receive a windfall from what would otherwise be a covered set of claims merely because of a change in the ownership of assets.

Henkel, applying California law, relying on a literal interpretation of the nonassignment clause, changed this result. Thus, any company whose operations potentially subject it to California jurisdiction risks the application of California law under its broad governmental interest choice-of-law rules. Nor are there any published decisions in most jurisdictions addressing this issue, including New York and Delaware, leading to the argument that, in the absence of a conflict of law, California choice-of-law rules require the application of California law.

In Henkel, liability was not imposed involuntarily by law, but assumed voluntarily by contract, according to the Court. Since the insurance rights were assumed by contract, the rights obtained were “defined and limited by that contract.” Id. at 74. The Court did not address whether insurer consent was required when successor liability was imposed by operation of law, and the trial court had found that the corporate restructuring agreement did not assign liability insurance benefits to accompany the liabilities that were expressly transferred. See id. at 72. Had the Court desired, therefore, in Henkel, the case could have stood only for the proposition that, in an asset purchase transaction, when the liabilities do not transfer by operation of law, and the insurance rights were not transferred by contract, those rights would not be deemed transferred by operation of law.

The Henkel Court, however, went further, finding that, even if the predecessor contractually assigned benefits under its liability policies to the acquiring company, Henkel, “any such assignment would be invalid because it lacked the insurer’s consent.” Id. at 74. The only exceptions are where (1) “at the time of the assignment the benefit has been reduced to a claim for money due or to become due,” or (2) “at the time of the assignment the insurer has breached a duty to the insured, and the assignment is of a cause of action to recover damages for that breach.” Id. at 76. The Court was concerned about the additional burden that would be placed on an insurer from such an assignment without consent by the insurer. Further, that both the party assigning and the assignee could arguably both claim defense rights under the policy and this would double the burden to the insurer – again, without its consent. This is despite the fact that the plaintiffs had voluntarily dismissed their original suit against the predecessor, seeking only to recover against the successor, Henkel, in the facts before the Court. Id. at 76.

In Associated Aviation Underwriters, Inc. v. Purex Indus., No. B149365, 2003 Cal. App. Unpub. LEXIS 7501 (Cal. Ct. App. Aug. 4, 2003), the court found that in a suit where CERCLA liability was to be imposed against the successor as a matter of law, there was no transfer of the insurance by operation of law. See id. at *6-7. The rationale was, again, derived from Henkel based on the reasonableness of enforcing a consent-to-assignment clause based on the potential “additional burdens” on the insurer that may arise. See id. at *8.

Century Indem. Co. v. Aero-Motive Co., No. 1:02-CV-108, 2003 U.S. Dist. LEXIS 24565 (W.D. Mich. Dec. 17, 2003), involved the assumption of assets of the predecessor through a series of transactions. Again, an environmental damage suit caused by the predecessor during the period covered by the insurer’s CGL policies was at issue. When the successor filed suit against the predecessor’s insurance for recovery of cleanup costs, the court rejected the transfer of insurance benefits by operation of law based on the product line successor theory in Northern Ins. Co. v. Allied Mutual Ins. Co., 955 F.2d 1353, 1357 (9th Cir. (Cal.) 1992), which held that the right to indemnity “followed the liability rather than the policy itself,” and thus inured to the successor’s benefit through operation of law. Id. at 73. The court rejected this argument, relying on General Accident Ins. Co. of Am. v. Superior Court, 64 Cal. Rptr. 2d 781 (Cal. Ct. App. 1997) (emphasizing that the “insured-insurer relationship is a matter of contract”).

While acknowledging “[s]uccessor liability is a matter of tort duty and liability,” the court stated, “It is one thing to deem the successor [] liable for the predecessor’s torts; it is quite another to deem the successor [] a party to insurance contracts it never signed, and for which it never paid a premium, and to deem the insurer to be in a contractual relationship with a stranger.” General Accident, 64 Cal. Rptr. 2d at 785. See Red Arrow Products Co. v. Employers Ins. of Wausau, 607 N.W.2d 294, 302 (Wis. Ct. App. 2000) (The court emphasized that the successor liability rule’s intent was to protect a person who “cannot otherwise protect himself or herself from an injury arising from a product manufactured by a company that no longer exists.” The rule, therefore, in its view had no application to contractual insurance relationships.); Glidden Co. v. Lumbermens Mut. Cas. Co., No. 409039 (Ohio Common Pleas May 8, 2002); and Millennium Chemicals, Inc. v. Lumbermens Mut. Cas. Co., No. 411388 (Ohio Ct. Common Pleas Cuyahoga County May 8, 2002), as reprinted in 16 Mealey’s Litigation Report Insurance 27 (May 21, 2002) (holding “[t]he coverage of liability insurance does not automatically fall with the assets purchased by a stranger to the insurance policy.” The court rejected the successor liability doctrine in a transaction where the court found an asset purchase arose.). In the alternative, the Aero-Motive Co. court noted that the loss at issue did not occur prior to the assignment of the policies, as the environmental cleanup damage was not evaluated until long after the asset’s sale. Since “an insurer’s responsibility under a liability policy accrues at the time the complainant suffers damage rather than at the time of the negligent act,” there was no ongoing liability at the time of the assignment. The court found Henkel’s reference to the increased risk to which insurers would be exposed if an insured were permitted to assign policies without the insurer’s consent supportive of its analysis.

There is much to criticize about Henkel’s analysis as dissenting Justice Moreno noted at 62 P.3d at 76. Chief among these are: (1) a constricted conception of a chose in action; (2) a clear frustration of the purpose of occurrence-based liability policies; (3) misplaced concerns regarding increased insurer risk; (4) forfeiture for insureds and a windfall for insurers; and (5) public policy concerns based on the restriction of corporate restructuring methods.

Other jurisdictions dispute this result under an asset purchase where the wrongful acts creating insurability had occurred at time of transfer. See, e.g., Gopher Oil Co. v. American Hardware Mut. Ins. Co., 588 N.W.2d 756, 764 (Minn. Ct. App. 1999) (asset purchase); National Am. Ins. Co. v. Jamison Agency, Inc., 501 F.2d 1125, 1128-30 (8th Cir. (S.D.) 1974) (applying Illinois or South Dakota law) (stock purchase agreement following dissolution and assignment); Total Waste Management Corp. v. Commercial Union Ins. Co., 857 F. Supp. 140, 143, 152 (D. N.H. 1994) (asset purchase agreement); B.S.B. Diversified Co. v. American Motorists Ins. Co., 947 F. Supp. 1476, 1480-81 (W.D. Wash. 1996) (insurance coverage transfers in an asset sale, regardless of nonassignment provision). Courts are split when such liability is based on a statute such as CERCLA, enacted after the asset sale, but the triggering event predates the acquisition. In California, however, the case states the present law, and as the authorities referenced suggest, other courts may find their analysis persuasive. So long as that risk exists, merger & acquisition specialists need to be careful in structuring deals to address insurer assignment issues.

III. DEAL-MAKING SOLUTIONS TO ASSIGNABILITY ISSUES

The reach of Henkel can be blunted by recognizing that it addressed only an asset sale, not a forward direct merger or reverse-forward transfer merger, or stock purchase. The key problem in each case is that the acquirer’s own insurance is unlikely to cover the acquiree’s pre-closing actions or liabilities. Insurance coverage passes with liabilities under Henkel in three scenarios. First, the transaction amounts to a consolidation or merger of the two corporations (leaving no survivor). Second, the acquirer is a mere continuation of the seller. Third, the transfer of assets is for the fraudulent purpose of escaping liability of the acquiree that would otherwise transfer under scenarios one or two. The rationale of this decision was that the nonassignment provision requires insurer consent before any rights under the policies are assigned. The court contended that if the result were otherwise, the insurer would be taking on an additional burden for which it did not bargain. Notably, the Henkel court did not address the issue of whether a pending liability claim may be transferred as part of the transaction. The logic of its decision would appear to support a bar on these facts. As a consequence, insurance counsel should be retained to assess what exposure may be in place at time of transfer and how the risks posed may be vitiated.

Most of the merger stock acquisition scenarios should not be adversely impacted by Henkel as state merger law would not enforce the nonassignment provision to such deals. Brunswick Corp. v. St. Paul Fire & Marine Ins. Co., 509 F. Supp. 750, 752-53 (E.D. Pa. 1981) (applying either Delaware, Maryland or Pennsylvania law); Chatham Corp. v. Argonaut Ins. Co., 334 N.Y.S.2d 959 (1972) (applying New York law). In a case that did not involve an acquisition of all stock, but rather acquisition of a particular product line of a predecessor and the assumption of related liabilities, critically, the agreements did not explicitly provide for the transfer of insurance benefits between predecessor and successor. See Henkel at 71-72. The Supreme Court rejected the Court of Appeals’ product line successor rule expounded in Northern Insurance.

First, establish a separate subsidiary corporation for each of the product lines. Spin off any product line by selling the subsidiary’s stock to the buyer. Under such circumstances, the liabilities and the insurance rights of that subsidiary would remain unchanged under the corporation’s new ownership, and the insurers would have no occasion to assert consent-to-assignment clauses.

Second, procure a consent to assignment from the insurers whose policies would be implicated by endorsement to all policies likely to be implicated at the time of the assignment; and have any increased premium demanded by the carriers made part of the negotiated deal. This will require an assessment of what coverage exposures may exist that would require access to these policy benefits, typically the task an insurance litigation audit would address.

Third, have the assigning company take the risk that the law to be applied to interpreting the assignability of the policies would be in accord with the previous majority rules, finding consent-to-assignment clauses inapplicable where the covered loss occurs before the transfer or sale of assets. See Couch on Insurance § 35:7 (“The [consent to assignment] clause by its own terms ordinarily prohibits merely the assignment of the policy, as distinguished from a claim arising thereunder, and the assignment before loss involves a transfer of a contractual relationship, while the assignment after loss is a transfer of a right to a money claim.”).

Recent decisions applying the law of Kansas, Georgia, Iowa, Connecticut, Montana, Pennsylvania, Texas, and New York suggest that this is the majority rule. However, most of these decisions predate Henkel and progeny. Thus, procuring a representation and warranty from the assignor which is then secured by an insurance policy issued vis-à-vis that express representation and warranty by a separate carrier will stand behind that risk, charging a premium for that service, but leveraging the risk that (1) no liability would arise that would require access to such policies; (2) if it did, the successor product line theory would control; and (3) that the need to structure the deal in this fashion was driven by business realities, not a fear of any anticipated covered litigation.

IV. ERRORS & OMISSIONS EXPOSURE FOR MERGER & ACQUISITION SPECIALISTS

A merger & acquisition specialist who fails to address assignment of insurance policies in an asset acquisition may be liable for legal malpractice. The clear analogy is to cases pursued against intellectual property litigators who have failed to tender insurance claims for a defense on behalf of insureds they were defending. In both instances an economic benefit, which the lawyer is in a position to recommend to the client, has been lost through failure even to evaluate it. Notice not given cannot be remedied under the law of most jurisdictions. In a minority including significant states like Illinois and New York, (Steadfast Ins. Co. v. Sentinel Real Estate Corp., 283 A.D.2d 44, 50 (N.Y. App. Div. 2001)) a delay of less than a year may preclude any right to policy benefits. Montgomery Ward & Co. v. Home Ins. Co., 324 Ill. App. 3d 441, 448-49 (Ill. App. Ct. 2001). Under the insurance coverage provisions of most states, defense fees incurred pre-tender may be forfeited.

In Jordache Enters. v. Brobeck, Phleger & Harrison, 18 Cal. 4th 739, 764 (1998), the California Supreme Court implicitly found that it was malpractice not to provide notice to the insurer of a pending trade secret lawsuit. Nonetheless, it ruled that the one-year statute of limitations ran from the date new counsel took over the defense of the underlying action. As no notice was provided to the insurer during this period, the statute expired.

Similarly, while finding it was not generally known that trademark lawsuits might trigger coverage at the time notice was not provided, that situation could not attend when the state of the law was more settled. Darby & Darby, PC v. VSI Int’l, Inc., 268 A.D.2d 270, 272 (N.Y. App. Div. 2000). New York’s three-year statute of limitations is triggered from notice of conduct which would create liability. There was not a broad duty to inquire into all insurance, but notice to the carrier of the risk as of the date of alleged wrongful acts was incumbent on a prudent practitioner.

V. CONCLUSION

Proactive merger and acquisition specialists should consult with insurance coverage attorneys to assess whether there is realistic exposure for liability claims, likely to arise from any claims that could be asserted against prior coverage, that may not be assignable in light of the applicable law. Long-tail environmental claims, as well as medium-tail antitrust claims and short-tail IP claims, must all be considered in this analysis.

A litigation insurance audit, if previously performed, can be readily accessed for this purpose. However, a simple inquiry on this issue can also include determining whether the insurance policies are adequate to meet liabilities and impact the perceived value of the transaction. Proactive counsel can minimize the likelihood that an acquiring entity is deprived of insurance on which it intuitively relies in such transactions, or if necessary the deal can be modified to minimize this risk.

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Insurance Coverage For Joint Ventures

A joint venture is an entity formed by two or more businesses that want to pursue a specific purpose for a specified period of time. While some states require a legal filing of the venture, other states recognize any entity that meets the definition.

A joint venture can consist of sole proprietors, corporations, partnerships or any combination of these entities. Insurance policies generally do not cover a joint venture unless the venture’s name is shown on the policy as a “named insured.”

The standard liability policy also contains an exception to coverage for past entities and unnamed partnerships or joint ventures. It is always prudent to remove any “past entity exclusion” when coverage for a previous entity is sought.

A sample “persons insured” provision of a Commercial General Liability policy states:

If you are designated in the Declarations as:
* * *
(b) a partnership or joint venture, you are insured. Your members, your partners and their spouses also are insureds, but only with respect to the conduct of your business.

The “separation of insureds” provisions of the 1990-1993 policies state:

Except with respect to the Limits of Insurance, and any rights or duties specifically assigned in this Coverage Part to the first Named Insured, this insurance applies:

(a) as if each Named Insured were the only Named Insured; and

(b) separately to each insured against whom claim is made or “suit” is brought.

An example of how this policy comes into play is discussed herein. Company “X” was alleged to be, and in fact was, a member of the Company “Y” joint venture, and was alleged to have committed acts of unfair competition in its capacity as a member of the “Y” joint venture.

Some policy forms may include coverage for joint ventures as defined insured, thereby extending the defense obligation directly to co-defendants in a pending lawsuit.

The acts of which “X” was accused were, in part, independent of the acts of which “Y” was accused. Consequently, when these factual allegations are analyzed with the above provisions in mind, as well as the “separation of insureds” provisions, two conclusions result.

First, “Y”’s and “X”’s respective coverage claims (and the respective contract rights on which those claims are based), are independent. Insurer independently owed both “X” and “Y” a defense.

Second, and as a consequence of the first conclusion, a release by “Y” of its coverage claims against insurer arising from the underlying action (as opposed to a policy release), would not constitute a release of “X”’s coverage claims.

Asking The Right Question In Insurance Coverage Analysis: Why Is There No Potential Coverage?

I. INTRODUCTION

At first blush, asking the question “Why is there no potential coverage?” appears counter-intuitive for a policyholder. Exactly the reverse is true. When a policyholder asks the opposite question – “Is there a potential for coverage?” – this reverses the burden of proof that insurers must meet in order to avoid providing a defense. The majority of cases require insurers to defend suits unless they can establish that there is no potential for coverage. In assessing that potential, focus is on the pertinent facts that evidence how liability will attach in the underlying action. The quantum of evidence required depends upon what law applies. The range of options covers the spectrum from: (1) the facts set forth in the pleadings alone (Texas and Virginia), to (2) facts known to the insurer (New York), (3) facts knowable to the insurer (Massachusetts), and (4) facts available to the insurer (California). The greater the insurer’s duty to investigate, the easier it is to establish a defense.

II. ANALYZING COVERAGE UNDER “OFFENSE” BASED POLICIES: THE THREE-PART TEST

In asking the question why no potential coverage arises, the first issue is: How do you understand the policy so as to formulate a test that you can apply to the facts before you in analyzing that issue? Although there are still disagreements among courts, the emerging consensus is that a three-part test applies for advertising injury coverage under commercial general liability/umbrella policy provisions. To wit: (1) Is there advertising activity? (2) Does the advertising establish a basis for liability under one of the enumerated “advertising injury” offenses? and (3) Is there an “advertising injury” offense? These tests in turn give rise to a series of questions.

First: What constitutes advertising? Again, courts are in disagreement. Nevertheless, virtually all courts agree that widespread public dissemination of information satisfies this standard and that promotion of goods on a website meets this standard. Some courts have found “advertising” occurs upon one-on-one solicitation, as might occur in bids for projects or even customized presentations to customers. Almost all courts agree that catalogue distribution, direct mail, trade show as well as store displays, and product packaging are advertising.

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What Are Facts For Purposes Of Coverage Analysis?

I. CASES ADDRESSING “FUZZY FACT” SCENARIOS WHERE THE QUESTIONS ASKED BY THE POLICY ARE NOT DIRECTLY ANSWERED BY THE COMPLAINT REQUIRE FACT DEVELOPMENT BEYOND THE PLEADINGS TO CLARIFY WHETHER THE SCOPE OF ALLEGATIONS WILL TRIGGER A DEFENSE

In seeking to structure pleadings that either fall inside or outside of coverage, it must be remembered that it is facts, not labels of causes of action, that trigger a defense. Cincinnati Ins. Co. v. Eastern Atlantic Ins. Co., 260 F.3d 742 (7th Cir. (Ill.) 2001).

Where the facts pled, however, are insufficient to determine if coverage exists, various methods must be pursued to clarify the extent of potential coverage. Discovery may be used in the underlying action to elucidate the basis for the claims asserted in ways that help answer questions asked by the policy. It is critical that discovery occur as part of the defense effort and not be characterized as a direct question to the plaintiff about whether its claims trigger insurance since it is facts that precipitate coverage, not the legal conclusions of the plaintiff about whether that may or may not be the case. See Shower Spa v. ITT Hartford Ins. Group, No. G028329, 2002 Cal. App. Unpub. LEXIS 7493 (Cal. (4th App. Dist.) Aug. 7, 2002)

In a recent decision, Fireman’s Fund Ins. Co. v. Bradley Corp., 660 N.W.2d 666 (Wis. 2003), the Wisconsin Supreme Court reversed the Court of Appeals’ ruling but affirmed the trial court in finding that the insured was entitled to a defense. At issue were claims for unfair competition as well as trade secret misappropriation which encapsulated a factually viable claim for trade dress infringement. The court reasoned:

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"Insurance Coverage For The New Millennium: Is Your Company Covered For Cyberspace Risks?"

I. INTRODUCTION

Cyberspace risks arise from claims for defamation, invasion of privacy, and related torts and from intellectual property (“IP”) claims, including copyright, trademark, trade secret, and patent infringement. Other less common risks include: computer crimes and breach of security; indecency and obscenity; advertising errors; programming and design errors; harassment and discrimination; contractual liability; and legal and regulatory uncertainty. Complicating these risks is the international character of Internet use, which results in various jurisdictions applying differing standards to the right to advertise and to the scope of commercial speech. New, emerging technologies also may aggravate exposure.

II. “ADVERTISING INJURY” COVERAGE UNDER COMMERCIAL GENERAL LIABILITY POLICIES EXISTS FOR INTELLECTUAL PROPERTY LAWSUITS THAT ARISE IN CONNECTION WITH THE USE OF THE INTERNET FOR ONLINE ACTIVITIES

A. Insurance Coverage For Online Trademark Infringement

A series of recent decisions have interpreted the “advertising injury” offense “infringement of title and slogan” to provide a defense against unfair competition and trademark/trade name claims. Most courts have found that the new 1986 offenses cover trademark infringement. But some courts, exercising questionable logic, do not agree. See Am. States Ins. Co. v. Hayes Specialties, Inc., 1998 WL 1740968, at *3 (Mich. Cir. Ct. 1998) (“The analysis and reasoning of the Sixth Circuit is [sic] not only unpersuasive and flawed but demonstrates a lamentable lack of understanding and grasp of the law of trademark/trade dress, and ultimately lead [sic] to an unduly narrow and somewhat bizarre and tortured application of Michigan insurance law.”).

As yet, there has not been any significant litigation regarding coverage for trademark infringement under the 1998 ISO language. The fact that the 1998 form expressly refers to trade dress infringement and not trademark infringement may precipitate coverage disputes.

B. Insurance Coverage For Online Copyright Infringement

An Oregon judge ruled that infringement allegations based on the distribution of electronic image libraries, composed in part of materials from Playboy magazine, were sufficient to meet the causal nexus test between the insured’s advertising and its liability for copyright infringement. See State Farm Fire & Cas. Co. v. Maxey, No. 9209-06687 (Circuit Court Order, Sept. 22, 1993). The alleged infringements included distribution both by computer diskette and through modem transmissions. The court found the sale and distribution system to be “a classic example of advertising.” Id. at *4. Other courts, however, have reached different results on similar facts. See, e.g., Delta Computer Corp. v. U.S. Fire Ins. Co., 1999 U.S. App. LEXIS 31585 (5th Cir. Dec. 2, 1999).

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Insurance Coverage Implications of Settling Intellectual Property Disputes: Pitfalls and Opportunities

I. THE BUSINESS PROBLEM

In the complex world of high-stakes intellectual property and antitrust coverage litigation, the precise language used in the settlement of these disputes has insurance coverage implications. An insurer which owes its policyholder a defense has a duty to settle claims brought against its policyholder.

Intellectual property attorneys may fail to recognize the importance of drafting the settlement agreement in a manner that ensures its client will receive the maximum benefit from its insurance. The following settlement agreement provisions may raise coverage problems:

? Inclusion of a license for ongoing conduct;

? Reference to defendant’s rights to affirmative claims for attorneys’ fees against the plaintiff and characterizing the settlement as in lieu of same;

? The failure to allocate a portion of the settlement related to past damages as opposed to future business benefits where ongoing use of licensed goods, products or services is envisioned.

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"Damages Recoverable Against Insurers Who Refuse To Pay All Attorneys' Fees Incurred In Responding To Potentially Covered Intellectual Property Litigation"

I. INTRODUCTION

As litigation has ensued over policyholders’ rights to obtain reimbursement of attorneys’ fees in a range of intellectual property, antitrust and cyberspace torts, courts analyzing “offense” based “advertising injury” / “personal injury” coverage have recognized that a defense may be owed for a number of such claims. Many courts have so found even without reaching the issue of an insurer’s obligation to settle or indemnify the policyholder for a damages award. Obtaining full reimbursement for all attorneys’ fees incurred from inception of the defense effort, however, runs contrary to the insurer’s desire to limit expenditures under its policy. Especially where the policyholder can select its own counsel at the insurer’s expense due to a conflict of interest posed by the character of the relief sought thereunder, disputes inevitably arise over reimbursement of such fees and costs. This article will address strategies to secure full reimbursement of such fees and costs.

II. CHOICE OF FORUM, CHOICE OF LAW, KEY CRITERIA IN DETERMINING WHAT LAW WILL APPLY TO COVERAGE DISPUTES

Intellectual property counsel seeking to obtain reimbursement of attorneys’ fees and costs expended in coverage actions must first confront the most basic question before they can determine what rules may apply to this dispute – what states coverage law will apply. The answer to this question is far from simple. Indeed, what law applies may often be result determinative. While policyholder counsel may assume that the applicable law will be that which will best enhance its recovery, the determination as to what law applies will typically require selection of a forum in which to adjudicate a dispute. Thus, a precipitous letter responding to the insurer’s request for information and including coverage analysis depending on the law of a particular state may weaken the policyholder’s subsequent argument that law other than that initially referred to should apply in this dispute.

What choices exist? Many. They include the policyholder’s principal place of business or place of incorporation. The same with respect to a key subsidiary who is sued along with it and whose conduct is at issue in the underlying action. The insurer’s place of incorporation or principal place of business where it issued the pertinent policy. The location of the insurance broker who may have acted as an intermediary, and the location of the conduct allegedly giving rise to damages in the underlying action. Faced with such a range of choices, assessing which jurisdiction’s law should apply out of those potentially available will require analysis of a range of issues.

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