In this matter, we represented an 86-year-old who was repeatedly denied long- term care benefits by Prudential Insurance Company and its third-party administrator, CHCS Services. Mrs. Turley began residing in an assisted living facility after she was diagnosed with Alzheimer’s and had a documented history of wandering, getting lost, forgetting to eat,
Chang v. Massachusetts Mutual Life Insurance Company, San Francisco County Superior Court, Case No. CGC-16-554087
In this case, our client was confined to a psychiatric facility due to schizophrenia. The cost of specialized facility care for a loved one is staggering and can overwhelm families. Fortunately, our client had purchased long-term care insurance from MassMutual and dutifully paid premiums for 14 years before her condition progressed to
Maramonte v. Unum Group, Unum Life Insurance Company of America, San Francisco County Superior Court, Case No. CGC-23-604671
This was an insurance bad faith action arising from Unum’s denial of long-term care benefits. Our client was 86 years old and had been diagnosed with a host of serious and debilitating conditions, including major neurocognitive disorder (dementia), colon cancer, major depression, and severe malnutrition. Mrs. Maramonte had purchased a long-term care
Protecting Clients From Verdicts In Excess Of Their Policy Limits
One of the more challenging aspects of a personal injury action is the interaction between the insured defendant and their insurance carriers. In a recent matter, Blake Williams of Pillsbury & Coleman represented a client who was in a car accident that severely injured a passenger. Following the accident, the passenger informed
Pillsbury & Coleman Secures Long-Term Care Benefits For Injured Worker
Our client was a technology support analyst who purchased a life insurance policy with a long-term care rider through her prior employer, the local sheriff’s department. She suffered work-related injuries to her neck, shoulders, and hands, and had also undergone multiple foot surgeries. The insurance carrier, Combined, a Chubb company, initially approved
Pillsbury & Coleman Secures A Policy Limits Settlement Despite An Active Coverage Dispute
Rick Larson of Pillsbury & Coleman orchestrated a settlement of a wrongful death suit for payment of the policy limits to the victim’s family by the homeowners insurer of the perpetrator. The insured shot and killed the victim, but lacked the mental capacity to stand for a criminal trial. The insurer relied on
Duty To Defend: Tucker v. Travelers
This was an insurance bad faith action that we prosecuted arising from The Travelers Indemnity Company of Connecticut’s wrongful refusal to defend its insured, Don Tucker. Tucker owned and operated an excavating and grading company called Don Tucker & Son. In 2014, a Tucker employee accidentally knocked loose a 5,000-pound shoring beam
Duty To Defend: Howard v. Federated Mutual Insurance Company
In this case, we filed a breach of contract and bad faith action against Federated Mutual Insurance Company to recover an underlying $16.9 million judgment entered against Federated’s additional insured A.W. Miller Enterprises after Federated refused to provide A.W. Miller a defense against two lawsuits resulting from a catastrophic jobsite injury. In
Duty To Defend: Kruck v. Colony Insurance Company
Kruck v. Colony Insurance Company Pillsbury & Coleman was contacted by attorneys at the firm of Rouda, Feder, Tietjen & McGuinn to evaluate a coverage denial in a catastrophic personal injury action it had filed for its client, Harley Squires. Squires had suffered a severe brain injury when a tree limb fell
Coverage Analysis & Strategy for Plaintiffs: Quilici v. Pelosi
When plaintiffs’ counsel is presented with a challenging coverage issue, they rely on Pillsbury & Coleman, LLP to provide clear advice on how to resolve the matter. In Quilici v. Pelosi, plaintiff’s counsel was presented with just that kind of issue when an insurance carrier denied coverage in an automobile wrongful death