Interpreting An Insurance Policy

Insurance Policy Interpretation Case

August 22, 2010 | Mark S. Humphreys

What does the policy mean? A good question for anybody in Mansfield, Arlington, Dallas, Fort Worth, Grand Prairie, Grapevine, Colleyville, and other cities in Texas.

The answer is hard. The short and quick answer is: Consult with an experienced Insurance Law Attorney. The longer answer is: It depends. Each case and each policy and each set of facts is different and have to be looked at in light of all together.

The United States Court of Appeals for the Fifth Circuit, recently was called on to interpret an insurance policy and to determine whether or not the facts of a claim implicated coverage in the policy at issue. The opinion in the case was issued on July 16, 2010. The style of the case is, Standard Waste Systems Ltd. v. Mid-Continent Casualty Co., Mid-Contitent Insurance Co., Oklahoma Surety Co. The justices were, Dennis, Owen, and Southwick.

Insurance Policy – Crime Protection

August 17, 2010 | Mark S. Humphreys

Businesses in Hurst, Euless, Bedford, De Soto, Grand Prairie, Arlington, Fort Worth, Dallas, Mansfield, Southlake, Grapevine, or any other city in Texas have various kinds of insurance policies to protect their bussiness. One of those kinds of insurance is called Crime Protection Policies. Here is a recent case dealing with this type of insurance coverage.

The case is, Great American Insurance Company v. AFS/IBEX Financial Services, Inc. The opinion in this case was issued on July 22, 2010, and authored by Circuit Judge Carl E. Stewart. This is from the United States Court of Appeals for the Fifth Circuit.

In this case, Great American Insurance Company (GAIC) issued crime protection policies to AFS/IBEX Financial Services, Inc. (AFS). After suffering a loss caused by the forgery of certain checks, AFS submitted a claim to GAIC. GAIC denied coverage and filed this lawsuit asking the court to affirm their decision.

Insurance Policy Language

August 15, 2010 | Mark S. Humphreys

People everywhere, including Dallas, Fort Worth, Grand Prairie, Arlington, Mansfield, Irving, Burleson, Granbury, Lake Worth, or anywhere else in Texas, have dreams of someday having their own business. When that happens they will find themselves having to purchase commercial insurance policies to protect themselves and their business from accidents and mistakes that are simply going to happen at one time or another.

The United States Court of Appeals for the Fifth Circuit decided a case on July 9, 2010, that involved a small business person and their commercial insurance policies. The style of the case is, Employers Mutual Casualty Company; Emcasco Insurance Company v. Juan Miguel Bonilla, et al. This case is an insurance coverage dispute and though there are other issues in the case, the primary issue was the meaning or definition of the word “use” within the insurance policy.

Here are some background facts: Bonilla leased a truck from Jolly Chef Express, Inc. On a daily basis he hired a driver and cook for each of his trucks. At the end of each day the driver and cook would return to their parking place to clean the truck and prepare for the next day’s route.

Policy Interpretation In Texas

August 11, 2010 | Mark S. Humphreys

No matter where you live, Weatherford, Aledo, Azle, Lake Worth, Mineral Wells, De Soto, Arlington, Grand Prairie, Dallas, Fort Worth, Mesquite, Garland, or anywhere else in Texas, the insurance companies are always looking for ways to deny a claim.

The Texas Supreme Court, in 2004, decided a case where the insurance company denied a claim for Personal Injury Protection (PIP) benefits under a policy. The style of the case is, Texas Farm Bureau Mutual Insurance Company v. Jeff A. Sturrock. Justice O’Neil delivered the opinion of the Court.

In this case, an insured, Sturrock, was injured when his foot became entangled with his truck’s raised door facing while he was exiting the vehicle. The issue here is whether or not his injury resulted from a “motor vehicle accident” for purposes of PIP coverage under his automobile policy with Texas Farm Bureau Mutual Insurance Company (Farm Bureau). The Court held that a “motor vehicle accident” occurs when (1) one or more vehicles are involved with another vehicle, an object, or a person, (2) the vehicle is being used, including exit and entry, as a motor vehicle, and (3) a casual connection exists between the vehicle’s use and the injury producing event.

Insurance Coverage – How Do You Interpret It?

August 10, 2010 | Mark S. Humphreys

I live in Dallas, or Fort Worth, Arlington, Grand Prairie, Flower Mound, Mansfield, Justin, De Soto, Duncanville, Azle, or anywhere else in Texas – How do I know how to interpret my insurance policy? Here is a bunch of answers. Consult with an experienced Insurance Law Attorney. Ask you insurance agent. Attend an insurance seminar. Go to law school. Ask your next door neighbor or your boss at work.

The above may seem rediculous but sometimes the answer is hard to get even when asking the professionals. Here is my suggestion. Talk to the lawyer.

Legal conclusions are sometimes easy to reach but too often they are not so easy. Here is a case that argued over what the work “you” means in the policy.

What Does My Insurance Policy Cover?

July 29, 2010 | Mark S. Humphreys

The above question could be asked by someone in Grand Prairie, Hurst, Euless, Bedford, Grapevine, Colleyville, Keller, Dallas, Fort Worth, or anywhere in Texas. So what is the answer? The answer is what all lawyers say in response to all questions put to them: It depends!

It depends on whether or not the insurance policy is ambiguous. If it is ambiguous, then it is open to more than one interpretation. Or if it is doubtful or uncertain, the court must find in favor of coverage.

Experienced Insurance Law Attorneys look at and rely on what courts have done in the past with similar cases when advising a client what may be the outcome to any particular set of facts in a case.

Interpretation Of A Texas Insurance Policy

July 28, 2010 | Mark S. Humphreys

Someone in Dallas, Fort Worth, Grand Prairie, Arlington, Carrollton, Garland, Mesquite, De Soto,Duncanville, Burleson, Benbrook, or anywhere else in Texas may ask: How do I know what my insurance policy says?

Insurance companies spend lots of money paying lawyers to draft and write insurance policies that they issue to their insureds. And the insurance company knows what they are trying to write. The problem is, what they mean to write and what the insured person reads it to mean can often times be very different. So what happens?

What happens depends on whether or not the insurance policy is ambiguous.

Towing And Storage Charges And Auto Insurance In Texas

July 1, 2010 | Mark S. Humphreys

Someone living in Flower Mound, Haslet, Grand Prairie, Arlington, Mansfield, Crowley, Cedar Hill, Carrollton, Irving, or anywhere else in Texas may wonder what happens or who is suppose to pay the towing and storage charges resulting from an accident. This was the issue in a recent court case.

The Court of Appeals, Eastland, Texas, decided a case on June 3, 2010, where this was the issue. Or more specifically, the issue was more along the line; How much does the insurance company for the at fault driver have to pay for these charges? The opinion was authored by Justice, Rick Strange. The style of the case is, Underwriters at Lloyds of London v. Robert Harris, Individually and d/b/a Harris Garage.

In this case, Robert Harris (Harris) filed suit against Underwriters at Lloyds of London (Underwriters) seeking towing and storage charges and attorney’s fees. The jury found in favor of Harris in all three causes of action and Underwriters appealed.

Permissive Driver Coverage In Texas

June 27, 2010 | Mark S. Humphreys

How does someone living in Grand Prairie, Arlington, Mansfield, Fort Worth, Keller, Bedford, Hurst, Euless, Irving, De Soto, Duncanville, Burleson, Granbury, or anywhere else in Texas, know when an unlisted driver on an insurance policy is covered if an accident occurs? This is the third of three posts in a row on this subject. The following is what happened in a third case addressing this topic.

In 1989, the Texas Supreme Court, in the case, United States Fire Insurance Company v. United Service Automobile Association, discussed the issue of permissive driver coverage. This case involved a dispute between insurance companies over which had the duty to defend Anna Milliken, a passenger in an automobile, who allegedly caused an accident by grabbing the steering wheel of a moving vehicle. One policy was issued by United States Fire Insurance Company (Fire) and covered the automobile involved in the accident. The other was issued by United Service Automobile Association and insured the father of the passenger, Anna Milliken. The courts ruled that Fire had responsibility in this case.

The claim arose out of an accident that occurred when Anna was riding back with Douglas Martin from a church sponsored retreat. The car Douglas was driving was owned by his father and was covered by the Fire policy. Douglas testified that there was some swerving and horseplay prior to the accident. Anna testified that Douglas was zigzagging the wheel back and forth prior to the accident and that she grabbed the wheel on two occasions prior to the accident in an effort to play back with him. The first time Douglas did not object, and the second time was immediately prior to the accident. Anna testified that she and Douglas were “just kind of playing around.”

Permission To Use Vehicle And Texas Insurance Law

June 26, 2010 | Mark S. Humphreys

If you are a business owner in Grand Prairie, Arlington, Mansfield, Hurst, Euless, Bedford, Keller, Colleyville, Plano, Fort Worth, Burleson, or anywhere else in Texas and one of your employees is involved in an accident in a company vehicle, will your insurance provide coverage for him? This is the second of three posts on this related subject. Read on to find out what happened in one case.

The Texas Supreme Court, in 1979, issued an opinion in the case, Betty Coronado v. Employers’ National Insurance Company et al.

The issue before the court in this case was whether an employee who was driving a company owned vehicle on a purely personal mission after working hours was operating the vehicle with the permission of the company so as to be insured under the company’s automobile liability policy. The jury said yes. The first appeal court said no and the Texas Supreme Court agreed with the decision of no.