Insurance Coverage NOVEMBER 2002 The Second Circuit Certifies to New York’s Highest Court a Potentially Important Question Concerning Whether Prejudice Is a Necessary Element of an Insurer’s Late Notice Defense For years, insurers with frequent success have invoked the late notice defense under New York law to deny insurance coverage to insureds. Under New York’s traditional “no prejudice” rule, insurers contend that an insurer generally need not show any prejudice suffered by the insurer as a result of an insured’s late notice. As New York law is applied by insurers, an insured is barred from coverage if the notice was late, on the theory that notice is a condition precedent to coverage under the policy.1 Insurers, however, may be losing ground in their ability to assert such positions. In Varrichio v. Chicago Ins. Co., Docket No. 02-7002, 2002 U.S. App. LEXIS 23508 (2d Cir. November 14, 2002), the United States Court of Appeals for the Second Circuit certified to the New York Court of Appeals, New York’s highest court, a question that may assist policyholders seeking to avoid forfeitures of coverage based on late notice. In Varrichio, Varrichio, a lawyer, notified his insurer of a potential claim against him in the spring of 1999. In July 2000, Varrichio was served with a summons and complaint, which he failed to forward immediately to the insurer. In September 2000, the insurer learned that Varrichio had been served with suit papers, and promptly denied coverage on the basis of late notice. Varrichio then brought a declaratory judgment action to force the insurer to defend and indemnify Varrichio in the malpractice case arguing, among other things, that the insurer had to show prejudice resulting from Varrichio’s late notice of the suit in order to deny coverage. The district court rejected Varrichio’s arguments and granted summary judgment to the insurer. On appeal, the United States Court of Appeals for the Second Circuit determined that a recent decision of the Court of Appeals of New York put in doubt the continued force of the so-called “no prejudice” rule in the context of the claim in Varrichio. Citing In re Brandon, 769 N.E.2d 810 (N.Y. 2002), a case decided after the district court issued its opinion in Varrichio, the Second Circuit found New York law to be uncertain as to whether the insurer must demonstrate prejudice from Varrichio’s late notice of the legal action against him. In Brandon, the New York Court of Appeals had ruled that prejudice was a necessary element of an insurer’s late notice defense where the insured had notified its automobile insurer of an automobile accident but had delayed in giving notice of his own claim against the underinsured driver. In 1 See Security Mut. Ins. Co. v. Acker-Fitzgerald Corp., 293 N.E.2d 76, 78 (N.Y. 1972); American Home Assurance Co. v. International Ins. Co., 684 N.E.2d 14, 16 (N.Y. 1997). Kirkpatrick & Lockhart LLP doing so, the Court signaled a potential willingness to consider the continued applicability of the “no prejudice” rule in other circumstances. The Court noted: New York is one of a minority of States that still maintains a “no-prejudice” exception. Formerly a majority of states took this approach, but, as the Supreme Court of Tennessee noted when it recently adopted a prejudice requirement in a case involving a late notice of claim for uninsured motorist coverage, “the number of jurisdictions that still follow the traditional view has dwindled dramatically.” Indeed, that court noted that in the preceding twenty years, only two States — New York and Colorado — had “considered the issue” and “continued to strictly adhere to the traditional approach.” Since then, Colorado adopted the majority rule, requiring insurers to demonstrate prejudice. Should the New York Court of Appeals accept the certified question, it would allow the court to reexamine New York notice law, definitively bring New York notice law into line with the law of nearly every other state to have addressed the issue, and require that prejudice be a necessary element of any insurer late notice defense. THOMAS M. REITER treiter@kl.com 412.355.8274 DAVID E. SMITH david.e.smith@kl.com 412-355-6338 2 Varrichio, 2002 U.S. App. LEXIS 23508 at *15. In Re Brandon, 769 N.E.2d at 813 n.3. In light of the In Re Brandon decision, the Varrichio court certified the following question to the New York Court of Appeals: Where an insured has already complied with a policy’s notice of claim requirement, does New York require the insurer to demonstrate prejudice in order to disclaim coverage based on the insured’s failure to comply with the policy’s notice of suit requirement?2 The Insurance Coverage practice group at Kirkpatrick & Lockhart Nicholson Graham LLP offers an international policyholder-oriented practice on behalf of Fortune 500 and numerous other policyholder clients. Its lawyers have authored Policyholder’s Guide to the Law of Insurance Coverage and edited the Journal of Insurance Coverage. For further information, please consult our website at www.klng.com. 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