As many victims of the East Tennessee wildfires are working through the claim process, this seems to be a good time for a quick word about soot testing. Smoke and soot from the wildfires likely affected hundreds of property owners whose properties were never touched by an actual flame. Even with no actual fire damage,
Claim Tips
What Do You Mean I Have to Cooperate?
When you file an insurance claim, your insurance company will almost always request a significant amount of information from you. Depending on the type of loss you have suffered, this type of information can typically include an estimate of your damages, an inventory if you had business or personal property coverage, and a litany of…
Another Appellate Opinion Regarding the Timeliness of a Lawsuit
Yesterday, the Court of Appeals issued yet another decision concerning when a lawsuit must be filed in order to be timely. In a well-reasoned and fair opinion authored by Judge Gibson, the Court of Appeals made clear once again that the question of when a claim accrues is fact intensive and requires a knowledge and…
“MAKE AVAILABLE” DOES NOT REQUIRE INSURERS TO OFFER SINKHOLE COVERAGE
Tennessee has a statute, T.C.A. § 56-7-130, concerning insurance company requirements with respect to providing sink hole coverage and handling sink hole claims. The statute was recently amended, and prior to July 1, 2014, was the subject of much litigation. At issue was whether the statute requiring insurance carriers to “make available” sink hole coverage …
SUIT LIMITATIONS CLAUSE APPLIED WHERE CARRIER ACCEPTS THE CLAIM AND MAKES PARTIAL PAYMENT
On April 6, 2015, the Tennessee Court of Appeals (Western Section), decided the case of Daniel v. Allstate, No. W2014-01965-COA-R3-CV (download copy here). In this case, the trial court had granted summary judgment to an insurer based upon the one-year contractual limitations period under the policy. Factually, the subject property was damaged by fire…
The Law of Matching in Tennessee
A hail storm hits a shingled roof, but only damages a handful of shingles. Unfortunately, the shingles on the roof are no longer manufactured, which would result in a mismatched checkerboard of colors on the roof if only the few damaged shingles were replaced. In those circumstances, is the insurance company obligated to replace the…
Insureds Have Obligations Too
In this age where assaults against policy conditions are common, it is good to see a court recognize that an insured has an obligation, and a burden, when seeking to recover insurance benefits. In Meyers v. Farm Aid Association of Loudon County, No. E2103-02585-COA-R9-CV, filed December 9, 2014 (download Meyers v. Farmers Aid), …
Man-Made Earth Movement Excluded by Earth Movement Exclusion
One of my partners won a Court of Appeals decision earlier this week wherein the court construed an earth movement exclusion in a factual scenario not previously presented. The case is Hearn v. Erie Insurance Exchange, No. M2012-00698-COA-R3-CV. Download a copy here.
The language at issue in the policy provided that the company …
The Proper Scope of Appraisal – Thoughts from the Battlefield
In Parks‘ last post, "What is the Proper Scope of Appraisal in Tennessee?", he pointed out the Merrimack decision in which the Court of Appeals held that appraisal is not appropriate for decisions regarding coverage and liability. In considering my response, I spoke with Chuck Howarth, who is part of The Howarth…
What is the Proper Scope of Appraisal in Tennessee?
In the past ten (10) years, we have seen much litigation arise concerning the proper scope of the appraisal clause. Although different policies have different provisions, the “gist” of an appraisal clause can be seen in the following policy provision:
Appraisal
If we and you disagree on the amount of loss, either may make written …