November 29, 2023

In a recent article, ProPublica unveils its Claim File Helper, a new tool to help you find out why your health insurer denied your claim. Under federal law, most people in the U.S. facing a denial have the right to request their claim file from their insurer. A claim file is the information your health insurer uses to decide whether to pay for medical care. This includes documents explaining the reasons your insurer denied your claim. With this information, providers and patients can appeal to get denials reversed. For readers interested in learning more about filing a claim request, ProPublica’s useful guide explains in further detail what a claim file is, why to request one and how the claim file request process works. To make the request process easier, you can use ProPublica’s tool to generate customized letters to send to your insurer and request your claim file.

To read how CASTAYBERT PLLC can assist you with insurance recovery matters, click here.

A recent article published on Invaluable.com provides an insightful guide to insuring your artwork.  The article posits that regardless of whether your collection consists of very few pieces of “low-value” artwork or hundreds of multi-million dollar works, art insurance is worth your consideration.  It also provides a succinct explanation of what exactly Fine Art Insurance is, why it is important, and the costs to obtain it.

Read the full article here.  For information about how CASTAYBERT PLLC can assist you with your art insurance and other art-related legal needs, visit here.

By Karen E. Clarke, Of Counsel    

 

The litigation over insurance coverage for the claims arising from NASDAQ’s bungling of the Facebook IPO has resulted in a win for NASDAQ’s directors and officers (“D&O”) liability insurance carriers.  In Beazley Insurance Co. v. ACE American Insurance Co., 880 F.3d 64 (2d Cir. 2018), the Second Circuit construed the “professional services” exclusion of NASDAQ’s D&O policy to affirm the district court’s denial of coverage for class action claims asserted by unhappy Facebook investors.

In 2012, NASDAQ encountered a series of technical difficulties in executing the Facebook IPO, resulting in orders not being properly processed and confirmed.  Retail investors across the country sued NASDAQ and its officers, alleging that they suffered losses as a result of its technical failures, and those claims were all consolidated in the Southern District of New York and eventually settled for $26.5 million.

NASDAQ maintained both errors and omissions (“E&O”) and D&O insurance policies.  Beazley Insurance Company, the second-level E&O carrier, paid out its policy limit of $15 million in E&O coverage and took assignment of NASDAQ’s contractual rights against the D&O carriers, ACE and National, which had disclaimed D&O coverage based on the “professional services” exclusion.  Beazley sued ACE and National for D&O coverage.  The District Court ruled the D&O carriers not liable, and the Second Circuit affirmed.

Construing the Exclusion

The parties disputed the applicability of the D&O policy’s “professional services” exclusion, which excluded liability for “Loss on account of any Claim … by or on behalf of a customer or client of the Company [NASDAQ], alleging, based upon, arising out of, or attributable to the rendering or failure to render professional services.”  880 F.3d at 68.  This type of exclusion is common in D&O policies, based on the idea that a company’s professional services failures are intended to be covered by E&O insurance rather than D&O insurance.

The principal issue here was whether the retail investors qualified as “customers” or “clients” of NASDAQ, thus triggering the exclusion.  These terms were not defined in the policy, so the court needed to look to custom and usage in the industry to construe them.  Although the meaning of undefined policy terms would normally be determined based upon custom and usage under applicable (New York) state law, the Second Circuit observed that in certain paradigmatically federal fields, “a court may find a policy term unambiguous where that term has a clear meaning in federal law.”  880 F.3d at 69.  Surveying the federal field of securities law, the Court concluded that “the vast majority of federal courts to consider the issue find retail investors to be ‘customers’ of a stock exchange.”  Id.

Beazley argued that NASDAQ itself had clearly stated, in 2012, its view that only its member broker-dealers were its customers, not the retail investors who were customers of the broker-dealers.  The Court was not persuaded by this evidence.  For purposes of construing the policy language, the Court explained, what is relevant is that NASDAQ purchased the policy “against the backdrop of well-established federal securities law that unambiguously considers retail investors to be customers of the exchange.”  880 F.3d at 70.  Further, the fact that retail investors are customers of NASDAQ’s member broker-dealers does not mean they are not also NASDAQ’s customers.  Broker-dealers are simply agents of the retail investors in consummating trades, and the “investors may be customers both of NASDAQ and of NASDAQ’s members.”  Id. at 70-71.

Beazley also argued that the federal securities claims asserted in the consolidated class action complaint were not “alleging, based upon, arising out of, or attributable to the rendering or failure to render professional services,” as they were federal securities fraud claims accusing NASDAQ and the two officer defendants of making misstatements and omissions in promotional materials regarding NASDAQ’s services, to induce Facebook to choose NASDAQ for its IPO.  The crux of the complaint was that the defendants engaged in false and misleading advertising, and advertising is not the performance of professional services.  880 F.3d at 71-72.

The Second Circuit acknowledged that several decisions have indeed held that actions taken to promote a business are not “professional services,” but nonetheless rejected Beazley’s argument because “the [investors] could not win at trial merely by showing that NASDAQ made false and misleading statements as to its capabilities.”  880 F.3d at 72.  To succeed on their securities fraud claims, the investors would have to demonstrate that the NASDAQ defendants’ deceptive conduct caused their claimed economic loss.  The investors’ complaint, however, alleged that their losses resulted from NASDAQ’s failure to properly execute the purchase and sale orders and deliver timely confirmations, not from NASDAQ’s marketing of itself to Facebook as the best exchange for the IPO.  Since the execution failures that caused the losses “go to the heart of NASDAQ’s provision of professional services,” the professional services exclusion applied and the D&O insurers were not liable.  880 F.3d at 73.

Conclusion

This decision underscores that the meaning of undefined terms in an insurance contract will be determined objectively, based upon industry custom and usage and pertinent legal decisions, and may not necessarily mirror the insured’s subjective beliefs.  Companies need to be aware of the relevant judicial interpretations of policy terms both when they are obtaining insurance policies and when coverage disputes arise after a claim is made.

The attorneys at Castaybert PLLC can assist parties in handling such insurance coverage disputes when they arise.

As unlikely a pair as they may seem, the fashion industry and the insurance industry do overlap in some important ways. Whether they are designers, retailers, manufacturers or modeling agencies, insurance is crucial to the individuals and companies in the fashion industry. Three key areas where these industries intersect are intellectual property, employment and antitrust, according to Matthew F. Putorti and Kimberly Buffington of Pillsbury Winthrop Shaw Pittman LLP.
In their recent article, Beauty and the Beast: Insurance in the Fashion Industry, they point out that insurance can help to expand the protection of intellectual property assets in an environment characterized by constantly evolving statutes and global variables.
Insuring against costs associated with employees is important. Employee Practices Liability insurance can help retailers protect against the costs of litigation related to complaints against employee practices, for example. And there are antitrust implications to think about when considering insurance in the fashion industry, particularly now, as the industry faces a recent trend in prosecutions of alleged price-fixing in high-profile markets among modeling agencies, among other challenges.

To learn how Castaybert PLLC can assist with matters of insurance law, click here.
To learn how Castaybert PLLC can assist with matters of intellectual property law, click here.

CASTAYBERT PLLC’s principal attorney has significant experience representing clients in matters dealing with appraisal and valuation professionals, whether matters implicating liability or other issues arising from their work.

In particular, the firm’s principal attorney has been involved in matters in which the valuation of commercial property was a critical issue, and in tax cases involving the valuation of warrants.  He has also litigated the valuation of businesses, both in the context of claims of contractual breach and fraud, and with respect to insurance claims and recovery, lost corporate opportunity, in connection with business and partnership dissolutions, and in connection with various damages claims, including lost profits and damages for unjust enrichment.

The firm also assists art appraisers who are asked to render opinions regarding the authenticity, attribution or authorship of a work of fine art.

To learn more about how CASTAYBERT PLLC can assist appraisal and valuation professionals, please contact us.

CASTAYBERT PLLC has the experience to represent clients zealously, effectively and efficiently in commercial litigation and arbitration.  The firm’s founder has over two decades of litigation experience.  He has represented high-net-worth individuals, senior executives, and large institutions, as plaintiffs and defendants, in complex litigation and arbitration. The firm can litigate matters from inception, through all stages of discovery and motion practice, through trial and appeal, in both federal and state courts and in both domestic and international arbitrations.  The litigators at CASTAYBERT PLLC have vast experience in a wide variety of commercial litigation and arbitration, including general commercial and contract law, financial and banking law, employment law, intellectual property law (including copyright, trademark and trade secret enforcement, false advertising and unfair competition), real estate law, and insurance coverage and recovery.

To learn more about how CASTAYBERT PLLC can assist you in achieving your goals in litigation and arbitration, please explore the firm’s related practice areas or contact us.

Intellectual property is the touchstone for all major aspects of law related to Art Law.  CASTAYBERT PLLC combines the experience and expertise in copyright, trademark, business transactions, commercial and intellectual property transactions to provide sophisticated transactional and litigation counsel to art world clients such as galleries, dealers, collectors, artists, and appraisers.

The firm counsels clients in all aspects of Art Law, including the creation, purchase, retention, consignment, sale and lending of art.  The firm advises clients regarding authentication, title and provenance, commissions, real estate, auction consignment and insurance.  The firm also advises artists and institutions regarding matters of fair use and regarding the Visual Artists Rights Act of 1990 (“VARA”), which protects a work against “distortion, mutilation, or other modification.”

In appropriate cases, the firm will also represent individual artists or institutions on a pro bono basis and will handle matters referred by Volunteer Lawyers for the Arts.  The firm also offers its services to prepare Amicus Briefs and letters in support or opposition in matters involving free speech, resale rights, moral rights and the Visual Artists Rights Act.

CASTAYBERT PLLC is experienced in handling complex international litigation and arbitration.  The firm’s lawyers have represented foreign clients and witnesses in cases in American state and federal courts and in arbitration matters.  The firm’s principal attorney has handled matters on behalf of French, English, Italian, Japanese, and Indian corporate and individual clients in the United States, often with parallel proceedings pending in foreign jurisdictions.  The firm is well acquainted with service of process rules, document discovery, and taking witness testimony abroad, including the application of the Hague Convention on the Taking of Evidence Abroad in Civil or Commercial Matters.

REPRESENTATION OF FOREIGN CLIENTS AND DISCOVERY ABROAD

The firm’s lawyers have sought and obtained document discovery or witness testimony in England, Bermuda, France, Belgium, Switzerland, Luxembourg, among other places.  We understand the potential effects and impact of EU, English, French, Luxembourg and Swiss labor, privacy and confidentiality laws on litigation in the United States.

EXPERIENCE IN DIFFERENT ARBITRATION FORUMS

Our attorneys have first-hand experience handling international arbitrations under the rules and procedures of a variety of arbitration forums, including the American Arbitration Association/International Centre for Dispute Resolution (AAA/ICDR) and the International Court of Arbitration of the International Chamber of Commerce (ICC). They have appeared before several of the leading and respected international arbitrators.

U.S. DISCOVERY IN AID OF FOREIGN PROCEEDINGS

The firm’s litigators have represented clients seeking and opposing discovery in the U.S. in aid of foreign proceedings and arbitrations and have extensive knowledge regarding the enforcement of foreign judgments and arbitration awards in the American courts.  To learn more about how CASTAYBERT PLLC can assist you with U.S. discovery in aid of foreign proceedings, please explore the related practice area or contact us.

U.S. ENFORCEMENT OF INTERNATIONAL ARBITRATION AGREEMENTS

The firm’s litigators also have considerable experience in American state and federal courts enforcing and challenging arbitration agreements and are fully familiar with federal and state arbitration acts and their application to international arbitration proceedings.

EXPERIENCE IN ITC PROCEEDINGS

CASTAYBERT PLLC’s principal attorney has experience representing foreign clients in Section 337 proceedings before the International Trade Commission (ITC).  Typically, Section 337 matters involve claims that a company’s intellectual property rights have been infringed, most often patent infringement, but also trade secret misappropriation and violation of anti-trust law.  Under Section 337, the ITC has the power to exclude imported products, following an expedited investigation and hearing.  The firm’s principal attorney has experience in ITC proceedings, having defended a Luxembourg company from alleged misappropriation of trade secrets, in a Section 337 action brought by an American company dominant in its industry.  To learn more about how the firm can guide you in connection with an ITC Section 337 proceeding, please contact us.

JURISDICTIONAL, CHOICE OF LAW, AND ARBITRATION CLAUSE COUNSELING

In transactional situations, the firm advises contracting parties on international contract issues and provisions such as choice of law, jurisdiction, arbitration, and mediation provisions.

INTERNATIONAL ATTORNEY NETWORK

As a result of their involvement in international litigations and in bar associations the firm’s lawyers have developed deep and extensive network of relationships with leading mediators, and practitioners in the United Kingdom, France and Switzerland, in particular.  The firm’s founder, André Castaybert, is fluent in French and is currently a member of the Commercial Arbitration & ADR Committee of the New York State Bar Association, and a former member of the New York City Bar Association’s Committees on International Law and European Affairs.

CASTAYBERT PLLC’s litigators have extensive experience in Non-Party Discovery and Witness Representation.  If you are a non-party witness who has been subpoenaed, you need a lawyer to protect your business and legal interests and to minimize the burden and cost of compliance.  The firm’s lawyers have represented accountants, appraisers, bankers, lawyers, consultants, investors, and others in these situations.  They understand the ethical, privacy, and confidentiality issues that arise in non-party discovery and how to handle them to minimize the burden, costs, and disruption of discovery.  If you have been subpoenaed as part of non-party discovery please call us to protect your business and legal interests.

CASTAYBERT PLLC attorneys are experienced in handling matters of professional liability.  The firm’s practice includes seeking recovery from and defending professionals such as accountants, appraisers, attorneys, securities industry professionals, insurance agents and brokers, architects, engineers and other consultants, in cases involving claims of professional negligence and malpractice.  The firm represents plaintiffs and defendants in such actions.

The firm is thoroughly familiar with the special requirements for bringing such actions and the defenses raised in professional liability cases.  These include issues such as the duty owed by the professional, reliance, due diligence, causation, contributory and comparative negligence, and statute of limitations and the application of the pari delicto doctrine.

The firm is also well acquainted with the common discovery issues posed in professional liability cases, including privilege issues, the questions raised in connection with requests for firm manuals and personnel records, and the discovery of work papers and similar materials.  The firm has worked with many different experts in accounting, due diligence, appraisal, and legal ethics, and has deposed many other professional liability experts.

To learn more about how CASTAYBERT PLLC can help you with professional liability issues, please contact us.

contact