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October 18, 2006

The Duty to Defend Class-Action Claims (Before a Class with Covered Claimants Is Certified)

A liability insurer’s promise to defend its insured is at the core of the protection purchased by policyholders and, in most states, the insurer will be required to defend any suit alleging facts that possibly could result in a judgment against the insured that would be covered by the policy’s duty to indemnify. A duty to defend will be found where the undisputed facts surrounding a claim – typically the language of the policy and the allegations of the complaint – permit proof of a claim potentially covered by the duty to indemnify. The complaint-allegations test, or what some jurisdictions term the eight-corners rule, results in the duty to defend being found by courts easily, commensurate with the broad contract language and the policy’s intention to afford the insured “litigation insurance” protecting against the risk and burden of litigation.

In any given liability case, the insured defendant might win, in which event no indemnity would be required, or the insured defendant might lose the case on a ground that is outside the scope of coverage; nothwithstanding the possibility of results where the insurer will not have a duty to indemnify the policyholder, the insurer still has a duty to assume the defense, which matures at the outset of the liability case. Because the duty to defend arises based on the possibility of the duty to indemnify a complaint, rather than based on a prediction of the likely outcome or indeed the actual outcome, we typically say that the duty to defend is broader than is the duty to indemnify.

Although an insurer's duty to defend will be triggered if the allegations raise the possibility of a duty to indemnify, sometimes
the complaint is unclear
whether nestled within the allegations is a potentially covered claim. An interesting take on the issue arose in a recent Eleventh Circuit decision, Hartford Acc. & Indem. Co. v. Beaver (11 Cir. Oct. 16, 2006).

In Beaver, the question presented was whether an insurer has a duty to defend a putative class action where the claim of the named plaintiff would not be covered but the class was defined in a fashion so as to include covered claims by other class members – if the class were certified.

The Hartford argued that the complaint could not be deemed to include covered claims at least until the class in fact was certified. The Eleventh Circuit rejected this argument, based on both class-action law principles and insurance-law rules. As a matter of civil procedure, the court relied on the Florida rule that putative class members’ claims can be aggregated to satisfy various jurisdictional requirements. Id. at 11, citing Johnson v. Plantation Gen’l Hosp., Ltd., 641 So.2d 58, 60 (Fla. 1994).

As a matter of insurance law, the court relied on the allegations setting forth claims that were potentially covered, even though the claimants were yet to be formally joined, finding analogous authority in LensCrafters, Inc. v. Liberty Mut. Fire Ins. Co., 2005 WL 146896 (N.D. Cal. 2005). As the court analogized, if “the duty to defend arises in spite of the uncertainty and impracticality of defending wholly meritless individual claims, we think it equally clear that the duty to defend is not defeated by some uncertainty as to the merits of a class certification.” Slip op. at 15.

The Beaver court observed that “Hartford would have ignore this basic truth about class action litigation: the fight over class certification is often the whole ball game.” Id. at 12. Given the purpose of the litigation insurance provided pursuant to the promise to defend, “[t]he overwhelming importance of class certification to the ultimate resolution of the case militates strongly against leaving the insured without a defense until after a decision on class certification.” Id. at 14.

The Eleventh Circuit furthermore sought to apply a principle of enlightened self-interest to protect the insurer from the tactical arguments of its lawyers. “Thus, the rule Hartford advocates would not only deny an insured the defense it contracted for, but also would lock insurers out of the litigation until after the critically important issue of class certification had been decided.” Id. While an insurer’s right to defend is not unfettered, the absolutist position of The Hartford of denying a defense until covered claimants are added to the case via certification “would poorly serve insurers and insureds alike.” Id. at 15.


Note: A version of this entry can be found also at 6 Insurance Coverage Litigation Bulletin 9 (March 2007).

Posted by Marc Mayerson at October 18, 2006 5:10 PM

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