Overview

With health-care costs skyrocketing, the need for health and/or long-term care (LTC) insurance to help pay those costs has become ever more critical. Unfortunately, insurance companies sometimes wrongly deny, reduce or unnecessarily delay claims even though premiums have been faithfully paid. We have experienced insurance-coverage and health-law attorneys that can help secure the benefits you purchased.

Experience
  • Indiana Restorative Dentistry, P.C., v. Laven Ins. Agency, 27 N.E.3d 260 (Ind. 2015) (holding that an insurance agent can be liable to a policyholder for a breach of contract and a tort and addressing when a special relationship with an insurance agent exists requiring the agent to advise the policyholder)
  • Thomson Inc. v. XL Ins. Am., Inc., 22 N.E.3d 809 (Ind. Ct. App. 2014) (“known loss” doctrine only bars coverage when policyholder has actual, subjective knowledge that a loss has occurred or is certain to occur; knowledge of contamination, prior to strict liability statute’s enactment, did not bar coverage).
  • Thomson Inc. v. Ins. Co. of N. Am., 11 N.E.3d 982 (Ind. Ct. App. 2014) (policyholder’s payment of defense costs when insurer has wrongfully denied coverage raises presumption costs were reasonable and necessary).
  • Steinberger v. Cont’l Cas. Co., No.: 1:11-cv-01524-TWP-TAB, 2013 U.S. Dist. LEXIS 1337 (S.D. Ind. Jan. 4, 2013) (finding long term care policy terms “Benefit Period” and “Period of Care” ambiguous and holding that insurer must provide long term care coverage for successive four-year Benefit Periods)
  • State Auto. Mut. Ins. Co. v. Flexdar, Inc., 964 N.E.2d 845 (Ind. 2012) (finding the “absolute” pollution exclusion ambiguous and unenforceable)
  • City of South Bend v. Century Indem. Co., 821 N.E.2d 5 (Ind. Ct. App. 2005) (declaratory action against insurers of polluter not a “direct action”)
  • PSI Energy, Inc. v. Home Ins. Co., 801 N.E. 2d 705 (Ind. Ct. App. 2004) (addressing the ability to pursue future cleanup claims against excess insurers, late notice, lost policies, subjective “expected and intended” to cause pollution standard, “injury-in-fact” trigger)
  • Allstate Ins. Co. v. Dana Corp. (Dana II), 759 N.E.2d 1049 (Ind. 2001) (finding an “all sums” allocation of environmental damage spanning multiple policy periods, inapplicability of owned property exclusion to cleanup claims, and an “injury-in-fact” trigger)
  • Employers Ins. of Wausau v. Recticel Foam Corp., 716 N.E.2d 1015 (Ind. Ct. App. 1999) (addressing forum non conveniens and choice-of-law issues in the insurance context);
  • Travelers Indem. Co. v. Summit Corp. of Am., 715 N.E.2d 926 (Ind. Ct. App. 1999) (addressing choice-of-law for multiple sites, “personal injury” coverage for environmental claims, governmental demands are “suits,” cleanup costs as “damages,” and the interpretation of pollution exclusions)
  • Hartford Accident & Indem. Co. v. Dana Corp. (Dana I), 690 N.E.2d 285 (Ind. Ct. App. 1997) (finding governmental regulators’ demands are “suits” and cleanup costs as “damages”)
  • Am. States Ins. Co. v. Kiger, 662 N.E.2d 945 (Ind. 1996) (addressing the inapplicability of “sudden and accidental” and “absolute” pollution exclusions)
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