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re: Geico to pay 5.2M

Posted on 6/11/22 at 12:49 pm to
Posted by Vandergriff
Member since Nov 2020
1093 posts
Posted on 6/11/22 at 12:49 pm to
So why 5.2m?

Where does that number come from for an STD? Seems a bit excessive.
Posted by captainFid
Vestavia, AL
Member since Dec 2014
4721 posts
Posted on 6/11/22 at 12:50 pm to
AggieHank86's - you'd have a field day with a pot-hole...


Posted by Warfarer
Dothan, AL
Member since May 2010
12125 posts
Posted on 6/11/22 at 1:01 pm to
I have never heard of such in Alabama. I know I had a lawsuit that my company was named on but was dealt with by workers comp as a codefendant. They settled even though I would rather them taken him to the woodshed out of spite.
Posted by dafif
Member since Jan 2019
5564 posts
Posted on 6/11/22 at 2:01 pm to
quote:

that this is a simple question of contractual interpretation.


I have never, ever, seen any language remotely close to affording this type of coverage.

It certainly does not exist in the ISO which almost every policy is based on.

I’ve never seen it in any geico policy

As for the std my understanding is that men can’t be tested for that. Actually the cdc says there is no approved test.
This post was edited on 6/11/22 at 2:04 pm
Posted by LSU316
Rice and Easy Baby!!!
Member since Nov 2007
29288 posts
Posted on 6/11/22 at 4:33 pm to
quote:

common sense" (whatever that means)


Truly you have enough to understand how silly you sound…..and understand that like I said this is why insurance companies are the way they are when it comes to paying claims.
Posted by AggieHank86
Texas
Member since Sep 2013
42941 posts
Posted on 6/11/22 at 6:18 pm to
quote:

that this is a simple question of contractual interpretation. I have never, ever, seen any language remotely close to affording this type of coverage. It certainly does not exist in the ISO which almost every policy is based on.
Good Lord.

No one is saying that the contract includes an STD clause.

The question is whether the the pleading was drafted in such a way as to come within the primary coverage provision. Apparently, the court ruled that it was.
Posted by Tantal
Member since Sep 2012
13960 posts
Posted on 6/11/22 at 6:30 pm to
quote:

So why 5.2m?

Who the hell gets over $5 million in liability coverage? Even in wrecks where the insured is clearly at fault, the insurance company only has to pay to the policy limit, then they're done. I think I'm only covered for $300K or so.
Posted by AggieHank86
Texas
Member since Sep 2013
42941 posts
Posted on 6/11/22 at 6:57 pm to
quote:

Who the hell gets over $5 million in liability coverage?
maybe an umbrella, or maybe the boyfriend assigned a bad faith failure to defend claim to the girlfriend, if the primary or carrier refuse to defend the STD case. policy limits go out the window on a failure to defend case.
Posted by dafif
Member since Jan 2019
5564 posts
Posted on 6/11/22 at 11:36 pm to
quote:

The question is whether the the pleading was drafted in such a way as to come within the primary coverage provision.


Good lord, idiot. There is zero coverage under the policy for this. There is no language in the policy to support it. Geico does not have any language that can be interpreted to cover this.
This post was edited on 6/11/22 at 11:36 pm
Posted by Shamoan
Member since Feb 2019
9194 posts
Posted on 6/12/22 at 1:04 am to
That’s gotta be one for the greatest legal performances of all time by that attorney. You just gotta admire the rabbit hole he dug from nothing, leading nowhere.
Posted by Obtuse1
Westside Bodymore Yo
Member since Sep 2016
25618 posts
Posted on 6/12/22 at 3:25 am to
quote:

As for the std my understanding is that men can’t be tested for that. Actually the cdc says there is no approved test.


First, the insured knew he had HPV due to a throat issue. He was fully informed via his doctors and that was part of the record.

quote:

I have never, ever, seen any language remotely close to affording this type of coverage.


It likely doesn't exist in any auto insurance policy in the US. The key is the arbitrator found the policy did not exclude this type of tort. Contracts don't have to make common sense. In the case of an auto policy the carrier/underwriter drafts the entire contract, it is in essence unilateral so it will be construed against the drafter (the contra proferentem rule). The tie goes to the runner if you will. The insurance company has teams of in-house and external attorneys to catch these issues but they often have lived inside the box so long they forget how to think outside it. This along with the fact most contracts have pages and pages of boilerplate that attorneys sometimes miss seeing the ambiguities or contradictions the boilerplate causes.

It also appears that Geico's attorneys didn't do a complete job at protecting their client's rights at and after the district court hearing that reduced the arbitration findings to a judgment.

They will live and learn and correct their contracts deficiencies as will every other insurance carrier/underwriter in the country.

Geico made their bed and will have to lie in this one, they just ran into an attorney sharper and more dogged than their team(s).


BTW this case is quite a bit more complicated than the media has represented, they generally aren't attorneys and they aren't writing for attorneys. The way this played out under some specific Missouri law provisions make the hairs on my neck tingle in that there could have been some collusion between the parties. Unfortunately, I do not have access to the arbitration transcripts.

Posted by ShoeBang
Member since May 2012
19357 posts
Posted on 6/12/22 at 5:53 am to
quote:

Geico made their bed and will have to lie in this one, they just ran into an attorney sharper and more dogged than their team(s).


fricking lawyers. For such an intelligent group of people, the lack of scruples or honor in the majority of them is astounding. I’d be embarrassed to defend someone like the plaintiff, but I’ve seen several people in this thread who clearly are lawyers sound more impressed than disgusted.

A judge should have thrown the case out in a “spirit of the law” sense imo. I understand that’s not how the courts work, but there's a LOT wrong with the way this turned out from a societal standpoint.

It shines a light on one of the top 5 problems we have in the USA : we are hyper litigious. Again I understand why it can’t really change, but damn does it need to.

Posted by dafif
Member since Jan 2019
5564 posts
Posted on 6/12/22 at 6:11 am to
quote:

It likely doesn't exist in any auto insurance policy in the US.


That should be the end of the discussion

I don’t know Missouri law but I’m positive this gets nowhere in Florida. I’m also pretty sure there is no ambiguity created regarding this.

I would love to see the arbitration award and the court upholding.

The only thing I can see is if the appeal would only be technical and not in the merits

Ok ETA

I read the decision… should have before. In a nutshell geico denied coverage and did not participate in their insured defenses. Too bad for them. The appeal is about them trying to intervene later and court said no - proper ruling.

Geico filed a separate declaratory judgment action regarding coverage
This post was edited on 6/12/22 at 6:27 am
Posted by AggieHank86
Texas
Member since Sep 2013
42941 posts
Posted on 6/12/22 at 7:06 am to
quote:

Hank said: bad faith failure to defend claim …, if the primary or carrier refuse to defend the STD case
quote:

Good lord, idiot. There is zero coverage under the policy for this. There is no language in the policy to support it. Geico does not have any language that can be interpreted to cover this.

quote:

read the decision… should have before.
Or maybe accept the remote possibility that someone else might’ve written one or two more coverage opinions than you
quote:

In a nutshell geico denied coverage and did not participate in their insured defenses.
Everyone can send his apologies and retractions to Hank@YourPavlovianResponse.com


EDIT

The plaintiffs lawyer came up with a novel approach to bring his claim within the insurance coverage. Some Yahoo of an adjuster decided to make the decision to deny on his own, rather than getting a coverage opinion.

The insurance carrier should have issued a reservation of rights letter, defended the case, and simultaneously pursued a declaratory judgment action as to whether the policy provided coverage. Apparently they did not do that, and will be paying the price.
This post was edited on 6/12/22 at 8:17 am
Posted by Bestbank Tiger
Premium Member
Member since Jan 2005
71037 posts
Posted on 6/12/22 at 7:09 am to
quote:

I don’t see how you can prove that, nor the relevance of it. He could’ve just as easily banged her on the sofa and given it to her


Another problem is there's a vaccine for HPV. She willingly engaged in high risk behavior (unprotected sex) AND wasn't vaccinated against the disease she contracted.
Posted by dafif
Member since Jan 2019
5564 posts
Posted on 6/12/22 at 7:10 am to
None of your statements before cover what you wrote. But you knew that …
Posted by AggieHank86
Texas
Member since Sep 2013
42941 posts
Posted on 6/12/22 at 7:46 am to
quote:

I have never, ever, seen any language remotely close to affording this type of coverage.
quote:

It likely doesn't exist in any auto insurance policy in the US. The key is the arbitrator found the policy did not exclude this type of tort. Contracts don't have to make common sense

Exactly.

Here is the form Missouri car insurance policy from GEICO.

“We will pay damages which an insured becomes legally obligated to pay because of bodily injury (defined elsewhere as “including …sickness, disease or death”) sustained by a person ….”

Posted by AggieHank86
Texas
Member since Sep 2013
42941 posts
Posted on 6/12/22 at 8:23 am to
quote:

She willingly engaged in high risk behavior (unprotected sex) AND wasn't vaccinated against the disease she contracted.
”The little whore was asking for it.”

OK.
Posted by Bestbank Tiger
Premium Member
Member since Jan 2005
71037 posts
Posted on 6/12/22 at 8:36 am to
quote:

”The little whore was asking for it.”

OK.


So if someone refuses the Covid vaccine and goes to a mass gathering with no mask, and contracts the WuFlu as a result, it's everyone else's fault and they should get paid?
Posted by dafif
Member since Jan 2019
5564 posts
Posted on 6/12/22 at 10:19 pm to
How about covering the exclusions…

#3-intentional act

Otherwise it is an unbelievably poorly written policy.

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