May 24, 2012

Insurer Entitled to Rescind Policy Based on Misrepresentation

GENERAL STAR NATIONAL INSURANCE COMPANY v. JAMES BOUDREAU (Ct. of Appeals, Mich. Jan. 14, 2010)

In the course of applying for a real estate appraiser’s errors and omissions insurance policy, the defendant completed applications for the years 2004 to 2007. Included within these applications was the following declaration: "The applicant has not been disciplined by any state licensing board or other regulatory agency as a result of appraisal activities within the past five years," to which the applicant would answer true or false.

Defendant in this case answered true to this statement in each application. Subsequently, the insurer learned that the defendant had indeed been disciplined on December 27, 2001 and sought to rescind the policy. In an effort to stave off rescission of the policy, the defendant relied upon the "last antecedent rule" and argued that the phrase "within the past five years" modified the noun phrase "appraisal activities" and not the verb phrase "not been disciplined." The court explained that the last antecedent rule is a principle of statutory construction standing for the proposition that a modifying or restrictive word or clause contained in the statute was defined solely to the immediately preceding clause or last antecedent unless something in the statute requires a different interpretation.

Even assuming this rule of statutory construction applied to the policy, the still court concluded that the last factor of this principle undermined the plaintiff’s position. The court stated that in considering all the questions together, it is clear that plaintiff’s interpretation was more fair and reasonable because plaintiff’s overall goal in asking the questions was to assess the risk. Thus, because the defendant was disciplined in December 2001, his representations stating that he had not been disciplined within the past five years was false. Moreover, he repeatedly made this false statement, on March 15, 2004, January 15, 2005, and December 3, 2005, respectively. The plain language of the application warned that if defendant answered false to any of the questions, he was not eligible for coverage. The evidence showed that plaintiff relied upon the applications and misrepresentations therein, the insurer was therefore, entitled to void the policy.

Impact: This case is an example of a policyholder stretching the limits of contract interpretation to absurd lengths in order to attempt to create an ambiguity.

For a copy of this decision, click here: http://insurancecoverage.typepad.com/insurance_and_reinsurance/2010/02/cases-for-professional-liability-monthly.html

All content © 2012 Goldberg Segalla LLP

About the Author

Richard J. Cohen, the firm's Managing Partner, is the Co-Chair of its Global Insurance Services practice group, Chair of its Professional Liability practice group, and a member of its sports and entertainment practice. He graduated from the State University of New York at Buffalo's School of Management with distinction and its School of Law cum laude. A trial lawyer with more than twenty years of experience, Mr. Cohen maintains a national practice, primarily involving sophisticated insurance coverage and bad faith matters, reinsurance, and D&O and E&O litigation. He...

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Sharon Angelino is a Goldberg Segalla partner and a member of the firm's Insurance Coverage and Extra-contractual Liability Practice Group, where her practice includes complex insurance coverage, commercial litigation and general corporate law.

Having earned a bachelor's degree in biochemistry and an M.B.A., combined with several years of working in the health care industry, Ms. Angelino brings unique blend of knowledge and experience to benefit her clients.

Ms. Angelino has more than a dozen years of insurance coverage experience in both first party and...

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Contributors

Brian R. Biggie concentrates his practice on complex insurance coverage disputes and analysis and professional liability. He has successfully argued cases before the Third and Fourth Departments and practices in courts throughout New York. He is also admitted to practice law before the United States District Court for the Western District of New York and is a member of the Defense Research Institute and the New York and Erie County Bar Associations.

Mr. Biggie currently serves as a Board President for the Buffalo Alliance for Education and works on the Schools Committee with...

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