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Crafting Coverage Position Letters and Evaluating Impact of Insurer's Defense Under Reservation of Rights
Avoiding Waiver of Defenses, Establishing Good Faith, Controlling Defense, Preserving Attorney-Client Privilege
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Description
A CPL communicates to the policyholder the insurer's position regarding coverage for claims. A CPL is often the first and possibly most crucial communication the insurer sends or the policyholder receives. When the CPL is written, facts are few and knowledge is incomplete.
A CPL should timely and fully disclose the insurer's coverage defenses to the policyholder. The letter must state that if the insurer denies coverage or provides a defense while seeking a declaratory judgment then no coverage exists.
A well-drafted CPL can help establish that the carrier has acted in good faith and that the carrier maintains control of the defense. An insufficient CPL can waive defenses, invite extra-contractual damages, or waive the attorney-client privilege.
An effective CPL, especially an ROR letter, must do more than recite facts and list verbatim policy provisions. The letter must connect the specific facts to support the potential lack of coverage in plain English. Failure to do so will waive coverage defenses.
If the letter does not meet specific standards, it jeopardizes the insurer's right to reimbursement of defense costs, even if it later prevails on the coverage issue. Counsel must raise certain matters, including potential conflicts of interest, control of the defense, and the impact of an ROR on defenses that are not explicitly waived.
Listen as the panel guides counsel who draft CPLs on crafting a valid CPL and avoiding waiving defenses when proceeding under an ROR and practitioners who advise clients receiving CPLs on their effect.
Presented By

Mr. Dunsing is an active coverage and litigation defense counsel practicing at the state and federal trial and appellate court levels. He has worked with insurers of all sizes to navigate complex coverage questions in a variety of lines, including primary and excess auto, business owner’s/CGL, property, E&O, construction and builder’s risk policies. While Mr. Dunsing has obtained favorable declaratory judgments for many of those clients in court, the first steps in controlling coverage risks begin well before the courtroom. Mr. Dunsing enjoys counseling insurers on the risks associated with policy language on a macro-level as well as on a case-by-case basis.

Mr. Garbowski is an attorney in the Insurance Recovery group in Anderson Kill's New York office. His practice concentrates on insurance recovery, exclusively on behalf of policyholders, with particular emphasis on professional liability insurance, directors and officers insurance, fidelity and crime-loss policies, internet and high-tech liability insurance issues.

Mr. Levin focuses his practice on tort and commercial litigation, especially insurance bad faith and insurance coverage disputes, representing corporate and individual policyholders alike. He argued the leading Colorado case concerning pre-judgment assignment agreements to the state supreme court. Mr. Levin lectures frequently on insurance law topics.
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This 90-minute webinar is eligible in most states for 1.5 CLE credits.
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Live Online
On Demand
Date + Time
- event
Tuesday, November 26, 2024
- schedule
1:00 p.m. ET./10:00 a.m. PT
Outline
- The requirements of an adequate CPL
- Avoiding claims adjusting and preserving the attorney-client privilege
- Critical issues raised by a defense under an ROR
- Impact of an ROR on defenses not explicitly waived
- Non-waiver agreements
- Non-execution agreements
Benefits
The panel will review these and other key issues:
- What should a comprehensive ROR letter include, and what issues must the insurer consider?
- How can the policyholder effectively respond to the insurer's agreement to defend under an ROR?
- How do the courts assess arguments that an insurer may or may not be entitled to reimbursement of defense costs for purportedly uncovered claims?
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