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Unexcused Late Disclaimer of Coverage Invalid and Unenforceable

The Third Department determined the insurer’s disclaimer of coverage was invalid and uneforceable because it was inexcusably late.  The court noted that a “reservation of rights letter” does not constitute a disclaimer:

An insurer’s decision to disclaim liability insurance coverage must be given to the insured, in writing, as soon as is reasonably practicable, “failing which the disclaimer or denial will be ineffective” (… see Insurance Law § 3420 [d] [2]…). While the timeliness of an insurer’s notice of disclaimer generally raises an issue of fact for a jury to decide, where, as here, the basis for a disclaimer “was or should have been readily apparent before the onset of the delay,” the delay will be found to be unreasonable as a matter of law … . “Reasonableness of delay is measured from the time when the insurer learns of sufficient facts upon which to base the disclaimer” … . * * *

Even after receiving the attorney’s summary, which ostensibly equipped it with sufficient facts to issue a written disclaimer, plaintiff instead sent defendant a reservation of rights letter, which does not serve as “a substitute for the required notice of disclaimer” … . Vermont Mut Ins Co v Mowery Constr Inc, 2014 NY Slip Op 07537, 3rd Dept 11-6-14

 

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