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The course “Advanced Duty to Defend” is designed to enhance the student’s knowledge, understanding, and professional competence in the legal and claims handling aspects of situations that involve particularly difficult questions regarding the duty to defend an insured. The module is presented by Dawn Gonzalez, a partner with the law firm of Baugh Dalton Carlson & Ryan; John Buckley, a legal services manager at Western National Mutual; and David Anderson, a partner at Hoke LLC.

The presenters begin by covering what triggers the duty to defend in a typical third-party lawsuit, emphasizing the eight-corners rule. Next, the presenters share their insights about reservation of rights letters and the best practices when drafting such letters. The presenters then speak extensively regarding independent counsel (“Cumis counsel”), covering such topics as when independent counsel is required and how to work out billing arrangements. The presenters further discuss unique privilege issues when independent counsel is required. Finally, the presenters cover situations in which multiple carriers are involved, and the length and scope of a carrier’s duty.

After completing the course, the viewer should be able to…

explain what triggers the duty to defend; define the eight-corners rule; be aware of when extrinsic evidence might be relevant in the analysis; write high quality reservations of rights letters; recognize situations when independent counsel is required; be equipped to negotiate with independent counsel regarding billing rates and hours worked; know the rules of privilege when independent counsel is present; define the tripartite relationship; parse the payment duties of all insurers when multiple carriers are involved in a claim; list the situations in which the insured might have to contribute to its own duty to defend; and delineate the length and scope of a carrier’s duty to defend in certain situations, for example where a counterclaim or appeal is involved.

The course is designed for practitioners and insurance professionals working in the area of third-party casualty insurance coverage and litigation.

What CE Credit is available?

Note: To qualify for credit, you must submit completion (including a passed final exam if required) within five days of completing the last quiz. No partial credits will be awarded.

State:
Adjuster General CE Hours:
Adjuster Ethics CE Hours:
Attorney General CLE Hours:
State's Course ID:
NH 2.0 475227
TX (classroom equivalent) 2.0 138080
NC 2.0 C99944
FL * ( Provider Number: 364169 ) 1183999
IL 2.0 485496
WY 2.0 36203
OK 2.0 1025770

* This course has been approved by the Florida Department of Financial Services for insurance continuing education credit.

Course Content

Lesson Content

1) Introduction of speakers
2) Reasons topic is important
3) Importance of open dialogue in claims
4) The duty to defend is broader than duty to indemnify
5) Eight corners rule
a) Consideration of extrinsic evidence
b) Sources of extrinsic evidence
6) Notice
7) Recap
8) Quiz – Reinforcing Part I Materials
a) 5 multiple choice questions
b) 4 choices per question
c) A second quiz if less than 80% score on first quiz

Lesson Content

1) Reservation of rights preserves coverage defenses
2) Reservation of rights letter pointers
a) Selectively quote policy language
b) Avoid jargon
3) Reservation lf rights letters can create a conflict of interest leading
to independent counsel
4) Right to withdraw and recoup defense costs
5) Different types of independent counsel
a) Paid for by the insured
b) Paid for by the carrier on behalf of the insured
6) Common situations where independent counsel is required
a) Negligent vs. intentional
b) Sequential acts
c) Portion of damages not covered
d) Noncompliance with policy conditions
7) Recap
8) Quiz – Reinforcing Part 2 Materials
a) 5 multiple choice questions
b) 4 choices per question
c) A second quiz if less than 80% score on first quiz

Lesson Content

1) Must pay on an as-incurred basis
2) Insured’s right to waive independent counsel
3) Independent counsel’s rates too high
&nbsp&nbsp&nbspa) Use negotiation
&nbsp&nbsp&nbspb) Compromise in the middle
&nbsp&nbsp&nbspc) Insured can make up the difference
4) Burden shifts if initial coverage decision was wrong
5) Independent counsel performing unnecessary work
&nbsp&nbsp&nbspa) Only pay for costs that are reasonable and necessary
&nbsp&nbsp&nbspb) Review carrier’s litigation guidelines upfront
6) Recap
7) Quiz – Reinforcing Part 3 Materials
&nbsp&nbsp&nbspa) 5 multiple choice questions
&nbsp&nbsp&nbspb) 4 choices per question
&nbsp&nbsp&nbspc) A second quiz if less than 80% score on first quiz

Lesson Content

1) Encourage the insured to hire a competent independent counsel
2) Benefits and burdens of independent counsel
&nbsp&nbsp&nbspa) Cons: cost and reporting issues
&nbsp&nbsp&nbspb) Pros: bad faith allegations are weaker
&nbsp&nbsp&nbspc) Carrier’s right to meaningful status updates
3) No such thing as insured-insurer privilege
4) Tripartite relationship
5) Privilege in independent counsel situation
&nbsp&nbsp&nbspa) Common interest doctrine
&nbsp&nbsp&nbspb) Use confidentiality agreements
6) Recap
7) Quiz – Reinforcing Part 4 Materials
&nbsp&nbsp&nbspa) 5 multiple choice questions
&nbsp&nbsp&nbspb) 4 choices per question
&nbsp&nbsp&nbspc) A second quiz if less than 80% score on first quiz

Lesson Content

1) Multiple years of coverage and multiple carriers
&nbsp&nbsp&nbspa) Share the defense costs
&nbsp&nbsp&nbspb) Fund and fight agreement
2) Sending defense counsel’s fees to auditors
3) Allocating costs to the insured
&nbsp&nbsp&nbspa) SIR
&nbsp&nbsp&nbspb) Fronting insurance
&nbsp&nbsp&nbspc) Insured went bare
4) Paying for non-covered claims
&nbsp&nbsp&nbspa) Majority: pay for related uncovered claims
&nbsp&nbsp&nbspb) Minority: parse out
5) Counterclaims
&nbsp&nbsp&nbspa) Offensive: do not pay
&nbsp&nbsp&nbspb) Defensive (“inextricably intertwined”): pay
6) Recap
7) Quiz – Reinforcing Part 5 Materials
&nbsp&nbsp&nbspa) 5 multiple choice questions
&nbsp&nbsp&nbspb) 4 choices per question
&nbsp&nbsp&nbspc) A second quiz if less than 80% score on first quiz

Lesson Content

1) Primary insurer incurs the defense costs
&nbsp&nbsp&nbspa) Very few exceptions to the rule
&nbsp&nbsp&nbspb) Can encourage excess carriers to participate
2) Must defend to the bitter end
&nbsp&nbsp&nbspa) Interpleader action is sometimes a possibility
3) Targeted Tender (IL)
4) Insured settles on its own (FL)
5) Conclusion
6) Recap
7) Quiz – Reinforcing Part 6 Materials
&nbsp&nbsp&nbspa) 5 multiple choice questions
&nbsp&nbsp&nbspb) 4 choices per question
&nbsp&nbsp&nbspc) A second quiz if less than 80% score on first quiz

Submit within 5 days to get CE Credit or Certificate of Completion.