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Navigating Current IssuesNavigating Current Issues
Under E&O and D&O PoliciesUnder E&O and D&O Policies
Your Moderator:
Gary L. Gassman
Meckler Bulger & Tilson LLP
YOUR PANELISTS
Ellen Van Vechten, Esq. Paul Douglas, Esq.
Team Leader, Prof. Liab. Claims Asst. V.P., Sr. Claims Atty.
Fireman’s Fund Ins. Co. Chubb & Son
Roberta Anderson, Esq. Rob Cutbirth, Esq.
K&L Gates Tucker Ellis & West
Where We’re GoingWhere We’re Going
Our Road map for Today:
1. Coverage Grant:
Who’s Covered And For What (Conduct &
$$)
2. Exclusions and Conditions:
When does Bad Conduct Mean You May
Lose Your Coverage (i.e., coverage denial or
rescission)
Interrelated Claims and the Effect on the
Date of Claim and on Deductibles/Limits
3. The Effect of Bankruptcy on Coverage
Exclusions and Claims Management
4. How Might these Principles Apply to the
Who’s CoveredWho’s Covered
Executives who may
not have their act (or
outfit) quite together
Mid- & Lower level
accounting and
compliance employees
“Missing” Directors or
Officers or their
Replacements (maybe a
Bankruptcy Trustee?)
General Counsel
CLAIMSCLAIMS
Regulatory
Investigations and
Proceedings; Coverage
Issues when you are
not dealing with a “suit”
When does a Claim arise from the
providing of a Professional
Service or Wrongful Act, and
when does in involve just
shoveling. . .
LOSSLOSS
THE OTHER 4-LETTER WORDTHE OTHER 4-LETTER WORD
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM S-1
REGISTRATION STATEMENT
Under
The Securities Act of 1933
Section 11 vs. Section 10(b) – When
does “Loss” Exist”?
Fraud and Theft can come in many
forms; when does it trigger “Loss”
issues?
Neither side wants to “waste” money in
“wasting” policies – So, how do we manage
“Loss” issues in complex cases often involving
“equitable” or “disgorgement” remedies, as
well as potentially conflicting exposures for the
Insureds?
Bad Conduct/Tainted MoneyBad Conduct/Tainted Money
The Conduct and Improper Profit LimitationsThe Conduct and Improper Profit Limitations
From “pickpockets,” to embezzlement, to falsified
financial results, when does an Insured’s
conduct cross the line and become excluded?
When does the receipt or
access to special or
different compensation,
benefits or “opportunities”
become an excludable
event?
One little, two little, three little Claimants …One little, two little, three little Claimants …
Just How Many Claims Do You Have?Just How Many Claims Do You Have?
While many claimants think
they are unique, they are often
fed from the same trough or
source. When should claims be
considered “related” or merely
distant cousins for purposes of
determining policy limits and/or
policy deductibles?
The “wayback machine” worked well for
Poindexter, but when does it work for
grouping claims together and taking
them “wayback” to an earlier policy
period or within a “Prior Claim” or “Prior
Notice” Exclusion
The Insured vs. Insured ExclusionThe Insured vs. Insured Exclusion
(Really, we need to stop fighting among(Really, we need to stop fighting among
ourselves, it’s not a pretty sight)ourselves, it’s not a pretty sight)
Debtors in
Possession. . .
Bankruptcy Trustees. . .
When they start fighting
with Insureds (corporate
and individual), can the
IVI provide comfort in
these increasingly nasty
storms?
Coverage ConditionsCoverage Conditions
The Risk of Losing Important RightsThe Risk of Losing Important Rights
“Plays nicely with others” is something we like to hear
with respect to our kids. It also applies to our
Insureds. Three tips on “playing” nicely with Insurers
include:
• Giving timely notice of Claims
• Seeking “permission” for defense activities
• Seeking “permission” to settle (and try to
spend someone else’s (the insurers’) money
And if when our Insureds don’t play nicely,
coverage may end up “lost,” but never “found”
Policy ValidityPolicy Validity
When Should you Pull the Plug?When Should you Pull the Plug?
We all make mistakes, but some mistakes have
greater consequences than others
When do you pull the plug?
How do Insureds try to keep the
lights on?
Knowing the consequences ...

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ICLC Powerpoint (2)

  • 1. Navigating Current IssuesNavigating Current Issues Under E&O and D&O PoliciesUnder E&O and D&O Policies Your Moderator: Gary L. Gassman Meckler Bulger & Tilson LLP YOUR PANELISTS Ellen Van Vechten, Esq. Paul Douglas, Esq. Team Leader, Prof. Liab. Claims Asst. V.P., Sr. Claims Atty. Fireman’s Fund Ins. Co. Chubb & Son Roberta Anderson, Esq. Rob Cutbirth, Esq. K&L Gates Tucker Ellis & West
  • 2. Where We’re GoingWhere We’re Going Our Road map for Today: 1. Coverage Grant: Who’s Covered And For What (Conduct & $$) 2. Exclusions and Conditions: When does Bad Conduct Mean You May Lose Your Coverage (i.e., coverage denial or rescission) Interrelated Claims and the Effect on the Date of Claim and on Deductibles/Limits 3. The Effect of Bankruptcy on Coverage Exclusions and Claims Management 4. How Might these Principles Apply to the
  • 3. Who’s CoveredWho’s Covered Executives who may not have their act (or outfit) quite together Mid- & Lower level accounting and compliance employees “Missing” Directors or Officers or their Replacements (maybe a Bankruptcy Trustee?) General Counsel
  • 4. CLAIMSCLAIMS Regulatory Investigations and Proceedings; Coverage Issues when you are not dealing with a “suit” When does a Claim arise from the providing of a Professional Service or Wrongful Act, and when does in involve just shoveling. . .
  • 5. LOSSLOSS THE OTHER 4-LETTER WORDTHE OTHER 4-LETTER WORD SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 FORM S-1 REGISTRATION STATEMENT Under The Securities Act of 1933 Section 11 vs. Section 10(b) – When does “Loss” Exist”? Fraud and Theft can come in many forms; when does it trigger “Loss” issues? Neither side wants to “waste” money in “wasting” policies – So, how do we manage “Loss” issues in complex cases often involving “equitable” or “disgorgement” remedies, as well as potentially conflicting exposures for the Insureds?
  • 6. Bad Conduct/Tainted MoneyBad Conduct/Tainted Money The Conduct and Improper Profit LimitationsThe Conduct and Improper Profit Limitations From “pickpockets,” to embezzlement, to falsified financial results, when does an Insured’s conduct cross the line and become excluded? When does the receipt or access to special or different compensation, benefits or “opportunities” become an excludable event?
  • 7. One little, two little, three little Claimants …One little, two little, three little Claimants … Just How Many Claims Do You Have?Just How Many Claims Do You Have? While many claimants think they are unique, they are often fed from the same trough or source. When should claims be considered “related” or merely distant cousins for purposes of determining policy limits and/or policy deductibles? The “wayback machine” worked well for Poindexter, but when does it work for grouping claims together and taking them “wayback” to an earlier policy period or within a “Prior Claim” or “Prior Notice” Exclusion
  • 8. The Insured vs. Insured ExclusionThe Insured vs. Insured Exclusion (Really, we need to stop fighting among(Really, we need to stop fighting among ourselves, it’s not a pretty sight)ourselves, it’s not a pretty sight) Debtors in Possession. . . Bankruptcy Trustees. . . When they start fighting with Insureds (corporate and individual), can the IVI provide comfort in these increasingly nasty storms?
  • 9. Coverage ConditionsCoverage Conditions The Risk of Losing Important RightsThe Risk of Losing Important Rights “Plays nicely with others” is something we like to hear with respect to our kids. It also applies to our Insureds. Three tips on “playing” nicely with Insurers include: • Giving timely notice of Claims • Seeking “permission” for defense activities • Seeking “permission” to settle (and try to spend someone else’s (the insurers’) money And if when our Insureds don’t play nicely, coverage may end up “lost,” but never “found”
  • 10. Policy ValidityPolicy Validity When Should you Pull the Plug?When Should you Pull the Plug? We all make mistakes, but some mistakes have greater consequences than others When do you pull the plug? How do Insureds try to keep the lights on? Knowing the consequences ...