Cases

Fireman’s Fund Ins. Co. v. Evergreene Props. of N.C., LLC, 2007 U.S. Dist. LEXIS 571 (D. Ark. 2007)

Insurer issued two insurance policies to Defendant’s nursing home. When suit was filed in Arkansas, the insurer employed counsel to defend the action and paid all costs associated with the defense. Insurer asked Defendant to contribute to a settlement and when Defendant refused, the insurer funded the settlement. Insurer then brought an action for reimbursement. Defendant counterclaimed for breach of contract and bad faith. Defendant’s motion for summary judgment was denied; since insurer paid all defense costs and did not seek reimbursement of those costs, there was no breach or bad faith. Insurer’s request that Defendant participate in funding the settlement is not a breach of contract. Although insurer’s right to reimbursement is a disputed fact, Defendant’s motion was denied. In later proceeding, Fireman’s Fund Ins. Co. v. Evergreene Props. of N.C., L.L.C., 2007 U.S. Dist. LEXIS 18920 (D. Ark. 2007), court granted summary judgment after finding MLMIC did not breach insurance contracts when they fully funded settlement within policy limits or filed lawsuit; MLMIC fulfilled terms of contract when it paid all defense costs and settled suit, and Evergreen failed to present evidence of bad faith).

Published by
David McGuffey

Recent Posts

Medicaid Post Eligibility Treatment of Income and Incurred Medical Expenses

After Medicaid eligibility is established, 42 C.F.R. § 435.725 addresses how income is treated. For…

7 days ago

Medicaid’s Refusal to Provide 24/7 Care in the Community Might be Discrimination

In Harrison v. Young (5th Cir. June 6, 2024), the Fifth Circuit considered Ms. Barbara…

3 weeks ago

Updates to Nursing Home Quality of Care Regulations

From time to time federal regulations covering nursing home quality of care are updated. Thus…

3 weeks ago

Federal Nursing Home Quality of Care Regulations

Nursing homes that accept Medicare or Medicaid are required to comply with quality of care…

3 weeks ago

New Article Discussing Medicaid Enrollment and Wealth Transfers

On June 11, 2024, the Gerontologist published an article on Medicaid enrollment and Intergenerational transfers…

4 weeks ago

Virtual Dementia Tour

Dementia affects more than 50 million people worldwide. The Virtual Dementia Tour is designed to…

4 weeks ago