Tag: legal analysis

  • Law And Legal Expert’s Industry Standards Opinions Admitted

    Law And Legal Expert’s Industry Standards Opinions Admitted

    Plaintiff, Greenwich Insurance Company, is a Delaware-based insurance carrier that issued two excess coverage insurance policies to Mirador Master Association, Inc. (“Mirador Master”), a Miami Beach-based condominium association. The first excess policy was in effect between July 17, 2020, and January 4, 2021, and the second covered the period from February 2, 2021, to July 17, 2021.

    In November 2020, four months after the first excess policy took effect, a construction company sued Mirador Master in Florida state court, later amending its complaint to add Mirador Master’s sub-associations, Mirador 1000 Condominium Association, Inc. and Mirador 1200 Condominium Association, Inc. (“Mirador 1000 and 1200”) as Defendants.

    In July 2021, Mirador 1000 and 1200 filed crossclaims and a third-party complaint against Mirador Master and its officers and directors—including Bernardo Sandoval and Humberto Fernandez (collectively, the “D&Os”)—alleging that the D&Os mismanaged and misappropriated funds and breached fiduciary duties owed to Mirador 1000 and 1200.

    Mirador 1000 and 1200 also moved for appointment of a receiver for Mirador Master; and the state court granted the motion, appointing the Receiver in February 2023.

    When Plaintiff continued to deny coverage for Mirador Master, the D&Os, and Mirador 1000 and 1200, the Receiver, the D&Os, and Mirador 1000 and 1200 executed a Coblentz agreement (the “Assignment Agreement” or “Agreement”) alongside several related settlement agreements. In the Assignment Agreement, the parties to the state-court action agreed not to seek recovery from each other and to assign their rights to assert claims against Plaintiff. 

    Plaintiff sought declarations that it has no duty to defend or indemnify Mirador Master, the Receiver, Fernandez, Sandoval, Frohlich, and Herman.

    The Court concluded that the Assignment Agreement is unenforceable against Plaintiff because the underlying insurance policy was not exhausted until after the Assignment Agreement was executed. 

    The Experts and Motions

    The Receiver, Mirador 1000 and 1200, and Plaintiff retained experts who prepared reports addressing the enforceability of the Assignment Agreement, including its reasonableness; the scope of any coverage owed by Plaintiff; and whether Plaintiff received timely notice of the state-court litigation.

    Mirador 1000 and 1200’s proposed expert is R. Hugh Lumpkin, an attorney specializing in insurance who opined that Plaintiff received timely notice. Plaintiff’s proposed expert is Barry L. Davis, an attorney focusing on insurance law who rebuts Kammer’s conclusion that the Agreement is reasonable and Lumpkin’s opinion that Plaintiff received timely notice.

    The Receiver challenged the admissibility of Davis’ testimony, while Plaintiff challenged the admissibility of Lumpkin’s testimony.

    The Receiver argued that Davis offered impermissible legal conclusions regarding insurance-policy interpretation and relied on a flawed methodology in assessing the reasonableness of the Assignment Agreement. Plaintiff asserted that Lumpkin offered improper legal conclusions concerning timely notice under the excess policies and the reasonableness of the Assignment Agreement, and Lumpkin’s reliance on industry standards was irrelevant and unhelpful to the factfinder.

    Law And Legal Expert Witnesses

    Barry L. Davis has served as lead trial counsel to both Plaintiffs and Defendants in hundreds of complex construction and commercial disputes, insurance coverage and bad faith cases, and high-profile personal injury and wrongful death matters.

    Davis has been a Florida Bar Board Certified Civil Trial lawyer since 1989, was elected by his peers as a Super Lawyer and holds a Martindale-Hubbell AV Preeminent rating. As an adjunct professor of law for several years, Davis taught classes in settlement negotiation and was trial team coach.

    Get the full story on challenges to Barry Davis’ expert opinions and testimony with an in-depth Challenge Study.

    R. Hugh Lumpkin has acted as the lead counsel in hundreds of insurance disputes, having taken an uncounted number of depositions of insurer corporate representatives, adjusters, managers and executives, underwriters, actuaries and marketing people, as well as those hired by insurers to act as experts on claim handling standards and practices and underwriting over the course of the last 35 years in his insurance practice.

    He attended the University of Miami School of Law, graduating in 1980 and becoming a member of the Florida Bar that same year.

    Discover more cases with R. Hugh Lumpkin as an expert witness by ordering his comprehensive Expert Witness Profile report.

    Discussion by the Court

    The Receiver’s Motion

    The Receiver argued that Davis should be precluded from testifying because he offered legal conclusions regarding insurance coverage under the excess policies that are disguised as expert opinions.

    Since Davis attempted to define the scope of coverage under the excess policies, the Court granted receiver’s motion to the extent that Plaintiff may seek to have Davis “state legal conclusions drawn by applying the law to the facts.” Certainly, Davis’ “legal analysis of the facts” is inadmissible.

    The Court did not address the Receiver’s argument that Davis relies on a flawed methodology in assessing the reasonableness of the Assignment Agreement. Because expert testimony on reasonableness is directed only to the enforceability of the Agreement — and enforceability has already been resolved — the Court did not reach the Daubert challenge to that testimony.

    Plaintiff’s Motion

    Plaintiff challenged Lumpkin’s proposed testimony on two grounds. First, Plaintiff objected to Lumpkin’s opinions on what is required by the notice provisions of the excess policies and whether Plaintiff breached the policies by denying coverage, contending these opinions amount to impermissible legal conclusions based on interpretations of the insurance contracts. Second, Plaintiff objected to Lumpkin’s opinions on “industry standards” as unhelpful.

    As Plaintiff noted, Lumpkin’s proposed testimony included legal analysis of the facts. As a result, the Court granted Plaintiff’s motion to the extent the Receiver sought to have Lumpkin opine on insurance-policy interpretation or the legal consequences of the parties’ conduct.

    However, Plaintiff’s arguments regarding Lumpkin’s “industry standards” opinions failed to persuade the Court. Expert testimony as to standard practices in an industry is admissible when it is relevant and the expert has demonstrated a basis for the opinion.

    In this case, Lumpkin offered “industry standards” opinions that are relevant. For example, Lumpkin asserted that the industry standard for when an excess insurer should receive notice is “as soon as practicable after it is believed by the policyholder that the claim involved may exceed the limits of the primary insurance policy.” Such testimony could assist the trier of fact in deciding a genuine dispute of material fact: whether Plaintiff received timely notice of a claim as required by the excess policies.

    While Plaintiff insisted Lumpkin’s testimony is not relevant, Plaintiff neither provided authority stating that industry standards are irrelevant to breach-of-contract actions, nor explained why industry standards could not be relevant to the claims and defenses asserted in this case.

    Held

    • The Court granted in denied in part the Defendant/Counter-Plaintiff, the court-appointed Receiver for Defendant, Mirador Master Association, Inc.’s Daubert motion to exclude the testimony of Barry L. Davis.
    • The Court granted in denied in part the Plaintiff, Greenwich Insurance Company’s Daubert motion to exclude the testimony of R. Hugh Lumpkin.

    Key Takeaway

    While an expert may provide an opinion on an ultimate issue of fact, testimony regarding the legal implications of conduct is impermissible. To protect the Court’s exclusive prerogative to charge the jury regarding the applicable law, the Court must remain vigilant against the admission of legal conclusions.

    Case Details:

    Case Caption: Greenwich Insurance Company V. Fernandez
    Docket Number: 1:24cv23909
    Court Name: United States District Court, Florida Southern
    Order Date: January 17, 2026
  • Experts Attempted to Present Legal Opinions Disguised as Industry Standards

    Experts Attempted to Present Legal Opinions Disguised as Industry Standards

    Defendants 1536 Blue Jay Way, LLC and Michael Herman (collectively, Blue Jay Way) have brought claims against Defendant LMID, Inc. and others for negligence and negligence per se related to the renovation of a high-end home.

    Plaintiff Travelers has been defending its insured, Defendant LMID, Inc. (LMID), in state court since June 2020.

    Travelers has brought this action seeking: (1) a declaration that it has no duty to defend LMID in the state court action; (2) a declaration that it has no duty to indemnify LMID; and (3) reimbursement for defense costs incurred.

    In January 2025, LMID and Blue Jay Way each disclosed an expert witness under Federal Rule of Civil Procedure 26(a)(2).

    LMID’s expert, Joseph Oliva, is an attorney whose practice focuses on insurance coverage disputes. Oliva was asked to provide an opinion on “whether the allegations [in] the complaint and/or extrinsic evidence (discovery) . . . constitutes an occurrence under California insurance industry standards and whether the claims against [LMID] fall within the scope of the definition of property damage.” In his report, he concludes that the claims against LMID fell within the terms of the policy and that Travelers is obligated to defend and indemnify in the underlying action. Blue Jay Way’s expert, Peter Schulz, is also an attorney with experience in insurance coverage matters. Schulz’s opinions relied on Oliva’s analysis and his review of Oliva’s report.

    However, Travelers filed a motion to exclude Oliva’s and Schulz’s testimony.

    Insurance Expert Witnesses

    Joseph Oliva is an attorney licensed and admitted to practice before all courts of the states of California, Texas, Arizona, and Nevada. He is a shareholder of the law firm of Joseph Oliva & Associates, P.C.

    Oliva has been retained as an expert on sixteen matters, provided testimony on four matters, three of which were California arbitrations and one Arizona State Court action.

    Get the full story on challenges to Joseph Oliva’s expert opinions and testimony with an in-depth Challenge Study. 

    Peter Schulz is an attorney at law, duly licensed and admitted to practice before all courts of the states of California. He is the sole shareholder of the law firm of Schulz Brick & Rogaski, APC.

    Schulz has taught in seminars attended by attorneys, brokers, and insurance claims adjusters in California. In 2023, he was a lecturer in a program sponsored by The Seminar Group entitled “Insurance in the Construction Industry,” where he presented on Cumis/Civil Code Section 2860 – Practical considerations for policy holders and for carriers.

    Want to know more about the challenges Peter Schulz has faced? Get the full details with our Challenge Study report. 

    Discussion by the Court

    Travelers moved to exclude Oliva’s and Schulz’s testimony on two grounds. First, it argued that the experts are not qualified to testify about insurance industry standards because they are attorneys who have never worked in the insurance industry itself. Second, Travelers contended that the experts’ opinions are improper legal conclusions. While the reports refer to “insurance industry standards” and “insurance industry practices,” Travelers contends that the experts’ opinions are in fact legal conclusions that rely on legal analysis.

    As an initial matter, the Court rejected Travelers’ overbroad argument that Oliva and Schulz are unqualified to opine on insurance industry standards because they are insurance lawyers.

    The fact that Oliva and Schulz are attorneys does not mean that they could not have acquired the requisite expertise to testify about insurance industry standards.

    But this motion is less about qualifications and more about the subject of the proffered opinions. Oliva and Schulz did not offer opinions on insurance industry standards that would assist the trier of fact; rather, they attempted to present legal opinions disguised as industry standards—much of it amounting to little more than legal briefing.

    Nowhere in the reports do the experts explain how their conclusions are based on their experiences or specialized knowledge from litigating insurance cases. Though the reports refer to some nonlegal materials—e.g., insurance bulletins and pamphlets—the Court held that those references appear to be intertwined with the experts’ legal analysis.

    It is unclear how the experts would be able to excise any legal analysis from their testimony, or how any nonlegal opinions would be based on their specialized knowledge from litigating insurance cases.

    Held

    The Court granted Plaintiff Travelers Casualty Insurance Company of America’s motion to exclude the testimony of experts Joseph Oliva and Peter Schulz.

    Key Takeaway:

    Basically, Oliva’s and Schulz’s reports engage in legal analysis, assessing cases and industry materials and applying the law to the facts of this case. In doing so, Defendants have not demonstrated that is it more likely than not that the experts’ knowledge “will help the [Court] to understand the evidence or to determine a fact in issue.”

    Case Details:

    Case Caption: Travelers Casualty Insurance Company Of America V. Lmid, Inc. Et Al
    Docket Number: 2:24cv1022
    Court Name: United States District Court, California Central
    Order Date: April 18, 2025