George Campbell Painting v. National Union Fire Insurance Co. of Pittsburgh, PA

92 A.D.3d 104, 937 N.Y.2d 164
CourtAppellate Division of the Supreme Court of the State of New York
DecidedJanuary 17, 2012
StatusPublished
Cited by28 cases

This text of 92 A.D.3d 104 (George Campbell Painting v. National Union Fire Insurance Co. of Pittsburgh, PA) is published on Counsel Stack Legal Research, covering Appellate Division of the Supreme Court of the State of New York primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
George Campbell Painting v. National Union Fire Insurance Co. of Pittsburgh, PA, 92 A.D.3d 104, 937 N.Y.2d 164 (N.Y. Ct. App. 2012).

Opinion

OPINION OF THE COURT

Friedman, J.

Insurance Law § 3420 (d) (redesignated as § 3420 [d] [2] by L 2008, ch 388, § 5) requires a liability insurer to give the insured or the injured person written notice of disclaimer of a personal injury claim “as soon as is reasonably possible.”1 In DiGuglielmo v Travelers Prop. Cas. (6 AD3d 344 [2004], lv denied 3 NY3d 608 [2004]), we held that, notwithstanding this statutory language, “[a]n insurer is not required to disclaim on timeliness grounds before conducting a prompt, reasonable investigation into other possible grounds for disclaimer” (6 AD3d at 346) (hereinafter, the DiGuglielmo rule). Today, we decline to follow, [106]*106and expressly overrule, the DiGuglielmo rule, because we find it to be inconsistent with the text of section 3420 (d) and with the decisions of the Court of Appeals interpreting that statute. In so doing, we are mindful of the important role precedent plays in common-law adjudication and of the reliance insurers may have placed on the DiGuglielmo rule in conducting their business (although the rule has never been adopted by the Second Department). Nonetheless, as more fully explained below, our determination of this appeal is dictated by fidelity to the plain language chosen by the Legislature, the teachings of our state’s highest court, and the policy considerations embodied in the law.

Accordingly, we now hold, in agreement with the Second Department’s decision in City of New York v Northern Ins. Co. of N.Y. (284 AD2d 291 [2001], lv dismissed 97 NY2d 638 [2001]), that section 3420 (d) precludes an insurer from delaying issuance of a disclaimer on a ground that the insurer knows to be valid — here, late notice of the claim — while investigating other possible grounds for disclaiming.2 In this case, therefore, where the record establishes that the insurer had sufficient information to disclaim coverage on the ground of late notice no later than January 19, 2006, a disclaimer issued on that ground nearly four months later, on May 17, 2006, was ineffective as a matter of law. Once the insurer (defendant National Union Fire Insurance Company of Pittsburgh, Pa. [NUFIC]) possessed all the information it needed to determine that plaintiffs, which sought coverage as additional insureds, had failed to give NUFIC timely notice of the claim as required by the policy, NUFIC had no right to delay disclaiming on the late-notice ground while it continued to investigate whether plaintiffs were, in fact, additional insureds (as NUFIC ultimately determined they were).

This insurance dispute arises from an occurrence during renovation work on the Henry Hudson Bridge, a structure owned by plaintiff Triborough Bridge and Tunnel Authority (TBTA). Plaintiff George Campbell Painting (Campbell) was the general contractor for the project in question, and nonparty Safespan Platform Systems, Inc. (Safespan) was a subcontractor on the project. On August 11, 2003, nonparty James Conklin, a Safe-span employee, was injured when he lost his footing and fell [107]*107down a makeshift hillside ramp that provided access to a shanty office at the work site.

Under its subcontract with Campbell, Safespan was required to obtain liability insurance covering both Campbell and TBTA as additional insureds. At the time of Conklin’s accident, Safes-pan had primary liability coverage, with a per-occurrence limit of $1 million, under a policy issued by Gulf Insurance Company (Gulf). Safespan also had excess liability coverage under an umbrella policy issued by defendant NUFIC, with a per-occurrence limit of $10 million excess of the $1 million limit of the underlying Gulf policy. The “Additional Insured” endorsement to the Gulf policy provided that the policy would cover “any person or organization for whom you [Safespan] are performing operations when you and such person or organization have agreed in writing in a contract or agreement that such person or organization be added as an additional insured on your policy.” The NUFIC umbrella policy provided that it would provide excess coverage to “[a]ny person or organization . . . included as an additional insured” in the underlying Gulf policy.

In December 2003, Conklin commenced a lawsuit against Campbell and TBTA in Supreme Court, Bronx County (the Conklin action), in which he sought recovery for his injuries under the common law and Labor Law §§ 200, 240 (1) and § 241 (6). In January 2004, Campbell and TBTA tendered their defense in the Conklin action to Gulf, Safespan’s primary insurer, pursuant to the “Additional Insured” endorsement to the Gulf policy. Gulf accepted the tender and appointed a law firm to defend both Campbell and TBTA (collectively, Campbell/TBTA) in the Conklin action. NUFIC, Safespan’s excess insurer, was not notified of the Conklin action when the defense was tendered to Gulf.

During the course of the Conklin action, Campbell/TBTA’s counsel periodically sent status reports on the litigation to Gulf. In a status report dated August 23, 2004, counsel discussed potential damages in the case in light of the bill of particulars that Conklin had served. As pertinent to this appeal, the August 2004 status report stated:

“The plaintiff is alleging that due [to] the incident he sustained three herniated discs at L3-L4 with nerve impingement at L4-L5 and L5-S1, a bulging disc at L1-L2 as well as an internal derangement of [108]*108the shoulder. The herniation at the L3-L4 space required a spinal fusion, indicating a severe injury.
“Although the plaintiff continued to work for almost a month following the incident, he claims he was confined to bed due to his injuries from September 2003 through February 2004. The plaintiff apparently is still primarily confined to home.
“Based on the plaintiffs claim that he was earning approximately $3,200 a week, his lost earnings total is currently $130,000. The future lost wage claim is $9,000,000, which seems quite inflated. It assumes that this relatively young 38 year old plaintiff will never return to any work.”

Notwithstanding that, as of August 2004, Campbell/TBTA knew from Conklin’s bill of particulars that he was alleging “a severe injury” and was asserting a multimillion-dollar lost wages claim — which, if successful, would far exceed Safespan’s primary insurance — NUFIC, the excess insurer, was not given notice of the claim until November 2005, more than a year later. By letter to NUFIC dated November 16, 2005, Campbell/TBTA’s counsel advised NUFIC of the pendency of the Conklin action and brought to NUFIC’s attention that “[Conklin’s] attorney has recently represented that [his] damages may substantially exceed the $1,000,000 limit of liability of the [Gulf] policy.”3 Noting that NUFIC was Safespan’s excess carrier, the November 16 letter requested that “[NUFIC], as the excess insurer of [TBTA] and [Campbell] with regard to the captioned action, participate with [Gulf] in the handling and resolution of the Conklin Action.” A copy of the Conklin complaint was enclosed with the letter.

According to NUFIC, it received the November 16 letter from Campbell/TBTA’s counsel on November 23, 2005. A NUFIC claims adjuster responded by letter dated December 23, 2005. While the December 23 letter acknowledged the existence of “potential excess coverage for Safespan” in connection with the Conklin

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Bluebook (online)
92 A.D.3d 104, 937 N.Y.2d 164, Counsel Stack Legal Research, https://law.counselstack.com/opinion/george-campbell-painting-v-national-union-fire-insurance-co-of-nyappdiv-2012.