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ARTICLE · 06 JANUARY 2023

Multiple Claims Against Insured Related To COVID-19 Outbreak Constitute Separate Claims

The United States District Court for the Eastern District of Pennsylvania, applying Pennsylvania law, has held that multiple COVID-19 claims against an insured arise from separate "health care events" such that they constitute separate claims...

United StatesInsurance

The United States District Court for the Eastern District of Pennsylvania, applying Pennsylvania law, has held that multiple COVID-19 claims against an insured arise from separate "health care events" such that they constitute separate claims, each subject to a separate self-insured retention. Nat'l Fire & Marine Ins. Co. v. Genesis Healthcare, Inc., 2022 WL 16963999 (E.D. Pa. Nov. 16, 2022).

During the early stages of the COVID-19 pandemic, the insured health care organization notified its professional liability insurer that circumstances surrounding the pandemic could give rise to a claim. The policy provided claims-made and reported coverage for loss and claims expenses arising from a "health care event." "Health care event" was defined as "any event in the rendering of, or failure to render, professional services that results in injury." The policy further provided that "[a]ll injuries arising out of, or in connection with, the same or related acts or omissions

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