Resolving Insurance Coverage Ambiguities: Discovery and Use of Extrinsic Evidence to Clarify Coverage

Recording of a 90-minute CLE video webinar with Q&A


Conducted on Tuesday, June 22, 2021

Recorded event now available

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Program Materials

This CLE webinar will review the inconsistencies regarding when extrinsic evidence may be used to establish that a particular policy provision is ambiguous and discuss interpreting any ambiguity as well exceptions to the "four/eight corners" rule. The panel will focus on key jurisdictions and discuss what types of extrinsic evidence are most often turned to, what provisions cause the most difficult ambiguities and intentional ambiguity.

Description

Ambiguity in insurance policies can be costly to insurers regardless of the type of policy. Moreover, parties can end up in expensive discovery disputes in coverage litigation over whether extrinsic evidence of meaning is discoverable.

Courts in different jurisdictions take various positions on core issues such as whether extrinsic evidence can be used to find ambiguity, distinguishing between obvious and latent ambiguities, and whether and what kind of extrinsic evidence can resolve ambiguities. Some states only allow such evidence in cases of fraud but encounter similar issues in establishing fraud.

Parties often argue over what types of interpretive materials are acceptable and if trade practices and other business practices are relevant. The definitions section of policies gives rise to ambiguity, but often, everyday terms are not defined at all.

Listen as this experienced panel explores how to approach claims and coverage resolution by focusing on the policy language.

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Outline

  1. Short overview of general rules of interpretation
    1. The intent of the parties
    2. Reasonable expectations
  2. Extrinsic evidence of intent
    1. Industry materials, bulletins
    2. Underwriting, claims materials, advertising brochures
    3. Prior claims handling practices or inconsistent interpretations of the same provision
    4. Related documents: application, binder, declarations
    5. Eligibility vs. coverage and use of underwriting standards to assess coverage
  3. Key jurisdictions

Benefits

The panel will review these and other issues:

  • When will courts allow the use of extrinsic evidence to resolve policy ambiguities?
  • What coverage disputes are best suited for motions for summary judgment and cross-motions?
  • What special rules apply to interpreting exclusions and resolving ambiguities?
  • What types of extrinsic evidence are most litigated?

Faculty

Guardaro, Edward
Edward J. Guardaro, Jr.

Partner
Fullerton Beck

Mr. Guardaro is the leader of the Firm’s Appellate and Complex Litigation Department and has broad experience in...  |  Read More

Pedro, Verne
Verne A. Pedro, Esq.

Managing Attorney
Fullerton Beck

Mr. Pedro is an experienced managing attorney specializing in a range of complex insurance coverage matters, including...  |  Read More

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Strafford will process CLE credit for one person on each recording. All formats include program handouts.

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