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The course, “Multiple Causes of Loss,” is designed to familiarize adjusters and litigators with the challenges of dealing with property insurance losses where both covered and excluded causes of loss come together to result in loss. The module is presented by Richard Gable, an attorney who practices in the area of insurance coverage and property insurance litigation.

In this two-hour course, the instructor begins by explaining the “proximate cause ” and the “concurrent causation” doctrines adopted by the courts when confronted with multiple causes of loss problems. Mr. Gable then reviews policy language, known as the anti-concurrent causation clause, that is aimed at reducing uncertainty when dealing with multiple causes of loss. Mr. Gable discusses policy provisions, known as ensuing loss provisions, that are designed to clarify and extend coverage to losses that might otherwise seem to be excluded. The instructor reviews court opinions and fact patterns that demonstrate the law on these issues.

After completing the course, the attendee will be able to describe what is required to trigger a multiple causation problem; describe the concepts of proximate cause and concurrent cause and how they are applied by the courts; analyze fact patterns and provide theories as to how courts in different jurisdictions would resolve concurrent cause problems in the absence of anti- concurrent causation language; explain the purpose of anti-concurrent causation language; predict how courts will enforce anti-concurrent causation clauses; discuss the majority and minority opinions concerning anti-concurrent causation clauses; described the two types of ensuing loss provisions and their purposes; explain the narrow and broad interpretation approaches adopted by courts; and identify facts patterns where ensuing loss coverage can become broadly or narrowly interpreted.

The course is designed for practitioners and insurance professionals working in the area of coverage analysis and litigation. Professionals in the property coverage arena will find this module extremely beneficial.

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 482684
TX (classroom equivalent) 1.0 99817
NC 2.0 C95453
FL * ( Provider Number: 364169 ) 2.0 1197156
IL 2.0 528127
WY 2.0 27801
OK 2.0 1028291

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

Course Content

Lesson Content

1) Doctrines to be Discussed
a) efficient proximate cause
b) concurrent cause
2) Policy Provisions
a) anti-concurrent cause
b) ensuing and resulting loss
3) Claims Handling Approaches
4) Jurisdictions, Facts, and Policy Language
5) Multiple Cause Example
6) Facts Triggering Multiple Cause Analysis
7) Multiple Causes v. Characterizations
a) mold v. vandalism
b) e.g. corrosion = water damage?
c) e.g. faulty workmanship = contractor negligence?
8) Recap
9) Quiz – Reinforcing Part 1 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) All Risk Coverage and Causation
2) Proximate Cause
a) General Rule
b) Court Definition
c) Other Names
d) As a Fact Issue
3) Proximate Cause – Initial Cause
a) Sets in motion
b) extra weight?
c) first cause more important?
4) Efficient Proximate Cause Concepts
a) quality of the links
b) most important cause
c) ignore remote causes
d) determine intent of parties
5) Garvey Case
6) Murray Case
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) Concurrent Causation
a) definition
b) “but for” test
c) illustration
2) Spece v. Erie
a) water floods basement thru sump
b) policy excludes backup through sump
c) lightning damage off premises
d) power failure issues
e) Court finds coverage
3) Sequential Causation Approach
a) distinguishes sequence from concurrent causes
b) emphasis is placed on first or last cause in chain of events
c) courts looking for coverage
4) Train of Events Test
a) Followed in Massachusetts/
b) similar to efficient proximate case approach
c) focus is on an initiating cause of loss
5) Anti-concurrent Causation Clause
a) typical language
b) add certainty to contract
c) avoid jury/fact finder uncertainty
6) ACC example
a) flood
b) sewer backup
c) holding
7) Recap
8) Quiz – Reinforcing Part 3 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) Anti-concurrent Cause Clauses Applied
a) Front Row Theater example
i) rain water
ii) sewer backup
b) TNT Speed & Sport Center example
i) river flooded
ii) vandal removed sandbags from levy
2) ACC Majority and Minority Rules
a) Majority Rule
b) Minority Rule
3) ACC and Contributory Apportionment
a) Example: weight of snow v. decay of roof truss
b) Holding: No apportionment based on cause
4) Hurricane Losses and ACC
a) general rule
b) separating windstorm damage
c) Corbin case
5) Recap
6) Quiz – Reinforcing Part 4 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) Introduction
a) broad- all risk ensuing language
b) narrow -named peril ensuing loss
2) Purpose – Resulting Losses
3) Fire Example
4) Uncovered Initial Event and Coverage
a) definition
b) Venn diagram
5) Schloss Example
a) EIFS
b) faulty work
c) mold/rot
6) LaQuila Example
a) concrete on fifth floor was below specs
b) needed to be removed
c) builders risk policy
7) Narrow Interpretation – Separate event
a) Intro
b) Acme Galvanizing- molten zinc
c) Alwart – EIFS
d) Lilliard Roberts – improper flashing – wind driven rain
8) Recap
9) Quiz – Reinforcing Part 5 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) Broad Interpretation Example
a) lining for concrete sewer pipe
b) defective catalyst
c) damaged lining and obstructed pipe
d) held- ensuing loss – despite no separate ensuing cause
2) Narob Development v. Ins. Co.
a) defective retaining wall collapsed
b) didn’t damage other property when falling
c) in dicta, court mentioned “collateral damage”
d) dicta used by others to support coverage for collateral damage
3) Blaine Construction
a) Faulty Roof
b) water damage in roof insulation
c) held – water damage covered
d) collateral damage within defective roof system
4) Analysis Framework
a) identify faulty work and excluded items
b) identify ensuing damage/loss
c) identify covered cause for ensuing damage
5) Practical Tips
a) review policy language
i) anti-concurrent causation language
ii) ensuing loss provisions
b) know your jurisdiction’s approach to causation
c) try to be conscientious in communications
d) don’t force experts to use language that isn’t theirs
6) Course Conclusion/Wrap Up
7) Recap
8) Quiz – Reinforcing Part 6 materials
a) 5 multiple choice questions
b) 4 choices per question
c) A second quiz if less than 80% score on first quiz

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