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Legal Updates for Insurance Agents & Brokers

Delaware Superior Court Decision Imparts Lessons for Insurance Agents and Brokers Regarding Policy Exclusions and Language

Legal Update for Insurance Agents & Brokers – November 2024

November 1, 2024

In June 2024, the Delaware Superior Court granted a motion for summary judgment, requiring an insurance company to defend and indemnify the plaintiff in regard to underlying litigation. In doing so, the court issued a coverage decision demonstrating the importance that a policy be clear and unambiguous to avoid the contract language being construed against the insurance company. The decision also highlights the need for agents and brokers to consider the industry their clients are in and the services they offer in order to understand the reasonable expectations of those insurers when providing insurance liability policies.

In Noble Eagle Sales, LLC v. Mesa Underwriters Specialty Insurance Company, et al., 2024 WL 2830922 (Del. Super. Ct. 2024), Noble Eagle, the insured, operated a shooting range where a patron used one of its guns to commit suicide. The decedent’s family and estate subsequently sued Noble Eagle, which had requested coverage for the lawsuit under their insurance policy. The insurance company denied coverage, citing an exclusion within the policy. Both parties filed cross motions for summary judgment, seeking a decision from the court on whether coverage applied.

The argument centered on an exclusion found within the policy excluding coverage for bodily injuries caused by sporting equipment rented out by Noble Eagle. Noble Eagle argued that the exclusion did not clearly define sporting equipment, therefore, making the exclusion ambiguous as to whether a firearm fell within the exclusion. The insurance company argued the exclusion’s plain meaning clearly conveyed what was excluded and, thus, was not ambiguous and that without any ambiguity, the exclusion must be applied in this case. 

The court determined that the term “sporting equipment” was ambiguous and the exclusion could not be enforced in this case. In doing so, the court looked to the standard for insurance contract interpretation. 

The “interpretation of a contract must rely on a reading of all pertinent provisions of the policy as a whole, and not on any single passage in isolation.” Id. citing O’Brien v. Progressive N. Ins. Co., 785 A.2d 281, 287 (Del. 2001). Clear and unambiguous contract terms are given their plain meaning. Id. citing Rhone-Poulenc Basic Chemicals Co. v. Am. Motorists Ins. Co., 616 A.2d 1192, 1195 (Del. 1992). Ambiguity exists when the contract term is reasonably or fairly susceptible of different interpretations or may have two or more meanings. Id. “When ambiguity does exist, ‘the language of an insurance contract [must] be construed most strongly against the insurance company that drafted it.’” Id. In order to avoid its duty to defend its insured, an insurer must demonstrate that the allegations of the complaint are solely and entirely within specific and unambiguous exclusions from coverage. Id. citing Nat’l Union Fire Ins. Co. of Pittsburgh, PA. v. Rhone-Poulenc Basic Chemicals Co., 1992 WL 22690, at *8 (Del. Super. Ct. 1992).

The court first addressed whether the decedent had rented the firearm. They determined the transaction unquestionably fit into the definition of “rented out” and that Noble Eagle’s decision to not charge the decedent’s estate for the rental does not transform the transaction. 

In turning to the definition of “sporting equipment” in the exclusion, the court looked to the definitions in the policy, and “sporting equipment” was not defined. Noble Eagle argued that reasonable minds could differ as to when a firearm qualifies as “sporting equipment.” The insurance company argued Noble Eagle only rented out “guns, protective eyewear, and earplugs” and that if firearms are not “sporting equipment,” the exclusion is meaningless.

The court determined that the core question it must answer hinged on whether firearms are always, definitionally, sporting equipment. The court applied Delaware decisional law and determined the exclusion could only be enforced if the sole reasonable interpretation of “sporting equipment” encompassed all of the firearms Noble Eagle rented out, regardless of the purpose for which the customer rents the firearm. The court then looked to the Merriam-Webster definition of firearm and sporting equipment. Turning to the policy language, the court determined there was more than one reasonable interpretation as to whether sporting equipment always included firearms. 

The court cannot determine from the plain language of the policy where to draw the line between firearms that can be sporting equipment, and firearms that are always sporting equipment. MUSIC, as the insurer, stood as the party best positioned to make that delineation when drafting the Policy. MUSIC’s failure to do so renders the Rental Exclusion’s application to firearm rentals ambiguous.

Id. The court further found ambiguity regarding what shooting activities would be considered sports under the policy, as firearms could be rented for either shooting practice or testing out a firearm for purchase, among others.

In finding ambiguity, the court construed the exclusion most strongly against the insurance company. The court was unable to find that all firearms were unequivocally and definitionally “sporting equipment.” According to the court, the insurance company failed to carry its burden to demonstrate that the exclusion barred coverage in this case. Further, the court found the insurance company was aware, at the time of issuing the policy, that Noble Eagle rented firearms. Therefore, Noble Eagle had a reasonable expectation, as a shooting range that paid $14,000 for a liability policy, that they would have coverage in place for liability involving firearms. The court also took into consideration that the policy did define some definition of “sporting equipment,” as it explicitly referenced golf and tennis equipment. Finally, the court noted that the litigation highlighted the benefit to the insurance company of the ambiguity in the policy exclusion and the requirement under Delaware law to construe the policy against the insurer.

This case demonstrates the importance that a policy—including its exclusions—be clear and unambiguous. Further, agents and brokers must take into consideration the type of business and services being provided by an insurer, the reasonable expectations of those insurers in obtaining liability policies, and the implications of any potential exclusions that may apply.  


 

Legal Update for Insurance Agents & Brokers, November 2024, has been prepared for our readers by Marshall Dennehey. It is solely intended to provide information on recent legal developments and is not intended to provide legal advice for a specific situation or to create an attorney-client relationship. We welcome the opportunity to provide such legal assistance as you require on this and other subjects. If you receive the alerts in error, please send a note tgventura@mdwcg.com. ATTORNEY ADVERTISING pursuant to New York RPC 7.1. © 2024 Marshall Dennehey. All Rights Reserved.

Firm Highlights

Thought Leadership

Congress Passes Financial Exploitation Prevention Act

On June 25, 2026, the House passed the Financial Exploitation Prevention Act of 2025 (“the Act”) by a vote of 414 to 2. The Act allows financial advisors and firms to delay suspicious transactions regarding the accounts of clients who are 65 or older, if they believe financial exploitation has occurred or is about to take place. With the advancement of technology and AI, the House’s overwhelming bipartisan passage of the Financial Exploitation Prevention Act represents an important step in strengthening the financial industry’s ability to combat the growing threat of elder financial exploitation. The Act recognizes what advisors have long known that financial professionals are often the first to detect suspicious behavior but have historically lacked clear legal authority to intervene before irreversible financial harm occurs. From the industry’s perspective, the bill accomplishes several important objectives, including the following: (1) Provides a practical “pause button” by allowing financial professionals to temporarily delay certain transaction requests when there is a reasonable belief that a senior or vulnerable adult is being financially exploited; (2) Empowers financial professionals to act by providing greater certainty that firms can act in good faith to protect clients without unnecessary legal risk; and (3) Strengthens investor protection without sacrificing client rights by allowing temporary delays based on a reasonable suspicion of exploitation, which is intended only to allow additional review and not to deny clients access to their money indefinitely. In sum, the Financial Exploitation Prevention Act will equip financial professionals with practical, carefully tailored tools to stop suspected financial exploitation before client assets are lost. By allowing firms to temporarily delay suspicious transactions under defined circumstances, Congress is recognizing the critical role advisors play as the first line of defense against increasingly sophisticated fraud schemes. The Act strikes an appropriate balance between protecting vulnerable investors and preserving individual financial autonomy, while reinforcing collaboration among advisors, families, and law enforcement to combat financial exploitation. The bill now awaits Senate action.

Thought Leadership

Mitigating Long-Tail Liability: Delaware Court Reaffirms Five-Year Workers’ Compensation Deadline

Williamson v. Donald F. Deaven, Inc., No. N25A-07-004 FWW, 2026 LX 252526 (Del. Super. Ct. June 2, 2026) Claimant was involved in a compensable industrial work accident on May 12, 1995, for a low back injury.  Following this, he received compensation for temporary total disability benefits from July 1996 to September 1996 and for sustaining a permanent impairment in 1997 and 1998. For the next 23 years, the claimant continued treatment and paid his own medical bills without submitting them to the employer’s insurer. In November 2021, the claimant filed a petition seeking payment for medical expenses, including prospective surgery and a resulting period of total disability. The employer moved to dismiss the petition, arguing it was barred by Delaware’s five-year statute of limitations (19 Del. C. § 2361(b)). Pursuant to 18 Del. C. § 3914, insurers must provide prompt written notice of the applicable statute of limitations to invoke the five-year deadline. Due to the age of the case, neither party had a comprehensive file of the claim and the Board had archived its file of the matter. The carrier’s computer system retained only bare information indicating that payments occurred and agreements and receipts were filed with the Board in 1997. While the claimant argued that the employer could not prove it provided the mandatory statutory notice, the Hearing Officer recovered the archived file, which contained two “Receipts for Compensation Paid” signed by the claimant. The receipts explicitly contained the required five-year limitation language, which the claimant testified to signing at the hearing. The claimant also attempted to introduce evidence of payments he claimed the employer made, which would have extended the statute of limitations. As a preliminary matter, the hearing officer excluded the testimony about the payments because the claimant did not produce them to the employer. The Board found in favor of the employer and dismissed the claimant’s petition as time-barred. The claimant appealed the Board’s decision, arguing that he never received adequate notice of the statute of limitations and that the hearing officer’s evidentiary ruling was an abuse of discretion. The Court held that the archived, signed receipts constituted substantial evidence that the insurer fulfilled its statutory notice requirements. Therefore, the claimant’s petition was time-barred under the statute of limitations provisions of 19 Del. C. § 2361(b). Furthermore, the Court reinforced strict procedural compliance: it rejected the claimant’s attempts to introduce evidence of payment on appeal, ruling the argument was waived for failure to preserve it while the matter was still before the Board. This recent ruling by the Court underscores the importance and necessity of robust data preservation and precise compliance with notice requirements. For risk managers, employers, and insurers, the decision highlights how tight administrative execution protects against catastrophic long-tail liability.

Thought Leadership

New Jersey Expands Family Leave Protections Effective July 17, 2026

On January 17, 2026, Governor Murphy signed into law legislation expanding the New Jersey Family Leave Act (NJFLA). Beginning July 17, 2026, significant amendments to the NJFLA will expand job-protected family leave to smaller businesses and more employees across the state. The new law broadens coverage by lowering the threshold for private employers from 30 employees to 15 employees, meaning many smaller businesses will now be subject to the NJFLA. Employees of state and local government agencies will continue to be covered regardless of the size of the employer. The amendments also make it easier for employees to qualify for leave. Under the revised law, an employee will be eligible after three months of employment and at least 250 hours worked during the preceding 12 months, replacing the previous requirement of 12 months of employment and 1,000 hours worked. Currently, New Jersey's Temporary Disability Insurance (TDI) and Family Leave Insurance (FLI) programs provide eligible employees with wage replacement while they are on leave but do not independently guarantee job protection. The recent amendments to the New Jersey Family Leave Act (NJFLA) expand these protections by extending job-protected leave to additional employees. Under the amended law, employees receiving TDI or FLI benefits may be entitled to return to the same position they held before taking leave, or to an equivalent position with the same seniority, status, pay, and benefits. Although the legislation also states that it does not expand or modify an employee's reinstatement rights under the NJFLA, the amendments appear to provide job protection to eligible employees receiving TDI or FLI benefits without requiring them to separately satisfy the eligibility requirements of the NJFLA or the federal Family and Medical Leave Act (FMLA). As a result, some employees may be entitled to longer periods of job-protected leave than were previously available under existing law. With these amendments, New Jersey continues to strengthen workplace protections by expanding access to job-protected family leave for eligible employees. These changes significantly expand access to job-protected family leave and may require employers to update their leave policies, employee handbooks, and HR practices. Notably, employers who were previously not required to administer NJFLA may need to amend their policies and/or create new protocols to come into compliance with the NJFLA. Failure to do so would prove costly, as the penalties for non-compliance are significant.

Result

No-Cause Jury Verdict Secured in Wrongful Death Trial

We successfully obtained a no-cause jury verdict in a 13-day wrongful death trial. The decedent, a 59-year-old man, was admitted to the emergency room on February 15, 2019, with complaints of abdominal pain, decreased appetite, and constipation, despite the use of laxatives. The patient did not complain of any nausea, vomiting, or diarrhea. He had a significant medical history including diabetes, hypertension, prior coronary artery stenting, morbid obesity (with past gastric bypass surgery), longstanding ventral hernia, and back pain. A CT scan revealed multiple hernias and a potential closed-loop bowel obstruction, leading to a surgery consultation. Our client, an emergency general surgeon, interpreted that the patient did not have a closed loop or any significant obstruction and recommended non-surgical management. The patient was approved to have clear liquids, and had a vomiting incident shortly after, but our client was not notified. The patient was returned to NPO status, and after improving overnight, he was returned to “clears” and additional medical and renal consults were ordered. Our client did not receive any communications from the residents/nurses of any changes in the patient’s condition. On February 18, 2019, two rapid responses were called due to increased heart rate and vomiting. It is believed that the vomiting resulted in aspiration, causing sepsis, ultimately leading to the patient’s death. During the trial, the plaintiff’s sole medical expert highlighted imaging on the wrong hernia, which called into question all of his opinions in the case. We made key objections related to the expert testimony, limiting what the allegations were, and preventing new allegations from being made. After approximately two and a half hours of deliberating, the jury returned a no-cause verdict.