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December 26, 2025
Liability Insurance only Responds to Fortuitous Acts

Insurer’s Exclusion for Claims of Assault & Battery is Effective
Post 5250

Read the full article at https://lnkd.in/gBzt2vw9, see the video at https://lnkd.in/gEBBE-e6 and at https://lnkd.in/gk7EcVn9, and at https://zalma.com/blog plus more than 5250 posts.

Bar Fight With Security is an Excluded Assault & Battery

In The Cincinnati Specialty Underwriters Insurance Company v. Mainline Private Security, LLC, et al., Civil Action No. 24-3871, United States District Court, E.D. Pennsylvania (December 16, 2025) two violent attacks occurred in Philadelphia involving young men, Eric Pope (who died) and Rishabh Abhyankar (who suffered catastrophic injuries). Both incidents involved security guards provided by Mainline Private Security, LLC (“Mainline”) at local bars. The estates of the victims sued the attackers, the bars, and Mainline for negligence and assault/battery. The insurer exhausted a special limit and then denied defense or indemnity to Mainline Private Security.

INSURANCE COVERAGE

Mainline had purchased a commercial general liability policy from The Cincinnati Specialty Underwriters Insurance Company (“CSU”), which included a specific exclusion limiting coverage for claims arising out of assault and battery to $250,000. This coverage was exhausted, and CSU sought a declaratory judgment that it was not obligated to defend or indemnify Mainline or an additional insured (Mikey II) for the lawsuits.

Claims:

The lawsuits against Mainline and the bars were based on both negligence and assault/battery. CSU argued that all claims fell within the assault and battery exclusion of the policy.

LEGAL ANALYSIS\
Policy Exclusion:

The key legal issue was whether the negligence claims in the underlying lawsuits were covered by the assault and battery exclusion in CSU’s policy. The exclusion was broad, covering not only direct assault and battery but also failures to prevent such acts, failures to provide adequate security, and negligent hiring, supervision, or training of employees involved in assault/battery, all of which were within the ambit of the exclusion.

Pennsylvania Law:

The court applied Pennsylvania law, which interprets insurance contracts according to their plain meaning and enforces clear and unambiguous language. The court found the exclusion language to be clear, unambiguous and comprehensive.

Causation Standard:

Under Pennsylvania law, “arising out of” in policy exclusions is interpreted as “but for” causation—if the injury would not have occurred but for the assault/battery, the exclusion applies.

Negligence Claims:

The court reviewed the specific negligence allegations and found that all were causally linked to the assault and battery incidents. The exclusion covered not only intentional acts but also related negligence, such as failure to provide adequate security or properly train staff.

CONCLUSION AND JUDGMENT

Summary Judgment:

The court granted summary judgment in favor of CSU, holding that all claims in the Pope and Abhyankar lawsuits fell within the assault and battery exclusion. Since the $250,000 coverage limit had been exhausted, CSU had no further duty to defend or indemnify Mainline or Mikey II.
Illusory Coverage Argument:

The court rejected this, noting that CSU was not required by law to offer the coverage and that the policy did provide coverage in other circumstances.

IMPORTANT CONCLUSIONS

Assault and battery exclusions in liability policies can encompass related negligence claims if the injuries are causally connected to assault/battery. Courts will enforce clear and unambiguous exclusion language under Pennsylvania law. Once the specified coverage limit for excluded claims is exhausted, the insurer’s duty to defend or indemnify ends.

Because all the claims in the Pope and Abhyankar lawsuits are covered by CSU’s assault and battery exclusion, CSU’s duty to defend and indemnify Mainline and Mikey II is limited to the $250,000 supplemental coverage. And because this $250,000 has been fully eroded through the payment of defense costs and settlements from other claims CSU has no duty to defend or indemnify Mainline or Mikey II for the Pope and Abhyankar lawsuits.

The $250,000 limit in coverage for these claims has been exhausted, and therefore CSU is not obligated to defend or indemnify Mainline or Mikey II in the Pope and Abhyankar lawsuits.
ZALMA OPINION

Since the first liability insurance policy was written – perhaps in clay tablets in ancient Sumeria, insurers limited the limits of the insurance to fortuitous acts, accidents. Assault and Battery causing injury are always, by definition, intentional acts. To avoid argument insurers wrote into their policies clear and unambiguous assault and battery exclusions, as did CSU. CSU provided an extra coverage agreeing to insure against claims of Assault and Battery up to $250,000 of expense and indemnity payments. Once the $250,000 was exhausted coverage stopped and the insureds are left to defend themselves and pay any judgments from their own assets.

(c) 2025 Barry Zalma & ClaimSchool, Inc.

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00:08:42
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Zalma’s Insurance Fraud Letter – April 1, 2026

ZIFL – Volume 30, Issue 7 – April 1, 2026

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Post number 5314

Posted on April 1, 2026 by Barry Zalma

Zalma’s Insurance Fraud Letter (ZIFL) continues its 30th year of publication dedicated to those involved in reducing the effect of insurance fraud. ZIFL is published 24 times a year by ClaimSchool and is written by Barry Zalma. It is provided FREE to anyone who visits the site at http://zalma.com/zalmas-insurance-fraud-letter-2/ This issue contains the following articles about insurance fraud:

No One is Above the Law – Not Even a Police Officer

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Read the following article and the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2026/03/ZIFL-04-01-2026-1.pdf...

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Zalma’s Insurance Fraud Letter – April 1, 2026

ZIFL – Volume 30, Issue 7 – April 1, 2026

THE SOURCE FOR THE INSURANCE FRAUD PROFESSIONAL
Post number 5314

Posted on April 1, 2026 by Barry Zalma

Zalma’s Insurance Fraud Letter (ZIFL) continues its 30th year of publication dedicated to those involved in reducing the effect of insurance fraud. ZIFL is published 24 times a year by ClaimSchool and is written by Barry Zalma. It is provided FREE to anyone who visits the site at http://zalma.com/zalmas-insurance-fraud-letter-2/ This issue contains the following articles about insurance fraud:

No One is Above the Law – Not Even a Police Officer

Police Officer Convicted for Fraud in Reporting an Accident Affirmed
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In State Of Ohio v. Anthony Holmes, No. 115123, 2026-Ohio-736, Court of Appeals of Ohio, Eighth District, Cuyahoga (March 5, 2026) a police officer appealed criminal conviction as a result of lies about a high speed chase.

Read the following article and the full issue of ZIFL at https://zalma.com/blog/wp-content/uploads/2026/03/ZIFL-04-01-2026-1.pdf...

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Post number 5313

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