The Volokh Conspiracy
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Could Failure to Inform Insurer of Affirmative-Action Lawsuit Cost Harvard $15 Million?
Pro-tip: If you are sued, and you expect your insurer to pick up the bill, it is a good idea to give them timely notice.
Students for Fair Admissions v. Harvard is not the only big lawsuit involving Harvard University. As the NYT's Adam Liptak reports, Harvard is also in state court, suing one of its insurers over $15 million in coverage for the costs of defending itself from the affirmative action lawsuit.
Days after Students for Fair Admissions sued Harvard in 2014, arguing that its practice of taking account of race in its undergraduate admissions decisions was unlawful and harmed Asian American applicants, the university formally notified its primary insurance carrier to seek payment of its defense costs. That policy had a $25 million limit, after Harvard paid $2.5 million.
But Harvard did not alert Zurich, its excess insurer, which was meant to cover the next $15 million, until long after the policy's deadline had passed.
That additional money is at issue in the case before the federal judge in Boston.
"Somebody seriously messed up," said Tom Baker, a law professor at the University of Pennsylvania. "I teach about this stuff. One of the things you teach people about claims-made policies is that you've got to provide notice early and often."
Liptaks' story also quotes and links to the filings.
In court papers, lawyers for Zurich said the case was straightforward. "Harvard's admitted failure to comply with the notice provision," they wrote, "is fatal to its claim for coverage."
In response, Harvard's lawyers argued that Zurich "surely knew" about the affirmative-action suit "in the year after it was filed, especially given the significant, ongoing attention that the suit received in national and local news" and Zurich's own underwriting activities.
They added: "The notice requirement is not an escape hatch for insurance companies to avoid liability to policyholders due to technical noncompliance."
Zurich's lawyers said that argument was "creative yet specious" and "outlandish."
Both Harvard and Zurich refused to provide comment for Liptak's story beyond what is in their public filings.
The story also discusses the costs and financing of the plaintiffs and the defense of the University of North Carolina, which is the subject of a companion case in the Supreme Court.
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That "technical noncompliance" will get you every time. In any event the amounts are chump change to Harvard.
With apologies to Number 1.0, "You are technically noncompliant -- which is the best kind of noncompliant!"
Most clauses in insurance contracts are quite certainly escape hatches for insurance companies to avoid liability to policyholders due to technical noncompliance.
Kind of weasely of a sophisticated client like Harvard to claim technical noncompliance and assert that news reports put the insurer on notice.
Make Harvard pay double.
Tom Baker teaches insurance? All he has to do is go into the future and see what will happen, then go back to today and insure himself against those specific things.
Spoiler alert.
I needed to look this up, as I've never had the slightest interest in Dr. Who. But I see no need for others to be similarly puzzled.
lmao.
"In response, Harvard's lawyers argued that Zurich "surely knew" about the affirmative-action suit "in the year after it was filed, especially given the significant, ongoing attention that the suit received in national and local news" and Zurich's own underwriting activities."
Harvard's position is untenable here. The notice provisions exist for a reason, the insurance company can hardly be expected to incorporate "read news articles to see if any of our insured have been sued" into their process. Looks like Harvard is going to have to pay for its own racism.
That would be untenable if it were Harvard's argument, but it's not. There's a huge difference between "we didn't notify you, but you should've known anyway" and "we didn't notify you, but you DID in fact know anyway."
Nothing above indicates that Harvard knows that Zurich knew that it was at risk for some other reason than that it thinks the insurer "surely knew" it. A suspicion without any evidence is sufficient for.... what?
I don’t know if the article reveals that discovery turned up nada, but it seems to me that Harvard’s claim is essentially, “WE were negligent but YOU couldn’t have been.”
Zurich, after notification, presumably had rights as to how the case would be pursued so as to minimize their exposure, and the idea that Harvard could deprive them of those rights without consequence merely because Zurich's procedures were set up to exercise them only after the required notification seems dubious.
What proof does Harvard have that the insurance company actually knew, as opposed to "should have known?"
And did the insurance company have enough knowledge to know this was a claim within the policy? Just because Harvard was sued, does not mean that the policy covers it.
Unless there is proof that the insurance company saw the article and then downloaded the plaintiffs' complaint, this theory seems like a real stretch.
I think it's almost certainly true in this case. (I'm not sure what "the article" you refer to means. There were hundreds of articles.) But regardless, there oughtn't to be a special Really Prominent Lawsuit Exception to the policy; that's just too messy and unadministrable.
I assume without reading any of the linked stuff that this is governed by Massachusetts law, and I don't know Mass law specifically. But I did research the issue for a client in NY about 15 years ago, and the notice clauses in these policies are construed very strictly here.
I think we are in agreement that the proofs needed here would have to be very strong, not just they read one or more articles, but actually read the pleadings and maybe also analyzed whether there was coverage.
Whether that happened here, I don't know.
If we accept arguendo that actual knowledge of the existence of the lawsuit is an adequate legal substitute for formal notice, then I don't think the rest would matter. After all, if/when you do properly notify them of a lawsuit, you don't need to also show that they actually read the pleadings and conducted that analysis. The burden shifts to them once they're notified to do those things; if they don't, too bad for them.
But if you adopt Harvard's position, then you're going to have a lot of extra litigation over coverage. Better to have a bright line rule with a simple test — did you provide notice — even if it occasionally allows an insurer off the hook.
Ok, we do disagree. Just because Harvard is being sued does not mean that the insurance policy covers the suit. If Harvard did not give notice, then the insurance company has no reason to think the policy covers the suit. Notice is more than information that a suit is pending, it is a claim that the policy covers the suit (or may cover the suit). That then triggers a duty on the part of the insurance company to review the suit against the policy and take a position. At that point, if the insurance company fails to do so, it's their tough luck.
But before that, why should they be required to go through the exercise? Large insureds (like a university) get sued all the time for all kinds of things, and they may have multiple policies covering different things. I doubt the policy at issue here also covers a slip-and-fall on the university grounds, for example.
Which news story advised the public -- and in particular this insurer -- that Harvard expected this insurer to cover these costs?
Why should Zurich assume it knows more than Harvard? For all they knew, Harvard had other insurance taking the first bite, and Zurich would only be notified if the second or third bite.
If your house is on fire, do you rely on the fire department to notice, or do you call 9-1-1?
Good analogy
I wonder if Harvard disclosed the claim on an application for continued insurance for the next year (I notice Harvard mentioned underwriting). That could make it more of a real issue.
Missed it by that much.
Just a wie technicality.
Harvard is so damn rich it is quite plausible for the insurance company to think they might have paid themselves.
"Harvard is being sued."
Whatever.
"Simon says, Harvard is being sued."
Yes, sir!
Although sovereign immunity makes the limits different, this reminds me of attempts to excuse failing to formally present a claim to a city before filing suit. That is a jurisdictional rule here. You can't claim that the city was generally aware of your grievance. The relevant official needs actual knowledge of the details of the claim, including the fact that a lawsuit is contemplated, to allow for investigation and a possible settlement offer. Here the insurer might know there was a lawsuit but not that it threatened to exceed the coverage of the primary policy.
If I had a $37 billion endowment I’d go bare. Also, is the case one in which costs of defense exceed $25 million, or in which exposure to damages does?
Harvard's lawyers made a basic insurance coverage mistake. They should really start hiring from Ivy League law schools.
Their mistake is that they should be self-insured.
I'm sure they're self-insured to some extent. Every large company uses Excess Insurance to avoid taking on all the risk themselves and to avoid setting aside large amounts of money in reserves.
The cultural commentary on this would be that schools like Harvard tend to focus their students on the strategic issues and also tend to easily excuse minor issues like failing to meet deadlines for homework and such. They may perhaps be so into this culture and so take it for granted that they don’t realize the rest of the world doesn’t work this way.
I doubt that’s what actually happened here. I suspect it’s more like if they win, they get $15 million, so why not try, rather than they actually sincerely believe their arguments. But a story could be spun that way.
This seems like the sort of frivolous lawsuit someone who wants to avoid being fired would file in a desperate attempt to avoid the inevitable consequences of their mistake. Harvard’s argument here does not sound like a winner. It may simply be being led deeper into a hole.
Some commenters do not know that insurers also have claim reporting requirements, to reinsurers for example. The reinsurer may have a complete defense to coverage pursuant to the law governing the reinsurance contract such as the UK. Ignoring the insured's reporting obligation can irreparably prejudice the insurer. Note also that Harvard may have other insurance coverage (errors and omissions type policy) attaching after its failure to timely report the claim, which coverage would require Harvard to pursue Zurich to a final decision.
(Too many commenters know too little about insurance.)
Could that be because insurance policy language is as clear as most terms of service agreements?
"[GEICO] seek[s] a declaratory judgment to determine GEICO's rights and obligations for its insured [under an auto insurance policy and an umbrella policy] for allegedly spreading a sexually transmitted disease [HPV, which can causes genital warts and, sometimes, cervical cancer] while voluntarily having unprotected sex in the insured's automobile. GEICO's insured is defendant M.B., and he allegedly gave the STD to defendant M.O."
Quote from this site
This week a Florida supermarket chain was sued by next of kin of person shot in store by psychotic man. Some insurer will be involved and a policy parsed for murder coverage. The outcome of both these suits may require revision of countless insurance policies as well as endless negotiations with states' insurance regulators about permitting coverage for stds under auto policies or murders under liability policies.
And in the time since that post, GEICO lost in court, to the tune of being ordered to pay a $5.2M award from arbitration. Ouch!
If upheld, you can expect auto policies to add exclusions for not only stds but expenses resulting from back seat pregnancies such as abortions, medical costs of delivery, child care and education expenses including college tuition. Policyholders like Mr. B. will not understand what any of these exclusions and expenses have to do with auto insurance. Lost in all this is the real issue: who should be bearing the cost of M. O. 's unprotected sex. Why the driving public?
Insurers, many don't understand, do not bear the costs of claims. Policyholders are at risk and end up paying.
A Harvard coverage lawyer should know what reporting requirements are. They're pretty clear in every policy I've seen. And if in doubt, report it anyway.
Yep. Every time a judge decides to let somebody out of a contract for feel-good reasons, lawyers have to try and rewrite every similar future contract to avoid that problem. It's largely a one-way ratchet.
Related to e&o coverage, Harvard might have a claim against:
1. Its outside counsel(s), for malpractice in failing to advise it to notify Zurich of the claim. It would depend on (among other things) the terms of the outside counsel(s)' engagement.
2. Its in-house counsel, on the same grounds. Assuming Harvard purchased malpractice insurance covering its in-house counsel, it might be able to recover under that policy.
The notion that Harvard and UNC have (each) spent more than $25M fighting for the right to discriminate against Asian applicants is truly remarkable. Someone should put that up on a billboard somewhere.
$27.5 million for Harvard, since they have to pay the first $2.5 million out of pocket. That was my first reaction as well. Is there a damages claim in the Harvard case? (I don't think there can be if SFFA is the only plaintiff. Organizations cannot represent members for damages claims, to the best of my recollection.) Harvard may have to pay plaintiff's reasonable fees, but those fees are usually reviewed with some care by the trial court.
Even at $ 25 Million, that is an astonishing sum. Let's assume that the firms billed at an average rate of $ 1000 per hour. (Which is grossly exaggerated, I know.) That means 25,000 billable hours, which is on the order of a dozen lawyers working full time for a whole year. This case does not strike me as one that is fact intensive, but even if it is, that's incredible.
It should not take even a tenth of that to defend Harvard all the way to SCOTUS.
"(Which is grossly exaggerated, I know.)"
I don't know the exact rates of this particular firm, but there's a very good chance they are not at exaggerated at all, much less grossly. I know firms that bill well over $1k/hour for some lawyers.
Right, but I said average rate. In large firms, they put a team of associates, junior and senior, plus paralegals on the case. While top partners may well bill in excess of $1000 per hour, I am very dubious that the average rate for the case was even close to that amount.
It's still a large number, but don't forget about experts.
True.
Old lawyer joke:
What's the difference between a prostitute and an expert witness?
Only one is guilty of perjury.
"This case does not strike me as one that is fact intensive"
I think there was a lot of discovery material to go through to turn disparate impact into intentional discrimination.
OK. I can see $ 2 million in fees, not $ 25 Million.
When someone else is paying the bills, you're not that invested in keeping the cost down. It's a concept universities are familiar with.
channeling Henry K: can both parties lose?
On second thought, let Harvard cover the tab. If the insurance company has to pay, other non-racist folks will get higher rates.
I was a little surprised to see no specific, extended discussion of notice prejudice (or not) to Zurich. In some states, that would be a hotly contested issue. But apparently not in Massachusetts.
I should have read the facts closer. I don't think that would have been a defense here.
The full docket is at https://www.courtlistener.com/docket/60394514/president-and-fellows-of-harvard-college-v-zurich-american-insurance/ (but some documents are still behind the PACER paywall).
Thank you. Reading the Complaint reveals their costs are even greater than we thought here.
Harvard alleges it has a policy with AIG that has $ 25 Million coverage of $ 25 Million with a "retention/deductible" of $ 2.5 Million. AIG apparently has covered it.
They then have an excess policy of $ 15 Million over and above what the AIG policy covers (including the deductible) with Zurich American Ins. Co. Harvard alleges it has spent more than the AIG policy, and wants Zurich to pay the excess. Zurich refuses.
So that means Harvard spent more than $ 27.5 Million, most covered by AIG until you even get to this lawsuit. They may have spent as much as $ 40 Million, although they don't say how much in excess of the AIG coverage they spent.
So their lawyers were milking them even more than we thought.
"If any man will sue thee at law for thy coat, let him have thy cloak too... for if thy adversary have it not, thine advocate will."
For century old quote from a Sermon of poet, lawyer, clergyman John Donne. Lifted from new Bio.
Super-Infinite: The Transformations of John Donne by Katherine Rundell
That is why, when you receive a complaint, you notify everyone and their brother. In triplicate.