AMERICAN HOME SHIELD TV AD

FALSE! FRAUDULENT?

Michael Sean Quinn*

American Home Shield advertises a home warranty by beginning with a satirical skit where a person goes to a claims adjuster seeking coverage for his malfunctioning air conditional and is told that there no coverage for his air conditioner. Of course, this is false. There is some coverage for air conditioners, just as their is for his house and virtually all of its legal tangible contents, except, for example, for those which are illegal, e.g., a box of marijuana (though the box itself may be covered if it sustains physical damage), or not covered for some other reason, e.g., being very rare art works that may need to be specially scheduled.  

The adjuster is then portrayed as saying that the house is covered for earthquake, volcanoes, and zombie apocalypse.  Of course, the insured is horrified, while the adjuster is pridefully amused.  Here is a second, though less serious error. It is not the case that a zombie apocalypse is not covered unless it does physical damages to the house (and therefore its air conditioner).   This would be true even if the residence in the dwelling were killed or injured. (It might even be true if the apocalypse were only a partial one, i.e., if the world as we know it were not totally destroyed. It might depend on whether the courts would count a zombie attack as an act of war.)

A third error, in some ways the most serious, is that the voice states that the warranty covers what will happen, as opposed to what might happen. Of course, it is false that every air conditioner will suffer malfunction (or physical injury) because of product defect, mistreatment by the residents, or wear and tear. 

Therefore, AHS is not selling a financial-service product for what is certain to happen to each of us.  Moreover, although I haven’t actually seen the warranty, my bet is that it contains exclusions or exclusionary language. 

Someone could easily believe that there is some sort of racket going on here, and I am not talking about the lunatics of the world that see vile conspiracies almost everywhere. I doubt that this is true in this case and certainly would not say so out loud unless I am  nothing more than formulating a hypothesis. It is reasonably arguable, of course, that ones needs both insurance and a warrant.

However, one should expect disagreement, argument, adverse reasoning, and even  conflict with the warranty company about how much it will pay (assuming it does not deny the claim) in case of needed repair and/or replacement, just as the homeowner may have it with an insurance adjuster.  

(Warranty adjusters, even if only supervising designated repair diagnosticians from  distance, are not infrequently, ex-property insurance adjusters, which is not necessarily a bad thing.) 

Read the warranty in advance. Get a copy and read it several times.  If there is enough money at stake, call a coverage lawyer and pay for an hour or so of his/her time.

*Michael Sean Quinn, Ph.D., J.D.

1300 West Lynn Suite 208

Austin, TX 78703

Office Phone: 512-296-2594

Cell:512-656-0503

Fax: 512-344-9466

Email: mquinn@msqlaw.com 
www.michaelseanquinn.com 

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LEGAL DISCOURSE, DEPOSITIONS AND TRUTHFULNESS

TRUTHS, LIES AND UNTRUTHFULNESS

Michael Sean Quinn*

            In a deposition not long ago, I was asked whether I though an insurance company defending an insured had a duty to be truthful with the insured.  I answered that I was sure that the insurer must not lie to its insured and should not makes statements to the insured which, if it were thinking reasonably, would at least probably believe were false, and/or should believe are false.  “All well good,” said the depositioner “but I asked you whether the insurer had a duty to be truthful. Isn’t it that case, that the insurer must not be untruthful with its insured?” 

Without thinking, I simply blurted out, “Well, that depends on the meaning of the word ‘untruthful.’”  I felt like Bill Clinton. The depositioner then said, “OK, tell me about that, please.”  By then it had already dawned on me that there was a kind of trap built her questions and my answers.  I came to realize that in a subtle way, ordinary language with respect to telling the truth, being truthful, lying, untruthfulness, and being untruthful is not a perfectly symmetrical set but a bit of a pile epistemological ideas.

To be sure, to tell lies is to be untruthful, and to assert a true proposition to another is to be truthful, or—at least—it sounds like it. But maybe not. What if I assert to someone a true proposition, which I know he will not understand, am I being truthful? I am inclined to think not, at least under many circumstances.  If I am right about this, then being truthful is different than simply asserting truths. On the other hand, if I am in the presence of a person, and I have a true proposition in mind but don’t assert it, am I being untruthful?  Obviously not. 

But suppose the proposition pertains to a service I am rendering this person, so it is one he needs to hear about. Am I being untruthful? Surely not, if I simply forget to mention it, or I mistakenly believe that this is not something he needs to know, and it will just upset him, if he hears it. On the other hand, if I systematically and intentionally refrain from telling him truths relevant to serving him, then it might sound like I am being untruthful.  One might call this an “untruthful omission.” It surely would be being untruthful if the person for whom I am a steward asked me questions but I intentionally manage to avoid giving him answers, though never out-and-out lying.  This point, in at least extreme cases, is nicely illustrated by idea of half truths.

In any case, these points illustrate the odd fact that one can be truthful in a literal sense (“He never speaks anything but the whole truth.”), but also be untruthful in a less literal but also important sense (“He doesn’t always tell the whole story, even to her.”)  Of course, not telling the whole story can be an accident, a blunder, a pattern resulting from habit, or systematically poor memory or something specifically intentional. These various grades are significant because an isolated accidental happenstance would not count as a person being untruthful, whereas cases resulting from deliberate intent would. 

In dawned on me in that deposition that my interlocutor was trying by semantic distinctions to set up a rhetorical disaster zone for his target and that I was being enlisted as his foot-in-mouth soldier.  I learn new things about legal dialogue, legal discourse, arguments of law and fact, and about the subtleties of the use of language in and near courts all the time. 

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TRUTH, PREVARICATION AND UNTRUTHFULNESS: THOUGHTS UPON A DEPOSITION

TRUTHS, LIES AND
UNTRUTHFULNESS

Michael Sean Quinn*

            In
a deposition not long ago, I was asked whether I though an insurance company
defending an insured had a duty to be truthful with the insured.  I answered that I was sure that the insurer
must not lie to its insured and should not makes statements to the insured
which, if it were thinking reasonably, would at least probably believe were false, and/or should believe are false. 
“All well good,” said the depositioner “but I asked you whether the insurer
had a duty to be truthful. Isn’t it that case, that the insurer must not be
untruthful with its insured?”

Without thinking, I simply blurted
out, “Well, that depends on the meaning of the word ‘untruthful.’”  I felt like Bill Clinton. The depositioner then said, “OK, tell me about that, please.”  By then it
had already dawned on me that there was a kind of trap built her questions and
my answers.  I came to realize that in a
subtle way, ordinary language with respect to telling the truth, being truthful, lying, untruthfulness, and being untruthful is not a perfectly
symmetrical set but a bit of a pile epistemological ideas.

To be sure, to tell lies is to be
untruthful, and to assert a true proposition to another is to be truthful,
or—at least—it sounds like it. But maybe not. What if I assert to someone a
true proposition, which I know he will not understand, am I being truthful? I
am inclined to think not, at least under many circumstances.  If I am right about this,
then being truthful is different than simply asserting truths. On the other
hand, if I am in the presence of a person, and I have a true proposition in
mind but don’t assert it, am I being untruthful?  Obviously not.

But suppose the proposition pertains
to a service I am rendering this person, so it is one he needs to hear about.
Am I being untruthful? Surely not, if I simply forget to mention it, or I
mistakenly believe that this is not something he needs to know, and it will just
upset him, if he hears it. On the other hand, if I systematically and intentionally refrain
from telling him truths relevant to serving him, then it might sound like I am
being untruthful.  One might call this an “untruthful omission.” It surely would be
being untruthful if the person for whom I am a steward asked me questions but I
intentionally manage to avoid giving him answers, though never out-and-out lying.  This point, in at least extreme cases, is
nicely illustrated by idea of half
truths.

In any case, these points illustrate
the odd fact that one can be truthful in a literal sense (“He never speaks
anything but the whole truth.”), but also be untruthful in a less literal but
also important sense (“He doesn’t always tell the whole story, even to
her.”)  Of course, not telling the whole
story can be an accident, a blunder, a pattern resulting from habit, or systematically poor memory or
something specifically intentional. These various grades are significant
because an isolated accidental happenstance would not count as a person being
untruthful, whereas cases resulting from deliberate intent would.

In dawned on me in that deposition
that my interlocutor was trying by semantic distinctions to set up a rhetorical
disaster zone for his target and that I was being enlisted as his foot-in-mouth
soldier.  I learn new things about legal
dialogue, legal discourse, arguments of law and fact, and about the subtleties of the use of
language in and near courts all the time. 

*Michael Sean Quinn, Ph.D., J.D.

1300 West Lynn Suite 208

Austin, TX 78703

Office Phone: 512-296-2594

Cell:512-656-0503

Fax: 512-344-9466

Email: mquinn@msqlaw.com 
www.michaelseanquinn.com 

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BULL GORES WOMAN AT RODEO: CGL COVERAGE? NO,SAYS FEDERAL COURT

GAME FOR “AUDIENCE” ENDS IN UNINSURED INJURY

A rodeo in Florida was sponsored by the Volusia County Cattlemen’s Association. It  took place near Orlando an included a game which those in attendance for entertainment, etc., could play, as it were off the cuff.  The participants did not need to be there as actual competitors. In this sense, there were part of an audience. The game took place during some sort of break during the competition. 

The game was call “cash grab.” A person could win money by grabbing something attached to a unfetter bull–a free roaming bill. A small of cash? A ribbon? A picture of Al Gore? People ran about; bulls ran about. A woman (“W”) entered the game and had taken only a few steps when she was gored. 

The W sued the rodeo sponsor. It went to its insurer seeking coverage under a CGL policy.  (Commercial General Liability policies are designed to apply generally to many sorts of businesses. Particular types of business get additions or subtractions, and these are to be found in exclusions.  Because of the word General,” no doubt,  the insured “assumed” the policy applied to injuries in “all events.” After all, that’s what the insuring agreement said. 

Unfortunately for it that policy contained two exclusions (HSO CG 21 01 11 85); it is titled “Exclusion — Athletic or Sports Participants,” and has been copyrighted since 1984.  The policy also contained an exclusion entitled “Performance Exclusion.” I shall discuss only the ASP exclusion.

The insurer, Western World Insurance Co., denied coverage on the basis of the exclusion.  Cattlemen’s sued in federal court.  The district court “sustained” the insurer’s denial by granting it summary judgment.  The court’s basic reasoning was straightforward.  

The ASP exclusion is simple; it excludes coverage as follows: “With respect to any operations shown in the Schedule [in this case a rodeo], this insurance to ‘bodily injury[,]’ i.e., a defined term in all CGL policies, though the meaning of the word is obvious enough,  to any person while practicing for or participating in any sports or athletic contest or exhibition that you sponsor.”  Cattlemen’s sponsored the rodeo and this event–and obviously it was an “event.” It was plainly a contest or an exhibition. It was an athletic event since people in the game were running around and that was a requirement of the game.  It was a kind of sporting event, although a rather chaotic one.  And W was participating (or, well, maybe practicing). 

Cattlemen apparently took one worthless position after another. The worst of the bunch was the idea that W was neither participating or practicing for participating. The premise for this conclusion was that she had just started to participate–taken 10 steps which on the field and part of the contest.   

(Maybe cattlemen’s argument was that there was a fact issue as to whether W was already participating or simply walking on to the field in order to participate.  The idea would be that there was a fact issue as to whether she was on her way to participate or actually participating, so that summary judgement couldn’t be granted.  If there was no fact evidence in an plausible affidavit as to how W saw herself–in the game or on her way to the game–this would be a silly argument, and not just an implausible one.) 

In any case, the rodeo lost and will almost certainly lose in an appeal to the 11th Circuit Court, the relevant court of appeals, if one is pursued. The cause number for the case in district court is 6:15-cv-1239-Orl-41DAB.  

Question: Would there be coverage if W fallen from a low flying advertising ballon over the field, or from the rafters of a stadium, and had run like the dickens to get off the playing ground to avoid being gored? Answer: Probably so. 

*Michael Sean Quinn, Ph.D., J.D.

1300 West Lynn Suite 208

Austin, TX 78703

Phone: 

Cell:512-656-0503

Fax: 512-344-9466

Email: mquinn@msqlaw.com 
www.michaelseanquinn.com 

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ON THE RHETORIC OF THE RIDICULOUS

SELF INJURIOUS “OVERSPEAK”

Michael Sean Quinn*

Overdoing rhetoric in briefs, motions, pleadings, etc., is a poor, tasteless and below grade “C” lawyering. There has recently been direct and unequivocal explicit support for this obviously true proposition.  Perhaps the pronouncement of the 6th Circuit will encourage those who do not realize that stridency of semantics, as opposed to restrained assertion and calm clear argument, is almost never a good idea. Let the ideas produce the desired effect; if they don’t do the job, try a different approach if possible. Never resort to the crude bluster, cliche-ridden, always overdone language of the pool-hall loudmouth. Grade C lawyers at this point might say that such a position is absurd.  Such lawyers still would not have learned the lesson.

An illustration of this point is to be found in an insurance case of several years ago.  Barbara Bennett et al v. State Farm Mutual Automobile Insurance Company, No. 13-3047, 2013 WL 5312398 (6th Cir. September 24, 2013)

In this case, Ms. Bennett was struck by an automobile as she was walking her dog. As a result of this accident she ended up on the car–not next to in on the roadway, not standing next to the car, and not under the car. (This post is a variation of one posted on QUINN’S COMMENTARIES ON INSURANCE LAW.)

She argued that she “occupied” the car under the State Farm policy.  The District Judge held that State Farm’s defense was correct: she did not “occupy” the auto, since she was not in it.  State Farm called Bennett’s position “ridiculous” and did it on the first page of their brief.

The court criticized this linguistic behavior for four reasons: first, where the language was in the brief, second, because it was worded as it was; third, because State Farm’s argument was fairly obviously invalid; and fourth, because State Farm was wrong.

With regards to points #1 and #2 the court, quoting another opinion from which  it wrote its opinion: “There are good reasons not to call an opponent’s argument ‘ridiculous,’ which is what State Farm calls Barbara Bennett’s principal argument here. The reasons include “civility; the near-certainty that overstatement will only push the reader away (especially when, as here, the hyperbole begins on page one of the brief, and that even when  the record supports an extreme modified, ‘the better practice is usually to say out the facts and let the court reach its own conclusion.’ Big Dipper Entm’t, L.L.C. v. City of Warren, 641 F.3d 715, 719 (6th Cir. 2011).”  Trying to, in some sense, compel opinions by the use of “battle-station” rhetoric is ill-advise.*

With regard to the third point,  the court criticized State Farm’s argument.  It argued that coverage analyses proceeded on the basis of how whole types of policies are interpreted: auto policies for example, and the “occupy” language of those types of policies. The court informed State Farm that contracts of insurance are to be interpreted one at a time and not as whole classes. That a court has decided a similar-looking policy in the way the insurer wants it interpreted does not bind a court, even itself.  Nor is the “type of” versus “this language for this situation” valid reasoning.

State Farm also tried to argue that only someone who has an “intrinsic relationship” with a car can be said to “occupy” it, and hence the court ought to be examining whether Ms. Bennett has such a relationship with the car that struck her. Instead, the court observed, there was authority in Ohio, where this suit was brought, that the intrinsic relationship test was one of several that can be applied “‘where a  gray area exists concerning whether a person’ was an occupant of a vehicle and thus entitled to coverage. In this case, however, the policy marks out its zone of coverage in primary colors. The policy terms therefore control.”

On this ground, the court reversed the district court and entered judgment in favor of Bennett. And it did this without remanding.

One can wonder about the decision. Oddly enough the court does not include a quote from the policy. That is unusual but not really interesting as to the court’s reasoning. More interesting is the fact that the court does not give a specific argument–perhaps based on a hypothetical–supporting the proposition that being on a car entails the proposition that one is occupying the car.

It also clearly, though impliedly, rejects the idea that the term “on” in this situation is ambiguous. It seems to me that one can be on a car, e.g., on top of a car, without actually occupying the car. The man that washes, waxes and cleans out my car every Saturday, does not occupy my car all the way through its work. He stands next to the car while is washing it; he climbs up on it to wax the top and gets in it to clean out the interior in various ways. It is plausible to say that only for the third part of the operation does he occupy the car.

Although the following example–nor anything like it–should ever be found in a brief (or anything like it), except as taken from a transcript of testimony. One can easily imagine a couple denying that they occupied the car while having sex on the front hood of the car (or even the roof), but “admitting” that they occupied the car when they did so in, for example, the back seat.

Perhaps–just perhaps–the court is impliedly suggesting that Bennett was occupying the car because she did have an intrinsic relationship with it. After all, she suffered further injuries as a result of being placed on the car–injuries that she would not have received had she not been knocked up onto the car.  I suppose one could argue that if one has been put onto something it occupies it.  One can easily have subscribed to this argument if the word is “into,” not “onto.”

One might oneself not be convinced by the court’s reasoning.  Consider the dog belonging to the 2012 candidate the Republican Party recently ran for president.  It did not occupy the family car when he was attached to the roof of the car as they all drove to Canada for a vacation.  The disclosure of this fact caused a furor. Obviously, part of the general population agreed: the dog did not occupy the car. In some respects, although certainly not in other very important respects, Bennett and the dog share properties.

*I tried “battle” rhetoric first long ago in the presentation of an argument to the 8th Circuit.  It was a covenant not to compete case with federal jurisdiction on grounds of diversity.  I had tried the case and lost. Anyway, I opened by informing the court that “This case is one of national significance.”  The head of one of the judges almost jerked up, and he immediately and a bit disdainfully asked, “How? Why?”  My answer had to do with the lack of case authority on how to interpret a “Uniform” act that had been passed in the relevant state.  I actually thought that a specialized uniform act, used in various ways around the country but enacted only here and there, made the matter then at hand one of national significance.  My clients loved it, but. . . . 

 I suppose  I must confess that my address there was not the last time I did that, though all the (few others, I hope and believe) were somehow triggered by a mysterious outside source, and therefore have been instances of  unintended rhetorical idiocy, so that  I am not really responsible.

*Michael Sean Quinn, Ph.D, J.D., Etc.

1300 West Lynn #208

Austin, Texas 78703

(o) 512-296-2594

(c) 512-656-0503

mquinn@msqlaw.com

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Quinn Quotes

Variations can be small, or they can be large. No total variation can be both small and large at the same time. If one thing is totally a variation on another, then no part of the second will be something other than a variation on the first. (This is probably an analytic truth too, even in the post modern age, though the classical examples are easy: “All bachelors are unmarried male adults,” may not be.  This is another example of the influence of the power of social change.~Michael Sean Quinn, PhD, JD, CPCU, Etc.Tweet

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Michael Sean Quinn, PhD, JD, CPCU, Etc*., is available as an expert witness in insurance disputes and other litigation matters. Contact