{"id":722,"date":"2013-12-03T15:30:34","date_gmt":"2013-12-03T15:30:34","guid":{"rendered":"http:\/\/www.joneslemongraham.com\/blog\/?p=722"},"modified":"2021-12-21T20:04:40","modified_gmt":"2021-12-21T20:04:40","slug":"claim-under-title-companys-professional-liability-policy-first-made-prior-to-policy-period","status":"publish","type":"post","link":"https:\/\/www.joneslemongraham.com\/blog\/claim-under-title-companys-professional-liability-policy-first-made-prior-to-policy-period\/","title":{"rendered":"Claim under title company&#8217;s professional liability policy first made prior to policy period"},"content":{"rendered":"<p>by <a href=\"http:\/\/www.joneslemongraham.com\/attorneys.html?Attorney=Graham\">Christopher Graham<\/a> and <a href=\"http:\/\/www.joneslemongraham.com\/attorneys.html?Attorney=Kelly\">Joseph Kelly<\/a><\/p>\n<p><a href=\"http:\/\/www.joneslemongraham.com\/blog\/wp-content\/uploads\/2013\/10\/Texas.jpg\"><img loading=\"lazy\" src=\"http:\/\/www.joneslemongraham.com\/blog\/wp-content\/uploads\/2013\/10\/Texas-300x300.jpg\" alt=\"Texas\" width=\"300\" height=\"300\" class=\"alignnone size-medium wp-image-473\" srcset=\"http:\/\/www.joneslemongraham.com\/blog\/wp-content\/uploads\/2013\/10\/Texas-300x300.jpg 300w, http:\/\/www.joneslemongraham.com\/blog\/wp-content\/uploads\/2013\/10\/Texas-150x150.jpg 150w, http:\/\/www.joneslemongraham.com\/blog\/wp-content\/uploads\/2013\/10\/Texas.jpg 325w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a><\/p>\n<p>When is a Claim first made within the meaning of a professional liability policy? This is a recurring issue under claims-made policies. And that was the issue in <a href=\"http:\/\/docs.justia.com\/cases\/federal\/district-courts\/texas\/txedce\/4:2011cv00390\/130907\/19\"><em>Regency Title Company, LLC v. Westchester Fire Insurance Company, et al<\/em>, Case No. 4:11-cv-390 (E.D. Tex. Nov. 15, 2013)<\/a>.<\/p>\n<p>This time the controversy involved whether a written demand sent to a third party rather than to the insured, albeit addressing the insured&#8217;s alleged misconduct, qualified as a Claim made against the insured. If it did qualify as a Claim, then the insured would have no coverage &#8212; because the Claim would have been made before rather than within the policy period, as required for coverage.<\/p>\n<p>Westchester denied coverage for a July 29, 2010 suit against Regency for breach of contract, negligence, conversion and breach of fiduciary duty. Regency then sued Westchester Fire for a declaratory judgment and breach of contract.<\/p>\n<p>Claimant sued Regency within the September 1, 2009-2010 policy period. But Westchester argued that the &#8220;Claim&#8221; was first made before the policy period, on September 30, 2008 &#8212; because claimant filed a complaint on that date with the Texas Department of Insurance alleging the same facts as in the July 29, 2010 suit.<\/p>\n<p>The policy defined &#8220;Claim&#8221; as including:<\/p>\n<blockquote>\n<p>&#8220;a written demand against any Insured for monetary or non-monetary damages;&#8221;<\/p>\n<p>and<\/p>\n<p>&#8220;a civil, administrative, or regulatory investigation against any Insured commenced by the filing of a notice of charges, investigative order, or similar document.&#8221;<\/p>\n<\/blockquote>\n<p><strong><em>Written demand<\/em><\/strong><\/p>\n<p>Regency argued claimant made no written demand before filing suit during the September 1, 2009-2010 policy period; that claimant&#8217;s pre-policy period complaint with the Texas Insurance Department wasn&#8217;t a &#8220;demand against an insured&#8221; because it was sent to a third party.<\/p>\n<p>Westchester argued the Insurance Department complaint was a written demand.<\/p>\n<p>The Court sided with Westchester: Claim wasn&#8217;t defined as &#8220;demand to an insured&#8221;, &#8220;demand sent to insured&#8221;, or &#8220;demand on an insured,&#8221; but rather as a &#8220;demand <em>against<\/em> any insured.&#8221; Claimant&#8217;s Insurance Department complaint was a written demand against an insured, namely, Regency &#8212; whether sent to Regency or not.<\/p>\n<p><strong><em>Civil, Administrative, or Regulatory Investigation<\/em><\/strong><\/p>\n<p>Regency argued the Insurance Department didn&#8217;t undertake any an &#8220;investigation;&#8221; the Department characterized its actions as &#8220;evaluation&#8221; in a letter to Regency; and it did very little, namely review the claimant&#8217;s complaint and Regency&#8217;s response and suggest claimant seek a private remedy. The Department, moreover, found no violations of Texas insurance laws and wasn&#8217;t taking action against Regency.<\/p>\n<p>The Court disagreed. The Department referred to its actions as an &#8220;investigation&#8221; in certain correspondence. And &#8220;a cursory investigation is still an investigation within the plain meaning of the word.&#8221;<\/p>\n<!-- AddThis Advanced Settings generic via filter on the_content --><!-- AddThis Share Buttons generic via filter on the_content -->","protected":false},"excerpt":{"rendered":"<p>by Christopher Graham and Joseph Kelly When is a Claim first made within the meaning of a professional liability policy? This is a recurring issue under claims-made policies. And that was the issue in Regency Title Company, LLC v. Westchester Fire Insurance Company, et al, Case No. 4:11-cv-390 (E.D. Tex. Nov. 15, 2013). This time [&hellip;]<!-- AddThis Advanced Settings generic via filter on get_the_excerpt --><!-- AddThis Share Buttons generic via filter on get_the_excerpt --><\/p>\n","protected":false},"author":6,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[4],"tags":[],"_links":{"self":[{"href":"https:\/\/www.joneslemongraham.com\/blog\/wp-json\/wp\/v2\/posts\/722"}],"collection":[{"href":"https:\/\/www.joneslemongraham.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.joneslemongraham.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.joneslemongraham.com\/blog\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/www.joneslemongraham.com\/blog\/wp-json\/wp\/v2\/comments?post=722"}],"version-history":[{"count":8,"href":"https:\/\/www.joneslemongraham.com\/blog\/wp-json\/wp\/v2\/posts\/722\/revisions"}],"predecessor-version":[{"id":3170,"href":"https:\/\/www.joneslemongraham.com\/blog\/wp-json\/wp\/v2\/posts\/722\/revisions\/3170"}],"wp:attachment":[{"href":"https:\/\/www.joneslemongraham.com\/blog\/wp-json\/wp\/v2\/media?parent=722"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.joneslemongraham.com\/blog\/wp-json\/wp\/v2\/categories?post=722"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.joneslemongraham.com\/blog\/wp-json\/wp\/v2\/tags?post=722"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}