Insurance lawyers often will hear a story that goes like this. – I was involved in an accident last year. The other guy was at fault. I let my insurance company know about the wreck and then I found out that my insurance company paid the other guy. Can I…
Dallas Fort Worth Insurance Lawyer Blog
Insurance Case And Attorney Fees
Insurance lawyers know that in a first pary insurance claim lawsuit, a claim for attorney fees can be made. When the insurance company challenges the attorney fees claim of the insured, a natural response by the lawyer is to seek to get the information related to what the insurance company…
Segregation Of Damages – Property Damage Claims
Lawyers who handle property damage claims learn real fast that the damages that exist on the property have to be properly segregated when making an insurance claim. What does this mean? The most common situation that arises is after a hail and wind storm. An insured discovers damage to his…
Funding Fraud Prosecutions In Texas
The Insurance Journal published a story on June 6, 2017, that is titled, Private Insurer Will No Longer Fund Fraud Prosecutions In Texas. Thanks to new money and oversight from the Texas Legislature, the state can now pursue workers’ compensation fraud cases without relying on an unusual and much-criticized funding…
Surplus Lines Insurance
Insurance lawyers will run across situation where the insurance company is a surplus lines insurance company. Surplus lines insurance is dealt with, in part, it chapter 981 of the Texas Insurance Code. Specific points about surplus lines carriers are discussed throughout the insurance code. The May 25, 2017, Insurance Journal…
You Have To Properly Word Pleadings Against An Insurance Adjuster
The Eastern District, Sherman Division, issued an opinion in May 2017, that, yet again illustrates how to NOT sue an insurance adjuster. The opinion is styled, Hidden Cove Park and Marina v. Lexington Insurance Company and Glenn Hollmuller. Severe storms caused damage to Plaintiff Hidden Cove. Plaintiff sued defendants Lexington…
Claims Against The Insurance Sales Agent
The Western District, San Antonio Division issued an opinion in a case that helps an insurance company keep his client’s case out of Federal Court by suing the insurance agent. The opinion is styled, The New World Baptist Church, LLC v. Nationwide Property and Casualty Insurance Company, Kevin P. McLoughlin,…
Suing The Insurance Adjuster In Dallas Texas
Most insurance lawyers want to keep their cases out of Federal Court. One way of doing this, if the opportunity exists, is to find fault with the way an adjuster handled the claim. This is illustrated in a Northern District, Dallas Division opinion styled, Arlington Heights Memorial Post No. 8234…
ERISA And Medical Necessity And Short Term Disability Benefits
ERISA lawyers will fight whether a prescribed treatment is medically necessary on a routine basis. The courts will interpret the policies in favor of the insurer. This case is from the Northern District, Dallas Division. It is styled, Charlize Marie Baker v. Aetna Life Insurance Co., et al. Baker, who…
A Person Has To Ask For Policy Benefits To Get The Benefits
As strange as this one may seem, it is actually fairly common. This is a Southern District, Houston Division opinion styled, Gavion et al v. ACE American Insurance Company. In 2009, Gavion swerved into the path of a train. He was driving under the policy of his mother’s employer. A…