Summary
The Maryland Court of Appeals held that an insured’s untimely notice of a claim breaches the insurance policy, but an insurer may disclaim coverage under Maryland Insurance § 19-110 only by proving actual prejudice caused by the delay. National Union failed to show that delayed notice of the RICO action prejudiced its ability to investigate, settle, or defend the claim, because it had no right to intervene in the related ESA action and received notice before settlement, mediation, or trial in the RICO action. The court affirmed the judgment of the Court of Special Appeals.
Holdings
- An insurer may disclaim coverage for an insured's late notice only by proving by a preponderance of the evidence that the late notice resulted in actual prejudice to the insurer.
- National Union did not establish actual prejudice because the alleged harm from the ESA case findings was not caused by the delayed notice, and National Union had no right to intervene in or control the ESA litigation.
- The adverse ESA findings could have been preclusive and detrimental to FFA in the RICO case, but that potential prejudice did not establish actual prejudice caused by late notice. The court also held that the Court of Special Appeals properly rejected FFA's waiver argument.
- The Court of Special Appeals did not abuse its discretion by directing the circuit court to permit and grant a belated motion for judgment in favor of FFA.
Questions Presented
- Whether National Union established actual prejudice under Maryland Insurance Article § 19-110 resulting from FFA's late notice of the RICO claim.
- Whether actual prejudice must be causally connected to the insured's late notice and supported by more than possible, theoretical, hypothetical, speculative, or conjectural harm.
- Whether collateral estoppel applied to adverse factual findings made in the ESA case and whether National Union waived that issue by failing to plead collateral estoppel as an affirmative defense.
- Whether the Court of Special Appeals properly instructed the circuit court on remand to permit and grant a belated motion for judgment in favor of FFA.
Disposition
affirmed
Cases Cited (24)
- Sedima, S.P.R.L. v. Imrex Co., 473 U.S. 479 (1985)(followed)
- Bennett v. Spear, 520 U.S. 154 (1997)(followed)
- Lujan v. Defenders of Wildlife, 504 U.S. 555 (1992)(followed)
- ASPCA v. Ringling Bros. & Barnum & Bailey Circus, 317 F.3d 334 (D.C. Cir. 2003)(followed)
- ASPCA v. Feld Entertainment, Inc., 677 F. Supp. 2d 55 (D.D.C. 2009)(followed)
- ASPCA v. Feld, 659 F.3d 13 (D.C. Cir. 2011)(followed)
- Feld Entertainment, Inc. v. ASPCA, 523 F. Supp. 2d 1 (D.D.C. 2007)(followed)
- Allstate Ins. Co. v. State Farm Mut. Auto. Ins. Co., 363 Md. 106, 767 A.2d 831 (2001)(followed)
- Sherwood Brands, Inc. v. Great Am. Ins. Co., 418 Md. 300, 13 A.3d 1268 (2011)(followed)
- Prince George's Cnty. v. Local Gov't Ins. Trust, 388 Md. 162, 879 A.2d 81 (2005)(distinguished)
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