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Portrait of Helmut Beron
Helmut Beron

Senior Counsel

Portrait of John D. Morio
John D. Morio

Senior Counsel

Portrait of Robert F. Roarke
Robert F. Roarke

Senior Counsel

Portrait of Meg Twomey
Meg Twomey

Of Counsel

Martin M. Ween
Martin M. Ween

Senior Counsel

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Events

Insurance Post Quotes Stewart on Growing U.S. Cannabis Market
When: January 20, 2022
People: Ian A. Stewart
PLUS Journal Recognizes Das for Industry Achievements
When: December 15, 2021
People: Anjali C. Das
Grace, Tomberg and Moore Obtain Dismissal for Excess Insurer in Homeowners Association Suit
When: October 22, 2021
People: Kathryn Anne Grace, Peter M. Moore and Erik J. Tomberg
Bashor Selected Among Business Insurance 2021 “Women to Watch”
When: October 18, 2021
People: Karen L. Bashor
10 Attorneys Named to 2021 New York Metro Super Lawyers List
When: October 5, 2021
People: Glenn J. Fuerth, Larry Lum, Lois K. Ottombrino, John M. Flannery, Robin N. Gregory, Stuart A. Miller, George N. Tompkins, III, Jura Christine Zibas and David A. Glazer
Bachrach and Austin Prevail in ERISA Lawsuit
When: October 1, 2021
People: Joshua Bachrach and Heather Austin
Meer, Thurston, Tranen and Tomberg Argue ADR Provision, Granted Motion to Dismiss
When: September 22, 2021
People: Jonathan E. Meer, James K. Thurston, Erik J. Tomberg and Daniel E. Tranen
Bachrach Obtains Defense Judgment in ERISA Benefits Lawsuit
When: August 31, 2021
People: Joshua Bachrach
Reuters Quotes Stewart on Cannabis Federal Legalization
When: August 24, 2021
People: Ian A. Stewart
Simantob, Hoshide, and Morrow Granted Summary Judgment for Insurer in IP Coverage and Bad Faith Case
When: July 12, 2021
People: David M. Morrow, David Simantob and Linda Tai Hoshide
Wilson Elser Opens New Offices in Raleigh and Charlotte, North Carolina
When: June 1, 2021
People: Kathryn Anne Grace and Erik J. Tomberg
Five Wilson Elser Attorneys Ranked in Chambers USA 2021 Guide
When: May 20, 2021
People: Thomas F. Quinn, Thomas W. Tobin, Ian A. Stewart and Dean A. Rocco
Nelson Obtains Summary Judgment in Premises Liability Dispute
When: May 5, 2021
People: Jeremy J. Nelson

News

O’Brien and Bokeno’s Amicus Brief Bolsters Another Landmark Kentucky Supreme Court Decision on Interpretation of Insurance Policies

Edward M. O’Brien (Partner-Louisville, KY) and Andrew-John R. Bokeno (Associate-Louisville, KY) were once again enlisted by the Kentucky Defense Counsel, Inc., Kentucky’s largest association of civil defense attorneys, to file an amicus brief on its behalf in a case pending before the Kentucky Supreme Court. The brief advocated that the trial court and Court of Appeals correctly held that, in the context of malicious prosecution claims, an occurrence-based law enforcement liability policy is not triggered by harm arising from pre-policy conduct that merely continues into the policy period. Relying on fundamental tenets of Kentucky contract law and interpretation, which constitute the prevailing view in most other jurisdictions, the brief argued that no “occurrence” – and thus no coverage obligation – exists in the policy language where a claimant alleges malicious prosecution before the policy period began, even if incarceration continued during the policy term. The Kentucky Supreme Court affirmed the lower courts’ rulings, holding that a malicious prosecution occurs at the time the underlying charges are filed for purposes of determining a qualifying “occurrence” under a law enforcement liability policy. Adopting many of the arguments advanced in Eddie and AJ’s briefing, the Supreme Court’s decision reinforces the importance of adhering to fundamental principles of contract law and resolves a significant issue that has divided multiple state and federal courts. 

Edward M. O'Brien and Andrew-John R. Bokeno

Insurance Policy Terms and Conditions

Margolis, O’Connor, and Stopnik Secure Discontinuance in Complex Declaratory Judgment Action Through Strategic Motion Practice

​Bernice E. Margolis (Partner-White Plains), Thomas O’Connor (Associate-White Plains), and Scott Stopnik (Partner-White Plains) successfully represented an insurance and bonding company – securing a discontinuance and the court’s endorsement of their position – after being substituted in as counsel in a seven-year running declaratory judgment action pending in the New York Supreme Court, New York County.  After reviewing years of inherited filings, Bernice, Tom, and Scott identified a critical procedural defect that had gone unnoticed for years: the plaintiffs were pursuing identical breach of contract claims in both the declaratory judgment action and the underlying liability action. They moved to dismiss under CPLR § 3211(a)(4), demonstrating that the actions involved the same parties, claims, and relief, and that the underlying action had already reached the summary judgment stage, and that the plaintiffs’ claims against our client were fully addressed in that action.

Opposing counsel later conceded they had no basis to resist dismissal and had included the client in the declaratory judgment action merely to obtain additional discovery. The White Plains team declined to delay the matter and instead proposed that the plaintiffs execute a Stipulation of Discontinuance as to the client in exchange for the withdrawal of the motion. At the subsequent appearance, the judge adopted this approach.

Through focused review and strategic motion practice, Wilson Elser extricated the client from a protracted action without further discovery, deposition activity, or costly litigation, eliminating duplicate exposure and streamlining related proceedings.

Bernice E. Margolis, Thomas C. O'Connor and Scott H. Stopnik

Ledwin, Granata, and Duque Secure Summary Judgment for Insurance Company Client in Breach of Contract Case

Mark Ledwin (Partner-NY), Valeria Granata (Partner-Los Angeles), and Natalia Duque (Of Counsel-Los Angeles) prevailed on a motion for summary judgment in the Superior Court of California, Los Angeles County, on behalf of the firm’s insurance company client. In this heavily litigated breach of contract case, the Wilson Elser team argued that while the workers' compensation insurance policy in question was enforceable, the defendant had breached the insurance contract by failing to pay our client the required premiums. Despite the defense counsel’s disputing the premium payment failure, Valeria’s lengthy and persuasive oral argument resulted in the court granting Wilson Elser’s motion for summary judgment, alleviating the need for trial, slated to start in just a few weeks.

Mark G. Ledwin

Young & McLaughlin Obtain Summary Judgment for Lack of Admissible Evidence

Julia Young (Partner-Orlando, FL) and Sara McLaughlin (Associate-Orlando, FL) secured a summary judgment for our insurance company client in a case pending in the U.S. District Court for the Middle District of Florida. The court entered an Order striking both of the plaintiff’s experts, as the experts were neither timely nor properly disclosed, and then granted Julia and Sara’s Motion for Summary Judgment on the basis that the plaintiff lacked any admissible evidence that her property damage arose from a covered cause of loss during the subject policy period. In view of the judgment in favor of our client, as well as a prior Offer of Judgment/Proposal for Settlement served upon the plaintiff by our client and rejected by the plaintiff, the judge entered his Order awarding to our client attorneys’ fees in the amount of $36,324.50 and costs in the amount of $2,693.00. It is noted that, upon notice to the plaintiff’s counsel that we would be moving to strike the plaintiff’s experts and for summary judgment, the plaintiff moved the court for leave to voluntarily dismiss her Complaint, without prejudice to refile, and her request was denied by the court.

Julia Grimké Young and Sara McLaughlin

Young Prevails for Carrier in Hurricane Ian Claim, Citing Lack of Expert Evidence

Julia Young (Partner-Orlando, FL) defended an insurance company client in a case involving a named-perils policy, which, under Florida substantive law, means the plaintiff’s initial burden in the case is to prove that damage was sustained to her property as the result of windstorm (a named peril under the policy). The property insurer investigated the claim and determined that repair of covered damages did not exceed the applicable policy deductible. The insured then filed suit for breach of contract, and sought damages in excess of $75,000. The matter was removed to the U.S. District Court for the Middle District of Florida. The plaintiff’s counsel failed to disclose any expert by the deadline, and one extension of time was provided to the plaintiff, who again failed to meet the deadline. Julia did not consent to a second extension of time, and contested the plaintiff’s motion seeking one; the court ultimately denied the plaintiff’s motion. Julia argued that, lacking expert evidence, the plaintiff could not meet her initial burden, and, therefore, the client was entitled to summary judgment. Judge Badalamenti handed down his order granting our motion, noting that, without expert evidence, the plaintiff could not demonstrate the necessary element of causation, and could not rebut testimony of our experts regarding whether damage arose due to windstorm or to age-related deterioration. Judge Badalamenti concluded his Order with: “This is a prime example of a complex issue outside the scope of a layperson’s knowledge that requires testimony from an expert witness.”

Julia Grimké Young

Young & McLaughlin Secure Dismissal on Grounds of Noncompliance

Julia Young (Partner-Orlando, FL) and Sara McLaughlin (Associate-Orlando, FL) secured dismissal of a case involving a dispute between a contractor, as assignee of the insured and our carrier client over payment for water mitigation services following a loss at the insured’s property. Julia and Sara moved to dismiss with prejudice, arguing the contractor lacked standing because its assignment of benefits (AOB) was invalid under Florida Statute §627.7152. Specifically, it was argued that the AOB failed to include the statutorily required written, itemized, per-unit cost estimate, and instead attached only a generic price list, and that noncompliance rendered the AOB void, eliminating any right to sue. Sara and Julia further asserted that the breach of contract claim failed for lack of a contractual relationship, and the quantum meruit claim was barred because any benefit from mitigation flowed to the homeowner. Lastly, the declaratory judgment count improperly sought an advisory opinion since the policy language is clear and no present controversy existed. The court agreed with Julia and Sara on all grounds and granted the motion to dismiss with prejudice.

Julia Grimké Young and Sara McLaughlin

Felder: Hawai'i District Court Finds in Favor of Lloyd's as to Lack of Coverage over Construction Contract

Otis Felder (Partner-Los Angeles, CA) obtained a ruling by the United States District Court for the District of Hawai'i in which the Magistrate Judge issued findings and a recommendation to grant Certain Underwriters at Lloyd’s, London, judgment against a construction company, confirming that there is no insurance coverage for claims related to a disputed construction project in Kauai. The ruling stems from allegations by homeowners regarding serious construction deficiencies in their custom retirement home. According to court findings, the insured’s insurance application contained material misrepresentations, failing to disclose known disputes and contractor defaults before the Lloyd’s policy was issued. The court also determined that coverage was barred for multiple independent reasons, including that the claims arose before the policy’s retroactive date; the allegations involved construction activities that were outside the scope of the covered “business activities" as defined by the professional liability policy covering design work; and other policy exclusions applied for workmanship, breach of contract, and known claims. If adopted by the district judge, the ruling will relieve Certain Underwriters at Lloyd’s from any duty to defend or indemnify the insured in connection with the project. The recommendation now moves to the district court for final approval.

B. Otis Felder

Kemper Files Motion to Dismiss, Convincing Opposing Counsel to Enter an Agreed Order to Dismiss Claim with Prejudice

Doug Kemper (Of Counsel-Louisville, KY) succeeded in a motion to dismiss the firm’s insurer client. Plaintiff homeowners claimed the client’s Insured, a home inspection company, conducted a negligent pre-purchase inspection of the home and failed to discover and report numerous problems that if properly disclosed would have negated the purchase. Plaintiffs asserted claims of negligence, breach of contract, violation of the Kentucky Consumer Protection Act, negligence per se, and fraud, and sought punitive damages for alleged misrepresentations about the insured company’s work and certification that the inspection would be conducted by a licensed professional. Our client carrier denied coverage for the claims, which were specifically excluded in an endorsement. The plaintiffs then amended their complaint to join our carrier client in a Declaratory Judgment action obligating the carrier to provide coverage for the plaintiffs’ claim. Doug filed a Rule 12 motion to dismiss for failure to state a claim, arguing that (1) because Kentucky is a “no direct action” state, the plaintiffs could not assert a claim directly against the carrier, and (2) the plaintiffs lacked standing to bring a Declaratory Judgment action to litigate a coverage issue between an insurer and its insured. Upon review of our Motion to Dismiss, counsel conceded that the motion was well taken and offered to enter an Agreed Order to dismiss the carrier with prejudice.

W. Douglas Kemper

Thurston, Tranen, and Curtis Secure Declaratory Judgment Relief for Insurance Company Client

James Thurston (Partner-Chicago), Daniel Tranen (Partner-St. Louis, MO), and Robert Curtis (Associate-St. Louis, MO) secured a declaratory judgment dismissal on motion on the pleadings for an insurance company client in U.S. District Court for the Western District of Missouri. The plaintiffs in this matter, executives at a company insured by our client, sought coverage for a lawsuit and a demand letter arising out of their provision of personal guarantees to the company for more than $14 million in debt to a lender and a supplier. The client had denied coverage because these personal guarantees were not made in the executives' capacity as officers of the company. The executives argued that they would not have made the personal guarantees but for the fact that they were officers of the company. However, the court agreed with the insurance company client that personal guarantees are personal obligations, and therefore, cannot be made by the executives in their "capacity" as officers of the company, particularly since if they had done so, then it would have been the company guaranteeing its own debt.

James K. Thurston, Daniel E. Tranen and Robert Curtis

Duffy & Bruch Secure Declaratory Judgment Dismissal of Breach of Contract, Fraud, and Professional Negligence Claims in Construction Case

Michael J. Duffy (Partner-Chicago) and Sarah (Sally) Fry Bruch (Of Counsel-Milwaukee, WI) secured a declaratory judgment and dismissal of all claims with prejudice in the Milwaukee County Circuit Court on behalf of Wilson Elser’s insurance company client. The plaintiff, a business owner, allegedly sustained damages and business losses during a construction project, filing claims for breach of contract, fraud, and professional negligence against our client (under Wisconsin’s Direct Action Statute) and its insured, a licensed architect.

Mike and Sally, citing long-standing Wisconsin law, argued that there was no initial grant of coverage for the plaintiff’s breach of contract and fraudulent misrepresentation claims under the client’s Business Liability Insurance Policy. They further argued that the plaintiff’s professional liability claim was expressly excluded under the plain language of the policy’s Professional Services Exclusion and Endorsement, which excluded coverage for property damage arising out of rendering, or failing to render, any professional service by an insured. Following briefing in support of the motion by Wilson Elser and opposition briefing by plaintiff, and Mike’s compelling oral argument, the Court ruled in favor of Wilson Elser’s client. In its twelve-page Decision and Order, the court concurred that the client’s Business Liability Insurance Policy provided no coverage for the plaintiff’s claims and held that our client had no duty to defend or indemnify the insured in the underlying matter, with all claims against Wilson Elser’s client dismissed with prejudice, and granting the client statutory costs and fees.

Michael J. Duffy and Sarah (Sally) Fry Bruch

Hendry & Press Foil Plaintiff’s Assertion that Policy Cancellation Notice Was Never Received

Diana Hendry (Of Counsel-Madison, NJ) and Michelle Press (Partner-Los Angeles, CA) obtained a motion for summary judgment on behalf of an insurance company and broker in a case disputing the cancellation of a homeowners’ policy. The plaintiff homeowner applied through his mortgage broker for a homeowners’ policy, which was issued based on the information provided. Shortly thereafter, the insurer discovered that the information provided by the homeowner was incorrect and timely sent a notice of cancellation to the policyholder by U.S. Mail and email. The home was destroyed by fire many months later; plaintiff’s claim was denied and the plaintiff asserted he had never received notice of the cancellation. In support of their motion for summary judgment, Diana and Michelle submitted a certificate of mailing and the emails, which the Court found sufficient to meet the client’s initial burden of demonstrating that it complied with the cancellation requirements in New York Insurance Law and therefore was entitled to the presumption that notice was received. (The emails bolstered the proof of mailing, but were themselves insufficient to comply with the Insurance Law requirement.) However, the plaintiff’s claim that he did not receive the notice was insufficient to meet his burden to prove that the insurer failed to conform with the strict statutory cancellation requirements. On that basis, the Court dismissed the coverage action against our client.

Diana M. Hendry and Michelle R. Press

Twomey Secures Summary Judgment for Insurance Broker in Negligent Misrepresentation and Fraud Claim

Meg Twomey (Of Counsel-Atlanta, GA) secured summary judgment for an insurance broker client in a negligent misrepresentation and fraud claim in the State Court of Jackson County. The plaintiffs, a general contractor and its insurance carrier, sought subrogation for workers’ compensation paid to the employee of a subcontractor. Our client, the subcontractor’s broker, merely sent the certificate of insurance to the general contractor. The plaintiffs attempted to argue that the broker induced the general contractor into hiring the subcontractor, despite the broker’s knowledge that employees hired out of state would not be covered under the workers’ compensation policy. The court held that the plaintiffs failed to show a false representation or negligent misrepresentation by omission, and failed to show justifiable reliance on the COI. The plaintiffs elected not to appeal. 

Meg Twomey

Young Avoids $40 Million Demand for Coverage on Behalf of Client Insurer

Jane Young (Partner-Denver, CO) defended an insurer client that issued two excess policies to a health care provider, which provided up to $40 million in hospital professional liability coverage in excess of $2 million per medical incident underlying coverage. The insured was sued by hundreds of patients in Denver, Colorado, claiming a breach in the sterilization protocol of surgical instruments. The coverage issue was whether the hundreds of different claims by different patients constituted one medical incident or more than one medical incident under the excess policies. The insured argued all the claims should be grouped as one medical incident. Our client disagreed and, pursuant to the policy language, argued that each patient's claim constituted a separate medical incident. The insurer filed a declaratory judgment action, seeking a declaration that each claim constituted a separate medical incident. The Colorado Federal Court agreed with our client and granted summary judgment. The insured appealed to the Tenth Circuit. After oral argument, the Tenth Circuit affirmed and held that each patient's claim constituted a separate medical incident. Thus, our client does not have an obligation to pay any monies until any one claim exceeds $2 million, and only one claim did.

Jane E. Young

O'Brien Obtains Summary Judgment Substantially Limiting Insurer's Exposure in Bar Brawl Assault and Battery Case

Edward M. O'Brien (Partner-Louisville, KY) obtained summary judgment in the U.S. District Court for the Southern District of Indiana in favor of Wilson Elser’s client, an insurer. This case stems from a brawl at an insured's bar establishment. The plaintiff, a bar patron, alleges that a bar employee inflicted serious physical injury upon him while attempting to break up an altercation. The patron sued the bar to recover the establishment’s insurance policy general commercial liability limit of $1 million. The firm's insurer client maintained that coverage for injuries caused by an assault and battery is limited to $25,000 per person under the policy. Eddie filed a declaratory judgment action, and despite the patron’s assertion that the policy language was ambiguous and that the general $1 million limit should apply, the court agreed with Eddie’s argument. It granted summary judgment in favor of Wilson Elser’s client, thereby limiting the insurer’s possible exposure to $25,000 instead of the $1 million general limit. 

Edward M. O'Brien

Kemper Obtains Complete Vindication of Rehab Center in Van Accident

Doug Kemper (Of Counsel-Louisville, KY) represented a drug rehabilitation center and its insurer in litigation involving a three-vehicle accident that resulted in catastrophic injuries to the 11 passengers in our client’s van, many of whom were ejected from the vehicle during the accident. Although it was clear that the accident was caused by one of the other drivers, all 11 plaintiffs joined liability claims against the rehab center and its driver. After settling the liability claims against the at-fault driver and the Underinsured Motorist carrier, the plaintiffs took aim at our client seeking to open the door to a $2 million liability insurance policy. The plaintiffs claimed there were not enough working seatbelts and that our driver had a duty to make sure everyone was belted before driving the van. After extensive discovery and motion practice, 9 of the 11 plaintiffs voluntarily dismissed their claims against our client and Doug prevailed on summary judgment to dismiss the claims of the 2 remaining plaintiffs, resulting in complete vindication of our client’s position.

W. Douglas Kemper

O'Brien Secures Court of Appeals Affirmance of Summary Judgment Ruling in Transportation Insurance Coverage Dispute

Edward M. O'Brien (Partner-Indianapolis, IN) prevailed at the Indiana Court of Appeals in an insurance coverage dispute arising from a serious collision between two tractor-trailers. Eddie defended the firm's insurer client against claims for breach of contract and bad-faith denial of coverage, successfully persuading the trial court that the loss was not covered because the tractor-trailer driver did not meet the insurance policy's driver qualification requirements. In affirming, the Court of Appeals rejected the plaintiff's arguments that the loss was covered by the policy and that the policy terms were ambiguous. The Court of Appeals ordered its opinion published, meaning it is binding appellate precedent in Indiana.

Edward M. O'Brien

Tammaro Secures Affirmance of Win for Insurance Industry

Katherine Tammaro (Partner-Madison, NJ) received a unanimous affirmance for the NJ Supreme Court following oral argument in September. On December 12, the court affirmed Kate’s wins at the Trial and Appellate levels. Essentially, the court held that an employer’s liability insurer will never have a coverage obligation, including any duty to defend, in a suit by an employee against an employer when that insurer is paying workers’ compensation benefits and the policy at issue contains the New Jersey Part Two (Employers Liability Endorsement) exclusion for claims within the New Jersey workers’ compensation exclusivity bar exception or similar language, which the Court found to be clear, unambiguous, and in accordance with the public policy of New Jersey. 

Katherine E. Tammaro

Freeman and Dobuler Prevail in Coverage Matter for Underlying Traffic Accident Fatality

Nicholas D. Freeman (Partner-Orlando, FL) and Dale S. Dobuler (Of Counsel-Orlando, FL) obtained summary judgment in favor of our client insurance company in a declaratory action on the lack of coverage for two severe underlying bodily injury claims and lawsuits brought by two different pedestrians who were injured during a traffic accident involving the client’s insured. While we defended the underlying claims and suits, it was the client’s position that the operative policy did not provide responsive liability coverage for the accident. After filing suit, Nick and Dale quickly moved for summary judgment on the lack of coverage under the policy for the two claims and prevailed in full on that issue. After the successful summary judgment ruling, they sought a final default judgment with respect to certain defendants who had been defaulted in the coverage action. During the subsequent hearing on that issue, Nick and Dale successfully defended against a motion to vacate the default brought by one of the defaulted defendants, and then were successful in obtaining final default judgment on the lack of coverage for our client and the remaining defaulted defendants, bringing the matter to a close and allowing the client to withdraw its defense of the underlying bodily injury suits.

Nicholas D. Freeman and Dale S. Dobuler

Pfeifer and Nunn Obtain Third Consecutive Summary Judgment on Late Reported Hurricane Claims

Russell M. Pfeifer (Partner-Miami, FL) and Emma Nunn (Associate- Miami, FL) obtained final summary judgment in favor of our client insurer on a late reported Hurricane Irma claim. The plaintiffs reported the claim nearly three years after the date of loss and filed suit just shy of the expiration of the statute of limitations. The first inspection of the property occurred at that time. Russell and Emma argued that the plaintiffs’ notice was untimely as a matter of law resulting in prejudice to the carrier, and that the plaintiffs’ proffered evidence was insufficient to overcome the legal burden that arises in Florida upon an insurer’s demonstration that notice was untimely. The plaintiffs offered the affidavit of an engineer in opposition to summary judgment, which relied on historical weather data and historical satellite imaging, and argued the engineer’s inspection was sufficient to overcome the presumption of prejudice. The Miami-Dade Circuit Court disagreed, finding the affidavit was conclusory as it was based on an inspection conducted three years after the date of loss, and granted our motion. This is Russell and Emma’s third consecutive summary judgment win on late reported hurricane claims for the same insurer client. 

Russell M. Pfeifer

Freeman and Taglianetti Prevail for Lloyd’s in Coverage Claim for Hurricane Ian Damages

Nicholas D. Freeman (Partner-Orlando, FL) and Teresa C. Taglianetti (Associate-West Palm Beach, FL) obtained summary judgment in favor of Certain Underwriters at Lloyd’s, London (Underwriters). The lawsuit involved an insurance coverage claim pending in Florida state court that alleged Hurricane Ian caused damages to the plaintiff’s property. In response, Underwriters denied coverage based on the insurance policy’s endorsement, which excluded any coverage for damages to the roof. The insured filed suit to challenge the denial, and Nick and Teresa filed a motion for summary judgment that argued the policy clearly excluded all alleged damages. The court agreed with our arguments and granted summary judgment for Underwriters.  

Nicholas D. Freeman

Silas and Fickes Secure Dismissal for Insurer Under Amended Louisiana Direct Action Statute

Kimberly Silas (Of Counsel-New Orleans) and Zachary Fickes (Associate-New Orleans) secured dismissal in the Nineteenth Judicial District Court, East Baton Rouge Parish, Louisiana, on behalf of an insurance company. The case turned on Louisiana’s recently amended Direct Action statute; the bill prohibits a plaintiff from asserting a direct claim against a defendant’s insurer absent certain circumstances. The amended law took effect on August 1, 2024, but it failed to specify whether it applied retroactively. The plaintiffs named our client in a lawsuit filed on July 25, 2024, six days before the amended statute went into effect, providing the plaintiffs an arguable basis to assert that the insurer was properly named. Despite Kimberly and Zack’s arguments for retroactive application, the plaintiffs refused numerous requests to dismiss the insurer. However, upon their filing of an exception of no cause of action based on the amended statute, the plaintiffs promptly agreed to the dismissal, executing a partial motion to dismiss Wilson Elser’s client without prejudice. 

Kimberly R. Silas and Zachary P. Fickes

Frank Secures Dismissal in Denial of Claim by Pilot’s Estate

David Frank (Partner-Milwaukee, WI) secured a dismissal for an aircraft owner and its insurance company before the United States District Court for the Eastern District of Michigan. The case arose from a plane crash caused by pilot error. Shortly after the crash, the lone passenger’s estate made a demand against the aircraft owner, which was quickly settled. Several months later, the pilot’s estate made a first-party claim for the third-party liability limits without claiming the aircraft owner was liable for any conduct that would give rise to coverage. The insurance company invited the pilot’s estate to provide a theory of liability for which there would be coverage, which it failed to do. Rather, the pilot’s estate then brought suit in Michigan state court against the aircraft owner and insurance company alleging, among other things, breach of contract claims for wrongful denial of its claim. The case was removed to the Eastern District of Michigan and since the plaintiff had pled no colorable action against the aircraft owner for allegedly denying the policy benefits, the court dismissed the insured at the outset of the case. The plaintiff amended its complaint and the insurance company, now the sole defendant, moved to dismiss for failure to state a claim. In response, the plaintiff argued that the liability provisions did not require a determination of liability, rather it was entitled to the liability coverage simply because an accident had occurred regardless of fault. In granting the motion to dismiss, the court held that the plaintiff failed to put forth a plausible theory as to how it was entitled to the liability coverage whether as an insured or to the extent the estate was claiming that it was a third-party beneficiary under the policy.

David A. Frank, II

Gauer, Papasakelariou & Del Gatto Score Voluntary Withdrawal of Significant Exposure Case for Canadian Client

Danielle T. Gauer (Of Counsel-Miami, FL), Maria Papasakelariou (Associate-Miami, FL) and Brian Del Gatto (Partner-Phoenix, AZ) secured a voluntary dismissal on behalf of a Canadian insurance carrier doing business out of Nova Scotia, Canada. The plaintiff, a resident of Nova Scotia and the insured, sought uninsured and underinsured motorist coverage related to an accident that occurred in Florida against a policy with $1+ million in potential benefits. The team filed a motion to quash service of process and a motion to dismiss for lack of personal jurisdiction and forum non conveniens, arguing that the plaintiff inappropriately served the insurance company by attempting to serve a completely unrelated U.S. entity. The application of the law of Nova Scotia by a court located in the province, coupled with the fact that all potential witnesses are Canadian and the evidence is located in the province, makes Nova Scotia the more appropriate forum for this dispute. The team proved that the Canadian company was in fact completely separate from the U.S. insurer of a similar name. The plaintiff’s response to our motion tried to make the argument that the affidavit of the insurance adjuster was not legally sufficient under the law as the adjuster did not have personal knowledge of the matter. Furthermore, the plaintiff argued that Canada is not an adequate alternative forum because the insurance carrier should step into the shoes of the owner of the uninsured or underinsured vehicle. However, the cases cited by the plaintiff failed to involve a non-U.S. or foreign insurance carrier. Finally, on the eve before the hearing, the plaintiff’s counsel filed a notice dismissing our client. This continues our string of success in protecting our Canadian clients from being hauled into courts like Florida without proper grounds. 

Danielle T. Gauer, Maria Papasakelariou and Brian Del Gatto

O’Brien Succeeds in Rare Overturning of State Court Remand for Insurance Company Client

Edward O’Brien (Partner-Louisville) successfully obtained a rare reversal of a remand to state court in the United States District Court for the Eastern District of Kentucky for Wilson Elser’s client, an insurance company. The plaintiff sued our insurer client in state court following the insurer's denial of his claim for long-term disability benefits but failed to effectuate service for more than ten months. After the plaintiff properly served the insurance company at the correct address, the client removed the case to federal court. In response, the plaintiff filed a motion to remand the case to state court, arguing that the removal was untimely and that the client was properly served at the outset of the litigation. Initially, the district court sided with the plaintiff and granted the motion to remand. Eddie moved for reconsideration, and the court granted Wilson Elser’s request, reversing its prior decision and acknowledging that the previous ruling "rested on a material factual error." As a result, the case remained in federal court. Reversals of orders remanding cases to state court are exceedingly uncommon.

Edward M. O'Brien

Santos Obtains Summary Judgment in Protracted Insurance Coverage Matter

Shannon Santos (Partner-Los Angeles) obtained summary judgment in Los Angeles Superior Court on behalf of Wilson Elser’s clients, an insurance company and an adjusting firm. The plaintiff insureds brought a coverage action, including claims for breach of contract, bad faith and elder abuse, alleging their first-party claim for water damage in their home was not fully paid. The plaintiffs argued that our insurer client was required to pay for the replacement of all flooring in the house, even though the damage was limited to the first floor.

While initially precluded at the pleading stage, Wilson Elser succeeded on summary judgment and removed the adjusting company from the lawsuit after establishing that it had no contractual relationship with the insureds. In successfully defending the client insurer, Shannon prevailed on two separate theories. First, as a matter of procedure, the "Suit Against Us" provision in the policy precludes the suit as the plaintiffs failed to commence the action within one year of the date of loss after the application of tolling authority. While a challenging argument, as the letters to the insureds were not “unequivocal denials” given the claim was partially paid, Shannon convinced the court that the letters showed which portions of the claim were paid and denied all other portions, sufficient to end the tolling period. Second, the Court agreed that, substantively, there was no coverage under the policy for the benefits sought as the replacement for flooring in areas directly damaged was paid in full.
 

Shannon L. Santos

Huston and Kennedy Prevail For Insurance Clients on Dual Summary Judgment Motions

Christina Huston (Of Counsel-Houston) and Carol Kennedy (Of Counsel-Houston) obtained summary judgment in the Harris County Court at Law No. 1 for Wilson Elser’s client, an insurance agent and broker.  The plaintiff brought a suit against its insurer and the local broker/agent, alleging a failure to procure sufficient insurance coverage before the historic winter storm, Uri. The trial court granted Christina and Carol’s traditional motion for summary judgment and their no evidence motion for summary judgment, concurring that the plaintiff failed to produce evidence to support one or more elements of the claim and could not recover on the claim as a matter of law, dismissing the case.

Christina C. Huston and Carol Y. Kennedy

Carroll, Comfort and Greiper Obtain Affirmance in Motor Vehicle Case before the Appellate Division, First Department

New York, New York, partners Kristen Carroll, Nolan Comfort and Ellen Greiper obtained unanimous affirmance of an order from Bronx County that granted our motion for summary judgment dismissing the complaint on the grounds that the plaintiff did not sustain a “serious injury” under any category of Insurance Law § 5102(d), in a case where summary judgment was already granted to the plaintiff on liability in a rear-end accident. The court held that Kristen, Nolan and Ellen met their prima facie burden through the submission of an expert report from an orthopedic surgeon who found normal ranges of motion with no evidence of acute injury, and that any injuries were degenerative in nature and not causally related to the accident; and a biomechanical engineering expert who opined that the low impact could not have caused the plaintiff’s claimed injuries. The plaintiff’s deposition also was submitted, wherein he admitted he ceased treatment within eight months of the accident. The court held that plaintiff’s failure to explain his cessation of treatment interrupted the chain of causation and rendered his physician’s finding of permanency speculative. Finally, the court held that the team met our burden with respect to the 90/180 category, as the plaintiff testified that he was only out of work for six weeks after the accident and continued to work at least 40 hours a week in his same capacity as a signal maintainer with the MTA within a few months of the accident.

Kristen A. Carroll, Nolan P. Comfort and Ellen Greiper

Spitaletto Secures Eleventh Circuit Affirmance and Turns the Tide on Insured versus Insured Authority Nationwide

Tommy Spitaletto (Partner-Dallas, TX) argued a motion for summary judgment in the Southern District of Florida and a subsequent Eleventh Circuit appeal, securing dismissal of a coverage action by an insured under a $10 million D&O policy in a federal court case based on the “Insured versus Insured” exclusion. The insured argued that the exclusion did not apply to the causes of action asserted by the uninsured plaintiff, and that coverage should exist for at least those causes of action. The court, however, held that the exclusion defeated coverage for the entire underlying lawsuit, as Tommy argued, despite the presence of both insured and uninsured plaintiffs. The court distinguished and did not follow a Seventh Circuit opinion by Judge Posner, but followed the only other published opinion in the country at the time addressing this novel issue, turning the weight of authority nationwide back in favor of insurers. 

Thomas M. Spitaletto

Alexander and Silvestri Obtain Summary Judgment City on Behalf of Title Insurance Producer

Maryan Alexander (Partner-Baltimore, MD) and Michael Silvestri (Of Counsel-Baltimore, MD) obtained summary judgment in the Circuit Court for Baltimore City on behalf of a title insurance producer sued for allegedly failing to notify the plaintiffs/buyers of an open Building Code violation prior to closing in a real estate transaction. More than a year after the plaintiffs/buyers purchased the property, Baltimore City filed a receivership action, resulting in plaintiffs/buyers incurring significant expense in repairs to abate the Building Code violation. The plaintiffs/buyers sued the title insurance producer on counts for breach of contract, negligence, violation of the Maryland Consumer Protection Act and fraud. The court granted summary judgment in favor of the title insurance producer on the basis that it had no duty, in contract or in tort, to search for or disclose the Building Code violations, which are not a cloud on title. The court also dismissed the violation of the Maryland Consumer Protection Act claim, agreeing that the Act expressly excludes title insurance producers from the statutory scheme, and the fraud claim for not being pled with the requisite specificity. The action is continuing as to other defendants.

Maryan Alexander and Michael J. Silvestri

Breen and Endler Secure Summary Judgment for a Major Insurer Client

Brian Breen (Partner-Philadelphia, PA) and Jesse M. Endler (Of Counsel-Philadelphia, PA) were granted their motion for summary judgment in the Court of Common Pleas, Philadelphia County in a case in which the plaintiff-insured made a claim against our insurer-client for property damage after a rainstorm. The plaintiff sought damages for the complete replacement of the roof and roof framing on two warehouses, as well as bad faith. The claim was originally denied by the insurer based on its position the damage was the result of wear-and-tear / lack of maintenance and the damage preexisted the date of loss. During discovery, it was discovered the actual date of loss was not the date represented in the complaint, but a day earlier.  The policy contains a suit limitation provision that requires any complaint be filed within two years of the date of loss. We filed a motion for summary judgment asserting the complaint was filed a day after the two-year suit limitation period. The plaintiff attempted to oppose the motion with an affidavit contradicting his prior testimony regarding the date of loss. The court evidently agreed with us that the affidavit did not create an issue of material fact and granted summary judgment.

Brian F. Breen and Jesse M. Endler

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Events

Insurance Post Quotes Stewart on Growing U.S. Cannabis Market
When: January 20, 2022
People: Ian A. Stewart
PLUS Journal Recognizes Das for Industry Achievements
When: December 15, 2021
People: Anjali C. Das
Grace, Tomberg and Moore Obtain Dismissal for Excess Insurer in Homeowners Association Suit
When: October 22, 2021
People: Kathryn Anne Grace, Peter M. Moore and Erik J. Tomberg
Bashor Selected Among Business Insurance 2021 “Women to Watch”
When: October 18, 2021
People: Karen L. Bashor
10 Attorneys Named to 2021 New York Metro Super Lawyers List
When: October 5, 2021
People: Glenn J. Fuerth, Larry Lum, Lois K. Ottombrino, John M. Flannery, Robin N. Gregory, Stuart A. Miller, George N. Tompkins, III, Jura Christine Zibas and David A. Glazer
Bachrach and Austin Prevail in ERISA Lawsuit
When: October 1, 2021
People: Joshua Bachrach and Heather Austin
Meer, Thurston, Tranen and Tomberg Argue ADR Provision, Granted Motion to Dismiss
When: September 22, 2021
People: Jonathan E. Meer, James K. Thurston, Erik J. Tomberg and Daniel E. Tranen
Bachrach Obtains Defense Judgment in ERISA Benefits Lawsuit
When: August 31, 2021
People: Joshua Bachrach
Reuters Quotes Stewart on Cannabis Federal Legalization
When: August 24, 2021
People: Ian A. Stewart
Simantob, Hoshide, and Morrow Granted Summary Judgment for Insurer in IP Coverage and Bad Faith Case
When: July 12, 2021
People: David M. Morrow, David Simantob and Linda Tai Hoshide
Wilson Elser Opens New Offices in Raleigh and Charlotte, North Carolina
When: June 1, 2021
People: Kathryn Anne Grace and Erik J. Tomberg
Five Wilson Elser Attorneys Ranked in Chambers USA 2021 Guide
When: May 20, 2021
People: Thomas F. Quinn, Thomas W. Tobin, Ian A. Stewart and Dean A. Rocco
Nelson Obtains Summary Judgment in Premises Liability Dispute
When: May 5, 2021
People: Jeremy J. Nelson

Events

Insurance Post Quotes Stewart on Growing U.S. Cannabis Market
When: January 20, 2022
People: Ian A. Stewart
PLUS Journal Recognizes Das for Industry Achievements
When: December 15, 2021
People: Anjali C. Das
Grace, Tomberg and Moore Obtain Dismissal for Excess Insurer in Homeowners Association Suit
When: October 22, 2021
People: Kathryn Anne Grace, Peter M. Moore and Erik J. Tomberg
Bashor Selected Among Business Insurance 2021 “Women to Watch”
When: October 18, 2021
People: Karen L. Bashor
10 Attorneys Named to 2021 New York Metro Super Lawyers List
When: October 5, 2021
People: Glenn J. Fuerth, Larry Lum, Lois K. Ottombrino, John M. Flannery, Robin N. Gregory, Stuart A. Miller, George N. Tompkins, III, Jura Christine Zibas and David A. Glazer
Bachrach and Austin Prevail in ERISA Lawsuit
When: October 1, 2021
People: Joshua Bachrach and Heather Austin
Meer, Thurston, Tranen and Tomberg Argue ADR Provision, Granted Motion to Dismiss
When: September 22, 2021
People: Jonathan E. Meer, James K. Thurston, Erik J. Tomberg and Daniel E. Tranen
Bachrach Obtains Defense Judgment in ERISA Benefits Lawsuit
When: August 31, 2021
People: Joshua Bachrach
Reuters Quotes Stewart on Cannabis Federal Legalization
When: August 24, 2021
People: Ian A. Stewart
Simantob, Hoshide, and Morrow Granted Summary Judgment for Insurer in IP Coverage and Bad Faith Case
When: July 12, 2021
People: David M. Morrow, David Simantob and Linda Tai Hoshide
Wilson Elser Opens New Offices in Raleigh and Charlotte, North Carolina
When: June 1, 2021
People: Kathryn Anne Grace and Erik J. Tomberg
Five Wilson Elser Attorneys Ranked in Chambers USA 2021 Guide
When: May 20, 2021
People: Thomas F. Quinn, Thomas W. Tobin, Ian A. Stewart and Dean A. Rocco
Nelson Obtains Summary Judgment in Premises Liability Dispute
When: May 5, 2021
People: Jeremy J. Nelson

Events

Insurance Post Quotes Stewart on Growing U.S. Cannabis Market
When: January 20, 2022
People: Ian A. Stewart
PLUS Journal Recognizes Das for Industry Achievements
When: December 15, 2021
People: Anjali C. Das
Grace, Tomberg and Moore Obtain Dismissal for Excess Insurer in Homeowners Association Suit
When: October 22, 2021
People: Kathryn Anne Grace, Peter M. Moore and Erik J. Tomberg
Bashor Selected Among Business Insurance 2021 “Women to Watch”
When: October 18, 2021
People: Karen L. Bashor
10 Attorneys Named to 2021 New York Metro Super Lawyers List
When: October 5, 2021
People: Glenn J. Fuerth, Larry Lum, Lois K. Ottombrino, John M. Flannery, Robin N. Gregory, Stuart A. Miller, George N. Tompkins, III, Jura Christine Zibas and David A. Glazer
Bachrach and Austin Prevail in ERISA Lawsuit
When: October 1, 2021
People: Joshua Bachrach and Heather Austin
Meer, Thurston, Tranen and Tomberg Argue ADR Provision, Granted Motion to Dismiss
When: September 22, 2021
People: Jonathan E. Meer, James K. Thurston, Erik J. Tomberg and Daniel E. Tranen
Bachrach Obtains Defense Judgment in ERISA Benefits Lawsuit
When: August 31, 2021
People: Joshua Bachrach
Reuters Quotes Stewart on Cannabis Federal Legalization
When: August 24, 2021
People: Ian A. Stewart
Simantob, Hoshide, and Morrow Granted Summary Judgment for Insurer in IP Coverage and Bad Faith Case
When: July 12, 2021
People: David M. Morrow, David Simantob and Linda Tai Hoshide
Wilson Elser Opens New Offices in Raleigh and Charlotte, North Carolina
When: June 1, 2021
People: Kathryn Anne Grace and Erik J. Tomberg
Five Wilson Elser Attorneys Ranked in Chambers USA 2021 Guide
When: May 20, 2021
People: Thomas F. Quinn, Thomas W. Tobin, Ian A. Stewart and Dean A. Rocco
Nelson Obtains Summary Judgment in Premises Liability Dispute
When: May 5, 2021
People: Jeremy J. Nelson

Events

Insurance Post Quotes Stewart on Growing U.S. Cannabis Market
When: January 20, 2022
People: Ian A. Stewart
PLUS Journal Recognizes Das for Industry Achievements
When: December 15, 2021
People: Anjali C. Das
Grace, Tomberg and Moore Obtain Dismissal for Excess Insurer in Homeowners Association Suit
When: October 22, 2021
People: Kathryn Anne Grace, Peter M. Moore and Erik J. Tomberg
Bashor Selected Among Business Insurance 2021 “Women to Watch”
When: October 18, 2021
People: Karen L. Bashor
10 Attorneys Named to 2021 New York Metro Super Lawyers List
When: October 5, 2021
People: Glenn J. Fuerth, Larry Lum, Lois K. Ottombrino, John M. Flannery, Robin N. Gregory, Stuart A. Miller, George N. Tompkins, III, Jura Christine Zibas and David A. Glazer
Bachrach and Austin Prevail in ERISA Lawsuit
When: October 1, 2021
People: Joshua Bachrach and Heather Austin
Meer, Thurston, Tranen and Tomberg Argue ADR Provision, Granted Motion to Dismiss
When: September 22, 2021
People: Jonathan E. Meer, James K. Thurston, Erik J. Tomberg and Daniel E. Tranen
Bachrach Obtains Defense Judgment in ERISA Benefits Lawsuit
When: August 31, 2021
People: Joshua Bachrach
Reuters Quotes Stewart on Cannabis Federal Legalization
When: August 24, 2021
People: Ian A. Stewart
Simantob, Hoshide, and Morrow Granted Summary Judgment for Insurer in IP Coverage and Bad Faith Case
When: July 12, 2021
People: David M. Morrow, David Simantob and Linda Tai Hoshide
Wilson Elser Opens New Offices in Raleigh and Charlotte, North Carolina
When: June 1, 2021
People: Kathryn Anne Grace and Erik J. Tomberg
Five Wilson Elser Attorneys Ranked in Chambers USA 2021 Guide
When: May 20, 2021
People: Thomas F. Quinn, Thomas W. Tobin, Ian A. Stewart and Dean A. Rocco
Nelson Obtains Summary Judgment in Premises Liability Dispute
When: May 5, 2021
People: Jeremy J. Nelson

Events

Insurance Post Quotes Stewart on Growing U.S. Cannabis Market
When: January 20, 2022
People: Ian A. Stewart
PLUS Journal Recognizes Das for Industry Achievements
When: December 15, 2021
People: Anjali C. Das
Grace, Tomberg and Moore Obtain Dismissal for Excess Insurer in Homeowners Association Suit
When: October 22, 2021
People: Kathryn Anne Grace, Peter M. Moore and Erik J. Tomberg
Bashor Selected Among Business Insurance 2021 “Women to Watch”
When: October 18, 2021
People: Karen L. Bashor
10 Attorneys Named to 2021 New York Metro Super Lawyers List
When: October 5, 2021
People: Glenn J. Fuerth, Larry Lum, Lois K. Ottombrino, John M. Flannery, Robin N. Gregory, Stuart A. Miller, George N. Tompkins, III, Jura Christine Zibas and David A. Glazer
Bachrach and Austin Prevail in ERISA Lawsuit
When: October 1, 2021
People: Joshua Bachrach and Heather Austin
Meer, Thurston, Tranen and Tomberg Argue ADR Provision, Granted Motion to Dismiss
When: September 22, 2021
People: Jonathan E. Meer, James K. Thurston, Erik J. Tomberg and Daniel E. Tranen
Bachrach Obtains Defense Judgment in ERISA Benefits Lawsuit
When: August 31, 2021
People: Joshua Bachrach
Reuters Quotes Stewart on Cannabis Federal Legalization
When: August 24, 2021
People: Ian A. Stewart
Simantob, Hoshide, and Morrow Granted Summary Judgment for Insurer in IP Coverage and Bad Faith Case
When: July 12, 2021
People: David M. Morrow, David Simantob and Linda Tai Hoshide
Wilson Elser Opens New Offices in Raleigh and Charlotte, North Carolina
When: June 1, 2021
People: Kathryn Anne Grace and Erik J. Tomberg
Five Wilson Elser Attorneys Ranked in Chambers USA 2021 Guide
When: May 20, 2021
People: Thomas F. Quinn, Thomas W. Tobin, Ian A. Stewart and Dean A. Rocco
Nelson Obtains Summary Judgment in Premises Liability Dispute
When: May 5, 2021
People: Jeremy J. Nelson

Events

Insurance Post Quotes Stewart on Growing U.S. Cannabis Market
When: January 20, 2022
People: Ian A. Stewart
PLUS Journal Recognizes Das for Industry Achievements
When: December 15, 2021
People: Anjali C. Das
Grace, Tomberg and Moore Obtain Dismissal for Excess Insurer in Homeowners Association Suit
When: October 22, 2021
People: Kathryn Anne Grace, Peter M. Moore and Erik J. Tomberg
Bashor Selected Among Business Insurance 2021 “Women to Watch”
When: October 18, 2021
People: Karen L. Bashor
10 Attorneys Named to 2021 New York Metro Super Lawyers List
When: October 5, 2021
People: Glenn J. Fuerth, Larry Lum, Lois K. Ottombrino, John M. Flannery, Robin N. Gregory, Stuart A. Miller, George N. Tompkins, III, Jura Christine Zibas and David A. Glazer
Bachrach and Austin Prevail in ERISA Lawsuit
When: October 1, 2021
People: Joshua Bachrach and Heather Austin
Meer, Thurston, Tranen and Tomberg Argue ADR Provision, Granted Motion to Dismiss
When: September 22, 2021
People: Jonathan E. Meer, James K. Thurston, Erik J. Tomberg and Daniel E. Tranen
Bachrach Obtains Defense Judgment in ERISA Benefits Lawsuit
When: August 31, 2021
People: Joshua Bachrach
Reuters Quotes Stewart on Cannabis Federal Legalization
When: August 24, 2021
People: Ian A. Stewart
Simantob, Hoshide, and Morrow Granted Summary Judgment for Insurer in IP Coverage and Bad Faith Case
When: July 12, 2021
People: David M. Morrow, David Simantob and Linda Tai Hoshide
Wilson Elser Opens New Offices in Raleigh and Charlotte, North Carolina
When: June 1, 2021
People: Kathryn Anne Grace and Erik J. Tomberg
Five Wilson Elser Attorneys Ranked in Chambers USA 2021 Guide
When: May 20, 2021
People: Thomas F. Quinn, Thomas W. Tobin, Ian A. Stewart and Dean A. Rocco
Nelson Obtains Summary Judgment in Premises Liability Dispute
When: May 5, 2021
People: Jeremy J. Nelson

Events

Insurance Post Quotes Stewart on Growing U.S. Cannabis Market
When: January 20, 2022
People: Ian A. Stewart
PLUS Journal Recognizes Das for Industry Achievements
When: December 15, 2021
People: Anjali C. Das
Grace, Tomberg and Moore Obtain Dismissal for Excess Insurer in Homeowners Association Suit
When: October 22, 2021
People: Kathryn Anne Grace, Peter M. Moore and Erik J. Tomberg
Bashor Selected Among Business Insurance 2021 “Women to Watch”
When: October 18, 2021
People: Karen L. Bashor
10 Attorneys Named to 2021 New York Metro Super Lawyers List
When: October 5, 2021
People: Glenn J. Fuerth, Larry Lum, Lois K. Ottombrino, John M. Flannery, Robin N. Gregory, Stuart A. Miller, George N. Tompkins, III, Jura Christine Zibas and David A. Glazer
Bachrach and Austin Prevail in ERISA Lawsuit
When: October 1, 2021
People: Joshua Bachrach and Heather Austin
Meer, Thurston, Tranen and Tomberg Argue ADR Provision, Granted Motion to Dismiss
When: September 22, 2021
People: Jonathan E. Meer, James K. Thurston, Erik J. Tomberg and Daniel E. Tranen
Bachrach Obtains Defense Judgment in ERISA Benefits Lawsuit
When: August 31, 2021
People: Joshua Bachrach
Reuters Quotes Stewart on Cannabis Federal Legalization
When: August 24, 2021
People: Ian A. Stewart
Simantob, Hoshide, and Morrow Granted Summary Judgment for Insurer in IP Coverage and Bad Faith Case
When: July 12, 2021
People: David M. Morrow, David Simantob and Linda Tai Hoshide
Wilson Elser Opens New Offices in Raleigh and Charlotte, North Carolina
When: June 1, 2021
People: Kathryn Anne Grace and Erik J. Tomberg
Five Wilson Elser Attorneys Ranked in Chambers USA 2021 Guide
When: May 20, 2021
People: Thomas F. Quinn, Thomas W. Tobin, Ian A. Stewart and Dean A. Rocco
Nelson Obtains Summary Judgment in Premises Liability Dispute
When: May 5, 2021
People: Jeremy J. Nelson

Events

Insurance Post Quotes Stewart on Growing U.S. Cannabis Market
When: January 20, 2022
People: Ian A. Stewart
PLUS Journal Recognizes Das for Industry Achievements
When: December 15, 2021
People: Anjali C. Das
Grace, Tomberg and Moore Obtain Dismissal for Excess Insurer in Homeowners Association Suit
When: October 22, 2021
People: Kathryn Anne Grace, Peter M. Moore and Erik J. Tomberg
Bashor Selected Among Business Insurance 2021 “Women to Watch”
When: October 18, 2021
People: Karen L. Bashor
10 Attorneys Named to 2021 New York Metro Super Lawyers List
When: October 5, 2021
People: Glenn J. Fuerth, Larry Lum, Lois K. Ottombrino, John M. Flannery, Robin N. Gregory, Stuart A. Miller, George N. Tompkins, III, Jura Christine Zibas and David A. Glazer
Bachrach and Austin Prevail in ERISA Lawsuit
When: October 1, 2021
People: Joshua Bachrach and Heather Austin
Meer, Thurston, Tranen and Tomberg Argue ADR Provision, Granted Motion to Dismiss
When: September 22, 2021
People: Jonathan E. Meer, James K. Thurston, Erik J. Tomberg and Daniel E. Tranen
Bachrach Obtains Defense Judgment in ERISA Benefits Lawsuit
When: August 31, 2021
People: Joshua Bachrach
Reuters Quotes Stewart on Cannabis Federal Legalization
When: August 24, 2021
People: Ian A. Stewart
Simantob, Hoshide, and Morrow Granted Summary Judgment for Insurer in IP Coverage and Bad Faith Case
When: July 12, 2021
People: David M. Morrow, David Simantob and Linda Tai Hoshide
Wilson Elser Opens New Offices in Raleigh and Charlotte, North Carolina
When: June 1, 2021
People: Kathryn Anne Grace and Erik J. Tomberg
Five Wilson Elser Attorneys Ranked in Chambers USA 2021 Guide
When: May 20, 2021
People: Thomas F. Quinn, Thomas W. Tobin, Ian A. Stewart and Dean A. Rocco
Nelson Obtains Summary Judgment in Premises Liability Dispute
When: May 5, 2021
People: Jeremy J. Nelson

Events

Insurance Post Quotes Stewart on Growing U.S. Cannabis Market
When: January 20, 2022
People: Ian A. Stewart
PLUS Journal Recognizes Das for Industry Achievements
When: December 15, 2021
People: Anjali C. Das
Grace, Tomberg and Moore Obtain Dismissal for Excess Insurer in Homeowners Association Suit
When: October 22, 2021
People: Kathryn Anne Grace, Peter M. Moore and Erik J. Tomberg
Bashor Selected Among Business Insurance 2021 “Women to Watch”
When: October 18, 2021
People: Karen L. Bashor
10 Attorneys Named to 2021 New York Metro Super Lawyers List
When: October 5, 2021
People: Glenn J. Fuerth, Larry Lum, Lois K. Ottombrino, John M. Flannery, Robin N. Gregory, Stuart A. Miller, George N. Tompkins, III, Jura Christine Zibas and David A. Glazer
Bachrach and Austin Prevail in ERISA Lawsuit
When: October 1, 2021
People: Joshua Bachrach and Heather Austin
Meer, Thurston, Tranen and Tomberg Argue ADR Provision, Granted Motion to Dismiss
When: September 22, 2021
People: Jonathan E. Meer, James K. Thurston, Erik J. Tomberg and Daniel E. Tranen
Bachrach Obtains Defense Judgment in ERISA Benefits Lawsuit
When: August 31, 2021
People: Joshua Bachrach
Reuters Quotes Stewart on Cannabis Federal Legalization
When: August 24, 2021
People: Ian A. Stewart
Simantob, Hoshide, and Morrow Granted Summary Judgment for Insurer in IP Coverage and Bad Faith Case
When: July 12, 2021
People: David M. Morrow, David Simantob and Linda Tai Hoshide
Wilson Elser Opens New Offices in Raleigh and Charlotte, North Carolina
When: June 1, 2021
People: Kathryn Anne Grace and Erik J. Tomberg
Five Wilson Elser Attorneys Ranked in Chambers USA 2021 Guide
When: May 20, 2021
People: Thomas F. Quinn, Thomas W. Tobin, Ian A. Stewart and Dean A. Rocco
Nelson Obtains Summary Judgment in Premises Liability Dispute
When: May 5, 2021
People: Jeremy J. Nelson

News

Breen and Endler Obtain Summary Judgment for Insurer in Coverage Dispute

Philadelphia partner Brian Breen and of counsel Jesse Endler obtained summary judgment on behalf of client insurer in the Pennsylvania Court of Common Pleas, Luzerne County. The matter originated as a subrogation claim for property damage against the insured and its employee driver following a motor vehicle accident. Our client denied the claim because it had cancelled the policy prior to the loss as the insured failed to provide requested information and documents. The insured joined our client as a third-party defendant and sought declaratory relief that it was entitled to coverage for the underlying accident. Brian and Jesse moved for summary judgment under 40 P.S. § 991.2002, which states an insurance company may cancel a new policy within the first 60 days for any reason except a prohibited basis (such as age, race, gender, etc.) and with written notice to the insured. Written notice had been provided to the insured identifying its failure to cooperate and provide information. Based on the arguments in the moving papers, the court granted summary judgment in favor of the insurer and dismissed all claims.

Brian F. Breen and Jesse M. Endler

Francoeur and Mouzouris Obtain Dismissal for Insurance Broker in $1 Million Third-Party Action

Joseph Francoeur (Partner-New York, NY) and Eve Mouzouris (Associate-New York, NY) obtained dismissal in New York County Supreme Court on behalf of an insurance broker in a million-dollar third-party action alleging negligence, breach of contract and special relationship. Our client broker procured coverage for an owner of three attached buildings located in Queens County. When a fire caused significant damage, the owner made a claim to the insurance carrier that was denied in part and coverage of one of the attached buildings was limited to 2,146 square feet. The owner brought a third-party action claiming that its damaged property was significantly larger and therefore the coverage procured by the broker was inadequate. We filed a pre-answer motion to dismiss based on documentary evidence stating that not only was the property description provided to the carrier correct because it was obtained directly from the owner but that all public records reflected 2,146 square feet. Any additional square footage, Joe and Eve argued, was due to an unlawful addition constructed by the owner of which the city had no knowledge, essentially amounting to insurance fraud. The court agreed, striking down the owner’s reliance on an e-mail in which it is stated that the broker procured “adequate” coverage and declaring such language does not support a breach of contract or negligence claim. Finally, the court highlighted that in its opposition, the owner did not deny that it originally represented that the subject premises was 2,146 square feet or claim that the number it submitted was in error. 

Joseph L. Francoeur and Evgenia (Eve) Mouzouris

Dobuler Fends Off Potential Enormous Statutory Fees/Costs Award

Dale Dobuler (Of Counsel-Orlando) successfully defended a claim for fees and costs in the U.S. District Court, Northern District of Florida, for Wilson Elser's client, an international insurance company. The matter involved a complex first-party commercial property damage claim following hurricane destruction in Panama City. Our client promptly paid the claim, and the insured completed most of the repairs. Sometime later, the insured's public adjuster demanded millions of dollars in additional payments based on prospective repair estimates instead of actual repair costs. A premature suit was filed against Wilson Elser's client to compel appraisal and was stayed multiple times to allow the insured to comply with still-pending post-loss requests. Despite the insured's lack of cooperation, the claim was eventually placed into appraisal by the District Court, with an appraisal award entered in favor of the insured. Under Florida's former fee-shifting statute, the insured's counsel made a motion for entitlement to statutory fees and costs. While Florida law widely holds that a favorable appraisal award can constitute a "confession of judgment," resulting in entitlement to fees and costs, Dale demonstrated that the suit was improper and premature at filing, as claim adjustment was ongoing. The District Court subsequently denied the motion for fees, avoiding what would likely have been a very significant fee award.

Dale S. Dobuler

Murphy-Petros, Thurston, Tranen and Butterfield Score Team Victory before the U.S. Court of Appeals for the Ninth Circuit

Melissa Murphy-Petros (Of Counsel-Chicago, IL) Jim Thurston (Partner-Chicago, IL), Daniel Tranen (Partner-St. Louis, MO), and Chad Butterfield (Partner-Las Vegas, NV) convinced the Nevada District Court that coverage was not available under a $5 million D&O policy for the putative claims by a bankruptcy litigation trustee against a former officer (Kay). Kay allegedly breached his fiduciary duties to an insured entity when he failed to uncover the criminal fraud of its former CEO (Rogas). The Court followed Wilson Elser’s arguments that Kay’s breaches were “arising from” Rogas’s prior fraud and, therefore, fell within the purview of the exclusionary language of a warranty letter executed by Rogas, wherein he represented that “no insured” (including Rogas) had knowledge or information of any act or error that might give rise to a claim. Following briefing and oral argument by Melissa, the U.S. Court of Appeals for the Ninth Circuit affirmed, holding that despite two non-imputation clauses in the policy and allegations of wrongdoing by Rogas after the warranty letter, “the broad language excluding any claim ‘arising from’ pre-execution knowledge” was sufficient to bar any coverage to Kay under the policy. This three-office victory evidences the successful collaboration between Wilson Elser’s coverage, litigation and appellate attorneys on an economical basis without having to use additional local counsel.

Melissa A. Murphy-Petros, James K. Thurston and Daniel E. Tranen

Kemper and Dutton Granted Motion for Summary Judgment in Bad Faith Claim

Doug Kemper (Of Counsel-Louisville, KY) and Cyrus Dutton (Associate-Louisville, KY) were granted their motion to dismiss by Jefferson Circuit Court, Jefferson County, Kentucky, with added language to make its ruling immediately final and appealable. The plaintiff, an Ohio resident, was involved in a multi-party motor vehicle accident in Kentucky with another Ohio resident insured by our client, an insurer incorporated in Ohio with its principal place of business in Ohio. Liability for the accident was disputed, and the plaintiff sued the insured and joined third-party bad faith and punitive damages claims against the insurer alleging statutory and common law bad faith claims for failing to pay the claim. Doug and Cy moved to dismiss the bad faith claims on the grounds that Ohio law applies under a Conflict of Law analysis, and that Ohio does not recognize third-party bad faith claims against insurers. The motion was granted.

W. Douglas Kemper

Francoeur and Young Obtain Dismissal of Claim against Insurance Broker

Joseph Francoeur (Partner-New York) and Melissa Young (Associate-New York) obtained dismissal of all claims asserted against their client, an insurance broker, upon submission of a pre-answer cross-motion to dismiss based on documentary evidence. The plaintiff, a home improvement business specializing in the installation of residential exterior products, alleged that our client failed to obtain adequate insurance to cover a claim arising from the plaintiff’s snow and ice removal business. In the underlying slip-and-fall accident case, the plaintiff was named a third-party defendant for allegedly failing to remove snow and ice from a walkway, and submitted its claim to its carrier who denied coverage because the policy did not cover plaintiff’s snow and ice removal business. Melissa and Joe filed an opposition to plaintiff’s Order to Show Cause and a pre-answer cross-motion to dismiss the Complaint against our client as the insurance certificate makes no mention of a snow/ice removal business and conspicuously states that the certificate was issued “as a matter of information only and confers no rights upon the certificate holder…” The court entered a Decision and Order dismissing the plaintiff’s Order to Show Cause and granting the above-referenced cross-motion, dismissing all claims against our client. 

Joseph L. Francoeur and Melissa Young

Martin and Delabar Obtain Dismissal in Coverage and Bad Faith Action

Jennifer Martin (Partner-Dallas) and Tim Delabar (Associate-Dallas) obtained dismissal with prejudice of all claims in an insurance coverage and bad faith action arising from a first-party property claim. After the parties completed an appraisal and our client paid the appraisal award, the insureds and their contractor concluded the cost to repair the building was higher than anticipated. They filed suit against our client alleging that the appraisal should be set aside due to fraud or mistake and asserted causes of action for breach of contract, statutory bad faith under the Texas Insurance Code and DTPA, and violations of the prompt payment of claims statute, seeking more than $2 million in contractual damages, treble damages for bad faith, prompt payment penalty interest and attorney's fees. The plaintiffs’ theory of liability was that our client’s appraiser was acting as its agent for purposes of the appraisal. Jennifer and Tim filed a motion to dismiss arguing to the federal court that, as a matter of law, an appraiser is not an agent and that the plaintiffs failed to plead any facts that would suggest the appraiser in this case was operating in a dual role. They successfully argued that the court could consider emails by the appraisal panel, even though the emails were not attached to the plaintiffs’ complaint, because they were referenced in the complaint and central to the plaintiffs’ claims. The district court’s order relied heavily on these emails in granting judgment for our client. Ultimately, the federal court dismissed all claims with prejudice before the parties engaged in written discovery and before our client incurred significant defense costs. Plaintiffs did not appeal.

Jennifer Martin

Another Significant Insured v. Insured Exclusion Decision for Sheiffer, Boone, and Mueller

Richard W. Boone Jr. (Partner-New York, NY), David Sheiffer (Partner-New York, NY), and Siobhán A. Mueller (Associate-New York, NY), recently prevailed on a Rule 12(b)(6) motion in the U.S.D.C. for the Southern District of New York, where the Court again strictly enforced the insured versus insured exclusion (“IvI Exclusion”) in the at-issue policy (the “Policy”), despite an allocation clause requiring defense costs to be paid when covered and uncovered claims are made.  

That decision, which applied Kentucky law, stemmed from the same underlying lawsuit and Policy that was at issue in a prior case where Boone and Sheiffer, with the assistance of Lynsie Rust (Partner-Louisville, KY), prevailed on the same issue in the U.S.D.C. for the Eastern District of Kentucky, which was affirmed by the United States Court of Appeals for the Sixth Circuit.

As in the prior suit, several underlying lawsuits asserting direct and derivative claims had been filed by certain shareholders against certain directors and officers of the insured, a family-owned global agricultural fencing and equipment supplier, charging violations of RICO and price gauging in the sale of products by the insured and affiliated companies to companies controlled by the defendant directors and officers.  In the underlying litigation, the court had described the corporate structure of the family-controlled companies as “exceedingly complex.”

In response to the prior suit, our client, despite having issued a duty to defend, declined coverage on the basis that, among other things, one of the individual plaintiffs qualified as an insured under the terms of the Policy, thereby triggering the IvI Exclusion.  The Kentucky District Court agreed, dismissing the coverage action in its entirety, and was later affirmed by the Sixth Circuit.  Notwithstanding, a second insured defendant named in the underlying actions later sought coverage, which our client declined for the same reasons.  This insured then filed a second coverage action, this time hoping for a different result in the Southern District of New York.

In so doing, while noting the result in the prior Kentucky case, the insured argued that the Policy’s IvI Exclusion was inapplicable because “the purpose of an [IvI] Exclusion is in no way served by excluding coverage for [the insured], who is neither a family member, director, or officer of the [insured company].”  Notwithstanding, as before, the insured argued that because the Policy contained an allocation clause which required a defense when both covered and uncovered claims were present and because the plaintiffs in the underlying actions included entities that were not within the IvI Exclusion, the carrier was obligated to defend.  However, Judge Valerie Caproni disagreed, holding that the IvI Exclusion barred coverage for the underlying actions, in their entirety.

Before reaching the insured’s allocation clause arguments, however, the Court first addressed the “assistance exception” in the IvI Exclusion, which preserves coverage for a “Claim” otherwise excluded from coverage by the IvI Exclusion if it was “brought by any security holder of the Company” and the security holder “is acting totally independently of, and without the solicitation, assistance, active participation or intervention of, the Company or any Insured Person.”  The Court noted that this provision did not preserve coverage because “it is undisputed that Ms. Tarter Smith (an insured) spearheaded the litigation from its inception.”  

The Court then considered the Policy’s allocation clause, which the Court concluded “does not change this analysis.”  Under the Policy’s allocation clause, the insurer was specifically required to provide a full defense if a “Claim” includes “both covered and uncovered matters” or if it is made “against any Insured and others.”  However, as the Court noted, the allocation clause “does not expressly address claims brought by an insured and others.”  Rather, “[s]uch claims are expressly governed by the IvI Exclusion, which bars coverage for the underlying litigation as a whole unless the Assistance Exception applies.” Accordingly, the Court held that the IvI Exclusion barred coverage for the Claim in its entirety.

Significantly, in so holding, the Court did not entirely rely on the holdings in the prior Kentucky litigation.  Instead, the Court reviewed decisions involving similar IvI Exclusions throughout the United States.  Accordingly, although decided under Kentucky law, this decision arguably has broader significance for the interpretation of similar IvI Exclusions in the Southern District of New York and perhaps beyond.  

In this regard, we note that the matter is also presently on appeal to the United States Court of Appeals for the Second Circuit, Case No. 23-17.
 

Richard W. Boone, Jr. and Siobhán A. Mueller

Spitaletto and Team Obtain Unanimous Dallas County Defense Verdict and Recovery on Counterclaim in Arson Case

Tommy Spitaletto (Partner-Dallas, TX) defended a large insurance client in Dallas County District Court in a four-day trial against plaintiffs seeking renter’s insurance coverage, alleging more than $600,000 in damages. Despite the test result of another insurer’s fire investigator that did not show an accelerant, Tommy’s team developed evidence during the lawsuit that supported fraud by the insured and arson – notoriously difficult to prove based on circumstantial evidence. A cell phone expert also testified that the plaintiff could not have been located where he claimed, because plaintiff’s cell phone accessed a cell tower within three miles of the loss location within minutes of the fire starting. The jury unanimously rejected the plaintiffs’ breach of the policy claim, as well as statutory “bad faith” claims of deceptive trade practices and unfair claims settlement practices. The jury awarded $39,000 on our client’s counterclaims as repayment of the amount advanced to the plaintiffs during the claim investigation prior to obtaining the evidence of arson.

Thomas M. Spitaletto

Spitaletto Secures Fifth Circuit Affirmance of Coverage Win

Tommy Spitaletto (Partner-Dallas, TX) successfully argued the summary judgment motion in the District Court and the Fifth Circuit oral argument on appeal by plaintiff (an appellant-judgment creditor), who sued our carrier-client over a $1.6 million judgment against its insured, which resulted from an underlying personal injury lawsuit. The carrier had denied coverage because the insured failed to request a defense. The plaintiff argued that the policy does not expressly require an insured to “request” a defense, that our client had knowledge of the underlying lawsuit because it was defending another defendant in the same case, and that its insured had in fact forwarded a copy of the Petition. The appellant challenged the District Court’s summary judgment dismissal of his claims as a third-party beneficiary/judgment creditor. Relying on the Texas Supreme Court’s Crocker opinion and others, the Fifth Circuit affirmed summary judgment, finding that the insured must not only forward suit papers but also request a defense, which in this case did not occur. The court also rejected another argument by the appellant that prejudice was required.

Thomas M. Spitaletto

Summary Judgment in Case Involving Lost Business Income Tied to Pandemic

Michael O’Malley (Partner-Chicago), Michael Harowski (Partner-New Orleans) and Dominik Cvitanovic (Associate-New Orleans) obtained summary judgment in favor of Certain Underwriters at Lloyd’s, London (Underwriters) in connection with an insurance coverage dispute in Louisiana state court for lost business income arising from the COVID-19 pandemic. The judge rejected the reasoning of a recent appellate decision that found in favor of coverage and instead found coverage had not been triggered because the insured was unable to demonstrate that it sustained direct loss of or damage to property. Louisiana is only one of three states in the nation with appellate law finding losses arising from COVID-19 could trigger business income coverage under a commercial property policy. During the summary judgment briefing, a Louisiana appellate panel issued a decision in a case that involved an identical claim against Underwriters for COVID-19, finding the same policy language involving “loss of or damage to property” was ambiguous and construed the ambiguity in favor of coverage. After a lengthy oral argument, the court ruled from the bench, rejected the reasoning of the other appellate court and found that such COVID-19 losses did not constitute “loss of or damage to property.” 

The decision is significant because it lays the foundation for a circuit split within Louisiana, and because attorneys, policyholders, insurers and judges nationwide have been following each of these cases closely as the total business income losses arising from COVID-19 is estimated to be in the trillions of dollars globally.
 

Michael J. O'Malley, Michael Harowski and Dominik Cvitanovic

Ninth Circuit Victory in Coverage Case Involving the El Chapo Drug Cartel

Melissa Murphy-Petros (Of Counsel-Chicago), Jim Thurston (Partner-Chicago) and Paul White (Partner-Los Angeles) prevailed in a coverage action before the Ninth Circuit. The underlying action involved the insured’s sale of a scientific manufacturing facility in Mexico without telling the buyer that the facility had been taken over by the El Chapo drug cartel. The Ninth Circuit affirmed the district court’s grant of our Rule 12(b)(6) motion to dismiss on the basis of the policy’s contract exclusion, finding that the underlying action – which stated claims for fraud – was an action “based on, arising from, or in any way related to an actual or alleged breach of contract.” This decision is important because the underlying action sought damages only for tort claims, and there were no breach of contract claims. Further, certain of the alleged wrongful acts occurred prior to the formation of any contract, yet both courts held the exclusion still had application. Although there was no claim for indemnity, the insured sought $5 million in defense costs.

This appeal has been reported on four times by Law360:

9th Circ. Won't Revive PE Firm's 'El Chapo' Insurance Dispute

Firm Faces Skeptical 9th Circ. In 'El Chapo' Insurance Dispute

Insurer Urges 9th Circ. To Toss Appeal In 'El Chapo' Dispute

PE Firm Tells 9th Circ. It's Owed Defense In Fraud Suit
 

Melissa A. Murphy-Petros and James K. Thurston

Drug equipment

Spitaletto Secures Appellate Victory in Insurance Coverage Case Before Nebraska Supreme Court

Tommy Spitaletto (Partner-Dallas, TX) argued a motion for summary judgment in Douglas County District Court, Nebraska, and a subsequent appeal to the Nebraska Supreme Court. The case involved a coverage dispute over a credit union’s lawsuit against its former directors for mismanagement and self-dealing. The district court initially granted declaratory judgment for the insured, but vacated that ruling after argument and granted summary judgment in favor of the insurer on multiple coverage defenses (e.g., claim not first made during the policy period because it related back to an earlier claim; regulatory claims exclusion; waiver or estoppel did not apply). The Nebraska Supreme Court affirmed the ruling after oral argument on appeal in the face of relatively undeveloped state caselaw at the time.

Thomas M. Spitaletto

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