| PRACTICE
STRATEGIES – Professional Liability
“TELL-ALL POLICY”
Bad Things Can Happen if You Don’t Keep Your Carrier Informed
BY: Richard D. Hoffman
Permission to reprint and distribute has been granted by the ABA
Journal, March 2003
ATTORNEYS, PARTICULARLY
LITIGATORS, pride themselves on their bravado. A perfect day for
a scorched-earth litigator is to push the envelope: Take a questionable
case, turn it into a lawsuit, and force the other side to capitulate
and pay to settle.
Oftentimes this initial
salvo gets an unexpected response; opposing counsel fires back a
letter accusing our hero of a litany of horribles and threatening
him with a malicious–prosecution action unless he immediately
dismisses the suit.
Our hero wears the response
as a badge of honor. But his demeanor changes three years later,
when a jury finds in favor of the defendant, and our hero in fact
is presented with a malicious-prosecution lawsuit against himself
and his client.
Our hero later is reduced
to hysterics when he tenders that suit to his malpractice insurer.
He finds out that 1) the insurer refuses to defend or indemnify
him because he had “prior knowledge” of a potential
claim, and 2) it is rescinding his policy because he failed to list
the threat of a malicious-prosecution action in his application
for his current policy.
Could this really happen?
Absolutely. Most lawyers’ professional liability policies
cover claims that are made and reported during a one-year policy
period, provided that before the policy kicks in no insured had
a reasonable basis to foresee that a claim might be made against
him or her. Also, most policies are issued pursuant to written applications
that ask whether any insured is aware of any claims or any fact,
circumstance or situation that might give rise to a claim.
The legal standard for
prior knowledge and disclosure in an application is an “objective,
reasonable attorney” standard: If a reasonable attorney would
have understood a circumstance or potential claim existed, coverage
can be denied or the policy can, in appropriate circumstances, be
rescinded.
NONLITIGATORS AT RISK,
TOO
THIS SCENARIO IS NOT
LIMITED TO LITIGATORS. For example, an attorney drafts a lease for
a landlord. Years later, the tenant asserts he has a right to terminate
the lease. The attorney disputes this, but, three years later, a
court determines the lease had a loophole. The client is left with
an empty building and no rental income. The attorney notifies her
malpractice carrier, which discovers the attorney previously had
learned a potential problem existed. The carrier advises the attorney
that coverage is questionable and policy rescission is possible.
Attorneys who believe
this couldn’t happen to them because the same carrier insured
them for years shouldn’t be so sanguine. Policies are still
annual, and renewal applications still ask about prior knowledge.
What is the solution?
Candor and disclosure coupled with a dose of common sense. Notifying
one’s current carrier of a potential claim generally will
guarantee coverage. Thus, reporting everything to the carrier probably
is the only surefire way to avoid sleepless nights and readjustment
of one’s retirement portfolio.
Reality, however, requires
some vetting to determine whether the potential for a claim actually
exists. Claims and potential claims affect premiums, and it would
be foolhardy and expensive to report each instance when someone
reacts to a litigation tactic or questions the meaning of a document.
When in doubt, a concerned lawyer should consider consulting with
a colleague for an impartial read on the credibility of the threat.
Among other things, this
will provide the attorney with some ammunition if he doesn’t
report the potential claim and it becomes an actual claim; he will
have consulted with the proverbial reasonable attorney who can testify
that he did not understand a circumstance or potential claim existed.
This may be sufficient to keep the carrier at bay and keep coverage
intact.
______________________________________________________________________
Richard D. Hoffman is
the managing partner of the San Francisco and Orange County, California,
offices of Nixon Peabody. He is a member of the firm’s professional
and fiduciary liability team and the insurance litigation team.
Back
to Risk Managment
|