By Abdul Somad Senin, 27 Maret 2017 Insurance Law § 5103(b)(2) Intoxication Exclusion Necessary Emergency Health Services No-Fault Stabilization No-Fault Insurer Found Entitled to Breakdown of What Hospital Services Constituted Necessary Emergency Health Services NO-FAULT – NECESSARY EMERGENCY HEALTH SERVICES – STABILIZATION – INTOXICATION-CAUSED INJURIES St. Barnabas Hospital v. Government Employees ...
By Abdul Somad Selasa, 21 Maret 2017 "Residence Premises" Occupancy Property Residence Premises Residency What Does It Mean To "Reside" for Insurance Purposes? PROPERTY – RESIDENCY REQUIREMENT – CHANGE IN OCCUPANCY – AGENT LIABILITY Harrison v. Allstate Indemnity Co. (Sup. Ct., Steuben Co., decided...
By Abdul Somad Sabtu, 18 Maret 2017 Regulation 64 The Updated Should-You-Wish-to-Complain-About-Your-Insurance-Company Advisory Paragraph I've blogged several times about the consumer advisory paragraph of New York Insurance Regulation 64 ( 11 NYCRR Part 216 ). Personal...
By Abdul Somad Jumat, 17 Maret 2017 Falsus in Uno Fraudulent Misrepresentation Falsus in Uno, Falsus in Omnibus It has been said that someone who lies about little things will lie about big things. Not may lie. Will lie. True or not, many jurisdic...
By Abdul Somad Kamis, 24 November 2016 Malicious Mischief Named Perils Turkey Floater Policy Poults, Planes, Piling & Named Perils -- A Fowl Coverage Decision for Thanksgiving COMMERCIAL PROPERTY – TURKEY FLOATER POLICY – MALICIOUS MISCHIEF Larson v. Fireman's Fund Insurance Company (Iowa Sup. Ct., decided 12...
By Abdul Somad Selasa, 15 November 2016 Regulation 64 Get Your Current 11 NYCRR Part 216 (NY Insurance Regulation 64) Here Go on. Find a copy of New York Insurance Regulation 64 (11 NYCRR Part 216) on the New York Department of Financial Services' website . ...
By Abdul Somad Selasa, 11 Oktober 2016 Assault Duty to Defend Duty to Indemnify Homeowners Intentional Act Can You Find The The Mistake? HOMEOWNERS – INTENTIONAL ACT – CRIMINAL ASSAULT – DUTY TO DEFEND – DUTY TO INDEMNIFY State Farm Fire & Cas. Co. v. Gloria (Sup. Ct.,...
By Abdul Somad Oktober 11, 2016 Commercial Property Consumer-Oriented Conduct Deceptive Acts and Practices Expert Proof General Business Law § 349 Treble Damages Summary Judgment Granted to Commercial Property Insurer on New York General Business Law § 349 Deceptive Acts and Practices Claim COMMERCIAL PROPERTY – WATER DAMAGE – BROADENED WATER-DIRECT DAMAGE COVERAGE EXTENSION – ENGINEERING EXPERT – GENERAL BUSINESS LAW § 349 D...
By Abdul Somad Rabu, 05 Oktober 2016 Chronological Priority Priority of Payments Pro Rata Multiple Claimants But Limited Coverage: Chronological Priority or Pro Rata Payments? One of our auto insurer clients called me this morning with a question. Does New York follow the "first in time, first in right" ...
By Abdul Somad Senin, 28 Desember 2015 Declaratory Judgment Default Judgment No-Fault Res Judicata Declaratory Judgment Granted on Default Serves as Res Judicata of Previously Commenced Provider Recovery Claim NO-FAULT – DECLARATORY JUDGMENT – DEFAULT JUDGMENT – RES JUDICATA Daily Med. Equip. Distrib. Ctr., Inc. v. American Tr. Ins. Co. (App. ...
By Abdul Somad Desember 28, 2015 Lack of Coverage Defense No-Fault Prima Facie Showing "Not It" Affidavit Sufficient to Merit Summary Judgment on Lack of Coverage Defense NO-FAULT – LACK OF COVERAGE DEFENSE New Way Med. Supply Corp. v. Dollar Rent A Car (App. Term, 2nd Dept., decided 12/8/2015) In support of ...
By Abdul Somad Selasa, 22 Desember 2015 'Twas The Risky Night Before Christmas -- How an Insurance Professional Reads the Classic (Reprised) [Those of you who have been reading this blog for at least the past five years will recognize this. Reprised for our more recent and curren...
By Abdul Somad Selasa, 15 Desember 2015 Late Notice Personal Articles Policy Prejudice Property Renters Policy Theft 86-Day Delayed Notice of an Approximately $200,000 Claimed Theft Loss Found Inexcusable as a Matter of Law PROPERTY – RENTERS POLICY – PERSONAL ARTICLES POLICY – THEFT – LATE NOTICE – LATE NOTICE EXCUSES – PREJUDICE Minasian v. IDS Prop. ...