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Disavowals of Liability Do Not Disembowel Coverage: Liability Settlements and Insurance Coverage

By Marc S. Mayerson
March 01, 2006

Liability insurance policies apply where the insured is liable for bodily injury, property damage, or wrongful acts (depending on the policy). What happens, however, when the policyholder denies that any injury or wrongdoing took place? Does that mean that insurance is not applicable?

Perhaps the most pointed illustration concerns Dow Corning, which denied that its breast implants caused injury but entered into a major settlement. In its coverage case, its insurers turned around and argued that, because the policies apply to “injury” and because Dow Corning denied there was “injury,” the insurers had no obligation (or technically that their policies had not been triggered). The court made short work of this argument:

[I]f an underlying plaintiff alleges that she suffered injuries caused by a Dow Corning breast implant … [and] Dow Corning settles claims on the basis of those allegations, defendants must indemnify Dow Corning based on those allegations. This conclusion is not based on a theory of res judicata or collateral estoppel, or law of the case. Rather, it is based on a plain reading of the policy language. Dow Corning Corp. v. Continental Cas. Co., 1999 WL 33435067 at *5 (Mich. App. Oct. 12, 1999).

As the court aptly put it, “the question in this insurance dispute is not 'what really happened?' Instead, the question is … 'what did Dow Corning fear a judge or jury might believe happened?'” Id. at *5 n.8.

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