Three Key Insurance Law Decisions from 2020

This post first appeared on Risk Management Magazine. Read the original article.

Given all the challenges of 2020, it would be easy to overlook some of the interesting insurance law developments during the last 12 months. The three legal decisions highlighted below from this past year involve dispute points in insurance law that have recurring importance to policyholders’ risk management, in-house legal and treasury departments.

Cyber Coverage for More than Ransomware Payments

Ransomware attacks have
been unrelenting during the pandemic and aimed at some of the most crucial
sectors, including health care. As the New York Times reported recently,
cyberattacks on hospitals and health systems “have become their own kind of
pandemic.”

While ransomware
demands have exploded, they are not the only harm inflicted by these attacks. A
decision from January indicates that policyholders may have insurance coverage
across an array of insurance products for losses beyond ransom payments.  In Nat’l
Ink & Stitch, LLC, v. State Auto Prop. & Cas. Ins. Co.
(D. Md. Jan.
23, 2020), the court held that a policyholder that suffered serious damage and
losses from a ransomware attack was entitled to all-risk property coverage for
lost data, lost software, and a dysfunctional computer system and
hardware. The court held:

Here, not only did Plaintiff sustain a loss of its data and software, but Plaintiff is left with a slower system, which appears to be harboring a dormant virus, and is unable to access a significant portion of software and stored data. Because the plain language of the Policy provides coverage for such losses and damage, summary judgment will be granted in favor of Plaintiff’s interpretation of the Policy terms.

This case underscores
that policyholders may have coverage for serious cyber incidents under policies
that are not cyber-specific, including not only property policies as in this
case, but also policies that insure against crime, D&O and E&O losses
and claims.  

Excess Insurance Disputes

Excess insurance
companies that contest coverage and flee the pro-coverage findings of primary
insurance companies can be the bane of a policyholder’s existence. In the
last decade or so, excess insurance companies have increasingly contested
coverage where primary insurance companies honor their coverage
obligations. One tactic used by certain excess insurance companies is to
claim that underlying insurance is not properly exhausted because the primary
insurance company paid “uncovered” loss. This argument gets made even where the
excess coverage is “follow form.” Fortunately for policyholders, a federal
court appellate decision from this spring rejects these arguments.

In Axis
Reinsurance Co. v. Northrop Grumman Corp.
(9th Cir. 2020), the Ninth
Circuit held that “excess insurers generally may not avoid or reduce their own
liability by contesting payments made at prior levels of insurance,” absent
fraud, bad faith, or an express provision in their excess policy reserving the
right of the excess insurer to contest payments made by underlying insurers.
The issue of improper exhaustion most often comes up in the context of towers
of D&O and E&O insurance programs. In Axis Reinsurance,
however, the exhaustion of limits defense was asserted by a second layer excess
insurance company, which argued that it did not have to provide excess
liability insurance coverage under a Fiduciary Liability Insurance
policy. 

AXIS argued that
underlying insurance companies paid an “uncovered” claim arising from
Northrop’s settlement of alleged Employee Retirement Income Security Act of
1974 violations, thereby “improperly eroding” their policies’ liability limits
and prematurely triggering AXIS’s excess coverage. The Ninth Circuit held there
was no authority supporting the theory of “improper erosion” and applied the
“general rule favoring the objectively reasonable expectations of the insured.”

Recovery of Coverage Litigation Attorney Fees

Any policyholder that
has been through coverage litigation to enforce its coverage rights and recover
its losses knows that this is an expensive endeavor—costing time, resources and
money. Many jurisdictions hold that an insurance company that improperly
denies coverage can be liable not only for the amount of the coverage owed all
along, but also for coverage litigation costs, including the policyholder’s
attorney fees. In a decision from this spring, Houston Cas. Co. v.
Prosight Specialty Ins. Co.
, (S.D.N.Y. May 27, 2020), an insurance company called
HCC that had paid a claim, brought coverage litigation, standing in the shoes
of the policyholder against another insurance company that had refused to
provide additional insured coverage to HCC’s policyholder.

The court held that the
defendant insurance company owed additional insured coverage and awarded HCC’s
coverage attorney fees, even though litigants usually bear their own attorney
fees. The court relied on an oft-cited decision in Mighty Midgets,
Inc. v. Centennial Ins. Co.
(1979) and also the decision rendered in U.S.
Underwriters Insurance Co. v. City Club Hotel, LLC
, (2004), both recognizing
that an insurance company that evades its obligations to provide defense cost
coverage can be made to pay not only that coverage but also the expenses
incurred in pursuing the breaching insurance company.

This decision is an
important reminder that policyholders should not hesitate to seek recovery of
their coverage litigation fees and costs where the insurance company improperly
denies coverage—whether the policyholder is a plaintiff or defendant in the
declaratory judgment action.

The issues in dispute in these cases—coverage for losses stemming from a cyberattack under non-cyber policies, failure of excess insurance companies to “follow form” when obligated to do so, and recovery of the costs of coverage litigation—are likely to recur repeatedly in coming years. In a difficult year, these decisions provide a few bright spots for policyholders.

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