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Monday, June 18, 2012
Health and insurance interesting developments and baby back ribs with aged bourbon, chipotle peppers, mustard and cardamon sauce
Insurance --
Automobile liability -- Bad faith failure to settle -- Common law bad faith
action against insurer by plaintiff who was assignee of insured and personal
representative of estate of individual who died as result of injuries sustained
in accident in which insured rear-ended decedent's vehicle -- Undisputed facts
demonstrated no basis from which reasonable jury could conclude that insurer
acted solely in its own interest, but instead showed that insurer acted
properly and promptly in continually contacting plaintiff in order to discover
name of attorney retained by her so that insurer could then contact the attorney
-- Insurer was not required to tender check for its policy limits to plaintiff,
despite fact that insurer knew plaintiff had retained an attorney -- Trial
court properly granted summary judgment on behalf of insurer based on unrefuted
evidence that insurer acted in good faith in attempting to settle case
OLIVE
GOHEAGAN, as personal representative of the estate of MOLLY SWABY, individually
and as assignee of JOHN PERKINS, Appellant, v. AMERICAN VEHICLE INSURANCE
COMPANY, a Florida for profit corporation, Appellee. 4th District.
Insurance --
Homeowners -- Wind damage -- Examination under oath -- Under plain language of
insurance contract between parties, which allowed insurer to require insured to
submit to examination under oath “while not in the presence of any other
‘insured,' ” insured was not prohibited from having his public adjuster present
during the insured's examination under oath
ZAFAR NAWAZ, Appellant, v. UNIVERSAL
PROPERTY & CASUALTY INSURANCE COMPANY, Appellee. 4th District.
Insurance --
Notice of Claim: LATE NOTICE OF HIT-AND-RUN DOOMS UM COVERAGE FOR VICTIM'S
FAMILY, DeFrain v. State Farm Mut. Auto. Ins. Co., 22 No. 36 Westlaw Journal
Insurance Coverage 5, Westlaw Journal Insurance Coverage June 15, 2012 State
Farm owes no uninsured-motorist coverage to the family of a pedestrian who died
months after a hit-and-run accident because the insurer was not notified within
30 days of the incident, a split Michigan Supreme Court has ruled. In a 4-3
decision, the court held there was no requirement that an insurer actually be
prejudiced by its policyholder's failure to provide notice within the amount of
time specified in a contractual notice provision.
Arbitration
Agreements: JUDGE UPHOLDS ARBITRATION AGREEMENT DESPITE UNAVAILABLE FORUM,
Meskill v. GGNSC Stillwater Greeley, 14 No. 25 Westlaw Journal Nursing Home 6,
Westlaw Journal Nursing Home June 15, 2012 The son of a deceased nursing home
resident must arbitrate his negligence claims against the facility even though
the forum specified in the arbitration contract is no longer available, a
federal judge in Minneapolis has ruled. Judge Richard H. Kyle of the U.S.
District Court for the District of Minnesota granted a motion to compel
arbitration filed by the operator of Golden Living Center Greeley.The forum
specified in the nursing home's contract, the National Arbitration Forum, no
longer exists.
Interesting medmal Legislation:
MICHIGAN SENATE MULLS BILL TO WAIVE DOCTORS' MED-MAL LIABILITY, 14 No. 25
Westlaw Journal Nursing Home 8, Westlaw Journal Nursing Home June 15, 2012 A
Michigan Senate committee is considering legislation that would excuse health
care providers from medical malpractice liability if they can show they used
"professional judgment" in caring for a patient. SB 1116 is part of a
package of medical malpractice bills currently under review by the Senate
Committee on Insurance that would prohibit claimants from recovering
prejudgment interest and limit noneconomic damages awards. SB 1116 is known as
the "physician judgment rule”.
Regulatory
Initiative: CMS CALLS FOR REDUCTION IN NURSING HOMES' USE OF ANTIPSYCHOTIC
DRUGS, 14 No. 25 Westlaw Journal Nursing Home 9, Westlaw Journal Nursing Home
June 15, 2012 The Centers for Medicare and Medicaid Services has announced a
national initiative to reduce the use of antipsychotic drugs in nursing homes
by 15 percent by the end of the year. The Partnership to Improve Dementia Care
calls for increased transparency on facilities' use of antipsychotics, as well
as enhanced training for nursing home employees on quality care and
non-pharmacological alternatives to antipsychotic treatment. Acting CMS
administrator Marilyn Tavenner announced May 30.
Mental
Illness: 9TH CIRCUIT UPHOLDS LANDMARK MENTAL ILLNESS COVERAGE RULING, Harlick
v. Blue Shield of Cal., 22 No. 36 Westlaw Journal Insurance Coverage 4, Westlaw
Journal Insurance Coverage June 15, 2012 A California insurance law requires
Blue Shield to cover residential treatment for a policyholder who suffered from
an eating disorder, a split federal appeals court has ruled, reaffirming its
groundbreaking 2011 decision. A 2-1 panel of the 9th U.S. Circuit Court of
Appeals denied Blue Shield of California's request for a rehearing en banc and
reached the same conclusion as it did in its original ruling.
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