Why Choose Vargas Gonzalez Delombard, LLP for Your E&O Insurance Dispute?

Vargas Gonzalez Delombard, LLP brings national insurance litigation strength to the heart of Texas. Our team represents Dallas-area professionals and businesses across sectors—real estate, finance, engineering, healthcare, law, and beyond—when E&O insurers delay, deny, or underpay valid claims. We know how Texas courts interpret E&O contracts and understand the aggressive tactics carriers use in high-dollar disputes. From the Dallas Design District to Uptown and Irving, we provide tenacious, strategic advocacy for professionals facing career-defining challenges.

What Are E&O Claims?

E&O insurance covers financial damages caused by a professional’s:

  • Negligence or mistake
  • Breach of contract or duty
  • Misrepresentation or failure to disclose
  • Faulty advice or oversight
  • Missed deadlines or compliance issues

In Texas, E&O policies are frequently held by:

  • Architects and engineers
  • Attorneys and paralegals
  • Real estate brokers and appraisers
  • Accountants, CPAs, and financial consultants
  • Medical and allied health providers (separate from malpractice)
  • Insurance agents, brokers, and adjusters
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Common Disputes in Texas E&O Insurance Cases

Texas courts focus on several key elements when reviewing E&O claims:

Timely Notice

E&O policies in Texas are typically claims-made and reported. This means the alleged wrongful act must be reported within the policy period (or an extended reporting period, if purchased). Failure to meet this requirement may void coverage, even if the claim itself is valid.

Scope of Covered Services

E&O insurance is narrowly tied to services rendered in the insured’s professional role. Claims arising from administrative tasks, business ventures, or unlicensed activities are often denied as being outside the policy’s scope.

Wrongful Act and Policy Period

Coverage applies only to defined “wrongful acts” that occurred during the policy period or after the retroactive date. Disputes often hinge on whether the incident is tied to a specific event or reflects a pattern of conduct the insurer considers excluded.

Why Do Insurers Deny E&O Claims?

Texas insurers often rely on highly technical justifications to avoid paying claims. Common denial strategies include:

  • Broad use of fraud or dishonesty exclusions
  • Alleging the insured had prior knowledge of the potential issue
  • Contesting whether the claim qualifies as a “wrongful act”
  • Claiming damages are not “direct” or “economic” as required
  • Asserting late notice or lack of proper cooperation

At Vargas Gonzalez Delombard, LLP, we know how to respond to vague denials and challenge insurers who attempt to rewrite the policy after a claim is filed.

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What Damages Can Be Recovered in a Texas E&O Insurance Dispute?

Depending on the nature of your dispute and whether the insurer acted in bad faith, you may be entitled to:

  • Legal defense costs and attorney’s fees
  • Indemnity payments for settlements or judgments
  • Consequential damages caused by the denial
  • Statutory interest penalties under Tex. Ins. Code § 542.060
  • Treble damages and attorney’s fees under § 541
  • Prejudgment interest and possibly punitive damages

Tips to Avoid Denial of an E&O Claim

  • Report issues early—even if no formal claim has been made yet
  • Maintain clear records of all client interactions and services
  • Avoid speculative or informal communication with insurers
  • Know your policy’s retroactive date and exclusions
  • Work with a qualified insurance attorney before responding to the carrier
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Our Process for Resolving E&O Disputes in Texas

At Vargas Gonzalez Delombard, LLP, we take decisive legal action when insurers in Texas delay, underpay, or deny valid E&O claims. Our approach is thorough, aggressive when necessary, and always aligned with your profession, policy language, and financial interests. Here’s how we handle these complex disputes:

Analyze Your Policy Language in Light of Texas Law

We start by carefully reviewing the full terms of your E&O policy, including the insuring agreement, definitions of “claim” and “wrongful act,” reporting requirements, exclusions, and endorsements. We apply Texas case law and insurance statutes—including the Texas Insurance Code §§ 541 and 542—to determine whether the denial violates your contractual or statutory rights.

Investigate the Facts and Gather Documentation

We meticulously investigate the events that gave rise to the claim. This includes reviewing emails, contracts, statements of work, communications with clients, and any prior notices or complaints. Our goal is to build a well-documented timeline that shows how the alleged error or omission falls squarely within the policy’s coverage terms.

Engage in Direct Negotiation or File Suit for Breach of Contract or Bad Faith

We communicate directly with your insurer, often beginning with a formal coverage demand that outlines the legal and factual basis for your claim. If the insurer refuses to act in good faith, we move quickly to file suit in state or federal court for breach of contract and, where appropriate, bad faith under the Texas Insurance Code. These actions may entitle you to additional damages, interest, and attorney’s fees.

Pursue Recovery Through Mediation, Arbitration, or Trial

Depending on the policy and your preferences, we may resolve the dispute through settlement discussions, contractual arbitration, or courtroom litigation. We prepare each case as if it will go to trial, often encouraging carriers to settle favorably. If a trial is necessary, we are fully equipped to present a compelling case before a Texas judge or jury.

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Choosing the Right Dallas E&O Insurance Lawyer

When facing an insurer with deep legal resources, your attorney must be:

  • Experienced in Texas insurance and contract law
  • Ready to litigate and take insurers to court
  • Strategic in identifying insurer misconduct under the Texas Insurance Code
  • Focused on your long-term professional interests

At Vargas Gonzalez Delombard, LLP, we deliver the legal firepower and insurance expertise your case demands.

FAQ's

What is the statute of limitations for E&O insurance disputes in Texas?

Can I sue for bad faith under Texas law?

Can I recover attorney’s fees in an E&O insurance dispute?

What if my claim was denied due to fraud or dishonesty exclusions?

Does Texas require insurers to defend questionable claims?

Can my E&O coverage be voided if I fail to disclose prior incidents on my application?

Do E&O policies in Texas cover independent contractors working under my business?

Is there a difference between E&O and D&O (Directors & Officers) insurance in Texas?

Can I still recover under my E&O policy if the client’s lawsuit includes uncovered claims?

What if I settle a claim without notifying my E&O insurer?

Do E&O policies cover regulatory or disciplinary investigations in Texas?

Are mediation or arbitration required before I can sue my E&O insurer in Texas?

What is the statute of limitations for E&O insurance disputes in Texas?

Typically, the penalty is four years for breach of contract and two years for Insurance Code violations, starting from the date of denial or harm.

Can I sue for bad faith under Texas law?

Yes. Texas allows statutory and common law bad faith claims against insurers who fail to act reasonably or promptly.

Can I recover attorney’s fees in an E&O insurance dispute?

Yes. Under Tex. Civ. Prac. & Rem. Code § 38.001, prevailing parties in contract claims can recover attorney’s fees. Statutory claims may also allow fee-shifting.

What if my claim was denied due to fraud or dishonesty exclusions?

We examine whether the exclusion was fairly applied and whether it was used pretextually to avoid paying a covered claim.

Does Texas require insurers to defend questionable claims?

Yes. The duty to defend is broader than the duty to indemnify. The insurer must provide a defense if even one allegation in a lawsuit is potentially covered.

Can my E&O coverage be voided if I fail to disclose prior incidents on my application?

Yes. Texas insurers can rescind an E&O policy if the applicant intentionally withholds material facts or misrepresents prior claims or known risks. If your insurer believes you omitted relevant information, they may argue that the policy was obtained through material misrepresentation, potentially voiding coverage from inception.

Do E&O policies in Texas cover independent contractors working under my business?

Not by default. Most E&O policies exclude independent contractors unless they are explicitly listed or scheduled as additional insureds. If your subcontractors or consultants are client-facing, you may need to extend coverage or require them to carry their own E&O insurance.

Is there a difference between E&O and D&O (Directors & Officers) insurance in Texas?

Yes. While both protect against liability for professional decisions, E&O covers individual professionals (like engineers, consultants, or agents), while D&O insurance protects corporate directors and officers against claims of mismanagement, breach of fiduciary duty, or governance failures. These are distinct policies; having one doesn’t substitute for the other.

Can I still recover under my E&O policy if the client’s lawsuit includes uncovered claims?

Possibly. Texas follows the “eight corners rule,” which compares the allegations in the lawsuit (four corners) with the insurance policy (four corners). The insurer must defend the entire lawsuit if any allegation is potentially covered, even if other claims fall outside coverage.

What if I settle a claim without notifying my E&O insurer?

Doing so may jeopardize your coverage. Most E&O policies in Texas include a “consent to settle” clause, which means you cannot settle a claim without the insurer’s approval. Unauthorized settlements may result in indemnity loss, even if the underlying act was otherwise covered.

Do E&O policies cover regulatory or disciplinary investigations in Texas?

Generally not. E&O insurance typically excludes administrative proceedings (e.g., from the Texas Department of Insurance, Texas Medical Board, or State Bar). However, some policies offer regulatory defense endorsements for an added premium. Consider reviewing these options with your broker or attorney if your profession is highly regulated.

Are mediation or arbitration required before I can sue my E&O insurer in Texas?

It depends on your policy. Some E&O policies include mandatory arbitration or mediation clauses, which may limit your ability to file a lawsuit immediately. Texas law generally upholds valid arbitration agreements, so reviewing your contract’s dispute resolution provisions is essential before taking legal action.

The Right Defense Starts with the Right Legal Team

Your E&O policy is meant to protect you when something goes wrong. Vargas Gonzalez Delombard, LLP will step in if your insurer refuses to uphold its promise. We represent professionals throughout Dallas-Fort Worth and across Texas in high-stakes coverage disputes. Contact us today to get the legal support you deserve.

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