Articles Posted in Insurance Companies

I had a jury trial in an auto accident case in Anne Arundel County against State Farm last week. It was a soft tissue injury case with over a year of treatment. It was a case we inherited from another lawyer who retired last year.

The biggest weakness of the Plaintiff’s case is that he had few doctor visits before complaining of the soft tissue injury related to the claim. The Defendant’s biggest weakness was their liability defense never made any sense. The Defendant was, however, elderly and very sympathetic. Because the jury is never told insurance will pay the claim, expect this to be a factor in the recovery’s amount even if they suspect there is insurance behind the Defendant.

The jury found for the plaintiff but awarded only a little over $16,000. This thrilled State Farm, and I became depressed for a few days. They won, and I lost. That is how we both saw it and marked our scorecards accordingly.

The Daily Business Review last week wrote an unbelievable article about a battle between an insurance company and its policyholders. This has been the landscape since Chinese and Babylonian traders started issuing insurance about two thousand years ago. But, in this story, the insurance company has expanded its war to include Florida judges.

United Automobile Insurance Company’s lawyers are seeking to remove a Florida judge from all Personal Injury Protection (PIP) accident cases involving the insurance company, citing the judge’s alleged bias.

The Florida-based carrier’s attorneys have moved to disqualify Broward County Court Judge Jay from “any and all cases involving United Automobile Insurance Company as a litigant.” United alleges that Judge Spechler routinely displays “pre-disposition, prejudice and bias” against its attorneys. In an interview, Judge Spechler, who has served on the bench for 19 years, estimated that, incredibly, two-thirds of his cases are PIP disputes with this insurance company.

The Maryland Senate has passed House Bill 425 and the Maryland House of Delegates today also passed the bill, which puts a new requirement of good faith for insurance companies dealing with their insureds. The bill now heads to Governor O’Malley for his signature. The Governor has previously pledged support for the bill.

This issue has been a reoccurring topic on the Maryland Personal Injury Lawyer Blog. See this post and this post. My partner, Laura G. Zois, testified before the Maryland Senate and House of Delegates about three weeks ago on this very issue. I know that after the bill passed the Maryland Senate, there were a lot of lobbying efforts from the insurance companies to keep it from passing in the House of Delegates. They pushed the vote back, and I began to doubt whether Maryland would join most states that already have first-party bad faith. I’m thrilled the Maryland Assembly put the interest of Maryland injury victims and consumers ahead of the insurance company and their lobbyists.

This is a huge win for victims and their attorneys who are fighting to get injury victims a fair recovery for their injuries and the benefits of the insurance contract for which they are paying premiums.

Last month, the Maryland Court of Special Appeals issued its opinion in Maryland Casualty Co. v. Hanson. The issue in the case involved whether multiple exposures to lead-based paint over multiple years constituted multiple occurrences such that the insurance policies would stack or whether the policy’s “limitation of liability” provision defining continuous exposure as one occurrence, thus limiting the amount of insurance coverage. This is a classic long-term toxic exposure case involving many insurance policies. The question is which insurance carrier(s) is/are on the risk and whether the policies stack.

The issue, in this case, is whether the continuous trigger theory applies. The continuous trigger is a relatively recent idea in the law that deals with the problem of repeated injury. Under this theory, a loss occurs for insurance coverage during any time of exposure. It is sometimes called the triple trigger because coverage is invoked in one of three ways: initial exposure, continuing exposure, or by a manifestation of loss.

In the underlying case in Maryland Casualty v. Hanson, the plaintiffs were children exposed to lead paint at a property owned by the defendant on North Central Avenue in Baltimore, Maryland. The exposure to lead-based paint was over six years, spanning several insurance policies.

In a comment to my May 22, 2006 post on giving recorded statements to insurance companies, Atlanta personal injury lawyer Ken Shigley makes a great point about how lawyers can knock insurance companies off their moral high ground when an injury victim’s car accident lawyer refuses to give a recorded statement. In the same way that innocent people accused of a crime feel compelled to talk to police because they do not want to look like they have something to hide, personal injury lawyers felt a little uncomfortable when refusing to allow a recorded statement. The refusal makes the lawyer feel like he or she has something to hide, even when there is nothing to hide. Every lawyer (okay, most lawyers) wants to be a straight shooter, willing to lay their cards on the table. But giving a recorded statement is against the attorney’s client’s interests, even when the attorney knows that the client was not at fault for the accident and has been seriously injured in the car accident.

Instead of refusing the request, Ken suggests that personal injury lawyers offer that both parties meet to give recorded statements. The insurance adjuster invariably has to refuse the request because it is against company policy to allow for a recorded statement. Ken points out the result is the same, but it knocks the insurance company off its high horse and makes the lawyer “feel good.”

This might be an obvious point to some, but I am asked for a recorded statement several times a week, sometimes (but not usually) with a condescending “what does your client have to hide?” tone, and have never thought to give this response. I literally just used it with a Nationwide adjuster about 10 minutes ago.

Today, for the first time in ten years, State Farm’s Baltimore office conducted a “Settlement Day” hosting eight Maryland law firms at their offices to settle State Farm auto and truck accident cases. The day was a success for our office; we settled 70% of the cases up for discussion. Other personal injury attorneys that I spoke to who attended also reported substantial success. One Maryland accident lawyer told me he settled all but one of his law firm’s car accident cases.

The day was also a success because it is productive for attorneys to meet the adjusters they deal with regularly. Even if we had settled none of our cases, it would have been worthwhile just to meet the adjusters. Everyone I met was very courteous and hospitable, even in those cases where we could not agree (the larger cases were the most difficult). The adjusters also tolerated my “evil empire” jokes well.

When I was doing pharmaceutical defense work, I would often fly across the country for an hour meeting with an expert. Other attorneys would also ask why a phone call would not suffice. But I always thought you can establish a much higher quality relationship and understanding with a person who you can see in person.

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