Teams from Donahue & Horrow, LLP participated in the 3rd Annual Tour de Pier. This unique fundraising event brings one of the hottest indoor fitness activities – stationary cycling – to the gorgeous outdoors of Manhattan Beach. The 2015 Tour de Pier was held on Sunday, May 17, 2015 and raised funds for the cancer community to benefit three different charities.
Below is a glossary of some of the more commonly used terms contained in, or used to describe insurance policies according the the California insurance department. This glossary is intended to provide general information only and specifically applies to California insurance matters
Adelelmo Cabral was driving home from work on the Eastbound I-10 freeway when he lost control of his car, crossed several lanes of traffic, and collided with the rear of a Ralph’s tractor-trailer rig that had been parked on the freeway shoulder, about 16-feet from the edge of the right lane. The area where the truck had been parked was marked by CalTrans with an “Emergency Parking Only” sign. The Ralph’s driver had stopped there to have a snack. He chose that specific area because it was shaded. Michael Horrow represented Mr. Cabral’s wife and children in a wrongful-death case against Ralph’s.
At trial, Mr. Horrow obtained a jury verdict in favor of the Cabral family, which found that the Ralph’s driver had been negligent in parking his truck adjacent to the freeway, and he also persuaded the trial court to deny Ralph’s motion for judgment notwithstanding the verdict. On appeal, however, the Court of Appeal reversed the judgment in favor of the Cabral family, finding that Ralphs could not be held liable because its driver owed no duty of care to passing motorists with respect to where he parked his truck alongside the freeway.
The California Supreme Court agreed to hear the case, and reversed the Court of Appeal, reinstating the jury verdict.
An OB/GYN retained Michael Horrow to represent her in an insurance bad-faith lawsuit in federal court to challenge Provident’s denial of her claim for long-term disability benefits. As part of her bad-faith claim, Mr. Horrow served a discovery request on Provident asking it to provide information about the bonus awards and performance ratings for the employees who denied Welle’s claim. The insurer refused to provide this information, claiming that the request was improper for various reasons. Mr. Horrow challenged this position and the federal court ruled that Provident was obligated to provide the information he had requested, which the court found was relevant to the bad-faith claim and not unduly burdensome or overbroad.
Michael Horrow represented Otilia Sullivan in an ERISA action in federal court to recover long-term disability benefits. One of the disputed issues in the case was whether the district court should evaluate the plan’s denial of benefits under the de novo or the abuse-of-discretion standard of review. The plan argued that because the “Summary Plan Description” (SPD) document that it provided to plan members to summarize the plan benefits said that the abuse-of-discretion standard applied, the court should apply that standard. But Michael Horrow pointed out that, notwithstanding the statement in the SPD about the administrator having discretion, the plan itself contained no such grant of authority. Mr. Horrow convinced the district court that, in the absence of a grant of discretion in the plan document itself, a statement in the SPD to that effect was insufficient. As a result, the court applied the de novo standard of review.
April Cabana suffered back and leg injuries in an automobile accident. She succeeded in obtaining long-term disability (LTD) benefits from her employer’s disability plan, which was administered by Reliance. After the accident Cabana received extensive treatment on her back, undergoing two spinal-fusion surgeries. Yet she continued to have severe pain. Reliance agreed that she was totally disabled under the “own occupation” disability standard that applied for the first 24 months of the plan. After the 24-month period, the plan applied an “any occupation” test for total disability, and the plan continued to find that she was disabled. But roughly a year later, the plan changed its finding, found that Cabana was no longer totally disabled, and stopped paying benefits.
Cabana retained Michael Horrow to file an action in federal court under ERISA to reinstate her LTD benefits. He marshalled the evidence of her ongoing pain and medical difficulties, and convinced the district court at trial that Cabana was, in fact, totally disabled and entitled to benefits.
In 2014, a team of climbers from Donahue & Horrow, LLP participated in the Aon Center fundraiser. This year team Donahue Horrow once again stepped up to help fight against lung diseases. Each member of the team climbed 1,377 steps in a show of support for the American Lung Association’s fundraiser, Fight For Air Climb, at the Aon Center, Downtown LA on April 11, 2015.
Congratulations to Nichole D. Podgurski on being named a Rising Star by Super Lawyers and for being honored as one of the top young medical malpractice attorneys in Southern California. She also received this award in 2013.
Nichole is an associate who handles cases in all areas of the firm’s practices, including the Consumer Litigation Department, Medical Malpractice, Elder Abuse and Personal Injury.
Donahue & Horrow sponsored an event that was held on Sunday, December 14th, featuring food, fun and games for local families in need. Families celebrated, had a great time together, and received gifts for the holidays.
SACRAMENTO, Calif. – Insurance Commissioner Dave Jones announced today that his department is ready to accept insurance company filings to create new commercial coverage or endorsements to personal auto insurance policies that will provide coverage for Californians who transport passengers for Transportation Network Companies (TNCs) like Uber, Lyft and Sidecar.