About The Northwest Policyholder

A Miller Nash Graham & Dunn blog, created and edited by Seth H. Row, an insurance lawyer exclusively representing the interests of businesses and individuals in disputes with insurance companies in Oregon, Washington, and across the Northwest. Please see the disclaimer below.

Tuesday, March 17, 2015

Washington Policyholders, Check Your Cyber Policy as Data BreachNotification Law Moves Forward

Washington has moved a step closer to bringing its data-breach notification law in line with the laws of many states (including Oregon) that require notification in the majority of scenarios, closing what some viewed as loopholes in the law and mandating notification within 45 days, rather than the prior "as soon as possible" requirement.  (Oregon law still lacks a specific presumptive deadline).  In particular, the new Washington bill removes the exemption for lost or stolen data that is "encrypted," in recognition of the fact that "encryption" can fail if the technology used was old or if the encryption key was also stolen.  The Washington bill has passed the House and it set for hearings in the Senate later this week, and is expected to pass.

What does this mean from an insurance standpoint?  Cyber insurance policies typically provide "first-party" coverage for the costs of data breach notification, but often contain very low sub-limits on that coverage.  In a state like Washington with a weak data breach notification law a business could in theory get away with a low sub-limit because only in a rare set circumstances would broad-based notification be required.  That will no longer be the case and so those sub-limits, and any other restrictions placed on notification coverage, need to be re-examined.  And of course if your business lacks cyber coverage entirely, it is time to explore your options.  The most recent data on the cost of data breaches indicates that the cost of notification is the fourth-biggest category of impact from a data breach (after lost reputation; lost time/productivity; cost of new technology).  By comparison the cost of regulatory fines and lawsuits was tenth in the ranking of impacts on businesses experiencing a breach.   The conventional wisdom is that a business should expect to spend at least $188 per record  on notification and similar first-party response-related costs.  With the number of records routinely stored by businesses, particularly those in the online retail or cloud computing sector, it is easy to see why low sub-limits could be a huge problem if a breach occurs.  So check your policies, and call your insurance advisers, to get ahead of these changes in the law in Washington.

ps.  Speaking of Washington, not 48 hours after news broke this week of a major data breach at Premera in Washington a class action was filed. But the cause of action -- breach of contract -- may cause coverage problems. The liability portions of cyber policies often exclude breach of contract actions. One more reason to check those policies.

Update April 22: The bill has passed and is now awaiting signature by the Governor.

Wednesday, March 11, 2015

Cyber Coverage No Longer a Novelty But Many Concerns Remain

That is the message that I took away from last week's annual conference of the ABA's Insurance Coverage Litigation Committee in Tucson, Arizona.  Gone was the "gee whiz" discussion of the technology and its risks, and most presenters avoided the scare tactics all too commonly used in the industry to drum up sales.  (Not that there isn't reason to be scared - but the horror stories are so widely reported it hardly seems necessary to dwell on them at a conference of insurance coverage pros).

One particularly useful panel  took a deep dive into problematic policy language and the limitations of the products currently offered.  This is critically important because although cyber coverage is no longer new, the language of the policies is not yet standardized.  A few of the many things to look out for are:

- long "waiting periods" for business interruption coverage.  Business interruption coverage is "time loss" cover in that the loss amount is calculated (generally speaking) as average sales per hour multiplied by the number of hours of downtime due the covered event.  However, some chunk of time (the "waiting period") is routinely excluded as a kind of deductible.  Some cyber insurers default to a 24 hour waiting period (an eternity for an many businesses and particularly online retailers) putting the burden on the policyholder to ask for a more reasonable period.  According to the panel (and my own experience has shown this to be true) carriers will agree to 12 hours or less - sometimes 8 hours.  If your business relies on closing sales around the clock, cutting down the waiting period could mean hundreds of thousands of dollars more in business interruption coverage.

-  liability coverage limited to liability for the insured's own wrongful acts. Because so much electronic data is now routinely hosted, handled or safeguarded in some manner by vendors, any kind of strict limitation with regard to who made the "oops" may result in no coverage, even though the insured may be held liable as the owner of the data. The panel discussed several recent data breach incidents in which the error that allowed confidential data to be stolen was committed by one entity, but liability was imposed on another entity (e.g. the Target hack, where intruders gained access through a "phishing" scam on Target's HVAC contractor).  Companies need to pay careful attention to the language of their policies and candidly assess their risks associated with vendors and consultants, particularly in the retail and healthcare sectors.

- coverage for fines and penalties.  The number of regulatory bodies (state and federal) that are being given authority to issues fines and penalties for data breach violations is growing at a fast clip.  Some policies strictly exclude coverage for any kind of fine or penalty, while some do not.  Policyholders should examine their current coverage and evaluate whether their current and future coverage needs are being met, depending on the regulatory environment in which they operate.

The upside of the fact that cyber coverage is still issued largely on a "manuscript" basis (that is, without relying on industry-wide forms) is that insurers are sometimes willing to negotiate on policy language even for relatively small accounts, and oftentimes mid-period if circumstances have changed.  Careful attention to  evolving risks from "cyber" events combined with close examination of your policy language  can lead to productive conversations with your broker and carrier and needn't wait until renewal.

* Update: This morning Apple is experiencing a major outage in its iTunes store, among other services.  Some are estimating that the six-hour outage has cost Apple $7 million - now that's a serious cyber-business interruption loss (if covered).

Wednesday, January 14, 2015

WA Fed Court: "Spin, Massage, Speculation and Sophistry" Do Not Create Duty to Defend

In Wargacki v. Western National Assurance Co. Judge Leighton of the Western District of Washington held that a homeowner's carrier had no duty to defend a civil suit where the insured shot his pregnant girlfriend, and then shot himself - despite the allegation in the complaint that the boyfriend acted "either negligently, intentionally or recklessly" and that the shooting was "at least negligent."

The court held that the allegation that the shooting was negligent and thus not barred by the intentional acts exclusion was not plausible, and characterized the girlfriend's estate's argument as "spin, massage, speculation or sophistry."  Although this decision appears rooted in common sense, it appears to be inconsistent with Washington law on the burden of proof in the duty-to-defend situation.  The court took the plaintiff to task for failing to allege any facts that would have supported the shooting being negligent, rather than intentional.  But that was not the plaintiff's burden.  Under Washington law, as under the law in most states, the duty to defend is based only on what is pled in the complaint.  If the complaint itself is compliant with court rules on factual pleading, it is simply not up to the judge in a coverage case to fault the plaintiff for not pleading more.  If the complaint could allow the presentation of evidence to support a covered loss (such as proof that the shooting was negligent), then there should be a duty to defend.

That is not to say that the decision was necessarily incorrect.  The plaintiff's complaint alleged not only negligence but also in the same claim the tort of outrage, which (according to the judge) requires intent.  If the decision had relied on that pleading, then the decision might be easier to reconcile with Washington law.  However, the decision only cites that fact as further evidence that there was no duty to defend.


This decision highlights the importance of careful analysis of coverage issues before embarking on any kind of litigation and when crafting an opening pleading, but also the importance of the burden of proof in coverage disputes.  It is not "sophistry" or "spin" to plead in the alternative where the facts are reasonably in dispute and as a result different legal theories may be implicated.  Forensic science and life experience teach us that our gut-level beliefs about such things as motive and causation are often incorrect.  Courts should recognize that and approach duty-to-defend questions accordingly.

Monday, January 5, 2015

Ore. Appeals Court Important Holding on Construction Indemnity Agreements

Just as the ball began to fall in New York to herald the New Year Oregon's Court of Appeals issued an important ruling on contractual indemnity agreements in construction contracts.  The decision isn't directly on insurance coverage, but is important because of the overlap between additional insured issues, contractual indemnity, and Oregon's "anti-indemnity" statute (ORS 30.140).  The progress of the case, Sunset Presbyterian Church v. Andersen Construction, has been closely watched because the trial court issued a written decision, one of the few on this subject.

Here is a bit of background: a  new addition to the church suffered from many problems, involving the work of several subcontractors (including one called "B&B"), as well as the general contractor, Andersen.  Andersen's form subcontract included a broad indemnity provision requiring all subcontractors to defend Andersen if suit was brought on the project.  Therefore, Andersen tendered the suit to its subcontractors.  B&B refused the tender.  Andersen settled with the owner, and assigned to the owner its claims against B&B for breach of the duty to defend.  The owner moved for summary judgment on the duty to defend, and prevailed.  However, the trial court awarded the church (as Andersen's assignee) no damages, because the church could not prove how much time Andersen's lawyers had spent dealing with the claims involving B&B's alleged negligence, as opposed to its own negligence or the negligence of other subcontractors.  The trial court relied on Oregon's anti-indemnity statute (ORS 30.140) -- which only applies to construction contracts -- as the basis for putting the burden on the church /Andersen to allocate the defense costs.  (I analyzed the trial court's ruling in more detail in an article for the June 2013 newsletter of the OSB Construction Law Section, available here,)

The church appealed, arguing that the statute did not require that kind of allocation for various reasons, including that the standard applied in the insurance "duty to defend" context should apply to the duty to defend in a contractual indemnity provision.  As a matter of insurance law, an insurer has a duty to defend all claims -- even claims that are not potentially covered -- if any one claim in a suit triggers the duty to defend.  The insurer may not allocate its defense costs based on covered versus uncovered claims.  The Court of Appeals rejected that argument as to ORS 30.140 (and all of the church's other arguments) based on the court's analysis of the legislative history.  However, the Court of Appeals did not reach many of the practical issues presented by the case, finding them moot because of the church's failure to even try to meet the burden of proof articulated by the trial court.  (See the Construction Law Section newsletter article mentioned above for an explanation of those issues).  The case was sent back to the trial court for additional proceedings including (potentially) an award to B&B of its attorney fees, since the Court of Appeals reversed the trial court as to who was the prevailing party.

The general take away is this: if a general contractor (or the GC's insurer) wants to recover its defense costs from a subcontractor that refuses to pick up the defense, it must require its law firm to write time descriptions in such a way that a court can later determine how much time was spent on the negligence of each subcontractor.  Of interest to readers of this blog, that requirement will likely lead to all kinds of issues between GC's and their insurers about management of the defense, and also may complicate additional insured claims on subcontractors, involving coverage counsel for the subcontractors.  Happy New Year!

Tuesday, December 16, 2014

Oregon Trial Court Adopts "All-Sums" In Environmental Coverage Case

A great win last month for the Zidell real-estate group (owner of much land in the South Waterfront area of Portland, including a historic ship-repair yard) in the longest-running environmental contamination case in Oregon history: a Multnomah County judge held that Zidell's carriers must pay for environmental remediation based on the "all sums" approach.  (Click here for Zidell's reply brief in support of its motion for summary judgment, and here for the court's order granting Zidell's motion).

The case centers around costs that Zidell paid many, many years ago to clean up contamination portions of the Willamette River in downtown Portland upriver from the Portland Harbor Superfund Site.  The dispute, which is between Zidell (or really its "ZRZ Realty" entity) and numerous carriers including various Lloyd's syndicates, is back in the trial court after its umpteenth trip into the appeals courts.  Recently, the court was asked to decide (among other things) whether the insurance carriers could limit their indemnity obligations based on the so-called "time on the risk" approach, where each carrier only pays in proportion to the number of years that it issued policies to the insured, meaning that if the insured settled with other carriers, or was uninsured for any years, there could be large portions of the costs that are not reimbursed.  The alternative is the "all sums" approach, in which the carrier is liable to pay for all of the property damage if there was property damage during any of its policy years, up the limit of its policies.

The Oregon Environmental Cleanup Assistance Act (OECAA) specifically wrote the "all sums" approach into law for certain policies, and, separately, there is Oregon case law endorsing the "all sums" approach.  Zidell's carriers, however, argued that the OECAA's provisions could not apply to them, and that the "all sums" approach is unfair.  The arguments on both sides are complex and detailed.  Fortunately, the Multnomah County Circuit Court saw the light and rejected the carrier-side arguments, holding that the indemnity obligations will be resolved based on "all sums."  This appears to be the first of hopefully many trial-court decisions adopting the "all-sums" approach in connection with indemnification for environmental liabilities in Oregon.  As the date for issuance of the ROD in the Portland Harbor comes nearer (although several years away), decisions like this one (which will hopefully be affirmed on appeal) will help shape the resolution of hundreds of coverage disputes over paying the billion-plus tab to clean up the downstream portions of the Willamette.

Wednesday, November 19, 2014

Oregon Environmental Coverage Mediation Program Launched

In 2013 the Oregon Legislature passed SB 814, which amends the Oregon Environmental Cleanup Assistance Act, a unique law regulating environmental coverage disputes.  Part of SB 814 required the State to set up a mediation program for such claims (and made a carrier's refusal to participate in mediation a prohibited claims practice).  That mediation program is now "live."  Here is the announcement from the State's ADR coordinator.

Mediation Case Manager (MCM) has been selected to manage the Environmental Claims Mediation Program established by SB 814 (2013.)  Under the terms of their contract, MCM begins offering environmental claims mediation services today, November 19, 2014.   MCM has established a program website that includes an initial list of qualified mediators and links to case initiation forms. That website is:  https://ecmp.mediationcasemanager.com/Site/index.html.     Additional program information, including the program rules effective October 31, 2014 , are available on the Department of Justice website at: http://www.doj.state.or.us/adr/pages/environmental_claims.aspx.  

We were honored to participate in drafting the regulations that set up this program and in helping select the vendor to administer this program, and are very pleased to see it up and running!

Tuesday, November 18, 2014

Or. Fed Court Rejects "Hail Mary" Insurer Argument Against Attorney Fees

The dispute between Schnitzer Steel and its carriers over defense at the Portland Harbor Superfund Site has been addressed many times in this blog, because it has raised many novel and fascinating (to me, anyway!) issues.  Here is the latest: on November 12, 2014 Judge Mosman ruled on Schnitzer's motion for attorney fees after Schnitzer prevailed completely at trial this last April, recovering more than $8 million in defense costs.  Schnitzer then requested nearly $3.5 million in fees under ORS 742.061.  In response, the carriers tried a "hail mary" to zap the fee entitlement entirely: they argued that because the statute applies only to actions brought on an insurance policy "in any court of this state," and because actions brought in federal court are brough in a court in Oregon but not of Oregon, the statute did not apply.

Judge Mosman found the argument worthy of some consideration, but ultimately rejected it.  Judge Mosman held that under Erie and consistent with the purposes of the statute, a federal court in Oregon is a court "of the state."  The court noted that any other result would produce an anomaly: a case in an Oregon state court applying Oregon law would result in a fee award, whereas the same case that was removed as of right by an insurance carrier to federal court would not.

This is another important development in the protection of one of the few levers available to policyholders in Oregon because other than in the environmental arena (as of last year), the conventional wisdom is that there is no "bad faith" remedy where an insurance carrier denies a defense under a liability policy.  However, given the size of the attorney fee award (nearly all of what Schnitzer requested), the carriers certainly have an incentive to raise this issue again on appeal.