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By Wayne Meuleman
(Published in the Idaho Business Review, October 2008)
When
your company is sued, it’s a good idea to promptly submit the claim to your
insurance company and request it defend and indemnify you against the
claim. For claims covered by your
policy, the insurer is required to hire attorneys to defend you and to protect
you from liability up to the limits of liability stated in the policy. Your insurance policy does not protect you
from all types claims and it is not easy to determine whether a claim is
covered. You should require your insurer
to review all claims and tell you whether you have coverage. If the insurer denies coverage, have your own
lawyer review that decision.
After you submit a claim, your insurer
may take one of three actions: (a)
acknowledge coverage under the policy and accept full responsibility to defend
you and pay any liability up to the limits of coverage, (b) accept
responsibility to defend you subject to “reservation of rights,” which means
the insurer can later withdraw its defense or decline coverage of the claim, or
(c) deny coverage and refuse to defend.
If your insurance company tells you
that you are covered and that it will defend you in the lawsuit, there is
reason to be relieved but that is not the full story. There are some things you need to know about
how insurance companies defend you and whether you have any right to control or
influence how the claim is handled.
When an insurance company agrees to
defend your company against a claim, it means that the insurance company will
choose the lawyer who will defend you in court.
That sometimes comes as a surprise to some business owners even though the
insurance policies almost uniformly give the insurance company the right to
select the attorneys who will defend the lawsuit. Even though the attorney is chosen by the
insurance company, the attorney’s obligation is to protect the interests of
your company—not to look out for the insurance company’s interest. To that extent, you can have some influence
over how the case is handled. It does
not, however, mean that you have full control over how the case may be resolved. Most policies give the insurance company the
right, without your consent or even over your objection, to settle the claim
within the policy limits.
Some lawsuits make claims that you may
believe to be totally without merit, or seek an exorbitant amount as damages,
or which you believe, for business reasons, should be “defended to the
end.” In those instances, you may tell
the lawyers hired by the insurance company to fight to case all the way through
trial no matter the cost. As the lawsuit
progresses, you may feel that everything seems to be going well until, one day,
you learn that the lawsuit has been settled by your insurance company. How can this happen? You strongly believe that the claimant
doesn’t deserve to be paid. Now you are
concerned that the settlement may reflect poorly on your company’s reputation
or encourage other similar claims against you.
You also know that the settlement may be a mark against your company
when your policy comes up for renewal, and may result in higher premiums next
year or even refusal of the insurance company to renew your policy.
Can you do anything to correct this
injustice? Generally, the answer is
“probably not.” Most commercial general
liability policies expressly give the insurance company the right to select the
attorney who will defend you and the right to settle the claim as the insurance
company sees fit within the policy limits.
Therefore, after the insurance company has settled your claim it is
extremely unlikely that you can reverse the settlement.
To avoid this type of unhappy
surprise, you must remain actively involved in any claim against your company –
even if the insurance company agrees to defend you. Insist that the attorneys hired by the
insurance company treat you as their client, and that they regularly report to
you and seek your input through the litigation.
The attorneys are to represent your interests.
If you remain actively involved in any
claim against your company, settlement by the insurance company should not come
as a surprise and you will be able to influence whether settlement is appropriate. If you don’t feel that you are being properly
represented by the attorney hired by the insurance company, then you should ask
your company attorney to assist you in working with the defense attorney and
your insurance company.
Wayne V Meuleman
is a founding partner
of the law firm Meuleman Mollerup LLP, representing businesses with legal concerns
involving contracts, real property matters, construction, commercial issues,
and litigation. Contact Mr. Meuleman at 208.342.6066 or
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