Dallas Fort Worth Insurance Lawyer Blog

Insurance For Injuries

December 7, 2010 | Mark S. Humphreys

Young athletes in Dallas, Fort Worth, Grand Prairie, Arlington, Mansfield, Irving, Cleburne, Mesquite, Garland, Weatherford, and other places in Texas, usually have some sort of insurance coverage in case they get injured when involved in school sporting events. But exactly what does this coverage provide?

A student athlete in Clark County School District in Nevada, is finding the answer to be “not enough.” This is in an article published by the Las Vegas Sun and written by Steve Green. The article, titled, “High School Football Injury Sparks Lawsuit Over Insurance Coverage” was published on December 1, 2010. The athlete is LaQuan Phillips, who was a Green Valley High School football player who got injured in a game on September 5, 2008. Phillips suffered a spinal injury and has incurred more than $195,000 in medical expenses, which does not include future medical expenses and rehabilitation recommended by his medical providers. This figure also does not include compensation for Phillips pain and suffering and/or lost quality of life.

The insurance policy at issue in this case was issued by National Union Fire Insurance Company of Pittsburg, Pa. The policy is issued to the school district and is suppose to cover student athletes, cheerleaders and students in non-sports extracurricular activities and provides up to $2.5 million in coverage.

Life Insurance – Insurable Interests

December 5, 2010 | Mark S. Humphreys

Ask someone in Dallas, Fort Worth, Arlington, Grand Prairie, Mansfield, Duncanville, Azle, Crowley, Cedar Hill, Saginaw, Flower Mound, or any other place in Texas, what an insurable interest in a life insurance policy is, and the chances are that they will not be able to tell you. This has been discussed in a couple of earlier blogs.

As stated before, those who have an insurable interest in the life of another falls into three general classes:

1) one so related by blood or affinity that he or she wants the other to continue to live, irrespective of monetary considerations;

Interpreting A Commercial Policy

December 4, 2010 | Mark S. Humphreys

Business people in Dallas, Fort Worth, Arlington, Grand Prairie, Mansfield, Keller, Coppell, Irving, Mesquite, Garland, Richardson, or anywhere else in the State of Texas might want to read the case below. It illustrates why it is important to know what your commercial insurance policy covers and how to interpret it.

The United States Court of Appeals for the Fifth Circuit issued a decision on November 24, 2010, in a case styled, Atlantic Casualty Insurance Company v. Horatio Gonzalez. This is appeal from a district court where the district court had ruled in favor of the insurance company. This appeals court upheld the ruling of the district court.

In this case Atlantic Casualty Insurance Company (Atlantic) insured PV Roofing Corp. (PV). PV was sued by Gonzalez when Gonzalez was injured at a site where PV was performing roofing work.

Deceptive Trade Practices Acts

December 2, 2010 | Mark S. Humphreys

Buyers in Dallas, Fort Worth, Grand Prairie, Arlington, Irving, Garland, DeSoto, Cedar Hill, Burleson, North Richland Hills, Hurst, Euless, Bedford, and any other place in Texas can find themselves being taken advantage of by a company they have purchased a product or service from. It appears that even a well known and respected company like Dell Computers will cheat a consumer and do it in a calculated way when they think they can get away with doing it.

This is illustrated in an article published in The New York Times. The article was published on November 18, 2010, and was written by Ashlee Vance. The title of the article is, “An Unsealed Lawsuit Indicates Dell Hid Faults of Computers.”

The article starts out; “Documents unsealed Thursday in a three-year-old lawsuit against Dell have raised more questions about how the company handled an unprecedented number of faulty computers sold to governments, schools, and corporations from 2003 to 2005.”

Life Insurance – Denial Of Benefits

November 30, 2010 | Mark S. Humphreys

Someone in Dallas, Fort Worth, Grand Prairie, Mesquite, Arlington, Cleburne, Aledo, Weatherford, or anywhere else in Texas, purchases a life insurance policy. They expect the policy benefits to be paid when the insured passes away. But that does not always happen.

The Los Angeles Times ran an article on November 21, 2010, titled “Flaws Can Cancel Life Insurance – After Death.” The article is written by Lisa Girion and Sandra Poindexter.

This article has tells of three examples where someone takes out a life insurance policy and then when a claim for benefits is turned in to the insurance company the company cancels the policy without paying the benefits.

Life Insurance Policies – Insurable Interests

November 28, 2010 | Mark S. Humphreys

Most people living in Arlington, Grand Prairie, Dallas, Fort Worth, Mansfield, Irving, DeSoto, Cleburne, Weatherford, and all the other places in Texas, will have some form of life insurance on their lives. It may be a policy from work, or a policy thru their bank, or a policy they have purchased through their insurance agent. The question becomes; Who can you take a life insurance policy out on and who can be named as a beneficiary in the policy? When a spouse is the person who is insured or the person who is the beneficiary under the life insurance policy there is not usually a problem. But what if it is someone else?

An insurable interest is what is required. Or an expectation of a pecuniary benefit. So, who has an insurable interest or an expectation of a pecuniary benefit?

The Texas Supreme Court in 1942, in the case, Drane v. Jefferson Standard Life Insurance Company, stated; “A person that has a reasonable expectation of pecuniary benefit or advantage from the insured’s continued life has an insurable interest.”

Life Insurance Beneficiaries

November 25, 2010 | Mark S. Humphreys

People living in Grand Prairie, Dallas, Fort Worth, Arlington, Carrollton, Burleson, Aledo, or anywhere else in Texas who have life insurance are usually going to have a place in the life insurance policy where they name a beneficiary. Things will happen after naming the beneficiary to make the insured want to change the beneficiary.

The person named as a beneficiary in a life insurance policy is the person who receives the benefits of the policy upon the death of the person insured by the policy. The named beneficiary is often times a spouse of the named insured or the children of the named insured. Other times it is a creditor or an estate. Sometimes it is a business partner.

It is well settled law that a life insurance beneficiary must have an insurable interest in the insured’s life. This was stated as early as 1894 by the Texas Supreme Court in the case, Cheeves v. Anders. It was restated in 1998 by the Houston Court of Appeals [14th Dist.] in Tamez v. Certain Underwriters at Lloyd’s, London International Acc. Facilities, and again in 1998 by the Tyler Court of Appeals in Stillwagoner v. Travelers Insurance Co.

Bad Faith Insurance

November 23, 2010 | Mark S. Humphreys

An insured in Dallas, Fort Worth, Grand Prairie, Arlington, Mansfield, Garland, Richardson, Weatherford, or anywhere else in Texas may not know if they are being treated in bad faith by their insurance company when it is happening. Here is something to think about – if it doesn’t seem right it probably isn’t. To be sure, the best thing to do is to consult with an experienced Insurance Law Attorney.

One of the first cases from the Texas Supreme Court making clear that an insured has a cause of action against his insurance company for bad faith insurance was decided in 1987. The style of the case is, Glen Arnold v. National County Mutual Fire Insurance Company.

Here are some of the facts in this case:

Duty Of Good Faith And Fair Dealing

November 21, 2010 | Mark S. Humphreys

What if someone in Dallas, Fort Worth, Grand Prairie, Arlington, Irving, Richardson, Hurst, Euless, Bedford, or somewhere else in Texas, thinks the insurance company is denying their claim for insurance benefits for the wrong reason? Can anything be done? As with so many legal answers – it depends.

The Texas Supreme Court issued an opinion in 1993, in the case styled, Golda A. Lyons v. The Millers Casualty Insurance Company of Texas, that helps with the above question. As the court stated, “This case presents us with the opportunity to clarify the method by which Texas courts should conduct legal sufficiency review of factfindings of bad faith against an insurer.”

Here are the facts:

Delay In Paying The Claim

November 20, 2010 | Mark S. Humphreys

How long can an insurance company take to pay a claim to an insured in Dallas, Fort Worth, Arlington, Grand Prairie, Mesquite, Richardson, or anywhere else in Texas. The answer is – as long as they want – and even if they have good reason for the delay – it is going to cost them.

A 1997 case decided by the United States Court of Appeals, Fifth Circuit, is a good example of what can happen when an insurance company doesn’t pay a claim in a prompt manner. The style of the case is, John Higginbotham v. State Farm Mutual Automobile Insurance Company.

Here are some facts in the case: