How do the terms of your insurance policy apply to COVID-19? You can get a “first opinion” from your insurer
April 6, 2020 | Client Alerts
On March 24, 2020, Lippes Mathias Wexler Friedman LLP Partner, Richard M. Scherer, wrote a client alert about commercial insurance terms relevant to COVID-19. As he stated, “each policy is different and determining if your specific policy covers an interruption to your business depends upon the policy’s language.” Interpreting the provisions of a commercial insurance policy can be daunting, especially in the case of a novel events, like the COVID-19 pandemic.
Thankfully, insurers will have to assist in this process based on new guidance from the New York State Department of Financial Services (“DFS”). In Insurance Circular Letter No. 7, DFS instructed New York State insurers to:
Prepar[e] clear and concise descriptions of coverage benefits that may be triggered as the COVID-19 situation continues to evolve, which should be posted prominently on insurance company and producer websites and sent in response to policyholder inquiries.
These materials, whether publicly accessible or directed to an insured, will provide valuable insight into the terms of a policy, and the insurer’s interpretation of those terms. If an insured faces negative consequences from COVID-19, the insured should consider reaching out to his insurer for a written response. If the insured includes a policy number, the insurer may tailor its response to the terms of the insured’s policy.
Of course, this is just the first step to a coverage analysis. An insured should not accept the insurer’s interpretation as the final word on the scope of the insurance policy. The insured should review the policy and confer with legal counsel.
Finally, an inquiry to an insurer does not substitute for a claim to the insurer. If you believe that you have a claim under the terms of your policy, you should not hesitate to notify your insurer in accordance with the terms of your policy. Consider working with your attorney to draft the claim because your initial description of your claim can be crucial to establishing coverage.
In The news
Lippes Mathias attorneys represent Potawatomi Nation in lawsuit against Treasury for $8M in Covid-19 Aid
January 5, 2021
In The news
Lippes Mathias attorneys mentioned in Law360 for their representation of a Native American tribe in an ongoing legal matter, “Tribes Back Up Shawnee Appeal In Virus Funding Row”
October 20, 2020
In The news
Lippes Mathias Wexler Friedman LLP featured in Law 360 article "Tribe Sues Treasury Over 'Flawed' Metric For Virus Funds"
June 8, 2020
COVID-19 LITIGATION INSURANCE CLIENT ALERT