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Access over workers' compensation decisions, including En Banc, Significant Panel Decisions, and writ-denied cases.

Case No. MISSING
Regular Panel Decision

GuideOne Specialty Insurance v. Admiral Insurance

This case involves an insurance coverage dispute where Weingarten Custom Homes (WCH) contracted with Torah Academy for construction, designating Torah Academy as an additional insured under WCH's liability policy with Admiral Insurance Company. The Admiral policy had lower coverage limits ($1,000,000) than required by the contract ($2,000,000/$5,000,000), with GuideOne Specialty Insurance Company providing secondary and excess coverage to Torah Academy. After a construction worker's injury led to a $1,225,000 settlement, Admiral paid $1,000,000, and GuideOne paid $225,000. GuideOne then sued Admiral to recover its payment, arguing that a letter signed by Admiral's claims superintendent effectively modified Admiral's policy to higher limits. The appellate court reversed the Supreme Court's decision, ruling that the letter did not constitute a valid policy endorsement and that the policy's unambiguous terms could not be altered by extrinsic evidence, thereby granting Admiral's motion to dismiss GuideOne's complaint.

Insurance Policy DisputeContract InterpretationLiability InsuranceAdditional InsuredPolicy LimitsMotion to DismissAppellate ReversalDocumentary EvidenceExtrinsic Evidence RulePolicy Amendment
References
12
Case No. MISSING
Regular Panel Decision

Indian Harbor Insurance v. Global Transport System, Inc.

Indian Harbor Global Insurance Company filed a complaint against Global Transport System seeking a declaratory judgment that it was not obligated to indemnify Global for the loss of Barge MST 17, and a stay of arbitration proceedings. Global moved to dismiss the complaint and compel arbitration, relying on a binding arbitration clause in their insurance policy. The dispute arose after the Barge MST 17 sank following Global's attempt to amend its policy for navigation coverage, which Indian Harbor claimed was not properly accepted. The court, presided over by District Judge Sweet, granted Global's motion, dismissing the complaint and compelling Indian Harbor to proceed to arbitration, finding that the broad arbitration clause covered disputes regarding policy modifications or terminations.

Arbitration AgreementInsurance Coverage DisputeMaritime LawPolicy EndorsementContract InterpretationFederal Rules of Civil ProcedureFederal Arbitration ActMotion to DismissDeclaratory ReliefSeaworthiness
References
19
Case No. 2024 NY Slip Op 03519
Regular Panel Decision
Jun 27, 2024

Matter of Reyes Bonilla v. XL Specialty Ins.

Claimants Jose Reyes Bonilla and Marvin Reyes Bonilla, carpenters, were involved in a motor vehicle accident while commuting to a job site in Greenpoint, Brooklyn, in an employer-provided van. They filed workers' compensation claims, which were established against XL Specialty Insurance by a Workers' Compensation Law Judge (WCLJ). XL Specialty appealed, arguing its policy did not cover commuting injuries and that it was not the proper carrier. The Workers' Compensation Board affirmed the WCLJ's decisions, finding XL Specialty failed to preserve its challenge to being the carrier and that the employer's responsibility for transportation made the injuries compensable. The Appellate Division, Third Department, affirmed, agreeing that the issue was unpreserved and that the injuries arose out of and in the course of employment due to the employer's control over the conveyance.

Workers' CompensationMotor Vehicle AccidentEmployment InjuriesCommuting AccidentEmployer Provided TransportationWrap-up PolicyInsurance Coverage DisputeCarrier LiabilityIssue PreservationAppellate Review
References
16
Case No. 23
Regular Panel Decision
Apr 30, 2020

American International Specialty Lines Insurance Company v. Allied Capital Corporation

This case addresses whether an arbitration panel exceeded its authority by reconsidering a "Partial Final Award" in an insurance dispute. The underlying dispute involved Ciena Capital LLC and Allied Capital Corporation seeking coverage from American International Specialty Lines Insurance Company (AISLIC) after settling a federal qui tam action. Initially, the arbitration panel issued a partial award, which was later reconsidered and corrected to grant both indemnification and defense costs. AISLIC challenged this reconsideration, arguing the panel was functus officio. The New York Court of Appeals reversed an Appellate Division ruling, holding that the initial "Partial Final Award" was not truly final because the parties had not mutually agreed to its finality. Consequently, the arbitration panel was deemed to have acted within its authority by reconsidering its initial determination, and the petition to vacate the corrected award was denied.

ArbitrationFunctus OfficioPartial Final AwardReconsiderationArbitrator AuthorityInsurance CoverageIndemnificationDefense CostsQui Tam ActionNew York Court of Appeals
References
18
Case No. MISSING
Regular Panel Decision
Jan 17, 2014

Scottsdale Insurance v. Indian Harbor Insurance

Scottsdale Insurance Company, an excess insurer, sued Indian Harbor Insurance Company, a primary insurer, alleging bad faith and gross disregard for failing to settle an underlying personal injury lawsuit involving Linzy Dickson within the primary policy limits. Dickson, a construction worker, sustained severe injuries and underwent spinal fusion surgery, leading to a $2.5 million settlement which required Scottsdale to pay $1.5 million. Both parties filed cross-motions for summary judgment. The court denied both motions, finding material disputed facts regarding Indian Harbor's alleged gross disregard and whether it caused the loss of an opportunity to settle the case for $1 million or less, thus necessitating a jury trial.

Insurance DisputeBad Faith ClaimExcess InsurancePrimary InsuranceSettlement NegotiationsSummary Judgment MotionPersonal Injury LawsuitConstruction AccidentSpinal Fusion SurgeryDamages Assessment
References
22
Case No. 2025 NYSlipOp 06801
Regular Panel Decision
Dec 09, 2025

AmTrust N. Am., Inc. v. Insurance Specialty Group LLC

The plaintiff, AmTrust North America, Inc., appealed an order dismissing parts of its breach of contract claim against Insurance Specialty Group LLC. The dispute stems from a 2010 Managing Producer Agreement where the defendant was to administer an asset protection program for the plaintiff, with fiduciary duties. Plaintiff alleged multiple breaches, including improper underwriting and concealment of issues, which came to light in 2022. The Supreme Court dismissed claims before May 19, 2017, but the Appellate Division modified this by applying equitable estoppel. The appellate court ruled that estoppel could allow most breach of contract claims, except those solely based on the fiduciary duty to disclose, which are not subject to estoppel for time-barred breaches.

Breach of ContractEquitable EstoppelFiduciary DutyStatute of LimitationsAsset Protection ProgramUnderwriting GuidelinesInsurance AdministrationConcealmentContinuing Wrong DoctrineAppellate Division
References
8
Case No. MISSING
Regular Panel Decision

Indian Harbor Insurance v. Factory Mutual Insurance

The Trustees of the University of Pennsylvania ("Penn") and Indian Harbor Insurance Company ("Indian Harbor") sued Factory Mutual Insurance Company ("FM") seeking a declaratory judgment regarding insurance coverage for damages Penn sustained at its veterinary hospital due to a Salmonella outbreak. FM moved to transfer the venue from the Southern District of New York to the Eastern District of Pennsylvania, citing convenience of parties and witnesses and the interests of justice. The Court considered factors such as the locus of operative facts being in Pennsylvania, the convenience of key witnesses like FM's adjuster, and the Eastern District of Pennsylvania's familiarity with the governing law and lighter docket. The Court ultimately granted FM's motion, finding that the balance of factors strongly favored transferring the case.

Venue TransferDeclaratory JudgmentInsurance Coverage DisputeProperty LossSalmonella OutbreakVeterinary HospitalForum Selection ClauseChoice of LawJudicial EconomyInter-district Transfer
References
46
Case No. MISSING
Regular Panel Decision

Nationwide Insurance v. Empire Insurance Group

This case concerns a dispute over insurance coverage. Marcos Ramirez was injured while working for Fortuna Construction, Inc. at premises owned by 11194 Owners Corp. Fortuna had subcontracted work from Total Structural Concepts, Inc. and agreed to add Total Structural as an additional insured on its general liability policy with Empire Insurance Group and Allcity Insurance Company. Ramirez sued 11194 Owners Corp. and Total Structural. Total Structural then commenced a third-party action against Fortuna. Nationwide Insurance Company, as Total Structural's insurer and subrogee, initiated a declaratory judgment action against Empire and Allcity after discovering Total Structural was an additional insured on their policy, demanding coverage for the Ramirez action. The Supreme Court granted Nationwide's motion for summary judgment, but the appellate court reversed, finding that Total Structural failed to provide timely notice of the Ramirez action to Empire and Allcity as required by the policy. The court emphasized that timely notice is a condition precedent to recovery and that lack of diligent effort to ascertain coverage vitiates the policy. Consequently, the appellate court granted Empire and Allcity's cross-motion, declaring they are not obligated to defend or indemnify Nationwide/Total Structural.

Insurance CoverageTimely NoticeCondition PrecedentDeclaratory JudgmentAdditional InsuredSubrogationSummary JudgmentBreach of ContractPersonal InjuryGeneral Liability Policy
References
8
Case No. MISSING
Regular Panel Decision

Transcontinental Insurance v. State Insurance Fund

This case involves a dispute between two insurers, Transcontinental Insurance Company (plaintiff) and State Insurance Fund (defendant), regarding their contribution to the defense and settlement of an underlying personal injury action. Transcontinental, which insured the contractor Master, sought a declaration that State Insurance Fund, Master's workers' compensation insurer, should contribute as a co-insurer for expenses incurred defending and settling the action on behalf of NYPA. The Supreme Court dismissed the complaint, applying the antisubrogation rule. The Appellate Division modified the judgment, vacating the dismissal but affirming the application of the antisubrogation rule, declaring that State Insurance Fund is not obligated to reimburse Transcontinental for the expenses.

Insurance DisputeAntisubrogation RuleDeclaratory JudgmentCommercial General Liability PolicyWorkers' Compensation InsuranceIndemnificationCo-insurancePersonal Injury ActionAppellate ReviewContractual Obligation
References
5
Case No. MISSING
Regular Panel Decision

Lapolla Industries, Inc. v. Aspen Specialty Insurance

This is a declaratory judgment action filed by Lapolla Industries, Inc. against its insurers, Aspen Specialty Insurance Company and Aspen Specialty Insurance Management, Inc., seeking a declaration of coverage for an underlying personal injury lawsuit (Markey Lawsuit). The Markey Lawsuit alleges personal injury and property damage due to the 'off-gassing' of Lapolla's spray foam insulation. The insurers denied coverage citing pollution exclusion clauses in their policies. The court found a clear conflict between Texas and New York law regarding the interpretation of these clauses, with Texas law viewing them as unambiguous. Applying Texas law based on Lapolla's domicile and the worldwide coverage of the policies, the court concluded that the pollution exclusion clauses unambiguously bar coverage for the Markey Lawsuit claims, thus granting the insurers' motion to dismiss.

Insurance CoveragePollution Exclusion ClauseDeclaratory JudgmentChoice of LawConflict of LawsTexas LawNew York LawSpray Foam InsulationToxic ExposurePersonal Injury Litigation
References
34
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