01.01.2014 Views

Download PDF - Goodmans

Download PDF - Goodmans

Download PDF - Goodmans

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

commissioner and approved by the court. When the commissioner<br />

recommended disallowing the claim and the court entered an order<br />

disallowing it on the grounds of insufficient evidence, it became incumbent on<br />

the appellant to present evidence proving the claim. The claim was attacked<br />

by the commissioner and the court held that a verified statement of claim,<br />

standing alone, was not sufficient proof of the validity of the claim.<br />

Pennsylvania<br />

Tennessee<br />

Pennsylvania Ins. Guar. Ass'n. v. Charter Abstract corp., 790 F. Supp. 82 (E.D.<br />

Pa. 1992). Insurance company brought action seeking declaration that it was<br />

not obligated to defend or indemnify insurance agency and its employee under<br />

professional liability insurance policy with respect to claim of foreign title<br />

insurer. When insurance company was liquidated, Pennsylvania Insurance<br />

Guaranty Association was substituted as plaintiff and title insurer intervened as<br />

defendant. The district court held that the foreign title insurer was not a<br />

resident of Pennsylvania under the Pennsylvania Insurance Guaranty<br />

Association Act and, therefore, could not assert a "covered" claim. In a<br />

footnote, the court explained that even if the foreign title insurer had been<br />

deemed a resident of Pennsylvania, it nonetheless could not maintain a<br />

covered claim because it was an "insurer."<br />

McReynolds v. Petroleum Marketers Mut'l Ins. Co., 1994 Tenn. App. LEXIS<br />

595 (Tenn. Ct. App. 1994). Court affirmed receiver’s decision to disallow a<br />

late filed claim. Policyholder asserted excusable neglect due to a belief that<br />

no further action was required after the original claim was filed. However,<br />

policyholder did not submit any substantial explanation for failure to comply<br />

with the filing deadline.<br />

McReynolds v. United Physicians Ins. Risk Retention Group (In re Valdez), 914<br />

S.W.2d 491, 1995 Tenn. App. LEXIS 162 (Tenn. Ct. App. 1995). Insurer was placed<br />

into receivership after the insured notified his insurer of malpractice claims<br />

against him. The receiver mailed notices of the liquidation order to the insured,<br />

informing him that he was required to fill out and return a proof of claim form.<br />

After the insured failed to do so, coverage of the malpractice claims were<br />

denied and the insured failed to object within the statutory time period. The<br />

chancery court allowed the insured to file the proof of claim, but the court<br />

reversed. The court rejected the insured’s argument that he, in good faith,<br />

believed that his original filing was all that was legally required from him. The<br />

prior filing of a claim with an insurer did not by itself justify a waiver of the proof<br />

of claim requirement found in Tennessee Code § 56‐9‐311. The court found that<br />

there were no special facts or circumstances surrounding the insured’s failure to<br />

submit a proof of claim form or in his failure to timely object to the receiver’s<br />

denial of his claims, sufficient to justify the chancery court’s decision to allow<br />

him to file a proof of claim.<br />

Texas<br />

Khalaf v. Odiorne, 767 S.W.2d 856 (Tex. App. ‐‐ Austin 1989, writ denied).<br />

Plaintiff filed proof of claim in receivership proceeding, but inadvertently<br />

stated an incorrect return address. The rejection letter was returned to<br />

receiver undelivered, marked "no such number." More than three months<br />

after the rejection was mailed, plaintiff filed suit. The court affirmed a takenothing<br />

judgment in favor of the receiver, finding that the insurance code<br />

section governing the receiver's notification of potential claimants should be<br />

read in pari materia with the section governing notice of rejection of claims,<br />

and that proof of mailing of the letter was sufficient to constitute notice,<br />

actual receipt of notice was not required. Accordingly, the receiver's rejection<br />

of the claim had become final by claimant's failure to file suit within three<br />

months, as provided in the insurance code.<br />

Langdeau v. Pittman, 337 S.W. 2d 343 (Tex. Civ. App. 1960), writ ref. n.r.e.<br />

Upon receiver's denial of their claim for damages for injuries caused by the

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!