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Occurrence Analysis in First-Party Insurance

By Catherine A.Mondell

Among those courts to have considered the issue of what policies respond in the context of a first-party property claim, the overwhelming majority have recognized that manifestation is the appropriate measure. Under a manifestation theory, the insurer(s) on the risk when the loss is discovered (i.e., “manifests”) is obligated to provide coverage for the entire loss, even though the physical loss or damage may take place in more than one policy period.'

In contrast, a “continuous trigger” theory, which is applied by some courts in third-party liability cases to determine what policies respond, provides that all insurers on the risk from the beginning of the loss to the time it manifests owe coverage. The considerations that sometimes lead courts to apply a continuous trigger in the third-party liability context ' chief among them, the interests of an injured third-party who had no role in negotiating the insurance policy but who may be reliant upon it for appropriate compensation ' simply do not exist in first-party property claims.'

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