{"id":7209,"date":"2016-05-01T06:03:45","date_gmt":"2016-05-01T06:03:45","guid":{"rendered":"https:\/\/landauinjurylaw.com\/theathleteslawyer\/?p=7209"},"modified":"2016-03-25T19:21:21","modified_gmt":"2016-03-25T19:21:21","slug":"no-coverage-for-paintball-gun-injury-after-notice-delay-to-insurance-company","status":"publish","type":"post","link":"https:\/\/landauinjurylaw.com\/theathleteslawyer\/2016\/05\/01\/no-coverage-for-paintball-gun-injury-after-notice-delay-to-insurance-company\/","title":{"rendered":"No Coverage for Paintball Gun Injury After Notice Delay to Insurance Company"},"content":{"rendered":"

Although an insured defendant said he did not know his homeowners policy might cover a claim for a victim\u2019s eye injury that resulted from his 25-year-old son\u2019s use of a paintball gun at a friend\u2019s home, the insurance carrier need not defend the claim due to the insured\u2019s 378-day delay in giving them notice of the potential claim; at the latest, the insured should have provided notice at the time of the criminal action against the son, says the Danville U.S. District Court.<\/p>\n

As per the news reports of the State Farm Fire & Cas. Co. v. Wallace case,<\/a> Virginia law does not require that an insurance company be prejudiced by the delay in notification; a prolonged delay in notification alone may breach the policy even absent a showing of prejudice. In most cases, the question of the reasonableness of a notice delay is a question for a jury.<\/p>\n

The crux of this Federal Court case turns on the language of the homeowners policy.<\/p>\n

One of the main disagreements in the case was whether it was “objectively reasonable” to know the policy covered the incident.<\/p>\n

Here, the fact that two experienced lawyers were unsure if the policy would apply to the incident is persuasive that the provision for possible coverage was not generally known. The rules of contract interpretation, however, do not permit an exception to generally applicable notice requirements where the implicated coverage provision of the policy is unexpected, but is written in clear and definitive language.<\/p>\n

Because the father is presumed to have read and understood his policy, he is charged with knowledge of its contents. Given the applicable policy language, it is objectively reasonable that the father should have known that the policy would have covered the incident. The fact that the incident occurred in a different county and not on property owned by the homeowners does not excuse them from the applicable notice provision of the policy. There is no basis in law for the homeowners to believe a claim would not be made against them.<\/p>\n

The question here is, would a man of ordinary prudence and intelligence have known, at the conclusion of the criminal action against the son, that the victim\u2019s injury was sufficiently serious to implicate a claim which the policy would cover? The answer to that question must be \u201cyes.\u201d<\/strong><\/p>\n

The victim was shot in the eye with a projectile which was fired using compressed carbon dioxide.<\/p>\n

The son had been shooting paintballs earlier at a companion\u2019s feet, indicating he was aware of the damage they could cause if aimed at vital organs. The son knew the victim was injured while the son was unloading his paintballs and felt guilty after the incident, indicating he knew it was a paintball that hit the victim and not flying debris from some other source.<\/p>\n

The eye was red and swollen, and the victim eventually left to take some pain relievers. When coupled with his knowledge that the victim eventually sought medical attention and the medical bills totaled over $3,000, the belief that the injury was not sufficiently serious was objectively unreasonable.<\/p>\n

Because the duty to give notice arose, at the latest date — over a year before notice was actually given — the next question is whether the delay was material and substantial.<\/p>\n

The parties all agree the delay was substantial. In light of the analysis regarding the objectively unreasonable belief that no claim for civil damages would lie, as well as the 378-day delay in notifying State Farm about the incident, even if State Farm suffered no prejudice as a result of the delay, Virginia law compels the conclusion that the delay was material.<\/p>\n

State Farm should be excused from its obligations under the policy.<\/p>\n","protected":false},"excerpt":{"rendered":"

Although an insured defendant said he did not know his homeowners policy might cover a claim for a victim\u2019s eye injury that resulted from his 25-year-old son\u2019s use of a paintball gun at a friend\u2019s home, the insurance carrier need not defend the claim due to the insured\u2019s 378-day delay in giving them notice of…<\/p>\n

Continue reading →<\/span><\/a><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[7062,7060,7057,7059,7107,7105,7106,7061,7058],"class_list":["post-7209","post","type-post","status-publish","format-standard","hentry","category-cases","tag-delay-in-giving-insurance-company-notice","tag-delay-in-notice-of-potential-claim","tag-homeowners-policy-coverage-for-sports-injury","tag-paintball-gun-injury","tag-permanent-eye-injury-lawyer","tag-sports-eye-injury-law","tag-sports-injury-insurance-coverage","tag-state-farm-insurance-denial","tag-victims-eye-injury"],"acf":[],"yoast_head":"\nNo Coverage for Paintball Gun Injury After Notice Delay to Insurance Company - Sports Injury Law<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/landauinjurylaw.com\/theathleteslawyer\/2016\/05\/01\/no-coverage-for-paintball-gun-injury-after-notice-delay-to-insurance-company\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"No Coverage for Paintball Gun Injury After Notice Delay to Insurance Company - 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